Children and Social Work Bill [HL]

Debate between Baroness Benjamin and Baroness Howarth of Breckland

Wednesday 29th June 2016 Grand Committee

[Baroness Benjamin]

My Lords, I visited my GP last week and she expressed her concerns about the number of care leavers coming to her surgery with mental health issues—anxiety, depression, self-harming, suicidal emotions and erratic behaviour. She said: “Floella, if only we could do something about this when the child is entering care. If only we could identify that they are suffering from mental problems it would save the NHS resources and save them suffering and long-term unhappiness.” That is what many Peers have said this evening, while charities such as the NSPCC have said it for a long time. I, like others, strongly believe that we need to adequately identify the issue and that children should receive assessment for their mental and emotional well-being by professionals with specialist training in the mental health of looked-after children. This is necessary because the children are suffering long-term. We spoke earlier about corporate parenting. I believe that the principles should include the responsibility to ensure that children are offered the support they need to recover from psychological harm caused prior to their entry to the care system. That should be paramount when we have to look after those children.

There must be provisions made to guarantee that the children in care will never be denied access to, or disadvantaged when trying to access, mental health services. They are finding that this is a problem. They must never be told that they cannot get professional help because they are not in a stable placement, or disadvantaged because they have moved out of an authority placement. We know that a high percentage of children in care end up in prison or are homeless, and that many suffer from mental problems while in prison. During my prison visits, I often speak to young people who say. “If only things had been different for me when I was a child”—a phrase repeated over and over again. Children who have been abused or neglected could face serious long-term mental problems throughout adulthood because of the lack of support, so it is essential that we are able to deal with difficulties early and offer the right support to children.

Children need that support but the NSPCC has found that there are not enough therapeutic services for those who have been abused or neglected. This has to stop. There is cause for concern because more and more children are reporting sexual abuse, which is occurring every hour of the day, and because we have almost 70,000 children living in care in England. This has to stop and we have to help these children. We must not let them down. That is why I am supporting and have put my name to Amendment 87.

[Baroness Howarth of Breckland]

My Lords, nothing has been said during this debate that one could reasonably disagree with. My only question is: would it help if we had it all in the Bill? I would draw attention to the Local Government Association’s concern, which is that if all these things are in a Bill they restrict the capacity to think through the targeting of where there is greatest need. In some communities, the greatest need may not be for the in-care community.

We know, as I said this afternoon during Questions, although I was rather interrupted, that the children who are on the list of those in greatest need are likely to have a greater need for intervention than some of the children in care. We should not do anything that inhibits local authorities and their partners from making proper assessments and being able to direct those services. I know, having talked at length to the noble Lord, Lord Warner, and to other people who have been in poor authorities, that there is some despair about whether some local authorities will ever reach that point of being able to make good assessments. I also know from work that I am doing with the All-Party Parliamentary Group for Children that some remarkable work and turnaround is happening in other local authorities. We should try to work with the best towards the best and enable a local authority to do that.

I am interested that the noble Lord, Lord Warner, is so sanguine about the suggestion of the noble and learned Lord, Lord Mackay. I can see a million difficulties in having his suggestion on the statute book. Again, much as the bit of me that was a director of social services would have liked to have had that, the other bit would know how impossible it is to get one person. What is the role now of the independent reviewing officer, for example? We know that IROs have not been particularly successful, yet those are the people who we have identified as the ones to focus on the children. There must be alternative ways.

This is where the two parts of the Bill come together. If we are able to get the social work bit of it right and develop really good social work, it seems that the other issues will not be so pressing—apart from the ones raised by the noble Baroness, Lady Tyler. The mental health issues of children in care are of particular concern and I would support her. This is because CAMHS is in such disarray, probably in greater disarray than some other areas in local authorities, and although I think that the Government have good intentions to put money into the service, we know how hard it is to get that funding properly directed. However, we could make a real difference to young people’s progress if we ensure that their therapeutic needs are met early on, not when they are developing serious mental disorders and personality conditions. We know that behavioural work with children at an early stage works very well. While I am finding it difficult to support a wide range of the amendments, again because I want to keep the Bill as simple and implementable as possible, we should look seriously at these mental health issues.

Education and Adoption Bill

Debate between Baroness Benjamin and Baroness Howarth of Breckland

Tuesday 1st December 2015 Lords Chamber

[Baroness Howarth of Breckland (CB)]

My Lords, I apologise that I was unable to speak in Committee on this issue; I had to attend another committee at the same time. I just want to ask for clarity on a very narrow point—which is actually a wide point.

The amendment adds mental health services for children in the adoption process. The noble Lord, Lord Watson, made a very clear statement about the large number of other children in care who face the same needs—children in kinship care, long-term fostering, or hostels for children with special difficulties. Is the thinking clearly about basing the provision of services on the actual needs of the children as they are seen, rather than the bit of the system they are in? My concern is that we see adoption as a better placement than many others when often it is not; kinship care can be a much better solution for a child. As the noble Lord, Lord Watson, said, permanency is what actually matters. I hope that mental health services can be clearly focused on children to ensure permanency, whatever that permanency looks like.

It makes very good economic sense to ensure that money is clearly targeted to children in care—and, sometimes, children in their own families who are showing special needs. Economically, if you can get to those children early, you will improve their life chances. If they are targeted, that can be measured. Those are the things that the Government want to do at the moment: target services to see what works and makes good economic sense, because people will be able to make better sense of their own lives. Will the Minister ensure that there are adequate mental health services—we know that there is a great difficulty at the moment—and that they are targeted at need rather than at category?

[Baroness Benjamin (LD)]

My Lords, I rise to support Amendment 4. As I have said at all stages of this Bill, with the support of the NSPCC, every single child entering care should receive an automatic mental health assessment in addition to the physical assessment they currently receive. Children in care should then immediately receive the subsequent necessary support to help them to deal with the issues of mental health identified in the assessment. There should be regular monitoring of children’s mental health while in care to inform what support that child receives and ensure that it contributes to their improved well-being. These provisions are essential to strengthen the Bill because they will help towards making significant savings for the NHS, the prison services and society in general.

The NSPCC, myself and many others welcome the Government’s announcement of an additional £600 million for mental health and see it as a great opportunity to make sure that more of the most vulnerable children get access to the mental health support that they need to overcome the trauma they have experienced. As I have said time and again, childhood lasts a lifetime, so let us give all children the best start in life, including children in care and children in the adoption system. They need to be cared for and looked after in every way possible. We owe it to them, so I hope that the Minister will include these provisions in this important Bill.