(2 years, 9 months ago)
Commons ChamberOn 11 January 2016, the then Prime Minister David Cameron pledged a revolution in mental health treatment. At that time, I was working as a lecturer at Bradford College, and would regularly find myself supporting students who were struggling with anxiety, depression and, in some of the worst cases, attempts at taking their own lives. I knew then that services for children and young people who were struggling with their mental health were failing to meet their needs. Sadly, years later, and now working as a Member of Parliament, reading the correspondence in my inbox and going into schools on a weekly basis, I am afraid I cannot see any evidence of any such revolution when it comes to children’s mental health.
It would be remiss not to mention the impact of covid-19 on mental health over the last two years, but—as the excellent mental health charity Young Minds said in November last year— the crisis in young people’s mental health predates the pandemic. Indeed, in 2017, suicide was the most common cause of death for both boys and girls aged between five and 19. Research from University College London found that in 2018-19 almost a quarter of 17-year-olds had self-harmed in the previous year. Young Minds also highlights the clear inequalities when it comes to children and young people’s mental health, with high rates of mental health problems among young women, LGBTQ+ young people, young people with autism and young carers, alongside clear links between mental health and experiencing racism and discrimination, and mental health and financial insecurity. We clearly have a problem.
While I welcome the acknowledgement this week from the Children’s Commissioner for England that progress has been made to reduce the gap between the number of children with an emerging mental health need and the support available, this is no revolution. She also discussed waiting times and the fact that we now have one in six children with a probable mental health disorder. People are still waiting weeks and weeks for treatment to begin. Under this Government, we have seen a 77% rise in the number of children needing specialist treatment for a severe mental health crisis, and almost 117,000 children were turned away from mental health services last year despite being referred by a professional.
Despite warnings from teachers of an increase in emotional and mental health issues in pupils since the pandemic, the Government continue to give the impression that children and young people are an afterthought in their plans. I wholeheartedly welcome the opportunity to have this important debate today, and I sincerely hope that Ministers will use it to address the unacceptable crisis facing far too many young people and families across our country. We need a revolution in mental health, prevention, early intervention and treatment, and it needs to start today.
(3 years ago)
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Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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I recall the Member speaking on this topic previously. I commented only because of my personal experience. The change is well intended, and I understand where it is coming from, but for a disabled person, and for someone who cannot advocate for their own care needs, having a care plan in place before leaving hospital helps with accountability and the structure of the care. From my own personal experience, as someone who has taken care of a very disabled relative who cannot advocate for herself, I can only say that having this agreed before she came out of hospital made it easier for our family to co-ordinate the care. It is difficult to know which funding pathway is linked to what care once someone leaves hospital; there is a statutory responsibility, but then there is the question of who picks up the care once that period out of hospital has finished. For someone who is disabled, has had a stroke or requires long-term rehabilitation, that is a very sticky issue because whichever organisation within the health structure picks up the statutory duty picks up a huge cost. I think it is a very nuanced issue and we need another debate on it to flesh out all the different challenges. However, I take on board the comments made by the hon. Member for Wirral West and recall supporting what she said when she spoke several months ago.
I understand that these are unprecedented times, and there are great challenges for everyone across the health sector. This is not to criticise anyone; it is just about how we can positively move forward into the new covid era in which we find ourselves, and into the winter months when there are more challenges. It is about how we can work together to find solutions, particularly for the vulnerable, the disabled and those who cannot advocate for their own care needs. I am very grateful that we have been given time to debate this topic.
I thank the hon. Lady for securing this important debate today. Like her, I have had communication from a number of constituents who are concerned about the lack of face-to-face appointments. It definitely is an issue. We have to be careful that we do not have a knee-jerk reaction. I also think there are benefits to a hybrid approach; I have a chronic health condition, but I would actually rather have a telephone conversation. The other important point is that a survey by the British Medical Association in August found that half of GPs had faced verbal abuse in the previous month alone, and most GPs had witnessed abuse directed at, in particular, reception staff. This is certainly borne out by the conversations I have had at surgeries in my constituency in Batley and Birkenshaw. Does the hon. Lady agree that this is extremely concerning and totally unacceptable, and that we must call out abuse directed at those in public service?
I thank the hon. Lady for her comment. In my constituency we have GPs who have worked tirelessly throughout the pandemic and have done so much to roll out the vaccine—I commend them for everything they have done in such an incredible way. This is not to disparage the wonderful work of the majority of GPs and GP’s surgeries. I am looking for the correct terminology. There are certain GP’s surgeries that have struggled to even respond to constituents with phone calls. Many would be satisfied with just a phone call, but they cannot even reach their GP to schedule a phone call appointment.