Children and Social Work Bill [HL]

Debate between Baroness Bakewell of Hardington Mandeville and Lord Ramsbotham

Wednesday 6th July 2016 Grand Committee

[Lord Ramsbotham (CB)]

My Lords, I will be brief. These amendments require all speech, language and communication needs to be assessed, and those concerned to be trained. Any assessed needs should then be treated—something we discussed earlier in the Bill. I am therefore simply referring them to the designated people who are listed in these clauses. I beg to move.

[Baroness Bakewell of Hardington Mandeville (LD)]

My Lords, as has already been pointed out, this group is closely related to the group beginning with Amendment 30 on ensuring that the voice of the child or young person is heard and understood. These amendments would ensure that personal advisers have an awareness of speech and language communication difficulties and needs. Personal advisers do not need to be fully trained speech and language therapists, but they need to be aware of any possible lack of communication skills on the part of young care leavers.

I listened with interest to the Minister on Monday when she said that the Government have put £650,000 into speech and language support—this at a time when the proportion of children in the population is increasing. From 2010 to 2014, the birth to 17 year-old population grew by around 550,000, an increase of 4.9%, and the rate of children being looked after has increased from 57 per 10,000 in 2010 to 60 per 10,000 in 2015. The sum of £650,000 appears to be woefully inadequate. Over the same period, local authority budgets have come under intense pressure and as a result some non-statutory preventive services for children have been considerably reduced. Over the spending review period, against the baseline, in 2010-11 local authority spending on children’s centres and early years reduced by 38%, or £538 million, while spending on youth services reduced by 53% or £623 million. Without adequate awareness of the speech and language needs of children and young people, personal advisers will not be able to support them in the way I believe the Government intend. More resources other than the £650,000 already mentioned will be needed for their strategy to be successful. I fully support the amendments in the name of the noble Lord, Lord Ramsbotham.

Children and Social Work Bill [HL]

Debate between Baroness Bakewell of Hardington Mandeville and Lord Ramsbotham

Monday 4th July 2016 Grand Committee

[Lord Ramsbotham]

My Lords, in moving Amendment 30 I shall also speak to Amendments 32, 44, 57, 63, 65, 67 and 69, which continue the discussion on Clause 1 and refer to the local offers covered in Clauses 2 and 3. I must declare an interest as co-chair of the All-Party Group on Speech and Language Difficulties, which three years ago published a report on the link between social disadvantage and speech, language and communication needs, or SLCN. I am conscious of the caveats about local authority resources made by the noble Baroness, Lady Pinnock, and my noble friend Lady Howarth of Breckland but I believe it is better to set out the total of what is required and then decide what cannot be done, rather than leave anything which is not in the Bill.

The inability of children to communicate is the scourge of the 21st century, fuelled by the use of the social media and a whole host of electronic gadgets to which too many of them devote far too much time. Someone has described the language that young people use to speak to each other, if they do so at all, as binary grunts. At Second Reading both I and the noble Baroness, Lady Walmsley, pointed that unless their SLCNs were assessed and treated, the children who are the subject of the Bill would be prevented from understanding or engaging with any of the changes proposed in it. The noble Baroness also made this point to the Grand Committee last Wednesday. To explain my case, and in acknowledging the risk of boring the Committee, perhaps I may repeat how I came to appreciate the fundamental importance of this issue.

In 1997, as Chief Inspector of Prisons, I visited Polmont, the young offender institution in Scotland, while researching for a thematic review that was being conducted of the treatment of and conditions for young people in prison. As its excellent governor and I walked round the institution, he suddenly said that if he had by some mischance to get rid of all his staff the last one out of the gate would be his speech and language therapist. Not having come across such a person on the staff of any young offender institution in England I asked why, to which he replied that too many young people could not communicate either with each other or with staff and that, until and unless they could, it was impossible to discover what problems they had and plan what help they needed. His speech and language therapist assessed every young person on reception and advised the discipline, education and healthcare staff on which identified SLCNs should be included in individual sentence plans.

To cut a long story short, I have been campaigning unsuccessfully for a speech and language therapist to be on the staff of every young offender institution ever since. Proof of their value was provided by the governors of the two institutions in which therapists were funded for two years as a pilot by the Helen Hamlyn Trust. Each said to me within a month of their therapist’s arrival that they could not think how they had managed without them. The all-party group has campaigned for every child in the country to have their speech, language and communication ability assessed by the age of two by a health visitor trained by a speech and language therapist to identify potential problem areas, so that individual SLCNs can be treated before a child starts primary school, with the aim of enabling them to engage with their teachers and therefore with education. We would therefore like to see regular SLCN reassessment throughout a child’s school career, including pre-employment assessment on leaving, to ensure that they are able to communicate during each stage of their schooling. I have seen outstanding work during secondary schooling in Walsall, for example, that picked up problems that had been missed during the primary phase, saving children from possible truancy and/or exclusion.

Amendment 30 includes three requirements of local authorities: that they ensure, first, that the SLCN of every child and young person subject to the provisions of the Bill is assessed by someone such as a health visitor who, secondly, has been trained to identify potential problems; and, thirdly, that they ensure that appropriate support is then provided to treat identified needs. More widely, every child should have what is now called an education health and care plan, which are currently made only for those with special educational needs. For most children, the default plan will be the normal educational system. Recent legislation has laid down that home local authorities have responsibility for ensuring that such plans apply to those in custody as well, as the Minister will remember.

As for an assessment tool, I recommend that developed by the Royal College of Speech and Language Therapists for use by the Youth Justice Board in its AssetPlus programme, which provides an excellent model that could be followed with advantage. Amendment 32 requires that the Secretary of State include those three requirements in any guidance that is sent to local authorities. Amendment 44 includes the provision of speech, language and communication support in all local offers. Amendment 57 requires personal advisers of former relevant children to be trained in SLCN awareness, and Amendment 63 includes SLCN in the subjects to be assessed and included in pathway plans made by local authorities for such children.

The aim of Amendment 65 is slightly different, in that it is tabled in the same spirit as the amendments I tabled to Clause 1. As many noble Lords have said in relation to other duties required of local authorities, there should be no ambiguity about their duty to inform relevant children of their right to request advice and support. The word “must” says it all. The background to this amendment is that prison staff working with care leavers in custody have reported considerable difficulty in identifying local authority leaving-care managers, particularly for home local authorities nowhere near their prison. Some local authorities go so far as to record care leavers as not in education, employment or training, and therefore outside their responsibility. The aim of my amendment is to ensure that local authorities establish links with prisons and other justice agencies, in which children and young people for whom they are responsible are held, and institute effective joint working methods. This seems entirely in line with the Government’s care leaver strategy and by linking regional and NOMS care leavers’ champions, should ensure that there is a framework on which planning and support for relevant children can be based.

Bearing in mind the high proportion of care leavers with SLCNs, Amendment 67 seeks to ensure that both advice and support are given to former relevant children in a language that they understand, which must include the avoidance of bureaucratic gobbledegook. Amendment 69 may seem like a blinding glimpse of the obvious, but even though they may have been informed of their right to make a request—if Amendment 65 is agreed—many of these children have not the slightest idea of to whom to go to make one, let alone how to make it, even supposing that they can read and write. Civil servants, who may not understand this, must be reminded of their responsibility for providing clear and transparent information, set out in straightforward terms, which will enable care leavers and former care leavers to access what is on offer to them.

My final amendment in this group, Amendment 38, is completely different in concept but is also designed to improve local offers and is based on pathway plans, as outlined in the Children Act 1989. A report by the Children’s Society, The Cost of Being Care Free, found that too many people leaving care with no family to support them were falling into debt and financial difficulty, which suggested a lack of sufficient financial education. Again, we are up against inconsistency because the report also found that other than encouraging advice by personal advisers, nearly half of local authorities do not commission additional financial support. The Joseph Rowntree Foundation has drawn attention to accumulation of debt, threats to their tenancies and their inability to avoid this through careful budgeting being issues of continuing concern to care leavers. Hence Amendment 38 and the proposal that “financial education” be included in the list of supported services included in local offers. I beg to move.

[Baroness Bakewell of Hardington Mandeville (LD)]

My Lords, I shall speak to Amendments 30, 32, 40, 44, 46, 57 and 63, to which I have added my name. I support the noble Lord, Lord Ramsbotham, who has, I think, given all the detail that the Committee needs. I spoke on this issue at Second Reading.

It is important for government and all who have responsibility for looked-after children to recognise that they could have unidentified or unmet communication needs. This unidentified or unmet need could prevent children and young people understanding and engaging with the changes to their lives that are being proposed and therefore they could struggle to have a meaningful input into those decisions. A lack of identification and consequent intervention for those with communication needs could lead to a range of negative outcomes in relation to their health and well-being, education and training, employment and participation in society. In addition, as shown in the statistics given at Second Reading, it could lead to their involvement in the criminal justice system, as the noble Lord, Lord Ramsbotham, has already told us.

Those of us debating this issue today have good communication skills. Most of us cannot imagine what it is like not only not to understand what is being proposed for our lives but to be totally unable to respond in a way that adequately reflects the turmoil and uncertainty that we feel inside. Looking into the eyes of a child while explaining the processes and outcomes for them may assist those dealing with the child to tell whether the information has been understood. However, it is not a very scientific test, and it will certainly not assist the child or young person to respond if they have communication problems. Access to properly trained speech and language therapists is essential to ensuring that these extremely vulnerable members of our society are able to have a voice. Unless such help is provided, I fear that we will see statistics showing an increase, not a decrease, in the number of care leavers suffering from poor mental health and becoming prevalent in the criminal justice system.

Listening to the voice of the child is paramount. Children have a right to express an opinion on their care. Those providing help for young people about to leave the care system must be able to assess their ability to read and digest the written word, as well as the financial implications for them. As we discussed last week, this is essential in ensuring that they are able to budget and manage their money so that they do not fall into debt or find themselves facing sanctioning from the jobcentre or eviction from their accommodation.

I hesitated to use the word “illiterate” in Amendment 40, as labels, once attached to people, are often very difficult to shake off. Care leavers do not need this added stigma. They need help to overcome their difficulties, with information provided in a format that they can access, whatever that may be.

Personal advisers for care leavers up to the age of 25 should be properly trained in identifying and helping to overcome the communication difficulties of the young people they advise. Without this, there will be a huge gap in the support they are able to provide. Will it be up to local government to ensure that adequate trained support is provided? This should not be a charge on the local council tax payer; it should be properly resourced and funded by central government via the NHS. If the Government are serious about assisting care leavers to make the best of their lives, they will ensure that the funding is made available to cover the costs. I hope the Minister will be able to give us a positive response on this group of amendments.