Pupil Mental Health, Well-being and Development

Baroness Twycross Excerpts

Thursday 22nd February 2024 Lords Chamber

[Baroness Twycross (Lab)]

My Lords, this has been a truly interesting and varied debate. I join others in congratulating the noble Baroness, Lady Bennett, on securing it. There can be nothing more important in a child’s development than ensuring that they have good mental and physical health, not least in what many noble Lords have noted is a complex and often confusing world.

Children need a healthy, caring, constructive, lively and varied school environment, of the type to which the noble Baroness referred in her opening remarks. As the noble Earl, Lord Russell, said, good mental health is a prerequisite for learning. My noble friend Lord Touhig powerfully articulated the need for children to have the confidence to succeed.

I also agree wholeheartedly with my noble friend Lady Morris that academic education and mental health and well-being should not be seen as being in competition with each other. I am very much in the camp which believes that schools should prepare children for life and work, and liked how my noble friend Lady Morris articulated how this might be balanced in relation to exams, and how people view exam success and failure.

I do not, however, think that this excludes fun or creativity. I agree wholeheartedly with the noble Baroness, Lady Bull, on the need for creative arts to be a key part of school life and the lives of students. The right reverend Prelate the Bishop of Chichester also spoke powerfully to this point, as did the noble Baroness, Lady Hollins, on the work of the charity, Books Beyond Words.

My noble friend Lady Blake did not speak in this debate, but I understand she did great work as leader of Leeds City Council in ensuring that all children had access to learning a musical instrument. This is the type of thing that can enrich children’s lives and make school life much more rewarding.

I found the contribution of the noble Earl, Lord Effingham, on physical activity and food very compelling. Clearly, the quality of food in school is an issue that my noble friend Lord Brooke has campaigned on with vigour, not least on sugar, and will continue to do so.

From what we have heard today, none of us can be in any doubt that we have a huge mental health crisis among children and young people. As the noble Lord, Lord Hampton, also made clear, schools have a very distinct role in identifying and triaging issues. Schools and teachers do incredible work in a difficult environment. Schools sometimes struggle to meet the needs of their students, and teachers do not always have the support they need, or the time or expertise to identify and deal with student mental health issues. CAMHS cannot deal with the scale of the demand, with unacceptable delays for treatment that risk an individual’s mental health issues escalating.

I return to the point made by the noble Lord, Lord Hampton, about the focus on fun. I think that we all now want to visit his school, so he should expect a queue for us to do that.

[Lord Storey (LD)]

He should change to being a primary teacher.

[Baroness Twycross (Lab)]

He does not have to become a primary school teacher; he can carry on as he is.

The noble Earl, Lord Russell, mentioned the need for a whole-school approach, as did others, but what we really need is an understanding of how we get a better whole-system approach—I would welcome the Minister’s thoughts on that. Surely, that is what is needed to address the issue. There is a clear need for the Government to drive forward and work much more on a cross-departmental basis. The NHS, individual schools, charities and local authorities cannot solve the child mental health crisis alone. The noble Lord, Lord Wei, discussed the need for school pathways to be made clearer and simpler for parents and children, and I would be interested to hear the Minister’s reflection on his point about the correlation with decisions that parents might make on home schooling.

I will give a personal view of an amazing meeting I had this week with a fabulous group of students from the Ark King Solomon Academy near Edgware Road. It was a reminder of how a good school can provide a truly nurturing environment. The students spoke to me about the mental health provision in their school with their vice-principal and the charity Place2Be, whose services the young people had accessed. They told me that Covid had led to isolation, that they needed more clubs and activity to improve their well-being, and that PHSE could do so much more than it does currently to help young people understand their mental health and how to deal with any issues they might face. They also said that their parents often did not know how to help, so the parents also needed additional support to help deal with the issue.

The provision that the students had accessed had given them a sense of belonging and a trusted space. But they said that there was a need for more provision, so that students did not have to wait to access services. The students were hugely articulate in how they spoke about their experience and the need for young people to build resilience. I have no doubt that their school and their parents are incredibly proud of them. After they met me, they went to No. 10 to deliver a letter to the Prime Minister; I would be very grateful if the Minister could ensure that it reaches the right person for a response.

We cannot talk about the role of schools in mental health without discussing the wider context. The scale of the problem was mentioned by a number of noble Lords, including the noble Lord, Lord Sterling, who noted that the rise means that, on average, five children in a class of 30 are likely to have mental health issues. He also noted the recruitment crisis in specialists.

The noble Baroness, Lady Tyler, asked what was probably the most valid question of the whole debate: what is going on? In 2022, 1.4 million children were referred to CAMHS, with 270,000 children waiting longer than three months to begin treatment. The Local Government Association has found that at least one in six children and young people aged seven to 16 has a probable mental health disorder, which increases to one in four for young people aged 17 to 19. The Children’s Commissioner, who has been quoted several times, has raised particular concerns around older teenage girls; she found in her report last year that nearly two in five of 16 to 17 year-old girls were unhappy with their mental health. Things going wrong— such as when children and young people do not get support in a timely way—can lead to forced hospitalisation. In the worst cases, unresolved mental health issues lead to self-harm and attempted or successful suicide, as the noble Lord, Lord Storey, highlighted in his remarks.

Children living in poverty, where parents separate or have a financial crisis, or children whose own parents have poor mental health or poor health, are even more likely to have poor mental health themselves. As my noble friend Lord Touhig said, children with speech and language difficulties are twice as likely to have a mental health issue than their peers—the noble Baroness, Lady Hollins, also highlighted this point. This is also the case for children and young people with a wide range of other special needs, physical illness or disabilities.

Can the Minister say what the government view is on how provision is currently tailored towards the needs of different groups of children, and what more can be done to ensure that children and young adults get access in a timely way? To tackle an issue of this scale, you surely need a thorough understanding of what needs to be addressed—and with apologies to the noble Lord, Lord Vaizey, I do not think that policy should be made routinely at London dinner parties.

Can the Minister clarify whether the Government intend to start to routinely collect statistics on mental health provision in schools, including the type of provision and therapy provided? As the noble Earl, Lord Russell, said, this should include a cross-referencing of this with other data, including absenteeism. If not, can the Minister tell the House when the Government at the very least intend to carry out a new survey, given that it is almost a decade since the last one found that only 62% of schools offered counselling services? However, I understand that that figure has risen. Can the Minister provide information on how many schools now have counselling services? Are the Government, like Labour, committed to specialist mental health support for children and young people in every school? Furthermore, can the Government provide a demographic breakdown of the number of children accessing mental health services in schools and through CAMHS?

Finally, I acknowledge that I am clear that the Government know that there is a problem. However, I do not feel that they have yet managed to introduce a comprehensive solution—the proposed ban on phones in schools is evidence of this. Many noble Lords referenced social media and phones. However, many schools have introduced this, and head teachers have noted that they cannot control their use out of school. Having heard today’s debate, what more is the Minister able to commit to the Government doing to address this epidemic of mental health issues in children and young people, both in and out of school, to ensure that our young people get the support they need to thrive both socially and academically through their childhoods to successful adult lives?