The government’s Mental Health Bill has passed its third reading in the House of Commons, marking a major step towards updating legislation first introduced in 1983. The reforms aim to reduce the number of people with learning disabilities and autistic people being detained in mental health hospitals, shifting the focus towards community-based support and person-centred care.
The Bill proposes greater oversight of compulsory detention and introduces statutory care and treatment plans to ensure patients have a clear route to recovery and discharge. Health Minister Stephen Kinnock announced a new package of measures, including improved community services, education and treatment reviews, and dynamic support registers. It also strengthens safeguards for individuals who cannot consent to treatment, ensuring earlier involvement of an independent second opinion.
Kinnock said the changes reflect modern attitudes toward mental health and will prioritise patient choice and dignity. Reforms include clinical checklists, advance choice documents, nominated persons, and extended advocacy services. Once approved, the next step will be to consult on the code of practice with people who have lived experience, families, and professionals.
Campaigners have welcomed the focus on community care, particularly for over 2,000 autistic people and individuals with learning disabilities currently detained. However, they stress urgent action is needed to prevent unnecessary hospitalisation and ensure the reforms deliver meaningful change.


