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The Minister for Children and Families (Edward Timpson)
It is a pleasure to have you overseeing proceedings today, Mrs Gillan. I begin by congratulating the hon. Member for Stockport (Ann Coffey) on securing this valuable debate. As she reminded us in her typically humble way she has pursued the issue with unstinting commitment and authority for many years. I know she shares my determination that we should do all we can to protect vulnerable children across England and beyond, whether they are in residential care or any other form of placement. Her commitment has been demonstrated in her work as chair of the all-party group on runaway and missing children and adults, and as a member of my Department’s quality expert group on children’s homes in 2012. She was an important contributor to that work.
Although we await the impending Narey review of residential care, the debate is a welcome opportunity to consider the action that has already been taken, and the further important work now under way to improve quality, transparency, oversight and decision making in children’s residential care. I acknowledge the speeches by the hon. Members for Rochdale (Simon Danczuk), for North Ayrshire and Arran (Patricia Gibson), for East Renfrewshire (Kirsten Oswald) and for Washington and Sunderland West (Mrs Hodgson). I always accept an invitation from SNP Members to look at what they are doing north of the border, and it is one that I would extend in the opposite direction, particularly because of the work that we are doing to try to inject greater innovation into children’s services.
Although I want to keep my remarks to the discrete and important issue of residential care in England, there is one issue that I cannot allow to pass without challenge, and that is the care population in England. It is important not to oversimplify the reasons why a care population may fall or rise, and why there may be variations across the country. It is not always right to say that a rising care population is bad and a falling one is good. What matters is whether the right decisions are being made for each individual child. For example, in a high-performing practice-based social work area, staff can spot where children may be in a situation of neglect, and take them into care. If they are not performing well they may miss the opportunity, so that the child remains outside state care. That is not good for the child, but it would not necessarily be reflected in the statistics, if we look at them in a simplistic way.
Children’s homes are a vital part of the care landscape, particularly for older children and children for whom a family setting might not be the right placement. In England the law is very clear: where a child cannot live with their birth parents, the first port of call should be to look at the immediate family and see whether there is anyone who can support them, as an individual or as a group of relations or friends. That happens for many children in this country. Three quarters of young people in children’s homes are between 14 and 17 years old and two thirds are likely to have a significant mental health difficulty. There are some excellent examples of good practice in supporting them, with homes providing superb care. I know from personal experience, and from visiting children’s homes around the country, that that excellent care makes a real and lasting difference to children’s lives. Like other hon. Members, I pay tribute to the dedicated care staff who do all they can to help change lives for the better.
I am the first to acknowledge, however, that despite the concerted efforts of consecutive Governments not all children’s homes deliver as they should. As the hon. Member for Stockport set out, challenges remain. That is why, as we have heard, the Prime Minister and Secretary of State for Education asked Sir Martin Narey to undertake an independent review of children’s residential care. Sir Martin, as hon. Members know, worked in the Prison Service and was the chief executive of Barnardo’s. He is much respected in the field, and we look forward to receiving his report, whose purpose is to set out the role of residential care in the wider care system, and to make recommendations about how outcomes for children can be improved. It is a complex undertaking, but I expect the review to look at some key issues such as commissioning and the geographical distribution of children’s homes, which the hon. Member for Stockport rightly concentrated on in her speech.
The hon. Member for Washington and Sunderland West raised the issue of criminalisation, and I have seen the report by the Howard League for Penal Reform. Sir Martin Narey has also seen it, and I hope that he will be able to address the issue in his review. We will wait to see what he has to say. The review’s call for evidence has received a strong response and Sir Martin will report later this spring. Understandably, I do not want to pre-empt the independent review’s findings, but I am determined to use it as a catalyst to help to drive further improvements in residential care and I hope that all, including hon. Members present for the debate, will continue to lend their support and expertise to the process.
It is right to acknowledge, as the hon. Member for Stockport does, that we have made significant progress in improving the quality and safety of residential care. We have introduced an enhanced legislative framework and a new set of quality standards for children’s homes. We brought those standards in to move away from the de minimis approach and to focus much more on outcomes and what is being achieved for those young people. The standards are backed up by rigorous Ofsted inspection and they challenge managers and staff to apply their skills and professional judgment—that, to me, is important —to ensure that there is properly tailored, high-quality care for each and every child in their home, and to make it possible for children to reach their potential in a safe and secure environment. There is a protection of children standard, which requires homes to have the skills to identify and take effective action on concerns about a child’s welfare.
A £500,000 programme of training and support has been made available to help homes to embed those new standards, and to make that crucial shift to a more aspirational and outcome-focused way of working. Although it is too early to assess the full impact of the changes through the quality standards, the independent small-scale research that has been carried out on implementing the standards indicates that they have resulted in a greater focus on evidencing outcomes for young people, which is exactly what we wanted to see, and on the need to consult young people about improvements, so that they feel that they are part of their journey through care, rather than feeling that it is being “done” to them.
To that end, it is positive that 12% of the children’s homes in England inspected between 1 April 2015 and 30 September 2015 were rated outstanding for their overall effectiveness, which is an increase of five percentage points from the same period in the previous year. In addition, because 62% of those in residential care have clinically significant mental health difficulties, which is something we should never overlook, I am pleased that the Department of Health has commissioned its own expert group to develop new care pathways, so that children living in children’s homes can better access mental healthcare.
The NHS England five-year forward view for mental health, which was recently published, and local transformation plans bring focus and resources to meet the mental health needs of children, including those in children’s homes. I also welcome the forthcoming publication of the quality standard from the National Institute for Health and Care Excellence on attachment difficulties in children and young people who are looked after, adopted from care, in special guardianship, or on the edge of care. If professionals and others working with and caring for children in care, including in residential care, really understand how to address the presentation of attachment problems, significant progress can be made.
I will address the specific point made by the hon. Member for Stockport and other hon. Members about out-of-area placements. As the hon. Lady mentioned, in order to address that issue we have sought to strengthen protection for children placed out of area by ensuring that it is now the directors of children’s services who have oversight of all decisions to place a child in a distant placement, and local authorities should now consult the authority where they intend to place a child to ensure that the placement meets the child’s needs.
We should be clear that for some children a placement at distance may be right, due to risks associated with their own home area or, as the hon. Member for Rochdale pointed out, because of the need for a very specialised placement but, as has been highlighted, we should ensure that Ofsted and local authorities make sure the right placement is made for the right reason. Therefore, as the hon. Member for Stockport said, it is a concern that there are still instances where the supply of places distorts too many decisions.
That is why we have improved the transparency and quality of data regarding children missing from care, to ensure that Government and local authorities have much more reliable data when they try to tackle this issue. Local authorities are now required to tell us about all instances of children going missing from their placements, even those that last less than 24 hours, because those 24 hours could be crucial.
Turning specifically to children’s homes, in January 2014, we strengthened children’s home regulations regarding children going missing from a home. All children’s homes must have clear policies to prevent children from going missing and they must respond when children go missing. It is no good their simply acknowledging that fact on a piece of paper; there needs to be follow-up action. We have also beefed up arrangements for monthly independent monitoring visits to children’s homes, to make sure that such action happens. Those visits scrutinise standards of safeguarding and care, and reports on visits are now sent to Ofsted. Those reports are valuable to identify concerns, and also patterns, as Ofsted continues its inspection of every children’s home.
We have strengthened regulation to ensure that local agencies, including the police, are more aware of vulnerable children in their area and therefore are more able to protect them. Ofsted can now share information on the location of children’s homes with the police. That practice was established by the expert group and many of us were extremely surprised to find that it was not happening before. However, it is now in place. In addition, children’s homes must notify their local authority of all admissions and leavers.
In this debate, it is important to acknowledge that for a very small number of children a secure home is the best option to address the reasons why they go missing from care. That is why we are improving the availability of this specialised provision, in partnership with the Association of Directors of Children’s Services, the Local Government Association, the Youth Justice Board and the Secure Accommodation Network.
By the summer, we will have determined the best long-term commissioning arrangements for secure homes. In the interim, we have funded secure homes to raise their capacity and improve the skills of their staff. With Hampshire County Council we have established for the first time a central point of contact and source of support for all local authorities seeking secure placements. On top of that, a further £10 million-worth of funding, alongside action from NHS England, will strengthen the quality of the mental health support available to children in secure children’s homes. I know that is an area that the hon. Member for Stockport has a deep interest in, and I am happy to keep her informed of developments as they occur.
All of this work will help, but I share the hon. Lady’s interest in the uneven distribution of children’s homes. Local authorities remain responsible for ensuring a sufficient range of placements for looked-after children and for managing local markets, which includes managing children’s homes. However, as has been identified, in 2013-14, 60% of children’s homes were concentrated in just three regions, including what for many of us participating in this debate is the shared region of the north-west, which accounts for a quarter of all children’s homes.
I should add that before 2012 there was no comprehensive overview of the location, status, quality, ownership and track record of children’s homes in England. That is why, as the hon. Lady alluded to, we set about pulling together all that data for the first time ever in the children’s homes data pack, which is a hugely valuable resource that enables patterns, trends, gaps and the like to be more easily spotted and acted on. Those who are in the role of commissioning places should use that information to be much smarter and savvier about how they commission them, so that they are not always the ones who have to acquiesce; the providers should try to ensure that they shape their homes to meet the demand from every local authority.
In tackling the issue of uneven distribution, I agree very much with the hon. Lady about the value of joint work between local authorities in ensuring adequate provision of homes. Research commissioned by the Department for Education from the Institute of Public Care showed that in May 2015 most local authorities were taking part in a wide variety of commissioning consortia and partnership arrangements. For instance, there are 14 regional or sub-regional commissioning consortia for residential care, and typically authorities were able to achieve 4% to 5% in savings for placement costs as a result of those arrangements. However, I believe that they can go much further.
Ann Coffey
The Minister is quite right—in the north-west, Placements Northwest provides that information. The difficulty is getting local authorities into a more proactive commissioning role, so that their staff sit down together not only to exchange information but to say, “In five years’ time, we will need this number of children’s homes and this number of places.” Without support, it is very difficult for local authorities to work with each other to do that.
Mrs Cheryl Gillan (in the Chair)
Before I call the Minister, just for the information of Members here in Westminster Hall I will point out that I have had a report that we may have a vote shortly in the main Chamber. I leave it to the Minister and Ann Coffey to decide how long they speak, but I thought that it would be helpful to bring that information to your attention. I call the Minister to speak.
Edward Timpson
That is extremely helpful, Mrs Gillan, and I will take heed of that information as I continue.
As ever, the hon. Member for Stockport is right, and that is why we need to establish a much more coherent way for every local authority to carry out forward planning, not only about their residential care population but about their whole care population, including where people need to be placed and in what type of arrangements. There has to be some flexibility in the system—no one can predict exactly what the system will look like—but we can certainly have a far better and more cohesive approach than the one that currently exists.
There are some models out there, including in the north-east, where regional arrangements are much more solidified, but there is a lot more that we need to do. Sir Martin Narey is looking very carefully at this issue as part of his independent review. That is because the research that I referred to showed that consortia are confident that working together brings non-cash savings, primarily through sharing commissioning costs, procurement costs and other elements of working with providers, such as monitoring.
The devolution deals, including in Greater Manchester, where children’s services form part of those new regional arrangements, provide a real opportunity to shift that relationship between the purchaser and the provider in a much smarter way when it comes to commissioning. As we look through every devolution deal, I am keeping a close eye to ensure that there is serious thinking on how the new children’s services can benefit from the new organisations. However, the new arrangements continue to develop, and we look forward to Sir Martin Narey’s recommendations on what more might be done.
Where there is good and innovative practice, I want to be able to share it more widely across the system. The way it is set up at the moment means that pockets of excellence are the preserve of those people. We need to open up the system so that those who are in a position to make good, strong decisions on behalf of vulnerable children are at the forefront not only of great practice, but of cleverer commissioning. Where there are ways of putting the purchaser in a stronger position, we should explore them carefully.
I listened with interest to the remarks that the hon. Member for Stockport made on the need for innovation and new models in residential care, and I absolutely agree with her. I am pleased to say that as part of the Government’s children’s social care innovation programme, which is £310 million over phases 1 and 2, we are testing two new models of residential care for children who are at risk or are victims of sexual exploitation. “Step Down”, based in the Aycliffe secure children’s home, targets the trauma experienced by victims of sexual exploitation and includes an extensive step-down service for children preparing to leave secure care. In addition, “Safe Steps”, a high-supervision children’s home model run by St Christopher’s Fellowship, is designed to protect girls at risk of sexual exploitation.
The learning that the innovation programme continues to give us and the many other associated projects will help generate further evidence of impact in the next six to 12 months that we can take forward. The innovation programme learning network will share those key findings through a series of publications and resources and through the new What Works Centre focusing on children’s social care. It will include a focus on residential care and will be launched at the end of the year.
The innovation programme provides a fantastic opportunity for front-line services and practitioners to show creativity and collaboration, and to explore new models of practice, including in residential care, as has been demonstrated. I would warmly welcome a range of high-quality bids focused on residential care for the current round of the programme, which was launched earlier this month. In that endeavour, I encourage the hon. Member for Washington and Sunderland West to look at where a bid based on the Scandinavian model that champions social pedagogy may add to the innovative practice we want to unleash.
The work I have outlined is only a small part of the work being undertaken in my Department. In January this year, we published “Children’s social care reform: a vision for change”, which outlined our ambitious programme of work in the key areas of people and leadership; practice and systems; and governance and accountability. The programme aims to achieve our vision of every child in the country, whatever their age, background, ethnicity or gender being able to fulfil their potential. The Narey review will sit alongside those wider reforms once it is published.
I am enormously grateful for the support that the hon. Member for Stockport has given to this issue yet again today. She has expressed some important, well-argued concerns, which I will consider carefully in light of this debate and the work of Sir Martin Narey. I hope that this debate reassures her that the Government echo many of the concerns she has expressed. The steps we have taken underline the importance of ensuring that residential care provides the high-quality care that vulnerable children deserve. We cannot be satisfied until we have achieved a system that consistently delivers excellent care. We should expect nothing less for our most vulnerable children than the care we would want for our own children.