Call for Scottish budget to address mental health pandemic for children and young people

A coalition of leading independent and third sector children and young people’s service providers has called on the Scottish Government to deliver a “budget for mental health” this afternoon.

The call from campaign group, the Scottish Children’s Services Coalition (SCSC), comes in advance of today’s Scottish Budget and Children’s Mental Health Week (1st-7th February). It comes amid growing concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted by the pandemic. 

The SCSC has urged greatly increased investment in services for children and young people to tackle a current mental health pandemic and called for a national crusade to address this.

COVID-19 has had a devastating impact on young people’s mental health and wellbeing, with the recent Prince’s Trust long-running annual survey of young people’s happiness and confidence returned the worst findings in its 12-year history. It found that more than a quarter (26 per cent) say that they feel unable to cope with life since the start of the pandemic.

In addition, half of the young people interviewed said that their mental health has worsened, with more than half (56 per cent) said they always or often felt anxious. 1

Even prior to the pandemic cases of poor mental health were at unprecedented levels, representing one of the greatest health challenges of our time, and there is a growing number of vulnerable children who cannot access services. With a new lockdown and a return to home schooling, even some children who would not have accessed children’s mental health services normally will need support this year.

However, just over 50p in every £100 of the NHS budget is being spent on specialist child and adolescent mental health services (CAMHS). A frighteningly low figure despite the fact that mental health services are literally creaking at the seams due to greatly increasing demand. 

Research indicates that 10 per cent of children and young people (aged five to 16) has a clinically diagnosable mental health problem (around three in every classroom) – however, it should be noted that these figures are some years out of date and it is widely believed that numbers have increased and will increase further given the impacts of COVID-19.

Recent statistics however point to the fact that only one health board in Scotland is treating children and young people within an 18-week waiting time and more than 1,000 have been waiting over a year to be treated.

The SCSC has also called for greatly increased investment in services and for a renewed focus on prevention and early intervention. This includes on-demand counselling services in GP surgeries and greater community support generally, reducing the need for referral to under-pressure specialist CAMHS. 

A spokesperson for the SCSC said: “Our children are remarkably resilient, but the statistics on the mental health of our young people does create a compelling case for a national crusade to address what is a mental health pandemic representing one of the greatest public health challenges of our time.

“We are urging the Scottish Government to make the forthcoming budget a budget for mental health for our children and young people. Unless the government takes urgent action to improve access to services, this young generation will be destined for a future of mental ill health, with a resultant societal impact. 

“There must be significantly increased investment in and greater collaboration between the public, private and third sectors to deliver adequate mental health support. We must also use this as an opportunity to radically transform our mental health services, both for now and for the future, refocusing on prevention and early intervention.

“This mental health crisis is one we can address, but it will require a similar energy, drive and commitment to that which was demonstrated for COVID-19 if we are to achieve this and prevent this generation of young people giving up on their futures – and themselves.”

Next phase of the move to the New Sick Kids hospital set for January

NHS Lothian’s inpatient Child and Adolescent Mental Health Services (CAMHS) are set to move to their new home at the Royal Hospital for Children and Young People in January 2021. 

The service is expected to join the Department of Clinical Neurosciences and the vast majority of Children’s outpatient services in the middle of the month, following their successful migration to the new building in the summer.

Susan Goldsmith, NHS Lothian Director of Finance and Executive Lead on the Re-provision Project provided an update at a meeting of the Board of NHS Lothian on Wednesday.

Ms Goldsmith said: “We are really excited to be moving CAMHS into its new, purpose built home next month. It has been designed carefully with the input of patients and their families and with their needs in mind. 

“It will provide patients and staff alike with a safe, comfortable and pleasant environment conducive to high quality treatment and care.”

Feedback on the new facility, which has come to life in recent months, has been overwhelmingly positive from staff, patients and families. 

Catering outlets, including a shop, are open for staff and visitors to the building, while the rooftop helipad has passed all test flight and will come into operation once training has been completed. 

The building is due to be handed over to NHS Lothian at the end of January when a period of commissioning will begin to install equipment, train staff and carry out final checks.

Lothian MSP Miles Briggs commented: ““I welcome the long overdue move of CAMHS services to Royal Hospital for Sick Children, based at Little France, in January next year.

“CAMHS waiting times in Lothian are exceptionally long at the moment, with increased demand over recent years and this move is a chance to start reducing waiting times for children and young people who urgently need these services.

“I look forward to visiting the new CAMHS facilities next year when lockdown restriction allow.”

Call for Scottish ‘Budget for Mental Health’ for children and young people

  • Figures show only 0.56 per cent of NHS expenditure on CAMHS and less than 7 per cent of the mental health budget
  • Varying figures across Scotland, with 0.75 per cent of NHS expenditure on CAMHS in Tayside and 0.08 per cent in NHS Orkney
  • Call comes as Children’s Mental Health Week takes place

A coalition of leading independent and third sector children and young people’s service providers has called on the Scottish Government to deliver a ‘Budget for Mental Health’ on Thursday (6th February).

The call from campaign group, the Scottish Children’s Services Coalition (SCSC), comes in week which also marks Children’s Mental Health Week (3rd-9th February).  It has urged greatly increased investment in mental health services for children and young people to tackle a current mental health ‘crisis’.

In a letter to Finance Cabinet Secretary, Derek Mackay, it has called for a significant proportion of the Barnett consequentials coming to the Scottish Government from the additional £34 billion a year the UK Government has pledged to go to the NHS to be spent on mental health.

The letter highlights figures indicating that a mere 0.56 per cent of the NHS budget is spent on specialist child and adolescent mental health Sservices (CAMHS), amounting to £67.248 million. In addition to this, only 6.61 per cent of the overall mental health budget is spent on CAMHS, a drop from 6.68 per cent on the previous year.

This is equivalent to just over 50p in every £100 of the NHS budget being spent on CAMHS.

These figures vary considerably across Scotland, ranging from 0.75 per cent of expenditure in NHS Shetland on CAMHS, 7.44 per cent of total mental health expenditure, to 0.08 per cent in NHS Highland, 2.92 per cent of total mental health expenditure.

These very low figures are despite the fact that mental health services are literally ‘creaking at the seams’ due to greatly increasing demand. Research indicates that 10 per cent of children and young people (aged five to 16) has a clinically diagnosable mental health problem (around three in every classroom), with 50 per cent of mental health problems established by the age of 14 and 75 per cent by the age of 24.

The SCSC has also called for a renewed focus on prevention and early intervention for those with mental health problems. This includes on-demand counselling services in GP surgeries and greater community support generally, reducing the need for referral to under-pressure specialist CAMHS.

Latest figures on waiting times to access CAMHS, covering the period July to September 2019,  indicate that of the 3,901 children and young people who started their treatment, only 64.5 per cent had been treated within an 18-week waiting time period. This is short of the 90 per cent target set by the Scottish Government.

In addition, 204 children and young people have been waiting for over a year to be seen.

A spokesperson for the SCSC said: “As we mark Children’s Mental Health Week we are urging the Scottish Government to make the forthcoming Budget a ‘Budget for Mental Health’ for our children and young people.

“With three children in every classroom having a clinically diagnosable mental health problem, no longer can mental health be viewed as a ‘Cinderella’ service and we must put money behind the rhetoric to address the current crisis.

“There must be a radical transformation of our mental health services, with a focus on preventing such problems arising in the first place and intervening early, especially when we know that half of all mental health problems are established by the age of 14.

“With mental health and the issues associated with it representing one of the greatest public health challenges of our time, we must ensure that children and young people are able to get the care and support they need, when they need it. This includes investing in greater community support and support at school, reducing the need for referral to specialist CAMHS.”

Young people dealing with mental health issues are to be guaranteed access to high quality support wherever they live, Mental Health Minister Clare Haughey  announced yesterday.

Health boards will receive new Child and Adolescent Mental Health Services (CAMHS) guidance which outlines the level of provision that children, young people and their families can expect to receive when they are referred for help within the NHS.

The first national CAMHS Service Specification, which has been developed in partnership with young people and their families, includes a number of aims such as reducing both the waiting time for a first assessment appointment and the waiting time for any subsequent treatment.

Ms Haughey said: “We are determined to ensure that any young person who is identified as needing support with mental health issues can get services that are appropriate to their needs.

“An important step towards ensuring consistent high standards is the development of agreed referral criteria and definitions and this Service Specification, developed in partnership with young people and their families, will help to ensure everyone gets the right treatment, at the right time and in the right place.

“All health boards are being provided with this specification and will be expected to set out plans on how they will implement it, with a formal review of how it is working across Scotland to take place after six months.

“In 2018/19 our investment in mental health reached £1.1 billion and over the life of this Parliament will exceed £5 billion – investment which will help deliver the best support available for children and young people dealing with mental health issues.”

Development of the service specification has been overseen by the Children and Young People’s Mental Health and Wellbeing Programme Board, which is jointly chaired by the Scottish Government and COSLA.

COSLA Children and Young People spokesperson, Cllr Stephen McCabe said: “We are grateful to the Children and Young People’s Mental Health and Wellbeing Programme Board for their work on the specification.

“This is part of a whole system approach and COSLA will continue working with partners to drive a national conversation on prevention and early support for children, young people and their families.”

Ferrywell Youth Project move into new home

On Saturday 2 November the Ferrywell Youth Project moved into a new home in the heart of the community in Muirhouse and Pennywell, part of a shared community resource with partners including CItizens Advice Edinburgh. Continue reading Ferrywell Youth Project move into new home

Holyrood commitee calls for clarity on young people’s mental health data

The absence of basic data on mental health care provision means it’s not possible to say what difference public services make to young people’s mental health, according to Holyrood’s Public Audit Committee. Continue reading Holyrood commitee calls for clarity on young people’s mental health data

Eating disorder charity and NHS Lothian launch peer support for parents

The UK’s eating disorder charity Beat is partnering with NHS Lothian CAMHS to provide a peer support programme for young people experiencing eating disorders and for parents and carers of people with the illnesses, thanks to funding received from the Scottish Government of £100,000 over three years. Continue reading Eating disorder charity and NHS Lothian launch peer support for parents

Briggs Commends Education for Young People on Cancer Prevention

It is particularly relevant during 2018 Year of Young People to focus on the education of young people on lifestyle choices that can significantly risk the chance of getting cancer. The Teenager Cancer Trust’s education and awareness programme is now able to reach 80% of secondary schools in Scotland and Miles Briggs, the Scottish Conseratives health spokesman, supports their aim to achieve 100% coverage. Continue reading Briggs Commends Education for Young People on Cancer Prevention