Vol. 796 Monday No. 278 25 March 2019 PARLIAMENTARYDEBATES (HANSARD) HOUSE OF LORDS OFFICIAL REPORT ORDEROFBUSINESS Questions Child and Adolescent Mental Health Services .............................................................1609 Devolved Administrations ............................................................................................1611 Independent Child Sexual Abuse Inquiry.....................................................................1614 Health: HIV..................................................................................................................1616 European Council Statement......................................................................................................................1620 Brexit Motion to Take Note.....................................................................................................1628 Brexit: Article 50 Motion ..........................................................................................................................1704 Grand Committee Heavy Duty Vehicles (Emissions and Fuel Consumption) (Amendment) (EU Exit) Regulations 2019 .........................................................................................................GC 311 Food and Farming (Amendment) (EU Exit) Regulations 2019 ..................................GC 316 Plant Health (Amendment) (England) (EU Exit) Regulations 2019 ...........................GC 324 Plant Health (EU Exit) Regulations 2019 ...................................................................GC 338 Criminal Justice (Amendment etc.) (EU Exit) Regulations 2019 ................................GC 339 Law Applicable to Contractual Obligations and Non-Contractual Obligations (Amendment etc.) (EU Exit) Regulations 2019...........................................................GC 348 Architects Act 1997 (Amendment) (EU Exit) Regulations 2019 .................................GC 353 Flags (Northern Ireland) (Amendment) (EU Exit) Regulations 2019 Considered in Grand Committee ..............................................................................GC 362 Lords wishing to be supplied with these Daily Reports should give notice to this effect to the Printed Paper Office. 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This issue of the Official Report is also available on the Internet at https://hansard.parliament.uk/lords/2019-03-25 The first time a Member speaks to a new piece of parliamentary business, the following abbreviations are used to show their party affiliation: Abbreviation Party/Group CB Cross Bench Con Conservative DUP Democratic Unionist Party GP Green Party Ind Lab Independent Labour Ind LD Independent Liberal Democrat Ind SD Independent Social Democrat Ind UU Independent Ulster Unionist Lab Labour Lab Co-op Labour and Co-operative Party LD Liberal Democrat LD Ind Liberal Democrat Independent Non-afl Non-affiliated PC Plaid Cymru UKIP UK Independence Party UUP Ulster Unionist Party No party affiliation is given for Members serving the House in a formal capacity, the Lords spiritual, Members on leave of absence or Members who are otherwise disqualified from sitting in the House. © Parliamentary Copyright House of Lords 2019, this publication may be reproduced under the terms of the Open Parliament licence, which is published at www.parliament.uk/site-information/copyright/. 1609 Child and Adolescent Mental Health[25 MARCH 2019] Child and Adolescent Mental Health 1610 House of Lords Lord Hunt of Kings Heath (Lab): My Lords, on pace, will the Minister acknowledge that this Government Monday 25 March 2019 and their predecessor, the coalition Government, have made any number of promises about investment in 2.30 pm and prioritisation of mental health services, particularly for children and young adults, but that when it comes Prayers—read by the Lord Bishop of Newcastle. to the decisions made by clinical commissioning groups, the reality is that they have not brought them to fruition? What guarantees do we have that this time clinical Child and Adolescent Mental Health commissioning groups will do what they have been asked? Services Baroness Blackwood of North Oxford: The noble Lord, Question Lord Hunt, is very experienced in this area and has been involved with local clinical commissioning groups. 2.36 pm The NHS has already opened 117 additional new Asked by The Lord Bishop of Newcastle mental health beds, and we have introduced new waiting standards for psychosis and eating disorders among To ask Her Majesty’s Government what action children. Progress is already being made, but we should they are taking to improve children’s and young not dismiss the frustrations of those trying to access people’s access to mental health care. services. That is why we have put in place ambitious new targets with the long-term plan: we want to see TheParliamentaryUnder-Secretaryof State,Department 100% of children able to access the care they need. of Health and Social Care (Baroness Blackwood of North Oxford) (Con): My Lords, the NHS is on track Baroness Hollins (CB): My Lords, about two-thirds to meet the Five Year Forward View for Mental Health of children with autism and two-fifths of children with commitment that 70,000 more children and young people special educational needs experience mental health will access treatment each year by 2020-21. Under the problems. But the provision of specialist clinical NHS Long Term Plan, a further 345,000 children and community child learning disabilities services is sparse. young people will receive support by 2023-24. Our What are Her Majesty’s Government doing to ensure recent Green Paper sets out our plans to pilot a four-week that the needs of those vulnerable young people are waiting time for specialist NHS mental health services planned for in the new funding allocation? for children and young people. Baroness Blackwood of North Oxford: The noble Baroness is right: those with particular needs, where The Lord Bishop of Newcastle: My Lords, I thank autism or learning disabilities cross over into mental the Minister for her remarks and welcome the commitment illness, must be taken into account. Some distressing to prioritising investment in mental health care for figures show that those with learning disabilities do children and young people. However, data published not get the physical health assessments that they need by the NHS in November showed that only one in four either. This must be taken into account and is in part young people with a mental health disorder accessed why the children and young people’s Green Paper puts specialist mental health services in the previous year. I in place designated senior leads for mental health in welcome plans from the Government to increase this schools and mental health support teams in and around figure to 100% within the decade, but given that three- schools, so that those needs can be identified as early quarters of children with a diagnosable mental health as possible, and we can prioritise prevention and early condition do not currently get access to the support identification of mental health needs when they arise. they need, how will the Government act to help this generation of children who will have moved on to Baroness Redfern (Con): My Lords, the first mental adult services before this rollout is complete? health support teams will be set up in 25 trailblazer areas, of which 12 will also trial a four-week waiting Baroness Blackwood of North Oxford: I thank the time. Will those teams be in partnership with local right reverend Prelate for her very important question. authorities and the relevant CCGs, and who will monitor We are coming from a low base in children’s and young and evaluate the outcomes? people’smentalhealthservices,andsuccessiveGovernments have failed to prioritise these services as they should have. Baroness Blackwood of North Oxford: The outcomes That is exactly why the long-term plan sets out our will be monitored by NHS England, but also by the determination to address this—to ensure that all children CCGs. Of course, they will be taken into account by get the care they need. With more money, more staff local authorities as well. and more beds, there will be £2.3 billion a year more for this area by 2023-24, a figure that is growing faster Baroness Tyler of Enfield (LD): My Lords, given than the rest of the NHS budget. It is why the NHS the fragmentation and lack of co-ordination on the and HEE are targeting to recruit 8,000 more children’s ground between local mental health services, what and young people’s mental health staff, and why we are assessment have the Government made of the potential bringing in the first ever access and waiting services. I benefits of establishing local offers for mental health, accept, however, that the pace at which this is going is mirroring the approach to local offers for special frustrating, but it is important to understand the base educational needs introduced by the Children and from which we are coming. Families Act, to improve access? 1611 Child and Adolescent Mental Health[LORDS] Devolved Administrations 1612 Baroness Blackwood of North Oxford: The noble Lord Young of Cookham (Con): My Lords, the UK Baroness is very expert in