Children and Social Work Bill [HL]

Baroness Pinnock Excerpts

Wednesday 13th July 2016 Grand Committee

[Baroness Pinnock (LD)]

My Lords, many noble Lords have already spoken about many of the issues surrounding these proposals, and I want to focus on the key one of independence, to which all speakers so far have referred. I thought it would be worth while reading the policy statement issued in June about regulating social workers. It was quite revealing because it demonstrated that there was uncertainty at the heart of government about which road to take—whether the regulator should be independent or closer to government. Paragraph 48 says:

“In considering what form the new regulator should take we have considered whether a new fully independent regulator should be established”,

and the next paragraph goes on to discuss the pros and cons. One argument against it is:

“The establishment of a wholly independent body would inevitably take significant time as leadership and infrastructure are built from scratch and would, we think, be more expensive than the alternatives”.

The decision about the independence of the regulation of a profession as important as social work, which from time to time has the duty of challenging the state, should be based on more than simply time and expense.

The statement, in further paragraphs about the body’s establishment, continues:

“Government is proposing to establish an executive agency”,

which it says will be distinct. Further, it says that:

“Government recognises that professional regulation for many other professionals is organised on a more independent footing”,

and therefore propose that it,

“should be kept under review”.

To me, that says loud and clear that the Government are undecided. On the one hand, they know that it ought to be independent; but on the other, they want to bring it closer to government. The danger is that we will end up with social work being seen as politicised according to the colour of the Government who are in control. That is a very dangerous path to take. I urge the Government to look through the arguments that were made in their own policy statement and to come down on the side of independence rather than cost and expense.

[Lord Hunt of Kings Heath (Lab)]

My Lords, I very much welcome the briefing that we received from Ministers last week on the questions we are debating. I was also impressed with the vision set out by the noble Lord, Lord Nash, and his ministerial colleagues about the need to achieve a high level of social work, with a heavy emphasis on improving practice. So there is no disagreement with us on the aims that the Government have set out. I applaud them, as they are absolutely right to focus on the quality of social work practice. Our concern is the form that these aims take in the Bill. Not only will it not do the job but, as the noble Baroness, Lady Howarth, and my noble friend Lady Pitkeathley have suggested, it will detract from the real effort that needs to be put into encouraging, supporting and helping social workers to improve what they do.

Noble Baronesses have already raised the Education Select Committee report. What is striking is its reference to a vacancy rate of “17% of the workforce”, while the Government’s own figures,

“conceded that there were retention concerns, with the average career in social work lasting less than eight years, compared to 16 for a nurse and 25 for a doctor”.

This is not the time to be messing around with regulation when it is working in a perfectly satisfactory way at the moment.

There are five concerns about the way that the Bill has been drafted. First, we still do not understand why, within two years, there has been a complete reversal of government policy. Why has there been that reversal? I have yet to hear one proper explanation for why that has happened. Secondly, why was there no proper consultation or discussion with anyone in the field about the changes? Thirdly, why is regulation being confused with improvement? The fourth issue, which is ultimately the most important, is why the Government are setting themselves up as the regulator of a profession, while the fifth is parliamentary. It is about the use of regulations in this Bill, rather than the proper use of primary legislation.

On the reversal of policy, the Care Standards Act 2000 established the General Social Care Council while, in parallel, a College of Social Work was established. I think that none of us would say that those organisations always covered themselves with glory, but, towards the end of its life, it was quite clear that, under its last leadership, the General Social Care Council was pulling its act together. There is no doubt about that at all. I opposed the transfer of social work regulation from that body to the HCPC for the very reasons that the Government now use to justify the change in policy. Paragraph 38 of the policy statement says:

“The system that the HCPC operates is designed to maintain appropriate minimum standards of public safety and initial education, rather than raising standards”.

Of course—that is what the HCPC exists to do. The Government were told that when we debated it. They ignored it and went ahead with this proposal. So why this sudden reversal of policy?

--- Later in debate ---

[Baroness Pitkeathley]

My Lords, one could scarcely fail to notice that when the Minister talked about the very welcome aspects of the things that this new regulator is going to do, they were, as others have said, mostly focused on the improvement of social work. There is no disagreement about this. Everybody wants to improve and support social work. However, the actual functions of a regulator always come very far down the Minister’s list when we talk about registration and the fitness to practise of social workers. Fitness to practise involves not being fit to practise and social workers being struck off a register, which is a very important part of what a regulator does.

Any regulatory system for social workers should ensure parity of esteem for the social work profession with that accorded to other public service professions entrusted to undertake high-risk professional tasks. For me, that is an argument for keeping the system within the Department of Health, which regulates many of those other professions. Any regulatory system should also provide stability for social workers. One thing that we have not given social workers in recent years is any form of stability. Some of us here are old enough to remember CCETSW before we had the GSCC, and all the controversy surrounding that. Then we went to the HCPC. That lack of stability has added to the problems of the workforce and the severe current retention problems with which we should all be concerned.

Any regulatory system must also be cost-effective to both central and local government and not be provided for at the expense of resources needed for service delivery, about which my noble friend Lady Howarth—I call her my noble friend—has already talked so eloquently. It must not result in the deterrent of unacceptably high registration fees falling on very poorly paid social workers. I am still not convinced about that. It seems to me that the HCPC already does parity, stability and being cost-effective. We could leave regulation there, along with consulting the HCPC to undertake some improvements, which I am sure it would be willing to do, and with the existing oversight of the Professional Standards Authority and a responsibility to the Privy Council, which is also where the HCPC sits. If we did that, and had a separate improvement agency, which, as the noble Lord, Lord Warner, said, could be set up very quickly, and given the great amount of agreement from everybody in your Lordships’ House and across the piece, why does not the Minister at least give that serious consideration over the summer?

[Baroness Pinnock]

My Lords, the Minister referred earlier to the regulator having a role in fitness to practise. He is absolutely right; that is what a regulator has a duty to do. However, I refer again to the policy statement produced last month by the Department for Education and the Department of Health. It refers to professional standards which will cover four elements: on proficiency, performance, conduct and ethics and, it says:

“Continuing professional training and development”.

If I were looking through the eyes of a social worker at what was being set up here, I wonder how happy I would be to have a regulator that was going to establish the standards and have the right to strike me off if my proficiency was not up to scratch in any way, yet was also going to set out my continuous professional development. When we had the meeting with the chief social worker, she said that social workers have a range of ambitions when they go into social work, at one end of which is their role in challenging society and how the Government see society. That is one of the complex and noble reasons why people become interested in and go into social work.

Paragraph 119 of the policy statement relates to CPD. It states:

“The new regulator will set new standards for CPD”,

and refers to,

“options on how to ensure compliance … This will include appropriate sanctions for non-compliance”.

Here we have a regulator concerned with fitness to practise, as regulators are, while it may impose sanctions for non-compliance with what it has set up for professional development. That is at the heart of what the noble Lord, Lord Hunt, said earlier when he referred to the medical profession. He spoke about the importance of separating the state and government from what is at the heart of social work, as opposed to regulation.

So what is at the heart of development? Which route should we go down when we train social workers for mental health practice, for instance? Should it be the route that the Government may want, ensuring that more people are taken into secure units, or should the approach be more one of community care? If the regulator has responsibility for both fitness to practise and compliance with its own list of what CPD should include, we are down a very dangerous route, and I am sure the Minister would not want that to happen. CPD needs to be separate. If we have a profession, as we do, continuous professional development must be separated from the regulator. That is at the heart of this amendment, which I support.

[Lord Nash]

My Lords, in view of what the noble Lord, Lord Warner, said about how we are apparently wasting everybody’s time, I will try to be brief, but I shall deal with his first point about the involvement of the DoH. The two departments have been working very closely together and will continue to do so. I have two officials from the DoH here today, and both departments will be involved in the governance.

Amendment 135C seeks to establish a new social work improvement agency under the auspices of the Government which will have responsibility for promoting the highest standards of practice, conduct, education and training and professional development. I understand the intention that this new agency would work in partnership with an independent regulator to raise standards across the social work profession.

As noble Lords will be aware, regulators traditionally have three key roles: first, to set and maintain standards; secondly, to control entry to the profession; and, thirdly, to take action in response to concerns raised about registrants. These functions are distinct from the quality improvement activities commonly carried out by a professional body or college. We understand the concerns that have been raised by the sector and the Professional Standards Authority about conflating regulatory and improvement functions in the one organisation. We agree that the blurring of these functions can lead to conflicting and competing priorities, and can leave regulators open to accusations of marking their own homework.

Let me be clear: we do not intend to set up a regulator that also doubles as an improvement agency, nor are we setting up a professional body. The agency, however, will have a remit that goes beyond simply setting minimum standards for public protection. Just as the GMC standards define good medical practice, so the standards of the new regulator will seek to set out what constitutes good social work practice rather than what is just acceptable. Social work requires an approach that goes beyond the traditional safety net role of professional regulation. Social workers take critical and complex decisions in high-risk environments on a daily basis. Therefore, it is only right that regulation is focused on ensuring that all social workers have the knowledge and expertise to not only be fit to practise but to be able to practise well. We make no apologies about this.

Unfortunately, the social work profession has been unable to sustain a professional body to support the work of a regulator in raising standards. Most other healthcare professionals are supported by strong professional bodies which take an active role in quality improvement, supporting and completing the work of the regulator. The Government have invested significantly —over £8 million, to which the noble Baroness, Lady Walmsley, referred—in the College of Social Work to address this gap. However, the College of Social Work was unable to attract the membership required to make it financially sustainable.

The Government understand that the development of a strong professional body is important to raise the status and standing of the profession in the long term. The Government cannot do this alone. An organisation that can articulate the views and interests of social workers and complement the work of the regulator is needed. However, our recent experience with the failed College of Social Work makes clear that this is for the profession to develop, own and maintain. We are not asking the agency to also perform this role. We are happy to continue to talk to the sector about whether it can establish its own body but, as I say, it must be developed and maintained by the sector.

As I set out previously, to bring about the reforms needed the social work profession needs a bespoke regulator with an absolute focus on raising the quality of social work education, training and practice and setting new and more specific standards. Alongside improvements to the regulatory system we will, of course, continue to invest in supporting the profession. The new agency will have a wider regulatory remit than traditional regulators and will go beyond minimum standards. It will do this through the setting of specific and higher standards.

The reforms that are needed to practice standards cannot be addressed through the development of an improvement agency. To allow us to rapidly deliver improvements and to embed the new regulatory system, the regulator will set new tougher standards for initial qualification, focus on professional standards for post-qualification, set new standards for continuous professional development, maintain a single register of social workers and oversee a fitness-to-practise hearing system, to which the noble Baronesses, Lady Pitkeathley and Lady Pinnock, have referred.

I can assure noble Lords that the Government do not intend to set up an agency with dual and conflicting roles. The new regulator will ensure that all social workers have the knowledge and expertise needed not only to be fit to practise but to be able to practise well. I hope the arguments I have set out will give the noble Lord the confidence to withdraw the amendment.