(8 years, 11 months ago)
Lords ChamberMy Lords, I shall speak briefly on three points on this group. The first is about the assessment of children, the second is about the monitoring of children and the third is about the local authority spending lottery.
Assessment has been discussed before, so I shall be very brief. It seems to me, supported by the NSPCC, that the mental health assessment should not rely solely on the strengths and difficulties questionnaire, the SDQ screening tool. Children need direct contact—interviews—they need to be accompanied by a carer to assess mental and emotional health needs, and the assessment needs to be carried out by a qualified mental health professional. On monitoring, clearly, if a child is assessed as having a difficulty, they should be monitored the whole time they are in care to inform carers and professionals about what support the child is receiving and how it can and should contribute to their well-being.
Thirdly, I believe that there is a spending lottery between local authorities in terms of both overall spending and what to spend the money on. Will the mental health strategy cover that? For example, some local authorities that I know are very poor at spending anything on CAMHS for children in care. Perhaps the Minister would comment on that. Will the Government and the mental health strategy consider the outcomes of not providing mental health support for children? The risk of poor outcomes is a risk for life. We know that for children with mental health problems who do not have support in care, the outcomes are poor in relation to criminal or anti-social behaviour, drug and alcohol abuse, teenage pregnancy and very poor academic performance. What is the Minister’s response on how the mental health strategy will address some of those concerns?
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?
(11 years, 1 month ago)
Grand CommitteeMy Lords, I strongly support this amendment. I have heard the noble Baroness, Lady Walmsley, talk about this halfway house before. It is not a bad idea, but I hope that we can go the full way, for two reasons. First, there is the cost-effectiveness, which one or two people have mentioned. We sometimes forget that early intervention can actually save money in the long run; we should not forget that. Early intervention is not just about babies or children but older people. This example applies and it can be effective in this case. Cost-effectiveness was the first thing that I wanted to mention.
The second thing is the incredible importance of education, which has also been mentioned. Young people in education tend not to get pregnant when they are 15 or 16, they tend not to misuse drugs or alcohol, and they tend to do better if they are encouraged in that education. Like the noble Lord, Lord Storey, I was very impressed by the young woman at the meeting we had last week, who talked about the importance of education to her. As we know, education is such a key thing for all children, but particularly for these children. Therefore for me, cost effects on education swing this towards the Minister accepting this amendment.
My Lords, I will not repeat all the arguments that have been made, but of course, I want to support this. However, I will take it from a slightly different angle. I am quite sure that the Government do not want to take away from the determination that the local authority has to do its work. I know that devolution is important, and that the independence of the local authorities, such as it is, is valuable. Therefore I can understand that that might well be a government point of view. I can understand that the Local Government Association may have some concerns about additional responsibilities being added in statute, and I can understand some of the arguments, such as that if we have older young people in placements, they may block placements when we are short of foster-parents.
I have looked at those issues. It is quite clear that unless there is something absolutely straightforward, either legislation or regulation, in this area, local authorities will not be consistent in their care of over-18s. I have numerous case studies, which I will not read out now, but they have made me think that I need to speak about this in this way, rather than supporting the independence of local authorities, as I usually do as a vice-president of the LGA. Time and again, we read of young people—and I have met them alone, and with the noble Earl, Lord Listowel—who tell heartbreaking stories of their education and of how their success in other areas is being stymied because they have to leave their family in which they have all their relationships. We are failing significantly to understand that emotional context.
Noble Lords have talked on numerous occasions about their own children. Sometimes you do not get rid of them until they are 30. They do a lot of things in between, and you still take them back. I have not had children of my own but I have brought up more than most, and I know about that trauma. Secondly, I understand that fostering, and numbers, are now improving, and that we have to look at that in a different way. It was explained to me—and this is not an area in which I have recent expertise—that foster parents who take adolescents often retire, as has been said, but also tend not to take small children when they need a placement. You need a different set of skills and you are looking for different foster parents. The idea that these young people are blocking a foster place is not a real one.
I can understand that the voluntary way forward is preferred by the Government. It will not work in present circumstances in local authorities, pressed as they are, unless there is some very strong legislation or statutory guidance.
I am asking that Amendment 43 be decoupled from this amendment because it deals with a quite different issue. I wish to speak briefly to the amendment moved by the noble and learned Baroness, Lady Butler-Sloss, if the noble Earl, Lord Listowel, will allow me. It is extraordinary that there are children in this country, from wherever they have come, for whom the local authority fails to take some sort of action. I do not often say this but, in my day, children would be seen as having no parental cover whatever and there would be no doubt that the local authority would have had a care order. There is no doubt that that would have happened in the past. The noble Baroness, Lady Howe, agrees.
I understand why we want fewer court proceedings. Having been the chair of CAFCASS, I absolutely understand that. They are expensive and are often not helpful to the child’s experience, never mind that of the local authority. Under the 1948 Act we had a way of ensuring that children were placed under the equivalent of a care order by a process in the local authority. In the days of Sections 1 and 2 of the Children Act 1948, one lot of children went to court and the others went through a process in the local authority. We should ask the officials to look at this. Without a doubt we have a national responsibility to protect this small cohort of children. I have come into contact with them because I deal with serious sexual abuse issues. The girls who are trafficked are seriously sexually abused. It is not just prostitution; it is abhorrent prostitution. Unless we find ways of protecting these youngsters they will just slip away and disappear, not of their own choice. I support the noble and learned Baroness in her attempt to find a way that is not expensive but which secures these children’s futures.
My Lords, an issue that is not directly relevant to this amendment, but which is akin to it, is that of parental responsibility and the accommodation that these children go into. I know that these highly vulnerable children are put into shocking accommodation. They are followed by traffickers, drug dealers and criminal gangs. They are abducted and disappear or something even more terrible might happen to them. I want to emphasise that parental responsibility must include decent accommodation for these children.
(11 years, 1 month ago)
Grand CommitteeMy Lords, I have two brief points. First, like the noble Baroness, Lady Hamwee, I am concerned about the issue of consideration, and I would like to know at what stage this consideration kicks in.
Secondly, I have the greatest respect and admiration for family and friends carers, who do such a remarkable job, sometimes in very difficult conditions, and I take on board the issue that the noble Baroness, Lady Walmsley, raised about timing. I am curious about the dropping of the preference for looking first at family and friends carers as appropriate to a child. I am surprised that that is not being strongly supported by the Government. I believe that something like 86% of kinship care proceedings are initiated by the prospective kinship carers themselves, not by social workers, and surely that is quite the wrong way round.
I am also surprised that the Government do not seem to consider the costs of kinship care and care by friends. I believe that a foster care placement costs something like £40,000, while the average cost of care proceedings is more than £25,000. I hope that the Government will look again at the whole issue of placing family and friends care at the head of the proposals. I am aware that it is not always appropriate and I accept that, but to have dropped the idea of preference, if appropriate, is a mistake.
My Lords, I have three points. I begin by saying that I believe that legislation should enhance and underpin practice. I declare an interest as being a member of the Select Committee on Adoption Legislation, along with my colleagues who have already declared that interest. It was quite clear to us that, were we able to improve practice in a number of areas, the legislation would simply not be necessary.
The Government should return to thinking about that issue, particularly in relation to the practice of social workers and the difficulties they face at the moment, and the pressures of local government. I am sure the Minister will want to concentrate on what he has before him but unless the Government take a more strategic and broader view of children’s needs, we will simply add to the legislation and the difficulties that local authority social workers are experiencing rather than meet the needs of the children.