Mental Health Provision (Children and Young People) Bill

Peter Gibson Excerpts

Friday 18th March 2022 Commons Chamber

[Munira Wilson (Twickenham) (LD)]

I beg to move, That the Bill be now read a Second time.

It is a privilege to speak on my first ever private Member’s Bill. Let me start by thanking the Royal College of Psychiatrists, which has been working with me on the content of this Bill over the past two years; it was initially an amendment to the NHS Funding Bill, back in January 2020. I also thank Young Minds for its support and input. Together, we are united in wanting to shine a light on children and young people’s mental health services in respect of spending and waiting times up and down the country as part of our collective efforts to improve services.

The Bill would put into statute an annual report to Parliament on the provision of mental health services, with data included on both local spending and waiting times. It would enable young people, their parents and their carers to see clearly and easily the actual investment in children’s and young people’s mental health services in their own areas, and enable them to have a true picture of the waiting times for treatment. Only by having that transparency can we really hold ministers to account for their promises.



The issue of children’s and young people’s mental health is very close to my heart, and I have been campaigning for better investment in services since the moment I was elected. Each week, I hear heartbreaking stories of young people in my constituency unable to access the help they need in a timely manner, and I have been recounting a number of those stories in this place for over two years.

The mental health crisis among children and young people was a problem prior to the pandemic. We all know that it is worse today as a result of the various covid lockdowns, which led to social isolation, anxiety about the future, bereavement and, for some young people, having to live in very challenging conditions, due to either lack of physical space or difficult personal circumstances. In December 2021, the number of children and young people accessing mental health services was 15.7% higher than two years earlier.

With one in six children now having a diagnosable mental health condition, additional investment in services at all levels, from preventive measures in schools and community settings right through to acute and crisis services in the NHS, is urgent. While NHS England spending on children’s mental health has increased over the past four years, in far too many areas the money is not necessarily reaching the frontline, resulting in a postcode lottery in funding across the country.

Figures analysed by the Children’s Commissioner showed that in 2020-21, while spending was approximately £165.20 per child in the Isle of Wight, it was less than a tenth of that in Halton, at only £15.90 per child. Despite a specific commitment to children’s mental health spending growing as a proportion of local NHS spending, in the last financial year, the Morecambe Bay NHS saw a drop of over 15% in child and adolescent mental health services spending, and the Buckinghamshire NHS a drop of 11.6%.

Waiting lists are still wholly unacceptable in far too many areas. Just recently, I was contacted by the mother of a seven-year-old—seven, Mr Deputy Speaker; that is the same age as my own daughter. She is a little girl who should be enjoying school, playdates, parties and playgrounds. Her mother said to me, “She isn’t really living—just existing.” She has been waiting since November 2020 for a CAMHS assessment. That is 16 months.

[Peter Gibson (Darlington) (Con)]

The hon. Lady is making some really important points, particularly about CAMHS. The delay in getting people assessed is a significant issue in my constituency; it impacts my case load, and it delays access to services for young people in my constituency. However, I know from engaging with my local mental health trust that the problem is not so much funding but recruitment. Will the hon. Lady comment on what we can do to recruit the necessary people to help with the backlogs?

[Munira Wilson]

I completely agree with the hon. Gentleman. Even if there were 1,000% more funding tomorrow, the workforce is not there, as we know it is not in so many parts of the NHS. Interestingly, we know from the British Association for Counselling and Psychotherapy, for example, that there are many counsellors who are trained to counsel young people who want to do more work, but I agree that recruitment is a problem in trying to get timely assessments. The story I was part of the way through telling goes on to explain how long that poor seven-year-old girl has been waiting just for an assessment, let alone for treatment. That is why the Bill refers to waiting times to treatment; there is often a long waiting time to assessment and then another long waiting time to treatment. But I agree with the hon. Gentleman: we need to do a lot more on recruiting the right workforce as well as putting the funding in, because we cannot do very much without the right people.

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[Peter Gibson]

The hon. Lady will know that the Government tabled a number of amendments to the Health and Care Bill to improve transparency. Does she welcome them?

[Munira Wilson]

Yes, I already have. I am sorry that the hon. Gentleman missed that part of the speech, but I welcomed them and pointed out where I thought they were deficient and should go further.

I am introducing the Bill because too many children and young people right across the country are in crisis. Unless our children are happy and well, they cannot learn and thrive. Our children are buckling under the pressure. Last year, a year 11 student at a secondary school in my Twickenham constituency took his own life. Teachers and doctors desperately tried to get CAMHS support for him, but he would not engage, so they said that they could not help. To my mind, that is exactly the sort of person they should work intensively to engage with. When I spoke to the school, they told me that they had five more pupils who were identified as high-risk. Staff in schools are overstretched and trying to provide services that they are neither qualified nor equipped to deliver, nor should they have to do so.

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[Chris Loder]

The hon. Lady makes a valid challenge, but she misunderstands me. I am not necessarily wholly opposed to changes in reporting and changes in how local integrated care systems approach the matter, but I am not sure it is right or good for the UK Parliament to legislate in that level of detail. I repeat that I fear we run the risk of losing focus on the child or children amid all the bureaucracy of the reporting. That is a concern; I see that today to an extent. I do not want us to always resort to having to wait for annual reports to come out before we can bring up such matters with Ministers and others.

[Peter Gibson]

I am sure that my hon. Friend engages regularly, as I do, with his local mental health trust and local authority to raise and discuss these issues. Does he agree that it is an entirely appropriate step for a Member of Parliament to take to hold health authorities to account to ensure that the problem of the backlog is delivered on and addressed?

[Chris Loder]

I entirely agree with my hon. Friend. It is difficult; I sympathise with many of the points of the hon. Member for Twickenham, but in my opinion, we can do that better through some of the considerable reforms that the Government have proposed in their new Bill. As I articulated earlier, with the three components—the education authority, the NHS and the local government authority—it is difficult for us as Members of Parliament to get to the nub of the issue, because we are often pushed to somebody or somewhere else. The parents of the families concerned also feel that. It is absolutely right, therefore, that we look to focus much more on the system and its outcomes and on ensuring that our children, especially those in the greatest need, are much better looked after than they are today.

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[Peter Gibson (Darlington) (Con)]

I am grateful to have been called for the third time, but with nine seconds to go. I am very short of time—

[Mr Deputy Speaker (Mr Nigel Evans)]

Order. The House has been deprived, I am sure, of a great speech.