Asked by: Dean Russell (Conservative - Watford)
Question to the Department for Education:
To ask the Secretary of State for Education, what progress her Department has made on delivering a mental health support lead within primary and secondary schools.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The department has offered all state-funded schools and colleges in England a grant to train a senior mental health lead by 2025. The department continues to deliver on the commitments that it made in the government’s 2018 response to the consultation on 'Transforming children and young people's mental health provision: a green paper' and to deliver on next steps. The government’s response to the consultation can be found here: https://www.gov.uk/government/consultations/transforming-children-and-young-peoples-mental-health-provision-a-green-paper.
As at 30 November 2023, 15,100 schools and colleges had taken up this offer and claimed a grant, which represents 63% of the total number of settings that are eligible to apply. Breakdowns of the data, including by setting type, can be found in the department’s transparency data release which has been updated annually since the programme started and is available at: https://www.gov.uk/government/publications/transforming-children-and-young-peoples-mental-health-provision.
A list of schools and colleges receiving a senior mental health lead training grant is also published and updated throughout the year, which can be found here: https://view.officeapps.live.com/op/view.aspx?src=https%3A%2F%2Fassets.publishing.service.gov.uk%2Fmedia%2F65b0cb50160765001118f741%2FSenior_mental_health_lead_training_January_2024_Update.ods&wdOrigin=BROWSELINK.
Asked by: Fabian Hamilton (Labour - Leeds North East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to reduce Child and Adolescent Mental Health Services waiting lists.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We are committed to expanding and transforming National Health Service mental health care through the NHS Long Term Plan so more people, including children and young people, can be supported more quickly. The NHS forecasts that, between 2018/19 and 2023/24, spending on mental health services has increased by £4.7 billion in cash terms, compared to the target of £3.4 billion set out at the time of the NHS Long Term Plan. Nationally, overall spend on children and young people’s mental health services has increased from £841 million in 2019/20 to just over £1 billion in 2022/23. In the year to December 2023, over 750,000 children and young people aged under 18 years old were supported through NHS funded mental health services, a 31% increase since March 2021.
We are rolling out Mental Health Support Teams in schools and colleges in England, and as of May 2023, these teams cover 3.4 million pupils in England, or the equivalent to 35% of pupils. We expect this to increase to 44% by spring 2024, and we are extending coverage to 50% of pupils by the end of March 2025. We are also providing £8 million to fund 24 early support hubs across the country. This will improve access for children and young people to vital mental health support in the community, offering early interventions to improve wellbeing before their condition escalates further.
In addition, the NHS is working towards implementing five new waiting time standards for people requiring mental healthcare in both accident and emergency and in the community, to ensure timely access to the most appropriate, high-quality support. Four of these include children and young people.
Asked by: Olivia Blake (Labour - Sheffield, Hallam)
Question to the Department for Education:
To ask the Secretary of State for Education, what progress her Department has made on accelerating the roll-out of mental health support teams in schools and colleges since publication of the SEND and alternative provision improvement plan.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
Meeting children’s social, emotional and mental health (SEMH) needs is a crucial aspect of strong special educational needs and disabilities (SEND) provision. This is why the SEND and alternative provision Improvement Plan works to facilitate a more joined-up response between the department and NHS England to support children with SEMH needs. Schools and colleges can play a vital role in promoting and supporting pupil and student mental health and wellbeing, both in providing early support and intervention and through liaison with specialist services as required.
Mental health support teams (MHSTs) have achieved their NHS Long Term Plan coverage ambition a year early and more teams are coming. As of March 2023, 3.4 million pupils and learners were covered by mental health support teams in schools and colleges in England, which equates to 35% of pupils and learners in England. The department estimates that 498 MHSTs will be up and running by April 2024, covering at least 44% of pupils and learners. The department further estimates there will be 600 teams covering at least 50% of all pupils across primary and secondary schools by 2025. New coverage data will be published in due course.
Asked by: Alex Cunningham (Labour - Stockton North)
Question to the Department for Education:
To ask the Secretary of State for Education, whether her Department has made an assessment of the potential impact of parenting programmes on (a) levels of expenditure associated with (i) child and adult mental health and (ii) youth anti-social behaviour and (b) the proportion of parents able to return to the workplace as a result of a reduction in school refusal rates.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The department is clear that parents should do everything they can to ensure that their child is in school every day. Regular school attendance is vital for children’s attainment, mental wellbeing and long-term development. It is crucial that the department has a system of support in place to ensure every child attends school every day, ready to learn and thrive.
The government’s ‘Working Together to Improve School Attendance’ guidance, which will become statutory ahead of the next school year, includes a core set of functions that local authority attendance support staff, whether titled education welfare officers, attendance officers or early help practitioners, are expected to provide free of charge to all schools and funded centrally through the Central Schools Service Block and Supporting Families Grant. Some early adopters have reported benefits from integrating attendance into other services, and providing better, more joined up whole family support, that has the potential to reduce demand for higher cost crisis services over time.
The department’s attendance mentors pilot sees mentors supporting a group of persistently absent pupils and their families, on a one-to-one basis, to help identify and address their barriers to education. The department has had positive feedback from parents, pupils and schools who have engaged with the attendance mentors programme and have started to see some promising impact data. The department has recently announced an additional investment of £15 million to expand mentoring into ten new areas over the next three years.
The government’s Supporting Families programme continues to work with families where attendance issues are a significant concern. ‘Getting a good education’ is a headline indicator in the national Supporting Families Outcomes Framework, which requires sustained good attendance for all children in the family, across two consecutive school terms. It is important that those identifying attendance issues begin to explore and identify any issues which may be behind the attendance problems, including any needs and circumstances in the wider family as part of Early Help Assessment processes.
The department’s reforms are starting to make a difference. There were 440,000 fewer pupils persistently absent or not attending in 2022/23 than in the year before. Overall absence during the 2023/24 autumn term was 6.8%, down from 7.5% in the 2022/23 autumn term.
Alongside this, the department is currently considering options for widening access to parenting support through family hubs and is undertaking assessments of the effectiveness and value for money of evidence-based parenting programmes, as well as other forms of support for parents. As part of this work to inform future fiscal events, the department will consider the downstream economic impacts of parenting programmes.
Asked by: Neale Hanvey (Alba Party - Kirkcaldy and Cowdenbeath)
Question
To ask the Minister for Women and Equalities, what recent discussions she has had with Cabinet colleagues on supporting the wellbeing of gay, lesbian and bisexual young people.
Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)
Equality Hub Ministers regularly engage with their counterparts across Government on matters relating to LGB equality. This is because this Government is committed to improving the health and well-being of young people and we recognise that gay, lesbian and bisexual young people often face specific challenges.
This is why spending for children and young people’s mental health services has increased from £841 million in 2019/20 to just over £1 billion in 2022/23.
A further £3 million of funding has also been divided between five anti-bullying organisations to tackle bullying in schools. This includes projects that target homophobic and biphobic hate-related bullying.
In October 2022, we launched a Victim Support Service for anyone affected by or at risk of conversion practices, regardless of their sexual orientation, sex or transgender identity. The helpline can provide a safe, confidential listening and information service to anyone over the age of 13.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department for Education:
To ask the Secretary of State for Education, whether she has made an assessment of the potential merits of using the Boxall profile measurement tool to help measure the social emotional mental health and wellbeing of school pupils.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The department is committed to ensuring schools are safe, calm and supportive environments, which promote and support mental health and wellbeing.
Measuring pupil wellbeing can help schools to identify need and monitor the impact of policies and interventions, which is one of the core principles of the whole school approach to mental health and wellbeing recommended by the department. The department is offering every school and college a grant to train a senior mental health lead who can oversee this approach and has recently commissioned a Mental health lead resource hub which has a variety of relevant measurement tools, including the Boxall profile. More information can be found at: https://mentallyhealthyschools.org.uk/whole-school-or-college-resources/.
As set out in the Special Educational Needs and Disabilities (SEND) and Alternative Provision (AP) Improvement Plan, the department is also developing practitioner standards for frontline education staff, setting out the best available evidence of what works for identifying and supporting the needs of children and young people with special educational needs, including social, emotional and mental health, across early years, schools and post-16 education.
Asked by: Sammy Wilson (Democratic Unionist Party - East Antrim)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to increase girls' access to mental health services.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Health policy is devolved to the Northern Ireland Executive. In England, through the NHS Long Term Plan, the Government is providing record levels of investment and increasing the mental health workforce, to expand and transform National Health Service mental health services in England. Almost £16 billion was invested in mental health in 2022/23, enabling 3.6 million people to be in contact with mental health services, a 10% increase on the previous year. Of these, nearly 560,000 were females under the age of 18 years old, a 12% increase on the previous year.
We are rolling out mental health support teams to schools and colleges in England. There are now around 400 mental health support teams in place, covering 3.4 million children, or approximately 35% of pupils. We estimate that this will increase to 44% by April 2024, and we are working to increase this coverage to 50% of pupils by March 2025.
In addition, we announced in October 2023 that £4.92 million would be available for 10 early support hubs in England. We are now providing an additional £3 million to expand the number of hubs to 24 across the country. This £8 million overall package will improve access for children and young people to vital mental health support, offering early interventions to improve wellbeing before their condition escalates further.
Asked by: Steve Reed (Labour (Co-op) - Croydon North)
Question to the Department for Environment, Food and Rural Affairs:
To ask the Secretary of State for Environment, Food and Rural Affairs, with reference to the Fourth Report of the Environment, Food and Rural Affairs Committee of Session 2022-23 on Rural Mental Health, HC248, published on 9 May 2023, what progress his Department has made on implementing the recommendations in the section entitled Rural mental health service provision, policy and strategy development.
Answered by Robbie Moore - Parliamentary Under-Secretary (Department for Environment, Food and Rural Affairs)
We remain committed to supporting thriving rural communities, as set out in our report Unleashing Rural Opportunity, published in June 2023.
Since the launch of the EFRA Committee’s inquiry in 2021, considerable progress has been made to help ensure access to mental health services in rural areas. The Government published its Response to the EFRA Committee Report on Rural Mental Health in October 2023.
The response recognised that people living and working in rural areas may face specific challenges in accessing the mental health services that they need and set out the various actions being taken forward to address mental health needs.
Key actions include:
To help improve the service and support on offer to farmers we will make up to £500,000 available to deliver projects that support mental health in the farming sector. This will build on the support already on offer through the Farming Resilience Fund, which has benefitted over 19,000 farmers to date.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
Question to the Department for Education:
To ask the Secretary of State for Education, if she will make an assessment of the potential (a) merits of implementing a mental health support team plus model in schools and (b) impact of such an approach on the mental wellbeing of children and young people.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
In December 2017, the government published a consultation to gather views on the proposals set out in its publication, ‘Transforming Children and Young People’s Mental Health Provision’. The green paper is available at: https://assets.publishing.service.gov.uk/media/5a823518e5274a2e87dc1b56/Transforming_children_and_young_people_s_mental_health_provision.pdf.
The government response to the consultation was published in July 2018: https://assets.publishing.service.gov.uk/media/5b583d30ed915d0b6985cc21/government-response-to-consultation-on-transforming-children-and-young-peoples-mental-health.pdf. It outlined a commitment to implement three core proposals that the Department of Health and Social Care (DHSC), NHS England, the Department for Education and Health Education England would jointly take forward, one of which was to establish new Mental Health Support Teams (MHSTs), working in or near schools and colleges. MHSTs add value to support that settings already have in place, and more broadly are part of a wider programme of mental health transformation set out in the NHS Long Term Plan.
As of 31 March 2023, MHSTs covered 35% of pupils in schools and learners in further education settings in England. We are extending coverage of MHSTs to an estimated 44% of pupils and learners by the end of this financial year, and at least 50% by the end of March 2025.
The Early Evaluation of the Children and Young People’s Mental Health Trailblazer programme, published by the National Institute for Health Research in February 2023, revealed substantial progress in MHST implementation, despite challenges presented by the COVID-19 pandemic. Although this was a process evaluation, early impacts include improved school and college staff knowledge and confidence in dealing with mental health issues, improved access to support for some groups, and improvements in partnership working. The study also found that the experiences of the majority of children and young people who had contact with an MHST were positive. The early evaluation is available here: https://www.birmingham.ac.uk/Documents/college-social-sciences/social-policy/BRACE/trailblazer.pdf.
Work is already underway with partners to ensure that learnings are used to inform current and future practice. Since the MHST Trailblazers became operational in 2018/19, the Education Mental Health Practitioner curriculum has been strengthened in response to feedback on needs such as learning disabilities and autism, challenging behaviour and support for parents. In addition, a new Senior Wellbeing Practitioner role was launched in 2023 to support widening the MHST skillset and career progression opportunities.
The department, together with partners, will continue to listen to feedback and a planned phase 2 longer-term outcome evaluation, to inform MHST roll out and drive improvements in evidence-based mental health and emotional wellbeing support for children and young people.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she is taking steps with Cabinet colleagues to target support to people with adverse childhood experiences to prevent alcohol harm.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Evidence suggests that adverse childhood experiences are often intergenerational, and while people with adverse childhood experiences are more likely to have grown up in a household where one or both parents were alcohol dependent compared to the general population, their children are also more likely to develop alcohol problems as they get older.
This is why we are investing in vital services to be at the heart of local offers for families. Not only do these services play a pivotal role in keeping more children safe from adverse experiences, with stable loving relationships, they can also help overcome multiple, complex problems within families before they escalate.
We have committed to £1 billion of funding for programmes to improve early help support. This includes around £300 million to fund a new three-year Family Hubs and Start for Life programme. This programme, now in its second year, is delivering a step-change in outcomes for babies, children, parents and carers in 75 local authorities in England with high deprivation. This funding also includes an additional £695 million for the Supporting Families programme, which builds the resilience of vulnerable families by providing effective support for all their underlying and interconnected problems, such as addressing alcohol harms and other adverse childhood experiences.
We are investing at least £2.3 billion of additional funding a year by March 2024, compared to 2018/19, to expand and transform mental health services in England so that two million more people, including those with adverse childhood experiences, can get the mental health support that they need. We are also rolling out mental health support teams to schools and colleges across England. The Government is also investing an extra £532 million for local authorities to improve alcohol and drug treatment and recovery services through Drug Strategy funding through to 2024/25. Local authorities are encouraged to develop programmes which provide tailored support to families affected by parental alcohol and drug use with this funding.