Speeches made during Parliamentary debates are recorded in Hansard. For ease of browsing we have grouped debates into individual, departmental and legislative categories.
These initiatives were driven by Baroness Maclean of Redditch, and are more likely to reflect personal policy preferences.
The Bill failed to complete its passage through Parliament before the end of the session. This means the Bill will make no further progress. A Bill to require doctors to inform the appropriate driver licensing agency of a diagnosis of dementia; to require drivers diagnosed with dementia to undertake a supplementary driving assessment; and for connected purposes.
Assistance Dogs and Pavement Parking Bill 2023-24
Sponsor - Bill Wiggin (Con)
Flexible Working Bill 2017-19
Sponsor - Helen Whately (Con)
Banknote Diversity Bill 2017-19
Sponsor - Helen Grant (Con)
Registration of Marriage (No. 2) Bill 2017-19
Sponsor - Caroline Spelman (Con)
Channel 4 (Relocation) Bill 2017-19
Sponsor - Jack Brereton (Con)
Each application for a Gender Recognition Certificate (GRC) is independently evaluated by the Gender Recognition Panel, underpinned by a range of required evidence. Certificates are only granted to those who meet the criteria, and not everyone who applies is granted one and circumstances are taken into account.
In order to be granted a GRC, an applicant must meet a high threshold of requirements:
There are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Furthermore, as previously stated, the police can require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it. If a person with any criminal record were to obtain a GRC, this would not remove or invalidate past sentences served in their previous gender.
We continue to monitor these arrangements to ensure they safeguard the public.
Each application for a Gender Recognition Certificate (GRC) is independently evaluated by the Gender Recognition Panel, underpinned by a range of required evidence. Certificates are only granted to those who meet the criteria, and not everyone who applies is granted one and circumstances are taken into account.
In order to be granted a GRC, an applicant must meet a high threshold of requirements:
There are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Furthermore, as previously stated, the police can require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it. If a person with any criminal record were to obtain a GRC, this would not remove or invalidate past sentences served in their previous gender.
We continue to monitor these arrangements to ensure they safeguard the public.
Each application for a Gender Recognition Certificate (GRC) is independently evaluated by the Gender Recognition Panel, underpinned by a range of required evidence. Certificates are only granted to those who meet the criteria, and not everyone who applies is granted one and circumstances are taken into account.
In order to be granted a GRC, an applicant must meet a high threshold of requirements:
There are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Furthermore, as previously stated, the police can require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it. If a person with any criminal record were to obtain a GRC, this would not remove or invalidate past sentences served in their previous gender.
We continue to monitor these arrangements to ensure they safeguard the public.
The For Women Scotland Ltd vs The Scottish Ministers judgment ruled that for the purposes of the Equality Act, “woman” is a biological woman. The ruling makes clear that a Gender Recognition Certificate does not change a person’s sex for the purposes of the Equality Act.
The Equality and Human Rights Commission has submitted a draft Code of Practice to Ministers, and we are reviewing it with the care it deserves. The Code concerns how the Equality Act 2010 applies to services, associations and those exercising public functions.
There are significant safeguards built into the process for obtaining a Gender Recognition Certificate (GRC) under the Gender Recognition Act 2004; not everyone who applies is granted one. Additionally, there are safeguards in place to ensure that the relevant authorities can manage the risk posed by sex offenders. These include a requirement for registered sex offenders to notify the police of any changes to their personal information such as change of name. Alongside this, His Majesty’s Passport Office monitors high-risk offenders to ensure they cannot obtain a new passport without police consultation. Failure to comply with requirements in this area is a criminal offence.
The Crime and Policing Bill will introduce a range of legislative changes which will strengthen the management of registered sex offenders, including where they aim to change their name.
Where the police consider it necessary to protect the public or children or vulnerable adults from sexual harm, they will be able to serve a notice on offenders requiring them to seek the police’s authorisation before applying to change their name on a specified identity document (namely, a UK passport, driving licence or immigration document).
Police will also be able to require registered sex offenders to notify them of an intended change of name at least seven days in advance of using it, or if that is not reasonably practicable, as far in advance of their using it as it is reasonably practicable.
We continue to monitor these arrangements to ensure they safeguard the public.
Yes the answer was correct at the time of writing.
The Government has published 29 Impact Assessments representing a comprehensive package of analysis on the impact of the Employment Rights Act: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments. Each Impact Assessment considers how impacts may vary depending on business size and includes an estimation of the potential compliance costs.
On Wednesday 7 January, the Government published the Enactment Summary Impact Assessment for the Employment Rights Act 2025. This forms part of a comprehensive package of 29 Impact Assessments analysing the impact of the Act: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments. As per our Better Regulation requirements, each Impact Assessment includes a small and micro business assessment.
The Government has published 29 Impact Assessments representing a comprehensive package of analysis on the impact of the Employment Rights Act: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments. As per our Better Regulation requirements, each Impact Assessment includes a small and micro business assessment.
The Government will be publishing an Enactment Impact Assessment on the impacts of the Employment Rights Act. This assessment can be found here when published: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments
My department has published a robust set of Impact Assessments that provide a comprehensive analysis on the potential impact of the Employment Rights Act, available here: https://www.gov.uk/guidance/employment-rights-bill-impact-assessments
This analysis includes consideration of increases in labour costs for businesses and the subsequent effects, as well as assessments on how the proposed zero hour contract measures could affect different groups in the labour market. The impact on younger people and students will depend on the regulations following consultation, however it is important to note the measures will focus on exploitative zero hours contracts to ensure people are able to access guaranteed hours. For those who want to remain on a zero hours contract, for example many students, they will still be able to.
We have committed to reduce bureaucracy for businesses by cutting the administrative costs of regulation for businesses by 25% by the end of this Parliament. We are working with taking a whole of government approach toward achieving this by asking all government departments to work with us to meet this ambitious target.
Determining the cumulative administrative costs of regulation that businesses face, has not been done for 15 years. That’s why we are undertaking a baselining exercise to understand the administrative costs of regulation to all businesses, including SMEs. We have considered different analytical options and looked to identify the most proportionate methodology to calculate the baseline for costs.
We are working across government to identify savings to deliver this ambitious target and we will set out our more detail in due course.
We are working across government and with regulators to meet our ambitious target to reduce the administrative burden of regulation to business by 25%. As a down payment on this work, we announced reforms as part of the Industrial Strategy that will contribute. This included harnessing the potential of new technology to make compliance with money laundering regulations simpler using digital identity verification checks and removing requirements and increasing the permissible size for air source heat pumps. We will continue to work with business and stakeholders to identify further administrative savings. We will set out more detail in due course.
A greater proportion of our school children are educated in special schools than at any time in the past fifty years.
For the first time in 2023, the school capacity survey asked local authorities to provide data on the capacity of special schools and the capacity of special education needs (SEN) units and resourced provision in mainstream schools, as well as their forecast future demand for specialist provision. This is published at: https://www.gov.uk/government/statistics/school-capacity-in-england-academic-year-2023-to-2024.
Since 2015/16, the number of children in all types of special schools has increased from 115,000 to 200,000 in 2024/25. The number of specialist placements overall is expected to continue to increase based on current trends.
The department also collects numbers of pupils on roll with SEN through the school census with data from 2025/26 onwards. Data is published by type of provision and can be accessed here at: https://www.gov.uk/government/statistics/special-educational-needs-in-england-january-2025.
Every child deserves an education that meets their needs, is academically stretching, where they feel like they belong, and that sets them up for life and work
As part of the government’s Plan for Change, we are determined to fix the special educational needs and disabilities (SEND) system and restore the trust of parents. We will do this by ensuring schools have the tools to better identify and support children before issues escalate.
The department has improved data by disaggregating the SEN2 data collection from 2023. This change enabled more detailed, pupil level analysis of education health and care (EHC) plans and the processes associated with it, providing deeper insights into specific patterns and trends to support decision-making. The annual EHC plan statistics report provides information on the numbers of children and young people with an EHC plan
International evidence indicates that the number of children and young people with SEN is also increasing in comparable countries. Although definitions and systems vary considerably between countries, the key drivers include improved understanding and diagnosis of need, as well as social and medical factors.
The government remains committed to providing opportunities to study and work abroad, especially for those participants from disadvantaged backgrounds. We expect that over 100,000 people could benefit from mobility and partnership opportunities from Erasmus+ participation in 2027/28. Placement totals will depend on the length of each placement and grant rates. The Erasmus+ Work Programme sets out budget thresholds for education by sector. Thresholds for 2027 will be published in the 2027 Erasmus+ Work Programme.
The department does not collect data on the religion of the parents of children in Elective Home Education (EHE).
Full details about the consultation including timelines, how long the consultation will last, and how to be involved, will be announced in due course.
The Home Office is the department responsible for assessing migration trends – including pull factors for migration. The Home Office report ‘Asylum seeker decision-making in journeys to the United Kingdom (2022)’ explores the decision-making process for asylum seekers choosing to come to the UK.
Most migrants with temporary visas cannot access the benefit system. Access to public funds and benefits is usually at the point of settlement, which for most people will be after they have lived in the UK legally for five years, and the Home Office Earned Settlement policy consultation is looking at increasing this to ten years.
The Home Office are also consulting on changing the default position to maintain No Recourse to Public Funds at settlement and lifting this only at the point of British citizenship, in addition to increasing times for path to settlement from five to ten years.
The Department does not produce forecasts of the impact of removing the two child limit on families or children by immigration status, and the estimate requested is not available. To produce such an estimate would incur disproportionate cost.
As our published information shows, in 2026/27, we estimate around 510,000 and in 2027/28, we estimate 520,000 Universal Credit Households will benefit from this policy change.
Table 5: Estimated number of households benefitting from the policy change
| 2026/27 | 2027/28 | 2028/29 | 2029/30 | 2030/31 |
Already on UC (static) (000’s) | 500 | 510 | 520 | 550 | 560 |
Newly entitled to UC (static) (000’s) | 10 | 10 | 10 | 10 | 10 |
Reduction due to exceptions (static) (000’s) | - 20 | - 20 | - 20 | - 20 | - 20 |
Increased take-up of UC (behavioural) (000’s) | 20 | 20 | 30 | 30 | 20 |
Total (000’s) | 510 | 520 | 540 | 560 | 570 |
Note: Caseloads rounded to the nearest 10k and totals may not sum up due to rounding. Great Britain only. | |||||
Universal Credit (Removal of Two Child Limit) Bill publications - Parliamentary Bills - UK Parliament - Regulatory impact assessment template (2023 reforms)
Most migrants with temporary visas cannot access the benefit system. Access to public funds and benefits is usually at the point of settlement, which for most people will be after they have lived in the UK legally for five years, and the Home Office Earned Settlement policy consultation is looking at increasing this to ten years. The Home Office is also consulting on changing the default position to maintain No Recourse to Public Funds at settlement and lifting this only at the point of British citizenship.
People who are not British or Irish can only access Universal Credit with a valid immigration status that grants them access to public funds. The majority of temporary migrants are subject to a No Recourse to Public Funds (NRPF) condition which restricts them from accessing certain public funded benefits and services.
The proportion of Universal Credit claimants with an immigration status recorded as ‘other’ or where there is no immigration status recorded on the digital system has decreased in the latest statistics (January 2026) compared with January 2025. There are no plans to change how this data is collected, although analysts are continuously looking at how we can improve the statistics.
Entitlement to health and disability benefits is determined by the eligibility criteria for the respective benefits. Each case is assessed individually based on the evidence provided.
We have also launched the Timms Review to ensure Personal Independence Payment (PIP) is fair and fit for the future. It is the ever first full review of PIP and will include consideration of whether the assessment effectively captures the impact of long-term health conditions and disability in the modern world.
The information requested is not readily available, and to obtain it would incur disproportionate cost.
The information requested is not readily available, and to obtain it would incur disproportionate cost.
The Secretary of State has commissioned the Right Honourable Alan Milburn to author a report that will seek to understand the drivers of the increase in the number of young people who are not in education, employment, or training. He will be supported by a panel of experts with diverse expertise and will be mobilising the existing Youth Guarantee Advisory Panel.
The research and analysis to inform the report will aim to improve our understanding of the number of young people not in education, employment or training, including identification of those with health needs.
The information requested is not readily available, and to obtain it would incur disproportionate cost.
This government is transforming the apprenticeships offer into a new growth and skills offer that will give greater flexibility to employers and support young people at the beginning of their careers.
In August 2025, we introduced new foundation apprenticeships to give young people a route into careers in critical sectors, enabling them to earn a wage while developing vital skills. They are underpinned by additional funding for employers of up to £2,000 to contribute to the extra costs of supporting someone at the beginning of their career.
We are investing an additional £725 million to deliver the next phase of the offer and meet our ambition to support 50,000 more young people into apprenticeships. We will expand foundation apprenticeships into sectors that traditionally recruit young people, launch a pilot with Mayoral Strategic Authorities to better connect young people to local apprenticeship opportunities, and fully fund SME apprenticeships for eligible 16–24-year-olds from the next academic year.
The government also facilitates the Apprenticeship Ambassador Network (AAN), comprising around 2,500 employer and apprentice volunteers who go into schools and colleges to share their compelling stories and experiences of what apprenticeships can do for young people.
Regarding other workplace opportunities, nearly 900,000 young people (aged 16–24) on Universal Credit will receive a dedicated session and four weeks of intensive support with a Work Coach to help them find local work, training, or learning opportunities. Over 360 Youth Hubs are also being established across Great Britain, providing access to employment and support services for all young people, including those not on benefits. These hubs will offer joined-up, community-based support by partnering with health, skills, and voluntary sector organizations.
Additionally, up to 150,000 additional work experience placements and 145,000 bespoke training opportunities will be created, including Sector-based Work Academy Programmes (SWAPs), which guarantee a job interview for participants at the end.
The Jobs Guarantee Scheme will also mean that every eligible 18–21-year-old who has been on Universal Credit and looking for work for 18 months will be guaranteed six months of paid employment (25 hours/week at minimum wage), with the government covering all employment costs. These initiatives are designed to support young people into employment and training with a strong focus on local opportunities and guaranteed paid work for those most in need.
We are aiming to achieve our employment ambitions by reforming the system to enable greater participation, progression and productivity in the labour market. This requires action to reverse the trend of rising economic inactivity, support people into good quality work, help people to get on in work and increase their earnings and develop the skilled workforce that key sectors need to grow.
We set out our plan in the Get Britain Working White Paper, with three pillars:
Reforming the skills system is also essential to deliver this change. The recent Machinery of Government change provides new opportunities to align our labour market and skills objectives.
The Post-16 Education and Skills White Paper, published in October 2025, outlined our plan to deliver the skilled workforce our economy needs now and in the future.
For Employment and Support Allowance (ESA) and Universal Credit (UC), the specific information requested is not readily available and to provide it would incur disproportionate cost.
Information on the volume of 18- to 24-year-old ESA claimants with main disabling condition ‘mental and behavioural’ disorders is held and is provided below. Note that Income-related ESA has not been available to new claimants since January 2021 as this benefit is being replaced by UC.
ESA 18 -24-year-old caseload with main disabling condition ‘mental and behavioural disorders’ by year:
| May-21 | May-22 | May-23 | May-24 | May-25 |
New Style ESA only | 1,300 | 1,100 | 900 | 900 | 900 |
Both New style ESA and Income-related ESA | 100 | .. | .. | .. | .. |
Income-related ESA only | 30,800 | 18,000 | 9,000 | 3,700 | 1,100 |
Data is not available on the number of young people who are not in education, employment, or training (NEET) because they are waiting for mental health, attention deficit hyperactive disorder or autism services or diagnosis.
https://obr.uk/docs/dlm_uploads/OBR_Economic_and_fiscal_outlook_November_2025.pdf
Table 3.2: Costing of the removal of the two-child limit
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| £ billion (unless otherwise stated) | ||||
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| Forecast | ||||
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| 2026-27 | 2027-28 | 2028-29 | 2029-30 | 2030-31 |
Post-behavioural costing |
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| 2.3 | 2.5 | 2.7 | 3.0 | 3.1 | ||
of which: |
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Static costing |
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| 2.1 | 2.2 | 2.4 | 2.7 | 2.8 | |
Direct behavioural response from higher take-up | 0.2 | 0.3 | 0.3 | 0.3 | 0.3 | ||||
Number of families gaining (thousand) |
| 510 | 520 | 540 | 560 | 570 | |||
Average annual change in award for gaining |
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families (£) |
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| 4,530 | 4,790 | 5,040 | 5,310 | 5,450 | |
We have announced plans to double the standard time most migrants have to wait before they can access benefits to 10 years, reducing the burden on the taxpayer and making sure settlement rights are earned.
As a point of clarification, the Every Mind Matters (EMM) website remains live on the National Health Service digital domain for anyone to access free of charge. Between 2019 and 2023, the EMM website and its digital tools were promoted via intermittent paid for marketing campaigns to encourage the use of the site to enable the public to take simple self-care actions to improve their mental health.
A total of £21.93 million was spent on these campaigns. Since 2024 no funding has been available to promote the site to the public. However, as noted in the response to HL14010, a campaign launched over the new year and is running until the end of March 2026 to encourage people to do the new NHS Healthy Choices Quiz which asks questions about six health topics, including mental health and sleep. People whose answers to the Quiz indicate mental health difficulties will be signposted to appropriate help, including Every Mind Matters, NHS Talking Therapies, or other NHS mental health services.
Any future budget for the Every Mind Matters campaigns is yet to be agreed by the Cabinet Office, which determines the health issues which will be supported by paid marketing campaigns and how much should be spent on them.
The review will be chaired by Professor Peter Fonagy, and supported by Professor Sir Simon Wessely and Professor Gillian Baird as vice‑chairs. A multidisciplinary Advisory Working Group will directly shape the recommendations and scrutinise the evidence comprehensively.
The review will seek to understand the factors behind trends in prevalence, the impact of clinical practice, including social and cultural factors and the risks and benefits of medicalisation, and ways to promote the prevention of mental ill health, create resilience, and improve early intervention. The review will examine evidence on prevalence, trends, and inequalities associated with mental health conditions, attention deficit hyperactivity disorder, and autism.
The NHS Healthy Choices Quiz was designed and built at every stage with user research and engagement with policy experts to ensure it is both accurate and effective in supporting people to make healthy changes in six areas: movement; eating; sleep; mental health; smoking; and alcohol consumption. As part of our campaign evaluation, the Quiz will be assessed to explore how many of those who completed the Quiz took action to improve their health, including their mental health.
At the end of the Quiz, people are sign-posted to appropriate help including Better Health - Every Mind Matters, NHS Talking Therapies, or directed to their general practice or 111. The Better Health - Every Mind Matters digital resources offer a range of simple, National Health Service-approved, self-care tips and tools that everyone can use and incorporate into daily routines to help manage common early-stage mental health concerns.
Historic Every Mind Matters (EMM) campaigns have been evaluated according to the process specified by the Government Communications Service’s Evaluation Cycle for all Government paid-for campaigns, following end of each campaign period, the last of which was in 2023.
Data in relation to the EMM campaign was referred to in evidence to the Health and Social Care Committee on 21 February 2023. Text from page 11 of the transcript is as follows:
“The Every Mind Matters campaign includes a health and wellbeing plan – the Mind Plan - that can be personalised, downloaded and followed to enable people to take active steps to look after their wellbeing, and 4.6 million people have done that since October 2019. Every Mind Matters also offers a follow up email programme and two out of three of its users report that it has led to improvements in their health and wellbeing.”
To the current date, 5.4 million Mind Plans have been completed.
We know that the nation’s mental health has deteriorated over the last decade. The Adult Psychiatric Morbidity Survey 2023/24 shows that the proportion of 16 to 64 year olds with a common mental health condition increased from 17.6% in 2007 and 18.9% in 2014, to 22.6% in 2023/24.
Total mental health spending for 2025/26 is expected to amount to £15.6 billion, which is a significant increase of £688 million compared to the previous financial year. However, demand has outstripped supply as a result of rising prevalence. That is why we have launched the independent review into prevalence and support for mental health conditions, attention deficit hyperactivity disorder, and autism. The review will look at prevalence, early intervention and treatment, and the current challenges facing clinical services.
The Government has already taken significant steps to stabilise and improve National Health Service mental health services. This includes NHS Talking Therapies services, which provide evidence-based interventions recommended by the National Institute for Health and Care Excellence. More than 670,000 people completed a course of treatment last year. We are expanding Talking Therapies services so that 915,000 people can complete a course of treatment by March 2029.
NHS Talking Therapies have a recovery target that at least 50% of people who complete treatment should move to recovery, which is generally met or close to being met. Information released by the Office for National Statistics (ONS) shows that completion of Talking Therapy treatment has a positive impact on pay and employment status. Further details are available on the ONS website.
In 2025/26, total forecast mental health spend is £15.6 billion, which works out at 8.71% of the recurrent National Health Service baseline of £179.4 billion. This was set out in a Written Ministerial Statement by my Rt Hon. Friend, the Secretary of State for Health and Social Care, on 27 March 2025.
As the Medium-Term Planning Framework makes clear, we need a new approach for mental health to drive down waits, improve the quality of care, and increase the productivity of mental health services.
Funding is a key part of this. We have set out that over the next three years, integrated care boards will be required to meet the mental health investment standard by protecting mental health spending in real terms. In other words, rising in line with inflation from 2026/27.
We are concerned that many adults, young people, and children with mental health conditions have been let down by services and are not receiving timely or appropriate support and treatment. That is why we have launched an independent review into the prevalence and support for mental health conditions, attention deficit hyperactivity disorder (ADHD), and autism, which will look to understand the similarities and differences between mental health conditions, ADHD, and autism.
The review will look at prevalence, early intervention, and treatment, and the current challenges facing clinical services. The review will also examine the extent to which diagnosis, medicalisation, and treatment improve outcomes for individuals. This will include exploring the evidence around clinical practice and the risks and benefits of medicalisation. It will also seek to identify opportunities to provide different models of support and pathways, within and beyond the National Health Service, that promote prevention and early intervention, supplementing clinical support.
In 2019, the UK Chief Medical Officers published a commentary on the findings of a systematic review on screen-based activities and children’s mental health. They found an association between screen-based activities and mental health but could not establish causality. The commentary is avaiable in the document attached.
On 20 January 2026, the Government announced a forthcoming consultation on how to ensure children have a healthy relationship with devices, introduce rapid trials on measures to reduce screentime and limit access at night, and produce evidence-informed screentime guidance for parents of children aged five to 16 years old. This three-month consultation will be evidence-led, with input from independent experts, and will include determining the right minimum age for children to access social media. It will report in the summer.
Over the past decade, greater public awareness and reduced stigma around mental health have coincided with a rise in common mental health conditions and increased demand for National Health Service support, highlighting the need to better understand and address people’s needs.
The independent review into the prevalence and support for mental health conditions, attention deficit hyperactivity disorder, and autism will therefore examine a range of potential drivers of mental health conditions, the impact of clinical practice, including the role of diagnosis, opportunities for prevention and early intervention, and models of support within and beyond the NHS.
The review’s Terms of Reference are published on the GOV.UK website, in an online only format.
The Government recognises rising demand for children and young people’s mental health services.
Through the Plan for Change and our 10-Year Health Plan, we are transforming the mental health system to strengthen clinical pathways and improve access to early support, while reducing the longest waits for specialist care and tackling regional disparities.
The independent review into mental health conditions, attention deficit hyperactivity disorder, and autism is examining the drivers of rising prevalence and demand, to ensure people receive the right support, at the right time, and in the right place.
More widely, we are accelerating the rollout of mental health support teams in schools and colleges, with national coverage expected by 2029. By this spring, approximately 60% of pupils will have access to early mental health support, up from 44% in spring 2024.
The Government has not issued formal guidance as such. The Every Mind Matters campaign is the National Health Service’s national platform for mental health and wellbeing, and it offers advice and information to help people look after their mental health, including managing stress, low mood, and improving sleep. The aim is to guide the public to understand how they can manage their own mental health, and when they may need to seek support.
In educational settings, Mental Health Support Teams work in schools and colleges to offer early intervention for mild-to-moderate issues. They also support the whole school community to build a culture of mental wellbeing through training for staff, educating parents, and developing a whole-school mental health approach. This approach focuses on prevention and improving overall emotional wellbeing, as well as building awareness of when a child or young person may need to access to specialist services.
There is a range of guidance available to healthcare pathways on mental health, such as the NHS Talking Therapies guidance on the pathway for people with long term conditions and medically unexplained symptoms. Primary care services can act as the first point of contact for people with a mental health need, supporting with identifying and managing diagnosable mental health conditions such as anxiety and depression. Primary care also plays a role in coordinating care and helping service users to navigate mental health support in their local area.
No such assessment has been made regarding the proportion of general practice appointments relating to mental health concerns resulting in a formal diagnosis, clinical treatment, or a referral.
The Department funds research into mental health via the National Institute for Health and Care Research (NIHR). Through the NIHR, the Department is investigating a wide range of factors that contribute to the increase in mental health prevalence across England, including social, environmental, demographic, and biological factors. The Department also funds several population surveys that measure the national prevalence of mental health disorders.
The Department recently launched an independent review led by Professor Peter Fonagy into prevalence and support for mental health conditions, attention deficit hyperactivity disorder (ADHD), and autism. This review will examine the evidence on rising demand for mental health, autism, and ADHD services so people receive the right support at the right time and in the right place. The review will produce a short report setting out conclusions and recommendations for responding to the rising need, both within the Government and across the health system and wider public services.
The Department has made no assessment of public understanding of clinical mental health terminology, nor whether misunderstandings in language contribute to increased demand for clinical services.
The independent review into mental health conditions, attention deficit hyperactivity disorder and autism will look to understand and provide clarity on the similarities and differences between mental health conditions. It will examine the quality of evidence on what is driving demand, to determine which trends reflect real increase in disorder, which reflect changes in awareness or access, and which are artefacts of measurement or definition. The review will produce a short report setting out conclusions and recommendations for responding to rising need, both within government and across the health system and wider public services.
Mental health support teams (MHSTs) work with young people and parents to support the mental health needs of children and young people in primary, secondary, and further education to provide early, evidence-based interventions that follow recommendations from the National Institute for Health and Care Excellence.
Research conducted by NHS South Central and West, commissioned by NHS England, found qualitative evidence from seven MHST sites that MHSTs are successful in reaching children and young people who would not have otherwise accessed mental health services and that they complement wider mental health services by delivering low-level interventions for those waiting to be seen by specialist services. MHSTs were also reported to allow earlier identification and management of mental health issues, to normalise and destigmatise mental health in schools, and the improve knowledge and quality of referrals to other local services.
Research from 2025 by Bebbington et al. into 459 children and young people found that low-intensity cognitive behavioural interventions delivered in one MHST service were effective in reducing symptoms of anxiety, depression, and emotional and behavioural difficulties in children and young people with mild to moderate mental health difficulties. In an evaluation of the Children and Young People’s Mental Health Trailblazer programme, education settings reported positive early outcomes, including increased staff confidence and access to advice about mental health issues for children with mild-to moderate mental health problems.
Clinicians delivering diagnoses are professionally regulated by bodies such as the General Medical Council, the Nursing and Midwifery Council, and the Health and Care Professions Council, whose standards apply equally to private practice.
For online assessment platforms specifically, the National Institute for Health and Care Excellence (NICE) operates an early value assessment (EVA) process that conditionally recognises some digital healthcare technologies while further evidence is generated. These evaluations draw on a combination of research evidence and expert review of relevance and potential impact. NICE EVAs have been published for several tools that provide mental health pre-assessment information gathering or deliver digitally enabled therapies. These can be found on the NICE website. NICE EVAs are specifically intended to support early adoption within National Health Service commissioned services, but private providers may choose to use the EVA findings as a benchmark for decisions.