Contribution
It is a pleasure to serve under your chairship, Sir Roger. I am grateful to my hon. Friend the Member for Shipley (Anna Dixon) for securing this important debate. This is an issue I care deeply about, and I thank her for sharing such a personal story about her niece and the lost years that she faced.
I also thank hon. Members for their contributions, including the hon. Member for Yeovil (Adam Dance), who shared how his youth club saved him at a time of very clear mental health distress, my hon. Friend the Member for Amber Valley (Linsey Farnsworth), who talked about celebrating youth hubs in her area, my hon. Friend the Member for Swindon North (Will Stone), who talked about the powerful example of sports provision to support mental health, my hon. Friend the Member for Glasgow South (Gordon McKee), who talked about the issues with CAMHS in Scotland, my hon. Friend the Member for Plymouth Moor View (Fred Thomas), who talked about his concerns about the impact of social media, and my hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher), who talked about PANS/PANDAS.
My hon. Friend the Member for Shipley mentioned Joseph and the delays in the SEND assessment. I am keen to work with the Minister for School Standards on the Health response to SEND reforms. The ICB is responsible for ADHD assessment and treatment services, and I hope that the NHS’s medium-term planning framework is clear that a system should use existing and new guidance to reduce long waits and improve the quality of assessments.
The message I want to give today is clear: the country is right to expect a children and young people’s mental health system that is simple, faster and stronger at every stage, from early support in the community through to specialist CAMHS support where needs are most severe. We have to be honest about the pressure on that system, which includes long waits and uneven access, but equally clear in our determination, as my hon. Friend the Member for Shipley said, to improve it and build a system that delivers for every child and young person. For parents, as my hon. Friend shared, that means knowing where to turn when they are worried about their child. For young people, it means getting help through schools, their GP, community services—many Members mentioned them and the power they have to engage young people today—mental health support hubs or specialist NHS care, depending on the level of need. For families, it means a clear local offer, more joined-up care and fewer children becoming more unwell before help arrives.
To improve services, we have to be honest about how families experience them, and my hon. Friend shared some really powerful examples. Needs may first be identified at school, then raised with a GP and addressed through a community service, or they may come to attention only when there is a crisis, as my hon. Friend says. Support should become more intensive as need grows, but families too often do not experience a clear pathway and instead describe a search for help that is confusing, fragmented and exhausting.
The pressure points are well understood: confusing local offers, different referral thresholds and delays that allow problems to escalate until a child presents in crisis. More children and young people are starting treatment, but too many are still waiting. At the end of March 2026, nearly 40,000 children and young people had already been waiting more than 1,000 days for a first contact.
The pressures are visible nationally and matter locally too, including in Shipley. In Bradford district and Craven, young people can access support through schools and colleges, primary care, specialist CAMHS across Bradford and Keighley, and innovative community provision such as the Shipley Wellbeing Hub on Westgate, which offers walk-in support and links to wider services. Those are strong foundations, but we also know that in West Yorkshire ICB, where Shipley sits, almost 23,000 children and young people are still waiting for support, with median waiting times longer on average for England.
Let me be clear about CAMHS, because a number of Members have raised it. CAMHS is central to our current system of support and treatment. It is not one service, but a specialist pathway that covers community teams, crisis support and in-patient care. It is where children and young people are assessed and treated when needs are more serious and complex. However, CAMHS is under sustained pressure: referral volumes have risen, waiting times vary too much between areas and too many children are waiting too long for an assessment or treatment. Delay is not neutral; anxiety can become absence from school and, as my hon. Friend the Member for Shipley described, low mood can deepen into self-harm and eating difficulties can become much more entrenched.
At the earliest stage, support should be available where young people already are, through mental health support teams in schools and colleges, open-access hubs, GPs and primary care, and community and voluntary services. For emerging needs, that should mean advice, brief intervention and practical help before problems escalate. For more severe or complex needs, it should mean timely referral into specialist CAMHS. For those in acute distress, it should mean a responsive crisis pathway. What good looks like is clear: visible local entry points, no wrong front door, support while families are waiting, stronger links between schools, GPs and community services, and better outcomes for children.