Mental Health Support: Educational Settings

Munira Wilson Excerpts

Thursday 13th March 2025 Commons Chamber

[Munira Wilson (Twickenham) (LD)]

I congratulate the hon. Member for Redditch (Chris Bloore) on securing this incredibly important debate. I have spent much of the past five and a bit years in this place talking about children’s mental health, which, frankly, I do not think we can ever have enough debate about. It is so incredibly important.

We have heard many statistics from hon. Members today, to which I will add. OECD evidence, based on a survey of 15-year-olds, shows that UK students have the lowest reported wellbeing in western Europe. In 2024, the Children’s Society found that the happiness of UK children aged 10 to 15 was at its lowest since recording began in 2009-10. As we have heard, NHS reporting shows that a staggering one in five children—six in every classroom, on average—have a mental health disorder.

I would argue that it is not an exaggeration to say that we are heading towards a public health emergency as far as our children’s mental health is concerned. Yet, as is so often the case, children and mental health are both overlooked and low down on the priority list. The Darzi report highlighted that children account for 24% of the population but only 11 % of NHS expenditure. The latest evidence from Rethink Mental Illness states that people who need mental health are treatment eight times more likely to have to wait over 18 months than those seeking treatment for physical health. Despite that, the Government’s targets to bring down NHS waiting times exclude mental health. Given that more than 100,000 children are waiting for over a year to be assessed for mental health treatment, it is clear that children have been deprioritised, but as I have said repeatedly in this place, putting money into services that support children is the greatest investment we can make as a country. When budgets are tight, support for child and adolescent mental health should not be pushed aside.

I do not think it an exaggeration to call the situation a public health emergency. In public health, prevention and early intervention are absolutely key. That is where the role of schools, colleges and universities comes in. As we have heard, half of lifetime mental health conditions arise before the age of 14, so ensuring that mental health support is available in schools, from primary upwards, is a critical intervention. The Liberal Democrats have long called for a mental health practitioner to be placed in every primary and secondary school. In the light of the impact of online harms on our children’s mental health, we have made a strong case for the “polluter pays” principle, whereby big tech giants bear the cost burden of the measure. A trebling of the digital services tax would fund a practitioner in every primary and secondary school.

I am slightly confused because, as the Minister said during the Children’s Wellbeing and Schools Bill Committee, and as I have seen in Labour party material, the Government are committed to

“introducing specialist mental health support for children and young people in every school”.

However, Labour had previously committed to having a counsellor in every secondary school, and indeed the hon. Member for Redditch talked about having a counsellor in every school. I hope that the Minister will clarify that point of policy when he speaks in a moment.

My impression during the Bill Committee was that the Government intended to build out from the mental health support teams that were established by the previous Government. The Minister confirmed in Committee that only 44% of children and young people have access to such teams, which will rise to 50% in April, but he did not set out a timeline or a plan for how or when the Government will meet their commitment by ensuring that every school has access to specialist support.

MHSTs are brilliant. I have spoken to staff who work in those teams, both in my own constituency and in Carshalton, with my hon. Friend the Member for Carshalton and Wallington (Bobby Dean). However, the reality is that MHSTs are spread far too thinly across a number of primary and secondary schools, with some schools only getting half a day or a day of support. That is not enough. Last year, one teenager in a secondary school in my constituency took their own life. Another school in my constituency had three teenagers end up in A&E in the space of about two months, having attempted to take their own lives. Clearly, that level of mental ill health requires much more acute intervention than therapy in school, but the reality is that if we start early—if we start young—with proper support, some of these truly awful incidents might be prevented.

The MHST model may well be the best model for support in schools, but I urge the Government to be ambitious in the resourcing of those teams, so that every school has the full-time equivalent of one person in the provision of this support. I know that many schools are trying to top up the resource out of their own funds, but with budgets being stretched ever further, sadly, mental health support is one of the areas that headteachers and governors tell me they are having to start cutting back on.

We know that the epidemic of mental ill health is driving the crisis of persistent absence in our schools. As the hon. Member for Weston-super-Mare (Dan Aldridge) said, we have heard a lot in recent days about the million or so young adults who are not in education, employment or training, often because of mental ill health. For the sake of those young people’s futures, our economy and our society, we must do better, and we must do more.

I do not have time today to talk about school staff, which was mentioned by the hon. Member for Weston-super-Mare, but we have a recruitment and retention crisis in our schools, and that is because many teachers see themselves as the fourth emergency service. We have to support them with their mental health if we want to stop that flow out of our schools. In higher education, I hope the Government will look at introducing a duty of care, because we have heard too many tragic stories of students taking their own lives and their loved ones knowing nothing about their mental health problems.

I pay tribute to the charities around the country that are plugging the gaps in mental health support. In my constituency, we have amazing charities such as the Purple Elephant Project and Off The Record working with children and their families. Anstee Bridge works across Richmond and Kingston with children who are no longer engaging with school. As I said, there have been a number of attempted suicide cases in my constituency, and when I have been to Anstee Bridge, I have heard many more stories of children attempting to take their own lives. These services are critical if we want to keep those children and young people safe and help them to recover.

I want to touch on two more points. Childhood bereavement is a really important and often overlooked issue. I pay tribute to my hon. Friend the Member for Edinburgh West (Christine Jardine), who has long championed the need for a register of children who have been bereaved. We know that childhood bereavement has a terrible impact on children’s wellbeing, potentially their mental health and their educational outcomes. I hope Ministers will look seriously at introducing a register, so that we know how many of these children there are, where they are and what support they need, because that information is not available at the moment. Additionally, there is no national mandate from the Department for Education for schools to have a bereavement policy, nor is there any national policy to support schools with this. I hope that will be addressed.

The hon. Member for Redditch mentioned children growing up in kinship care. The Minister will know that I have long been campaigning cross-party on support for kinship carers and children growing up in kinship care. Like other Members, my inbox has been filled recently with emails from constituents who have either adopted children or are kinship carers for children whose parents can no longer look after them and have benefited from the adoption and special guardianship support fund. It is a critical fund that carers often access to provide therapeutic support for children who have experienced terrible trauma, loss and instability. However, there has been no reassurance from Government about the future of that fund. I think at the moment we only have funding confirmed until the end of this month. There is a huge amount of uncertainty, and hon. Members from across the House have tabled written questions but there has been no clear answer on the future of this fund. I hope that when the Minister rises at the Dispatch Box, he will put on record the plans for the adoption and special guardianship support fund as it is crucial and we cannot lose it.

Our children cannot thrive and cannot achieve their full potential if they are not happy and if they are not well, so I implore the Minister to work closely with his counterparts in the Department of Health and Social Care to treat this public health challenge as an emergency. Our children and young people are only young once; they deserve the best future they can get. They cannot afford to wait; we need to prioritise this.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call the shadow Minister.

--- Later in debate ---

[Stephen Morgan]

I know that my hon. Friend is a real champion of looked-after children. We will certainly look at those proposals and at all the work the Education Committee does to support the most vulnerable children in society.

Prevention is vital, and schools and colleges can naturally play a preventive role in what they do from day to day. Attainment is a vital factor in longer-term mental health, as it helps young people to access the things they want to do in life, in further study and in jobs. The best schools and colleges set high standards and expectations, and support children to overcome barriers to their learning, including those with special educational needs and disabilities. We also understand that a child’s experience of school helps them to both achieve and thrive. Education settings also support the social and emotional development of their pupils through what is taught in lessons, extracurricular activity and pastoral support.

Pupils who are thriving, with positive subjective wellbeing and a strong sense of belonging, accomplishment, autonomy and good health, achieve better educational outcomes and are more likely to attend school. They are better equipped to face issues in their lives, which is important. Not every child facing mental health issues will need clinical interventions; the support that they get from their friends, families and school or college staff can be what they need. Like my hon. Friend the Member for Weston-super-Mare (Dan Aldridge), I acknowledge and recognise the many thousands of school leaders, teachers and staff who are committed to promoting and supporting the mental health and wellbeing of their pupils every day through the things that they do to make school a safe, supportive and inclusive place for children, by supporting their specific needs and by working with parents, families and other community services.

We know that as many as nine in 10 schools have a designated lead for students’ mental health and that more than three quarters of them have benefited from DFE-funded training, helping leaders to embed effective whole-school or whole-college approaches to mental health and wellbeing. Nevertheless, schools and colleges themselves need support with what to do and cannot deal with every issue that pupils have.

That is why, as a Government, we have committed to provide access to specialist mental health professionals in every school, so that every young person has access to early support to address problems before they escalate. That commitment will be delivered through the expansion of NHS-funded mental health support teams, which will work in schools and colleges to offer early support through evidence-based one-to-one and group interventions. They will liaise with specialist services and support leads to develop their holistic approach to mental health and wellbeing. Those functions, supervised by a clinical professional, are what make mental health support teams such a valuable resource. I have seen that important work at first hand on visits to education settings in Brighton, Manchester and Rugby. By April 2025, we expect those teams to cover over 50% of children and young people in schools and colleges, and plans for further expansion are being drawn up with the NHS to achieve 100% coverage as soon as is practically possible.

[Munira Wilson]

The Minister has referred to access to specialist mental health support. For the benefit of the House, could he clarify what level of resource he expects that to be—will it be half a day a week, a day a week, or full-time equivalent? The previous commitment had been a counsellor in every school.

[Stephen Morgan]

I can assure the hon. Member that there will be access to mental health professionals in every school. We are working on the detail of that as we speak, and will announce more in due course.