(2 years, 10 months ago)
Commons ChamberI assure my hon. Friend that this is something we take very seriously and we meet every day to discuss this issue. We are conscious of the pressures caused by omicron, and of the herculean challenges faced by health and social care providers to discharge people in a safe and timely way, particularly with outbreaks and having to manage infection prevention and control. That includes the Gloucestershire Hospitals NHS Foundation Trust, which declared a national incident on 28 December at its Gloucestershire site. But it responded brilliantly and stood down the incident nine days later. As the Secretary of State said, we have also established a national discharge taskforce, which is driving progress to bring a renewed focus on reducing discharge delays, including in Gloucestershire, and working with local government and the NHS.
(5 years ago)
Public Bill CommitteesQ
Nazir Afzal: There is a substantial learning. For example, there are people working in the male victim sector who previously felt that they were being ignored and not listened to and that perhaps—I think this was underlying your question—they were second-class victims. What they have picked up from those who are suffering has informed the Welsh Government’s work in relation to female victims. There is substantial good practice in that area, which perhaps would not have been picked up had we not engaged with them in the way that we are doing.
Q
Nazir Afzal: Do you mean the national advisor role?
(5 years ago)
Public Bill CommitteesQ
Nicole Jacobs: That is why I feel strongly about the broadening of the statutory duty. One of the things that I want to point out is that when you hear about refuges or community-based services, all those people are serving the needs of children. They are the people who are finding the school places and thinking about advocating to CAMHS—child and adolescent mental health services—for example, about waiting lists and all sorts of things.
That aside, there is still a distinct lack of services that address the child directly. There are the needs of the child and then what services a child in their own right should have, such as counselling support to understand and make sense of the trauma they have suffered. Those services are seriously lacking because in the local authority, at the local level, it is the crisis-related services that are prioritised for funding.
Believe anyone who gives you evidence on the lack of services for children, because it is true to say that it is very unusual to find an area with genuine nice provision and breadth of services for children in that respect. Again, that is why we need to be clearer about where that is happening, so that we can learn from it—how do they fund it, or which partners come together at the local authority level to fund it? Even better, that should be included in the breadth of a duty that we would expect everyone to have. That would make things significantly better.
Q
Nicole Jacobs: My colleagues at Women’s Aid, whom I trust, would say that we are turning away one in three people who seek a refuge. I know what it is like to try to find a place in a refuge—I have many years’ experience in frontline services and I have been at the end of the phone on a Friday night trying to find a place for someone sitting in front of me who has nowhere to go. I welcome the establishment of a solid fundamental duty to ensure that that provision is in place.
I like the way that MHCLG has consulted many stakeholders about having a board that would include specialist services that map and think carefully about the priorities in any area. All those things would end the idea of, “I am funding something that is not for ‘my residents’,” which has been the attitude from some, although not all, local authorities. Some local authorities have had an attitude of, “Why are we providing this service when it is not our residents who are attending?”, but if everyone did that there would be no place to go.
Some of the measures being introduced will address that in part, but I stress that things such as provision for migrant women or people with no recourse to public funds—I cannot tell you how frustrating it is when you are desperately trying to find suitable, safe accommodation for someone in those circumstances. I am sure you will hear a lot of evidence about that, so I will not go into great detail, but we must seek to improve those things through the Bill in terms of our duties. I do not see it happening any other way.
Local authorities are very constrained. For example, even when you go to a local authority with great solid information and say, “This is the percentage increase in our referrals; this is the breadth of what we are not doing,” the response is not, “Okay, you have given me the evidence, here we go.” Usually, it is, “Let’s have a 10% cut because we are cutting all services right now.” That is the reality out there, and that is why there has been such a lot of enthusiasm for the idea of a duty, which I feel needs to be extended.