Children and Families Bill

Debate between Baroness Northover and Baroness Howarth of Breckland
Wednesday 29th January 2014

(10 years, 3 months ago)

Lords Chamber
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Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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My Lords, I would like to ask a short question.

Baroness Northover Portrait Baroness Northover
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My Lords, I remind noble Lords that we are on Report. Noble Lords have one opportunity to speak. They can intervene to ask a question to seek elucidation from somebody who is speaking. Providing that is what noble Lords do, those interventions are all right. They must seek clarification from, or ask a question of, the person who is speaking.

Girls’ Education Challenge

Debate between Baroness Northover and Baroness Howarth of Breckland
Monday 20th January 2014

(10 years, 3 months ago)

Lords Chamber
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Baroness Northover Portrait Baroness Northover
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When troops are drawn back from Afghanistan, as my noble friend will know, DfID’s commitment will be maintained because we are well aware that a more peaceful future is likely to be secured through the development of Afghanistan. Engaging girls and women is absolutely vital to that, and education is all part of it.

Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland (CB)
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My Lords, education for disabled young people is even more difficult in areas of extreme poverty. Is there any focus in this programme on disabled girls? I declare an interest as a trustee of Livability, which works in Asia with disabled young girls.

Baroness Northover Portrait Baroness Northover
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The noble Baroness may like to know that my honourable friend Lynne Featherstone has a particular focus on assisting those with disabilities in developing countries. The projects being taken forward at the moment are in Somalia, Ethiopia, Kenya, Uganda, Afghanistan and Sierra Leone. There is great determination to make sure that schooling is inclusive, whether it is for able-bodied or disabled children.

Children and Families Bill

Debate between Baroness Northover and Baroness Howarth of Breckland
Monday 18th November 2013

(10 years, 5 months ago)

Grand Committee
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Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland (CB)
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My Lords, although I had not intended to speak on this section, I would like to raise one particular concern. Before I do that, I will add my concerns to those of the noble Baronesses raising the issue of repeal under Clause 76. Earlier, before we began the Committee, the noble Lord, Lord McColl, talked to me about whether a particular group of children should be given priority and whether we could find a way of doing that. I said that, if you try that, you will find that almost every group of children that local authorities currently deal with are a priority, because those are the only groups that they deal with at the moment. It is very difficult for local authorities at the moment to move into preventive work or into other areas.

If we have one piece of legislation for adults, which has the duty, and another piece of legislation for children, which does not have it, my great concern is that children will slip down the priority list in this particular area. I am not saying that they will not be protected—that will be followed up—but proper assessment for under-five provision will slip down the priority level. It has to, because that is the only way that local authorities can manage their finances and priority ratings. I hope that the Minister and the Government will look again at this repeal. I think that the way forward is to look at the regulation and the framework and to get that into an accurate package, which would take us forward.

The other area that concerns me—this is a probing question—is those children who have additional needs and who need to be placed in under-five daycare so that their parents can work or develop skills. I am thinking in particular of children with, say, autism or similar developmental issues and am really trying to probe how this fits with the government amendment. At the moment, a local authority may provide funding for a place, but if the parent wishes to make additional payments for an extra quality of service, the local authority will not pay because that would be a mixture of private and statutory funding—even if the organisation providing that service is a voluntary, not-for-profit organisation.

I take some responsibility because I suspect that, in the past, I was one of the people who pressed for the principle of not mixing private and statutory funding, but I do not think I ever saw it coming to a position where, as a parent, you could not give added quality to children in need. The difficulty has arisen because some parents have objected to having to pay—one organisation I know in particular may have to close its doors because it cannot manage the quality of care that they need to provide for these difficult children. This is really a probing question: are the Government prepared to look at mixing or is it an absolutely sacred principle that private and public funding should not be put together? I also support the other the noble Baronesses who put the other arguments so clearly.

Baroness Northover Portrait Baroness Northover
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My Lords, this is an important debate about the role of English local authorities in securing early-years provision free of charge for young children and about sufficient childcare. In responding, I will also speak to government Amendment 240R.

The Government are as determined as other noble Lords that parents should have a wide choice of early education and childcare places, and that places are of the highest quality possible. Clause 76 will remove the requirement on local authorities to assess the sufficiency of childcare provision every three years. We recognise the concerns raised by my noble friend Lady Tyler and the noble Baroness, Lady Hughes, and I hope that I can provide some reassurance.

There are two duties on local authorities relating to the sufficiency of childcare: the duty to secure sufficient childcare under Section 6 of the Childcare Act 2006; and the duty to make an assessment of sufficiency of childcare every three years under Section 11 of the same Act, which is what we have just been addressing. The first of these duties is paramount. The duty of the local authority to secure sufficiency of childcare remains in place; it is the other element that we are talking about here. We are clear that local authorities should take steps to ensure that parents can access the childcare they need.

To satisfy themselves that there is sufficient childcare in their area—my noble friend Lady Tyler is right—local authorities do indeed need to collect information on the availability of, and demand for, childcare. Our statutory guidance makes it clear that local authorities should report to elected members annually on the steps they are taking to address any gaps in childcare provision. The annual report should also be made available to parents, allowing them to hold local authorities to account for ensuring that there is high-quality, affordable childcare in their area. The noble Baroness, Lady Hughes, mentioned a simpler annual report. We are more in agreement here than perhaps it may have appeared from our initial discussions. There will need to be an assessment because those kinds of data are required, and there will need to be an annual report.

The decision to repeal the sufficiency assessment—that three-yearly, very lengthy document—was taken after public consultation. The majority of respondents supported the repeal and the proposals that local authorities should prepare and publish an annual report on the sufficiency of childcare. The noble Baroness, Lady Hughes, referred to that consultation and suggested that perhaps we did not ask whether the duty should be repealed. Perhaps I misunderstood her—it looks as if I did not—but the department did indeed ask this. The question was: “Do you support the repeal of Section 11 and the revocation of the supporting regulations?”. That was directly asked of people, and 62% supported it; only 10% said they did not.

The consultation took place between November 2010 and February 2012, and the Government published their response in May 2011; it is available on the Department for Education website. The feeling came through that what was needed was to ensure that there were sufficient places and that too much focus was perhaps going on this rather lengthy document, produced every three years, which required a lot of effort to put together and was not easy for parents to access, and so on.

No doubt in the first place the provision was made for the best possible reasons and I fully understand why it should be there, but the purpose is to try to secure sufficient childcare and to have a mechanism of putting pressure on local authorities to ensure that that happens. That is why the department is in favour of moving to an annual assessment and giving that annual report to the councillors who are accountable. I hope that noble Lords will be reassured.

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Baroness Northover Portrait Baroness Northover
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The noble Countess is right. As I read that out, I was thinking, “My goodness, that is a long consultation—a very, very thorough consultation”. No doubt I may find that it was not quite like that and, if so, I will inform the noble Countess in a moment. I hope that the substance of what I am saying provides some reassurance.

Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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It may be my lack of understanding, but I think that the concern is not that the assessment is being changed from the lengthy three-year bureaucratic document, with which I am familiar, but that the statutory responsibility has been changed to regulation. Is that correct?

Baroness Northover Portrait Baroness Northover
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Perhaps I may answer the noble Countess, Lady Mar. The consultation went from November 2010 to February 2011—which, I agree, is a much more normal length of time for a consultation.

Children and Families Bill

Debate between Baroness Northover and Baroness Howarth of Breckland
Monday 11th November 2013

(10 years, 5 months ago)

Grand Committee
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Baroness Northover Portrait Baroness Northover (LD)
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My Lords, I thank the noble Earl, Lord Listowel, the noble and learned Baroness, Lady Butler-Sloss, and other noble Lords for this amendment and for stimulating some important debate.

It might be helpful if I explain how the existing legislation works. Unaccompanied children who apply for asylum are supported by local authorities under the Children Act 1989 and under similar legislation in Scotland and Northern Ireland in the same way as any other child in need. As children their immigration status is, rightly, irrelevant to their entitlement to support, and remains so until they reach adulthood. The noble Baroness, Lady Howarth, made an extremely cogent set of points, especially on picking up at an early stage the challenges for some of these children. Local authorities already have a duty under the Children Act to plan the transition to adulthood of care leavers. She made an implicit point about when that ought to be examined and not left until the young person is about to turn 18.

For unaccompanied asylum-seeking children in care, this planning should include the different steps required in response to different immigration outcomes. The guidance is clear that local authorities should work with dedicated case workers at the UK Border Agency. As we set out in our letter to noble Lords on 1 November, the Department for Education is currently developing an action plan to drive forward improvements—which I think is what the noble Baroness was flagging—in the way local authorities identify children in, for example, private fostering who are at risk and where there may be concern about a child’s identity and immigration status. The noble Baroness specifically mentioned schools. We are currently exploring options with interested agencies and partners and hope the noble Baroness and any other noble Lords who are interested will contribute to that process by sharing their expertise and discussing any outstanding concerns in more detail.

When young people reach the age of 18, the position may be different from the one I have just described for under-18s. If they have been refused asylum, have not been granted any other form of leave to remain in the UK and have had an opportunity to appeal against the decision to an independent judge, then automatic access to further support from the local authority ends. That is what we are addressing here. It is important to recognise that support may still continue where it is necessary to avoid a breach of a person’s human rights. Whether this is necessary will depend on an assessment of the individual circumstances, but should include any failed asylum seekers who are taking reasonable steps to return to their countries of origin but need time to make the necessary arrangements because they are awaiting the issue of a passport. Equally, those who face a temporary barrier to departing because, for example, they are too sick to travel, should continue to receive support.

I turn to trafficking, which was mentioned in this context. Noble Lords will remember that we had a very important debate on this subject earlier in Committee. We will have further discussions on it, both in the Chamber and outside it. The noble and learned Baroness, Lady Butler-Sloss, highlighted this issue and other noble Lords picked it up. In the case of potentially trafficked children, the first step is to assess whether there are reasonable grounds to believe that the person is trafficked. If the answer is yes, in practice it is likely to be considered as a breach of the child’s rights to refuse leave to remain. I hope that somewhat reassures the noble and learned Baroness.

We believe that the existing arrangements already make provision for those who have a genuine need. I realise that this is a probing amendment which is trying to get to the bottom of this particular challenge. We are concerned that, if we were to accept it, it could create further incentives for young people to claim falsely to be under 18 when they apply for asylum. This is a problem that local authorities already struggle to deal with. It could even put more young people at risk by providing an incentive to make dangerous journeys to the UK to claim asylum in order to receive extended support. The dangers of these journeys are well evidenced in the courts, by the United Nations High Commissioner for Refugees and by UNICEF.

The Government remain committed to ensuring that young care leavers whose immigration appeal rights are exhausted do not face an abrupt withdrawal of all support. It is important that their options are clearly explained, including the availability of generous reintegration assistance from the Home Office if they agree to return voluntarily to their countries. It is important that any genuine barriers to preventing return are identified. In response to the noble Baroness, Lady Lister, I emphasise that the local authority must assess each case individually, and if the authority considers that stopping support would breach a person’s human rights, it should continue. The Home Office provides funding to local authorities to cover the cost of extended support beyond the point at which a person turns 18. It already continues for three months after the person’s immigration appeal rights are exhausted, specifically to allow the local authority time to make the necessary assessments of individual cases. If an assessment shows that additional time is needed to complete the practical arrangements to leave, or where there are real obstacles to leaving the UK, further support should continue. However, we are aware that some local authorities are unsure of the practical steps they should take to assess individual cases properly. Young people in different areas may experience different levels of support. The Office of the Children’s Commissioner is currently examining local authority practice in this respect. We believe that it is right to wait for the findings of that study before considering whether further work with local authorities is required to ensure more consistency in case assessment. I hope that this information is useful to noble Lords.

Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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I apologise for interrupting the noble Baroness. Can she give us the timing of the study in relation to the progress of the Bill?

Baroness Northover Portrait Baroness Northover
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The report should come through in February. It will inform what the Government might or might not need to do to address this issue. I hope that noble Lords will feed in any experiences which they feel need to be looked at so that the study can be as effective and far-reaching as possible.

I hope that I have reassured noble Lords that the Government take seriously their responsibility to provide appropriate support where care leavers no longer have leave to remain in the United Kingdom. As I have mentioned, there are a number of different categories where it would not be expected that people would be required to leave—for example, trafficked children. On that basis, I hope that the noble Baroness will feel able to withdraw the amendment.

Children and Families Bill

Debate between Baroness Northover and Baroness Howarth of Breckland
Monday 28th October 2013

(10 years, 6 months ago)

Grand Committee
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Baroness Northover Portrait Baroness Northover
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My Lords, this group of amendments relates to Clauses 25 and 26, which deal with promoting integration and joint commissioning. These provisions are at the centre of our reforms and I am grateful to noble Lords for their careful consideration of these issues. Children and young people with special educational needs need integrated services. Too often they have to tell their story over and again, and too often they or their parents struggle to navigate a system that makes no sense either to them or to the professionals who are supposed to be helping them. In this mini-debate we have had an echo of the discussions we had on both the Health Bill and the Care Bill, where noble Lords were very keen, as were the Government, to take forward better integration and working together across these areas. Noble Lords who have just come from the Care Bill will be extremely well aware of how the Government have sought to take this forward, addressing how people have so often fallen between the cracks. This, too, is part of the attempt to ensure that those with special educational needs are better supported and that the authorities responsible for them work more closely together.

These clauses seek to tackle those issues head on. The integration duty sits alongside duties for a local authority and its local partners to co-operate with each other. I remember extremely clearly, as other noble Lords no doubt will, how integration, as debated in the Health Bill, had to be part of the new arrangements for the health service. This echoes much of that. It links closely to the joint commissioning clause that provides the statutory framework to enable partners to work together effectively to deliver a better experience for the child or young person and their families, and support improved outcomes. Joint commissioning sets out the framework for key elements, such as the local offer, education, health and care plan assessments, and personal budgets. It seeks to improve both the working relationships between local authorities and health bodies, and the provision to children and young people with special educational needs. It requires the local authority and health bodies to establish clear procedures for making decisions and, in particular, to agree what support is needed locally and which agency will deliver it. Crucially, they must agree how they will resolve disputes between partners, as well as how they will deal collectively with complaints concerning education, health and care provision.

The new draft SEN code of practice’s chapter on joint commissioning has developed a great deal, and I hope it may help to reassure noble Lords to know that it puts great store on the importance of making decisions in joint commissioning arrangements—an issue to which the noble Lord, Lord Ramsbotham, has just referred. It specifies that the arrangements should be robust enough to ensure that all partners are clear about who is responsible for what, who the decision-makers are across education, health and care and how partners will hold each other to account where there is a dispute. It recognises the importance of getting elected members and chief executives across education, health and social care on board, and recommends that the arrangements for children and young people with SEN should be specifically accountable to councillors and senior commissioners. It recognises that local accountability can take the form of a programme board, acting as a bridge between the local authority’s education and social care leadership and health partners.

It also reflects that health bodies must work with the local authority in commissioning integrated, personalised services and designing the local offer, including ensuring that relevant contracts with providers reflect the needs of the local population. Local authorities, clinical commissioning groups and NHS England should develop effective ways of harnessing the views of their local communities so that commissioning decisions on services for those with SEN are shaped by people’s experiences and aspirations. The dovetailing of the SEN reform clauses with the NHS reforms is central. The NHS mandate requires clinical commissioning groups to consider the needs of children and young people with SEN and disabilities, so we see immediately the crossover. The Health and Social Care Act reforms require local authorities and clinical commissioning groups to participate in the health and well-being board and to produce a joint strategic needs assessment and a joint health and well-being strategy that sets out how local needs will be met. So the needs are to be identified, and plans have to be put in place as to how they are met.

The health and well-being board has a duty—and I well remember it—to encourage integrated working. For the purpose of advancing the health and well-being of the people in its area, it must encourage people who arrange for the provision of health or social care services in the area to work in an integrated manner. As I said, the Care Bill has been taking that further forward and making it a reality. I hope that that context helps when looking at how we are trying to tackle the needs of these particularly vulnerable children.

I heard what my noble friend Lady Sharp said about the probing nature of her amendment. As ever, she probes extremely effectively. She is seeking to explore how these new arrangements will work in practice, and obviously she is absolutely right to do that.

My noble friend wondered whether SENCOs would have too much on their plate. Since 2009, the Government have funded more than 10,000 new SENCOs to study for the National Award for SEN Coordination. We will support a further 800 places in 2013-14 and this will help them in their important role in linking with other agencies, such as health and social care. I hope that that helps to take this matter forward.

Many of the amendments in this group reflect an apparent desire to puts lots of detail in the Bill. This is an argument with which everyone here will be very familiar—whether it is necessary to specify certain things in the Bill in order to make sure that certain things happen. I am sure that we are all seeking to go in the same direction, which is to achieve what the Bill sets out to do. From noble Lords’ probing as to whether it is going to be delivered by the Bill as it is, I certainly sense that there is agreement on that.

However, noble Lords will also be familiar with the fact that if you specify in great detail in a Bill, you can inadvertently exclude things that you have not included. That is why there is always discussion about what happens in guidance and secondary legislation and so on, and that is why I am so pleased that we have the SEN guidance. It is comprehensive and, I hope, addresses a number of issues that noble Lords are concerned about. From that guidance, your Lordships can see how the Bill translates into what we intend in practice.

As noble Lords will appreciate, we feel that there is a danger that if too much is specified in the Bill, that will then hinder the kind of flexibility that may also be required at a local level. Noble Lords who heard the pathfinder organisations, which came to address us the other day, probably share my feeling that the often very imaginative and creative ways in which they were going about their work and the way they were working with other organisations in their local areas to address the needs of the children were very impressive. One would not wish to do anything that stifled that. One would wish to support them in taking that forward. The aims of what one is seeking to achieve and the details being spelt out in the guidance—

Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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I have not spoken in this debate but I should like to ask the noble Baroness a question. The thing that concerns me greatly as a practitioner is the variableness of how co-operation takes place across the country. In some places, certainly where there are special projects such as pathfinders, it works well, but in my experience some authorities do not make timely decisions, which can mean that placements are not agreed, and again I refer to my experience in adult colleges for severely disabled young people. If a local authority cannot agree between its own social services provision and its education provision, how does it then hope to get co-ordination across the piece?

I probe only because of my anxiety that we get this right. I agree that it is not always good to have too much detail in a Bill, but how through the guidance will we ensure consistency across the country so that decisions are made appropriately and young people get properly placed, not left in back rooms in homes with distraught parents when a college place could make the difference?

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Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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May I just ask a question about the funding? Much as local authorities do not like ring-fencing, how will the Government ensure that that funding is properly directed to these services?

Baroness Northover Portrait Baroness Northover
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The issue of exactly how to make this as effective as possible is under discussion at the moment, and I am very happy to write to the noble Baroness to spell that out in more detail.

Children and Families Bill

Debate between Baroness Northover and Baroness Howarth of Breckland
Wednesday 16th October 2013

(10 years, 6 months ago)

Grand Committee
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Baroness Northover Portrait Baroness Northover
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My Lords, here we are addressing another group of potentially vulnerable children, as the noble Baroness, Lady Howarth, pointed out. They are foreign-national children who are living in this country while their parents reside elsewhere. We recognise that the amendment seeks to improve safeguards for children privately fostered from abroad. We sympathise with that intention.

We fully accept that local authorities should check on private fostering arrangements when children are living apart from their close family, and current legislation provides for this. We recognise that it is sometimes difficult to establish if a family relationship is genuine, as the noble Baroness, Lady Howarth, made very clear, especially where a carer is falsely claiming to be a close relative to avoid the requirement to notify the local authority of a private fostering arrangement. This raises a potential safeguarding issue.

However, we are not convinced that the way forward is to apply the private fostering arrangements to all foreign national children who live here without their parents. This would extend the arrangements to a large number of cases where children are safely looked after by close relatives. However, we agree that this is an important issue, as children from abroad are in a particularly vulnerable position. It remains crucial that professionals who work with children from abroad, including border staff, schools, health professionals, housing officers, et cetera, can spot private fostering when they see it and notify the relevant local authority.

The current private fostering guidance asks local authorities to undertake awareness-raising activities with agencies, such as schools, to enable professionals to encourage private foster carers and parents to notify the local authority. Front-line professionals are also encouraged to notify the local authority of a private fostering arrangement that comes to their attention where they are not satisfied that the local authority has been, or will be, notified of the arrangement, so that the local authority can check that the arrangement is safe and suitable.

We are reviewing the school admissions guidance for children from abroad and are aiming to publish a revised version in January 2014. We will also shortly be publishing revised guidance on safeguarding in schools. The new guidance will specify schools’ statutory duties in respect of safeguarding, provide guidance on roles and responsibilities, including making referrals to child protection services, and indicate where to find up-to-date guidance on particular issues.

In addition, we have a project under way looking at the requirements on local authorities and the role of other agencies and services with a view to focusing efforts and strengthening the response to children most at risk. We will be talking to relevant partners and agencies, such as the Home Office, the British Association for Adoption and Fostering, Children and Families Across Borders, Ofsted and local authorities, to identify what targeted action might be taken to improve practice in local areas. There are a number of issues that we are looking at, and I am happy to share them with the noble Baroness.

An important issue is whether it is better to resolve the immigration status of children and return them to their home country as soon as possible after their arrival in the UK, rather than leave it until they reach the age of 18, by which time their ties with their home country have been greatly reduced. The current practice is to consider the needs of each child on a case-by-case basis and carry out an assessment of what is in the child’s best interests. The child and their social worker have a central role in this assessment, and contributions are usually also sought from other relevant agencies.

We have some sympathy with the argument about early return but, referring to other debates we have had, we need to be aware that many of these children may be vulnerable and have arrived in the United Kingdom having suffered very difficult and sometimes traumatic experiences. It is often the case that their parents cannot be traced or that the reception arrangements in the country to which they would be returning might be inadequate. This has meant that in practice, with the exception of transfers to other European Union countries, the UK rarely enforces the return of unaccompanied children to any country. The important issue is to try to work out what is in the best interests of the child.

I would be happy to provide any more details on this to the noble Baroness. I welcome her expertise feeding in as we consider this. I hope that in the mean time she will be content to withdraw her amendment.

Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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My Lords, I am grateful for the noble Baroness’s full reply. The only point that I would pick up is that sometimes social workers will decide to allow children to remain indefinitely without taking action, simply because the social worker is anxious that if they do anything the child will immediately be deported. It is that working together between all the agencies and organisations, including education and the Home Office, and making sure that the child’s welfare is at the centre of any decision, that needs to be taken forward. Otherwise, people make decisions that they think are in the best interests of the child but, in the long term, turn out to be disastrous for their growth. I beg leave to withdraw the amendment.

Children and Families Bill

Debate between Baroness Northover and Baroness Howarth of Breckland
Monday 14th October 2013

(10 years, 6 months ago)

Grand Committee
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Baroness Northover Portrait Baroness Northover (LD)
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My Lords, noble Lords have highlighted some key areas on support of children, particularly those who may be returning from care. I assure the noble Baroness, Lady Howarth, and others, that we take these issues seriously. I hope, too, that I can be heard.

Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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There are some difficulties on this side.

Lord Northbourne Portrait Lord Northbourne (CB)
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I confess to being one of those who finds it difficult.

NHS: Hospital Patient Maltreatment

Debate between Baroness Northover and Baroness Howarth of Breckland
Wednesday 16th March 2011

(13 years, 1 month ago)

Lords Chamber
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Baroness Northover Portrait Baroness Northover
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I thank the noble Baroness for calling me her noble friend. She is indeed quite right that unannounced inspections should surely help, though if you read the ombudsman’s reports, what is so striking is the lack of empathy for patients. Clearly, a culture change is required among those who are meting out poor care where that is the case. There is much very good care, but there is clearly a lot of poor care, and we must do everything we can at every level to try to change that.

Baroness Howarth of Breckland Portrait Baroness Howarth of Breckland
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My Lords, perhaps I may raise a more institutional issue about the hospital service. How many elderly and disabled people are languishing in hospital beds because there is no alternative—an alternative either in good residential care with or without nursing or in their own homes with a care package? I understand from a report I heard recently that there are hundreds of old people who could be moved on. It is when they languish in those beds that this kind of poor care develops, and I, like the noble Baroness, Lady Knight, have anecdotally heard of people who say, “Just don’t get old these days”.

Baroness Northover Portrait Baroness Northover
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I thank the noble Baroness for her question. It is clearly in everyone’s interests, especially in this House, to make sure that older people are treated with care and consideration. One thing that comes through from the ombudsman’s report is that this does not apply simply to people who are stuck in hospital, although that is greatly to be regretted and we want to ensure that that does not happen. People in the hospital setting for routine care also are not treated very well. We have to ensure that for whatever reason a person is in hospital they are treated with care and compassion.