Children’s Mental Health Week 2024

Rachael Maskell Excerpts

Tuesday 30th January 2024 Westminster Hall

[Rachael Maskell (York Central) (Lab/Co-op)]

It is a pleasure to serve with you in the Chair, Mr Pritchard. I congratulate my hon. Friend the Member for Tooting (Dr Allin-Khan) on securing the debate and on all the work that she has contributed in looking at mental health and, in particular today, children’s mental health.

I believe that no one has the monopoly of wisdom in this area—every day we are learning how to move forward—but key components need to be put in place. We know, and have heard in the debate, the role that trauma plays and its impact on children’s mental health. We also know that the environment to which a child is exposed can trigger and escalate the challenges they face.

We have heard about the shortfalls in the number of professionals required in the services. We need greater investment, not just through ringfenced and protected finance and funding, but to ensure that the NHS long-term workforce plan focuses on the mental health workforce that is needed now and into the future. As we have heard, whether workforce issues are due to the impact of covid or other factors, they will have a significant impact; and unless we make the right interventions early, there will clearly be consequences.

I particularly want to focus the Minister on the issue of leadership, because in an ever more complex health system—we have heard again today about the challenges of trying to navigate local authority and health systems—we need to have very clear leadership in this area. I urge the Minister to go back to the major conditions strategy and to pull out mental health, specifically looking at children and young people’s mental health, and to develop a 10-year strategy, not just for mental health in general as was originally planned, but for children and young people’s mental health, so that there can be not only a laser focus on the interventions that are needed but so the strategy can be held up to scrutiny, which is what this place needs to do.

I also urge the Minister to co-ordinate cross-departmental work to ensure that that strategy is robust and that the inter-relationships between different Departments work, because we recognise that the issues we are discussing today have impacts in so many different areas, whether we are talking about the environment, housing, poverty—as we have today—or indeed education. We need to ensure that we pull all that work together. I urge her to take that work forward and to respond to the debate.

In particular, I also want to focus on the intersections with children from the care sector—care-experienced young people—and the additional traumas that they have. Just last Thursday, we heard powerful evidence in this place when Adoption UK put forward its latest report, which discusses how the education system itself needs to change. I would be really interested to know what discussions the Minister is having with Education Ministers about creating a trauma-informed approach to schooling, particularly addressing some of the behaviour codes that are in place, and the processes of isolation and exclusions, which are bearing down on young people who, as we have already heard, have faced significant challenges since covid and before. It is incredibly important to ensure that such an approach is put in place, in particular for children with autism and children with attention deficit hyperactivity disorder, or ADHD.

Those children are having an adverse experience in the education system, which will be costly in the long term. There are too many children in that situation. I met an Education Minister this morning and highlighted the number of children who are not in school. We cannot just say that children are refusing to attend school with no reason and we also need to ensure that the school environment is safe for children.

I welcome the presence of health professionals in schools. I have to say that relying on teachers to lead on mental health in schools is the wrong approach, because teachers have so much to do already that they need back-up. Teachers are scared that they will miss something because they have not had the training that mental health professionals have. However, the roll-out of those teams of health professionals in schools is far, far too slow. I appreciate that there is a workforce challenge, but we need to expedite that work.

I will close by drawing attention to the work of Healthwatch York, which has really dug deep into children’s mental health issues in our city, and to the work that I have been doing and a recent meeting that I have had with parents from across our city. Systems seem to be impossible to navigate, there are long waits and ultimately services are overstretched and under-resourced. It is not just the young people themselves but their parents who need support, so I trust that the Minister will ensure that there is a parents strategy in all the work she does.