Services for Children in Care

Allison Gardner Excerpts

Tuesday 27th October 2026 Commons Chamber

[Josh Newbury]

I thank the hon. Gentleman for his kind words. He always has a kind word to say and a valuable contribution to make to any debate on any topic, which is quite impressive. He is absolutely right to highlight the fact that there are so many people in our country who would love to foster and have the attributes and the motivation to do so, but who simply cannot afford to because the costs they would have to meet exceed the payment they would get. We need to raise awareness of the fact that fostering is paid for—many people do not realise that—and we need to bring those stories to the House, as he has rightly done, to highlight the need to do far more to support our foster carers, who do an incredible amount.

[Dr Allison Gardner (Stoke-on-Trent South) (Lab)]

I have constituents who are foster parents of children with extremely complex needs. It is a laudable but very challenging vocation. Placements often fail because the foster parents do not get the wraparound support and respite that they need. Such breakdowns can be even more challenging if the children are from out of area and then end up getting moved again. Does my hon. Friend agree that all councils must provide the correct support and respite for our foster parents?

[Josh Newbury]

I absolutely agree with my hon. Friend, who speaks from deep personal knowledge of this topic. She is right to highlight the experience of foster carers in her constituency, who all too often feel that the buck always stops with them and that there is never any let-up. It can be an incredibly challenging role—we are talking about some of the most vulnerable children in our society, who often have incredibly complex needs that present themselves in many different ways. It is the responsibility of our society as a whole to ensure that those children are well cared for, but we also need to ensure that our foster carers have the support and the wraparound care that is needed to succeed, because they play such an incredible role. When my husband and I were fostering, we were very fortunate to have that support from our county council, and we need to ensure that that support is available to everybody.

Staffordshire is increasingly welcoming children who are placed in our county by local authorities elsewhere in the country, and I am very glad that our county is able to play that role in caring for vulnerable young people. The figures for Cannock Chase give us a sense of how the picture is changing. In 2025-26, five children’s homes opened and two closed, with a net increase of seven places. The county council told one of the councillors in my constituency that there are 19 homes for children with emotional and behavioural difficulties and seven for children with learning difficulties. Because of the high level of EBD homes, the county council is even taking the step of asking potential providers not to set up new EBD homes in my constituency for the time being, despite the shortages we are all aware of.

As more homes open, our local services clearly have a growing role in supporting children whose previous care arrangements may have been organised hundreds of miles away. I am proud that Staffordshire can provide care for those children, but I want to ensure that the local authorities placing them here are giving our services the information that they need early enough to plan properly. My point is not that Staffordshire should do less to support these children; it is that, if we are going to provide that care, we must have the communication and co-ordination needed to do it as well as possible. These children deserve more than a placement address; they deserve a joined-up package of care that follows them wherever they move to.

The doctors I spoke to explained that, when Staffordshire county council receives the appropriate notification, CAMHS has a chance to contact the young person’s previous NHS trust, establish what support they have been receiving and work out how that support can be continued locally. That is the difference between planning for a child’s needs and reacting when those needs escalate. Without notification, that opportunity is taken away. The receiving services may not know about the child, may not have their clinical history and may not understand what treatment or support has been interrupted. It also means that GPs may not know that a young person has entered their area; diagnoses, risks and existing care plans may not accompany the placement; responsibility for GP registration, crisis support and ongoing care may remain unclear; services might respond without essential clinical and contextual information; and young people may experience avoidable crisis escalation—emergency department attendance and in-patient stays are all too common.

Fragmented arrangements can undermine safeguarding and continuity of care. Commissioning of provision is carried out by local authorities, but if they are not aware of what has been commissioned from the home area, which can often include a comprehensive health package to sustain the placement, it is not hard to see where things can go wrong. In some cases, local services can end up duplicating already commissioned input, leading to double-funded provision.

That complexity is compounded when multiple providers operate within one geographical area. In Staffordshire and Stoke-on-Trent, there are multiple CAMHS providers, alongside specialist children in care health teams hosted by different organisations. Acute hospitals attended by young people may be managed by separate provider trusts, many of which do not have access to community health records that are held elsewhere. These organisational boundaries can create barriers to timely information sharing and co-ordinated care.

Similarly, when children move between multiple out-of-area placements, information can become fragmented across different systems and accessing records held by external providers may not be possible. The issue is particularly relevant to my constituency and the wider Staffordshire area, where, as I mentioned earlier, we have seen an increase in the number of children’s homes in recent years. As that number grows, we need to be confident that the right safeguards, oversight and support are keeping pace. A children’s home is not simply a property with staff in it—it is a place where some of our most vulnerable children should receive the care, stability and specialist support that they really need.

To give a tragic example of how badly things can go wrong, I will share one story from Cannock Chase. Last summer, a constituent in Hednesford raised concerns with me about the care being provided to a vulnerable young person in an independent children’s home very close to where he lived. That young person had clearly had an incredibly traumatic experience at a young age and had complex needs. The placement was intensive, to the point where the home accepted just one child at a time, supported by several staff, 24/7.

However, the company responsible for that home clearly had no intention of following through on the promised support package, which was not put in place. I heard that CAMHS were not even contacted, despite the company having put in its bid that local CAMHS services in my area were good and dealt with looked-after children very well, and that it had already made preliminary inquiries with CAMHS. The promised two-on-one or three-on-one support was not followed through either, to the point where the young person was at one point left alone and was found by neighbours banging on doors, clearly in extreme distress and mental health crisis.

I cannot independently verify every detail of that story and I do not want to prejudge any investigation that might take place. I have also visited excellent homes in my constituency, run by people who care deeply about providing the highest quality trauma-informed care, and I believe they are the majority. However, these concerns underline why we need effective oversight and clear accountability for the care being provided.

This is not a narrow issue affecting only children in residential care or those in Staffordshire alone. It speaks to a wider challenge in how we co-ordinate support across local authority boundaries. Figures that I have seen show that in 2024, 45% of looked-after children were placed outside their home local authority, up from 40% in 2015. While 69% were placed within 20 miles of home, that proportion has fallen from 76% in 2015.

The same challenges can affect kinship families. The 2024 annual survey by Kinship found that nearly a third of kinship families lived in a different local authority area from the one the child had lived in before coming into their care. Of those families, 57% reported difficulties accessing support as a result. These are different circumstances, but they point to the same question in my mind: when a child’s life crosses a local authority boundary, does the support they need follow them? Whether a child is living in a children’s home or being cared for by a grandparent, aunt, uncle or another family member, we must not allow administrative boundaries to become barriers to accessing the right support.

That leaves me with four questions for the Minister, who as I said is standing in for the Under-Secretary of State for Education, my hon. Friend the Member for Whitehaven and Workington, who I know is doing a lot of work in this area. First, what steps are the Government taking to ensure local authorities meet their existing statutory duty to notify receiving authorities when placing children out of area, and to identify where that duty is not being met?

Secondly, how are the Government working with health partners to improve the sharing of information when a child moves, so that their clinical history, existing treatment and crisis support arrangements can follow them and the services can plan ahead? Thirdly, how will the Government ensure that their regulatory and inspection framework provides effective oversight of children’s homes, so that the care and supervision children are promised is the care they actually receive? Finally, as the Government expand placement capacity and roll out regional care co-operatives—a very welcome development to my mind—how will they ensure that these reforms improve not just the availability of placements, but the co-ordination among local authorities, children’s homes and health services?

I began by talking about the clinicians at West Chadsmoor NHS clinic, and I will end by returning to them. They see children who have already faced more disruption to their young lives than most of us can even imagine. They want to give those children the stability, understanding and care that they deserve, and the least we should expect of the system that supports them is that it gives those professionals the information and co-operation they need to do that. A child should not have to experience a crisis before the services around them realise that support has fallen away; a family should not have to become an expert in local government responsibilities before it can access help; and a local authority boundary should never become a barrier to a child’s wellbeing.

I recognise that the Government are taking steps to address the shortage of placements. The £560 million investment in children’s homes and foster care, alongside the roll-out of regional care co-operatives, is intended to help to create more suitable places closer to where children live. That matters, because the best way to manage the challenges of out-of-area placements is, wherever possible, to avoid placing children so far away in the first place. When children do need to move, we must ensure that their care and support move with them.

I welcome the steps that this Government are taking to increase placement capacity, strengthen the system and improve how services work together. The investment in children’s homes and foster care provides an opportunity for us to ensure that more children can be cared for closer to home. My ask is that, as this work progresses, we keep the experience of the child at its centre. That means pushing local authorities to share information, health services being able to plan ahead, and clear accountability for ensuring that the support a child needs is actually there. Every child in care deserves stability, safety and the chance to thrive, wherever they are placed. I look forward to working with the Minister to ensure that the Government’s reforms deliver those outcomes for children in Staffordshire and across the country.