Am I eligible for free mental health care? How would I know?

Alice O'Keeffe's "Squeezed Middle" column.

‘‘So how long have you been having these irrational thoughts?” I pause to think this through. It’s important to give the correct answer. I have to strike just the right balance with the kind lady from the Mental Health Access Team who has phoned to assess me. If she thinks I’m not mentally unstable enough, she will not refer me for free counselling. If she thinks I’m too mentally unstable, she might call in the social and tell them to take my kids away. Would she actually do that? On balance, probably not. Nevertheless, I must tread carefully.
 
I immediately decide against the honest answer, which is that I don’t think my depression is “irrational” at all. It is based on hard facts, many of them scientifically provable. First, our flat is too small for a family of four. Second, there is now officially no chance of us ever being able to move out. Third, our joint incomings do not match our outgoings and we have no savings or pensions. Fourth, the government has no interest in making things better for families like us – or, indeed, anyone other than their Old Etonian buddies. Fifth, the destruction of the environment continues unchecked, with consequences that are likely to prove utterly disastrous for humanity within my children’s lifetime.
 
I’d argue, on balance, that this is reason enough to feel legitimately less than 100 per cent zip-a-dee-doo-dah. On the other hand, whatever your circumstances, your glass could always be half full. No doubt it is partly the way I am perceiving the difficulties which makes them feel insurmountable. If I were more of a can-do type of personality, I’d be out there doing a jolly tap-dance on the grave of Europe’s bee populations.
 
“It started a couple of months ago. The baby stopped sleeping. We were buying a house and then it fell through . . .” I give her the sorry list of symptoms: the exhaustion, the creeping insomnia, the almost constant snivelling. She sounds pleasingly concerned. This is going well.
 
“Any suicidal feelings?”
 
Gosh. Funnily enough I did catch myself lying in bed the other day, thinking how nice it would be never to have to get up ever again, never to have to deal with another unexpected bill or another broken night . . . but it was more an idle thought than an active planning-to-kill-myself thing. Does that count as suicidal? I’m not sure.
 
“No,” I say firmly. “Not at all.”
 
“Good,” she says briskly. “So what I’m going to do is recommend that you come in for a full assessment session with one of our mental health nurses. You should receive a letter in the post.”
 
“Great. Thank you.” Result! I can’t wait for them to make me better again. “And how long will it take to get the appointment?”
 
“It shouldn’t be more than six weeks.”
 
SIX WEEKS!!! I can’t wait six weeks. Curly is on the brink of disowning me. I’m on the brink of disowning myself. I take a deep breath. “Right. Well, thank you very much for your help.” As I hang up, the tears have already formed a puddle on the keypad.
Alice O'Keeffe's "Squeezed Middle" column appears weekly in the New Statesman.

Alice O'Keeffe is an award-winning journalist and former arts editor of the New Statesman. She now works as a freelance writer and looks after two young children. You can find her on Twitter as @AliceOKeeffe.

This article first appeared in the 19 August 2013 issue of the New Statesman, Why aren’t young people working

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Theresa May wants a Global Britain? Then stay in the single market

The entrepreneur Lord Bilimoria argues the Prime Minister risks both the prosperity and reputation of the UK. 

Since coming to the UK as a student in the early 1980s, I have witnessed the shattering of its glass ceiling and the birth of one of the world’s most enterprising nations. Much of this progress is now under threat due to the great uncertainty Brexit is causing.

It has been six months since the referendum, and we are still presented with no clear strategy except a blind leap of faith out of the single market. By continuing to pursue a closed and inward-looking Brexit, Theresa May risks both the prosperity and reputation of this country. 

Last week I joined with thirty other entrepreneurs and business leaders in urging the Prime Minister to keep Britain within the EU single market. In the coming months Mrs May will face having to make a trade-off between immigration control and loss of single market access. The decision she makes will determine whether we retain much of our economic strength. 

That is why I was disappointed to see May’s most recent comments simply reinforcing the message that the government is pursuing a "hard" Brexit. Over the weekend her big interview sent the pound plunging – yet again. 

It is clear the government is solely focused on delivering stricter immigration regulation, regardless of whether it leaves Britain stranded outside the single market. To fall into the trap of calling the PM "Theresa Maybe" masks the decisive nature of her emerging strategy – which is to head for the hardest of exits.

We know that neither Council President Donald Tusk nor chief negotiator Michel Barnier will accept access to the single market without freedom of movement being part of the deal. This is incompatible with the vision set out by the government.

Yet, movement and access to the single market are vital to the future interests of British business. The PM must do more to reassure those set to be affected. We are currently part of a 500m-strong single market; this is good for British business. Although I believe the whole of Europe needs to reform the current free movement of people, not least for security reasons, we nevertheless must continue to have the ability to move freely within the EU for tourism, business and work.

It is becoming unequivocally clear that the PM is willing to pay any economic price to achieve stricter immigration controls for political gain. Driven by the fear that the far-right will use immigration in future election battlegrounds, the issue of immigration is undermining our ability to negotiate an exit from the EU that is in the best interest of businesses and the nation as a whole. 

The government’s infuriating failure to prioritise continued movement of people means we are set to lose a hugely competitive edge, reducing access to talented employees, and undermining the UK’s rich history of an open, diverse, and welcoming nation.  

To achieve the government’s absurd immigration control, we will have to leave the European single market. In doing so 44 per cent of our exports, the current percentage that go to Europe, will be jeopardised, as they will no longer have free access to their original markets. 

In tandem with an exit from the world’s largest single market, British business will also lose access to one of the strongest international talent pools. This has the potential to be even more devastating than the forfeiture of markets and trade.

Access to skilled workers is critical to future success. As a nation we have the lowest level of unemployment in living memory with less than 5 per cent currently out of work, and that’s in spite of 3.6m people from the EU working in Britain.

Britain will continue to need the expertise that free movement currently provides, regardless of whether Brexit happens or not. You cannot simply replace the skilled doctors, nurses or teachers living and working here overnight. 

The focus on immigration has also strayed into more dangerous territory with the government persisting in including international students as immigrants when calculating net migration figures, whilst having a target to reduce net migration to the tens of thousands. The PM’s insistence on this policy not only stifles encouragement of talent flows, but also sends an incredibly negative message to the international community. It is a policy that I have continually called on the PM to change and I will continue to do so.

Our competitor countries, the United States, Canada, and Australia, do not categorise international students as immigrants and, in fact, they also provide generous incentives to stay in their countries to work after graduating. In comparison, we removed our popular two year post-study work visa in 2012.

Brexit poses an increasingly dangerous reality that we are destined to be viewed as an inward-looking, insular and intolerant nation. That is not the Britain I know and love. That is not the Britain that has attracted enterprising individuals. The UK needs to establish itself once more as an outward-facing nation that welcomes international talent and entrepreneurship. This starts with retaining membership of the single market.  

Lord Karan Bilimoria is a leading British businessman and the founder of Cobra Beer.