§ 3. Mr. James Gray (North Wiltshire)What discussions he has had about funding for the Avon and Wiltshire Mental Health Care Trust. [82618]
§ The Minister of State, Department of Health (Jacqui Smith)At the request of my hon. Friend the Member for South Swindon (Ms Drown), I met representatives of Avon and Wiltshire mental health care trust, the strategic health authority and local Members of Parliament on 29 October. The meeting enabled us to discuss both the financial pressures that confront the mental health care trust and national and local work to tackle the financial position.
§ Mr. GrayI attended that meeting, and it was deeply unsatisfactory. The mental health care trust and the other local PCTs are starting life with debt of £100 million that they inherited from previous organisations. They are trying to live within their means, but that will mean closures of beds at the Cameron mental health care ward in Chippenham, of the day care facility in Malmesbury and at Rowden Hill, and of the rehabilitation centre at Devizes. Does the Under-Secretary agree that there is precious little point in her paying out funds to the trust if they have to be paid back in debt repayment? Is not there a strong argument for considering a moratorium on debt repayment so that the trusts can start their lives sensibly?
§ Jacqui SmithClearly, it is important that local health services live within their means. I know that much work is happening locally in the hon. Gentleman's constituency to ensure that we safeguard services.
§ Jacqui SmithThe hon. Gentleman mentions cuts, but the mental health care trust received 12.8 per cent. more income in 2002–03 than in 2001–02. That is why it has been able to improve services, with six more crisis resolution teams, eight more assertive outreach teams, at least 12 more community gateway staff and at least 14 more staff to give carers breaks. It is a bit rich for the hon. Gentleman to argue for more money now; he did not vote for it when he had the opportunity to do so.