Ed Miliband attends the launch of an online mental health resource. Photo: Getty
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It is no longer enough for our parties just to talk about mental health

Since the last election, mental health has risen higher in the agenda than many campaigners even dreamt of. Labour, however, is behaving as though just talking about the issue is still good enough. 

Of all the many depressing developments in politics over the past years there has been the odd beam of light breaking through the cloud; one such beam is mental health. Mental health has become steadily more and more important in Westminster politics and now it figures as a significant element in each party’s health policy. Every party will at the very least mention mental health in the short paragraphs that they will try and win the public’s votes with. But lip service is no longer enough and sadly Labour in particular is guilty of doing just that.

It’s not all that often that the Lib Dems are called the most progressive of the three main parties and although it would be contentious to call them the most progressive party on mental health, it is not controversial to say that they are the clearest on it. Nick Clegg’s conference speech last year was filled with mental health announcements, including the much lauded announcement creating waiting times for the first time for mental health. Despite the fact that the financial figures used in his speech were a mish-mash of government plans and manifesto promises, the Lib Dem website explicitly lists the party’s financial commitment for mental health. £400m is to go on psychological therapies and £54m on widening children’s access to mental health care.

The Conservative party has publically declared mental health to be a priority, Jeremy Hunt’s conference speech last year proved as much. But when it comes to specific policy commitments there are none of any substance. This makes a degree of sense since mental health seems to have largely been delegated to their coalition partners. However, this excuse is not one that Labour can use; Andy Burnham has won a fair amount of praise for his adoption of "whole-person care", an integrated system of health and social care, giving due priority to mental health. Beyond this though, there has been little progress toward any kind of precise figures and/or policy.

Whereas the Lib Dems have pledge £54m to the problem, Ed Miliband has so far only really identified that children’s mental health is a problem. Children’s mental health services have suffered a real terms cut of 6 per cent since 2010, a "neglect" that Miliband has rightly pledged to stop. Aside from showing us how much they have been cut and saying that Labour will increase spending, we are voting blind on this; how much will they increase spending by? When?  Where will they target the money?

Labour’s recently released independent report on mental health by Stephen O’Brien, which has been two years in the making, has committed the same crime as the central party; it comprehensively identified the problems and false economies in our current approach, but it hasn’t provided any solutions. This is a problem across all parties; considering that the field is pretty well open for any of the main 5 parties to play a role in the next government, there is a worrying lack of specifics and figures. The election is 92 days away, that is fair enough, but soon enough they will need to tell us what they intend to do.

There is an opportunity right now, before the manifestos are launched, for the political parties to take mental health seriously enough to get specific and set out their spending plans. Mental health funding is in dire straits and it is absolutely not adequate just to say you think it’s important. If Labour is not careful, this playing-it-safely approach will give the other parties an open goal on mental health, in much the same way that they let the Tories score on postgraduate funding. As the main opposition party, they cannot let that happen. 

Dan Holden is deputy editor of Shifting Grounds

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Is defeat in Stoke the beginning of the end for Paul Nuttall?

The Ukip leader was his party's unity candidate. But after his defeat in Stoke, the old divisions are beginning to show again

In a speech to Ukip’s spring conference in Bolton on February 17, the party’s once and probably future leader Nigel Farage laid down the gauntlet for his successor, Paul Nuttall. Stoke’s by-election was “fundamental” to the future of the party – and Nuttall had to win.
 
One week on, Nuttall has failed that test miserably and thrown the fundamental questions hanging over Ukip’s future into harsh relief. 

For all his bullish talk of supplanting Labour in its industrial heartlands, the Ukip leader only managed to increase the party’s vote share by 2.2 percentage points on 2015. This paltry increase came despite Stoke’s 70 per cent Brexit majority, and a media narrative that was, until the revelations around Nuttall and Hillsborough, talking the party’s chances up.
 
So what now for Nuttall? There is, for the time being, little chance of him resigning – and, in truth, few inside Ukip expected him to win. Nuttall was relying on two well-rehearsed lines as get-out-of-jail free cards very early on in the campaign. 

The first was that the seat was a lowly 72 on Ukip’s target list. The second was that he had been leader of party whose image had been tarnished by infighting both figurative and literal for all of 12 weeks – the real work of his project had yet to begin. 

The chances of that project ever succeeding were modest at the very best. After yesterday’s defeat, it looks even more unlikely. Nuttall had originally stated his intention to run in the likely by-election in Leigh, Greater Manchester, when Andy Burnham wins the Greater Manchester metro mayoralty as is expected in May (Wigan, the borough of which Leigh is part, voted 64 per cent for Brexit).

If he goes ahead and stands – which he may well do – he will have to overturn a Labour majority of over 14,000. That, even before the unedifying row over the veracity of his Hillsborough recollections, was always going to be a big challenge. If he goes for it and loses, his leadership – predicated as it is on his supposed ability to win votes in the north - will be dead in the water. 

Nuttall is not entirely to blame, but he is a big part of Ukip’s problem. I visited Stoke the day before The Guardian published its initial report on Nuttall’s Hillsborough claims, and even then Nuttall’s campaign manager admitted that he was unlikely to convince the “hard core” of Conservative voters to back him. 

There are manifold reasons for this, but chief among them is that Nuttall, despite his newfound love of tweed, is no Nigel Farage. Not only does he lack his name recognition and box office appeal, but the sad truth is that the Tory voters Ukip need to attract are much less likely to vote for a party led by a Scouser whose platform consists of reassuring working-class voters their NHS and benefits are safe.
 
It is Farage and his allies – most notably the party’s main donor Arron Banks – who hold the most power over Nuttall’s future. Banks, who Nuttall publicly disowned as a non-member after he said he was “sick to death” of people “milking” the Hillsborough disaster, said on the eve of the Stoke poll that Ukip had to “remain radical” if it wanted to keep receiving his money. Farage himself has said the party’s campaign ought to have been “clearer” on immigration. 

Senior party figures are already briefing against Nuttall and his team in the Telegraph, whose proprietors are chummy with the beer-swilling Farage-Banks axis. They deride him for his efforts to turn Ukip into “NiceKip” or “Nukip” in order to appeal to more women voters, and for the heavy-handedness of his pitch to Labour voters (“There were times when I wondered whether I’ve got a purple rosette or a red one on”, one told the paper). 

It is Nuttall’s policy advisers - the anti-Farage awkward squad of Suzanne Evans, MEP Patrick O’Flynn (who famously branded Farage "snarling, thin-skinned and aggressive") and former leadership candidate Lisa Duffy – come in for the harshest criticism. Herein lies the leader's almost impossible task. Despite having pitched to members as a unity candidate, the two sides’ visions for Ukip are irreconcilable – one urges him to emulate Trump (who Nuttall says he would not have voted for), and the other urges a more moderate tack. 

Endorsing his leader on Question Time last night, Ukip’s sole MP Douglas Carswell blamed the legacy of the party’s Tea Party-inspired 2015 general election campaign, which saw Farage complain about foreigners with HIV using the NHS in ITV’s leaders debate, for the party’s poor performance in Stoke. Others, such as MEP Bill Etheridge, say precisely the opposite – that Nuttall must be more like Farage. 

Neither side has yet called for Nuttall’s head. He insists he is “not going anywhere”. With his febrile party no stranger to abortive coup and counter-coup, he is unlikely to be the one who has the final say.