- 3:40 pm
- I beg to move,That this House has considered mental health support in educational settings.I thank the Backbench Business Committee for granting this debate, and the MPs from across the House who supported its application. I also thank Emily Horsfall, my team and the staff at the Mental Health Foundation for their support in preparing for today’s debate.There should be no doubt that good mental health and wellbeing are as critical to the progression of our young people as physical health is. Protecting mental health at an early age can have a defining impact on lifelong resilience and ensure positive mental health outcomes. At a time when young people up and down the country—especially girls and young women—face a barrage of challenges from what feels like a never-ending conveyor belt of demeaning and misogynistic content on social media, the consequences of the covid-19 pandemic and the cost of living crisis, this is a timely debate, and I thank hon. Members who have stayed in the Chamber to contribute to it.Much of what I will say today reflects my conversations with young people, parents, teachers and professionals in my constituency of Redditch and the villages. When they approach me on a visit, when I am food shopping in Tesco or at one of my surgeries, they display courage and determination to build a system that is fit for purpose and which will ensure that all children get the support they need to have the most fulfilling lives possible. I hope this debate can be about how we can support our schools and education professionals, who are not trained mental health professionals but are so often on the frontline, to ensure that our children get the best support they can at the most appropriate time.
- I commend the hon. Gentleman for bringing forward this issue. I was just looking at some of the stats for Northern Ireland in order to support his argument. In 2023, pupils with disabilities reported lower levels of general wellbeing across all measures than those who are not disabled. Does he agree that access to pastoral care teams, who are equipped and trained to help those with declining mental health due to disabilities, would be one way of addressing this very issue?
- I think that is the first time the hon. Gentleman has intervened on me, so I feel very honoured. I absolutely agree with him, and I will talk about other affected groups later in my remarks. I thank him for his intervention.I hope this debate can be about how we support our schools and education professionals, but I also hope that the discussion raises awareness about the challenges facing young people. I know that some people like to hand-wave away any discussion about mental health problems among children and young people. Since the announcement of this debate, I have read previous debates elsewhere, and a few people have whispered in my ear that they do not believe that children are resilient enough these days. Well, I simply do not buy that argument. I know it makes some uncomfortable when young people talk about their mental health challenges, but it can only be positive that awareness and the mainstreaming of mental health conditions have given so many across society the confidence to have honest conversations about how they are feeling and the impact that others’ actions can have on their mental health.What do the statistics tell us about the state of our young people’s mental health? NHS statistics show us that about one in five children and young people aged eight to 25 had a probable mental disorder in 2023, and that the number of urgent referrals of children and young people to emergency mental health services has tripled since 2019. The uncomfortable truth is that waiting lists for children and adolescent mental health services can be a postcode lottery. For instance, in November last year, the average waiting time for a child to receive a referral for a first appointment in Hereford and Worcestershire was seven weeks, compared with the national average of five weeks. From freedom of information requests, we know that one child waited almost two years for an appointment. Referrals at the Hereford and Worcestershire health and care NHS trust have increased by 118% in the last five years—a trend that is reflected across the country.
- I thank my hon. Friend for securing this Backbench Business debate. That statistic of one in five young people having a mental health condition must concern us all. I hear from my own constituents in Shipley that they are waiting a long time to get their children seen on the NHS—whether for an attention deficit hyperactivity disorder assessment or to get medication—and during that time the children are unable to participate in school. Does my hon. Friend agree that it is vital that children and young people get access to mental health support and that we get waiting times down so that they can participate properly in school?
- I absolutely agree. This is about parity between mental and physical health. We would move heaven and earth if those children had physical injuries, and we must do more to assess and treat the mental health conditions from which young people are suffering.
- My hon. Friend makes a valid point about the need for parity between mental health and physical health. Does he agree that there is actually a connection between the two? Quite often, poor physical health can impact the mental health of a young person, and vice versa.
- I agree entirely. Many of the young people I have spoken to have suffered from long-term physical conditions or illnesses that have had a detrimental impact on their mental health.There is evidence that the severity of mental distress has increased. Admissions to acute medical wards for children and young people with mental health concerns increased by 65% between 2012 and 2022. The mental health report by the Association of Colleges, published in September, found that 90% of respondents reported an increase in disclosure of mental health issues in 16 to 18-year-olds and 86% did so for those over 19. Most colleges are increasing their mental health resources, but the need for joined-up and well-resourced services is urgent. The report found that almost a third of colleges reported at least one death by suicide in the previous year. It is distressing to consider that such an escalation can and does happen, and that is why this debate is so important.Despite the expansion of children and young people’s mental health services, increased demand means that the NHS estimates that less than half of those with such needs are being supported. The Children and Young People’s Mental Health Coalition found that certain groups have an increased likelihood of being impacted by mental health challenges, such as children and young people with special educational needs and disabilities, those from racialised and LGBTQ+ backgrounds, neuro- divergent young people, those with physical or long-term conditions, young carers, children in care, and refugee and migrant children.Children in kinship care arrangements also have a high prevalence of social, emotional and mental health needs similar to those of looked-after children, but owing to their lesser entitlements and a lack of access to suitable support, their experience and needs should be considered when designing vital mental health support in education settings. The complexity of the issues that may impact on a child’s mental health is the reason why mental health charities have been campaigning for a cross-Government mental health approach for such a long time, and I hope this Government will deliver on that.
- I thank the hon. Member for giving way on this hugely important subject. As I am sure is the case for other Members across the House, I find that children’s mental health is one of the subjects that comes up most frequently on the doorstep, with parents really struggling to get the mental health care that their children need. One of the questions that is asked most frequently is: how can we afford to increase mental health care? Does he agree with me that it is actually more cost-effective to provide timely mental health support than to end up treating people when they have been sicker for longer?
- I thank the hon. Member for his intervention. I would argue that we cannot afford not to engage in early prevention and early intervention. It does save the Government money further down the line.
- My hon. Friend will know that suicide is the main cause of death for young people under the age of 35 in the UK. For those under 18, school is where they spend the majority of their life, and somewhere we have an opportunity to make change. Will my hon. Friend join me in paying tribute to the 3 Dads Walking, who have played a significant role in ensuring that this issue stays on the agenda and in tackling the assumption that talking about suicide makes it more likely to happen?
- I thank my hon. Friend for that important contribution to this debate and I pay tribute to the group she mentioned. It is such a critical issue to the future of our young people. I congratulate anyone who comes into this space and makes a positive difference to the outcomes.Despite the best efforts of many teachers, education settings are yet to have much of that dedicated support. The experience of some young people and their families shows that the support on offer in some schools is not sufficient. The Mental Health Foundation works with whole families to support them in developing their mental health together. Ahead of this debate, it asked two of the participants in one of its programmes in London, Bemi and her daughter Ayo, to share their own experiences. Bemi said that the Government“say are going to invest in children’s mental health, but this isn’t happening. There is a lot of pressure on children”these days. She said that“it is having a toll on children’s mental health, and as a parent, I am also feeling this strain of seeing the constant breakdowns”and the failure to access support. Her 13-year-old daughter Ayo suggested that schools needed to be much more proactive in asking about children’s mental health:“Nobody is asking how we feel and never attempting to get to the root cause of things; they only pick up on when you are behaving irrationally but never try to figure out why you feel this way.”School staff are often the first point of contact when a pupil struggles with their mental health, so they need to feel confident to support their pupils and be able to spot the signs of difficulties. Education Support, a charity supporting the mental health and wellbeing of teaching and education staff, found that 74% of staff often help pupils with personal matters beyond their academic work. Educators are filling in where there are gaps, further highlighting the need for joined-up and embedded services.
- I totally agree with my hon. Friend that schools and teachers are at the forefront of the mental health crisis facing our children. I recently visited a local primary school, Burley and Woodhead Church of England primary, and I pay tribute to the staff there for the excellent work they do to support the young people with their mental health and to make it much easier for them to talk about it. Does my hon. Friend agree that it is vital that schools have adequate resources to provide such support?
- I thank my hon. Friend for her intervention; I absolutely agree. It is not just young people who are struggling. The additional workload of carrying out wellbeing checks, sometimes in distressing situations, is taking its toll on staff: 78% of all staff are stressed in education settings, rising to 84% among senior leaders. No one can do their best at work if they are mentally depleted, and healthy teachers can better provide high-quality support for their pupils.What else can we do? We cannot ignore the other factors that have a significant impact on a young person’s wellbeing, which is why we need a whole-of-Government approach. Children and young people might be experiencing poor-quality housing and overcrowding, family members in low-paid and insecure work, or the inability to get a GP or NHS dentist appointment when they need it—all challenges that I am glad this Government are taking action to remedy.But we can go further. “A Mentally Healthier Nation”, a report unanimously endorsed by mental health charities, calls for the roll-out of anti-bullying programmes across the country. Crucially, the evidence shows that these programmes work best when delivered in a “whole school” way. That is, rather than taking a narrow approach based on discipline, the student and staff body understands what constitutes bullying and its impacts, stands against it and has tactics to prevent it. These programmes have been tested and shown to be effective. They create healthier school environments, prevent mental health problems in the future and lead to economic gains. The costs of picking up the pieces of childhood bullying in later life are enormous, as are the losses to the labour market it can cause, as well as the toll of bullying in the here and now.Young people can text Shout, a crisis line, for help when they are being bullied. Those who run the service report texters struggling with suicidal thoughts, urges to self-harm, insomnia and feelings of depression and anxiety. Some referred to the anger, shame, fear, confusion, vulnerability, hopelessness and frustration that resulted from being bullied. Others spoke about their lack of focus and poor performance at school as a result of their bullying.
- Several hon. Members rose—
- Order. I think eight Members are hoping to contribute. We will calibrate again. There will be a time limit of four minutes, because I want to make sure they all get in.
- 3:59 pm
- I thank the hon. Member for Redditch (Chris Bloore) for securing this debate and for talking about the importance of these programmes, and for mentioning anti-bullying programmes as well. I also thank the other hon. Members who have spoken about the wider mental health crisis and the extent to which teachers are picking up the pieces —these are all vital issues to talk about.I am proud to say there has been some groundbreaking work on mental health support in educational settings in my constituency. A campaign led by young people and backed by Citizens UK secured funding for more counselling capacity in local schools, and is a genuine cause of city-wide pride. The £200,000 of investment from Brighton and Hove city council will support hundreds of young people with counselling across the city, including many in my constituency. I was very inspired by the work of the students pressing the councils for this support—notably Fi Abou-Chanad and Tally Wilcox, who put their case directly to the council—and spoke about them in my maiden speech. I am grateful to Brighton and Hove city council, which backed up its words with funds to support this vital work, and I am pleased that, following the pilot, it will now fund 2025-56 as well.The key request now from the British Association for Counselling and Psychotherapy and Citizens UK is for Government-funded school counselling provision delivered by specialist children and young people counsellors and psychotherapists on a statutory basis. I welcome the pledges from the Government to introduce a mental health professional accessible in every school, and I hope we will see real investment in a national school counselling programme promised by Ministers today.To conclude, I once again thank the hon. Member for Redditch for securing this debate, and once again pay tribute to the courage and campaigning of the young people who I know are out there all around the country, in all our constituencies, demanding support. Nothing could be of more value or more importance than investing in the thriving of the mental health of our young people, and particularly in schools.