My Lords, I will speak briefly on the issue raised by these amendments. I support the thrust of them, although I do not support all the details, particularly the one about Ofsted. I think that would not be an Ofsted role, but I agree that we need to have focus on it and that some organisation needs to give it.
My worry is that we are in the foothills of learning about what we should do with mental health in school. When I taught, which was many years ago now, it was never even discussed. It was not on our agenda, yet the children I taught in the inner city were just as likely to suffer from mental health problems as the generation that we have now. We are very much learning how to deal with this, which is worth bearing in mind.
I do not know what the answers are, but I think there is a problem and it is growing. In a way, it is becoming more evident to us because we did not analyse it in that way. Historically, we have always assumed that children did not suffer from mental health problems. It could be unhappiness at home, bad behaviour or whatever, but in schools we did not focus on mental health being a problem, except in the most extreme cases. Things are being done, but we really are in the foothills and we had such a long way to go before now.
There is the whole issue about CAMHS and its underfunding. It is a disgrace—we all know that. So much more needs to be done. I was interested in hearing from the Minister was about prevention work and the things that we can reasonably expect schools to do to head off people needing more acute services. The work I do in the Birmingham Education Partnership has had some success in this. We received a grant from the clinical commissioning group—so it was actually health money—about three or four years ago. We have rolled out a programme across the city now. I think it has been taken up by the DfE and is either closely aligned to, or has become part of, the DfE initiative, where it is getting mental health leads in schools.
All that is good, and I have seen the good work happening, but it is not universally successful. In Birmingham, where we have over 400 schools, we have put in extra money, resource and effort; we value this highly and prioritise it. After three or four years, however, we have still not rolled it out to every school, and we have only one person on this. This is a major problem. That is where my concerns are.
I will end up not disagreeing at all with what the Minister says about the initiative that has been launched for mental health leads, but it is not at the pace or speed that we need. We are starting from way behind if you look at any other area of school activity, be it phonics, numeracy, PE, sports or art. We have only just started on the journey of understanding what to do to support our young people with mental health difficulties. I should like to hear from the Minister what else is going to happen, and how they will build on the small seeds which have been slowly put into the ground and will take decades to help solve the problem.
If we are to get this right, we must have a picture that schools will not be staffed as they are at the moment. I worry that it is the teacher who has become the mental health lead. To be honest, if it is the physics
teacher doing that, we need them in the physics lab teaching physics lessons. We cannot constantly take teachers away from the subjects we need them to teach to give them extra responsibilities to address important issues.
I know I am harking back a bit but, in the days of Every Child Matters and Sure Start, the aim that we made a start on when I was in the department was for a school to be staffed with people other than teachers. I remember visiting a school in the north-east, in Gateshead, where the secondary head proudly told me that just under 50% of his staff were teaching. The other 51% were not teaching: they were counsellors, mentors, assistants, lab assistants, careers advisers—all those other things. Unless you have that multitude of roles within the school, you cannot expect schools to be a key player in this; they just cannot do it. They can enable politicians to tick the box, make a speech and say, “I have done this”, but they will not be delivering effectively.
My vision would be to go back to the model of schools as bases where we can begin to support children’s mental health needs. The only way to do that adequately is to staff them with people who have the skills to do it. Of course, teachers have a role in that and we need mental health leads. I do not have a problem with that, but we cannot have nothing between the mental health lead and CAMHS. That is what we have at the moment: there is nothing in between, as far as a school is concerned. That is my worry.
It is a shame that Amendment 171Y was not spoken to as it is about testing eyesight. It is a great little amendment and it would be effective. I happened to work with some researchers once who did research in American kindergartens, the lowest schools in the system; they were experts in literacy and numeracy. They did eye tests on all five and six year-olds, and the number of children proven to need glasses at that point was unbelievable. They gave the kids a pair of glasses and kept a pair of glasses at the school—it was in a deprived area—and the attainment rate at the school rose significantly. No one had spotted that poor eyesight meant that the child did not know that they were missing out to some extent, especially children sitting at the back of classes. It is an important amendment, which would not need as much resource as mental health, but it would add to well-being and health. That would acknowledge the point that if we want to remove barriers to children’s learning, making sure they are mentally and physically well is a prerequisite for everything else.