Health and Care Bill

Baroness Wheeler Excerpts

Lords Hansard - Part 1 & Report stage
Thursday 3rd March 2022 Lords Chamber

[Baroness Wheeler (Lab)]

My Lords, I too welcome the government amendments—bur first I wish the noble Lord, Lord Shinkwin, all the best for a speedy recovery from his hospitalisation; I am sure everyone will join me in that. I welcome the government amendments to ensure that the Bill recognises how important sharing information on children’s health and social care across government departments and public authorities is to safeguarding and protecting them and to promoting their welfare. The commitment in Amendment 157 to reporting to Parliament within a year on implementation, and explaining where the use of the consistent identifier for each child would facilitate information-sharing, is a significant step forward, as is the emphasis on overcoming the barriers that stop services being joined up, which have a serious—and, sadly, all too often fatal—impact on keeping children safe and well.

We also support government Amendment 36 to Clause 20, which leads this group, on how ICBs’ joint forward plans will address the needs of children and young people. Amendment 59 tabled by the noble Baroness, Lady Hollins, complements this in relation to performance assessments, and says how they should address the matter, particularly the duties relating to disabled children and children with special needs. I hope the Government will respond positively to this and will consult widely with stakeholders, after the promise in the Minister’s recent letter of a package of “bespoke” statutory guidance from NHS England explaining how ICPs and ICBs will meet the needs of babies, children, young people and families, and be accountable for integrating services. The Minister’s letter, and his introduction today, provide a number of assurances on important issues, such as having children’s leads on ICB executives. We will see how it all works through in practice in the structures of the new bodies.

As noble Lords have stressed, the whole issue of sharing information across multiagencies will be difficult and challenging. Two of the major barriers for previous efforts were the clash between the value of sharing electronic information and fears about it getting into the wrong hands. That is why we need a clear status picture of where we are starting from, to be able to analyse what needs to be done, how progress can be made, assessed and monitored, and the priority areas for identification of consistent identifiers.

The Minister has promised that the report will cover all safeguarding partners including the NHS, local authorities, education and the police. Will he write to noble Lords on the categories of information currently shared between those bodies, so that we can see where we are starting from?

Finally, the noble Lord, Lord Farmer, has again spoken strongly on his amendments about family hubs, which we supported in Committee on the Bill and on other occasions. I look forward to the Minister's updated response. We do, however, always—today is no exception—make the very obvious point that if the Government had not shut down the excellent Sure Start centres up and down the country, many of the provisions that the noble Lord is calling for in support of children, mothers and families would all be in place now.