Yes. If the hon. Member looks at clause 3, she will see that it draws on the definitions in the clinically-led review of mental health waiting time standards and mentions both urgent and non-urgent presentations, so that we get data on waiting times for all of them. I completely agree with her point about presentations to A&E; I have heard that from many local NHS leaders in my patch and across London. Indeed, I have heard about paediatric units in hospitals having to look after CAMHS patients—which is totally inappropriate, both for the other children in those wards and the CAMHS patients—because there is such a dire need for beds. We need more provision and intervention from across the lower level that she mentioned right up to the acute and crisis side of things.
Many headteachers tell me that their staff are effectively becoming social workers, trying to support families with their problems outside school and get children to re-engage with schools, as the number of children missing from school has increased since the pandemic. A number of primary schools in my constituency are relying on parental donations to offer therapy and mental health support.
Urgent action and further investment is desperately needed. We should have a trained mental health counsellor in every school, community mental health hubs and additional crisis beds, as has been suggested. We need to track that action and investment properly so that the Government can be held to account. The Bill would be the start of holding Ministers’ feet to the fire on their promises by giving the public, and Members of Parliament as their representatives, the tools to do so. Young people and their parents and carers could ensure that they are no longer short-changed in their own area and see in stark daylight the reality of what is being spent in their area on children and young people’s mental health. We would all have a much clearer idea of just how long those children and young people are languishing on waiting lists.
The hon. Lady has been extremely generous with her time. I very much respect what she is saying and I fully understand her point about the statutory requirements to support mental health. However, to take the discussion slightly to one side, as she has given the matter huge thought and consulted others, how can we help young people with mental health conditions as part of a holistic approach aside from whatever the state can contribute, which is obviously central and vital to the process?
I have been arguing for some time that we need a holistic approach, including in schools—there has been a real narrowing of the curriculum and we need more extracurricular activities and other, softer skills to be built back into the curriculum and school time, because that all helps wellbeing—as well as specific services and interventions to support young people who may start to get into either crisis or lower-level anxiety and other issues. We also need provision of youth services. I am sure that we can all cite fantastic examples of projects and things in our constituencies that enable young people to improve their physical and mental wellbeing. There is a whole host of things. The Bill would be just one tool, measuring what is going in right across the board—whether in the NHS or by local authorities or schools—and what the waiting times are. I think there is unanimity across the House that there is a problem and that we need to do more. I have acknowledged that the Government are attempting to do more, but we need to improve transparency and accountability.
Through the Bill, we would have a much clearer idea of how long young people are languishing on waiting lists, often with their conditions deteriorating, and sometimes with tragic consequences. Progress is needed now. Our children cannot wait. I commend the Bill to the House.
(4 years, 1 month ago)
Commons Chamber