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Health Leaders Report Surge in Post-Pandemic NHS Demand for Children and Young People


The survey by NHS Providers revealed that 97 percent of trusts indicated an increase in demand for children’s and young people’s services since the COVID-19 pandemic.

According to a survey by NHS Providers, more than four in five NHS trusts are finding it challenging to keep up with the growing demand and complexity of needs among children and young people.

A recent poll of 95 NHS trusts in England published on Monday showed that nearly all (97 percent) reported an increase in demand for youth services for individuals aged up to 25 since the COVID-19 pandemic.

Healthcare providers also noted that waiting times for many services have risen, with 86 percent of trusts reporting longer waiting times to access an initial assessment compared to pre-pandemic levels.

For instance, one trust mentioned that waits for children’s autism assessments had increased from 14 months before the pandemic to 38 months currently.

Another acute trust highlighted that children’s spinal surgery, which previously had waiting times under 52 weeks in 2019, now had wait times of up to 104 weeks.

Furthermore, a combined acute and community trust observed a 300 percent increase in children and young people waiting for neurodevelopment assessments—such as for ADHD and autism—between September 2019 and September 2024.

Identifying the reasons for the shortfall in meeting demand, the report cited the increasing complexity and seriousness of patients’ conditions (58 percent), lack of commissioned services (39 percent), and the long-term impact of the Covid-19 pandemic on demand (30 percent) as the top three factors identified by respondents.

Impact on Mental Health

A number of agencies have observed the worsening of children’s mental health since the pandemic.

Labour recently acknowledged the detrimental effect of lockdown on children’s mental health, with then-shadow health secretary Wes Streeting stating that the true extent of the damage to children is yet to be fully understood.

The report by NHS Providers highlighted various factors influencing children and young people seeking mental health services, including the long-term effects of the pandemic such as the impact of lockdowns on health, education, and access to public services.

However, apart from these issues, the report also mentioned the cost of living crisis and broader societal changes like smartphone usage and social media access.

The report emphasized the growing number of children and young people with eating disorders presenting at emergency departments and being admitted to adult hospital beds, indicating a need for more appropriate care settings for these individuals.

NHS Providers urged the government to prioritize the health and well-being of young people, emphasizing the importance of early interventions in addressing mental health issues in children and young individuals, as 75 percent of mental health problems manifest before the age of 24.

‘Forgotten Generation’

The public health system’s recovery continues to be a concern four years after the initial lockdown. Following NHS England’s release of wait time data last week, the Nuffield Trust pointed out that reducing wait times to pre-pandemic levels has stalled, and long waits remain prevalent.

The report by NHS Providers noted that evidence suggests children’s and young people’s services are making a slower recovery post-COVID-19 compared to adult services, impacting waiting lists and the availability of services.

A COVID-19 information poster is pictured on the fence of an empty children's play park in Manchester, northern England, on February 15, 2021. (Oli Scarff/AFP via Getty Images)
A COVID-19 information poster is pictured on the fence of an empty children’s play park in Manchester, northern England, on February 15, 2021. (Oli Scarff/AFP via Getty Images)

In response to these findings, Chief Executive of NHS Providers Sir Julian Hartley expressed concern, stating, “We’re in danger of seeing a forgotten generation of young people. Too many young lives are being affected by delays in accessing essential NHS care.”

Sir Julian emphasized that prolonged waits for services have significant consequences, impacting children’s education and social development.

“Children and young people’s services have not received adequate attention for too long. They need to have a voice in shaping national policies that affect them and the services they utilize,” added Sir Julian.

A spokesperson from the Department of Health and Social Care remarked to The Epoch Times, “It is unacceptable that many children and young people are not receiving the care they deserve, and we acknowledge that service delays are unacceptably long. We are committed to changing this.”

The spokesperson also highlighted the government’s commitment to enhancing mental health support in schools and establishing community walk-in mental health hubs.



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