The Parliamentary Under-Secretary of State for Health and Social Care (Jackie Doyle-Price)
I thank the hon. Member for High Peak (Ruth George) for her speech. She spoke with characteristic passion and sincerity about an important matter that concerns many Members, which is why so many are here tonight. I have personally engaged with a number of them on these issues.
Let me say at the outset that I am not complacent about the challenges that confront us when it comes to children’s mental health. It is true that many young people find it difficult to obtain help when they need it. I readily acknowledge that we face the challenge of decades of underfunding of treatment for mental ill health, in addition to the societal challenges that have made the problem more acute. It is clearly a priority for the Government, but unfortunately we cannot solve it with just a click of the fingers. We need to reinvest in the workforce if we are to deliver the services that are needed.
However, I hope to give the hon. Lady some reassurance about the direction of travel. I hope to reassure her that we will tackle the most acute needs while at the same time investing in the upfront prevention which, as she rightly pointed out, will save the Government money—and not only in the NHS, where there will be less demand for acute mental health services. She is right to highlight the savings that could be made in the criminal justice system. We must achieve the earliest of early interventions if we are really to make a difference, and not just for those people who need support, but for society, and that lies at the heart of my approach.
Jackie Doyle-Price
I am sure that the right hon. Gentleman will be reassured to hear that I do not think that is good enough. I have heard anecdotal evidence that that has been said to a number of people. Clearly it is a matter of clinical judgment when people are referred to mental health services; we just need to ensure that happens. If he has specific examples, I would be happy to investigate them.
Luke Graham (Ochil and South Perthshire) (Con)
Mental health is raised with me time and again by my constituents, both young people and parents, in Clackmannanshire and in Perth and Kinross. Can my hon. Friend explain to the House how we can help champion the 111 crisis line, which is available UK-wide? It can be pre-emptive, because a young person can dial it on their mobile phone and get immediate support. Sometimes that pressure release valve is exactly what is needed.
Jackie Doyle-Price
My hon. Friend makes an important point. Just as we have the 999 service for physical health emergencies, we need the same provision for mental health emergencies, and that is what we intend to deliver through the 111 service. That is a clear ambition articulated in the forward plan.
Rachael Maskell
The Minister said that this is a matter of clinical judgment, but clinicians are unable to make those choices if they lack the necessary staff and resources.
Jackie Doyle-Price
There will be cases when it comes down to a clinical decision on whether a referral to a mental health professional is needed. However, we need to ensure that mental wellbeing is embedded throughout our health services.
Ruth George
In my area CAMHS are supposed to accept referrals from some of the young people on level 2—that indicates their level of need—and all of the young people on levels 3 and 4. As it is, they do not have time to accept even those children on level 4, which has the highest priority. That is a result of resources, not clinical judgment.
Jackie Doyle-Price
That is not borne out by the figures from the Derby and Derbyshire clinical commissioning group, which show that 31% of children and young people with mental health needs were seen by NHS-funded mental health services. I come back to the point that it is not acceptable for children to be told that they are not yet ill enough to receive treatment, which is why we are investing in more provision. We expect at least an additional 345,000 children and young people aged nought to 25 to be able to access more direct support.
Mr Ivan Lewis
I have to say to the Minister that in this area there is a massive gap between the rhetoric and the reality on the frontline. I urge her to reconsider the whole concept of ring-fencing resources. When we have Cinderella services such as CAMHS, unless the Government decide to ring-fence that funding and insist that local commissioners give it to frontline services, they will never achieve the changes they are seeking.
Jackie Doyle-Price
In the past we have treated ring fences as a ceiling and set CCGs the clear objective that they need to increase investment in CAMHS by more than what we have been giving them. [Interruption.] However, acknowledging the hon. Member for Worsley and Eccles South (Barbara Keeley), we will look at what more control we can give, and NHS England is keeping a very close eye on how that money is being spent. As I said at the outset, I am not complacent about the challenges we face. I have to say that we are on it. Direction of travel is one thing, but we have to make sure that we are managing expectations and that we can deliver the services that people expect. That includes investment in the workforce to deliver on very clear expectations.
Sarah Newton (Truro and Falmouth) (Con)
My hon. Friend is being characteristically generous in giving way. I would like to give her some feedback from Cornwall, where our CCG is spending more money on mental health services and I am seeing those services grow. Does she agree, however, that simple organisational changes can sometimes help? I have two universities in my constituency, Exeter and Falmouth. When young people leave home for the first time and arrive at university, it can take months for the NHS to get their records and services sorted out, but young people with existing poor mental health conditions need those services to be in place when they arrive.
Jackie Doyle-Price
My hon. Friend makes a good point. Transition is clearly an area that we need to address, and she is right to highlight the importance of this in universities.
The hon. Member for High Peak made a number of points in her speech. She referred to people with ADHD and ASD, and I could not agree with her more that there is a real issue with the failure to diagnose people with those conditions early enough. We know that those people are more likely to suffer from mental ill health, so early diagnosis is absolutely crucial if we are to equip those young people with the tools to look after themselves. I am pleased that that has been a target in the forward plan that we will roll out. The hon. Lady also rightly highlighted the issues surrounding county lines and knife crime, and there is no doubt that the increased incidence of trauma in communities will bring with it more demand for mental health services. That is something that we are very much tackling as part of the Prime Minister’s summit, which took place just last week.
I have been very pleased to work with the hon. Member for Ogmore (Chris Elmore) on this, and I welcome his all-party parliamentary group’s report on the impact of social media. The impact of social media brings with it a whole new set of pressures on children’s and young people’s mental health. It brings greater intensity to relationships, for example. We think our children are safe in their bedrooms, but they are not necessarily, and we need to be vigilant about how we hold social media and internet providers accountable for the content that they host on their sites.
Jim Shannon
The Childline charity has reported a 30% increase in referrals in the past year. That is an indication of the pressure being put on our children. Has the Minister had an opportunity to speak to Childline?
Jackie Doyle-Price
I have not had that opportunity yet, but I am sure I will.
I could say an awful lot more, but I do not have much time remaining. It is clear from hon. Members’ contributions to the debate that we all recognise that this is perhaps one of the biggest challenges facing our young people right now. It is heartening to see that so many people are really seizing those challenges, whether by demanding better services or by asking for changes to Government policy to deal with some of the threats. That is all very welcome, and I have no doubt that all Members will continue to challenge me on this important issue.
Question put and agreed to.