Special Educational Needs and Children’s Mental Health Services

Kerry McCarthy Excerpts

Wednesday 9th February 2022 Westminster Hall

[Kerry McCarthy (Bristol East) (Lab)]

It is, as always, a pleasure to see you in the Chair, Ms Fovargue. I congratulate the hon. Member for Newbury (Laura Farris) on securing the debate. I also pay tribute to my hon. Friend the Member for Sheffield, Hallam (Olivia Blake). I have a friend who was diagnosed with ADHD in his 50s. He is a very talented musician but he really struggled at school and with the basic things in life. He, too, says that the medication has made a huge difference.

As we have heard, life is a never-ending battle for many parents of children with SEND. They have to deal with their child’s physical and mental health needs, trying to get the right diagnosis and all sorts of things on top of that: hospital appointments, physiotherapy, daily meds, vulnerability to viruses, communication issues, issues with trying to get their child to eat properly, and behavioural problems. They face all those things at home, and then they have to battle with bureaucracy, and they often feel that they are at war with the very people who are meant to be there to help them. They feel that the system is stacked against them and that sometimes people would rather they went away and stopped being such a nuisance—what the hon. Member for Newbury said about CAMHS in that context very much resonated with me.

The first battle that parents often face is to get the right diagnosis for their child. Then there is a battle to get the EHCPs. Then the councils say they do not really have the power to enforce them. If a child develops mental health problems, it is often a battle to get support from CAMHS, and parents of neurodivergent children, in particular, sometimes find that they are being bounced around between CAMHS and SEND provision, with nobody stepping in to help them.

In 2019, it was estimated that 6.8% of children in Bristol had special educational needs or disabilities, and it is true that Bristol City Council has struggled to meet the needs of those children—as we have heard, that seems to be case with many councils. We had a pretty damning Ofsted report in 2019, and the council says it is now absolutely committed to trying to do better with its Belonging strategy and a three-year, £6.1 million education transformation programme. There are concerns about getting schools to buy into that, and some parents have said that a significant number of schools are batting away struggling pupils even though they have a legal duty to meet the needs of SEND children.

Children should never be put in the “too difficult” box, but I have heard many examples of children being out of school without any support or just having part-time schooling or perhaps hospital school tutoring—if a child has to go into hospital because of their underlying physical disabilities or illness, they will have education there, but not when they are at home. Parents complain about schools having a one-size-fits-all approach to dealing with children with additional needs, while there are complaints from schools that they can no longer afford teaching assistants, who are so valuable in providing children with the one-to-one attention they need.

Delay can make a huge difference to children’s wellbeing and future attainment, as we have heard. We know that half of all mental health problems are established by the age of 14. Tragically, in some cases, young lives will be lost if we do not intervene early. In 2017, suicide was the most common cause of death for both boys and girls aged between five and 19.

I would like the Minister to commit to provide mental health support in every school, early interventions so that we can spot the signs—otherwise, problems will increase in severity—and respect for a child’s individuality. I know that that costs more and needs more resources, but the problem with these pathways—the hon. Member for Newbury talked about fixed, predetermined interventions—is that it does not help to refer a child with autism for counselling based on cognitive behavioural therapy, because their minds just do not work like that. Finally, we also need better in-patient services, because sending children hundreds of miles away from home, when they need intensive support, is absolutely unconscionable.