My Lords, it is a pleasure to follow the noble Baroness, Lady Wilcox, especially today when the Anti-Bullying Alliance is asking all of us to encourage children to talk to someone if they are isolated, depressed or bullied. We know that they are not alone, but of course they feel fearfully alone.
Amendment 145 returns us to the issue of mental health in children in schools, which I raised in earlier parts of the Bill. It looks specifically at school attendance policy and ensuring that any mental health illness that has contributed to truancy is taken into account. That is helpful and fits neatly with my other amendments about following the advice of a doctor.
Amendment 170 is more general, and asks for Ofsted to assess the mental health of a student body—the overall health of all children in a school. We know that children and young people, their parents, their families, Ministers and parliamentarians are all too aware of the effect of the pandemic on their mental health. It is really important that we learn from that.
That is why I am particularly pleased to see Amendment 171M placing a duty on the Secretary of State to report each year on the physical health and mental health of children at school in England. This is particularly helpful, especially with all the concerns expressed recently. I particularly like the physical side: we all talk all the time about how important it is that children take exercise and that they eat properly. On all sides of the House, we discuss it often. But I do not think we actually assess what is happening in schools. For the Secretary of State to have to prepare an annual report on this will be extraordinarily helpful. I particularly like, in the amendment, proposed new paragraph (b)(iii) and (iv), which specifies
“the length of time spent by pupils waiting for mental health support provided through their school”
and
“the adequacy of provision of mental health support in and through schools.”
That is because at the moment there is no focus. We keep saying that schools are the front line of mental health problems; indeed, we know that money has been put in by the NHS to provide counselling services, but we need to be able to see how long children are waiting and whether that money is sufficient. I have to say, wearing my health portfolio hat, that we know that mental health is still really underfunded, so we need to understand if delays continue even after some of this money has reached the front line.
The noble Baroness, Lady Wilcox, is absolutely right: the NHS cannot do this on its own. But I would go further: managing children’s mental health problems must be a joint venture between the child’s school and their access to mental health services. By cataloguing this in a report, the Secretary of State can be held accountable, alongside the Secretary of State for Health, for making sure that the Government deliver on their promises for mental health for our children.