Mental Health Provision (Children and Young People) Bill
Debate between Alicia Kearns and Munira Wilson
Munira Wilson
I could not agree more. If children are not happy and well in themselves they will not thrive. There is plenty of data and research to show that children who are unwell mentally do not do as well in their GCSEs and A-levels, as well as in their social lives, so it is key.
Alicia Kearns (Rutland and Melton) (Con)
I could not agree more with the hon. Lady. Over the last two and a half years it has been devastating to see the impact of the pandemic on children’s health. We should never again lock our children out of their schools and we must ensure that we protect them against the appalling pandemic of abuse that we have seen in our households. I recognise that we need to do more for children and their mental health, and I see that in my local secondary schools. I apologise, however, because I am struggling to understand how the proposal would differ from the quarterly dashboard already published by the Department of Health and Social Care that, as I understand it, already presents such data.
Munira Wilson
The dashboard does not go into the level of detail required in the Bill. I will come on to the different bits of data that the Bill would require to be published, especially on waiting times. That is not particularly transparent, although the Children’s Commissioner requests some of that data on an annual basis. On the dashboard, the spending figures that are reported are not always accurate, which is why there have been a lot of independent audits. That is why I want to put it on to a statutory footing, to give some weight to it and to try to drive up the quality, so that we have that transparency and accountability.
When young people are not seen in a timely manner, often their condition deteriorates and then they have to be re-referred and go to the back of the queue. The data on waiting times from referral to assessment and from assessment to treatment by area are not routinely and easily available. My hon. Friend the Member for Richmond Park (Sarah Olney) and I have had a long-running battle locally to try to access some of that data, because our case loads on children’s mental health are so high.
Every year, the Children’s Commissioner uses her statutory powers to request information from NHS Digital on referrals, waiting times and spending. The waiting times reporting in that analysis uses a proxy measure of two contacts, even though for a variety of reasons that can be misleading. We should not have to rely on the Children’s Commissioner’s requests, which may not always continue, nor should we have to rely on proxy measures.
Additionally, as the Children’s Commissioner makes clear in her report, the data she is able to access and publish, some of which comes from the dashboard that the hon. Member for Rutland and Melton (Alicia Kearns) referred to, is limited to the NHS and does not include the spending or activity in schools and local authorities, even though those services, as we have heard, are an important part of the vast and complex patchwork of mental health provision for our children and young people. We need a holistic picture.