5. Debate on the Children, Young People and Education Committee Report: 'Mind over matter: two years on'

Part of the debate – in the Senedd at 5:00 pm on 16 December 2020.

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Photo of Baroness Mair Eluned Morgan Baroness Mair Eluned Morgan Labour 5:00, 16 December 2020

On tier 4, we've introduced a bed management panel, which meets on a weekly basis, managing the flow of patients between community and in-patient care. A review of age-appropriate beds is also under way to help us understand usage and how we can improve discharge pathways. The NHS quality assurance and improvement team provides intensive support to our two CAMHS units to improve patient flow and to make recommendations for improvements. And on safe accommodation in relation to complex care, we continue to support and encourage regions to use the integrated care funding and transformation funding available via regional partnership boards.

I've asked specifically both the Welsh Local Government Association and the health boards to look at this again to come up with new proposals. Regional partnership boards bring together all of the right partners and can provide the right vehicle for jointly commissioned health and social care residential accommodation in particular for complex care. Whilst work in some regions is already advancing, with proposals for therapeutic residential care models emerging in Powys and in Cardiff and the Vale, we continue to seek proposals from across Wales to develop this provision at pace.

The Together for Children and Young People programme remains a key driver for improvements to mental health services for children and young people, and I'm really excited by the potential of the early help and enhanced support framework, which we will ensure will work together to promote integration across the system. We want to embed this framework in the coming months so that it will be in place just as we stop as a Senedd term. So, that will be ready in April, and we hope that it will be embedded by the summer. 

Addressing that issue of the missing middle, which Rhun and Dawn talked about, is absolutely essential, and I think it's important that we don't overmedicalise mental health at all times. Previously, the Together for Children and Young People programme, in partnership with Barnardo's, developed transition guidance and a young person's passport document, and this is to make sure that there's no gap in support between people being children and adults. We remain fully committed to improving transitions for young people. They must have the choice to move services not based on a fixed point due to their birth date, but based on a time that's appropriate to their needs. And Suzy, I'm sure, would be pleased to hear that on the review of the guidance along with the NHS guidance, the broader transition, not just about mental health, we're expecting that early in the new year. 

Prevention and early intervention is critical, and that's why we've significantly strengthened the tier 0 and 1 support services, including the youth mental health toolkit and SilverCloud. Laura Anne Jones asked about what we're doing in relation to online support, and SilverCloud is our answer to that provision for over-16-year-olds. And of course, there's the CALL helpline. We've also invested £1.25 million to extend school counselling, ensuring contacts in every local authority were available online for people who weren't attending school in person. And just to touch on a point that Dawn Bowden made about psychological therapies, the guidance for delivering evidence-based psychological therapy for young people, Matrics Plant, will be issued, I'm sure she'll be pleased to hear, before Christmas. 

We have a range of regional approaches to reduce suicide and self-harm, including bereavement support, training and awareness raising. We've published guidance to help respond to these issues, and alongside broader mental health funding, we've committed an additional £0.5 million per year to suicide and self-harm prevention. As the committee's always maintained, education plays a crucial role in meeting the well-being needs of children and young people, and this report recognises the tangible progress that has been made, but there's still more to do. Work is being built around the new curriculum and the health and well-being area of learning and experience, which places—as you've heard—well-being at the heart of the learner's journey, and it was good to see that go through yesterday.

Early next year, we'll be publishing our whole-school framework guidance to help schools, local authorities and other partners develop their own consistent whole-school approaches to well-being. The Minister for Education and I have agreed funding in principle until March 2022 to establish whole-school implementation leads to help the sector implement the guidance to share best practice and learning. We've provided £5 million this year to support this work, enabling us to improve and expand the school counselling scheme, funding local authorities to recruit and train counsellors in age-appropriate interventions. We're also working with Welsh universities to develop professional learning modules for school staff on well-being issues, and to train teachers and wider staff on children's mental well-being. I'd also like to pay tribute to the work done by David Melding on the outcomes for children in the ministerial advisory group. Thank you for everything you've done in that space.

Finally, we've recently revised our 'Together for Mental Health' delivery plan to support the changing mental health demand as a result of COVID-19. The revised plan reaffirms our commitment to prioritise the mental health and well-being of children and young people. I'm committed to driving this work forward and yesterday I announced that I'm establishing a 'Together for Mental Health' ministerial delivery and oversight board to make sure that this happens. The board will meet early in the new year and will provide greater clarity and assurance for our mental health work programmes and the mental health response to COVID-19.

Once again, can I thank Members for their hard work and their continued focus? I just want to reaffirm the Welsh Government's commitment to all our children and young people, and the best provision and protection for their mental health and well-being now and in the future. I'm glad you've recognised that we've done some work, but we also acknowledge that there is still work to be done. Diolch yn fawr.