NHS Backlog

Zöe Franklin Excerpts

Monday 6th January 2025 Commons Chamber

[Zöe Franklin (Guildford) (LD)]

Before Christmas, I shared in this Chamber the issues impacting my Guildford constituents who are struggling to access support for special educational needs and disabilities. Today, I want to highlight an aspect of the NHS that is directly linked to the SEND issues that I raised: child and adolescent mental health services, better known to most of us in the Chamber as CAMHS.

Unlike many SEND-related issues, CAMHS sits not within the remit of education but in health, as it requires significant input from NHS specialists. The first step to getting help from CAMHS is usually a referral for an assessment. However, the waiting list for some people is up to three years. That is why I am raising the matter today. A long wait for an assessment leaves young people without support or a diagnosis and has wide implications. A young person’s mental health can deteriorate during that wait, which can lead to self-harm, lashing out and harming family members, and even suicide. Imagine going through that as a parent—watching, often helpless to support your child, while the system designed to help does not. Even if they eventually get a CAMHS assessment, there are well-documented shortages in medication and problems accessing therapies.

The son of one of my constituents was diagnosed with attention deficit hyperactivity disorder and autism spectrum disorder in April 2020, but received no follow-up appointments. While his family said it was manageable initially, his school performance began to decline towards the end of 2021-22, leading his family to seek a review with CAMHS in February 2023. Twenty months on, the review has not taken place. His parents sought support to prepare him for his GCSEs, even if the medication had to be delayed, but they were met with a system unable to provide even basic support. They now face an indefinite wait with no resolution in sight.

Another constituent has been fighting for support for her 13-year-old daughter, who has been waiting more than two years for an ADHD and pathological demand avoidance assessment, despite the mother pleading for help for seven years. This single-parent family has endured systemic failure, leaving them suffering to an extent that I will not detail today. The prolonged wait for an assessment has taken a devastating toll on both their lives.

It is clear that action is desperately needed to ensure that the resources are there to support young people and their families through the CAMHS system and to ensure that medication shortages are addressed. How will this Labour Government work to recruit and train more professionals to clear the CAMHS backlog and ensure that the service can respond in good time—not years—to requests for assessments and support? Too many young people and their families are being failed by the current system, and it is time that that came to an end.