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That this House has considered children and young people’s mental health.
It is a pleasure to serve under your chairmanship, Sir Gary. I am very grateful to be given the opportunity to lead a debate on this critical issue. Eighteen months ago in my maiden speech, I pledged that children and young people’s mental health would be an issue that I champion in this place. It is a cause for which I will fight relentlessly, because children and young people are our future. Their hopes and dreams depend upon us doing the right thing by them.
Those who are struggling with their mental health and wellbeing, whether those suffering mild anxiety to those young people attempting to take their own life, deserve the very best care and support. Yet children and young people do not have a voice in the political system and are too often overlooked. In fact, the former Children’s Commissioner, Anne Longfield, said in her final speech earlier this year that in Government there was an “institutional bias against children”—never more so than during the pandemic when, frankly, they have been an afterthought at every turn. From new born babies to schoolchildren to university students, the Government have let them down in planning and providing for their social and educational needs, and again in their announcements about children’s recovery.
Teenagers and young people in my constituency who are ambassadors for the fantastic local charity Off The Record tell me that uncertainty over exams, combined with the social isolation of being stuck at home away from their peers, worries about loved ones and now concerns about their future job prospects have all taken their toll. But this crisis in children and young people’s mental health started long before the pandemic. One reason why I made it my priority at the start of last year was because following my election, I was astounded week in, week out by the emails from parents or conversations at my surgeries, of stories of battles with child and adolescent mental health services to access treatment for children who are considering suicide, self-harming or withdrawing themselves from school. Yet they were having to wait six months or sometimes a year for treatment.
Colleagues, we have 45 minutes and nine Back-Bench speeches to fit in, so that is exactly five minutes each. Please try to keep to time, so that I will not need to impose any restrictions.
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James Sunderland (Bracknell) (Con)
It is a great pleasure to serve under your chairmanship, Sir Gary. As we know, the Timpson review was commissioned by the Secretary of State for Education in March 2018 and published in May 2019. There is no need today to go into the detail of that excellent document, which is on public record, but I will highlight some key factors.
From 1998 to 2013, there was a downward trend of school exclusions. They dropped to a rate of 0.06% for the 2012-13 school year. However, that level has increased in recent years. For example, in 2017-18, there were almost 8,000 permanent exclusions in state-funded schools across all levels, a rate of 0.1%. The reasons are multifarious, including persistent disruptive behaviour and physical assaults against pupils and adults. Most intriguingly, the exclusion rates for children with special educational needs are much higher than average. With overall permanent exclusion set at 0.1% in 2016-17, it was 0.35% over the same period—three and half times the problem. So, indeed, Houston, we have a problem.
We are not here today to admire our challenges, but to solve them, so what do we need to do? The SEND review is expected imminently, but it is a matter for DFE and DHSC. First, we need to invest in our SEN children as never before. Yes, many are disruptive, hard to handle and come with a range of issues, but what about their energy, skills and strengths? If we can harness them to best effect, just think of the rewards.
Why might that work? By getting to the root cause of the issues, providing focused intervention and allowing children to fulfil their potential in the right environment, rather simply be excluded because it is all too difficult, we can get the best out of them. By providing the right care in the right settings, we can give them the focus they need to be productive, employable, law-abiding and responsible citizens, because we have addressed the root causes.
Our prisons are sadly full of people who have made the wrong decisions or acted impulsively, because they were not diagnosed at an early age, so let’s invest in all our kids to give them the best possible chance.
I want every single local authority in the UK to comprehensively review their SEN provision, so that it becomes available in every area. In other words, every authority should provide specialist in-house provision. Specialist and dedicated settings are the way forward, and I want more dedicated schools established for SEN. Why? It is because it is not fair on the 95% of children in a class if 5% are disruptive, nor is it fair on the 5% to be constantly out on a limb, feeling the odd one out or being excluded. Let us separate the children, where we need to, but also be free to adopt hybrid models where access to the mainstream will still be beneficial. It is about a needs-must basis—individually streamlined to each child.
It is a pleasure to serve under your chairmanship, Sir Gary. A few weeks ago I had the pleasure of visiting Positive Youth Foundation in my constituency. I had the best time, as videos on my social media show. It is a fantastic organisation providing young people in Coventry with a huge range of activities and opportunities. Visiting the centre, I saw the bonds that had been formed between the staff, volunteers and young people and the confidence and support that gave them. I want to begin by paying tribute to everyone at Positive Youth Foundation from its founder and CEO Rashid Bhayat to all the staff and volunteers.
As staff and volunteers made clear to me, this is an incredibly challenging time for young people, with more than half of safeguarding reports at the centre being about children’s and young people’s emotional wellbeing and mental health. The pandemic, and the new stresses, strains and isolation it has brought, has added to what was already a mental health crisis for children and young people. Before coronavirus hit, one in five young people aged between 16 and 24 suffered mental ill-health, and for school-aged children the figure was one in six. That has only got worse in the last 12 months. University students have been trapped in accommodation, away from friends and family, and have missed out on what should be the most exciting time of their lives. Almost two thirds of the people who have lost jobs during the pandemic are under 25. Schoolchildren have been missing out on vital education and have often been stuck in overcrowded homes with overstretched parents.
Things have got even worse for oppressed groups. Nearly three in four children with autism have a mental health condition, but in Coventry waiting times for autism assessments have been growing, and were doing so even before the pandemic. Working-class and LGBT+ young people, and children from black, Asian and minority ethnic communities all have greater rates of mental ill- health. What makes this not just a crisis but a scandal is the totally inadequate support for children and young people’s mental health.
It is a great pleasure to serve under your chairmanship, Sir Gary. The issue of children and adolescent mental health is mission critical. It is the next tsunami—the challenge that will follow the covid pandemic. Now is the time not only to right historical wrongs—they are not as simple as underfunding; it is about truly looking at parity of esteem—but to look at the increasing needs that young people, and adolescents in particular, face and need to be satisfied.
We sometimes forget that mental ill-health is as much of a killer as physical ill-health. Life expectancy for those with mental health problems is usually reduced by some 10 years. Clearly, that can get worse in some areas and mildly improve in others. One of the real challenges is that it is those in deprived areas and lower-income families who suffer the most. Sir Gary, you will be aware of the huge deprivation in our rural areas, which is sadly hidden and therefore not properly addressed.
To get this right, we need properly to monitor it. We need to be clear what we mean by mental health. We need to be clear what illness means. We measure diagnosis, but there are many problems that come before it. We heard earlier from hon. Members that the time gap between someone putting themselves forward with a potential problem and diagnosis can be significant. We need to recognise that both have to be addressed.
The point that has been made about data is right. If we do not understand who is coming forward within the three systems—education, health and local government—what hope do we have of really understanding the scope of the problem? We need to collect, measure and keep consistent data across the country about diagnosis, waiting times, treatment and recovery. It is not just about what we put in to address mental health; what happens at the end of it—whether people get better—is equally important. Unless we do that, this promise of parity of esteem is never going to be delivered.
It is a pleasure to serve under your chairmanship, Sir Gary. We have talked a lot about self-isolation over the past year but less about the impact of being isolated on our mental health. Many children and young people have faced the disruption, hardship and heartbreak of this pandemic largely away from their friends and school support networks.
Last week, I visited a breakfast club at a primary school in Camden, where I had some really uplifting conversations with young children. Most were absolutely delighted to be back in school, around their classmates and teachers once again. We know that the attainment gap has widened substantially during school closures, in part due to the Government’s failure to deliver laptops to disadvantaged children. Many of the children I have spoken to, however, found that their wellbeing and mental health took the biggest hit in lockdown. Most have been able to do classes on Zoom and to get on with their homework remotely, but they said that the wellbeing support which can only be delivered properly by teachers in person is what they have missed out on the most. The teachers I spoke to at the school expressed their frustration that they were not able to do more to help with mental health issues during school closures.
Children with special educational needs and disabilities have suffered particularly badly, with three quarters of parents saying that their disabled child is socially isolated and often unhappy, downhearted or tearful, and that there is a real risk that that could translate into serious long-term mental health issues without better support. That is also something I have picked up in my role as the governor of a primary school in my constituency. Remote learning also stifled the role that teachers often play in spotting problems that are emerging, intervening with assistance or, in serious cases, with referrals to other services.
The number of children and young people receiving support through the NHS for mental health difficulties halved in April and May last year, as did the number of referrals to CAMHS, compared with the previous year. Sadly, the number of current referrals does not make up that shortfall or address the worsening problems caused by the pandemic. That means that many children are still suffering in silence and without the support that they desperately need.
It is a pleasure to serve under you as Chair, Sir Gary, and I thank the hon. Member for Twickenham (Munira Wilson) for securing this important discussion. This debate on young people and mental health is important to my constituents, many of whom have contacted me about it. As many other hon. Members have said, people come to explain their experiences and their difficulties in accessing services.
To provide some context, according to NHS Digital, in 2017 one in nine children was estimated to have a diagnosable mental health condition. That number has increased to one in six because of the covid-19 pandemic, but it is important to emphasise that the crisis existed before the pandemic. Research by University College London shows that in 2018-19, almost a quarter of 17-year-olds had self-harmed in the previous year and 7% had attempted suicide at some point in their lives. According to the Office for National Statistics, in 2017 suicide was the most common cause of death for boys and girls aged between five and 19. The figure for boys was 16.2% of all deaths, and for girls 13.3%. That is a sobering thought.
I have the pleasure of chairing the all-party parliamentary group on suicide and self-harm prevention. We have been looking at this area over the past year, including hearing evidence from organisations such as YoungMinds and from young people themselves. We received evidence that many young people who self-harm still struggle to access the support that they need in an acceptable time- frame. In fact, the NHS dashboard shows that 37% of young people—just over a third—with a diagnosable mental health condition can access NHS specialist support.
Respondents to our inquiry made it clear that the single most impactful change to improve the support available to young people who self-harm would be a system shift away from the current reliance on crisis interventions and towards a preventive model of support. However, budgets for preventive interventions have markedly reduced in recent years. Demands for specialist NHS mental health services such as CAMHS and improving access to psychological therapies has therefore increased exponentially, outstripping investment and exacerbating workforce issues. This has led to longer waiting lists, higher thresholds, and refused referrals of young people who self-harm. Even before the pandemic, people who self-harmed could struggle to access the support they needed.
It is a pleasure to serve under your chairmanship, Sir Gary, and I thank the hon. Member for Twickenham (Munira Wilson) for having secured this incredibly important debate. We know that half of mental health illnesses develop before the age of 14, and it is therefore essential that everyone has access to mental health services from an early age. I have spoken many times in this House about the inadequacies of CAMHS provision, including unacceptably long waiting times for referrals and the incredibly high threshold for treatment. However, today, I want to focus my remarks on infant mental health.
Worryingly, reports have demonstrated that there is a baby blind spot in our mental health service when it comes to the very youngest, and while children and young people’s mental health services are aimed at those aged 0 to 19, research has shown that there is inadequate provision for our youngest children. In 2019, 42% of clinical commissioning groups in England reported that their mental health services would not take a referral for a child aged two or under. The Parent-Infant Foundation recently surveyed professionals working in children’s mental health, and found that only 9% of those surveyed believed that sufficient provision was available for infants whose mental health was at risk.
Just like us, babies and toddlers can experience stress, anxiety and trauma. This impacts on their emotional wellbeing and development, but by failing to provide infants with access to mental health support, we enable mental health problems to build up. Given that thousands of babies have been born during lockdown with limited access to health visitors, peer support, playgroups and children’s centres, it is really urgent that we tackle these issues. Early intervention can have long-lasting benefits for mental wellbeing, benefiting not only the infant, but also reducing demands on mental health services in the future if it is tackled early on.
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At a lower level, support in schools is patchy, with only some having access to a counsellor or mental health support team. Community-based support to intervene early can be dependent on voluntary sector provision in any given area. The pandemic has only served to highlight and exacerbate the existing lack of access and inequalities within children and young people’s mental health. In 2017, one in nine children had a diagnosable mental health condition. That rose to one in six at the height of the pandemic. The Government need to use this moment to renew their focus on mental health and overhaul the support available.
I want to focus on three elements within the system and what needs to be done: CAMHS, schools and community services. Turning first to CAMHS, referrals are at their highest ever level, with over 65,500 referrals for 0 to 18-year-olds received in March 2021. That is more than double the number in March 2020 and almost 70% higher than in March 2019. Behind the staggering numbers is a child or a younger person in turmoil, often left in limbo waiting for treatment, and a carer beside themselves with worry. From talking to NHS leaders in my area, I know that unplanned admissions for children suffering a mental health crisis are at extremely high levels with services struggling to cope.
While it must be acknowledged that the Government have increased spending in this area, resulting in the NHS slightly exceeding its 2019-20 target of community mental health support for 34% of children needing support, there is still a long way to go. Last week, a local GP said she is increasingly finding that children she refers to CAMHS are being knocked back, and she is routinely requesting schools make a supporting referral to secure therapy. When referrals succeed, the wait can seem interminable. I heard from the adoptive father of a seven-year-old who suffered significant trauma and abuse within her birth family. She was referred to treatment, the initial assessment took several months to secure, and then the family were told that there would be a year’s wait—yes, a year’s wait for a seven-year-old for an eight-session course of treatment, only if deemed necessary.
There is a postcode lottery of spending across the country. Eight local areas spend less than £40 per child on mental health services, while 21 areas spend more than £100 per child. That brings me to an important point about data and reporting, which is so important for accountability. Inconsistencies in financial reporting across clinical commission groups make it difficult to interrogate the data to check they are meeting NHS England guidance to increase year-on-year the proportion of spending on children and young people’s mental health. This measure should be included in the mental health investment standard.
The other issue with data collection and publication is that it is impossible to judge whether different areas are meeting access targets, as the percentage of young people with a diagnosable mental health condition is only available nationally, not on a local basis. The Children’s Commissioner should not have to request this comprehensive data on waiting times and referrals every year. The Minister will know that I tabled an amendment during the passage of the NHS Funding Act 2020 to improve transparency in operational expenditure and performance at a local level. I discussed this with her ministerial colleague, the hon. Member for Charnwood (Edward Argar), a few months ago. He assured me that the Minister is taking this forward, and I hope she can update us on when this local data might be routinely available.
However much money is pumped into CAMHS, improving access to it is contingent on plugging big holes in the workforce. The Royal College of Psychiatrists’ 2019 workforce census found that the rate of unfilled NHS consultant psychiatrist posts in England has doubled in the last six years, with one in eight CAMHS psychiatrist posts vacant. We urgently need a proper long-term work- force strategy, adequately resourced and with an annual report to Parliament. The forthcoming heath and care Bill is the ideal opportunity to hardwire this provision.
Turning to the role of schools in tackling mental health concerns, they are key to early intervention, and step in where children do not meet the CAMHS threshold. Provision of counselling and other mental health support services in schools can be variable and dependent on already massively overstretched school budgets. Mental health support teams can fill the gap. However, the current roll-out rate is very slow. The Government are aiming to reach a fifth to a quarter of the country by 2022-23, and have recently provided more funding to accelerate the roll-out, but I urge the Minster to be more ambitious.
On children’s recovery from the pandemic, most of the education catch-up funding announced by the Government has been largely focused on academic catch-up, with little focus on emotional wellbeing and mental health support. All the research shows that it is difficult for children to learn if they are struggling with their mental wellbeing. Liberal Democrats supported YoungMinds’ call for a £178 million ring-fenced resilience fund to allow schools to provide bespoke mental health and wellbeing support packages, as appropriate to their pupils and context. So far the Government have committed just £17 million of dedicated mental health support for schools as part of the recovery. A recent Ipsos MORI poll showed that parents put increased wellbeing support at the top of their priority list as part of any education recovery plan.
Finally, I will touch on the importance of community support services. We know that half of all mental health conditions present themselves by the age of 14 and three quarters by the age of 24. That is why prevention and early intervention are so critical. We know that some children and young people do not want, or are unable, to access mental health support in schools, but community-based services can be a lifeline.
Waiting until children reach crisis point is far too late. For younger children, family-based interventions, such as those offered by Kids Matter, are an effective approach. The Purple Elephant Project in Twickenham, founded by the inspirational Jenny Haylock, who has built a team of art and play therapists, works with children and their families from a very young age. Coram is also doing some incredibly important work on boosting children’s self-esteem and resilience.
For teenagers and young adults, I warmly welcome the campaign launched by a range of children’s and young people’s mental health charities, called “Fund the Hubs”. It calls for early-support hubs, offering easy-access, drop-in support on a self-referral basis for young people up to the age of 25, who do not meet the threshold of CAMHS.
The hubs would offer a mix of clinical staff, counsellors, young workers and volunteers, providing a range of support services. Additional services could be co-located under one roof, such as sexual health services or employment advice. The hubs could be delivered in partnership with the NHS, through local authorities or working with the voluntary sector, depending on the local area. Such an approach has already been tried in Manchester, Ireland and Australia, and has been shown to relieve pressure on and deliver cost savings to the health service. I hope the Minister will look at that innovative model.
In conclusion, we owe it to our children and young people to offer them the very best start in life. As a Liberal, I am passionate that every child gets the maximum opportunity to reach their full potential. With spiralling figures of children suffering anxiety, who are self-harming or struggling with eating disorders, as well as many more who are grappling with low confidence and self-esteem, we need to use this moment as we emerge from the pandemic to hit the reset button.
I urge the Minister, who I know shares my passion on this issue, to develop a proper cross-departmental strategy to tackle this growing crisis. Let us re-envision what support looks like for children and young people. Let us break down the silos between schools, local authorities and the NHS. Let us make sure that we prevent and intervene early to stem the tide, while also investing in training the mental health workforce.
I have heard too many times, from too many parents sick with worry, that CAMHS is simply not fit for purpose. I have yet to see much evidence to disagree with them. I hope the Minister will make it her mission to fix it, and work cross-party, if she is willing. I stand ready to do so for the sake of our children and their future, and I hope my Labour counterpart will, too. Not only is it morally the right thing to do, but our country’s recovery depends on their success.
Why is it necessary for local authorities to do that? It is because it is the right thing to do. Our children are closer to home and enjoy the normality that they crave. It would also save on the exorbitant cost of providing taxi fares to schools a long distance away and perhaps even save the huge school fees of private education, when this should be provided in the state sector.
We must also give our teachers better training in identifying special needs and processing the education, health and care plans. I know of many families who are simply swept under the carpet, waiting for years for someone to take them seriously and for the EHCP to be authorised. This cannot be a golden ticket for the lucky few, but a rightful passport for every child to get what they need. Please, let’s speed up the EHCP process and hold headteachers and councils to account. And please don’t get me started on local councils that fail to acknowledge hidden disabilities or autism in applications for blue badges—a whole different issue.
Lastly, our child and adolescent mental health services across the UK need 20,000 volts put straight through them. For families to be waiting up to two and a half years for a consultation, it is not only immoral, it is also, frankly, inept. The irony will not have escaped anybody that a GP cannot prescribe medication for autism spectrum disorders, attention deficit hyperactivity disorder, oppositional defiant disorder, Asperger’s or any other mental health condition without a diagnosis from CAMHS. Therein lies a vicious circle: children desperate to escape their symptoms, parents and teachers desperate for solace, GPs unable to prescribe without a diagnosis and CAMHS unable to see these children, in some cases, for up to two and a half years. It is a national disgrace, but we can now solve it.
To conclude, I commend the Timpson review. Let’s get diagnosing, treating and spending and give all our children the future that they deserve in specialist educational settings that give them the chance.
More than a decade of austerity has cut away the support that was once provided, while deepening the problems that give rise to mental ill-health. Since 2011, mental health trusts have faced a real-terms cut of more than 8%. Huge cuts to school funding have put even greater pressure on budgets, forcing schools to have bigger classes while cutting mental health services. Nearly half of young people with moderate to severe mental health needs have to wait more than 18 weeks to start treatment. That is a cruel failure for children and young people. Mental health support needs the funding across the board that it deserves—for services such as NHS services and school counsellors—to guarantee that every single young person who needs support can get it when they need it.
Although funding for support is vital, the mental health crisis cannot be tackled with funding alone. It is getting worse, and more and more young people face mental ill-health. It is estimated that depression has tripled for those aged between 16 and 39. We cannot look just at the consequences; we have to look at the causes, too. Asthma, for example, is a health condition, but people do not suffer from it totally at random. If someone lives in an area of high air pollution, they are more likely to suffer from asthma. It is an individual problem, but it has social and political causes. The same is true for many mental health issues. The more stress, anxiety and trauma there is in people’s lives, the more likely they are to experience mental ill-health. For children and young people who have grown up under austerity, life is getting more stressful and less secure. That is what is driving this mental health crisis, so although funding is vital, so is building a society that nurtures people, gives them security and safety, and truly values and cherishes them.
A report presented to the United Nations in 2019 argued that the best way to tackle the global mental health crisis is to build a supportive environment, including everything from the building of good homes to secure and well-paid work. If we are to solve the mental health crisis faced by children and young people, we must build a society where basic needs are met, where young people find decent and secure employment, where housing is both affordable and liveable, where education is understood to be a right and a good in itself, and where people do not have to work every hour of the day, but instead have time to live their lives to the fullest.
Some of the existing targets, which in my view are not adequate, are distinctly unambitious. The access target for children and young people is 35%. That seems the wrong way around—surely it should be the larger part, not the smaller part.
We must remember when we talk about youngsters that children are the most vulnerable to mental health problems, and an earlier contribution set out exactly what the statistics look like. I pay tribute to Devonshire Partnership NHS Trust in my area, which has done a fantastic job of providing support against all odds, but the numbers are growing. The eating disorder challenge is going exponentially upwards. Quarantined children are showing acute stress disorder and acute adjustment disorder.
Addressing the waiting time issue is just the start of solving the problem, but let us at least look at it and try to find a proper target to collect data for and monitor, with some sanctions if it is not met. In 2017, a four-week waiting time was piloted, but it was only a pilot and has not been rolled out across the country. We know from our own experience around the country that the actual waiting time can be significantly greater. My call today is for a national access and waiting time standard. It is much needed and would be the start of our journey towards true parity of esteem.
The pandemic has had a huge impact on youngsters. Many—up to 25%, it is estimated—are not getting the treatment that they have been given historically. We also know that the numbers have grown enormously. They will just add to the burden. Although the Government have provided support, it is not yet enough.
My ask is this. We need to look again at the health and care Bill, and at specific provision for mental health. We need to look at specific provision for how it is commissioned, and at proper measurement to deliver parity of esteem. We need national access and waiting time standards. The five year forward view for mental health has not been met; it must be. Mental health matters. Young people matter. What gets measured gets done.
I heard that message loud and clear last summer when I met a group of inspiring children—the meeting was organised by Barnardo’s—who told me about the isolation and other difficulties they had faced as a result of the pandemic. They also spoke about how difficult it can be to access basic mental health assistance and how there is almost no joined-up thinking between different but related support services in some areas of the country. The reality is that young people are far too often unable to access mental health support until it is too late and they have, sadly, started to harm themselves.
It is a source of great sadness and shame that one in six young people in the UK could now have a mental health disorder, up from one in nine in 2017. We must turn that around, which requires a laser-like focus on improving access to mental health support, and giving schools and other bodies the resources to provide direct targeted help and to join up children’s services properly. The children and young people I have spoken to over the past year simply cannot afford to wait for the snail’s pace of change that this Government are overseeing in prioritising and investing in mental health support. We have to act, and we have to act now.
There are also clear inequalities when it comes to children and young people’s mental health, with higher rates of mental health problems among young women than young men, and among LGBTQ+ young people, young people with autism and young carers. There are also clear links between mental health and race, and between mental health and financial insecurity. Experiencing mental health difficulties in childhood or adolescence can have a significant impact across the life course, and can affect young people’s educational outcomes, earnings, employment and ability to maintain relationships, as well as increase their likelihood of engaging in risk- seeking behaviour.
I want to talk about early support hubs. We need a shift towards preventive community-based interventions to urgently address the wider drivers of self-harm. That is why I support the call by the Children and Young People’s Mental Health Coalition, including YoungMinds and the Children’s Society, for the national roll-out of the early support hubs model, which would ensure that young people in every area across England can access early support for their mental health. We know that the earlier young people get support, the more effective that support will be, and the better the outcomes. Early support hubs offer easy-to-access drop-in support, on a self-referral basis, for young people who need urgent help but do not meet the threshold for children and young people’s mental health services or who have emerging mental health needs up to the age of 25. These hubs can be delivered through the NHS, in partnership with local authorities and the voluntary sector, and would offer support across areas of need. Services would include psychological therapies, employment advice, youth services and sexual health services. Finally, I stress the need for security of funding for organisations providing these services.
It is clear that we need action to address this blind spot. We need to invest in the provision of infant mental health services. We must also develop a strategy to ensure that there are enough qualified professionals to deliver it, so I urge the Government to address this baby blind spot and ensure that babies are not forgotten in mental health policies, strategies and services.
More widely, I am concerned by reports that find that one in six children now have a probable mental health condition. Demand for support is rising; there was a 35% increase in referrals to children’s mental health services in 2019-20. The Children’s Commissioner has warned that the pandemic will have a profound impact on children’s mental health going forward, putting already struggling mental health services under more pressure.
It is clear that urgent action is needed to support CAMHS. The postcode lottery in service provision has only worsened during the pandemic. There is huge disparity in the length of waiting lists, in the number of children accessing treatment and in the number of children being turned away. It is not acceptable that the availability of support can be based on where someone lives. The ability to access mental health services is so important, and this needs to be addressed.
I am concerned that the current expansion of mental health services is not fast enough to meet increased demand, and the Government must urgently address this. We need full and sustainable funding to support expansion, and we need a plan to address the shortage of specialist staff in the sector. Greater emphasis needs to be put on prevention and early intervention to ease demand, with properly funded mental health support in every single school across the country. After the extremely difficult year that our children, infants and young people have had, we owe it to them to put their mental health at the top of the agenda.