Schools: Mental Health and Poor Attendance

Baroness Smith of Malvern Excerpts

Wednesday 24th July 2024 Lords Chamber

[Baroness Tyler of Enfield]

To ask His Majesty’s Government what assessment they have made of the links between rising levels of mental health issues among school age children and poor school attendance; and what steps they are planning to take to address the situation.

[The Minister of State, Department for Education (Baroness Smith of Malvern) (Lab)]

My Lords, mental ill-health and inadequate access to support are real challenges facing children today and have a detrimental impact on their school attendance. This is despite the excellent work done by education and health staff across the country. Poor mental health and low attendance are mutually reinforcing barriers to opportunity and learning. That is why we are committed to providing access to a specialist mental health professional in every school and developing new young futures hubs.

[Baroness Tyler of Enfield (LD)]

My Lords, I thank the Minister for her Answer. As she has acknowledged, the evidence increasingly shows a clear link between school absences and poor mental health. There is also a growing recognition of the gap in mental health support available to children who need a greater level of support than is currently available in school mental health teams but do not require specialist treatment from CAMHS, and that this gap is best filled, as happens in Scotland and Wales, by school counsellors and suitably qualified practitioners. She talked about providing specialist mental health support for every school, mirroring my recent Private Member’s Bill, and I very much welcome that. Could she confirm when these proposals will be brought forward and whether they will include primary as well as secondary schools?

[Baroness Smith of Malvern (Lab)]

My Lords, I know that the noble Baroness has done much work in this area and, obviously, has had a Private Member’s Bill on it. Access to mental health professionals will be for all schools, secondary and primary. We are working with the Department of Health and Social Care to ensure that we get that model right and that we can, as she emphasises, provide that early support to alleviate the need for more acute mental health provision for young people, I hope.

[Lord Touhig (Lab)]

My Lords, I welcome my noble friend to her position and congratulate her on her appointment to the House. Research by the Disabled Children’s Partnership found that only one in three disabled children receive the support they need in education, and only one in five receive the support they need within the health service. In the light of these findings, it is unsurprising that mental health issues prevent many disabled children continuing their education. Can she assure the House that these two barriers in particular will receive urgent attention from the Government, because they are destroying lives?

[Baroness Smith of Malvern (Lab)]

My noble friend identifies particular issues around mental health and special educational needs and disability. There are 1.6 million children identified with SEND. Unfortunately, outcomes are poor and confidence in that provision is declining. That is why we are working hard and, as I mentioned in my speech last week, are willing to engage widely to provide ways in which we can support those children and improve a system that is currently failing too many of them.

[Lord Farmer (Con)]

My Lords, schools are called the fourth emergency service by the Association of School and College Leaders. They often help parents with benefit applications and mental health support so that their children will attend school. However, disrupted home environments, as well as mental ill-health, drive persistent absenteeism. Family hubs in Sefton, Salford, Kirklees and Bury St Edmunds are lifting this burden, freeing schools to teach. Will the new Government continue to support the growth of family hubs?

[Baroness Smith of Malvern (Lab)]

The noble Lord is right, of course, that, for many children, schools are the stable part of their lives, but teachers, although they provide enormous levels of support along with other school staff, need to be able to focus on teaching children. Family hubs indeed play an important role in helping families to access vital services to improve the health, education and well-being of children and young people. We are already considering the overall approach to early childhood and family support, and how it can support this Government’s opportunity mission. That includes reviewing the future vision and intentions for family support, including the core role played by family hubs.

[Baroness Bull (CB)]

My Lords, may I press the Minister on what the Government will do to ensure access to mental health support for those children with disabilities and special educational needs? We know that they are disproportionately represented in absence and persistent absence figures, and that mental health is often a contributing issue. She spoke in her Answer about the evidence link between absenteeism and life chances. Does she agree that failing to address this risks widening even further the existing gap between attainment and life chances for those children who live with disabilities and educational challenges and those who are fortunate not to live with those challenges?

[Baroness Smith of Malvern (Lab)]

The noble Baroness is absolutely right that, where special educational needs come alongside mental health problems and other issues in children’s lives, they are more likely to be absent from school. Of course, while they are absent from school, they are not learning and it is also likely that mental health issues will increase, not reduce. That is why, for the vast majority of children with special educational needs who are being educated in mainstream schools, early intervention through the use of access to mental health support workers will be an important first way to support them and prevent conditions from becoming worse.

[Baroness Barran (Con)]

My Lords, improving attendance is the most urgent and important priority to support our children’s well-being and their academic attainment. There is rightly a focus on the most vulnerable children who are severely absent from school, including those with mental health issues. They represent about 2% of school-age children, but there is a much larger group—about 37% of our children last year, or 2.7 million pupils—who miss between 5% and 15% of school, with all the impact that has on behaviour and attendance, and the pressure it puts on teachers. What are the Government planning to do to help schools to improve the attendance of those children?

[Baroness Smith of Malvern (Lab)]

The noble Baroness has done considerable work in this area, as I was reminded while being briefed for this Question. In particular, the whole range of work outlined in the updated Working Together to Improve School Attendance guidance, which of course becomes statutory in August, is important in outlining the responsibility of schools to develop a policy and the support that needs to be available to children and young people to enable them to attend. She worked carefully on improving access to data, so that schools can have a more granular approach to the reasons why individual children or cohorts of children may be missing from school, and can put tailored interventions in to support them. She will know that 93% of schools already provide that data to the department, and from September that will be compulsory for all schools.

[Lord Meston (CB)]

My Lords, will the new Government seek to address the severe problems of child and adolescent mental health services coping with increased referrals and lack of staff? As reported by the Centre for Young Lives and others, there are now quite unacceptable delays in obtaining appointments, assessments and necessary treatment. Giving priority to children and families needing intervention will reduce much misery and save costs in the long run.

[Baroness Smith of Malvern (Lab)]

The noble Lord is right that there is a considerable problem with access to child and adolescent mental health services, at a time when one in five eight to 16 year-olds have a probable mental health disorder, it is suggested, and are seven times more likely to be absent for extended periods of time. When the median wait for these services for children is 201 days, there is clearly more that needs to happen. Alongside access to mental health professionals in all schools, my colleagues in the Department of Health and Social Care are also committed to recruiting an additional 8,500 mental health staff, with a priority for enabling them to work with children and young people.

[Baroness McIntosh of Hudnall (Lab)]

My Lords, will my noble friend the Minister comment on what further work the Government plan to do specifically for young people with spectrum disorders, such as autism and ADHD? They can do well in mainstream schooling, but often do not because their needs are not recognised soon enough, and they can then present with mental health disorders on top of their spectrum disorders. What is being done to help teachers understand how to manage those children and keep them in the classroom, which is often not easy?

[Baroness Smith of Malvern (Lab)]

My noble friend is of course right. There are a whole range of reasons why children may be absent from school. Special educational needs and particular disabilities, as she identifies, are a key reason. That is why, in a system that is not properly serving children, this Government are committed to improving that and working to ensure, across the whole spectrum of special educational needs and disability, that children get the support they need to remain in mainstream schools. As she also rightly says, teachers are getting the support they need, along with other staff within the school, to both identify and then support those children, so that they can achieve and succeed in a way that will be an important foundation for the rest of their lives.