School-based Counselling Services

Debate between Lord Beamish and Will Quince

Tuesday 9th November 2021 Commons Chamber

[The Parliamentary Under-Secretary of State for Education (Will Quince)]

I congratulate the right hon. Member for Newcastle upon Tyne East (Mr Brown) and my right hon. Friend the Member for Harlow (Robert Halfon) on securing this important debate. I am conscious that time has been short, but I would like to thank all those who have spoken for their constructive contributions to this debate. Colleagues will know me well enough to know that I have never refused a meeting with a colleague and, although I will not be able to cover all of the points raised today, I would be very happy to meet any Member from across the House to further discuss the points that they have raised. I have already accepted a request from my hon. Friend the Member for Penistone and Stocksbridge (Miriam Cates).

We know that mental health can have a profound impact on the whole of a child’s life. That is why the Government are committed to treating mental health with the same urgency as physical health and to deliver parity of esteem, and we are supporting mental health and wellbeing at all stages of people’s lives. We recognise that schools are in a unique position as they are able to help to prevent mental health problems by promoting resilience as part of an integrated, whole school approach that is tailored to the needs of their pupils.

Improving mental health starts with promoting good mental wellbeing and ensuring that children and young people get the help and support that they need. Schools with the right support from specialist services can play a vital role in that, which is why improving mental health support for schools has been a long-standing priority for this Government, with a shared approach led by the Department of Health and Social Care and supported by the Department for Education.

Supporting mental health and wellbeing is especially important at this time. As many Members from across the Chamber have referenced today, the covid-19 pandemic has had a particular impact on the wellbeing and mental health of children and young people. The Government’s national survey on the mental health of children and young people in England, which was published in September, found that rates of probable mental health disorder in six to 16-year-olds have risen from one in nine in 2017 to one in six in 2021. Those findings, which are helping us to ensure that the action we are taking is informed by the most up-to-date evidence, reinforce what we have been hearing from schools and colleges about how many children face issues and the need to continue to act.

Because of that, the Government have made children’s wellbeing and mental health a central part of our response to the coronavirus pandemic. Throughout the pandemic, we have prioritised keeping schools open above all else, as long as it was safe to do so, because it is so vital for children and young people’s wellbeing, as well as their education.

The Government have also invested £7 million this year in our Wellbeing for Education Recovery programme. That programme enabled local authorities to provide further support to schools and colleges to develop their curriculum and pastoral care provision in the context of the pandemic. The programme built on our £8 million Wellbeing for Education Return programme in 2020, which provided free expert training, support and resources for education staff dealing with children and young people experiencing additional pressures, including trauma, anxiety, or grief. Around 12,000 schools and colleges across the country have benefited from that support, which was delivered through local authorities.

In addition, we are investing up to £5 billion to support recovery for children and young people who need it most. That includes an additional £1 billion of new recovery premium funding for disadvantaged pupils. Our guidance is clear that schools can use that funding, as well as other funding such as pupil premium, to support their pupils’ mental health and wellbeing, including for counselling and other therapeutic services, alongside supporting their academic attainment.

As we move forward, the Government remain committed to improving the support available to schools by helping them to put in place whole school approaches to mental health and wellbeing which are tailored to the particular needs of their pupils. We know that school-based counselling by well-qualified practitioners can be an effective part of a whole school approach and that many schools already provide access to some counselling support. Our national survey of school provision, published in 2017, found that 61% of schools offered counselling services, with 84% of secondary schools providing their pupils with access to counselling support.

To further support schools that have decided that counselling support is the appropriate path for their pupils, we have produced guidance on how to deliver high-quality, school-based counselling. In the light of the impacts of the pandemic, we have committed to updating that guidance to make sure that it reflects the current context.

The guidance sets out our strong expectation that, over time, all schools will offer counselling services, alongside other interventions, because evidence suggests that counselling can have a positive effect, in particular on children’s psychological distress, self-esteem and general wellbeing. However, we have not mandated that all schools should provide access to counselling services as we believe that it is vital that they have the freedom to decide what support to offer their pupils based on their particular needs and drawing on an evidence base of effective practice.

We are taking action to help schools to build their capability to promote children and young people’s mental health and wellbeing, as well as ensuring that those who need help with their mental health receive appropriate support. The Government are providing £9.5 million to offer senior mental health lead training to about a third of all state schools and colleges in England in 2021-22. Part of the commitment that we made in our 2017 Green Paper, “Transforming children and young people’s mental health provision”, was to offer this training to all state schools and colleges by 2025. The senior mental health lead is a strategic leadership role, with responsibility for overseeing the school’s whole school approach to mental health and wellbeing.

As part of this training, leads will learn about how to develop a culture and ethos that promotes positive mental health and wellbeing, as well as how to make the best use of local resources, including counselling services, to support children and young people who are experiencing issues. I am pleased to report that nearly a quarter of schools and colleges in England—about 6,000—have already applied for one of these £1,200 grants. Many senior mental health leads have already started their training, which will enable them to start to apply their learning this academic year. That will help them to build on the incredible work that they and their colleagues have done throughout the pandemic to promote and support the wellbeing of their pupils.

Another important part of the whole school approach is ensuring that all pupils understand how to promote their own mental health and wellbeing, and that they have the knowledge and confidence to seek additional support when it is needed. That is why, in September 2020, we made health education compulsory—

[Mr Kevan Jones]

On a point of order, Madam Deputy Speaker. Call me old-fashioned, but I thought that in a wind-up the Minister was supposed to respond to the debate. He has now been on his feet for seven or eight minutes, and all we have heard is a pre-prepared, read-out speech.

Department for Work and Pensions

Debate between Lord Beamish and Will Quince

Tuesday 2nd July 2019 Commons Chamber

[Will Quince]

The number of young people who are unemployed has almost halved since 2010. Female unemployment is at a record high, and wages are growing at their joint fastest rate in a decade. These are the reasons why our labour market is outperforming many—

[Mr Kevan Jones (North Durham) (Lab)]

On a point of order, Madam Deputy Speaker. Call me old fashioned, but I thought the purpose of the Minister coming to the Dispatch Box was to reply to the debate. He has now been on his feet for 10 minutes, and all he is doing is reading out his civil service brief. This is becoming a habit among Ministers. He said that he was going to refer to Members in the debate, and I think he should start to do that—

Baby Loss

Debate between Lord Beamish and Will Quince

Thursday 13th October 2016 Commons Chamber

[Will Quince]

Yes, of course I agree. I will come to that point later. After the debate in November on bereavement care in maternity units, my hon. Friend the Member for Eddisbury and I were taken aback by the number of people across the country who got in touch and shared their stories with us. We sat down—this was during proceedings on a Finance Bill, so it was about 1.30 am —with the then Minister with responsibility for care quality, my right hon. Friend the Member for Ipswich (Ben Gummer), my hon. Friend the Member for Banbury (Victoria Prentis), who is not quite in her place, and the hon. Member for Washington and Sunderland West (Mrs Hodgson). We thought, “This is a far bigger issue than just bereavement suites. The whole subject of baby loss needs addressing.” We were pretty surprised that there was not already a group looking at the issue.

The all-party parliamentary group was formed in February, and I am very proud of the work that we have done so far, working with amazing charities across this country. I cannot name some of them, because I would have to name them all. From large charities that do the most amazing work and fundraising, through to the groups made up of just a handful of people who get together in a local pub or village hall and knit really small pieces of clothing for babies who are premature and sadly stillborn, it means so much that so many people across this country want to play their part and make a difference.

I cannot let this speech go by without referring to the support of Mr Speaker, who is not in the Chamber at the moment, not just for this campaign, but in kindly allowing us to use his apartments for the reception yesterday, and during baby loss awareness week. Yesterday, which would and should have been my son’s second birthday, he called me to ask a Prime Minister’s question on this subject, and so raise the issue in front of millions of people and the country’s media.

[Mr Kevan Jones]

I know that the hon. Gentleman does not want to name individual charities, but Sands does a great job. The point raised with me by Ashleigh Corker, a north-east co-ordinator who lives in my constituency, is that one of the most powerful things that Sands can do is put parents in touch with other parents—people who have gone through the same thing—so that they can share experiences. Does he agree that that is a very powerful thing to do? A lot of people can empathise with what parents are going through, but unless a person has gone through this themselves, it is very difficult to understand.

[Will Quince]

The hon. Gentleman raises an incredibly good point. In the run-up to birth, people can go to groups such as NCT and prenatal classes, so I totally agree. We have made friends who have gone through similar experiences. You feel that you can talk openly with them, because they have gone through very similar experiences and are feeling the same things as you. That is very powerful. There may be a role that charities and the NHS can play in putting parents—where they feel able—in touch with other parents who may want to talk about their experience.

I shall speak briefly about Government targets. I know that the Government sometimes get a hard time on the NHS, but they have accepted the premise of our argument. I remember first meeting my right hon. Friend the Member for Ipswich as Minister responsible for care quality—it was like pushing at an open door. We now have firm commitments to a reduction of 20% by the end of this Parliament and 50% by 2030. It is our job as an all-party parliamentary group to hold the Government’s feet to the fire and to make sure that they are working towards those targets and that we start to see results.

I could not let this debate go by without talking about some of the issues that charities have raised with me. I shall touch on prevention and then talk about bereavement. Research in this area is vital. As my hon. Friend the Member for Eddisbury said, around 50%—in fact, the figure is 46%—of stillbirths and 5% of neonatal deaths are unexplained. We need to look, for example, at ethnicity and ask why south Asian women are 60% more likely to have a stillbirth, and why black women are twice as likely to do so. Why is there a geographical disparity across the UK? I know that part of the answer is social inequality, but why is the figure 4.9% in some parts of the UK and 7.1% in others? That is around a 25% variation. It is not acceptable and we need to understand why it exists.

We need to look at multiple pregnancies, as the hon. Member for Livingston (Hannah Bardell) mentioned from the Scottish National party Front Bench, and at lower income families. We need to study our European counterparts and see why they are getting it so right and whether we can implement similar measures in the UK.

Some right hon. and hon. Members have mentioned public health and they are right to do so. Maternal age, nutrition and diet, drugs, alcohol and smoking are all relevant. We could achieve a 7% reduction if no woman smoked during pregnancy. That is a huge target to achieve and we could do a lot of work on smoking cessation, especially during pregnancy. Studies show that we could achieve a 12% reduction if no mothers were overweight or obese.

There is a huge piece of work that we could do on empowering women and mothers-to-be. Initiatives such as Count the Kicks are important. Nobody knows their body as well as a mother. If she feels that there is something wrong, there is a good chance that something is wrong. When she picks up the phone to the hospital or to her GP and her concern is dismissed with the words, “Don’t worry, it’s not important,” she needs to get it checked out. If there is nothing to worry about, great, but on the occasions when we do not get a concern checked out and then something terrible happens, we have to hold ourselves responsible.

There are various initiatives to empower women. Teddy’s Wish is currently sponsoring fantastic folders—as anybody who has had a baby will know, mothers-to-be get purple maternity notes which they carry around religiously just in case the baby comes early. The wonderful plastic folders that the maternity notes go in inform mothers—and fathers—what to look out for, what are the signs if something is not right, when to pick up the phone, when to go and see their GP and when to go to the hospital. Such innovation is exactly what is needed.

Investigation and reporting are important so that we learn the lessons of every stillbirth and neonatal death. Covering things up and dismissing them with comments such as, “That’s unexplained. These things happen. I’m terribly sorry,” are unacceptable. We have to learn from every case. I am pleased that the Government have put a significant amount of money into setting up a system of reporting to enable us to investigate and learn from every stillbirth and neonatal death.

The hon. Member for North Ayrshire and Arran (Patricia Gibson) rightly mentioned post-mortems. So many parents are not offered a post-mortem. One might wonder what parent would want that opportunity, but parents who lose children often want to know why. They want to understand how and why it happened and how they can make sure that it does not happen again. Offered the opportunity, many parents opt for a post-mortem because they know that that research can help others, but clinicians may not be asking the question—often with good intentions, because it is not an easy question to ask. We must ask the question if we are to get post-mortem rates up, which will feed into the research that will allow us to cut our stillbirth rate.

An hon. Member—I apologise, I cannot remember who it was—mentioned late-stage pregnancy scanning. In this country we do not scan past 20 weeks. We scan at 12 weeks and we scan routinely at 20 weeks, but there is no routine scanning past that. I find it bizarre that the abnormality scan takes place halfway through the pregnancy, but after that the mother-to-be is not seen again for a scan until she arrives at the hospital when she is in labour. Other countries across the world and particularly our counterparts in Europe do scans at 36 weeks or Doppler scans. There are huge improvements that we could make in that area.

I want to clarify one point in relation to prevention. The NHS is brilliant, and where we get it right in this country, we really get it right. The problem is the inconsistency across the NHS. I know that the Secretary of State and the Minister of State will agree when I say that we have some of the best care in the world, but it is important that that is replicated in every hospital and every maternity unit in the country, so that whatever hospital a woman goes into and whatever GP she sees, she will get the same level of care and consistent advice.

Even if we manage to achieve our target, even if we match our European counterparts and reduce our stillbirth and neonatal death rates by 50%, that will still mean between 1,500 and 2,500 parents going through that personal tragedy every year. That is why it is important that the APPG puts an equal emphasis on bereavement. I have talked about consistency of care across the NHS, and there should also be consistency of bereavement pathway and bereavement care across the NHS. It is important that we consider aspects such as training for staff. I know that Ministers have put huge amounts of funding into training as part of the plan to achieve a significant reduction in the stillbirth rate.