The National Institute for Health and Care Research (NIHR) published the final report from the early evaluation of the Children and Young People’s Mental Health Trailblazer Programme. The evaluation explored the set up and delivery of mental health support teams (MHSTs) in the Government programme’s first 25 ‘Trailblazer’ areas from the 2017 Green Paper on Children’s Mental Health. By April 2023, an estimated 500 MHSTs will have been created, supporting around three million 5-18 year olds. The study finds that schools and colleges welcomed investment in ‘in-house’ mental health support, which came at a time when many were seeing substantial increases in mental health problems. However, there are concerns about children falling through the gap between MHSTs’ ‘mild to moderate’ remit and the criteria for specialist support. Furthermore, some groups were reported to be under-served by MHSTs. If you would like to share your experience of having an MHST please get in touch with flora.wilkie@local.gov.uk.