Scottish Childrens Services Coalition – The NEN

Scottish Children’s Services Coalition: 137 children wait over a year for mental health treatment

New figures show 137 children waiting more for a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, is calling for the Scottish Government to renew its focus on tackling the child mental health emergency.

The SCSC has also warned that the Scottish Government is in in danger of missing its Programme for Government commitment to Increase direct investment into mental health by the end of the parliamentary term, noting that only 75p in every £100 is spent on specialist child and adolescent mental health services (CAMHS).

While health is a devolved matter, it has also noted that the General Election provides an ideal opportunity to talk about this crucial matter in Scotland.

The call comes as the latest waiting time figures from Public Health Scotland, published on 4th June, indicate that 137 children and young people had been waiting over a year for treatment from CAMHS in the quarter ending March 2024.

The figures also show that a total of 5,557 children and young people were still stuck on waiting lists to start treatment at the end of that quarter.

In addition, just 86.0 per cent of patients with mental health problems were seen within 18 weeks from referral to treatment at CAMHS. This falls short of the Scottish Government’s waiting time target of 90 per cent being seen within 18 weeks.

This comes against the background of an increasing level of violent incidents in the classroom, a result in part due to the current mental health emergency, exacerbated by the long shadow of the Covid lockdown and cost-of-living crisis.

The Scottish Government in its NHS Recovery Plan 2021-2026 committed to Increase direct investment into mental health by the end of the parliamentary term in 2026, ensuring that 10 per cent of the frontline NHS budget is invested in mental health, with 1 per cent directed specifically to children and young people through CAMHS.²

However, it should be noted that despite greatly increased demand, only 0.75% of the total frontline NHS budget was spent on CAMHS in the 2022/23 financial year, amounting to £114.799 million (real terms), just 75p in every £100 of the NHS budget.

The mental health budget overall amounts to only 8.53% of total frontline NHS expenditure, a decrease of 0.59% from 9.12% in the past decade (2011/12).³

The SCSC is calling the Scottish Government to refocus on the treatment of mental health issues, prioritising spending and avoiding a potential lost generation of children and young people with mental health problems.

A spokesperson for the SCSC commented: “The latest figures, highlighting that 137 children and young people have been waiting over a year for treatment from mental health services, is extremely alarming.

“We are facing a mental health emergency, and many of our children and young people are at breaking point, with stress and anxiety reaching alarming levels. Despite this, too many are waiting too long for treatment, and if the Scottish Government is to reach its financial commitment to spend 1 per cent of the frontline NHS budget on CAMHS, it will need to radically increase investment.

“While health is a devolved matter, this General Election provides an opportunity to talk about it, and we would urge the Scottish Government to refocus its efforts on delivering services that adequately address the needs of our children and young people.”

Committee warns of “intolerable” situation for children and young people with additional support needs

A Scottish Parliament Committee has reported its alarm at the gap between the ambitions and implementation of a policy that aspires for children and young people with additional support needs (ASN) to be taught in mainstream education.

Holyrood’s Education, Children and Young People Committee unanimously agreed that the policy behind mainstreaming is the best route forward, however its inquiry found that the Scottish Government and local authorities are failing to implement it properly.

Speaking as the report was published, Sue Webber MSP, Convener of the Education, Children and Young People Committee, said: “The situation faced by children and young people with additional support needs is intolerable.

“During our inquiry, we were extremely concerned to hear about negative experiences of additional support for learning provision, the educating of children and young people in mainstream schools and the detrimental impact this has had on some pupils, their parents and carers, and teachers and support staff.

“Things must change. The Scottish Government and local authorities have been repeatedly warned about the consequences of failing to improve support for children with additional support needs. With a rising number of children reporting with additional support needs, a third of pupils in some areas, the Government and local authorities must not ignore the concerns and recommendations made in this report.”

During the inquiry, children and young people told the Committee that it can be hard to understand when someone does not give them the support they need and that a lack of support staff to cope with the number of pupils who need support can leave them feeling frustrated.

The Committee was particularly concerned by evidence that highlighted challenges of getting children the support they required.

In evidence to the Committee, the National Autistic Society said: “We see continually that autistic children and young people are forced to “fail” in mainstream settings before any other option or support is offered.

“Families have to fight the system to get that support, with many being forced into legal action and having to engage a solicitor before a solution is found.”

Other concerns raised in the Committee’s report look at the problems with a move towards open-plan schools, which could prove extremely overwhelming for children with autism and the number of neurodivergent children who are masking at school.

To improve the situation, the Committee makes several recommendations including reviewing placing requests, undertaking research on the prevalence and impact of masking, and urgently addressing gaps in specialist provision.

Responding to the report, a spokesperson for the Scottish Children’s Services Coalition commented: “The report by the Parliamentary committee on a lack of support to children and young people with additional support needs (ASN) is not a surprise to any of those involved in the sector.

“We have consistently warned of a potential ‘lost generation’ of those in this group, now amounting to more than 259,000 children.

“The number of those with ASN, such as autism, dyslexia and mental health problems, amounts to more than a third of pupils, a doubling in numbers over the past decade, including an increase in those with complex needs.

“As a coalition of organisations that support vulnerable children and young people, we have however for many years shared the concerns of the committee over a lack of resourcing to support an escalating number of pupils with ASN, including a lack of specialist teachers and support staff.

“There has, for example, been a cut in ASN spending per pupil of just under £2,000 over the last decade, and the number of specialist ASN teachers has fallen by just under 400.

“Under the new First Minister, we need a ‘national crusade’ to address of the needs of more than a third of our children and young people, providing the necessary resources to address their needs.

“While we support the principle of mainstreaming, that all children and young are taught in mainstream classes unless exceptional circumstances apply, it is difficult to see how this can work effectively when those with ASN are in many cases not receiving the necessary care and support.

“This situation is putting an incredible level of pressure on teachers and other staff, with an impact also in terms of surging levels of school violence and poor behaviour we are witnessing.

“The committee noted this gap between policy ambition and implementation, which is leading to mainstream education being ‘intolerable’ for many children and young people with ASN.

“There are also many of those in mainstream education, whose complexity of needs would be far better served in a special school setting, delivering what is best for their educational and social requirements.

“The Scottish Government, local authorities, health and other agencies need to work in collaboration with the private and third sectors to provide the necessary resourcing and support to address the needs of children and young people with ASN.“

Coalition raises concerns as new figures highlight cuts in specialist support for vulnerable children

Decline in the number of specialist ASN teachers by 392 since 2013
Near doubling in the number of pupils with additional support needs since 2013

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has called for greater resourcing to support those with additional support needs (ASN).

The call comes as new figures from the Scottish Government’s annual teacher census indicate that while the number of specialist ASN teachers has fallen to 2,898 in 2023, the number of those pupils with ASN has soared to a record high.

Between 2013 and 2023 the number of ASN teachers (publicly funded primary, secondary, special and centrally employed) has fallen from 3,290 to 2,898, a decrease of 392 teachers, representing a cut of 11.9 per cent.¹

This fall is against the background of an increase of 96.8 per cent increase between 2013 and 2023 in the number of pupils identified with ASN, from 131,593 to 259,036, amounting to 123,628 individuals. This includes those with mental health problems, learning disability, autism and dyslexia, and currentlyrepresents more than a third of all pupils (36.7 per cent).²

In 2013, while each ASN teacher was supporting 40 pupils with ASN, by 2023 this figure had risen to each teacher supporting 89 such pupils.

Against a background of spending cuts and reduction in specialist support, the SCSC has called for greater resourcing from both the Scottish Government and local authorities to ensure that those with ASN, who are disproportionately drawn from poorer neighbourhoods, are getting the care and support that they need.

The coalition has also raised concerns about the effectiveness of a presumption of mainstreaming, meaning that all pupils are educated in a mainstream educational environment unless exceptional circumstances apply, without the necessary support.

A spokesperson for the SCSC commented: “It is vital that those with ASN get the care and support they need. This is also key if we are to genuinely close the educational attainment gap as we know that those with ASN are disproportionately drawn from poorer neighbourhoods.

“With cuts in support, including in the number of specialist teachers, it is going to be extremely challenging to reduce the current inequalities faced by those with ASN.

“While we also support the presumption of mainstreaming, which means that all children and young people are educated in a mainstream educational environment unless exceptional circumstances apply, it is clearly difficult to see how this is functioning properly given the fall in specialist support and increase in the number of those with ASN.

“The Scottish Government and local authorities need to work together to provide the necessary resourcing to address the needs of those children and young people with ASN, who represent some of the most vulnerable individuals in our society. “

Scottish Apprenticeship Week: Look Beyond the Label

Dear Editor

This week marks Scottish Apprenticeship Week (4^th – 8^th March), a fantastic opportunity to shine a light on the vital role apprenticeships play in supporting people, employers and the economy.

Modern Apprenticeships allow people from diverse backgrounds, no matter their background and abilities, to gain and develop skills for every business no matter its size or sector.

The rewards of getting young people who are disabled or care experienced into work are well worth it. They bring passion, skills, dedication and drive to the workplace.

Recruiting a Modern Apprentice enables employers to fill the skills gaps that exist within their current workforce, as apprentices begin to learn sector-specific skills from day one, developing specialist knowledge that will positively affect the bottom line.

However, as always, we can do more and support for businesses and other employers is key as it is they who clearly make the vital difference.

As we mark Scottish Apprenticeship Week, we would urge Scotland’s employers to look beyond the label and take on a Modern Apprentice who may have an additional need, taking advantage of the excellent skills offered by many of these young people.

Yours faithfully

The Scottish Children’s Services Coalition:

Kenny Graham, Falkland House School

Lynn Bell, LOVE Learning

Stephen McGhee, Spark of Genius

Niall Kelly, Young Foundations

Letter: Children’s Mental Health Week

Dear Editor

This week marks Children’s Mental Health Week (5^th-11^th February), shining a spotlight on the importance of children and young people’s mental health.

The rise in such problems over recent years has previously been labelled as a mental health energy and one of the greatest public health challenges of our times. These problems are even more worrying when they concern the mental fitness of our younger generations, and how we are preparing them to face the growing challenges of entering adulthood.

Against this backdrop, our mental health services are however facing overwhelming and unprecedented pressures, which existed even before the pandemic and are becoming further exacerbated by the cost-of-living crisis.

Too many of our young people are waiting too long for treatment and the rapidly escalating number of those seeking support, faced with inadequate services, could potentially lead to a lost generation of vulnerable children and young people who are missing out on the support they vitally need.

Against the perfect storm of a mental health crisis combined with the long shadow of lockdown and the rising cost of living, we must not lose sight of the challenges that our children and young people are facing, renewing our efforts in a national crusade to ensure that they receive adequate mental health support.

Yours faithfully

The Scottish Children’s Services Coalition:

Kenny Graham, Falkland House School

Lynn Bell, LOVE Learning

Stephen McGhee, Spark of Genius

Niall Kelly, Young Foundations

42 Charlotte Square

Edinburgh EH2 4HQ

Tel: 0131 603 8996

Call for action as number of legal plans for vulnerable children slumps

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has called for action following a sharp decline in the number of legally-binding education support plans for those with complex or multiple additional support needs (ASN).

So-called co-ordinated support plans (CSPs), prepared by local authorities, are the only education plans that are legal documents.

These provide some guarantees of entitlement to additional resources and legal redress, placing statutory duties on local authorities to review and ensure the provisions contained within it are being met.

However, despite a Scottish Government promise that there would be no reduction in the proportion of pupils receiving them since their introduction in 2004, there has been a significant fall in the number of pupils with a CSP.

There were 3,279 pupils with such a plan in 2013 ¹. In 2023, this had fallen to 1,318, amounting to a drop of 59.8%. ²This is a reduction from 2.5% to 0.5% of those pupils with ASN, amounting to 0.2% of the pupil population.

This is in contrast with England where the number of those receiving an education, health and care plan (EHCP), the CSP equivalent, is 4.3% of the pupil population.

Amounting to more than 22 times the percentage of those receiving a CSP in Scotland, this figure is also on the increase.³

A concern raised by the coalition is that local authorities are reluctant to issue CSPs because they are seen as cumbersome and time-consuming, as well as being resource-intensive and subject to enhanced scrutiny. Being legally enforceable, with legal action taken if the needs of the child or young person are not believed to have been met, is also another cause of this reluctance to issue.

This is all set against the backdrop of a lack of resources to support adequate CSP provision, with non-statutory alternatives often being offered in their place.

Also of concern is the fact that CSPs are more likely to be opened for pupils with ASN living in the least deprived neighbourhoods, compared with those living in the most deprived neighbourhoods This is despite the fact that there is a greater prevalence of those with ASN in the most deprived communities.

The coalition has called for an expansion in access to CSPs, with the Scottish Government, local authorities, health and other relevant agencies collaborating more effectively to ensure that those requiring such a legal plan receive one.

This needs to be supported by the necessary resourcing and increased awarness and understanding of CSPs by families/carers and professionals. It has also called for a particular focus on care- experienced children and young people, and those from the most deprived neighbourhoods.

This sharp fall in the number of CSPs contrasts with a dramatic increase in the number of pupils with ASN, such as autism, dyslexia and mental health problems. In 2023 this reached a record high of 259,036.⁴ This represents 36.7% of the pupil population, rising from 131,593 in 2013, and is a near doubling (96.8%) in numbers from that year.⁵

If a lower number of those in more deprived communities are receiving a CSP in comparison with least deprived communities, they may not be getting the care and support they need, which has the potential to make closing the educational attainment gap even harder.

A spokesperson for the SCSC commented: “We are calling for action following figures highlighting a decline in the use of CSPs, which are designed to support those with the most complex needs. This is despite a Scottish Government assurance that they would not decline and against the backdrop of a dramatic increase in the numbers of those with ASN.

“By not providing this legally enforceable provision, many of these vulnerable individuals are being failed and not getting the support they are entitled to. This is of particular significance given the devastating impact of Covid-19 and cost-of-living crisis. The Scottish Government, local authorities and other agencies need to collaborate to ensure that those requiring a CSP receive it, with the necessary resourcing in place to support this.

“With those with ASN drawn disproportionately from poorer neighbourhoods, if we are to genuinely close the educational attainment gap, they must get the care and support they need, when they need it.”

Coalition calls for budget for mental health as new figures highlight child challenge

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, is calling on the Scottish Government to deliver a budget for mental health on 19^th December.

The call comes as the latest waiting time figures from Public Health Scotland, published yesterday, indicate that 147 children and young people had been waiting over a year for treatment from child and adolescent mental health services (CAMHS) in the quarter ending September 2023.¹

The figures also show that a total of 5,344 children and young people were still stuck on waiting lists to start treatment at the end of that quarter.

Just 75.6 per cent of patients with mental health problems were seen within 18 weeks from referral to treatment at CAMHS. This falls short of the Scottish Government’s waiting time target of 90 per cent being seen within 18 weeks.

This comes against the background of an increasing level of violent incidents in the classroom, a result in part due to the current mental health emergency, exacerbated by the Covid lockdown and cost-of-living crisis.

A report out from the Scottish Government last week found that more than a third of staff had been at the receiving end of verbal abuse in the preceding seven days, and a poll from the largest teaching union, the EIS, revealed that 63.2 per cent of respondents said there are daily incidents of violence or aggression from pupils aimed at teachers.

However, it should be noted that despite this challenging situation, only 0.66 per cent of the total NHS budget was spent on CAMHS in the 2021/22 financial year.² Indeed, only 8.78 per cent of total NHS budget was spent on mental health services, a decrease of 0.34% in the past decade (from 9.12 per cent in 2011/12).

The SCSC is calling the Scottish Government to up its game in the budget and make the treatment of mental health issues a key national priority, prioritising spending and avoiding a potential lost generation of children and young people with mental health problems.

Even before the Covid-19 pandemic, cases of poor mental health in children and young people were at unprecedented levels, with under-resourced services struggling to keep pace with growing demand, leaving an increasing number of vulnerable individuals unable to access support. Children and young people are still battling with the long shadow of lockdown, and the rising cost of living is adding to the pressure.

A spokesperson for the SCSC commented: “The latest figures highlighting that more than 5,300 children and young people are still waiting for treatment from mental health services, with 147 waiting over a year, is extremely alarming.

“We are facing a mental health emergency and many of our children and young people are at breaking point, with stress and anxiety reaching alarming levels as they battle with the long shadow of lockdown and the rising cost of living.

“This is also having a major impact on classroom behaviour, impacting the young people concerned, their fellow pupils and staff.

“Each one of these statistics is an individual, and we would urge the Scottish Government to up its game and make the adequate resourcing of mental health services for our children and young people an absolute priority in the forthcoming budget.”

Letter: Additional funding desperately needed to address ASN scandal

Dear Editor

Recent statistics highlighting a sharp increase in attacks on school staff, and the fact that almost all of these are linked to pupils with additional support needs (ASN), should come as no surprise to those like us who have been arguing for some time that this issue is quickly becoming a national scandal.

The number of children and young people with ASN has more than doubled since 2012, and now amounts to more than a third of pupils. This has been further exacerbated by increasing mental health problems, the Covid-19 pandemic and cost- of-living crisis.

However, this is set against a background of acute under-resourcing, with the number of specialist ASN teachers falling by 546 between 2012 and 2022 as just one example.

Additional funding is desperately needed to increase the numbers of specialist staff available to support those with ASN, as well as better support for teachers working with young people from a wide range of backgrounds. We would also suggest that the Scottish Government expand school counselling provision to all primary and special schools.

Violence against any member of school staff or another pupil is never acceptable, and it is critical that local authorities and the Scottish Government take all possible action to ensure that our schools are safe places to work and to learn.

Yours faithfully

The Scottish Children’s Services Coalition:

Kenny Graham, Falkland House School

Lynn Bell, LOVE Learning

Stephen McGhee, Spark of Genius

Niall Kelly, Young Foundations

42 Charlotte Square

Edinburgh EH2 4HQ

Tel: 0131 603 8996

Letters: Look beyond the label to address skills shortages

Dear Editor

The news that more than seven in 10 Scottish businesses are struggling with skills shortages, but almost 40% don’t have programmes in place for under-represented groups, highlights the considerable opportunities being missed by Scotland’s employers (29^th June 2023).

This Business Barometer Report, published by The Open University and British Chambers of Commerce, outlines the need for businesses to become better at hiring those from these groups, such as young people who are disabled or care experienced.

The rewards of getting these individuals into work are well worth it. They bring passion, skills, dedication and drive to the workplace. This also allows businesses to grow and fulfil their potential, delivering economic growth.

Employers are currently missing out on an immense untapped talent pool, and never has it been more important for businesses, the government and training providers to work together to address this.

We would urge Scotland’s employers to look beyond the label and take on an employee who may have an additional need, taking advantage of the excellent skills offered by many of these young people.

Yours faithfully

The Scottish Children’s Services Coalition:

Kenny Graham, Falkland House School

Lynn Bell, LOVE Learning

Stephen McGhee, Spark of Genius

Niall Kelly, Young Foundations

42 Charlotte Square

Edinburgh EH2 4HQ

Tel: 0131 603 8996

Coalition calls for political consensus as more than 460 children wait more than a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, is calling on all Scotland’s political parties to come together and make mental health a key focus.

The call comes as new waiting time figures out yesterday (6^th June), highlight that 469 children and young people had been languishing on waiting lists for more than a year for treatment from child and adolescent mental health services (CAMHS) at the quarter ending March 2023.¹

Indeed, just 74.2 per cent of patients with mental health problems were seen within 18 weeks of referral to CAMHS, with more than a quarter waiting longer than this time. This is short of the Scottish Government’s waiting time target of 90 per cent being seen within 18 weeks. ¹

The new figures indicate that it has failed to deliver a key pledge to clear waiting lists by March 2023, as outlined in the NHS Recovery Plan.²

Figures also show that as many as 7,701 children and young people were still stuck on waiting lists to start treatment at the end of the quarter ending March 2023, an increase of 138 on the previous quarter ending December 2022.

The new figures are set against the backdrop of a mental health emergency, which is set to worsen given the cost-of-living crisis and services already at breaking point.

The SCSC is calling on a cross party approach to prioritise spending on mental health, avoiding a potential lost generation of children and young people with mental health problems, such as anxiety, depression and self-harm.

A spokesperson for the SCSC commented: “The latest figures highlighting that more than 460 of our children and young people have been languishing on waiting lists for treatment more than a year is extremely alarming.

“Disturbingly, this means that the Scottish Government has totally failed to achieve its pledge to clear waiting lists by March 2023, leaving many thousands of children and young people waiting for treatment.

“Even before the Covid-19 pandemic demand for already overstretched and under-resourced mental health services was increasing. The mental health of our children and young people has deteriorated markedly over the past decade, and both the pandemic and the cost-of-living crisis are making matters even worse, creating a potential lost generation of vulnerable children and young people.

“We must make the delivery of adequately resourced mental health services for our children and young people an absolute priority and would urge all of Scotland’s political parties to come together and make this a reality.”

¹Public Health Scotland, Child and Adolescent Mental Health Services: Waiting Times in Scotland, Quarter Ending December 2022, 7^th March 2023. Dashboard. Available at: https://publichealthscotland.scot/publications/child-and-adolescent-mental-health-services-camhs-waiting-times/child-and-adolescent-mental-health-services-camhs-waiting-times-quarter-ending-december-2022/

² Scottish Government, NHS Recovery Plan, 25^th August 2021. Available at: https://www.gov.scot/publications/nhs-recovery-plan/pages/9/ (accessed 2^nd September 2021).