As the Mental Health Bill reaches its final parliamentary stages and following the disappointing removal of Clause 35, young people from Blooming Change and Article 39 are urging MPs to table another amendment that would introduce a vital debriefing process for patients.
The now-removed Clause 35 – ‘Ascertaining and learning from patients’ experiences of hospital treatment’ – introduced a formal debriefing process for patients following discharge from a mental health inpatient unit. The clause required independent mental health advocates (IMHAs) to offer patients the opportunity to reflect on their time in hospital, with their views and experiences recorded in a report. Hospitals would then have a duty to publish an annual report summarising former patient feedback and the actions taken in response. The clause was agreed upon with cross-party support as the Mental Health Bill progressed through the House of Lords, passing with 209 votes to 143.
The clause, led by Conservative peers Lord Howe and Lord Kamall, was brought forward in partnership with Blooming Change, a group set up by Article 39 and whose members are young people with experience of being detained under the Mental Health Act 1983 as children.
Blooming Change firmly believes that a debriefing process would not only record the experiences of patients, hold institutions accountable, and inform service improvement, but also support patients in their healing process after time in mental health inpatient units. They believe the process would be especially vital in helping child patients feel listened to and validated, supporting them to process their experiences and move forward after discharge.
Speaking on their experience following discharge, one Blooming Change member shared:
“You can feel like you’ve just been thrown back in the deep end. It’s a confusing and upsetting time and I didn’t know how to process the hospital experience. It was horrible and I ended up getting really mentally unwell quite soon after discharge and I had to come back in [to hospital]. A big part is that I had come out of the hospital with all these new feelings and experiences and no help.”
It is deeply concerning that this vital clause was removed from the Bill when it was debated in Committee in the House of Commons in June 2025. Pressing for the clause’s removal, health minister Stephen Kinnock MP described the duty to offer debriefing as “overkill” and said IMHA services had told government they wouldn’t have the capacity to implement the change.
These views are different from those shared by advocates in Article 39’s Children and Young People’s Advocates Network, which has nearly 600 members across England. In response to how the debriefing process would work, advocates were content with the involvement of IMHAs and felt this made the most sense given the personal nature of the role:
- “Patients in mental health settings are usually familiar with the role of IMHA, and have developed a working relationship with them, therefore, they are best placed to support patients who would like the opportunity to reflect on their experiences. IMHAs also witness the day to day running of inpatient services and can encourage a debrief that covers all aspects of care.”
- “Currently the measures of success of mental health units do not include enough of the child’s perspective, views or voice. How can services really be improved without children having the support to share their thoughts…”
- “Initially there may be more work expected in the implementation of [a debriefing process] but ultimately it will be a huge step forward in improvements and accountability of all service providers to ensure that each young person’s voice is heard and acted upon to enhance and improve the quality of support that they are entitled to.”
Blooming Change is now urging MPs to consider tabling a revised amendment that would still introduce a debriefing process while also addressing government concerns.
Members of Blooming Change share their thoughts below:
- “We are determined not to give up on this amendment. A debriefing process would change the system and the lives of young people like us. All we’re asking for is MPs to listen to our voices and give us a process solely for us, to aid our healing. This is our last chance to improve the Mental Health Bill and turn our trauma into something that will benefit patients for years to come.”
- “When you are in a mental health unit, your voice feels like it has been taken from you and it can make you feel powerless. A debriefing process can empower patients like me to start healing from their experiences by giving them their voice back and allowing this to shape services. If I had been offered a debrief, I would have taken it to help me process my experiences and move on with my life. I feel if this had happened, I wouldn’t have been readmitted.”
- “The debriefing amendment was created by and for the young people most impacted by the Mental Health Bill, with lived experience being central to the design of the amendment. To see a revised version of this amendment be taken forward would send a clear message: There is nothing about us without us and our voices matter.”
Want to find out more or get in touch?
Contact Millie at millie.hall@article39.org.uk


