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Inquiry Into the Impact of the Covid-19 Outbreak, and Its Management, on Health and Social Care in Wales: Report 2 – Impact on Mental Health and Wellbeing

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Inquiry Into the Impact of the Covid-19 Outbreak, and Its Management, on Health and Social Care in Wales: Report 2 – Impact on Mental Health and Wellbeing Welsh Parliament Health, Social Care and Sport Committee Inquiry into the impact of the Covid-19 outbreak, and its management, on health and social care in Wales: Report 2 – Impact on mental health and wellbeing December 2020 www.senedd.wales The Welsh Parliament is the democratically elected body that represents the interests of Wales and its people. Commonly known as the Senedd, it makes laws for Wales, agrees Welsh taxes and holds the Welsh Government to account. An electronic copy of this document can be found on the Welsh Parliament website: www.senedd.wales/SeneddHealth Copies of this document can also be obtained in accessible formats including Braille, large print, audio or hard copy from: Health, Social Care and Sport Committee Welsh Parliament Cardiff Bay CF99 1SN Tel: 0300 200 6565 Email: [email protected] Twitter: @SeneddHealth © Senedd Commission Copyright 2020 The text of this document may be reproduced free of charge in any format or medium providing that it is reproduced accurately and not used in a misleading or derogatory context. The material must be acknowledged as copyright of the Senedd Commission and the title of the document specified. Welsh Parliament Health, Social Care and Sport Committee Inquiry into the impact of the Covid-19 outbreak, and its management, on health and social care in Wales: Report 2 – Impact on mental health and wellbeing December 2020 www.senedd.wales About the Committee The Committee was established on 28 June 2016. Its remit can be found at: www.senedd.wales/SeneddHealth Committee Chair: Dai Lloyd MS Plaid Cymru Current Committee membership: Rhun ap Iorwerth MS Jayne Bryant MS Plaid Cymru Welsh Labour Andrew RT Davies MS Lynne Neagle MS Welsh Conservatives Welsh Labour David Rees MS Welsh Labour Inquiry into the impact of the Covid-19 outbreak, and its management, on health and social care in Wales Report 2 – Impact on mental health and wellbeing Contents Chair’s foreword ............................................................................................... 5 Key Conclusion ................................................................................................. 6 Recommendations .......................................................................................... 6 1. Introduction ............................................................................................. 9 2. Mental health impact .......................................................................... 10 Our view .............................................................................................................................................................................. 12 Key Conclusion .............................................................................................................................................................. 13 Suicide and self-harm ............................................................................................................................................. 14 Our view ............................................................................................................................................................................. 18 3. Access to services ................................................................................ 20 Our view ............................................................................................................................................................................. 25 Bereavement support ........................................................................................................................................... 27 Our view ............................................................................................................................................................................ 28 New ways of working ............................................................................................................................................. 29 Our view ............................................................................................................................................................................ 30 Public mental health ................................................................................................................................................ 31 Our view ............................................................................................................................................................................. 32 4. Impact on certain groups ................................................................. 34 Frontline staff ............................................................................................................................................................... 34 Our view ............................................................................................................................................................................. 35 Older people .................................................................................................................................................................. 36 Our view ............................................................................................................................................................................ 37 Children and young people .............................................................................................................................. 38 Our view ............................................................................................................................................................................ 40 Students ............................................................................................................................................................................ 41 Our view ............................................................................................................................................................................ 43 Inquiry into the impact of the Covid-19 outbreak, and its management, on health and social care in Wales Report 2 – Impact on mental health and wellbeing Chair’s foreword Covid-19 has brought many challenges, not just in terms of its physical effects but also its impact on people’s emotional and mental wellbeing. Being cut off from family, friends and other support networks for long periods of time has had a profound effect. We know that more than half of adults and three quarters of young people feel their mental health has worsened during the lockdown period. As well as the need to support those with ongoing mental health conditions, many of whom may not have been able to access their routine services for some time which will have had significant implications for their ongoing health and wellbeing, we also need to recognise the population-level trauma that has occurred. People who have never experienced mental health problems before may now be experiencing feelings of anxiety, sadness, and loss. However, this is not surprising during a global pandemic and should be seen as a normal, even healthy, response to the unprecedented events we are living through rather than signs of a mental health problem There will also be those who have experienced bereavement during, or as a result, of the pandemic. Losing a loved one is never easy, but to go through it at a time when you can’t be with them at the end of their life and don’t have access to friends and family for support will no doubt affect people’s ability to come to terms with their loss. The need for parity between physical and mental health has been a recurring theme throughout much of this Committee’s work and Covid-19 has brought this into sharp relief. It is simply not acceptable that mental health services are not prioritised in the same way as physical health and this cannot be allowed to continue. Dr. Dai Lloyd MS Chair 5 Inquiry into the impact of the Covid-19 outbreak, and its management, on health and social care in Wales Report 2 – Impact on mental health and wellbeing Key Conclusion Our 2018 report on suicide prevention, Everybody’s Business clearly identified the actions we believe are needed to improve the mental health and wellbeing of the population in Wales. Our report also supported the recommendations made by the Children, Young People and Education Committee in its Mind over Matter report. It is more important now than ever that the necessary improvements are made. Recommendations Recommendation 1. The Welsh Government must make the implementation of the recommendations in the Everybody’s Business and Mind over Matter reports a priority during the remainder of this Senedd. ............................................... Page 14 Recommendation 2. The Welsh Government must provide a written update before the end of this Senedd, detailing the progress made in delivering the recommendations of our Everybody’s Business report, and setting out clear timescales for the delivery of any outstanding actions. ................................................ Page 14 Recommendation 3. The Welsh Government must ensure that both the short and longer term mental health impact of the pandemic is a central consideration in its response to the pandemic and recovery planning, and that its decision-making processes in this area engage all necessary mental health expertise and evidence. We request details of the structures that are in place to support this. .....................................................................................................................................................
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