Children’s Mental Health Week 2024

[Mark Pritchard in the Chair]

May I apologise to colleagues for being a minute late? I was informed about two minutes ago, so that was the best workout I have had in a while.

I beg to move,

That this House has considered Children’s Mental Health Week 2024.

It is a pleasure to serve under you as Chair, Mr Pritchard—a breathless Mr Pritchard.

The challenges facing the mental health of our young people have never been greater. One in five children have a mental illness, and half of all mental illnesses develop by the age of 14. In the coming years, as many as 1.5 million children will need support for their mental health needs. Amid this escalating crisis, we need bold action to support our young people, but the Government too often lack the ambition, funding and attention that are needed. Meanwhile, the human cost of their inaction only grows.

In A&E, I see children coming in younger and younger. I will never forget their emaciated faces when attending having self-harmed, living with eating disorders or having attempted to take their own lives. I will never forget the faces of parents agonised by their children’s suffering, exhausted from being on suicide watch and fighting tooth and nail for their child, or pushing to access vital services that their child needs, and frequently finding their children being turned away and left to languish for months or even years on waiting lists while their condition deteriorates exponentially.

Pretty much every year we have a debate like this in Westminster Hall and we have many debates in the main Chamber. Every year, we all agree that this has to end, that we must do better and that our children deserve better, but year on year there is simply inaction. Parents are having to give up work to stay at home to be on suicide watch, because they fear what their child will do if they go to work. This affects families in a way that no one can ever possibly understand. A lack of investment in that one young person goes on to affect their parents, their siblings and their future, as well as their and their family’s ability to contribute to the economy and, most importantly, their ability to have a quality, healthy and happy life.

In calling for this debate I am labouring under the hope that we can actually move forward and do something. It is simple: poor mental health is carried through childhood into adulthood. The failures to address the mental health crisis in our young people will leave them ill-equipped as they grow older. We know all too well that prevention is better than cure, yet we ignore that wisdom when it comes to children’s mental health. That is something I simply do not understand. We have the ability collectively within the House positively to impact the lives of millions of children yet, somehow, remarkably, we fail to do so. The Government should invest in early intervention, working to improve child and adolescent mental health services and ensuring prompt access to vital support. Instead, children are being let down and left behind.

The hon. Member is making a powerful and passionate speech. As an expert specialist clinician, she has touched on the concept of prevention, and the fact that the key is preventive medicine and signposting. I have had applied suicide intervention skills training and mental health first aid training. I have been privileged to work with 3 Dads Walking, who tragically lost their daughters to suicide. A key part of their campaign is to get suicide prevention on to the school curriculum. Does the hon. Member agree that prevention is a key part of this that we should invest in, and that we should support efforts to get suicide prevention and mechanisms for helping young people into schools and education colleges?

I thank the hon. Member for his passionate intervention. He is right that prevention is better than cure. Anybody who knows anyone who has lost someone through suicide will know that it is not a pain someone ever gets over. They simply hope to God that they can learn to live with it in some way, so that they may get through their own lives with a semblance of existence. If there is any way in which we could prevent even one needless loss of life, that would go a long way.

The 3 Dads Walking are incredible—I have had the honour of following their marvellous work—but there are many people who are not in the public light, and many who are too embarrassed to admit how they lost their loved ones, for fear of blame and shame and what that means. We know that many people who have lost people in that way feel they want to take their own lives, and often do.

I, too, congratulate the hon. Member on securing the debate and her passionate advocacy. Many of us across the House share a deep understanding of the need for it. Does she agree that, if we are to tackle the causes, we need better data? We need to understand what is driving this epidemic. I particularly want to draw attention to the children of alcoholics and the great work done by the National Association for Children of Alcoholics; the children of divorce and conflict; and those children badly affected during the pandemic. Does the hon. Member agree that we need better data to understand the causes, then we can start to prevent it, as well as, importantly, treating it when it occurs. We could prevent a lot more of this.

I thank the hon. Member for that intervention. Yes, I wholeheartedly agree that there is definitely space for more research. Adverse childhood experiences are the single biggest driver of mental ill health in children and, later on, in adults. I will touch on that later.

I want to know today when the Government will finally get their act together to end the wait for children’s mental health services. We are sick and tired of the same old meaningless platitudes from the Government. I know the Minister: I had the pleasure of working with her in my role as a shadow Minister. I know she is decent, good and kind, and she absolutely wants the best for children. I believe that. I also understand that her hands, regardless of what she might want to do, will be tied. However, in my role as shadow Cabinet Minister for mental health over three and a half years, the number of times the Minister and her predecessors have harped on, quite frankly, about the £2.3 billion they have put into mental health services! They have used that figure no fewer than 90 times in five years for many different things, depending on the focus of the debate. Whenever we have a debate about eating disorders, the £2.3 billion comes out. Whenever we have a debate about access to IAPT—improving access to psychological therapies—the £2.3 billion comes out. Whenever we have a children’s mental health debate, it is again rolled out. I understand that, but we really need tangible answers because the waiting lists grow, children are let down and families suffer.

I commend the hon. Lady for securing a debate on this important issue. She is absolutely right to highlight the fact that we have known there are challenges in CAMHS for many years: we know there are problems with commissioning CAMHS and we know there are workforce challenges. We know there has been a failure to properly recruit mental health doctors and nurses to posts across CAMHS. Does she agree that we need to hear proper answers from the Minister today? We have known about these challenges for a long time. It is time we got on and did something about it.

May I apologise, Mr Pritchard? I should, at the beginning, have drawn the attention of the House to my entry in the Register of Members’ Financial Interests as a practising NHS psychiatrist.

I thank the hon. Member, whom I would like to call my hon. Friend, because we have worked very closely on this issue for a number of years. He speaks not just as a politician, but as a practising NHS psychiatrist and I take my hat off to him. He speaks from a position of authority. We also sat together on a pre-legislative scrutiny Committee for a number of months, where we heard how black people and those with autism and learning disabilities are affected by current policy. We made cross-party, cross-House recommendations, but all of that has been scrapped. The Bill has not been introduced to the House and we are wondering how, with such cross-party agreement, that can be.

I thank my hon. Friend for bringing this very important issue to Westminster Hall. She just spoke about black children. Does she think that this crisis is impacting disproportionately on black children and young people? Does the profession need to look at racism as a trauma, and does more work need to be done to consider those issues and deal with this crisis?

I thank my hon. Friend for her intervention. Absolutely yes, black people are significantly more adversely affected. The work has been done. We sat together and saw the evidence, and the Government have chosen to ignore the recommendations. Experts have been working for years on understanding the drivers and coming up with solutions. Young black men are four times more likely than white men to be diagnosed with mental ill health when they have entered the judicial system, when their life is over and they have already had their cards marked, as it were. What beggars belief is the fact that we had consensus. We had the experts who did the research. They came and presented, yet we have got nowhere. I am fed up, as are many people here, with the same old soundbites and no meaningful action.

Tonight, many children will be going to bed cold and hungry. More than 120,000 children will be without a home. Let us think about that for a moment: 120,000 children without a home. Millions more are living in poverty in damp and mouldy houses. Parents simply wanting the best for their families are suffering under the sharp pinch of the cost of living crisis. That is the damning reality of 14 long years of Tory rule.

My hon. Friend is making a powerful speech, in keeping with the expertise that she has in this area. I agree that one of the great driving causes of the epidemic of mental ill health among young people is the unnecessary poverty and lack of opportunity in this country, following the political choice that was made to pursue 14 years of austerity. That means that, in one of the richest countries on earth, we need not only a solution to the root causes of unnecessary child poverty, but extra Government investment in children who are already on a waiting list for mental health support. People may be shocked to discover that, in West Yorkshire, 24,560 children were on a waiting list for mental health support as of November last year—a nearly 30% increase from the same time the year before. Does that not go to show that urgent action and urgent extra funding are needed from this Government?

I thank my hon. Friend for his intervention, and he is absolutely right. This is about understanding. As I alluded to earlier, adverse childhood experiences are the single biggest driver of poor mental health in children and then later on in adults. Of course, there are other causes—most definitely—but adverse childhood experiences are huge. That is why, as my hon. Friend articulated so well, it is important to understand that, yes, there has to be money going directly into the mental health pot, but there must also be a wider ambition for our children. There must be an understanding of how we tackle these root drivers that are causing so many children to have poor mental health.

Inequality and poverty drive mental illness. We know that children from the very poorest households are four times more likely to develop a mental illness. Some 43% of children who are receiving mental health support from Place2Be, a fantastic organisation, are on free school meals. Addressing the mental health crisis in children must go hand in hand with addressing the cost of living crisis and child poverty. Yet, as many families continue to struggle to afford food and bills, the Government have offered little to tackle childhood poverty.

It will come as no surprise to Members here that I believe we need a set of policies that bring essential change to young people’s mental health. That means having specialists in schools; fixing the chronic staffing shortages and recruiting more staff; ensuring that patients are getting timely access to treatment and not languishing on long waiting lists, desperately waiting for that letter to come through the door telling them that they have an appointment; and enabling young people to access support in the community. As a country, we have a duty to be bold in our offer and uncompromising in our aims, with mental health interwoven into every decision the Government take.

The hon. Lady is being very generous with allowing interventions. I agree with much of what she has said, particularly in regard to early intervention. I was the Children’s Minister when we set up the early intervention fund, which recognised that having money invested early and attention on children as young as possible would bear dividends later on. The hon. Lady has made a number of criticisms of the Government, saying that they have done nothing, but she has not mentioned the Best Start for Life project set up by the Under-Secretary of State for Health and Social Care, my right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom), which is all about that early intervention, from conception to age two. Does she acknowledge the good that that is beginning to do, because in addition to adverse childhood experiences, the other biggest impact on a child’s mental health is the lack of attachment, or attachment dysfunction? There is a 99% correlation between a mother suffering from depression or low-level mental illness during pregnancy and the likelihood of her children going through similar mental health and depression episodes as teenagers. Therefore, working with parents, and particularly the mother, before conception is absolutely where we can have the biggest impact in making sure that children are well-balanced, ready to join society, join school and join nursery, and able to avoid many of the problems that happen later on.

I thank the hon. Member for his intervention and for highlighting something that we so often forget. When we talk about mental illness and children’s mental health, we often do not talk about the early years—the early attachment-forming part of life that is so important for positive mental health. He is right that healthy mental health in a mother is essential for positive mental health in a child. I would pick him up slightly on some of his points, because if we look at health inequalities, the groups that I have been talking about, who are most adversely affected with their mental health, are the ones who struggle to access any of the support available. The numbers speak for themselves.

Of course, all projects, interventions and ambitions for our children and their parents are important, but right now we have a children’s mental health epidemic. That is why it is important that we talk about these things during Children’s Mental Health Week next week, and beforehand in this debate. As a country, we have to be bold in our offer and have mental health interwoven in every decision the Government make. That goes to the point made by the hon. Member for East Worthing and Shoreham (Tim Loughton), having been early years Minister, about the importance of having mental health not in a health silo but across Departments, from local planning applications to Bills taken through this House. However, our children are being failed by a lack of prevention and early intervention, by long waiting lists, by a lack of funding, by an overstretched system and by a Government who are simply not concerned with children’s mental wellbeing.

We simply cannot allow our children’s future to continue to be squandered as a result of more inaction. The Minister may challenge me on this point, but the proof of the pudding is in the eating. It is no longer time for warm words; they have to be backed up with resources and ambition for our children. I hope we will hear something new from the Minister today, and I thank everybody for attending the debate.

It is an honour to serve while you are in the Chair, Mr Pritchard. I congratulate the hon. Member for Tooting (Dr Allin-Khan) on introducing the subject in such a wide-ranging and compassionate way. I prepared only a few notes because I thought the debate would be over-subscribed, but I hope we will still fill the time. I might add a few things that I have not prepared.

I want to focus particularly on adverse childhood experiences. I have been the chair of the all-party parliamentary group for the prevention of adverse childhood experiences, which we now call the APPG for childhood trauma, for some years. Listening to and understanding the science of adverse childhood experiences has given me a real insight. I commend the WAVE Trust, which has also done a lot of work on attachment disorder and the importance of a child’s early attachment to their mother. The trust has been a fabulous supporter of the APPG for childhood trauma.

Our children are falling through the cracks. It is clear that our approach to childhood mental health is not working—I agree with the hon. Member for Tooting on that. As the chair of the APPG for childhood trauma, I will focus my attention on trauma in mental health.

Adverse childhood experiences, also known as ACEs, are the biggest drivers of poor mental health in children. They can be anything that threatens to overwhelm the child, including abuse and neglect. Being unable to process prolonged stress can alter a child’s normal brain function, which often stays with that person all their life. That is what we call trauma. A child’s brain helps them to survive in the moment, but it assumes that persistent stress or danger is normal and it therefore adapts to constant adrenalin. Because of that, those who experience childhood trauma are twice as likely to develop depression and three times as likely to develop anxiety disorders.

Very often, children’s behaviour at school is also affected. I asked a question in Education questions earlier this week about the Government’s behaviour policy, because ACEs are not even mentioned in it. If we do not talk about ACEs more—I use every opportunity to talk about them—gaps appear in the behaviour policy or guidelines to schools. The Department for Education does not even mention ACEs and childhood trauma; that needs to be corrected.