Tag: SCSC

Call for greater resourcing as spending to support vulnerable children is slashed

  • Spending cut of £874 per pupil identified with ASN since 2012/13
  • ‘Postcode lottery’ of spending between local authorities on ASN
  • Near doubling in the number of pupils with ASN since 2012
  • Cut in the number of ASN teachers

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), such as autism, dyslexia and mental health problems.

The call, which comes in advance of tomorrow’s local council elections (Thursday (5th May), comes as new figures contained in a parliamentary answer to the Cabinet Secretary for Education and Skills, Shirley-Anne Somerville MSP, reveal that spend per pupil with ASN has slumped dramatically.

This comes against a backdrop of the number of pupils with ASN increasing and the number of specialist teachers supporting them dropping to a new low.

SCSC is calling on incoming town hall administrations to put the needs of vulnerable children and young people at the very heart of policy and funding commitments.

The figures highlight that average spend per pupil on additional support for learning by councils in Scotland (primary, secondary and special education) has fallen from £4,276 in 2012/13 to £3,402 in 2020/21 (in cash terms). This amounts to an overall cut in spending of £874 per pupil, representing a 20.4% drop.

Spend per pupil ranges from £2,210 in the Scottish Borders to £5,901 in the Shetland Islands, pointing to a ‘postcode lottery’ in spend across local councils (see Notes to Editors for figures per local authority). 

This fall is against the backdrop of a 92.2 per cent increase since 2012 in the number of pupils identified with ASN, from 118,011 to 226,838 in 2020, amounting to 108,827 individuals. Those with ASNcurrently represent just under a third of all pupils (32.3 per cent).

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 all-time low of 2,860, a decrease of 529 teachers, representing a cut in numbers of 15.6 per cent.

Against the background of Covid-19 and its disproportionate impact on those with ASN, the SCSC has called for greater resourcing from both the Scottish Government and councils to ensure that those with ASN in Scotland’s schools receive the care and support they need.

A spokesperson for the SCSC commented: “It is vital that those with ASN get the care and support they need, when they need it, especially 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 are disproportionately drawn from poorer neighbourhoods.

“Given this, it is disappointing to note cuts in spending to those with ASN and we would urge Scotland’s newly elected councils to put the needs of vulnerable children and young people at the very heart of policy and funding commitments.

“Councils and the Scottish Government must 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.”

Table 4 – Additional support for learning spending per pupil (£, cash terms)

 2020/21
Aberdeen City3,196
Aberdeenshire2,392
Angus3,024
Argyll & Bute3,833
City of Edinburgh3,093
Clackmannanshire4,344
Dumfries & Galloway3,226
Dundee City2,274
East Ayrshire4,432
East Dunbartonshire4,500
East Lothian3,865
East Renfrewshire2,785
Falkirk3,798
Fife2,794
Glasgow City4,133
Highland3,062
Inverclyde3,722
Midlothian4,100
Moray3,110
Na h-Eileanan Siar5,757
North Ayrshire2,379
North Lanarkshire5,490
Orkney Islands4,540
Perth & Kinross3,023
Renfrewshire3,477
Scottish Borders2,210
Shetland Islands5,901
South Ayrshire4,868
South Lanarkshire3,505
Stirling3,374
West Dunbartonshire3,589
West Lothian2,700
All Local Authorities3,402

Sources:

1. Local Financial Returns – Education (LFR 01) statistical return provided by local authorities to the Scottish Government.

2. Pupil Census – 2020 school statistics collected by Scottish Government

Children’s coalition warns new councils of a ‘lost generation’

An alliance of leading children’s service providers has warned that Scotland faces a potential “lost generation” of children and young people with additional support needs (ASN), heightened by the Covid-19 pandemic and cost of living crisis.

In its Manifesto for the council elections, the Scottish Children’s Services Coalition (SCSC), which campaigns to improve services for vulnerable children and young people, has called on incoming town hall administrations to put their needs at the very heart of future policy commitments.

Proposals include a plea for the increased funding of services for children and young people with ASN and care experience, better training of those working in this field, substantially increased investment in mental health services, for an elected councillor to be appointed as ‘mental health champion’ and for greater investment in programmes that support those with ASN and care experience into training and employment.

ASN provision in Scotland is under severe pressure due to increasing demand, against a backdrop of staff shortages and inadequate services. These have been exacerbated by the impacts of the Covid-19 pandemic, which saw many of those with ASN miss out on the care and support they needed, as well as increasing mental health problems and the ‘cost of living crisis’.

The SCSC has called on incoming council administrations to renew their focus on services for children and young people with ASN, such as those with dyslexia, autism, mental health problems and are care experienced, and work with the Scottish Government to increase resourcing of these.

It notes that 232,753 children and young people in Scotland’s publicly funded primary, secondary and special schools are classed as having ASN, amounting to just under a third (33.0 per cent) of pupils. This represents an almost doubling (97.2 per cent) increase in the number of those identified with ASN since 2012.[1]

However, the provision of services has not kept pace with this demand. Since 2012, for example, the number of specialist ASN teachers in council primary, secondary and special schools has fallen by 503, from 3,389 to 2,886 (full-time equivalents), equating to a cut of 14.8%. [2]

The SCSC has called for increased resourcing and staffing to deliver a greater provision of those such ASN teachers and pupil support assistants, as well as educational psychologists, mental health professionals and other support services, supporting the closure of the educational attainment gap.

Key recommendations include:

  • Increased resourcing and staffing: There must be greatly increased resourced and staffing to support those with ASN and care experience. Councils must work with the Scottish Government to ensure the delivery of these.
  • Better training: There must be better training of teachers, social workers, health professionals and other practitioners, including continuing professional development, so that they can adequately identify and support children and young people with ASN.

·         Supporting mental health and wellbeing: Services must have the resources to identify children and young people with mental health problems, helping them get early support. There must be substantially increased investment in community level support, ensuring waiting times for child and adolescent mental health services (CAMHS) are drastically reduced.

·         School-based counsellors: All schools must also have access to a qualified and appropriately experienced counsellor, providing support to troubled and/or distressed children and young people, including those with mental health difficulties.

·         Introducing a local health champion: Councils should elect one member as champion for mental health. Once a councillor becomes a champion, their role will then include raising awareness of mental health problems in the development of council policies and strategies and in public forums, leading discussions on mental health with NHS organisations in their local area, and speaking with schools, businesses and community groups about mental health.

  • Right to independent advocacy: Care experienced children and young people must have access to independent professional advocacy, ensuring that they make informed decisions on matters which affect their lives, and this must be made statutory.

·         Implement The Promise: Ensure that councils work the Scottish Government to deliver on The Promise, which came out of Care Review, ensuring that children and young people who are or become care experienced are loved and supported to fulfil their potential.

·         Training and employment opportunities: there must be greater investment in training and employment programmes by councils to benefit those with ASN and care experience.

  • Increased specialist provision for children and young people: The educational needs of some children and young people with complex or specific needs, are often better met in specialist settings. The number of special school/unit places available, on a wider geographic basis, and these places may be provided by the local authority or independent sector.
  • Greater partnership working: There must be greater partnership working and integration between the public sector and private and third sector service providers, so that the needs of the child or young person can be properly supported in the most appropriate setting.

A spokesperson for the SCSC commented: “The Covid-19 pandemic and ‘cost of living crisis’ are having a devastating impact on the lives of many of our children and young people, exacerbating already existing staff shortages and inadequate services.

“That is why it is essential that incoming council administrations put services that benefit the lives of our children and young people at the very heart of policy commitments.

“We are conscious that councils are facing an incredibly challenging financial environment, but they play a critical role in supporting those children and young people with ASN, or we are in danger of facing a ‘lost generation’ of vulnerable children and young people.

“If Scotland is to be one of the best places in the world for vulnerable children and young people to grow up in, we would urge our councils to work with closely the Scottish Government and other agencies, across the public, private and third sectors, to ensure that we can turn this vision into a reality.”

Worst on record: More than 2,000 children have been waiting over a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of children’s services, has called on Scotland’s political parties to make this new session of the Scottish Parliament a “Parliament for Mental Health”.

The call comes as new figures from Public Health Scotland indicate that at the end of March 2021, 2,012 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.

These figures are the worst on record and represent a near tripling from March 2020 (696).They also represent more than 18 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 there are a growing number of vulnerable children who cannot access adequate support.

While 4,089 children and young people were treated over the period January to March 2021 by CAMHS, only 72.5 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). Only two out of 14 health boards met this target.

In addition to increased investment in mental health services, the SCSC has called for a renewed focus on prevention and early intervention, 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: “These frightening statistics highlight the challenges ahead and a commitment by MSPs to focus on mental health, increasing investment in support services and intervention strategies, must be a priority for this parliament.

“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.

“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.”

Mental health emergency warning

More than 1,000 children have been waiting more than a year for treatment

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 emergency” as new figures indicate that more than 1,000 children and young people have been waiting more than a year for mental health treatment.

The figures from Public Health Scotland also indicate that only one Scottish health board is meeting the Scottish Government’s waiting time target of 18 weeks from referral to treatment over the quarter to September 2020 and two out of five are not being seen within this 18 week target.1

The SCSC has called on the Scottish Government to redouble its efforts and for a “national crusade” to tackle this emergency as the number of referrals return to pre-lockdown levels.

It has also backed calls by the Royal College of Psychiatrists in Scotland that £145 million from additional £1.1 billion COVID-19 funding granted in the autumn be applied to mental health services.

While 4,032 children and young people were treated over the period July to September 2020 by child and adolescent mental health services (CAMHS), only 60.6 per cent were seen within the 18-week waiting target and only one health board, NHS Ayrshire and Arran met this target. 

The report also highlights that in September 2020, 1,060 children and young people had been waiting more than a year for treatment, up from 632 on the same point last year.3 In addition, 365 had been waiting over a year prior to treatment compared with 220 in the same quarter the previous year.

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 reiterated its call 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 spokesperson for the SCSC commented: “These latest figures are deeply troubling and point to a highly challenging environment for both our young people and our mental health services.

“While referrals are beginning to return to pre-lockdown levels, it is vital that children and families are provided with the support they so desperately need, especially given the impact of the pandemic on mental health. The fact that more than 1,000 of our most vulnerable children have been waiting more than a year for treatment in this respect is deeply troubling.

“We would urge the Scottish Government to look to not just the NHS, but the third sector and other independent organisations to play a key role in this. Our mental health services must receive the funding they vitally need or we face a ‘lost generation’ of vulnerable children and young people.” 

Waiting times (with adjustments) for people who started their treatment from July to September 2020, by NHS Board of treatment:

Health boardTotal number seen% seen within 18 weeks
NHS Island boards6283.9%
NHS Dumfries & Galloway9588.4%
NHS Ayrshire & Arran23391.9%
NHS Lanarkshire24862.1%
NHS Lothian51859.5%
NHS Grampian34385.7%
NHS Fife27463.9%
NHS Forth Valley18240.1%
NHS Borders3271.9%
NHS Greater Glasgow & Clyde Valley1,45147.6%
NHS Highland19874.2%
NHS Tayside39657.8%
NHS Scotland4,03260.6%

The number of young people waiting for Children and Adolescent Mental Health Services (CAMHS) in Lothian has dramatically increased since March this year.

The number of young people waiting 0-18 weeks for mental health support has dropped from 1,223 in March to 963 in September this year.  The number of young people waiting over a year to be seen for mental health support has risen from 381 in March earlier this year, to 581 in September, an increase from 14.8% to 21% of young people having to wait over a year.

Waits for young peoples mental health support have been growing over the last two years, but have significantly increased over the last 6 months since Covid-19.  

At the start of this year NHS Lothian invested £3 million to hire 40 extra staff including, clinical psychologists, registered nurses and occupational therapists

In September this year Edinburgh Council and Midlothian Council, in partnership with MYPAS,  announced pilot schemes for counsellors to be place in schools for this academic year.

Lothian MSP, Miles Briggs, said: “In Edinburgh and the Lothians we were already facing a mental health crisis for young people, which has only got worse since Covid-19.

“Young people having to wait over a year to be seen for mental health support is very distressing for the person who is note getting the support they need and their family.

“CAMHS staff work tirelessly to provide invaluable mental health support, but they must be further supported by SNP Ministers and NHS Lothian to meet the high demand for their services.

“Remote mental health support is not the right solution for everybody, but where appropriate this must be fully utilised to reach and support as many young people as possible.

“SNP Ministers have been in charge of our health service for over 13 years, during which time mental health service waiting times for young people have got significantly longer.”

1 Public Health Scotland, Child and Adolescent Mental Health Services: Waiting Times in Scotland, Quarter Ending 30th September 2020 – Full Report (PDF link), 1st December 2020, p.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 1st December 2020).