Health and Social Care (National Data Guardian) Bill

Debate between Jim Cunningham and Alex Burghart

3rd reading: House of Commons & Report stage: House of Commons
Friday 6th July 2018 Commons Chamber

[Alex Burghart (Brentwood and Ongar) (Con)]

It is a pleasure to speak in support of this extremely important private Member’s Bill. To pick up where my hon. Friend the Member for North Devon (Peter Heaton-Jones) left off, data—data ownership and storage—is one of the big questions that society and this House will have to grapple with in the decades to come. I have noticed when talking to younger constituents how increasingly aware they are of where their data on social media goes and, most importantly, who the owner of that data is. Does the owner remain the subject of that data, or does ownership transfer to whoever is holding it? These are important conceptual issues that I am sure the House will have to continue to grapple with in the years ahead, and I am pleased that my hon. Friend the Member for Wellingborough (Mr Bone) has contributed to us moving in this direction.

I first had to come to terms with issues around personal data when I went into public policy research about 10 years ago. Two things became immediately clear. First, although the Government were collecting a lot of data on individuals, the way that they felt obliged to keep that data meant that they were extraordinarily bad at joining it together. We had very good information on children, for example, but rather lousy information on families. Building that context around an individual is absolutely vital if we are to build a decent series of research questions and answers that allow us to interrogate the causes of particular problems, or to see what positive influences in somebody’s life might have led them to avoid certain problems.

On a professional level, although the Bill does not deal with children’s data—children’s safeguarding is covered by different legislation—when I worked on child protection I saw powerfully the consequences of poor data sharing and safeguarding services. I read a large number of serious cases reviews that were published in the event of a child being killed or suffering serious harm, and time after time the findings of those serious case reviews were that agencies had failed to share data at key moments. Time and again, recommendations were made that better information sharing procedures should be created. We had a series of organisations which, albeit with the best intentions, were in effect working in silos, and by not working together they were missing opportunities to protect children, and in some cases to save their lives. That reluctance to share data was not laziness or professional neglect; it was often because agencies were scared of the potential legal consequences of sharing private information with other professional bodies.

[Mr Jim Cunningham (Coventry South) (Lab)]

The hon. Gentleman is making a good point. Over the past two or three years we have had this problem of child abuse and so on. One thing that struck me is the fact that agencies do not co-operate with one another or share information in the way they should. As a result, something that could be prevented is not prevented. Does the hon. Gentleman agree?

[Alex Burghart]

I absolutely agree, and I am grateful to the hon. Gentleman for that important intervention. If we create a framework that helps agencies to share information about vulnerable individuals safely, that enables those agencies to become greater than the sum of their parts, and to combine and enhance their professional interrogations, so that they can join the dots and create a true picture of what is happening in someone’s life.

As I saw earlier in my career, however, if done incorrectly such an approach can be taken to dangerous lengths. In about 2008-09, the Government proposed to create a service for children called ContactPoint. The programme was well intentioned, and it intended to bring together all the information on all children in one single place. However, it would have given access to that information to around 350,000 professionals nationwide, and civil rights campaigners immediately became concerned that that would effectively put all information about all children into the public domain, that it would not take long for that information to be out in the public space, and that once there, the process would be irreversible.

Today we are seeing exactly the right civilised and sophisticated approach to data handling. As I understand it, the National Data Guardian will work with professional bodies to ensure that they understand what they can do. She will be in a position to work with the public and ensure that they understand how their data is shared, and how it might be shared in future in order to improve services. Like my hon. Friend the Member for Wellingborough, I believe that the National Data Guardian will ultimately help people to choose whether they want their data involved in this sort of analysis.

I draw the House’s attention to a very significant initiative taking place in New Zealand. Using this sort of sophisticated data handling arrangement, the New Zealand Government have built the Integrated Data Infrastructure, which brings together pretty much all public, and some private, data held on individuals. It combines it by creating unique identifying numbers for each individual, taking out their names so that all records become anonymous, and then matching the data. This is done in a way that prevents track-back to the individual, while allowing large amounts of interconnected and complex data to be analysed by researchers, so that they can better understand the causes of social complex problems and how it is that some individuals with similar characteristics do not suffer from the dangerous long-term outcomes that some of their peers do.

This is groundbreaking stuff. The fact that the New Zealand Government have managed to do it in such a way as to take the public with them to create a world-class research resource gives us all hope that it can be done. When I talked to the people who lead the project in Wellington, I asked them how they got over the public’s concerns. They said that when they first took it to public consultation a lot of the public said that they rather assumed their data was being used for decent purposes already and found it very strange that their private data was not being used anonymously to solve the big health questions and social problems of the day. Yes, they wanted guarantees that their private information would not end up in the public sphere, but they said, “For goodness’ sake, get on with it.” I think there is a very important lesson for us all in that.

I very much hope the Minister will take a moment or two in her remarks to reflect on how the National Data Guardian may be able to help us in our jobs as MPs. As Members, we often have to handle sensitive information, and we are often responsible for the exchange of sensitive information. I therefore believe the National Data Guardian will perform a service to this House in due course. I am absolutely delighted to support the Bill.

Social Workers

Debate between Jim Cunningham and Alex Burghart

Tuesday 13th March 2018 Westminster Hall

[Alex Burghart (Brentwood and Ongar) (Con)]

I beg to move,

That this House has considered the contribution to society of social workers.

It is an honour to serve under you, Mr Hollobone, and a real pleasure for me to call this debate in Westminster Hall. I would like to record for Hansard that the room is heaving and that the Public Gallery is packed, with standing room only. Alas, I cannot, because there is an important debate on statutory instruments on the Floor of the House. A number of colleagues from both sides of the House would have wanted to be here, were that not happening.

This subject has been close to my heart for the better part of a decade. I came across the extraordinary work that social workers do on first coming to work in Parliament, about a decade ago. I confess that until then I had been largely sheltered from the world in which they work, and indeed from the people they help. In the intervening 10 years I have never ceased to be amazed by their extraordinary passion, professionalism, stamina and commitment to helping people in some of the most difficult situations in which any citizens in our country find themselves. In the words of one social worker I was speaking to the other day, it is “a bloody hard job, but it’s bloody rewarding.”

I have been lucky in my career because I have had the opportunity to visit about 50 local authorities in the past 10 years, and everywhere I have gone I have seen great innovation and determination to help improve the lives of the most unfortunate.

[Mr Jim Cunningham (Coventry South) (Lab)]

I congratulate the hon. Gentleman on securing the debate. I have dealt with social workers for a number of years and I agree that often they are undervalued and that when something goes wrong, they carry the blame. We often wonder why they do it, given the circumstances they find themselves in, with particularly difficult families, to say the least. They also see many things such as child abuse and pensioner abuse, for which they are on the frontline. Does the hon. Gentleman agree that society should do more to show that we value their contribution?

[Alex Burghart]

I completely agree; the hon. Gentleman makes his point powerfully. I have come to see social workers as the fifth emergency service, although I got in trouble for saying that many years ago—I got an angry letter from the coastguard—so I have ceased to say that. Social workers are one of our emergency services, but unlike the others, the majority of people never come into contact with them, and most people do not even know someone who has. It is therefore easy for misconceptions to grow about their role in society, the job they do and the way in which they do it. Part of the importance of this debate is to recognise the true nature of their job.

--- Later in debate ---

[Alex Burghart]

Unbeknown to us, national social worker day is later this week—what we have achieved in the debate already! Most of my remarks will be confined to children’s social work as it is the area that I know best. That is in no way to denigrate the extraordinary work that adult social workers do. Indeed, on Friday I was with some of the adult social workers in Essex, who were absolutely impressive in their determination to make things better for local people. They were full of new ideas—they have developed an interesting new programme to support newly qualified social workers, which had seen recruitment increase substantially—and I am pleased to know that vulnerable adults and elderly people in my constituency can rely on them.

As I said, I came to this subject relatively recently in my career, and I did so by accident. I had started out working on education, and through good fortune and strange circumstances I ended up working for my hon. Friend the Member for East Worthing and Shoreham (Tim Loughton), who has graced us with his presence. That was back in 2008, and at that time social workers were in particularly difficult circumstances. Their public reputation had taken a hammering following the Victoria Climbié case and soon after I started that job the awful case of Peter Connelly—Baby P—broke in the newspapers. Very unfairly, for a while social workers alone took the blame for the mistakes made in those cases. It was symptomatic of a society and a news environment that did not understand child protection in the round and was searching for the easiest scapegoats.

By the time I joined my hon. Friend—my then boss—he had already written what turned out to be a seminal paper, called “No More Blame Game,” which sought to set aside the myths that had grown up in the public imagination and to give social workers the respect, training, resources and professional autonomy they needed to do their job properly. It was my great pleasure to work alongside him and at the Department for Education in those next few years to see that programme bear fruit. The most substantial part of it was the Munro review of child protection, which was launched in 2010 and reported in 2011. It intended to put a renewed focus on frontline social work—not on national statutory guidance or defensive systems designed to protect organisations from reputational damage, but on the frontline experience of the children being helped by a professional social work body.

[Mr Jim Cunningham]

One of the difficulties that social workers have is that they must deal with different agencies and sometimes get the agreement of different agencies, certainly when they are dealing with child abuse. Does the hon. Gentleman agree with that?

[Alex Burghart]

Very much so. Part of the work that was pioneered by a number of local authorities and pushed by central Government around 2010 was a multi-agency approach. It is now very common in local authorities to see experienced social workers in an office alongside representatives from the local police force, local mental health services and a range of local agencies, so they can have those professional conversations and should not get tied up in a bureaucratic process where people push a difficult case off their desk into somebody else’s hands and hope it goes away.

[Mr Jim Cunningham]

The blame game.

[Alex Burghart]

Indeed. Instead of building a system that could, at its worst extent, be one of professional buck-passing, we have seen the development of collaborative working in the truest sense. Where that has happened, we know that vulnerable children and families are most likely to be getting the support they need.

During the course of our work in those days, we came across a number of obstinate problems that were holding professional social workers back. Anybody working in social work at the time will remember the integrated children’s system, ICS, which was an extremely well-intentioned central Government computer system, designed to capture data and help social workers to analyse it. The only problem was that it had not been designed in consultation with social workers; it had been designed by IT folk with other interests.

I remember—I shall never forget—sitting in an office with about 20 social workers one day and hearing with complete incredulity that it took them eight hours to fill out the form for one visit. The visit with a child and a family might have lasted 45 minutes, but it took eight hours to do the paperwork for it. The enormous burden that that placed on the social work community was incapacitating. We met social workers who were taking time off work in order to do their work. They were taking holiday so that they could get the time to fulfil their paperwork as the system required them to.

[Alex Burghart]

The Munro review of child protection emphasised very strongly the need for a systems learning model. That means that everyone who is involved in the child protection system and in looking after vulnerable children must be able to voice their concerns and opinions and have a fair hearing. It is only by listening to different people operating in different parts of the system that we can get the most effective working of that system. For a long time, certainly on the ground in many local authorities, social workers felt that their opinions were not being heard by senior management, that senior management—particularly some directors of children’s services way back in the day—were entirely unconnected to the vulnerable population they were supposed to be serving.

We saw children’s services departments that were almost solely focused on education and saw the vulnerable children as an add-on—a small part of their business. We also met directors of children’s services who took the time to go out and go bowling with all their children in foster care, to hear their views. We have to remember that children themselves are part of the system, and it is through hearing their voices, and their views of the services and support they and their parents are receiving, that we can make the improvements that are so necessary.

We often talk, quite rightly, about a child-centred, or child and family-centred, system, but often, with those most vulnerable families, the only way of getting to that centre is to have professional social workers or teachers working alongside them in schools. More recently, since the Munro review reported in 2011, some fantastic additional changes have been brought in by the Department for Education.

[Mr Jim Cunningham]

The hon. Gentleman is being very generous in giving way. We should pay a little bit of tribute to the previous Minister, Mr Timpson, the former Member for Crewe and Nantwich, who lost his seat. About four or five years ago I did a lot of work with him, because he was looking at the issues not only at local authority but at regional level. He did a lot of good work because he understood the problem, and I was very impressed by him. We should give him a little bit of credit here.

[Alex Burghart]

Absolutely; Edward Timpson was an excellent Children’s Minister. He had a lot of respect in the sector, and rightly so. He came from a family that had first-hand experience of fostering, and he brought a huge wealth of real-life experience to his role. It is good to hear that he was respected on both sides of the House.

One of the things brought in at DFE after 2010, as I was saying, was the innovation programme, which again gave local social workers, local authorities and people working on the ground with children and families the opportunity to come up with new ideas and bid for Government money in order to prove their model. It is good to see that fund rolling on; I think only last year the Government committed a further £36 million to the initiative, which has been warmly welcomed by local authorities and social workers across the country.

At the moment the Department is putting into practice the contents of its strategy paper, “Putting Children First”—an enormous programme of social worker development, from recruitment all the way through to ensuring that more experienced social workers are up to speed with the latest techniques and theories, and that the social work community is talking to itself and learning from itself. It is a really valuable programme, which will help to upgrade the profession in the most constructive and productive way possible.

Things are tough in some local authorities; I spend enough time talking to people in children’s services to know that that is true. I also know that, even where things are financially tight, there is still great appetite for innovation and people are finding new ways of working and of helping children and families. I was talking to some social workers on Friday who had found that, simply by putting in a new package of support for newly qualified social workers, they were getting more young recruits through the door and building a vibrant, young, energetic team.

I have also been lucky enough to see how the Government’s great troubled families programme has been integrated into the main body of social work practice in some outstanding local authorities, where we have seen the development of a continuum of care, going from children’s centres open to all at one end, all the way through to the most severe child protection cases, with the troubled families programme helping those in the middle. That is the group I will talk about as I bring my remarks to a close.

One group that has been neglected in public discourse until this point is children in need—children who are not fully in care but on the edge of care; who are on social services’ radar but who do not receive all the services that somebody who is fostered or has been adopted might. It is a large group: there are about 400,000 children in need at any one time, and during the course of a year about 750,000 children are in need. Their outcomes are terrible, and are often worse than those we see for the looked-after population, as we might expect, because these are the children who are left at home in disrupted, complex families, whereas their contemporaries who have been taken into care will have, if they are lucky, the stability of long-term fostering or an adoptive placement and will see their outcomes improve.

It is extremely important that we turn our attention to that group. I believe that, as a result of our bringing our social work profession into the 21st century and helping it to develop, social workers will have the skills, the appetite and the determination to help those people. I am delighted that the Department for Education is undertaking a review of the outcomes of children in need, as we announced in the Conservative party’s general election manifesto last year.