Mental Health Support: Educational Settings

John Milne Excerpts

Thursday 13th March 2025 Commons Chamber

[John Milne (Horsham) (LD)]

I thank the hon. Member for Redditch (Chris Bloore) for securing this important debate.

It is time to acknowledge that special educational needs and mental health provision in schools is one of the great crises that we face today, although I do appreciate that there is a lot of competition for that particular accolade.

Financial pressures have significantly impacted CAMHS funding in my constituency of Horsham. Despite a modest 0.6% fee uplift for Sussex, the sector has faced a mandated 15% funding reduction—approximately £1.6 million—and that is coupled with rising staff costs due to higher national insurance contributions and an increase in the national living wage.

Meanwhile, demand just keeps on going up. Since September 2020, Sussex CAMHS has experienced a substantial rise in referrals, attributed to the pandemic and the easing of lockdown restrictions. This surge has adversely affected waiting times for initial assessments and treatment. The crisis is even sharper at the local education authority funding level. My local authority, West Sussex, has a dedicated schools grant deficit scheduled to go past £130 million by April. It is allowed to keep this off the balance sheet for another year, but there is only so long that we can maintain the fantasy that this service can be afforded without major central Government intervention.

Most of all, the pain is being felt at the school level, and by the children and families who experience the many failings and gaps in service. I have been contacted by no fewer than five schools in the past fortnight alone regarding this issue. Typical of their message is this from Holbrook primary school governing board:

“Schools, trusts and local authorities are overwhelmed by the rising number of pupils who are seeking additional support and the ever-increasing costs of providing assistance. Urgent action is required now to help solve the crisis in SEND, so the future of our children is not blighted by a system that is not fit for purpose.”

Having visited many schools recently, I noted that teachers are verging on desperation. I noted too their love for the children they are looking after. They desperately want to help them, but they are in an impossible situation. There is, I am afraid to say, an element of physical danger in some cases. This is not the children’s fault; this is our fault.

Horsham schools are asking for health services to take on more of the strain, because they are at breaking point. Although mental health provision in schools has clear benefits, we must ensure that this provision does not fall on school budgets. Mental health support teams cover about 44% of schools in the UK, and come from NHS budgets, not school budgets. That should become 100% coverage.

The pressure on schools to cope with more and more SEN children, with little or no extra funding, is set to undo every gain we have made in educational standards over the past decades. I appreciate that the Government are taking at least some action to assist the situation now, but I urge them to use every lever at their disposal to avert this crisis before it spins entirely out of control.

--- Later in debate ---

[Amanda Hack]

Absolutely. The sad fact is that we always talk about teenagers, but if we can give that resilience to children as young as seven to 10, we might be able to prevent them from becoming poorly when they get older. We have to start those conversations as early as possible to build resilience and confidence in our young people. Putting mental health support in educational settings will mean not only that we can change the culture in schools for children struggling with their mental health, but that we will be able to see how young people can be supported in the right place, at the right time and in the right setting.

[John Milne]

On a point of order, Madam Deputy Speaker. In my speech, I referred to West Sussex county council but neglected to mention that, as declared in my entry in the Register of Members’ Financial Interests, I am still a member of that council. I want to put that on the record—my apologies.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I thank the hon. Member for his point of order. Now that he has put it on the record, it will be recorded as such.

We come now to the Front-Bench contributions. I call the Liberal Democrat spokesperson.