London Daily

Focus on the big picture.
Monday, Jul 07, 2025

Swamped NHS mental health services turning away children, say GPs

Swamped NHS mental health services turning away children, say GPs

Exclusive: survey lays bare extent of help denied by CAMHS to under-18s who are struggling mentally

Children and young people who are anxious, depressed or are self-harming are being denied help from swamped NHS child and adolescent mental health services, GPs have revealed.

Even under-18s with an eating disorder or psychosis are being refused care by overstretched CAMHS services, which insist that they are not sick enough to warrant treatment.

In one case, a crisis CAMHS team in Wales would not immediately assess the mental health of an actively suicidal child who had been stopped from jumping off a building earlier the same day unless the GP made a written referral. In another, a CAMHS service in eastern England declined to take on a 12-year-old boy found with a ligature in his room because the lack of any marks on his neck meant its referral criteria had not been met.

The shocking state of CAMHS care is laid bare in a survey for the youth mental health charity stem4 of 1,001 GPs across the UK who have sought urgent help for under-18s who are struggling mentally. CAMHS teams, already unable to cope with the rising need for treatment before Covid struck, have become even more overloaded because of the pandemic’s impact on youth mental health.

The findings, which stem4 hs shared with the Guardian, also show that in some areas it takes children and young people two years after being referred by their GP to start receiving help.

Mental health experts say young people’s widespread inability to access CAMHS care is leading to their already fragile mental health deteriorating even further and then self-harming, dropping out of school, feeling uncared for and having to seek help at A&E.

“As a clinician it is particularly worrying that children and young people with psychosis, eating disorders and even those who have just tried to take their own life are condemned to such long waits”, said Dr Nihara Krause, a consultant clinical psychologist who specialises in treating children and young people and who is the founder of stem4.

“It is truly shocking to learn from this survey of GPs’ experiences of dealing with CAMHS services that so many vulnerable young people in desperate need of urgent help with their mental health are being forced to wait for so long – up to two years – for care they need immediately.

“Delayed treatment increases risk and you can expect problems in application to study or work, relationship issues, other emerging co-morbid mental health issues, for example depression, with increased vulnerability to self-harm, anxiety with panic attacks and so on.”

Many GPs were scathing about CAMHS provision in their area. Some said problems accessing services means they are unsafe or even dangerous, because many under-18s get worse while they wait and can feel angry, overlooked and let down by being left without specialist help. Almost one in five (18%) of doctors surveyed knows of a patient who has tried to, or taken, their own life after being refused care.

A handful of GPs said the situation was so bad that they had given up referring young people to CAMHS altogether and instead instructed them to go to A&E, even though that is not appropriate.

One family doctor in Yorkshire and the Humber said: “It is so appalling in our area it may as well not exist. Patients only get support if their parents can afford to pay for it or they are drinking bleach, and even then it’s touch and go whether a referral to CAMHS will be accepted.”

The findings are “deeply concerning” and show the immense extra pressure Covid has put on CAMHS, said Tom Madders, the director of campaigns at YoungMinds.

“What these GPs are telling us echoes what we hear every day from parents, young people and professionals. Despite signs of progress in parts of the country thresholds for support are alarmingly high, with thousands of young people being turned away or put on long waiting lists.

“Without timely support young people’s needs will often worsen, with many self-harming, dropping out of school or turning to A&E services in crisis.”

Madders called for the creation of a UK-wide network of “early support hubs” so GPs have somewhere they can send under-18s to get rapid help.

In one case, CAMHS in the north-west rejected a GP’s referral for a child with anorexia for including inadequate information, even though their body mass index of just 16 was stated.

MedeConnect Healthcare Insights surveyed 1,001 partner, salaried or locum GPs for stem4 between 4 March and 1 April and the survey was regionally representative. It also found that:

*  95% of GPs say that CAMHS services are either in crisis (46%) or very inadequate (49%) – up from 90% when stem4 ran the same survey in 2018 and 85% in 2016

*  Half say that at least six in 10 referrals they make for anxiety, depression, conduct disorder and self-harm are routinely rejected because the young people’s symptoms are deemed not severe enough, even though they only refer the most at-risk cases

*  One in four say that 60%-100% of referrals for eating disorders and addictions are rejected

*  63% fear young people will come to harm due to lack of treatment while 58% have seen patients’ symptoms worsen, forcing them to go to A&E

Prof Martin Marshall, the chair of the Royal College of GPs, said the findings were “both distressing and concerning.

He added: “It’s of paramount importance that if GPs refer these patients to specialist mental health services that these referrals are taken seriously and not dismissed without good reason.”

The Department of Health and Social Care did not comment directly on the findings. A spokesperson said: “We recognise the impact the pandemic has had on everyone, especially children and young people who have faced disruption to their home lives and education.

“We have committed an additional £500m in 2021-22 to support those most affected, including £79m for children’s mental health services, to accelerate the rollout of mental health support teams and expand community services. This is on top of our commitment to expand and transform mental health services in England, backed by an extra £2.3bn per year by 2024 allowing hundreds of thousands more children to access support.

“We will be launching a national conversation to inform the development of a new long-term mental health plan later this year.”

Newsletter

Related Articles

0:00
0:00
Close
U.S. Enacts Sweeping Tax and Spending Legislation Amid Trade Policy Shifts
Football Mourns as Diogo Jota and Brother André Silva Laid to Rest in Portugal
Elon Musk Founds a Party Following a Poll on X: "You Wanted It – You Got It!"
London Stock Exchange Faces Historic Low in Initial Public Offerings
A new online platform has emerged in the United Kingdom, specifically targeting Muslim men seeking virgin brides
Trump Celebrates Independence Day with B-2 Flyover and Signs Controversial Legislation
Boris Johnson Urges Conservatives to Ignore Farage
SNP Ordered to Update Single-Sex Space Guidance Within Days
Starmer Set to Reject Calls for Wealth Taxes
Stolen Century-Old Rolls-Royce Recovered After Hotel Theft
Macron Presses Starmer to Recognise Palestinian State
Labour Delayed Palestine Action Ban Over Riot Concerns
Swinney’s Tax Comments ‘Offensive to Scots’, Say Tories
High Street Retailers to Enforce Bans on Serial Shoplifters
Music Banned by Henry VIII to Be Performed After 500 Years
Steve Coogan Says Working Class Is Being ‘Ethnically Cleansed’
Home Office Admits Uncertainty Over Visa Overstayer Numbers
JD Vance Questions Mandelson Over Reform Party’s Rising Popularity
Macron to Receive Windsor Carriage Ride in Royal Gesture
Labour Accused of ‘Hammering’ Scots During First Year in Power
BBC Head of Music Stood Down Amid Bob Vylan Controversy
Corbyn Eyes Hard-Left Challenge to Starmer’s Leadership
London Tube Trains Suspended After Major Fire Erupts Nearby
Richard Kemp: I Felt Safer in Israel Under Attack Than in the UK
Cyclist Says Police Cited Human Rights Act for Riding No-Handed
China’s Central Bank Consults European Peers on Low-Rate Strategies
AI Raises Alarms Over Long-Term Job Security
Saudi Arabia Maintains Ties with Iran Despite Israel Conflict
Musk Battles to Protect Tesla Amid Trump Policy Threats
Air France-KLM Acquires Majority Stake in Scandinavian Airlines
UK Educators Sound Alarm on Declining Child Literacy
Shein Fined €40 Million in France Over Misleading Discounts
Brazil’s Lula Visits Kirchner During Argentina House Arrest
Trump Scores Legislative Win as House Passes Tax Reform Bill
Keir Starmer Faces Criticism After Rocky First Year in Power
DJI Launches Heavy-Duty Coaxial Quadcopter with 80 kg Lift Capacity
U.S. Senate Approves Major Legislation Dubbed the 'Big Beautiful Bill'
Largest Healthcare Fraud Takedown in U.S. History Announced by DOJ
Poland Implements Border Checks Amid Growing Migration Tensions
Political Dispute Escalates Between Trump and Musk
Emirates Airline Expands Market Share with New $20 Million Campaign
Amazon Reaches Milestone with Deployment of One Millionth Robot
US Senate Votes to Remove AI Regulation Moratorium from Domestic Policy Bill
Yulia Putintseva Calls for Spectator Ejection at Wimbledon Over Safety Concerns
Jury Deliberations in Diddy Trial Yield Partial Verdict in Serious Criminal Charges
House Oversight Committee Subpoenas Former Jill Biden Aide Amid Investigation into Alleged Concealment of President Biden's Cognitive Health
King Charles Plans Significant Role for Prince Harry in Coronation
Two Chinese Nationals Arrested for Espionage Activities Against U.S. Navy
Amazon Reaches Major Automation Milestone with Over One Million Robots
Extreme Heat Wave Sweeps Across Europe, Hitting Record Temperatures
×