Children and Social Work Bill [HL]

Baroness Howe of Idlicote Excerpts

Report: 1st sitting: House of Lords
Tuesday 18th October 2016 Lords Chamber

[Baroness Benjamin (LD)]

My Lords, I support this group of amendments because we all know that while each year, here in England, thousands of children enter the care system, too many who enter it cannot rely on the loving support offered by family and support networks. Many have already experienced terrible traumas in their young lives and we know that without the right support, these traumas can have long-lasting consequences. The challenges that looked-after children face after they leave care are well known, so we have to cater for their needs and find ways to encourage them to aim high by fulfilling their ambitions, inspiring aspirations and laying foundations to help them find ways to achieve happiness and personal fulfilment. That is why I am delighted to support especially the amendment tabled by my noble friend Lady Tyler to ensure that mental health assessments will be provided for all children entering care.

It is essential to ensure that the assessment of need will be translated into practical support because we in the state—the corporate parents—have a moral duty to do so. Too many children are crying out for support, like the child who told the NSPCC:

“I live in a residential unit. Other people in the unit keep bullying me. One of them attacked and injured me. I feel really lonely because I have to stay in my room to avoid them”.

They said that it had already upset them so much,

“that the staff won’t arrange a transfer for me. I don’t know who to turn to for help”.

Another young person told ChildLine:

“I don’t understand why everyone hates me. I feel like nobody wants me anymore and I just want to go to a normal family that loves me”.

At the core of the amendment proposed today is the desire to ensure that the emotional and mental health needs of children in care are assessed at the point of entering care, so that their needs will be properly supported through their care placement while at school and through a clinical intervention, if that is what the child needs.

Without a better system of support in place to help the 31,710 children who entered care last year, we know that many of them will struggle to overcome the legacy of those early experiences. As recent statistics released by the Department for Education showed, 40% of children who left care last year were not in education, employment or training. We must therefore take this opportunity before us today to improve the assessment of the mental health needs of children in care. We will otherwise continue to see children in care struggling to stay afloat with the weight of their past experiences. The Prime Minister has highlighted the need to tackle mental health issues; the earlier that we do so, the better.

[Baroness Howe of Idlicote (CB)]

My Lords, I too begin by thanking the noble Lord, Lord Nash, for his amendment on mental health and the corporate parenting principle. I tabled an amendment on this issue in Committee and I am pleased to see that our concerns are being addressed. Ensuring that the mental and physical health of children in care reaches a point of parity is a welcome amendment. It represents an important statement of principle and I am pleased to see steps being taken towards achieving the ambitions set out in the Government’s Future in Mind strategy.

Principles are important, but so too are actions. I should like to use the remainder of my time to speak in support of the amendment tabled by the noble Baroness, Lady Tyler. There are currently more than 70,000 children in care in England—70,000 children who no longer live in their family home and who are reliant on the support of the state for all their needs. We have a duty to care for their physical safety, but we have a fundamental responsibility to care for their emotional well-being as well. It is not enough to remove a child from their family home and hope that this will be enough to change their lives. We must aim higher than this. We must aim to provide them with homes that are far better than the family homes they have just left.

It is vital that we find proactive ways of supporting children in care. The first step in this process is to identify the types of support from which a child in care would benefit most. To do this, we need to introduce mental health assessments for children entering care and throughout their time in the care system. The point at which they enter care is crucial, as other noble Lords have said. If a child’s first experiences of life in care are positive—if it becomes a space through which their mental health and emotional needs are attended to—then they will be so much more likely to thrive and have the confidence to take advantage of the opportunities afforded to them. If problems are left unidentified, this can have particularly grave consequences for looked-after children.

The research report, Achieving Emotional Wellbeing for Looked After Children, published by the NSPCC last year, highlighted how children are particularly vulnerable when they experience poor emotional well-being while in care. This report illustrated the way in which poor mental health can lead to placement instability which, in turn, leads to a further decline in emotional well-being.

A teenage girl called Emily told the NSPCC about the impact that placement instability was having on her emotional well-being. She said:

“I can’t cope any more. I have been in care my whole life and have been pushed around between foster families and adopted families. I feel so let down, broken hearted and like I don’t belong anywhere. No one wants me to be here so maybe I should do them a favour”.

What a horrible thought to come from anybody, let alone a child of that age.

Sadly, many children who enter care come from chaotic circumstances. Often they have never known what it was like to live in a safe, stable and secure family home. Entering care should be about giving them this stability but, sadly, this is not the experience of many looked-after children. Having the right support in place to help children make sense of their experiences from before they entered care is crucial. If we can find ways to help them manage their emotions in a safe way, many of the challenging behaviours that often lead to placement breakdown could be avoided. We can, and surely must, do better by these children. This strikes me as an eminently sensible place from which to start.

[Lord Judd (Lab)]

My Lords, I too support very strongly this group of amendments. I am very glad that issues about emotional stability, and that dimension of life, have been stressed in this debate. They were stressed particularly powerfully by the noble Baroness, Lady Benjamin.

I have always thought that structures and systems themselves never achieve anything. They can be very effective in supporting and providing the right context, but what matters are the values, principles and sensitivity of the people working within the system. This again emphasises the importance of the emotional dimension. I was very glad that the noble Baroness, Lady Benjamin, had the strength to be prepared to use the word love again. It is a word we should discuss more often in our considerations of these matters, because the tragedy is that so many of these children have never encountered love. The other terribly important thing is that they should be able to form stable, lasting, enduring relationships. Ideally, such relationships are there in the family. But if you are dependent upon a system, they are not obviously there, and therefore continuity of relationships is terribly important.

I want to make one point which is not in any way to argue against what the noble Lord, Lord Ramsbotham, said so powerfully. We should be careful about exonerating the formal educational system from its responsibilities. It is often in the context of formal education that things begin to be noticed. There therefore needs to be an excellent working relationship between the formal educational system and social services. There should be a natural opportunity for people to share notes and responsibility for how the situation might be resolved. When our approach to education emphasises achievement all the time, I sometimes worry that the community dimension of education is being obscured. What matters is that there are space and resources within the education system to make allowances for children who have special needs. Again, that depends on a close working relationship between social services and the formal educational system. In a comprehensive school near where I live in Cumbria excellent work is done in this area. What I really admire about it is that this has become the concern of the whole staff. All the staff are involved. When children have special needs the staff ask what the school is doing to meet that situation, provide care, love and relationships within the school and enable other students to take their share of responsibility. We need a very close working relationship between the formal educational system and social services.