Eighth Report - Children and young people’s mental health

Select Committee
Health and Social Care Committee HC 17 9 December 2021
Report Status Government responded
Conclusions & Recommendations 40 items (32 recs)
Government Response (AI assessment · 40 of 40 classified)
Government response
Government Response to the Health and Social Care Committee Report on Children and young people's mental health · published 18 Mar 2022

Recommendations & Conclusions

11 results
1 Recommendation Accepted in Part
Para 13
Children and young people’s mental health is an all-society issue.
Recommendation
Children and young people’s mental health is an all-society issue. The problems discussed in this report can only be addressed by Government departments, local government and the health system acting together to promote good mental health and prevent new crises … Read more
Government Response Summary
The government accepts the recommendation in part, stating that while Cabinet committees are the Prime Minister's prerogative, they have retained a cross-government Ministerial group to monitor progress on mental health. This is alongside NHS England and Improvement's Independent Advisory and Oversight Group to ensure targeted and impactful work.
Department of Health and Social Care
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2 Recommendation Accepted in Part
Para 28
Although the full long-term impact of the coronavirus pandemic on the mental health of children...
Recommendation
Although the full long-term impact of the coronavirus pandemic on the mental health of children and young people under the age of 25 is as yet unknown, it is already clear that the mental health needs of these groups have … Read more
Government Response Summary
The government accepts the recommendation in part, committing to a comprehensive national survey every 7 years, with the next one in 2024. They also highlight follow-up surveys conducted in 2020, 2021, and an imminent third wave to understand the pandemic's impact on children and young people's mental health.
Department of Health and Social Care
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6 Recommendation Accepted in Part
We expect a full and comprehensive update from the Department on what measures it will...
Recommendation
We expect a full and comprehensive update from the Department on what measures it will implement, how this work will be funded and a timeframe for key outcomes relating to increased early intervention and prevention. We expect this information by … Read more
Government Response Summary
The government accepts the recommendation in part, reporting on ongoing piloting and consultation for mental health waiting time standards. It states it will work with NHSEI on next steps for proposed access and waiting measures, but does not provide the full update by the specified deadline.
Department of Health and Social Care
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12 Recommendation Accepted in Part
Para 63
NHS England & Improvement must accelerate the implementation of the 0–25 offer in every local...
Recommendation
NHS England & Improvement must accelerate the implementation of the 0–25 offer in every local area as a national priority so that young people do not continue to face a cliff edge in accessing the care they require as they … Read more
Government Response Summary
The government accepts this recommendation in part, stating that full implementation depends on annual business planning and future grant confirmations from the Department for Education. The response then details the allocation of over £9.5 million for senior mental health lead training in schools and colleges.
Department of Health and Social Care
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16 Recommendation Accepted in Part
Para 87
We therefore recommend that the Department of Health and Social Care fully fund and scale...
Recommendation
We therefore recommend that the Department of Health and Social Care fully fund and scale up the roll out of Mental Health Support Teams to cover two thirds of schools in England by 2024/25 and 100% by 2027/28.
Government Response Summary
The government accepts the recommendation in part, focusing on the establishment of Integrated Care Boards (ICBs) and Partnerships (ICPs) through the Health and Care Bill. These bodies will be responsible for local planning and provision of health and social care services, including children and young people's mental health, but the response does not directly commit to the specific MHST rollout targets or funding.
Department of Health and Social Care
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26 Recommendation Accepted in Part
Para 127
Inpatient units have a role to play in treating some of the most severe and...
Recommendation
Inpatient units have a role to play in treating some of the most severe and complex mental health conditions, especially those that are resistant to community treatment. However, in most cases the most compassionate and effective care for children and … Read more
Government Response Summary
The government accepts the recommendation in part, prioritizing community care for children and young people's mental health and shortening initial detention periods under the Mental Health Act. However, it will not introduce more legislative checks for children alone and states that further work is needed to understand the implementation of the Trieste model of care.
Department of Health and Social Care
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27 Recommendation Accepted in Part
Para 128
We therefore recommend that the Department accelerates the shift towards increased community-based provision and a...
Recommendation
We therefore recommend that the Department accelerates the shift towards increased community-based provision and a reduced inpatient bed base as a national priority to ensure that children and young people with the most complex needs receive good quality care in … Read more
Government Response Summary
The government accepted the recommendation in part, rejecting the legislative requirement for monthly independent psychiatrist sign-off for children, but plans to shorten the initial Mental Health Act detention period from six to three months. They also referenced ongoing work to accelerate community-based provision through existing NHS initiatives.
Department of Health and Social Care
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36 Recommendation Accepted in Part
Para 165
We are deeply concerned about the increasing numbers of children and young people who experience...
Recommendation
We are deeply concerned about the increasing numbers of children and young people who experience self-harm and suicide and the quality of care they are able to access. Much more needs to be done to tackle suicide and self-harm amongst … Read more
Government Response Summary
The government accepts the recommendation in part, accelerating the rollout of Mental Health Support Teams (MHSTs) and committing £79 million to expand children and young people's mental health services. They also plan a new CQUIN incentive in April 2022 to improve A&E care for self-harm, requiring 80% of self-harm referrals to receive a biopsychosocial assessment.
Department of Health and Social Care
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37 Recommendation Accepted in Part
Para 166
We recommend that the Department implement a new system of early intervention to support children...
Recommendation
We recommend that the Department implement a new system of early intervention to support children and young people who self-harm and are at risk of committing suicide. Educational settings, as a universal provision, can have an important role to provide … Read more
Government Response Summary
The government accepts the recommendation in part, committing to accelerate the roll-out of Mental Health Support Teams (MHSTs) to cover 25% of the country by FY 2022/23 and 3 million children by FY 2023/24 with additional funding. Education Mental Health Practitioners' training includes competencies for self-harm and low mood, and a new CQUIN incentive will improve care for people who self-harm and attend A&E.
Department of Health and Social Care
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39 Conclusion Accepted in Part
Para 172
Preventing the worst mental health outcomes means first creating the conditions across society that are...
Conclusion
Preventing the worst mental health outcomes means first creating the conditions across society that are conducive to good mental health and wellbeing. We welcome the support provided by the former Minister for Patient Safety, Suicide Prevention and Mental Health to … Read more
Government Response Summary
The government accepts the conclusion in part, planning to launch a public discussion paper to inform a new longer-term mental health strategy, engaging various sectors in a public health approach to mental health.
Department of Health and Social Care
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40 Recommendation Accepted in Part
We recommend that each Government Department, led by the Department of Health and Social Care...
Recommendation
We recommend that each Government Department, led by the Department of Health and Social Care should set out specific, measurable objectives for mental health promotion in each policy area. This should include policies that aim to build mental health resilience … Read more
Government Response Summary
The government accepts the recommendation in part, planning to launch a public discussion paper to inform a new longer-term mental health strategy. This strategy aims to drive a wide-ranging conversation about improving mental health and wellbeing.
Department of Health and Social Care
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