Eighth Report - Children and young people’s mental health
Select Committee
Health and Social Care Committee
HC 17
9 December 2021
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
13 results
8
Recommendation
Not Addressed
Para 56
We recommend that NHS England & Improvement set out a clear action plan including key...
Recommendation
We recommend that NHS England & Improvement set out a clear action plan including key milestones, deadlines, and funding for how they will meet their target set out in the NHS Long Term Plan of 100% access to specialist support …
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Government Response Summary
The government states it is considering the recommendation but then primarily discusses initiatives focused on the mental health and wellbeing of NHS and social care staff, including funding for mental health hubs, rather than detailing a plan for 100% access for children and young people.
Department of Health and Social Care
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9
Recommendation
Not Addressed
Para 57
We further recommend that NHS England & Improvement hold Clinical Commissioning Groups, which have consistently...
Recommendation
We further recommend that NHS England & Improvement hold Clinical Commissioning Groups, which have consistently failed to meet national expectations, to account on key measures such as expenditure, waiting times and access rates. National ambitions should be raised in line …
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Government Response Summary
The government accepts the recommendation in part but responds by detailing the transformation and growth of the mental health workforce led by Health Education England, rather than addressing how NHS England & Improvement will hold Clinical Commissioning Groups accountable for specific performance measures like waiting times or access rates.
Department of Health and Social Care
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13
Recommendation
Not Addressed
Para 67
One of the largest barriers to increasing access to mental health provision for children and...
Recommendation
One of the largest barriers to increasing access to mental health provision for children and young people remains the size of the mental health workforce. We have seen that children and young people’s mental health practitioners face staff shortages, increasing …
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Government Response Summary
The government's response states it accepts the recommendation in part, then details initiatives to support schools in adopting whole-school approaches to mental wellbeing and providing training and resources for education staff. This response does not address the original recommendation concerning mental health workforce shortages and wellbeing support for NHS and social care staff.
Department of Health and Social Care
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14
Recommendation
Not Addressed
In addition, it is paramount that a plan is implemented to increase the size and...
Recommendation
In addition, it is paramount that a plan is implemented to increase the size and wellbeing of the children and young people’s mental health workforce based on independently verified estimates of the number of people needed in different disciplines and …
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Government Response Summary
The government's response refers the reader to the response to recommendation 3, thus not directly addressing this recommendation within the provided text.
Department of Health and Social Care
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15
Recommendation
Not Addressed
Para 86
We have seen that Mental Health Support Teams, where they have been rolled out, are...
Recommendation
We have seen that Mental Health Support Teams, where they have been rolled out, are well-placed to facilitate early intervention for children and young people as part Children and young people’s mental health 57 of a whole school approach. They …
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Government Response Summary
The government states it is considering the recommendation, but the response primarily outlines significant investments and reforms in adult social care and local government funding. This does not address the specific call to increase Mental Health Support Team coverage to two-thirds of schools by the end of Parliament.
Department of Health and Social Care
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17
Recommendation
Not Addressed
Para 88
Furthermore, in light of the rise in both prevalence and severity of children and young...
Recommendation
Furthermore, in light of the rise in both prevalence and severity of children and young people’s mental health difficulties, the training of Education Mental Health Practitioners should be reviewed to integrate their skills into a new psychological professions structure. This …
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Government Response Summary
The government's response states it accepts the recommendation in part, but then discusses reforms to the Mental Health Act regarding detention periods for patients, specific rights for under-18s, and further work on the Trieste model of care. This response does not address the original recommendation concerning the training and integration of Education Mental Health Practitioners.
Department of Health and Social Care
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18
Conclusion
Not Addressed
Para 91
A whole school approach to mental health and wellbeing should include the promotion of good...
Conclusion
A whole school approach to mental health and wellbeing should include the promotion of good mental health as well as the early identification of those who are at risk of mental health difficulties. Designated Senior Leads for mental health can …
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Government Response Summary
The government states it accepts the recommendation but provides a lengthy and irrelevant response detailing commitments to children and young people's crisis care, including 24/7 access and single points of contact, failing to address training for Designated Senior Leads in schools.
Department of Health and Social Care
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19
Recommendation
Not Addressed
Para 92
It is vital that the Department rolls out the training for Designated Senior Leads to...
Recommendation
It is vital that the Department rolls out the training for Designated Senior Leads to all schools urgently with a commitment to completing the roll out before the end of the current Parliament. Moreover, given the worrying trends in self-harm …
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Government Response Summary
The government states it is considering the recommendation but then provides an extensive, irrelevant response focused on improving the quality of inpatient care, alternatives to admission, and support for people with learning disabilities and autistic people, failing to address training for Designated Senior Leads.
Department of Health and Social Care
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20
Recommendation
Not Addressed
Whilst Mental Health Support Teams and Designated Senior Lead training is being rolled out, the...
Recommendation
Whilst Mental Health Support Teams and Designated Senior Lead training is being rolled out, the Department of Health and Social Care and the Department for Education should work closely together with all schools to ensure that they have the support …
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Government Response Summary
The government's response states it accepts the recommendation and plans to expand Independent Mental Health Advocate services for informal patients as part of Mental Health Act reforms, subject to future funding decisions. This response does not address the original recommendation concerning whole-school mental health support.
Department of Health and Social Care
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21
Conclusion
Not Addressed
Para 108
For some children and young people where schools are not their preferred place to access...
Conclusion
For some children and young people where schools are not their preferred place to access support, drop-in hubs that operate on an open access, self-referral basis provide a valuable alternative opportunity to access help. We have heard that the large-scale …
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Government Response Summary
The government states it is considering the recommendation but then provides a lengthy and irrelevant response about programmes of work to reduce restrictive practices and details from the Mental Health Act.
Department of Health and Social Care
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22
Recommendation
Not Addressed
Para 109
We recommend that the Department of Health and Social Care fund and roll out open...
Recommendation
We recommend that the Department of Health and Social Care fund and roll out open access models to every area across the country so that there is a consistent, comprehensive community offer to complement available school-based and clinical support across …
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Government Response Summary
The government states it accepts the recommendation but then discusses a single data set that collects information from NHS and private services, which does not address the core request to fund and roll out open access models or publish national standards.
Department of Health and Social Care
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23
Conclusion
Not Addressed
Para 110
The social care sector is essential to the provision of mental health services to children...
Conclusion
The social care sector is essential to the provision of mental health services to children and young people and it is essential that it is funded to do so as part of the forthcoming social care white paper.
Government Response Summary
The government states it accepts the recommendation in part but then focuses entirely on the accelerated roll-out and funding of Mental Health Support Teams (MHSTs) in education settings, rather than the social care sector's funding for mental health services.
Department of Health and Social Care
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24
Recommendation
Not Addressed
Para 111
Equally vital is the role of the new Integrated Care Systems and it is essential...
Recommendation
Equally vital is the role of the new Integrated Care Systems and it is essential they publish detailed plans with timescales as to how community provision for the mental health needs of children and young people will be improved working …
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Government Response Summary
The government's response refers the reader to the response to recommendation 3, thus not directly addressing this recommendation within the provided text.
Department of Health and Social Care
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