Children's Mental Health
67. The recommendations of the UN Committee
relating to the right to health[113]
seem to us to be best addressed in the context of the overall
setting of priorities in the NHSfew of them appear to raise
issues which are not the subject of current debate and/or action
in the UK, including, for example, the promotion of breastfeeding
and the reduction of teenage pregnancy. In relation to the UN
Committee's comment on the high rate of adolescent suicide, however,
we recall that the President of the Royal College of Paediatrics
and Child Health told us that
... child and adolescent mental health services
in this country are a total disgrace. There are many places where
the waiting list is 18 months or more. If that were an adult service
there would be a public outcry but this is just accepted as being
the situation.[114]
Young Minds, a children's mental health charity,
also made similar points in their submission to us, particularly
in relation to the deprivation of other rights that children suffer
on being taken into the mental health services.[115]
We commented on some of these issues in our report last year on
the Draft Mental Health Bill.[116]
In this context, we note the Minister for Children and Young People's
reply to the Westminster Hall debate on the Convention, when he
drew attention to the announcement
... of a significant expansion of child and
adolescent mental health services during the next three years
as a result of the spending review ... Mental health has been
regarded by many ... as an area in which we did not do as much
as we should have done for children ...[117]
We are certainly among those who welcome this announcement.
Female Genital Mutilation
68. In the light of evidence of the continuation
of the practice of genital mutilation (FGM, sometimes termed female
circumcision) of girls in the UK we consider that the UN Committee
was right to remind the Government of its obligation under Article
19 of the Convention to take not only legislative, but also administrative,
social and educational measures " ... to protect the child
from all forms of physical or mental violence, injury or abuse
... " The physical pain, mental anguish, threat to life,
harm to sexual and reproductive health and discriminatory nature
of female genital mutilation makes it a grotesque violation of
children's rights.
69. We applaud the Department of Health's
funding to the organisation FORWARD for crossdiscipline
training to mobilise professionals from various disciplines to
meet the needs of women and girls affected by FGM. However, it
is widely alleged that FGM continues to be practised both within
private hospitals in the UK and on girls sent from the UK to countries
where the operation has not been outlawed. While exact figures
are impossible to calculate, FORWARD estimates that currently
20,000 girls under the age of 16 who live in practising communities
may be at risk in the UK.[118]
To date there have been no prosecutions relating to FGM in this
country.
70. Ann Clwyd MP has presented a Private
Member's Bill to "restate and amend the law relating to female
genital mutilation", which received its Second Reading in
the House of Commons on Friday 21 March.[119]
As well as restating the current law,[120]
it makes extraterritorial provisions.[121]
But, as a report by the All Party Parliamentary Group on Population
Development and Reproductive Health, based on hearings held in
2000, emphasised, "the adoption of legislation alone to ban
FGM is not enough". We too stress the need for the Government
to invest more energy into culturally sensitive, educative approaches
for the effective eradication of this gross breach of the rights
of young girls.
111 See Annex 3, para 44. Back
112
See for example HC Deb., 24 October 2002, cc 139WH to 141WH. Back
113
See Annex 3, paras 40 and 42. Back
114
Twenty-second report, op cit, Q 285 [Professor David Hall]. Back
115
Young Minds, Ev 40-42. Back
116
Twenty-fifth Report from the Committee of Session 2001-02, Draft
Mental Health Bill, HL paper 181/HC 1294, paras 18, 19, 28
and 80. Back
117
HC Deb., 24 October 2002, c 179WH. Back
118
This estimate is from extrapolations from the Labour Force Survey
1999 based on their being eight practising communities in the
UK. Back
119
Female Genital mutilation Bill, HC Bill 21, see HC Deb., 21 March
2003, cc 1190-1210. Back
120
Prohibition of Female Circumcision Act 1985. Back
121
See Eighth Report, Session 2002-03, Scrutiny of Bills: Further
Progress Report, HL Paper 90/HC 634. Back