Blooming Change: Reforming the Mental Health Act 1983
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Since 2023, Blooming Change have been working to ensure children and young people with experiences of mental health inpatient units are at the heart of the reform of the Mental Health Act 1983.
Using their own knowledge and experiences, the group have pushed for the Mental Health Bill to address their priority areas for change including ending the placement of children on adult wards; ending abusive restraint; equal access to advocacy; amplifying patient voice after discharge; and many more areas of concern.
Scroll the timeline below to view the group’s journey…
June 2022
The Draft Mental Health Bill is published
The UK Government published the Draft Mental Health Bill to improve the Mental Health Act 1983.
September 2023
Article 39 heard from children and young people with experience of living in mental health inpatient units
The Department of Health and Social Care asked Article 39 to gather views from children and young people who have lived in mental health inpatient units as children to find out their thoughts on the Draft Mental Health Bill.
Thirteen children and young people aged 17–25 joined our advisory team. Together, they studied the Bill and took part in online focus groups to share their views on the proposed changes and issues that mattered to them.
We created an Explainer document to help the advisory team learn about the Draft Mental Health Bill – view it here.
December 2023
Article 39 published a new report - “In what world is this hospital care?”
Reflections shared from the focus groups were then published in a report called, “In what world is this hospital care?”: young people’s views on fixing the Mental Health Act 1983.
This report was sent to the Department of Health and Social Care to further reflect on any new changes that were to be made to the Mental Health Bill and its accompanying Code of Practice.
Read the report here.
August – November 2024
Blooming Change prepared for the Mental Health Bill’s parliamentary process
Blooming Change – a group set up by Article 39 for children and young people with experience of living in mental health inpatient units in England – carried the torch forward for children and young people’s involvement in the Mental Health Bill.
Ahead of the Bill, the group spent many meetings discussing their priority areas for reform. Article 39 also designed a bespoke two-day training course for Blooming Change called Making Law to help the group understand more about the parliamentary process of a Bill.
November 2024
Blooming Change met with the Mental Health Bill Team in London
Blooming Change met with the Mental Health Bill Team in their office in Westminster, London. In the meeting, Blooming Change members shared their thoughts on the Mental Health Bill and what they felt needed to be changed or included.
It was an extremely productive and lengthy meeting with civil servants leading on the Bill.
November 2024
Mental Health Bill Second Reading in the House of Lords
Blooming Change put together a briefing for Peers in the House of Lords ahead of the Mental Health Bill Second Reading debate (read here). The briefing outlined Blooming Change’s priority areas for the Mental Health Bill which included:
- ending abusive restraint in mental health units;
- access to therapy in mental health units;
- ending the placement of children on adult wards;
- protecting the rights of patients with physical impairments in mental health units;
- and patient debriefing after leaving a mental health unit.
The briefing was referred to in the House of Lords debate by Lord Howe (Shadow Deputy Leader of the House of Lords), and Lord Crisp (former Chief Executive of the NHS) – watch below.
January 2025
Amendments tabled by Lord Howe
With the help from the Article 39 team, Blooming Change’s priority areas were adapted into a set of draft amendments. These were sent to Lord Howe who then tabled the amendments ahead of the House of Lords Committee Stage.
January 2025
Blooming Change responded to the Joint Committee on Human Rights
Together, Blooming Change members and Article 39 wrote a response to the Joint Committee on Human Rights call for evidence which asked if the Mental Health Bill is in line with the UN Convention on the Rights of the Child.
Our response focused on ending the placement of children on adult wards; opt-out advocacy for all patients; and promoting a therapeutic environment in mental health units.
Read our written evidence here.
January 2025
Mental Health Bill progressed through the House of Lords
Across the House of Lords debates, Blooming Changes priority areas were given tremendous support – including stopping the placement of children on adult wards; ensuring therapeutic support is available for children in hospital; and introducing a new process for hearing patients’ views following discharge.
When Lord Howe spoke in the House of Lords, he recited extensively from the work of Blooming Change.
Watch Lord Howe speak on the placement of children on adult wards and the accessibility of inpatient units below.
February 2025
Lord Howe introduced the debriefing amendment
Lord Howe introduced Blooming Change’s debriefing amendment which would require independent mental health advocacy services to contact patients – both children and adults – within 30 days of discharge to offer them the opportunity to reflect on their time in hospital.
A report would then be agreed by the former patient and their advocate and submitted to the hospital. Hospital managers would then have a duty to publish a report each year outlining feedback received from former patients and the actions taken in response.
Watch below to hear Lord Howe and the great support from many other Peers including Baroness Murphy, Lord Crisp, Baroness Bennett of Manor Castle, Baroness Barker, and Baroness Tyler of Enfield.
March 2025
Blooming Change invited to the Joint Committee on Human Rights’ roundtable
Following the written response to the Joint Committee on Human Rights’ call for evidence, Blooming Change members were invited to the Houses of Parliament to attend a roundtable held by the Committee. The roundtable was attended by Peers, MPs, and others with experience of mental health inpatient units.
March 2025
A WIN! Blooming Change's amendment is agreed in the House of Lords!
In a fantastic development, Blooming Change’s debriefing amendment – which introduced a formal debriefing process for patients after they have been discharged from a mental health unit – was voted into the Mental Health Bill!
Moved by Lord Howe, the clause – to be known as Clause 35 – received cross-party support (209 votes to 143)!
Read more here.
May 2025
Joint Committee on Human Rights supported Blooming Change in its final report
The Joint Committee on Human Rights (JCHR) published its final report on the Mental Health Bill.
It drew heavily on Blooming Change’s evidence about children being placed on adult wards and the risk of a two-tier advocacy system. It recommended opt-out advocacy for all children, supported an amendment banning children being placed on adult wards unless demonstrably in their best interests, and welcomed Lord Howe and Blooming Change’s Clause 35, urging that it be retained as the Mental Health Bill moves to the House of Commons.
Read the JCHR report here.
April - June 2025
Mental Health Bill in the House of Commons
Blooming Change continued their campaigning work through contacting MPs and pressing for the retainment of the new Clause 35 as the Mental Health Bill progressed through the House of Commons.
For their final briefing for MPs ahead of Report Stage, Blooming Change reached out to Article 39’s Children and Young People’s Advocates Network to hear their views on Clause 35 to help campaign for its protection in the House of Commons.
Read the briefing here.
June 2025
Blooming Change amendment removed in House of Commons
We were extremely disappointed that Clause 35, which Blooming Change had successfully championed, was removed from the Mental Health Bill when it was reviewed in the House of Commons.
Pressing for the Clause 35’s removal, health minister Stephen Kinnock MP described the duty to offer debriefing to patients as “overkill”. He also said independent mental health advocacy services had told government they wouldn’t have capacity to implement this change.
Determined not to give up, Blooming Change urged MPs to reintroduce the debriefing amendment to the Mental Health Bill (read more here). Unfortunately, this was unsuccessful.
December 2025
The Mental Health Bill becomes law
On 18th December 2025, the Mental Health Bill reach the final stage of its parliamentary journey and received Royal Assent. This means it is now law.
Blooming Change now look to continue their efforts and ensure the voices of children and young people are included in the reform of the Mental Health Act Code of Practice.