Mental Health Support: Educational Settings

Chris Bloore Excerpts

Thursday 13th March 2025 Commons Chamber

[Chris Bloore (Redditch) (Lab)]

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.

[Jim Shannon (Strangford) (DUP)]

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?

[Chris Bloore]

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.

[Anna Dixon (Shipley) (Lab)]

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?

[Chris Bloore]

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.

[Chris Vince (Harlow) (Lab/Co-op)]

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.

[Chris Bloore]

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.

Why are education establishments so crucial to this debate? The Centre for Mental Health has published research showing that 75% of lifetime mental health difficulties occur before the age of 24 and that 50% occur before the age of 14. That is why education settings are critical in addressing this national crisis. Of course, schools and colleges are seen as places where children learn academic skills, but they are also safe places for some to seek support.

Currently, mental health provision in education settings in England is varied. Mental health support teams can be found in almost 50% of schools, and they have proved highly effective. Research published by Barnardo’s has demonstrated that for each £1 invested, the Government have saved £1.90. The education and health officials I have spoken to said that we must reach England-wide coverage of MHSTs as soon as possible. If this was done in combination with the Government’s promise to deliver a school counsellor in every school, that would be a powerful indicator of their commitment to tackling the crisis.

[Dr Danny Chambers (Winchester) (LD)]

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?

[Chris Bloore]

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.

[Liz Twist (Blaydon and Consett) (Lab)]

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?

[Chris Bloore]

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.

[Anna Dixon]

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?

[Chris Bloore]

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.

We also need to look at innovative ways that have been developed to address the threats our young people are experiencing. In a world where so-called influencers like Andrew Tate can get their claws into our young men’s minds, we need to look to at work such as the Mental Health Foundation’s “Becoming a Man” programme. Currently operating in Lambeth and Islington, it works with young men aged 12 to 16 who face disadvantage and inequality that put them at greater risk of developing mental health problems. It creates a safe space for young men to come together and discuss issues about their lives, taking into account their lived experiences and the often difficult environments they navigate. It helps them to develop strengths such as integrity, self-determination, positive anger expression and respect for women. Early evaluations of this work are promising, and Government support is needed to grow the evidence base.

Schools have a vital role in understanding young people’s online experiences and how they might impact their mental health. The Girlguiding girls’ attitudes survey found that one in eight young people aged 13 to 18 had seen sexual threats directed at women and girls online, including those of rape. One in eight girls said that they had received sexual threats online from strangers or someone they knew.

Over a year after the passing of the Online Safety Act 2023, suicide, eating disorder, race hate and incel forums remain easily accessible, and it is not clear if and when action might be taken against them. Given Ofcom’s permissive approach, it is likely that school staff will need to understand what sorts of communities pupils are involved in and the impact they are having on them. At a time when 36% of boys say they have had Andrew Tate content shown to them by a friend in school, the onslaught against young girls’ self-confidence, value and worth goes further than being content on a screen; it is putting them at risk.

How do we pull all this together? Preventive mental health initiatives, perhaps overwhelmed by the complexity of the challenge, are scattered and rarely appropriately funded, and they often do not learn from each other. Sometimes, we even use localism as an excuse to neither fund systems nor hold them accountable. We must create a public mental health infrastructure. The Mental Health Foundation describes it as having a clear road map, led by evidence, in which every part of the system knows its own responsibility for reducing mental health problems, and is funded and held accountable for its delivery. That means re-examining the public health grant, which despite a welcome uplift this year is still well below 2015 levels. It means ringfenced funding for schools and the NHS tied to specific outcomes. It also means the roll-out of England-wide mental health support teams and counsellors in each school.

The Children and Young People’s Mental Health Coalition responded to the NHS 10-year plan consultation, calling for the plan to financially support integrated care systems to deliver a comprehensive road map for mental health for 0 to 25-year-olds. The Association of Colleges found that more than 30% of colleges are not involved in their local suicide prevention plan, and 65% stated that they do not have a joint provision with their local NHS trust. It is clear that to keep children well and safe, our NHS services and their commissioning bodies must be fully integrated into mental health support in educational settings. Schools, colleges and universities should be included in local mental health strategies, and data should be shared freely.

I am excited by the Government’s pledge to roll out Young Futures hubs, which aim to bring local services together, deliver support for teenagers at risk of being drawn into crime or facing mental health challenges, and, where appropriate, deliver universal youth provision. These initiatives could represent the start of such an infrastructure and an implementation plan for a national network of these hubs. The Royal College of Psychiatrists states that the hubs have the potential to support some of the most minoritised children who might not be able to access CAMHS or school-based services consistently. I am pleased to see that the NHS remains committed to expanding access to children and young people’s mental health services, and that the operational planning guidance recognises that early intervention improves outcomes for children throughout their lives, reduces long-term pressures on health services, and benefits the economy and wider society.

I urge the Government to seize this moment and see if they can create a true network of mental health support across the country by getting anti-bullying programmes in place, following the evidence and committing to relentlessly drive down levels of poor mental health, and thereby build mentally healthy communities in our schools and beyond. Prevention, early help and treatment can help young people to deliver positive outcomes. Yes, many of the measures I have referred to today and those already announced by the Government will require significant investment, but the cost of inaction and the knock-on impacts on education and children’s social care would far outweigh any initial outlay. Now is the time for action.

[Several hon. Members rose—]

--- Later in debate ---

[Chris Bloore]

First, let me thank the Minister for his comprehensive response, but also for how his Department has helpfully answered the many questions that my office has put through to him. I also thank him for his candidness at the Dispatch Box, and I look forward to hearing a lot of the detail following the questions from Members from all parts of the House.

I will make reference in a quick speed-dating way to many of the comments that Members have made. I thank my hon. Friend the Member for Dulwich and West Norwood (Helen Hayes) for her expertise and comments, particularly on SEND provision. I thank the hon. Member for Brighton Pavilion (Siân Berry) for raising awareness of the success that she and campaigners have had in her constituency. As a fellow former county councillor, I, like the hon. Member for Horsham (John Milne), understand the challenges that county councils face, particularly in rural areas, and I understand his frustration. I thank my hon. Friend the Member for Ashford (Sojan Joseph) for his focus on early intervention, and I support his viewpoint that cross-Government working is vital to making progress on this issue.

I thank my hon. Friend the Member for Stafford (Leigh Ingham) for her intervention. I am sad to hear about students being told to unroll from school because provision is not available. That is simply not acceptable. I thank my hon. Friend the Member for Weston-super-Mare (Dan Aldridge) for his excellent and heartfelt comments about representing his residents, and also for his timely comments about the work of teachers in our schools.

I thank the Liberal Democrat spokesperson, the hon. Member for Twickenham (Munira Wilson). She has a long history on this subject, and I have read many of her contributions over the past two weeks. I know that she is fully committed to this cause. I thank the Conservative spokesperson, the hon. Member for Sleaford and North Hykeham (Dr Johnson) for her thoughtful comments and for her expertise in the area in which she worked prior to coming to this place.

Finally, we have been talking in this debate about the life chances of our children. We have made so much progress in bringing discussions about mental health to the fore, and we know the difference that early intervention can make. It is okay not to be okay, and we have made progress with people feeling that they can say that, but it will not be okay if we do not make progress to support children in the long run by the time this Parliament is over.

Question put and agreed to.

Resolved,

That this House has considered mental health support in educational settings.