Schools Bill [HL] — House of Lords, 2022-06-08
Topic: Health
Sarah Virginia Brinton (Liberal Democrats, Centre to centre-left): My Lords, I start by saying that my noble friend Lord Storey is unable to be in his place today, so, as a co-signatory to his Amendment 8, I will introduce it on his behalf. Why is it important to have mental health specified in Clause 1(2)(b) in relation to standards? In parentheses, we have just discussed three groups using the telescope to look up to the night sky, trying to see the strategic issues related to the Bill, and I am going to follow the opposite route of the noble Lord, Lord Lucas, and look down the microscope at one very particular issue that I think needs to be in the Bill, despite all our concerns about these clauses on academies Why should standards need to specify mental health? It is very straightforward. It is because, in the pyramid of support for children and young people with mental health problems, schools are absolutely on the front line of a universal service, and teachers and staff are often the first to be able to identify worries. They are also the non-specialist primary care workers. Over the last 10 years, we have seen a substantial series of policy announcements—at least 19—which cover or include mental health, starting in 2011 with the strategy paper No Health Without Mental Health, which recognised the importance of early intervention and pledged to improve access to psychological therapies for children and young people A year later, the No Health Without Mental Health implementation framework was published, describing how different bodies, including schools, should work together to support mental health. In 2014, there were four further policy actions; there were five in 2015, including early intervention funding. In 2017, the Green Paper on children’s and young people’s mental health was published and included incentivising schools to identify and train a designated senior lead for mental health, funding for new mental health teams and a pilot for a four-week waiting time for access to specialist CAMHS teams That Green Paper was a start, but most people agreed with the Education and Health and Social Care Committees, which published a joint report saying that it was going to fail a generation. So, before Covid even struck, we already had a very public recognition that various parts of the public sector were not serving our children and young people with mental health issues well, including schools, principally because they were not getting the financial support or formal guidance they needed In a YoungMinds survey, three-quarters of parents said their child’s mental health had deteriorated while waiting for support from child and adolescent mental health services. In total, less than 1% of the NHS budget is spent on children’s and young people’s mental health services. The number of A&E attendances by young people aged 18 or under with a recorded diagnosis of a psychiatric condition has almost trebled since 2010. So, even before Covid started, many children and young people struggled with mental health problems. It is not that they were not there before Covid, but now lockdown and the various other pressures that children have had to face have exacerbated those underlying problems and they are now very evident to schools, to parents and, above all, to children and young people themselves. In fact, 83% of children and young people in a survey by YoungMinds reported that the pandemic has made their mental health condition worse I come back to this pyramid of support for children and young people. Its absolute firm, solid base is the role of our educators and associated staff in schools. The long litany of government papers shows that there needs to be action. Just subsuming mental health into a general health standard will go exactly the same way as all the other papers—strong on words, very light on action. My noble friend Lord Storey and I are arguing that we need to specify mental health here; otherwise, it will not be the priority it should be, not just for schools but for our local authorities, for local NHS bodies—whether they are CCGs or not—and, above all, for government to provide grants to make sure that it can happen I also support Amendment 37, which strengthens our amendment by referring to guidance by the Secretary of State to schools, and strongly support Amendments 9 and 11 in the names of my noble friends Lord Storey and Lord Addington. I beg to move.