Children's Mental Health Services: Lincolnshire

Gareth Davies Excerpts

Tuesday 7th February 2023 Westminster Hall

[Gareth Davies (Grantham and Stamford) (Con)]

I beg to move,

That this House has considered children’s mental health services in Lincolnshire.

As a parent, I know how strong and how special the bond that connects us to our children is. We give our time, our energy, resources and a hell of a lot of sleep without a second thought to nurture, guide and raise them. It is a love that knows no limit, and we all want our children to have the best opportunities in life and for those opportunities to be just as limitless. That is why I can only imagine the distress and heartache felt by some families in Lincolnshire and across the country when a child is suffering from mental ill health.

As parents, we feel a deep sense of responsibility and a duty to get help for our children whenever it is needed, and we will do anything we can to get it, so it is vital for families to know that they have access to a network of support and to professionals dedicated to providing the best help and treatment available. Over the last decade, our country has made great strides in recognising the importance of mental health, placing it in parity with physical health both in law and in practice. There has also been a notable cultural shift, with more and more young people reaching out and seeking support with their mental health.

To be fair, Government have recognised and actively encouraged this change. Since 2015, the mental health investment standard has mandated that mental health spending at least match any overall increase in NHS funding. The Government also commissioned the independent mental health taskforce, accepted its recommendations in full and put an extra £1 billion towards introducing the first ever mental health waiting time standard, committing to providing 70,000 more children with mental health care and guaranteeing access to a 24/7 community-based crisis response. That has had an impact and it is a vast improvement on what has gone before, but those national numbers will mean very little if they do not translate into positive experiences where help is most needed.

In Lincolnshire, children and young people have access to a broad range of support. Lincolnshire has a strategy centred around care at home. While hospital care is lifesaving for those in most need, the majority of children with mental health problems can and should be seen in a familiar and comfortable setting at home. That is why I welcome Lincolnshire’s early help strategy. The mental health, learning disability and autism alliance, which includes NHS leaders, Lincolnshire County Council and district councils, and the police and crime commissioner, has developed the plan to promote early intervention and support. That ultimately means that more children are provided with help before their illness requires hospital support, and Lincolnshire has far fewer in-patient stays than the regional and national averages.

I want to use the rest of my time today to speak directly, in this Children’s Mental Health Week, as a voice for a number of my constituents who have reached out and contacted me over the past year to share their experiences and highlight particular issues that we face in the county of Lincolnshire. On early intervention, the earlier mental health issues are reported, the stronger the chance of recovery. There are two ways in particular in which we need to focus more attention to achieve these early interventions.

The first is through schools. School is where many children feel most comfortable, familiar and safe. As such, school is exactly where children are not only supported, but can be taught how to better look after their own mental health and recognise when classmates are struggling. The Department for Education has, therefore, rightly committed to providing mental health training to a lead member of staff in all eligible schools and colleges by 2025. Lincolnshire County Council has rightly commissioned four mental health support teams in various educational settings in Lincoln, Gainsborough, Boston and Skegness. Obviously, my constituency is missing from that list. I hope that Grantham, Bourne or Stamford will be included in the months and years ahead.

The second area of focus for early intervention is about training for medical professionals. Although some training is available, some of my constituents feel that it should be mandatory for all medical staff on paediatric wards, in A&E, for GPs and for GP nurses, so that issues can be identified earlier and faster. I am interested to learn the Minister’s views on that point, because it has been raised a number of times.

There is another big issue that I would like to highlight. Although we have some excellent people involved in mental health services in Lincolnshire, there are frankly not enough of them. We have to recognise that we struggle to recruit specialist staff to operate mental health services in Lincolnshire, because of the rural nature of our county. It also means that attracting specialists, such as psychiatrists, from more populated towns and cities is difficult. I know the Government are fully aware of the issue but, without more specialist staff, local providers find it difficult to expand services and provide a more immediate response to the children who are in most need.

That staffing issue creates a need for local providers to make occasional use of agency cover. Not only is that expensive, but it brings a significant churn of personnel into the system, when children and families need a consistent and familiar touch point they can get to know and who can get to know them. Another main workforce concern is that, after covid, a significantly higher number of people need help. It is estimated that across the UK, 1.5 million children might need new or additional mental health support as a result of the pandemic. Before the pandemic, one in nine children in the UK suffered with their mental health. That figure was high enough, but it has since risen to one in six children. With more children to treat, Lincolnshire needs more specialist staff to go alongside the clear increases in monetary investment.

My final point is about the important third area of after-hours care. In Lincolnshire, we have a crisis and enhanced treatment team. It is targeted at helping children, through assessments and home treatment, aiming to avoid the need for hospital admission. The full extent of that in-person service is available from 8.45 in the morning to 7 pm. As we know from many cases, the greatest need is during the night. For that, there is a telephone number for parents to call for advice, and they might be referred to an A&E department, if it is deemed necessary.

Although that is, of course, welcome, some families have not been aware of the out-of-hours service and have presented to A&E, sometimes without calling the crisis team, only to struggle to find any specific mental health support at the hospital when they arrive. Locally, I know that those responsible are aware of that, and improvements are on the way. For example, a new mental health liaison post has been appointed and will start soon to offer routine face-to-face support at A&E. Going forward, there is a review of the entire crisis model. Plans are currently being explored, including for a child and young person crisis assessment centre. I will definitely follow that closely.

Providing for our children is the driving force in parents’ lives. We love, care for and protect them as best we can with whatever means we have. I hope that, in some small way, my speech today has helped highlight the challenges that children’s mental health services in Lincolnshire face. Some are similar to those faced by other areas across the country; some are perhaps more unique to us in our county. I thank all who work so hard to deliver mental health services in Lincolnshire. I pay particular tribute and send my thanks to the families who have shared their stories with me—they know who they are. I look forward to the Minister’s response.