My Lords, Amendment 88 in my name and that of my noble friend Lord Storey, who cannot be in his place tonight, picks up the debate on mental health support that we started last week with Amendment 8, which would ensure that the mental health of pupils is considered in any standards set relating to health. I said in the debate last Wednesday that the reason that mental health had to be specified in standards—rather than just subsumed into a general reference to health—is because, if it is not so specified, it just does not become a priority. This is even more true if it is not specified in funding arrangements.
The House of Commons Library briefing, Support for Children and Young People’s Mental Health, published on 1 June, says in Chapter 4, on mental health in schools:
“The Government has reiterated that although schools play an important part in promoting mental wellbeing, teachers are not mental health professionals, and need backing from a range of specialised services. There has been work to strengthen partnerships between education providers and mental health services through a pilot linking schools with single points of contact in child and adolescent mental health services … The Government has said the pilot has led to improvements in higher quality and more timely referrals to specialist services for pupils. The pilot initially reached 255 schools and will be extended to 1,200 schools.”
That still leaves over 21,000 schools to go. The briefing went on to say that there were concerns about the provision of mental health support in schools because it is very patchy, and that it
“was noted by the Care Quality Commission … in a 2017 review of CAMHS services … that when pupils can access high-quality counselling through their schools, it can be an effective form of early intervention. However, the CQC said it is not always available, and in some cases, there are concerns about the quality of support on offer.”
In December 2017—four and a half years ago—the Government’s Green Paper, Transforming Children and Young People’s Mental Health Provision, made some proposals that would have set a framework, which included incentivising every school and college to identify and train a designated senior lead for mental health, with relevant training rolled out to all areas by 2025; creating new mental health support teams to work with groups of schools and colleges and the designated senior leads in addressing the problems of children with mild to moderate mental health problems, and providing a link and signpost for children with severe problems; building on existing mental health awareness training so that a member of staff in every primary and secondary school in England receives mental health awareness training; and adding a mental health specific strand within the teaching and leadership innovation fund.
9.15 pm
This is admirable and it was really good that in 2017 Ministers undertook to take forward every one of the proposals in the Green Paper. But it is not clear how much of this has been mainstreamed throughout all 22,000 schools and I hope that the Minister can update the House, even if it is not at the Dispatch Box this evening.
I am also very mindful of the intervention from the noble Baroness, Lady Fox, last week—and I am pleased to see her in her place—that school staff are not mental health experts. She is right and it seems to me that these proposals would go some way to delivering that key partnership between schools and the professionals in CAMHS.
However, it is vital that there is ring-fenced funding to deliver the training that teachers and other staff will need and that schools are not expected to use their mainstream education budget to provide it. This amendment sets out how to achieve this and I hope the Minister will be prepared to accept it, given the Government’s commitment to the mental health and well-being of children in all our schools. I beg to move.