(7 years, 10 months ago)
Lords ChamberMy Lords, I shall speak to Amendment 4. I am very glad that the Government have tabled Amendment 1, which is the burden of much of the intention behind my Amendment 4, although my amendments spell out some of the mental health descriptions, which, under the heading of mental health needs, are not always apparent.
Perhaps I may start with a plea to the Minister that in future, Bills be handled differently from the way in which this one has been. We got extremely short notice of Second Reading immediately after the Queen’s Speech and then, immediately before Grand Committee, we were bombarded with documents, papers and briefings. Those of us who have no research or clerical support, for example, have to spend a considerable amount of time perusing those in order to understand what is being said so that we can play our part in the purpose of this House, which is to revise and scrutinise legislation.
We complained about that in Grand Committee but, lo and behold, during the short return between the two recesses we again received a number of briefings and letters, and this past week has been absolutely mad. Ministers gave three government briefings last Wednesday. I am not complaining about that, but I ask Ministers to remember that others have diaries and that it is not always possible to change with the rapidity that is expected. Also, there has again been a deluge of government amendments, government briefings and government papers, which suggests to me two things: first, that the Bill was not properly thought through before it was introduced; and, secondly, bearing in mind what was said in Grand Committee, that no impact assessment of any of the measures was carried out—a complaint we have made several times before. An impact assessment does not just say that you either do it or not. It should consist of an analysis of the outcomes of doing it or not, so that those of us not coming at it from a party-political angle can make judgments based on the facts as they are given.
What has also disturbed me during the passage of the Bill is the number of practitioners, including organisations such as the Association of Directors of Social Services, and others working in children’s services, who have tabled amendments and made appeals because they do not feel that they have been consulted, or, if they have, that any of their advice or experience has been listened to. That is really not a healthy basis for important legislation about vulnerable children.
The other thing that has come through strongly—I am very glad that the Government have tabled Amendment 1, because it reinforces the point—is that unfortunately, since the demise of the Social Services Inspectorate, responsibility for children’s social care has passed to the Department for Education. Yet when you talk to the people working in the delivery of children’s services, you find that most of the problems they face are more to do with health, emotion, behaviour and well-being than education. Indeed, preparing children so that they are in a fit state to be educated—mentally as well as in every other way—occupies a great deal of their attention. I am worried that more emphasis is placed on the educational direction of social work and that there is not a more apparent cross-government approach, working with the health industry in particular.
Amendment 4 is designed to spell out in more detail the conditions that children in care and other vulnerable children present. It is based on a paper published by the British Psychological Society in 1915 called, Children and Young People with Neuro-Disabilities in the Criminal Justice System. Unfortunately, we have become used to using the phrase “learning disability”, which carries an understanding of a more serious lack of ability to comprehend than some of the conditions in the amendment. The reasons for this go back to the marvellous paper prepared by Baroness Warnock way back in the 1970s in which she spelled out conditions warranting special educational needs status and therefore special treatment. That list was by no means exhaustive but since her paper there has been a great deal more research, and there is now a great deal more understanding of the various conditions grouped together under the phrase “neurodisability”, such as ADHD, dyslexia, and autism. I am strongly of the belief that all of these conditions—which have now been listed by the British Psychological Society—should be better understood. You need only go and talk to the director of a children’s home to find that it is those conditions that give them greatest trouble.
I am very glad that since Grand Committee, there has been a meeting between officials in the Department for Education and the Royal College of Speech and Language Therapists. In Grand Committee, I spelled out the need for the assessment of speech, language and communication difficulties on the grounds that inability to communicate is the scourge of the 21st century and means that too many of our children are unable to communicate with their teachers and therefore engage with education. There is now an assessment programme, carried out, I hope, for all children in this country before the age of two by health visitors who have been trained by speech and language therapists. The aim is to ensure that a plan can be made to introduce treatment that will enable that child to engage with education in five years’ time, when they start primary school.
Officials from the department have also spoken with the National Association of Virtual School Heads, which I must admit I had not heard of—I was slightly worried when I saw the word “virtual”, because I thought that either you are a school head or you are not. Apparently, however, the virtual school heads have a very valuable role in this area, as does the expert working group on mental health.
I am glad that the Royal College of Speech and Language Therapists has been brought in. They are the best people to advise on looking after children and to advise the Government on how to ensure that children, and those working with them, have access to the communication services they so badly need, particularly children suffering from neurodisability orders. Therefore, I am seeking in this amendment the Minister’s undertaking that, in addition to the bald statement in Amendment 1 about improving access to mental and physical health treatment, he will agree to spell out the conditions that so dominate the lives of those responsible for delivering children’s services and ensure that local good practice—which I know his officials are aware of, because it has been listed to them by the Royal College of Speech and Language Therapists—is turned into national good practice, so that all children can take advantage of what has been done in some parts of the country.
My Lords, I will speak to Amendment 8 in my name and indicate my support for Amendments 4 and 5, also in this group. In addition, I warmly welcome Amendment 1, which the Government have tabled in response to discussions in Committee. The addition of mental health to the corporate parenting principles is an important step forward towards ensuring that mental and physical health are treated with equal importance by local authorities when they are making decisions about the services and support available to children in care. The Minister’s amendment, therefore, is an important signal of principle—but principles alone will not improve the outcomes for children in care.
My amendment is designed to ensure that we can achieve some practical improvements to the care that children receive. It introduces mechanisms that will ensure that the mental health needs of children entering care are properly assessed and that they have access to specialist support if this is needed. Basically, the amendment has two elements: first, a mental health assessment for children entering care, carried out by a qualified professional; and, secondly, a designated health professional in each local authority who has strategic oversight of the outcomes of the assessments and matches those with the services that are available for children in care to support their needs.
In short, this amendment seeks to establish a mechanism that will identify children’s needs early on, refer the children to the right services and ensure that services exist that children in care are able to access—and access easily. This joined-up approach is supported by the Alliance for Children in Care, a coalition of leading children’s charities, as well as the Royal College of Nursing, the Royal College of Paediatrics and Child Health, and the Royal College of Psychiatrists.
(10 years, 8 months ago)
Lords ChamberMy Lords, I rise to speak to Amendments 165B, 161A and 165C, to which I have added my name. I find it rather distressing that, here again, we have another issue where there is no evidence from the Government that the current arrangements result in undue influence of non-party campaigning in elections. Where is the justification for starting down this route?
On Amendment 165B, I declare two interests, first, as chairman of the All-Party Parliamentary Group on Speech and Language Difficulties and, secondly, as chairman of the Criminal Justice and Acquired Brain Injury Interest Group. I was concerned to read that paragraph 1(1) of the proposed new schedule to be inserted by Schedule 3 states that “Controlled expenditure: qualifying expenses” includes:
“The production or publication of material which is made available to the public at large or any section of the public (in whatever form and by whatever means)”.
Both at Second Reading and in my consideration Motion, I mentioned the problems experienced by organisations working in this area in the criminal justice system. We shall come back to them when we discuss coalitions.
One of the areas that we have been considering in Bill after Bill has been the problem of those with learning difficulties and learning disabilities who require special arrangements to enable them to understand the legal process in which they may become involved. This requires both written material and the provision of people who can explain things to them, because the police and others may not necessarily be able to do so. I am therefore asking the Minister if what we have here is a cross-counting nonsense because, in Bill after Bill, we have been trying to impose or introduce something to enable people to engage with the criminal justice system in this way. Yet, if you take what is written in this Bill, it would seem that this is now to be impossible.
I fully support Amendment 165B which has the list of those things which ought to be included in the Bill and excluded from the expenses. I am not going to discuss the staff expenses at this stage because I agree with my noble and right reverend friend Lord Harries of Pentregarth and with the noble Baroness, Lady Mallalieu.
I turn briefly to Amendment 161A. I am concerned that the word “research” might be removed. At the moment, we are conducting research into the number of prisoners with acquired brain injuries as we want to find out whether special arrangements need to be made for them. An experiment carried out in Leeds prison has discovered a large number of such prisoners and the people involved say that supporters are needed to help these people back into the community. However, such an initiative would be subject to the election provisions in the Bill. Why? It has nothing to do with elections, so why threaten such a sanction and why make the people concerned in this very important public service unnecessarily alarmed if that is not going to happen?
As regards Amendment 165C, I find it very distressing that the Bill states:
“The Secretary of State may by order make such amendments of Part 1 of this Schedule as he considers appropriate”.
Surely, such a measure ought not to be included in the Bill. It should not be up to the Secretary of State to make such amendments as he considers appropriate when so much work has gone into the Bill.
My Lords, I add my support to Amendment 160J, to which my name is attached. As I was heavily involved in the Care Bill and the Children and Families Bill, I was unable to speak at Second Reading of this Bill, for which I apologise to the House. I should also mention my interests as president of the National Children’s Bureau, vice-president of the charity Relate, and chair of the Making Every Adult Matter coalition of charities. I will speak about charity coalitions on later amendments.
Amendment 160J is intended to clarify exactly what is meant by “committed supporters”. The fear here, which has already been expressed, is that contacting people, charities and other campaigning organisations that bodies consider to be supportive will be classed as regulated activity and therefore come under “controlled expenditure”. I wish to make two main points. First, as my noble friend Lord Tyler said, these days, membership of charities and other campaigning organisations is generally not defined by an annual subscription. It might have much more to do with following the organisation on social media, actively agreeing to receive e-mails or some other way of actively engaging with the organisation concerned. Certainly, my experience of the organisations for which I have worked, and which I continue to support, perhaps in connection with children and families or campaigning for older people, is that you might feel very strongly indeed about a particular issue, perhaps to do with health, a specific disability or housing, and therefore lend your support to it. Indeed, you might be very actively engaged with it from time to time but do not necessarily support every activity and issue that the organisation concerned is involved in. However, you should still count as a very committed supporter of the relevant organisation.
Although there are other amendments in this group, and Amendment 165B clearly also tries to get the right definition of “committed supporters”, I support Amendment 160J as it sets the bar in the right place in terms of having to have some sort of active engagement with an organisation rather than simply being a passive recipient of e-mails, for reasons we have already heard. Amendment 160J would improve the Bill, if it were accepted.
(10 years, 10 months ago)
Grand CommitteeI, too, lend my support to the noble Lord, Lord Northbourne, and will link what I am going to say to my comments on Amendment 56. I have a grandson at a secondary school in Gloucestershire and, like the noble Lord, I was fascinated to see the material with which he and his parents were provided. Frankly, it was all about today and not about tomorrow. Although the quality is fairly good, I am quite certain that it could be improved.
Clause 70, later in this Bill, refers to the fact that education, health and care plans are allegedly to be denied to those being held in detention. Last week I had a meeting with two Ministers in the Department for Education who told me what progress has been made. What is most promising is that young offender institutions are to be classed as mainstream schools as far as the provision of the Bill is concerned. In welcoming the suggestion of the noble Lord, Lord Northbourne, that this guidance should be provided for schools, I should mention that young offender institutions should be included, absolutely for the reasons set out by the noble Baroness, Lady Massey. Above all, we must not exclude people in detention from learning to look after their children.
My Lords, I rise briefly to underline the important point made by the noble Baroness, Lady Massey, and in so doing I should declare an interest as vice-president of the charity Relate. I am very supportive indeed of schools playing a full role in preparing children for all aspects of life, and those must include the importance of personal relationships, family relationships and parenting responsibilities. From my experience of running an organisation that helped to deliver relationship education in a large number of schools, as the noble Baroness, Lady Massey, said, it is not always teachers who do the teaching in the classroom. I know of many schools that ask experts in relationship matters to come in from outside because they are trained to do this work. I recall seeing a report from Ofsted which suggested that trained relationship practitioners are more confident and better able to deal with some aspects of relationship education, particularly the more intimate and sexual issues. If teachers have not had the appropriate training, teachers can feel a little less than confident about it. I wanted just to underline that important point.