Scottish Childrens Services Coalition – Page 3 – The NEN

Concerns raised as a third of pupils identified with Additional Support Needs while statutory support falls

The Scottish Children’s Services Coalition, an alliance of leading providers of specialist care and education to vulnerable children and young people, has raised concerns over an increase in the number of pupils identified with additional support needs (ASN) against a backdrop of declining support.

It has also voiced similar concerns over a declining number of those with ASN receiving Co-ordinated Support Plans (CSPs), the only education plans that are legal documents. This is despite a Scottish Government promise there would be no decline in the numbers of those receiving them.

The figures were released yesterday in the Scottish Government’s Summary Statistics for Schools in Scotland 2021, the annual census of pupils and teachers in publicly funded schools.¹

The figures show that the number of pupils with additional support needs (ASN), such as autism, dyslexia and mental health problems in 2021 has reached a record high of 232,753. Of this total 58.0 per cent are boys. This represents 33.0 per cent of the pupil population, rising from 118,034 in 2012, and is a near doubling (97.2 per cent) in numbers from that year.²

The SCSC has also raised concerns at the number of those receiving a CSP.

This is a legal document, the only education plans that are legal documents, requiring services such as education, health and social work to work together to give a child or young person the support they need.

It provides 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.

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 CSPs, from 3,448 in 2012 to 1,420 in 2021, amounting to a drop of 58.9 per cent (publicly funded primary, secondary and special schools). This is a reduction from 2.9 per cent to 0.6 per cent of those with ASN.

A spokesperson for the SCSC commented: “While it is promising that this increase tells us that more young people with ASN are being identified, it is against a worrying background of damaging cuts to services.

“Ensuring the adequate provision of educational support for children and young people with ASN is critical, especially during the COVID-19 pandemic and the damaging impact this will have on them

“We have major concerns over a lack of resources and specialist staff to support these children and young people. This clearly has an impact not only on the individuals concerned but also on their peers and teachers.

“It is vital that those with ASN get the care and support they need, which 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.

“We are also concerned that we are experiencing a decline in the use of CSPs, which are designed to support those with the most complex needs. This is despite an increase in the numbers of those requiring such support

“As we recover from COVID-19, the Scottish Government and local authorities, along with the private and third sectors, need to work together to provide the necessary resourcing and support to address the needs of these vulnerable children and young people. It must also work with local authorities to ensure that those who require a CSP get it, making parents and carers aware of their legal rights.”

The EIS has also commented on today’s publication of National Improvement Framework (NIF) data, saying that the data confirms the need for greater investment to support education recovery for Scotland’s young people.

The data released today simply confirms what the EIS has been saying for the past year, which teachers have understood instinctively – that the Covid created disruption to learning has affected all pupils to some degree but has disproportionately impacted on children from the most deprived backgrounds.

It is noticeable, also, that children with additional support needs have been impacted in a similar manner – 42% achieving Literacy levels against a national figure of 76% and in Numeracy 53% against a figure of 83%.

Given that more than 1 in 4 pupils in our mainstream schools have additional needs this is an area of significant concern, which the EIS believes the Scottish Government is failing to tackle with sufficient targeted investment.

Commenting on the data, EIS General Secretary Larry Flanagan said, “We didn’t need publication of this data to know that children from the poorest backgrounds and those with additional support needs were the ones suffering most from the pandemic.

“Schools have prioritised, quite rightly, the well-being of pupils but as we start to look at education recovery from the pattern of disrupted learning, the Scottish Government needs to up its game in terms of investment in our children’s future.

“Recent OECD research (OECD Education at a Glance 2021), for example, has shown that smaller class sizes where there are patterns of multiple deprivation or additional needs help individual pupil recovery but the Scottish Government continues to resist making any progress in this area.

“The Government’s education recovery plan was far too timid in its ambition given the scale of the impact of Covid on the most disadvantaged young people. The simple fact is that pupil recovery will be delayed and diminished if much greater resource isn’t made available to schools.”

Call for Scottish budget for mental health as figures show over 1,900 children have been waiting over a year for treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of children’s services, has called for a Scottish Budget for mental health. It urged greatly increased investment in mental health services against a backdrop of concerns over a mental health pandemic as the impacts of Covid-19 on the young become clearer.

The call comes as new figures published today (7^th December 2021) from Public Health Scotland indicate that at the end of September 2021, 1,978 children and young people had been waiting over a year for treatment from specialist child and adolescent mental health services (CAMHS) provided by the NHS.

This figure represents a doubling from September 2020 (959).They also represent 16.7 per cent of those waiting for specialist treatment.

With already under-resourced and overstretched services facing overwhelming pressure due to increased demand, the SCSC has raised concerns over a potential “lost generation” of vulnerable children and young people whose mental health is being impacted by Covid-19.

Even prior to the pandemic cases of poor mental health were at unprecedented levels and in crisis, and there are a growing number of vulnerable children who cannot access adequate support.

While 3,792 children and young people were treated over the period July to September 2021 by CAMHS, only 78.6 per cent were seen within the Scottish Government’s waiting time target for the NHS of 18 weeks from referral to treatment (met for at least 90 per cent of patients). Nine out of 14 health boards failed to meet this target.

Waiting times (with adjustments) for people who started their treatment from July to September 2021, by NHS Board of treatment.

Health board	Total number seen	% seen within 18 weeks
NHS Scotland	3,792	78.6
NHS Ayrshire & Arran	381	99.5
NHS Borders	77	55.8
NHS Dumfries & Galloway	81	33.3
NHS Fife	340	83.8
NHS Forth Valley	87	64.4
NHS Grampian	392	94.9
NHS Greater Glasgow & Clyde Valley	1,021	75.5
NHS Highland	170	76.5
NHS Lanarkshire	183	68.3
NHS Lothian	661	67.9
NHS Tayside	352	84.1
NHS Island Boards	47	100.0

In addition to increased investment in mental health services through a Scottish Budget for mental health, the SCSC has called for a renewed focus on expanded prevention and early intervention services, reducing the need for referral to costly specialist CAMHS.

It has also called for greater partnership working between the public, private and third sectors as well as greater awareness of the services on offer, especially those at a community level.

A spokesperson for the SCSC commented: “We are urging the Scottish Government to make the forthcoming budget a Budget for mental health for our children and young people.

“For some time we have raised concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted even further by the Covid-19 pandemic. It is more important than ever that children can access the support they need, when they need it, irrespective of where they live.

“To achieve this there must be a radical transformation of our mental health services, investing in specialist services and with a focus on preventing such problems arising in the first place and intervening early.

“This is a crisis we can overcome, but it will require a similar energy and commitment to that demonstrated for Covid-19 if we are to achieve this and prevent many young people giving up on their futures.”

Scottish Government publishes education recovery strategy

‘Missed opportunity’, says EIS

Plans to help Scotland’s education system continue to recover from the COVID-19 pandemic have been published by the Scottish Government – but Scotland’s biggest teaching union the EIS has dismissed the plans as a ‘missed opportunity’ and say Scotland must show more ambition.

Created with input from across the sector, including young people, the Education Recovery strategy outlines how almost £500 million has been used to support learners and staff across the country.

The publication also sets out how the Scottish Government will continue to provide ongoing support to the sector.

This includes:

further support for learners who are sitting exams in 2022
access to in-school mental health and wellbeing support that young people need, including counselling services
recruiting 3,500 additional teachers and 500 support staff over this parliamentary term
expanding funded early learning and childcare for children aged 1 and 2, starting with low-income households
committing £1 billion to tackle the poverty related attainment gap and support education recovery

Speaking after visiting the site of the new £47.2 million Wallyford Secondary Learning Facility, Ms Somerville said: “Our collaborative and ambitious programme of support to aid recovery right across our education sector has been underway for many months.

“Schools are still dealing with the pandemic and we will continue to support them through these challenging time. However, as a Government we must also be focused on recovery. Supporting children and young people remains our top priority, and almost £500 million of additional funding has already been committed during 2020/21 and 2021/22 as part of education recovery. Of this, £240m is to recruit extra staff to ensure resilience and to provide additional support for learners and teachers.

“Other initiatives will play a crucial role, such as the provision of free school breakfasts and lunches all year round for all children in P1-7, digital devices for every child, abolition of fees for instrumental music tuition, removal of core curriculum charges, and our extended early learning and childcare offer.

“Pupils sitting exams in spring 2022 will be offered a package of support, which will include online revision classes and targeted help for those who need it most. At the heart of all of this is our children and young people, who we will ensure have the opportunities they need to fulfil their potential in school and beyond.”

Read Education Recovery: Key Actions and Next Steps.

Commenting following the publication of the plan, EIS General Secretary Larry Flanagan said: “Clearly, there are significant elements within the plan to be welcomed – not least the commitment to increasing teacher numbers, the creation of more permanent posts to tackle the scandal of 10% of current teaching posts being temporary, and the reduction in class contact time to 21 hours.

“Overall, however, the plan largely restates existing workstreams and fails to promote a single big initiative such as a reduction in class sizes, which would catalyse an education recovery programme and bring immediate benefits to Scotland’s children and young people.

“Smaller class sizes, even on a limited basis as a starting point, such as P2 and P3 or S1 and S2, would mean more teacher time per pupil and assist with targeted interventions where the pandemic has impacted disproportionately on children’s lives. As a country, we need to be bolder in our ambitions for our youth.”

Responding to the Education Recovery Plan, a spokesperson for the Scottish Children’s Services Coalition commented: “While we welcome the commitment to help Scotland’s education system continue to recover from the COVID-19 pandemic through this plan, greater action is needed to improve the mental health and wellbeing of our young people.

“Even prior to the pandemic cases of poor mental health were at unprecedented levels and there are a growing number of vulnerable children who cannot access adequate support. At the end June 2021, 1,686 children and young people had been waiting over a year for treatment from specialist child and adolescent mental health services (CAMHS), double that of the previous year.

“Increased funding to deliver new and enhanced community-based services, including counselling services, as outlined in the plan is welcomed. This however comes on the back of funding restrictions to these services. We must look to greatly increased investment in an expanded range of mental health services as part of a national crusade to address the impacts of the pandemic.

“We have for some time raised concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted even further by the COVID-19 pandemic. It is more important than ever that children can access the support they need, when they need it, irrespective of where they live.

“This is a crisis we can overcome, but it will require a similar energy and commitment to that demonstrated for COVID-19 if we are to achieve this and prevent many young people giving up on their futures.”

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

Near doubling in the number of pupils with additional support needs since 2012
Decline in the number of specialist ASN teachers by 578 since 2012
500 per cent increase in those with mental health problems

An alliance of leading providers of children’s services, the Scottish Children’s Services Coalition (SCSC), has called for greater resourcing to support children and young people with additional support needs (ASN), both during and after the Covid-19 crisis.

The call comes as new figures out today (23^rd March 2021) from the annual Scottish Government pupil census, reveal that while the number of specialist ASN teachers has slumped to a record low, the number of those pupils with ASN has escalated dramatically.

Between 2012 and 2020 the number of full-time equivalent ASN teachers (publicly funded primary, secondary, special and centrally employed) has fallen from 3,389 to 2,811, a decrease of 578 teachers (17%).

This fall is against the background of an overall increase by 92.2 per cent since 2012 in the number of pupils identified with ASN, from 118,034 to 226,838 in 2020,representing just under a third of all pupils (32.3 per cent).

The number of those with autism spectrum disorder has increased by over 150 per cent (from 8,650 to 21,820) between 2012 and 2020, those with social, emotional and behavioural difficulties by over 125 per cent (from 23,485 to 52,921) and those with mental health problems by 500 per cent (from 1,254 to 7,524).

Against a background of a per pupil cut in spending and in specialist support, the SCSC has called for greater resourcing from both the Scottish Government and local authorities to ensure that those with ASN in Scotland’s schools, who disproportionately come from lower income families and areas of deprivation, 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.

A spokesperson for the SCSC commented: “It is vital that those with ASN get the care and support they need, especially during and as we come out of the current Covid-19 crisis.

“This is also key if we are to genuinely close the educational attainment gap as we know that those with ASN disproportionately come from lower income families and areas of deprivation. Such a situation is clearly challenging in an environment of austerity and evidence of cuts in spending per pupil with ASN and in the number of specialist teachers supporting this group.

“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 for all those with ASN given this fall in specialist support and increase in the number of those identified with conditions such as autism and mental health problems.

“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. “

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.”

Latest suicide figures are ‘the tip of the iceberg’, says charity

Data from National Records of Scotland (NRS) released yesterday shows that there were 833 probable suicides registered in Scotland in 2019, an increase from 784 in 2018.

Six hundred and twenty men and 213 women took their own lives in 2019, with people aged 45-54 most at risk. People in our poorest areas were also more likely to take their own lives.

This link between deprivation and suicide is well known. Between 2015 and 2019, people living in the most deprived areas were three times more likely to die by suicide compared to those living in the least deprived areas.

Claire Sweeney, Director of Place and Wellbeing at Public Health Scotland said: “Each of these deaths are a tragedy arising from profound distress, and are all preventable. They will have left immeasurable grief across families and communities.

“The unprecedented challenges we have all faced in 2020 perhaps make it easier to understand that anyone can experience mental illness. That’s one of the reasons why Public Health Scotland is prioritising improving mental wellbeing as part of our strategic plan (A Scotland where everybody thrives).

“We will work with our partners to help grow the understanding of levels of suicide in the communities they work with, and more broadly to support better mental wellbeing across Scotland.”

Following the release of these figures the Scottish Public Health Observatory has published supporting information available.

View the report on the ScotPHO website

If you or someone you know are experiencing thoughts of suicide please call Breathing Space on 0800 83 85 87 or Samaritans on 116123.

Responding to Public Health Scotland figures revealing that 833 people died by probable suicide in 2019, a spokesperson for the Scottish Children’s Services Coalition commented: “The statistics highlighting that there were 833 probable suicides registered in Scotland in 2019 is devastating for so many families and only the tip of the iceberg when it comes to highlighting the mental health crisis we are currently in.

“We have for some time called for radical transformation in our mental health services and expressed our concerns over the lack of investment in these for our children and young people. Currently around 50p in every £100 of NHS spending goes to child and adolescent mental health services (CAMHS), and yet we know that one in ten children has a diagnosable mental health problem and that figure is increasing. These problems of course if not addressed carry on into adult life.

“With increased numbers of those experiencing mental health problems, as well as those whose existent conditions are being worsened due to the coronavirus pandemic, coupled with further cuts in services, this points to a mental health crisis ‘perfect storm’.

“While referrals have dropped during lockdown and children are not accessing support, we are storing up immense problems for the future as mental health services face being overwhelmed due to greatly increased demand.

“In addition to the NHS, local authorities, the third sector and other independent organisations play a key role in providing mental health support. Yet these services have seen their resources cut over the years, putting an even greater burden on specialist and costly mental health services. It is vital that they receive increased funding or we face witnessing a ‘lost generation’ of vulnerable children and young people

“Mental health services must be given funding and resources equal to that of physical health provision and this pandemic has ushered in an urgency to deliver on this which cannot be ignored.”

Child mental health services: Coalition calls for national crusade

The Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, has warned of a mental health “perfect storm” for children and young people. It has also called for a “national crusade” to tackle this.

The warning comes on the back of figures from Public Health Scotland which indicate that the number of referrals to child and adolescent mental health services (CAMHS) has dropped by a staggering 55.8 per cent between quarters January and March 2020 and April and June 2020 (from 9,017 to 3,985). ¹

These range from a 66.7 per cent fall in referrals for NHS Dumfries and Galloway to 7.7 per cent in NHS Orkney (full table in Notes to Editors).

It also highlights that in June 2020, 1,136 children and young people had been waiting more than a year for treatment, up from 581 on the same point last year.²

The SCSC has warned that mental health services will face an overwhelming and unprecedented pressure due to pent-up demand created by the COVID-19 lockdown, coupled with a cut in youth support services. This could potentially lead to a “lost generation” of vulnerable children and young people who are missing out on the support they vitally need.

It has called for a “national crusade”, with the Scottish Government working closely with authorities, including the third and independent sectors, and investing significantly in mental health services. The coalition has also urged that greater awareness is made of the services on offer, especially those at a community level.

The SCSC has warned that self-isolation and social distancing have had an impact on young people struggling with issues such as anxiety and depression. It has noted that even the most resilient children are going to need additional support as they navigate this transition back into whatever is the new normal, and some will need a lot of extra support.

A report commissioned by Young Scot, YouthLink Scotland and the Scottish Youth Parliament, called Lockdown Lowdown, found almost two-fifths of young people felt moderately or extremely concerned about their own mental wellbeing.³

A spokesperson for the SCSC commented: “These latest figures are deeply troubling and point to a ‘perfect storm’ for our young people, with increased demand coupled with cuts in services.

“While referrals have dropped during lockdown and children are not accessing support, we are storing up immense problems for the future as specialist mental health services face being overwhelmed due to greatly increased demand.

“We need a ‘national crusade’ to deliver the mental health provision our young people desperately need. The Government needs to work urgently with the relevant authorities to ensure that not only is there sufficient provision available at the local community level, but that this is clearly communicated and easily accessible for young people and their parents or carers.

“It is not just the NHS, but the third sector and other independent organisations play a key role in addressing mental health services and must receive the funding they vitally need or we face a ‘lost generation’ of vulnerable children and young people.”

Six out of ten young people waiting over 18 weeks to be seen in Lothian

The number of children and young adults waiting over 18 weeks to be seen by a mental health professional has increased to 147 out of 247 patients seen, 59.5%, In June 2020 the latest month of statistics available.

As of June 2020 there are 2,482 young people waiting to be seen in Edinburgh and the Lothians, with a record 472 waiting for over a year, 19% of total waits.

In April to June 2020 there were 825 CAMHS referrals, with 109 rejected, making a total of 706 new referrals. This is compared to 1,659 referrals in January to March 2020, with 382 referrals rejected, making a total of 1277 new referrals.

Lothian MSP, Miles Briggs, said: “These figures reinforce the mental health crisis for young people in NHS Lothian with exceptionally long waits to be seen by a mental health professional.

“Mental Health professionals in NHS Lothian work incredibly hard to support young people who are struggling with their mental health, but services are simply not being properly resourced to meet demand.

“Lockdown, Covid-19 restrictions and failures by SNP Ministers over SQA results will all have added to stresses for young people making mental health support even more important.
“SNP Ministers have presided over our health service for over 13 years and have failed to support a generation of young people.”

¹NHS Information Services Division, Child and Adolescent Mental Health Services Waiting Times in Scotland – Full report (PDF link), 1^st September, Table 5, Available at: https://beta.isdscotland.org/find-publications-and-data/conditions-and-diseases/mental-health/child-and-adolescent-mental-health-services-camhs-waiting-times/ (accessed 1^st September 2020).

²Ibid., waiting times table 1b

³Young Scot, YouthLink Scotland and the Scottish Youth Parliament, Lockdown Lockdown – what young people in Scotland are thinking about COVID-19 (PDF), 23rd April 2020. Available at: https://www.youthlinkscotland.org/media/4486/lockdown-lowdown-final-report.pdf (accessed 11th August 2020).

Mental health ‘perfect storm’ for young people

As schools reopen, the Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, has warned of a mental health “perfect storm” for children and young people.

The warning comes on the back of figures obtained by BBC Scotland via an FOI request which indicate that the number of referrals for child and adolescent mental health services (CAMHS) has dropped by a staggering 57 per cent* between April and June 2019 and April and June 2020.

These range from a 28 per cent fall in requests for NHS Orkney to 80 per cent in NHS Dumfries and Galloway. NHS Lothian reported a drop of 48%.

It has urged the Scottish Government to work with authorities and invest significantly in mental health services as children return to school and to ensure that teachers and other staff are aware of the services on offer for young people needing support.

A spokesperson for the SCSC commented: “These latest figures are deeply troubling and point to a ‘perfect storm’ for our young people, with increased demand coupled with cuts in services.

“The Government needs to work urgently with the relevant authorities to ensure that not only is there sufficient provision available at the local level, but that this is clearly communicated and easily accessible for young people and their parents or carers.

“Mental health services must be given funding and resources equal to that of physical health provision and this pandemic has ushered in an urgency and necessity that cannot be ignored.

“Not just the NHS but also third sector and other independent organisations who play such a key role in addressing mental health services must receive the funding they vitally need or we face having a ‘lost generation’ of vulnerable children and young people.”

Support needed for children as they return to school,says NSPCC

An NSPCC Scotland spokesperson said: “We know that many children in Scotland have suffered difficult and traumatic experiences over the past few months.

“During lockdown, we saw a rise in contacts to Childline about mental and emotional health and our NSPCC helpline made 40% more referrals to Police Scotland and local authorities.

“Now, as children across the country return to school, it is crucial they are given the support they need to help them recover from any mental and physical harm. The Scottish Government, local authorities and health boards need to ensure that they have sufficient resources in place to respond to a likely increased need for therapeutic services.”

Concerns over falling numbers of pupils with Additional Support Needs in positive destinations

Commenting on the Scottish Government’s latest statistics for leaver destinations, a spokesperson for the Scottish Children’s Services Coalition – an alliance of leading independent and third sector service providers – said:

“We are deeply concerned about falling level of those school leavers with additional support needs (ASN) such as autism, dyslexia and mental health problems in positive destinations. This includes further education, higher education, employment and training.

“While 87.9 per cent of those school leavers with ASN were in positive destinations in 2018/19, this is a drop on 2017/18 when the figures was 88.4 per cent. For those with no ASN the figures are 95.1 per cent and 95.3 per cent respectively.

“The attainment gap between those school leavers with ASN and those with no ASN has increased from 6.9 per cent for 2017/18 to 7.2 per cent in 2018/19.

“It is deeply disappointing to see a fall in the number of school leavers with ASN in positive destinations and to note that this gap is growing when compared with those with no ASN. There is also a clear gap between the number of those with ASN who are unemployed (10.2 per cent), compared with those with no ASN (3.9 percent).

“As the impact of COVID-19 becomes more evident we anticipate this gap growing and it is crucial that resourcing is targeted at those individuals with ASN to give them the best possible opportunities, both in the classroom and beyond.

“The statistics come hot on the heels of recent evidence that the attainment gap between those school leavers with ASN and those with no ASN has increased from 7.3 per cent for 2017/18 to 7.6 per cent in 2018/19 for those with at least one pass at National 4, and from 21.8 per cent to 22.4 per cent for those with at least one pass at National 5. It has dropped from 31.9 per cent to 31.2 per cent for those with at least one pass at Higher.

“It is vital that those with ASN get the care and support they need in order to give them the best possible start in life, to close the educational attainment gap and give them the best opportunities possible beyond the classroom.

“This is clearly challenging in an environment of austerity, however, the cost to society in the long term if adequate resourcing is not provided will far outweigh any potential savings made today.”

‘Perfect COVID storm’ for children’s mental health

The NHS in Scotland failed to meet a maximum 18-week waiting time target for children and young people to receive treatment from mental health services
More than a third are waiting more than 18 weeks for treatment.
All health boards bar the Island health boards failed to meet this target
Danger of ‘perfect storm’ of pent-up demand as lockdown eases overwhelming services

The Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, has warned of a “perfect storm” of a mental health crisis coupled with further cuts to some services following the Coronavirus pandemic.

It has urged the Scottish Government to invest significantly in mental health services to address this, warning of an overwhelming demand on services, and urged parents and young people to seek support if they need it.

The call comes as latest waiting time figures from Public Health Scotland, covering the period January to March 2020 (just as the lockdown came into force), show that 4,093 children and young people started treatment at specialist child and adolescent mental health services (CAMHS) in this period.

Of this number under two-thirds (65.1 per cent) received this treatment within the Scottish Government’s 18-week waiting time target from referral to treatment.

This was lower than the previous quarter (66.4 per cent) and significantly lower than the same period last year (73.6 per cent), meaning that just over a third are not being seen within the waiting time target.

All bar the island health boards failed to meet the Scottish Government 18-week waiting time target for children and young people to receive treatment from CAMHS. This target should be delivered for at least 90 per cent of patients.

Individual health boards failing to meet this target are: NHS Borders (89.8 per cent), NHS Fife (76.0 per cent), NHS Ayrshire & Arran (71.4 per cent), NHS Grampian (86.0 per cent), NHS Greater Glasgow & Clyde (58.8 per cent), NHS Highland (84.8 per cent), NHS Lanarkshire (57.7 per cent), NHS Lothian (54.6 per cent), NHS Tayside (65.0 per cent), NHS Dumfries & Galloway (87.2 per cent) and NHS Forth Valley (54.2 per cent).

The coalition has warned of a significant demand on services once the lockdown ends as subsequent to these figures there has been a fall in the number of children being referred for specialist help during lockdown, which could have a devastating impact on their mental health.

It warned that the absence of support from teachers and other care professionals could result in early warning signs being missed and lead to a surge in demand for services once the lockdown ends. Self-isolation and social distancing are already having an impact on young people struggling with issues such as anxiety and depression.

A recent report by Young Scot and the Scottish Youth Parliament, called Lockdown Lowdown, found almost two-fifths of young people felt moderately or extremely concerned about their own mental wellbeing: –

https://youngscot.net/news-database/lockdownlowdown-results

And a separate report from YouthLink Scotland showed the youth-work sector was facing a mental health crisis due to projected budget cut of £20.5 million this year – https://www.youthlinkscotland.org/news/may-2020/survey-report-reveals-20m-funding-hit-for-sector-as-youth-mental-health-crisis-looms/

Although the coalition welcomes the announcement made by the First Minister (27 February) to invest £3.8 million in developing mental health services to cope with the coronavirus pandemic, it fears that not enough will be done to safeguard the mental health of our vulnerable children.

A spokesperson of the SCSC commented: “These latest waiting time figures highlight that nearly all of Scotland’s health boards are failing to meet the Scottish Government waiting time target for treatment.

“Along with cuts in services this points to a ‘perfect storm’ of a mental health crisis as we come out of lockdown, coupled with further cuts in services.

“While referrals have dropped during lockdown and children are not accessing support, we are storing up immense problems for the future as these same under-pressure services face being overwhelmed due to a greatly increased demand.

“Children are not currently getting access to social services and are not going to school or reporting their experiences. Taking them to see the GP may currently be considered low priority.

“It is important to stress that these services are still available and the Scottish Government must look to support these young people as we come out of lockdown by investing significantly in services.”