HC Deb 25 February 2002 vol 380 cc959-61W
Mr. Heald

To ask the Secretary of State for Health what assessment he has made of children's mental health services in England. [36886]

Jacqui Smith

The main objective of our strategy for child and adolescent mental health services (CAMHS), which is supported by £85 million of targeted funding 1999 to 2002, is to reduce waiting lists and geographical inequalities of access and to bring fragmented and variable local services up to an appropriate level. Considerable progress has been made including robust strategies for the development of local CAMHS, based on needs assessment, agreed between all health and local authorities; and significant increases in service provision (some 375 extra wte posts in 2000 and 46 new in-patient beds by 31 March 2002). Other developments are much improved co-operation and joint working between the main providing agencies and better links between CAMHS and related initiatives such as Sure Start, Quality Protects, Children's Services planning and Youth Offending Teams. However local services generally are not yet up to the required standard to meet current pressures. The inclusion of a CAMHS module in the forthcoming Children's National Service Framework will provide an opportunity to establish new standards and service models. It will also give guidance on good practice, drawing in part on a range of innovative projects in community settings which we are currently funding.

Mr. Heald

To ask the Secretary of State for Health when he last met ministers in the Cabinet Office to discuss the work of the Social Exclusion Unit and the relationship between poor mental health and social exclusion; and if he will make a statement. [36880]

Jacqui Smith

The relationship between poor mental health and social exclusion has been considered within a number of contexts, most recently in relation to the Social Exclusion Unit's project on reducing re-offending among ex-prisoners. My hon. Friend the Parliamentary Under-Secretary for Health last met ministerial colleagues, including a Cabinet Office Minister, with regard to this work on 16 January 2002.

Ministerial consideration of the overarching social exclusion agenda is facilitated through the Domestic Affairs (Social Exclusion and Regeneration) cabinet sub-committee at which I represent my right hon. Friend the Secretary of State, and which is chaired by my hon. Friend the Deputy Prime Minister. DA (SER) last met on 18 December 2001.

We have a full programme for tackling the social exclusion of those with mental health problems. The National Service Framework for Mental Health (NSF) is a 10-year programme spelling out national standards for mental health, what they aim to achieve, how they should be developed and delivered and how to measure performance.

Mr. Heald

To ask the Secretary of State for Health what the achievements of the Children's Czar have been in the field of children's mental health. [36887]

Jacqui Smith

Since his appointment on 18 July 2001, the National Clinical Director for Children, Professor Al Aynsley-Green, has been leading the work of the children's Taskforce and development of the Children's National Service Framework (NSF). The NSF will include standards relating to the mental health and psychological well-being of children and young people, and Professor Aynsley-Green has established an external working group to provide advice on this area.

Engagement with, and listening to, stakeholders is a key part of the National Director's role. In the area of child and adolescent mental health, the National Director has held a number of wide-ranging discussions on the current issues, including discussions with the President of the Royal College of Psychiatrists and Faculty of Child and Adolescent Psychiatry, informal meetings with voluntary organisations, including Young Minds, visiting several young people's psychiatric units around the country and addressing several major conferences including FOCUS—a national meeting of child psychiatrists.

Mr. Heald

To ask the Secretary of State for Health what role the National Institute for Mental Health for England will have in the field of children's mental health. [36885]

Jacqui Smith

The National Institute for Mental Health in England will cover the full range of mental health services from childhood to old age. It will be concerned with mental health care in primary, specialist and tertiary care organisations, in both health and social care. It will address the issues surrounding children and other groups with special needs.

It will also ensure that the implementation of the mental health component of the Children's National Service Framework is integrated with the mental health agenda.

Mr. Heald

To ask the Secretary of State for Health what the timetable is for the National Institute for Mental Health to(a) be developed and (b) start work. [36884]

Jacqui Smith

The National Institute for Mental Health in England was launched in July 2001 and the first wave of work was announced on 10 October, World Mental Health Day. A small project team has been working to develop the role and function of the institute and a full consultation has recently concluded. The team are now looking to put formal structures in place and key appointments will be made over the coming months.