Children and Social Work Bill [ Lords ] (Seventh sitting)

Debate between Emma Lewell-Buck and Tulip Siddiq

Committee Debate: 7th sitting: House of Commons
Thursday 12th January 2017 Public Bill Committees

[Mrs Lewell-Buck]

I beg to ask leave to withdraw the clause.

Clause, by leave, withdrawn.

New Clause 18

Assessment of physical and mental health and emotional wellbeing needs

‘(1) In section 22C of the Children Act 1989, after subsection 11 insert—

“(11A) Regulations made under subsection (11) must make arrangements for—

(a) the assessment of a looked after child’s mental and physical health and emotional wellbeing needs, and

(b) the assessment of the mental and physical health and emotional wellbeing needs of relevant and former relevant children.

(11B) Subsection (11A) shall come into force at the end of the financial year ending with 31 March 2019.”’—(Tulip Siddiq.)

This new clause requires the Secretary of State to make regulations for mental health assessments for looked after children. A time delay in commencement is included to allow time for the pilots to be completed before details of the regulations are decided.

Brought up, and read the First time.

[Tulip Siddiq (Hampstead and Kilburn) (Lab)]

I beg to move, That the clause be read a Second time.

Children and Social Work Bill [ Lords ] (Third sitting)

Debate between Emma Lewell-Buck and Tulip Siddiq

Committee Debate: 3rd sitting: House of Commons
Thursday 15th December 2016 Public Bill Committees

[Mrs Lewell-Buck]

I thank my hon. Friend for that intervention and her support for the amendments. She is exactly right. I know from experience of the family courts that parents’ rights can often take precedence over the child’s rights, especially in the realms of who has more in the human rights arena.

The Women’s Aid report examines circumstances in which abusive fathers had contact with their children and investigates the lessons that can be learned for Government policy. Key findings were that two mothers and 19 children, ranging from one to 14 years old, were killed intentionally. Those fathers also had access to their children through formal or informal child contact arrangements. For 12 of the 19 children killed, contact with their father had been arranged in court in a similar way to that mentioned by my hon. Friend. For six families the contact was arranged in family court hearings, and for one family it was decided as part of a non-molestation order and occupation order. In two families, the father was even granted overnight contact. In an additional two families, a father was granted a residence order, which means that the children were allowed to live with him.

All of those fathers were known perpetrators of domestic abuse. Nine of the 12 perpetrators were known to have committed domestic abuse after separation from the child’s mother, including attempted strangulation, sexual assault, harassment, threats, threats to abduct the children and actual abduction. They all indicated high-risk perpetrator behaviour. Of course, I agree that the responsibility for the deaths of those children lies squarely with the person who killed them, but research identifies key lessons for the child protection system in relation to child contact in families where there is one abusive parent.

[Tulip Siddiq (Hampstead and Kilburn) (Lab)]

The shadow Minister is making a passionate speech about an issue close to my heart and, I am sure, to those of many in Parliament. I want to draw her attention to research on the risks to ethnic minority women in particular, and horror stories about refugee children who have seen their mothers abducted by fathers and abandoned in their country of origin without their children. Is she aware of that research?

[Mrs Lewell-Buck]

I thank my hon. Friend. I am not aware of that research but would like to discuss the matter further with her. It is critical to the Bill that the aim of improving local safeguarding is based on lessons learned from these tragic cases.

We need to understand that domestic abuse is harmful to children, even when they have not been directly physically harmed. There needs to be a culture change within the family court system to ensure that children’s experiences of domestic abuse and its impact on them are fully considered and that practice direction 12J, which instructs courts to ensure that where domestic abuse has occurred any child arrangements orders protect the safety and wellbeing of the child and the parent with care, and are always completely in the best interests of the child.

Another concern is the professional understanding of power and control—of the dynamics of domestic abuse. Coercive control was a dominant feature in many of those cases, yet the report found a lack of professional understanding in statutory agencies and family courts about how power and control can manifest in an abusive relationship. The report recommends that the Children and Family Court Advisory and Support Service and child protection agencies and the judiciary should have more specialist training in that area.

There also needs to be an understanding that the point at which a survivor leaves an abusive partner is highly dangerous, yet time and again parental separation is seen by agencies as an end of the abuse and a reduction in the risk, when in fact that is the very time that the risk has intensified. As always in these cases, poor information sharing was identified as a major factor.

We need to support non-abusive parents and challenge abusive parents. In many of the serious case reviews, it was unclear whether the mother had been offered or referred to any specialist support, even when the abuse was known to police and social services. Statutory agencies often put the onus on the non-abusive parent to protect their children and end the relationship, rather than hold the perpetrator accountable. Communication between family and criminal courts must improve, and there must be the safeguard that no unsupervised contact is granted to a parent who is awaiting trial or involved in ongoing criminal proceedings for domestic abuse-related offences.

I know full well that the Minister understands the importance of the amendments. If he does not support them, I hope he will explain what his Department will do to protect children fully from harmful contact, and how we can guarantee that the child safeguarding practice review panel will know about the serious harm done to children by domestic violence.

Children and Social Work Bill [ Lords ] (Fourth sitting)

Debate between Emma Lewell-Buck and Tulip Siddiq

Committee Debate: 4th sitting: House of Commons
Thursday 15th December 2016 Public Bill Committees

[Tulip Siddiq (Hampstead and Kilburn) (Lab)]

I support the amendment and want to make a plea to Conservative Members to support it. It is important for the values that we uphold in the House. I thank my hon. Friend the Member for Walthamstow for making such a passionate plea, and eloquently describing the plight of children who flee from violent homes to a land where they hope for a safe, secure home, and then find that they are no closer to home.

I have three questions for the Minister. Is he aware that the children who come to the camps are now at a 46% higher risk of being smuggled and of sexual exploitation than they were last year? Is he aware that the British Association of Social Workers has pointed out an inbuilt 50% shortfall in current funding on full cost recovery for services to unaccompanied asylum-seeking children—the children to whom the amendment relates?

Finally, the British Association of Social Workers also has concerns in relation to the Government’s support for the original Dubs amendment, which has been mentioned many times: only a tiny proportion of the children in mainland Europe have arrived in the UK.

I make a plea to Conservative Members: if we are honest about what we want to achieve in the House and we want to protect the most vulnerable, we must make sure we provide support for them. Of course we want to provide support for all children, but those to whom the amendment relates are at the bottom of the ranks.

I ask the Government and Conservative Members to show their support. The point is not a party political one; it is about what we uphold in the House, in an era when the children in question are demonised in the press, when we talk about checking their teeth to find out how old they really are, and there is open hostility to them. It is our duty to support an amendment that will give them some comfort and show that someone in the world is looking out for them.

[Mrs Emma Lewell-Buck (South Shields) (Lab)]

It is a pleasure to support the amendment. Amendments 16 and 17 will ensure that safeguarding partners safeguard and promote the welfare of unaccompanied refugee children, and that any guidance given by the Secretary of State must be developed in accordance with the United Nations convention on the rights of the child. They will help to protect the rights of some of the most vulnerable and unprotected children.

Every child, whatever their circumstances and background, deserves the support that they need to get a good start in life, and to succeed in their education and in life. I am sure that the Minister agrees, in view of the corporate parenting principles in the Bill. However, we have too often failed in that obligation to unaccompanied refugee children, as my hon. Friend the Member for Walthamstow outlined.

Unaccompanied refugee children are perhaps the most vulnerable young people in society. They have fled humanitarian disasters, wars, and horrors that none of us could begin to imagine. If they arrive in this country we have a moral duty to ensure that they receive the support they need; otherwise there is a risk that they will fall through the cracks and face a danger of being exploited. They have fled from terrible things and we must do all that we can to ensure that they get a better life here. That is no less than any of us would want for a child of our own. By ensuring that safeguarding partners have regard to unaccompanied refugee children, amendment 16 will go some way to ensuring that we rise to our moral duty. I am honoured to support my hon. Friend the Member for Walthamstow.

I hope that the Minister and his colleagues will lend their support to amendment 17. After all, I cannot imagine that they would object to any of the rights set out in the convention on the rights of the child. If they will not support the amendment, perhaps they will explain which of those rights they believe should not be extended to every child in the country.

I gently remind the Minister that the UN Committee on the Rights of the Child published its findings on the Government’s compliance this year, and they are failing in many areas. Accepting the amendments would go some way towards repairing that terrible record.

Children and Social Work Bill [ Lords ] (Second sitting)

Debate between Emma Lewell-Buck and Tulip Siddiq

Committee Debate: 2nd sitting: House of Commons
Tuesday 13th December 2016 Public Bill Committees

[Mrs Lewell-Buck]

It is a pleasure to serve under your chairmanship again, Mr Wilson.

Amendment 28 would extend the duty on local authorities set out in clause 3 to include access to a mental health assessment for care leavers. When a care leaver requests support from their local authority and the local authority conducts an assessment of their needs, it must include an assessment of mental health and emotional wellbeing that is carried out by a qualified mental health professional. The corporate parenting principles set out in clause 1 make it clear that local authorities should promote the mental health and wellbeing of care leavers. Currently, there is huge amount of unmet need in the area due to squeezed budgets, high thresholds and the lack of relevant specialism in adult mental health services.

[Tulip Siddiq]

Is my hon. Friend aware that there are now 5,000 fewer mental health nurses than there were in 2010, and 1,500 fewer mental health beds? The amendment is more important than ever to ensure that mental health does not slip even further down the agenda.

[Mrs Lewell-Buck]

I was not aware of those statistics. I knew the situation was dire, but I did not realise how bad it had actually become.

Young people leaving care are much more likely to have mental health problems than other young people: they are five times more likely to attempt suicide; many have suffered abuse or neglect before coming into care; and they may have moved around several placements, making it hard to form stable relationships with carers, professionals or even friends.

The Government have committed to piloting mental health assessments for children in care, but there was no mention of young people over 18 who have left care. We all know that turning 18 does not mean that people stop being vulnerable and stop needing support. In fact, mental health problems often manifest at the challenging time of transition into adulthood. At 18, young people can no longer access child and adolescent mental health services; they have to rely on adult services—but only if they are lucky enough not to slip through the net in transition. The reality is that if young people with mental health needs are not getting help, it is unlikely that they will be able to make the most of other opportunities such as education, training or employment, because mental health problems can have a debilitating effect on all other areas of their life.

On Second Reading in the House of Lords, Lord Nash acknowledged that:

“All the evidence shows that care leavers are among the most vulnerable young people in our society. Many are still struggling to overcome the impact of the trauma they faced in childhood and, in most cases, they are expected to make the transition into adulthood without the unconditional love and support of a family or close circle of friends. As a consequence, they are far more likely to end up NEET, more likely to experience homelessness or mental health issues, and more likely to end up in the criminal justice system. However, with good, stable care and a more personalised and supported transition into adulthood, those stark facts need not be the culmination of their time in and leaving care.”—[Official Report, House of Lords, 14 June 2016; Vol. 773, c. 112.]

Clearly the Government know what the problem is, yet they have still failed to provide a full solution.

If the mental health and emotional wellbeing of every child leaving care is not professionally assessed, how will we know whether they are ready to cope in the adult environment? We cannot just expect them to leave care and cope in a vacuum, without some appraisal of their wellbeing. We would not allow that for a physical problem so we should not allow it for a mental health one. We must put in place measures to prevent care leavers from falling off the cliff edge of care. Assessments would provide a basis for care leavers to address their future needs, albeit under a different system.

Given the vulnerability of the young people in question and the likelihood that they will face challenges relating to mental health or emotional wellbeing coupled with the difficulty of accessing those services, it would be good if the Minister took the opportunity to extend the duty in clause 3 to include mental health. Amendment 29 would extend the duty on local authorities to include access to a mental health assessment for care leavers; and it would ensure that if amendment 28 is agreed, the assessment will be carried out by a qualified mental health professional.

The Conservative-led Select Committee on Education rightly recommended that a dedicated mental health assessment by a qualified mental health professional be completed for all looked-after children, so healthcare professionals and local authorities have a solid and consistent foundation on which to plan the best care for a child. The recommendation was based on an extensive body of evidence from experts that clearly showed why more action and less talk are needed.

The Government’s response to the Select Committee report on mental health acknowledged the vulnerability of looked-after children and the need for timely and effective mental health diagnosis and treatment. The Chair of the Committee said of the Government’s response:

“We are pleased that the Government have set up an expert working group for looked-after children’s mental health and wellbeing; however, having conducted a lengthy and detailed inquiry on the issue, we are disappointed that so many of our recommendations have simply been referred to that group.”—[Official Report, 20 October 2016; Vol. 615, c. 496WH.]

I was similarly dismayed to observe that the Government’s response to the report deflected many answers to the new expert working group on the mental health of looked-after and care-leaving children. Although I make no criticism of the experts appointed to the group, both chairs of the expert panel had already submitted evidence to the Committee, so further consultation seems a somewhat unnecessary duplication. The consultation will serve only to cause further delays, meaning that more children will suffer unnecessarily.

Services are inconsistent across the country, and initial mental health assessments are highly variable. Many local authorities are not meeting their statutory requirements to ensure that all children are properly assessed even when they enter care, so it is important that we get the basics right. We can do so only with professional assessment as children enter and leave care.

It is astonishing that currently children entering care are asked to fill in strengths and difficulties questionnaires, from which it is decided by people who are most likely not medically trained whether the child qualifies for mental health intervention. Administration of the forms from local authority to local authority is patchy, with great variations in timeliness of completing the form. It is not uncommon for the questionnaire not to be completed at all. Only a trained mental health practitioner should be able to assess a patient’s needs; such needs cannot be determined simply from ticked boxes on a form.

It is not enough just to say that help is out there. There are difficulties with the availability of mental health provision for all children, including difficulties accessing and navigating the system. Accessing mental health care, asking for help and overcoming stigma are hard enough for any young person, even those with strong, supportive families; we must acknowledge that. A mental health assessment is one step in ensuring that children get the care and support they need for healing to take place and for them to be integrated into society and feel part of it. That is why they must be assessed on leaving care as well. The whole point is to ensure that care leavers are robust enough to leave care as independent adults who can go out and find work, start families and participate in society fully, like everyone else.

Amendments 30 and 31 strengthen support for care leavers who are also parents. Despite their extreme vulnerability, the particular needs and circumstances of young parents who are looked-after children or care leavers and whose own children are subject to child protection inquiries are not sufficiently identified, recognised or addressed in care planning regulations and guidance. These amendments seek to establish a duty on local authorities to ensure that advice, assistance and support are offered to all looked-after children and care leavers who are young parents. It will help ensure that important information is not overlooked when plans for such young people are made by expressly identifying critical sources of information which should be drawn upon in formulating plans to keep the young parent’s child safely in their care.

--- Later in debate ---

[Mrs Lewell-Buck]

If I withdrew the amendments, would the Minister consider updating some of the guidance on mental health assessments? In the pathway plans I have seen in the past they are not given the prominence they should have.

[Tulip Siddiq]

I echo the shadow Minister’s comments on pathways. In the past three years, the number of female teenagers who have been admitted to hospital with eating disorders has more than doubled. That is particularly relevant for female care leavers who suffer eating disorders such as bulimia, anorexia and binge eating. A lot of these disorders were not reflected in the past and were not at the forefront of the minds of the people assessing not only care leavers but teenagers in general, especially female teenagers. The Mental Health Foundation clearly labels eating disorders as mental health problems. Will the shadow Minister comment on the fact that when we make legislation and take into account society’s problems, we need to be aware that things are changing? Things that did not previously have the prominence they have now must be acknowledged by authorities, especially with the rise of social media—

[Tulip Siddiq]

I have made my point. I apologise.

[Mrs Lewell-Buck]

I will withdraw the amendment, but perhaps will return to the matter at a later date. However, I wish to press to a vote the amendments on recognising care-leaving parents, who have particular vulnerabilities. The Minister has not satisfied me that they are being provided for in a holistic way, as it seems to depend on which local authority area people live in. I beg to ask leave to withdraw the amendment.

Amendment, by leave, withdrawn.

Amendment proposed: 30, in clause 3, page 4, line 11, after “child” insert “, including their needs as a young parent where applicable,”—(Mrs Lewell-Buck.)

Question put, That the amendment be made.

Children and Social Work Bill [ Lords ] (First sitting)

Debate between Emma Lewell-Buck and Tulip Siddiq

Committee Debate: 1st sitting: House of Commons
Tuesday 13th December 2016 Public Bill Committees

[Mrs Lewell-Buck]

My hon. Friend is absolutely correct. We have seen that the implementation of the local offer for special educational needs and disabilities is just that: an inconsistent approach and a patchwork model across the country.

A minimum level would be a benchmark that could never be lowered but could always be built on and improved. Surely that is the gold standard that we would want for all our care leavers. There is no evidence that introducing a set of minimum standards limits innovation and creativity; it is a simply a failsafe level of care. It would give clarity to both the local authority and the care leaver on what they can and cannot expect.

Care leavers often say that they struggle with what they are or are not entitled to. This would give them absolute clarity and help them plan better for independence. In practice, I lost track of the number of times when I dealt with parents who were themselves former care leavers. I went through everything and told them what they had been entitled to and they did not have a clue. This would be a good way to avoid such situations at the outset. Children should know what they are entitled to. If there is a minimum standard, they will always know what to expect.

A minimum standard would ensure that services offered would not be withdrawn when budgets are further cut by central Government and would let the people we are discussing know that their local authority and other agencies in their area really do care about their future and are committed to it wholeheartedly. Leaving the local offer to each local authority would not achieve that. The Minister must agree that we cannot justify a single child leaving care failing to receive the information that they need.

Will the Minister explain how he will ensure that the local offer will be accessible to all care leavers, whatever their circumstances when they leave care? How will he ensure that every single local authority will provide a local offer that meets the standard necessary to ensure the best possible outcomes for care leavers? Will he be taking any additional steps to ensure that there is not simply another postcode lottery that will leave a vast number of vulnerable young people unable to access the resources and support that they need? We cannot allow discrepancies in the level of care of the scale that I spoke about earlier to continue. There is no other practical way to achieve that in a timely manner.

I move on to amendment 26. As I have said, leaving care is a difficult process. Care leavers are faced with a set of difficulties that other children their age simply do not face. Is that in part why the Government introduced the local offer for care leavers that I referred to?

It is astonishing that the Bill is devoid of any mention of unaccompanied asylum-seeking children. There are more than 3,000 such children in the UK care system. According to analysis of Home Office data, nearly all unaccompanied asylum-seeking children under 16 are fostered at some point. I assume that the Committee and others would think that when those children leave care they are entitled to the same support and assistance with their transition to independence as their peers—but they are not, despite being the most vulnerable of care leavers, having fled conflicts and horrors that most us can hardly begin to imagine.

[Tulip Siddiq]

I thank my hon. Friend for her speech. I agree with her: when we talk about unaccompanied asylum seekers and children, we are talking about the most vulnerable in society. My local authorities, Camden and Brent, have taken in asylum seekers and are looking after children. Does she agree that putting a duty on local authorities across the country to do that would send a clear signal to the rest of the world that we are acting as a leading country and taking charge of a situation where we should be doing more?

[Mrs Lewell-Buck]

I welcome what is happening in my hon. Friend’s area. I agree completely with her comments. Once children who are unaccompanied asylum seekers reach 18, they are treated differently from other care leavers.

I recall working with many children who had escaped from conflict. Like children who have suffered abuse, their skin was grey and their eyes were emotionless. There was a look of permanent fear etched on their faces and they had an intense wariness of adults around them, which was reflected in their every movement and word. I have seen children slowly lose that look after being in placement for a while. The terror and sadness lift from their overall demeanour, because that is what feeling safe and being fed, clothed, cared for and away from a traumatic and ever-changing volatile environment can do for a child.

--- Later in debate ---

[Mrs Lewell-Buck]

I thank the Minister for that clarification. I am sure that Hansard will show us all exactly what he said.

[Tulip Siddiq]

Does the shadow Minister think that the situation that the Minister described in his comparison is one that we should strive for, or should we have different standards?

[Mrs Lewell-Buck]

I think we should all have the highest possible standards for all our children, whether they are care leavers or not. That is something we should always strive towards.

--- Later in debate ---

[Mrs Lewell-Buck]

It is not a compliment where I come from.

[Tulip Siddiq]

I thank the hon. Member for North Dorset for his contribution and his support for the shadow Minister’s amendment. I spoke in the debates on the Homelessness Reduction Bill introduced by the hon. Member for Harrow East (Bob Blackman). I commend many of the suggestions in that Bill. Is the shadow Minister aware of the Barnardo’s report, which outlines that young people leaving the care system are particularly vulnerable to homelessness because they cannot find appropriate accommodation when they leave?

[Mrs Lewell-Buck]

I am aware of that report, which makes heart-breaking reading. There are lots of reports out there about care leavers. Following up on the intervention by the hon. Member for North Dorset, I agree that some local authorities have done good things in this area, but there should not be a piecemeal approach; support should be offered to all care leavers across the board. Why should one care leaver in one authority have a different service from another one? Care leavers do not care about localism; they want their local authority to give them the same thing as their friends and other care leavers next door.