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.
Asked by: Rosena Allin-Khan (Labour - Tooting)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much and what proportion of NHS expenditure on mental health services was spent on children and young people’s mental health services in the latest period for which data is available.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
National Health Service mental health spend from 1 April 2022 to 31 March 2023 totaled £12.7 billion. As a proportion of total recurrent NHS mandate spend of £142.4 billion, this was 8.9%. Of that mental health spend, £1.9 billion or 15% was spent on children and young people’s mental health services, including mental health support teams in schools.
Asked by: Rosena Allin-Khan (Labour - Tooting)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much and what proportion of NHS expenditure was spent on mental health services in the latest period for which data is available.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
National Health Service mental health spend from 1 April 2022 to 31 March 2023 totaled £12.7 billion. As a proportion of total recurrent NHS mandate spend of £142.4 billion, this was 8.9%. Of that mental health spend, £1.9 billion or 15% was spent on children and young people’s mental health services, including mental health support teams in schools.
Asked by: Luke Evans (Conservative - Bosworth)
Question to the Department for Education:
To ask the Secretary of State for Education, What progress her Department has made on implementing the Government's Autism Strategy 2021-2026; and what steps she plans to take to implement the objectives in 2024.
Answered by David Johnston - Parliamentary Under-Secretary (Department for Education)
The department worked closely with the Department of Health and Social Care (DHSC) to develop a refreshed cross-government autism strategy, which was published in July 2021 and includes children and young people. The national strategy sets out the department’s vision to make life fundamentally better for autistic people, their families and carers by 2026.
The department has made significant progress on implementation of the strategy.
Examples of key actions taken have included:
In 2024, DHSC is prioritising updating the Autism Act statutory guidance by working across government, including with the department, to support the NHS and local authorities to deliver improved outcomes for autistic people in line with the national autism strategy. This updated guidance will be subject to public consultation in 2024. Delivery of the cross-government actions set out in the national autism strategy remains a priority for 2024 and progress will continue to be monitored.
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, when she expects all schools in York to have a designated mental health team.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
398 teams are operational as of Spring 2023, covering 6,800 schools and colleges, and 35% of pupils in schools and learners in Further Education. An additional 100 teams have also undertaken training in 2022/23. Locally, NHS England has managed to secure two further teams, one in York and one in North Yorkshire, as part of wave nine of the programme which commenced in January 2024. The role out in York is going well and baseline surveys have started for all schools. Schools in wave five of the programme are listed below:
- York High;
- Vale of York;
- Clifton Green;
- Poppleton Ousebank;
- Westfield Primary;
- Carr Junior School; and
- Lake Side Primary.
Schools in wave nine of the programme are listed below:
- Joseph Rowntree;
- Huntington Secondary;
- Archbishop Holgate;
- Robert Wilkinson Primary;
- Stockton on the Forest Primary;
- Haxby Road Primary;
- Yearsley Grove Primary;
- Park Grove Primary;
- St Lawrences Primary; and
- Osbaldwick Primary.
Asked by: Tim Farron (Liberal Democrat - Westmorland and Lonsdale)
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 support young people with autism in South Cumbria.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
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 services to support autistic young people, in line with relevant clinical guidelines.
NHS Lancashire and South Cumbria ICB has several commissioned services in place currently to support autistic young people and their families and has invested over £3.7 million in 2023/24 in such services. This includes an online advice and guidance service, Autism Unlocked, which has been developed for autistic people and their families, including children and young people and their parents and carers. For children on the assessment pathway for autism, the ICB has also commissioned Pathway Navigators who contact families on the assessment pathway to provide ongoing support, signposting, and resources to families.
In addition, a key worker service has been available in Lancashire and South Cumbria since 2021 to support autistic children and young people or those with a learning disability at risk of mental health hospital admission, or those in in-patient settings.
Nationally, we are taking steps to improve autism services. NHS England published a national framework and operational guidance for autism assessment services on 5 April 2023. These documents are intended to help the National Health Service improve autism assessment services and improve the experience for adults and children who are going through an autism assessment. They also set out what support should be available before an assessment and what support should follow a recent diagnosis of autism. To meet the recommendations in this guidance, NHS Lancashire and South Cumbria ICB is currently undertaking a review of existing provision to inform the development of an integrated neurodevelopmental pathway, including autism and attention deficit hyperactivity disorder (ADHD).
In 2023/24, £4.2 million is available nationally to improve services for autistic children and young people, including autism assessment services, pre and post diagnostic support, and the continuation of the ‘Autism in Schools’ programme. Autism in Schools is a national project, which is being implemented locally by NHS Lancashire and South Cumbria ICB, which aims to ensure schools offer environments in which autistic students can thrive, supporting good mental health and promoting a sense of belonging.
Asked by: Conor McGinn (Independent - St Helens North)
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 was for child and adolescent mental health services in (a) St Helens North constituency and (b) the North West in the latest period for which data is available; and what steps she is taking to reduce those waiting times.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
Since 2018, we have invested an extra £2.3 billion a year to expand mental health services in England, with the aim of enabling two million more people, including 345,000 more children and young people to access mental health support.
We’re rolling out mental health support teams to schools and colleges. These now cover approximately 35% of pupils and are expected to reach 50% of pupils by March 2025. NHS England is also developing a new waiting time standard for children and their families to receive community-based mental health care within four weeks of referral.
Whilst the relevant data is not available at a constituency level, the following table shows the number of referrals for children and young people aged under 18 years old, supported through National Health Service-funded mental health, and waiting times for first contact between September and November 2023 for NHS Cheshire and Merseyside Integrated Care Board (ICB), North West Commissioning Region, and England:
Location | Number of referrals | Median waiting time between referral start date and first contact | 90th percentile waiting time between referral start date and first contact |
NHS Cheshire and Merseyside ICB | 8,550 | 21 days | 469 days |
North West Commissioning Region | 26,125 | 11 days | 250 days |
England | 179,295 | 13 days | 225 days |
Source: Mental Health Services Data Set, NHS England
Notes:
The 90th percentile waiting time was 469 days meaning 10% of children and young people who received a first contact in this period waited over 469 days.