Urgent Question on Mental Health Services House of Commons


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Urgent Question on Mental Health Services

The urgent question in the House of Commons on the Care Quality Commission's report on children and young people's mental health services, from Thursday 8 March.


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Order. Urgent question, Barbara

Keeley.

To ask the Secretary of

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State for Health and social care to

make a statement on the Care Quality

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Commission's review of children and

young people's mental-health

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services.

Minister at Steve Brine.

Thank you very much, Mr Speaker. I

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can tell you Mr Speaker, tomorrow

they can quality commission

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published their report, if review of

children and young people's mental

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health services. It is entitled, are

we listening? Yes, we are, Mr

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Speaker. This is the second piece of

work to look at this area of

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services. Finding examples of good

and innovative practice and

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dedicated people. We thank everyone

of them working in every part of the

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system. A number areas of strong

practice making sure that patients

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and their families are involved in

planning care and concerns about the

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join up. Let me thank the CQC and

the doctor and his team for their

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work. The Government has already

committed to making an additional

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£1.4 billion improvement or health

services and deliver on the

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commitments in future in mind and

the review of mental health. CQC

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welcomes this progress in their

report, I know it. Spend is reaching

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the front line. It is an issue I

note the back honourable lady and

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members have concerns about. By

2021, we have committed to ensuring

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70,000 more young people have access

to high-quality mental health care

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when the need it. We know there are

so much more to do, Mr Speaker. As

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clambered up, the National health

director for NHS England said in

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response to this report, Cannes

services are now improving, but

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historic underfunding, legacy

understaffing and rapidly growing

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need as we are seeing across the

service. December, jointly with the

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Department for Education, we

published this green paper, which

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responds to a number of problems

raised by the CQC in this report and

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sets out a range of proposals to

strengthen the way schools and

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specialist NHS mental health

services work together and to reduce

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the amount of time that children and

young people have to wait to access

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specialist help. These proposals are

backed by an additional £300 million

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of funding. We have carried out an

extensive face-to-face consultation

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and received a very high level of

responses to our online consultation

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and we thank everyone from that. We

will respond to that this summer.

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The report also calls for the

Secretary of State to use the

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interministerial group on mental

health to guarantee greater

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collaboration across Government

departments and prioritising mental

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health. We agree, this

recommendation is already in hand,

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Mr Speaker. The IMG has already

contributed to the development of

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the Queen paper and will continue to

provide leadership on the issues

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that this report raises. The CQC

also recommend that everyone works,

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volunteers and cares for young

people is trained in mental health

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awareness. We rolling out training

to every secondary school and have

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committed to rolling out mental

health awareness training to all

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primary schools by 2022. This

Government, Mr Speaker, and these

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ministers remain committed wholly to

making mental health everybody's

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business and building good mental

health for our children and young

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people stop all.

Barbara Keeley.

This is the recent piece of evidence

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revealing systematic failings in our

mental health services. Similar

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reports in the last few weeks call

into question the Government's

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claims to have made mental health

and equal priority to physical

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health. We see evidence of services

actively putting up barriers to

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treatment, resulting in children and

young people having to reach crisis

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point before being able to get

access to the right treatment.

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Children are suffering because of

these high eligibility thresholds.

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Mr Speaker, we know that 50% of

mental health problems develop

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before the age of 14, and 75%

develop before the age of 18. Does

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the Minister recognise that imposing

high eligibility thresholds means

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children and young people are

treated only when their condition

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becomes more serious? And these high

thresholds or even pointing is about

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prompting GPs to tell children to

pretend that their mental health is

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worse than it is. Will the Minister

agree to look into referral criteria

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as a matter of urgency to ensure

that young people are getting proper

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treatment at the right time? Now,

the report linked excessively high

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eligibility thresholds and

reductions in access with funding

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reductions and not enough capacity

for services to respond to local

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needs. Whatever the Minister says,

clearly not enough money is reaching

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the front line. Can the Minister

tell us how he plans to address

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this? Now, this report, like the

CQC's recent report into

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rehabilitation services, raises

questions about out of area

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placements, and we know that these

are barrier to recovery. Can the

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Minister tell the House what action

is being taken to increase the

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number of inpatient beds locally.

Finally, the transition from

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children's to adult mental health

services at 18 is also a barrier to

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accessing care. What is the Minister

going to do to address the clear

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plop some problem is highly dead in

this report and others associated

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with the ridge and transition age 18

from child and adolescent services

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to adult mental health services.

Minister.

Thank you, Mr Speaker. She

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rightly raises spend reaching the

front line. I said in my opening

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remarks it is doing so. She asked

what evidence there is that. Well,

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last year we saw a 20% increase on

Clinical Commissioning Group for

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young -- children and young people's

mental health services. It rose to

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£690 million in 2016-17. The broad

issues raised in the response...

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Mean, I mean, I said that we have

made up to £1.4 billion available

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over a five-year period to support

the transition of these services and

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an extra £300 million. I would want

to mention waiting times and

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referral routes in that. On waiting

times, we are the first Government

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two and reduce waiting times

standards. And -- to introduce

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waiting times standards. Both either

our meeting or are on track to meet

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their target, we will be piloting a

four-week waiting time for

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specialist mental health services as

outlined in the recent green paper.

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We are considering their report and

the responses to that. Our green

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paper proposals for the senior

designated mental health support

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teams, the new workforce, which are

based on the findings of the DfE's

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schooling pilot, they aim to improve

the join up with specialist services

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and result John Morra appropriate

referrals. She is shaking her head,

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but I can only tell her the facts.

-- result in more appropriate

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referrals. The workforce recognise

new ways of working as a cornerstone

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of delivering these improvements. We

will be working with our partners to

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continue the expansion

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of the newly created roles in mental

health services and considering the

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creation of new roles, such as early

intervention workers, focusing on

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child well-being as part of the

psychiatrist led team. That was my

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cue, Mr Speaker, thank you.

Order,

many honourable members and right

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honourable members are seeking to

catch my icon but can I remind you

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that there is the business questions

followed by an important statement

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by the Home Secretary, thereafter,

the debate on International Women's

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Day is heavily subscribed. There is

a premium upon brevity and I do want

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to move on, whether we've reached

everybody and incorporated everybody

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or not, no later than 11am. Single

sentence questions are much to be

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provoked. Fiona Bruce.

Can I commend

promoting the emotionally healthy

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schools Project, which is engaging

not just children who have

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challenges but also their families.

Would the Minister agree that

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helping children with mental health

charities need to involve wherever

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practical by families, family

relationships, and they're into

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parental relationships as

recommended by the early

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intervention foundation?

As ever, my

honourable friend makes the point

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about families. I mean, I said we

are already rolling out the mental

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health training for every secondary

school, and of course that is

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important and we are committed to

rolling out mental health awareness

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training to primary schools by 2022.

Yes, to coin a phrase, it takes a

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Village. It is about the state, and

the schools are part of that. It is

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also about the third sector, who

have an important role to play. And

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it absolutely is about the love and

support and the Christian embrace of

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families.

This is a very important

issue, especially given that half of

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mental health problems are

established by the age of 14, it is

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shocking that some children are only

receiving assistance after

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attempting suicide. I note that

Claire Murdoch, the National mental

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health director for NHS in wind has

dated, child and adolescent mental

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health services are suffering of a

legacy of underfunding and

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understaffing. This report is surely

an example of the latest reports in

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recent years demonstrating the

impact of this Government austerity

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distributed agenda to public

services. By comparison in Scotland,

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which have the UK's first ever

dedicated mental Health Minister, we

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have seen staff at full Scotland's

mental health care services at a

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record high, a 79% increase. Surely

as part of this response to these

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findings, the Minister may wish to

look at actions being taken in

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Scotland and learn from those.

We

always look at the actions that are

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being taken in Scotland and all the

devolved administrations. He's quite

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right to have touched on prevention,

the first point that he made. The

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green paper is focused on providing

significant support for schools to

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develop the work they already do on

prevention and early intervention. I

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just would say that in these

exchanges, Mr Speaker, the report

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today says about the many good

things that are going on. As he's

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already said, some of the things we

have already taken forward with the

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green paper. While we are taking

this about, remember that this is

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about the health, I'll leave it at

that, it's about the health of the

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young people that we are present in

England.

Jeremy Quin.

The CQC has

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recommended that Ofsted should be

charged with looking at what schools

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are doing to support mental health,

is that something that the Minister

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will take up with his colleagues in

the DfE?

I'm sure my colleague, the

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Parliamentary undersecretary for

mental health, will be taking that

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up as she considers responses to the

green paper, but I thank him for

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raising that.

What action will the

Minister take with increasing

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numbers of university students

having mental health problems to

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ensure better joined up care and

better communication between home

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and university GPs and student

welfare services?

Is a former

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Student Union president, I think

that's a very, very good point. One

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of the key proposals in the green

paper is about the new mental health

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support teams. I think they will be

very important in that, she is right

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that they should work across higher

education as well is the earlier

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forms of education.

In the next few

weeks, work will begin on

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construction of the new mental

health residential unit for young

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people in Cornwall, something that

is long overdue and much

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anticipated, a clear sign that this

Government is investing in mental

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health for young people, but we

continue to have a problem with our

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CCG in delivering front-line

services even though the Government

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are providing more money. What steps

can ministers take to ensure that

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CCGs allocate the money provided to

those services?

I don't know the

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specific example that he raises but

he may wish to take that up with my

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colleague, the Prime Minister is

about -- parliamentary

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undersecretary. There is an increase

in CCG mental spend between 15-16

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and 16-17, we have all been

frustrated about spend reaching the

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front line and made it clear that we

expect it to do so. I'm pleased that

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we see progress in the right

directory.

Norman Lamb.

Thank you,

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Mr Speaker. These damning findings

come three years after we secured

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£1.25 billion extra over a five-year

period. We know that that money has

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fallen short, well shot, of what was

committed to three years ago. Will

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the Minister absolutely commit to

make good the shortfall of money

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getting through to children's mental

health services?

I think our former

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-- I thank our former ministerial

colleagues about. We have not

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exactly been shy in investing in

this area, both when he was a

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Minister in the department and now.

We have made £1.4 billion available

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to support the transformation of

services and the extra £300 million.

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When he says this damning report,

let's remember, this is a report

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that we commission. We don't hide

from these things. The last time

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that I responded was about a CQC

report into social care, we mustn't

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not hide and we don't want to bury

our heads in the sand. We've got to

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recognise and built on the example

is of good person centred care that

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are taking place in our country at

the moment. That's why we are

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putting the money and behind it, and

he's right to raise it to.

Luke

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Graham.

Thanks, Mr Speaker. I

welcome the funding that is coming

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from my honourable friend. I ask him

what he is doing to support the

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devolved nations in this area such

as Scotland, where adolescent mental

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health waiting times targets were

actually missed? We want to make

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sure that no British child is left

behind, no matter what part of the

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UK they live in.

Excellent point. I

will make sure that my colleague is

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talking, as I know she is, to the

devolved administrations as she

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continued as the responses, and I'm

sure she will include the responses

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from them in the green paper.

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And the review found that children

are waiting until 18 months to

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receive treatment for their mental

health conditions. Then Lewisham,

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the budget is being cut by 5% by the

government. The Green paper will not

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help children currently waiting,

what is the government going to do

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address this?

We will put the money

in publishing sensible strategy in a

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green paper, consider the responses

and take it forward backed by the

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investment that we think we need in

order to deliver that strategy and

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that will be dissimilar Lewisham

added will in Winchester. I'm sure

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both sides of the House will welcome

the commitment to 21,000 more people

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in mental service provision by 2021.

Can the Minister assure me that only

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two more children accessing mental

health services within the week

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target? We talked about the four

week pilot target in the testing

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idea, one of the key pillars in the

Green paper and we hope to pilot

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this in order to test the impact of

the additional investment we are

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making in reducing waiting time and

assessing the benefits and

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challenges and to provide

information on to how the waiting

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time standard should be adapted so

there are no perverse assessments

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are own thresholds.

The Minister has

described the provision and it will

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not be recognised by anyone

providing using services, does he

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think cutting the funding for the

Northwest partnership every year

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since 2011 has led to improve

services for young people in St

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Helens? I don't know about the issue

in St Helens, so let me look into

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that and as my colleague to do so

and I will get her to write to him.

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I very much welcome the government's

committing mental health workers

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throughout England's schools, can my

honourable friend give the House and

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update on the timely roll-out of

that?

One of the things that we will

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be considering as part of the Green

paper is the four week pilot as I

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said. We do want to see these mental

health people in schools and us as

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we can get an exact timetable on

things in Crawley as well as the

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rest, I'm sure my colleague will do

so. 75% of mental health problems

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start before the age of 18 but less

than 10% are funding goes to young

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people. What can the Minister did to

prioritise more funding for these

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services. Went back as I have said,

the overall budget is the money we

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have promised around the green paper

but he is absolutely right, with the

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green paper, it has at its heart,

focuses on prevention and

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significant support through schools

early years and through schools and

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as a honourable Lady mentioned

through higher education to prevent

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issues from snowballing in the first

place and is absolutely right.

With

0:17:180:17:24

the understanding of mental health

services and the recent health

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committee Select Committee report on

the nursing shortage, does he accept

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that the decision to remove nursing

bursaries, which has vertically

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affected a number of students coming

forward a train to be mental health

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nurses was a mistake by his

government? I don't accept that was

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a mistake, I think we need to

increase the number of people coming

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into nursing and we were turning

away far too many people who wanted

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to come into nursing the workforce

is always a huge challenge across

0:17:540:17:59

the NHS in my area and primary care

and secondary care and in mental

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health, which is why the secular

state said we will be creating

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21,000 new posts by 2021 to support

one of the biggest expansion in the

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mental health services in Europe.

The Minister will know from his own

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background that primary care doesn't

always have the expertise in mental

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health that we need. How will the

guarantee we will now see in every

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GP surgery the capacity to deliver

excellence.

Gets a good point which

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is very much in the centre of my

portfolio. I would say that GPs are

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generalists and as the Minister for

cancer there is criticism about

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their specialism in that and GPs

can't be specialists by the very

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nature by what they do. The mental

health support team at the heart of

0:18:450:18:51

the green paper are a key part of

that and we would expect to see them

0:18:510:18:54

working closely with GPs and the

Royal College to upscale our general

0:18:540:18:59

practitioners as part of the MDT to

help young people when the need that

0:18:590:19:03

help.

I will be meeting with the

chief executive of my local mental

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health trust tomorrow because we are

desperately worried about the mental

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health budget provision for young

people in your. Not only are we

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short on staff but also resources.

It takes time to treat mental health

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staff, so what of the government

going to do in the interim to ensure

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we have staff in the service?

I hope

when she meets in her constituency

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tomorrow she will recognise the good

work that is going on and the number

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of people that are going over and

above to deliver the services to

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children and young people I will

also said at one of her

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responsibilities as a member of

Parliament as ministers as well to

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see that the STPs in her area

collaborating with all the different

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organisations in her constituency is

to make sure its original health and

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social care services are joined up

with schools, police, probation

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services and mental health services

because it is ultimately one NHS.

0:19:590:20:03

Will the Minister listen carefully

to the voice of parents. In my

0:20:030:20:12

experience as chair of the autism

commission, what parents want,

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everything think there's something

wrong with their child whether it is

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mental health or autism, they want

early diagnosis and treatment. That

0:20:180:20:21

is what they want and we want the

standard like we have in Sweden.

I'm

0:20:210:20:28

aware of the honourable gentleman

in

the Westminster commission for

0:20:280:20:31

autism and has a big event coming up

which I'm hoping to come to in the

0:20:310:20:34

next few weeks. That's why the CDC

report highlighted the government

0:20:340:20:39

proposals such as establishing a

dedicated mental health support

0:20:390:20:41

team. I completely agree with him.

Mr Speaker, phase one of the sea QC

0:20:410:20:50

review noted that there were an

acceptable -- unacceptable

0:20:500:20:55

variations in quality, so he can

quality be more consistently

0:20:550:20:58

provided across the country?

An

excellent point, the NHS is very

0:20:580:21:06

good at sharing best practice, the

challenge comes at implementing it

0:21:060:21:09

and the report rightly says there

are very good examples of good care

0:21:090:21:16

going at on across the country and

the challenge is to make sure that

0:21:160:21:20

is ruled out everywhere. What I

would say the answer to doing that

0:21:200:21:23

is to focus on the workforce, to

focus on the investment and to focus

0:21:230:21:27

that we have the strategy, the

agreed strategy in place that takes

0:21:270:21:32

the sector with it in order to do

that.

0:21:320:21:36