Asked by: Liz Jarvis (Liberal Democrat - Eastleigh)
Question to the Department for Education:
To ask the Secretary of State for Education, what steps she is taking to help reduce risks of suicide, self-harm and depression among care-experienced young people; and what plans she has to ensure continuity of mental health and wellbeing support for care-experienced young people beyond the age of 18.
Answered by Josh MacAlister - Parliamentary Under-Secretary (Department for Education)
The department is committed to reviewing the shockingly high number of early deaths amongst care-experienced young people. As I stated in the House of Commons, at the beginning of the first ever National Care Leavers Month in November 2025, suicide and early death are, tragically, part of the care experience for too many. To start to solve a problem, we must first confront it.
As we progress this review, we will carefully consider how to improve the support that care leavers receive across a range of aspects of their lives, including mental and physical health, housing, education, employment and training, and relationships.
We are already taking action through the Children’s Wellbeing and Schools Bill, including placing a new duty on local authorities to provide Staying Close support to care leavers up to the age of 25, to help care leavers find and keep suitable accommodation and to access services relating to health and wellbeing, relationships, education, training and employment.
In addition, we are reviewing guidance on ‘Promoting the health and wellbeing of looked-after children’ and extending it to cover care leavers up to age 25.
In December 2025, my right hon. Friend, the Secretary of State for Health and Social Care and I announced that, in a boost for mental health support, the government will trial a 3-year pilot to make sure children in care have access to the support they need sooner. This will build on existing work across the country, bringing together social workers and NHS health professionals to work together to provide direct mental health support to children and families when they need it most.
Asked by: Baroness Maclean of Redditch (Conservative - Life peer)
Question to the Department for Work and Pensions:
To ask His Majesty's Government, further to the Written Answer by Baroness Sherlock on 30 December 2025 (HL12932), whether they plan to commission research into the number of young people not in education, employment or training because they are waiting for mental health, attention deficit hyperactivity disorder or autism services or diagnosis; and what steps they will take to understand the scale of that issue.
Answered by Baroness Smith of Malvern - Minister of State (Department for Work and Pensions)
The Secretary of State has commissioned the Right Honourable Alan Milburn to author a report that will seek to understand the drivers of the increase in the number of young people who are not in education, employment, or training. He will be supported by a panel of experts with diverse expertise and will be mobilising the existing Youth Guarantee Advisory Panel.
The research and analysis to inform the report will aim to improve our understanding of the number of young people not in education, employment or training, including identification of those with health needs.
Asked by: Baroness Maclean of Redditch (Conservative - Life peer)
Question to the Department for Work and Pensions:
To ask His Majesty's Government what assessment they have made of the correlation between waiting times for mental health, attention deficit hyperactivity disorder or autism assessments and the length of time that young people claim health-related benefits.
Answered by Baroness Sherlock - Minister of State (Department for Work and Pensions)
The information requested is not readily available, and to obtain it would incur disproportionate cost.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that children awaiting (a) ADHD or (b) Autism assessment receive interim support during extended waiting periods in Surrey Heath constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays in accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future and recognises the need for early intervention and support.
It is the responsibility of integrated care boards to make available appropriate provision to meet the health and care needs of their local population, including provision of autism and ADHD services, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines.
The NICE guidance for the assessment of autism recommends the length between referral and first appointment should be no more than 13 weeks. We know that this is not happening routinely across the country. In respect of ADHD, the NICE guideline on ADHD does not recommend a maximum waiting time for people to receive an assessment for ADHD or a diagnosis, however it sets out best practice on providing a diagnosis.
The Surrey and Borders Partnership NHS Foundation Trust has identified that children and young people who are on their waiting lists for ADHD or autism, or a dual diagnosis, and their families have access to a wide range of support and resources. These are provided by the foundation trust’s neurodevelopmental experts and partners, including the National Autistic Society and Barnardo’s.
The foundation trust’s neurodevelopmental needs page on the Mindworks website has helpful strategies and interventions to support neurodevelopmental needs, and the out-of-hours advice line provides advice to parents and carers who are struggling with behaviours or difficulties in young people, which could be related to neurodevelopmental need. It is open from 5:00pm to 11:00pm, seven days a week, 365 days a year. Further information on the trust’s neurodevelopmental needs page and the out-of-hours advice line is avaiable, respectively, at the following two links:
https://www.mindworks-surrey.org/advice-information-and-resources/neurodevelopmental-needs
https://www.mindworks-surrey.org/our-services/neurodevelopmental-services/out-hours-advice-line
In 2026, the Government will bring forward a schools white paper, which will detail the Government’s approach to special educational needs and disabilities (SEND) reform, ensuring joined-up support, including education and healthcare providers working together.
Through local commissioning, the Government will ensure that Neighbourhood Health Services work in partnership with family hubs, schools, nurseries, and colleges to offer timely and joined-up support to children, young people, and their families, including those with SEND.
My Rt Hon. Friend, the Secretary of State for Health and Social Care, announced on 4 December 2025 the launch of an Independent Review into Prevalence and Support for Mental Health Conditions, ADHD and Autism. This independent review will inform our approach to enabling people with ADHD and autistic people to have the right support in place to enable them to live well in their communities.
Asked by: Beccy Cooper (Labour - Worthing West)
Question to the Department for Education:
To ask the Secretary of State for Education, what guidance her Department provides to schools on gambling-like features in video games, including loot boxes and in-game spending, as part of online safety education.
Answered by Georgia Gould - Minister of State (Education)
Statutory relationships, sex and health education (RSHE) supports children and young people to manage risk and make informed decisions in relation to their mental wellbeing and online behaviour.
The updated RSHE statutory guidance is clear that children and young people should be taught the risks relating to online gaming, video game monetisation, scams, fraud and other financial harms, and that gaming can become addictive.
Curriculum content also includes the risks related to online gambling and gambling-like content within gaming, including the accumulation of debt.
The departments online safety guidance covers how to teach about all aspects of internet safety and includes content on gaming and gambling, and can be accessed at: https://www.gov.uk/government/publications/teaching-online-safety-in-schools.
As with other aspects of the curriculum, schools have flexibility over how they deliver important topics and use their autonomy and local community knowledge to do this.
Asked by: Natalie Fleet (Labour - Bolsover)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what the average waiting time for patients awaiting assessment by a Child and Adolescent Mental Health Service doctor has been for each of the last five years for which data is available in a) Derbyshire Healthcare NHS Foundation Trust, b) Chesterfield Royal Hospital NHS Foundation Trust and c) England.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The following table shows the median waiting time in days between a referral start date and the end of the year for referrals for children and young people aged under 18 years old supported through National Health Service funded mental health, who are still waiting for a first contact as of the end of the year, for the Chesterfield Royal Hospital NHS Foundation Trust, the Derbyshire Healthcare NHS Foundation Trust, and for England overall:
| 2020/21 | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
Chesterfield Royal Hospital NHS Foundation Trust | 66 | - | 273 | 323 | 134 |
Derbyshire Healthcare NHS Foundation Trust | 122 | 137 | 166 | 165 | 214 |
England | 133 | 134 | 161 | 223 | 305 |
In addition, the following table shows the median waiting times in days between referral and first contact, for referrals with a first contact in the year, for the last five years for which data is available in the Derbyshire Healthcare NHS Foundation Trust, the Chesterfield Royal Hospital NHS Foundation Trust, and in England overall:
| 2020/21 | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
Chesterfield Royal Hospital NHS Foundation Trust | 40 | 41 | - | 330 | 79 |
Derbyshire Healthcare NHS Foundation Trust | 26 | 59 | 43 | 34 | 28 |
England | 7 | 12 | 14 | 15 | 15 |
Source: Mental Health Services Data Set (MHSDS).
The methodology is based upon that used in the Mental Health Services Monthly Statistics but has been amended to use the first contact in the financial year rather than the quarter, for those still waiting at the end of the year. Published Mental Health Services Monthly Statistics can be found at the following link:
A first contact can be defined as either direct contact, for instance contacts where the patient was present and seen by a health professional, or indirect activity, contacts where the patient wasn't present, but their care was discussed by health professionals. This is in line with existing methodologies for children and young people accessing mental health services.
The submission of the staff details table in MHSDS is not mandatory for providers and thus the usage of this table to identify a doctor would likely result in an undercount. Therefore, first contact in this methodology may or may not be with a doctor, but would typically be with an individual considered to be a health professional.
Figures have been rounded to the nearest whole number for waiting time measures.
NHS England has provided data up to March 2025, as data past this point is still subject to change under the multiple submission window model.
The Chesterfield Royal Hospital NHS Foundation Trust did not submit any open referrals for March 2022 and therefore referrals from this provider cannot be classed as 'still waiting' and are not included in the figures for 2021/22. In addition, the Chesterfield Royal Hospital NHS Foundation Trust did not submit any care contacts with an Age at Care Contact between zero and 17 years old for the whole of 2022/23 and therefore are not included in the figures for 2022/23.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the (a) quality and (b) accessibility of health and care services for people with learning disabilities in Surrey Heath constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Significant action is underway to improve the quality and accessibility of health and care services for people with a learning disability at a local level, helping to deliver the shift from treatment to prevention, outlined in our 10-Year Health Plan, which is avaiable at the following link:
https://www.gov.uk/government/publications/10-year-health-plan-for-england-fit-for-the-future
The national Learning Disabilities Health Check Scheme is designed to encourage general practices to identify all patients aged 14 years old and over with a learning disability, and to offer them an annual health check and health action plan. Further information on the Learning Disabilities Health Check Scheme is available at the following link:
The latest published data for Surrey Heath shows that 82.78% of people with a learning disability in the area had completed a health check, and that 80.19% of learning disability patients in Surrey Heath had a completed health action plan. The latest published data for Surrey Heath is avaiable at the following link:
According to recently published data on Health and Care of People with Learning Disabilities, 81.5% of people with a learning disability had completed an annual health check in England. Further information on the recently published data on Health and Care of People with Learning Disabilities is avaiable at the following link:
The Surrey All Ages Mental Health, Learning Disabilities and Autism Oversight Committee routinely monitors the following:
- admissions and discharges for adults, and children and young people with a learning disability and any barriers to timely discharge;
- mandatory training on learning disability and autism;
- performance on Care (Education) and Treatment Reviews and commissioner oversight visits;
- Dynamic Support Register governance; and
- implementation of the Reasonable Adjustments Digital Flag.
Asked by: Ian Roome (Liberal Democrat - North Devon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what assessment her Department has made of the effectiveness of police training relating to the care of vulnerable young people held in police custody.
Answered by Sarah Jones - Minister of State (Home Office)
It is the responsibility of the College of Policing for setting standards for police training and development, including the national policing curriculum, leadership standards and accreditations for those who work in high risk or specialist roles. It is then the responsibility of individual police forces for local delivery of training and ongoing development for all officers and staff with support from the College.
The College’s core learning standards includes the initial training for officers under the Police Constable entry programme and incorporates content on autism, learning disabilities, mental health and other vulnerabilities. Officers are taught to assess vulnerability and adapt their approach accordingly, and guidance for Custody Sergeants covers additional legal responsibilities and safe detention, including fitness for detention and safeguarding.
To support both the recognition and response to mental health needs, the College promotes frameworks for consistent identification of vulnerability and appropriate safeguarding action. Liaison and Diversion schemes commissioned by NHS England operate in custody suites to identify and refer individuals with mental health needs or other vulnerabilities to specialist support services. These schemes also provide advice to custody staff on how best to support people with these needs.
When a death occurs in custody, the College’s Authorised Professional Practice sets out procedures for forces to follow. These include reporting deaths to the Independent Office for Police Conduct, investigating and analysing incidents, and implementing lessons learned.
Policing is operationally independent, and chief constables decide on any additional training locally. His Majesty’s Inspectorate of Constabulary, Fire and Rescue Services regularly inspects police forces, including on how they protect vulnerable people.
Asked by: Ian Roome (Liberal Democrat - North Devon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what steps her Department is taking to ensure police officers are trained to (a) recognise and (b) respond to the mental health needs of young people held in police custody.
Answered by Sarah Jones - Minister of State (Home Office)
It is the responsibility of the College of Policing for setting standards for police training and development, including the national policing curriculum, leadership standards and accreditations for those who work in high risk or specialist roles. It is then the responsibility of individual police forces for local delivery of training and ongoing development for all officers and staff with support from the College.
The College’s core learning standards includes the initial training for officers under the Police Constable entry programme and incorporates content on autism, learning disabilities, mental health and other vulnerabilities. Officers are taught to assess vulnerability and adapt their approach accordingly, and guidance for Custody Sergeants covers additional legal responsibilities and safe detention, including fitness for detention and safeguarding.
To support both the recognition and response to mental health needs, the College promotes frameworks for consistent identification of vulnerability and appropriate safeguarding action. Liaison and Diversion schemes commissioned by NHS England operate in custody suites to identify and refer individuals with mental health needs or other vulnerabilities to specialist support services. These schemes also provide advice to custody staff on how best to support people with these needs.
When a death occurs in custody, the College’s Authorised Professional Practice sets out procedures for forces to follow. These include reporting deaths to the Independent Office for Police Conduct, investigating and analysing incidents, and implementing lessons learned.
Policing is operationally independent, and chief constables decide on any additional training locally. His Majesty’s Inspectorate of Constabulary, Fire and Rescue Services regularly inspects police forces, including on how they protect vulnerable people.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has data on the average waiting times for (a) ADHD and (b) Autism assessments for young people in the (i) South East, (ii) Surrey, and (iii) Surrey Heath constituency.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government has recognised that, nationally, demand for assessments for autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future and recognises the need for early intervention and support. It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including provision of autism and ADHD services, in line with relevant National Institute for Health and Care Excellence (NICE) guidelines.
The NICE guidance for the assessment of autism recommends that the length between referral and first appointment should be no more than 13 weeks. We know that this is not happening routinely across the country. In respect of ADHD, the NICE guideline on ADHD does not recommend a maximum waiting time for people to receive an assessment for ADHD or a diagnosis, however it sets out best practice on providing a diagnosis.
There is, at present, no single, established dataset that can be used to monitor waiting times for assessment and diagnosis for ADHD for individual organisations or geographies in England. Although the data requested is not held centrally, it may be held locally by individual NHS trusts or commissioners.
NHS England published management information on ADHD waits at a national level for the first time on 29 May 2025 as part of its ADHD data improvement plan, which is avaiable at the following link:
https://digital.nhs.uk/data-and-information/publications/statistical/mi-adhd/november-2025
In respect of autism, the most recent data, published on 13 November 2025, is available on the NHS England website at the following link:
Through the NHS Medium-term planning framework, published 24 October 2025, NHS England has set clear expectations for local ICBs and trusts to improve access, experience, and outcomes for autism and ADHD services over the next three years, focusing on improving quality and productivity.
My Rt Hon. Friend, the Secretary of State for Health and Social Care, announced on 4 December 2025 the launch of an Independent Review into Prevalence and Support for Mental Health Conditions, ADHD, and Autism. This independent review will inform our approach to enabling people with ADHD and autistic people to have the right support in place to enable them to live well in their communities.