Domestic Abuse Bill (Tenth sitting)

Liz Twist Excerpts

Committee stage & Committee Debate: 10th sitting: House of Commons
Tuesday 16th June 2020 Public Bill Committees

[Victoria Atkins]

I thank the hon. Lady. I will deal first with the NHS and then move on to schools. I think there is agreement across the Committee that it is important to recognise the impact of domestic abuse on children and the trauma it can cause. The role of the NHS is to give the best care to address the immediate and continuing health needs of such children. It is a key principle that access to the NHS is based on clinical priority, so when patients move home and between hospitals, the NHS should take previous waiting times into account and ensure, wherever possible, that they are not disadvantaged as a result. A child’s need to access and receive health services will be assessed, and services will be provided according to clinical need, which will consider the individual needs of the child. We have to trust clinicians to take decisions about a patient’s treatment.

On schools, I agree with the hon. Member for Birmingham, Yardley that vulnerable children, including those who have been affected by domestic abuse, should be able to access a school place quickly, and that any gaps in their education must be kept to an absolute minimum. As I have said before, wherever possible, we want victims, survivors and their children to stay at home and the perpetrator to leave, but in some cases, sadly, that is not possible for their safety.

Before I explain the Government’s position on that, I will highlight an important distinction between seeking school places in the normal admissions round, such as the start of the school year, and doing so outside that process, which is called in-year admission. As we know, it is important that children who have experienced or witnessed domestic abuse are more likely to seek a school place outside the normal admissions round and to require the in-year process. During the review of children in need and the 2018 consultation on domestic abuse, we heard about the difficulties and delay that such children face in accessing new school places when moving into refuge after fleeing domestic abuse. Improving the in-year admission system is the most effective way to get vulnerable children back to school as quickly as possible.

The in-year application process varies between local authorities and can be particularly difficult to navigate for disadvantaged and vulnerable families, including those who have been victims of domestic abuse, because the school may already be full, and oversubscription criteria are unlikely to be helpful at that point. To ensure that this does not prevent children experiencing domestic abuse from accessing the school places they need, the Government have committed to make changes to the schools admissions code to improve the in-year admissions process. That will ensure that all vulnerable children can access a school place as quickly as possible.

That is not to say that the current system does not support the admission of our most disadvantaged children when they apply for a school place in year. Fair access protocols are in place to ensure that vulnerable children who need a school place outside the normal admissions round can secure one as quickly as possible, but we know from consultation that there is confusion about how fair access protocols should work, which means that sometimes they do not work as effectively as they should do. In some areas, fair access protocols are used as the default way to place every in-year applicant, rather than as a safety net for vulnerable and disadvantaged children.

I am pleased to state that we intend to consult on changes to the school admissions code to better support the in-year admission of vulnerable children, including those in refuge or safe accommodation. In practice, that means making changes to the provisions relating to the in-year admissions process and fair access protocols by introducing a dedicated section in the code that will set out a clear process for managing in-year admissions. We are also proposing to provide greater clarity in the code on fair access protocols, which will improve their effectiveness by making clear their purpose and what they should be used for, and by setting out a clear process by which they should operate.

We will also extend the categories of children who may be admitted via the fair access protocol, specifically to include children on a child in need or child protection plan and children in refuge and safe accommodation. That will ensure that those children are secured a school place quickly, keeping disruption to their education to an absolute minimum.

[Liz Twist (Blaydon) (Lab)]

The Minister has talked at some length about the schools provisions, which are important to ensure that children have quick access to a school near them. Will she say some more about the NHS provisions in new clause 22? She has talked about clinical priority but, as most of us know—not just from children, but from other situations—moving from one health area to another means that there is inevitably a setback. The new clause is intended to address that.

[Victoria Atkins]

I understand that, but the problem is that we are now rubbing up against the fundamental principle of the NHS, which is that it is based on clinical need and priority. Clearly, if a child is in the most urgent clinical need, we would absolutely expect them to be at the front of the queue to receive help, but there will be different gradations depending on the condition, the length of the condition and the way in which it manifests. We have had to keep to the fundamental principle that that must be clinician-led, because we could not, with the best will in the world, hope to categorise exhaustively in the Bill the many ways, quite apart from domestic abuse, in which children may suffer or be ill

[Liz Twist]

I think this is fundamental, really. Simply moving house can put someone back in a queue when clinical priorities are assessed in that new area. What we are all trying to do—as, I am sure, is the Minister—is ensure that the principle is one of clinical priority, rather than where someone is on a waiting list. This change is absolutely vital.

[Victoria Atkins]

Very much so; that is the key principle on which the NHS operates. The hon. Lady will appreciate that I am neither a doctor nor a Health Minister. I take her point about waiting times, but once the clinicians have assessed the clinical need, they must surely be the ones to determine what sort of treatment the child receives, as well as when and where.

[Liz Twist]

indicated dissent.

[Victoria Atkins]

I can see that the hon. Lady is perhaps not with me on that, but it explains our position. We stick to the principle of the clinician and the clinical need leading on this matter. Of course, I accept the point about different areas.

[Liz Twist]

I am sorry to keep pushing this, but I know that it occurs for other groups of people who are disadvantaged. People receiving alcohol or drug treatments, for example, may move from one area to another and lose all their connections. We are talking about clinical priority within a different group, so although someone might have reached the top of the queue in one place, they might not somewhere else. The amendment seeks to ensure that those children get the best chance that they can.

[Victoria Atkins]

Again, that comes back to the principle that, wherever possible, we do not want victims and survivors to have to move and be put in that new place. The hon. Lady articulates very well one of the many ways in which it is incredibly traumatic for the survivor to have to leave the family home to flee to the other side of the country with the children. In some cases, the survivor has to do so because of the danger of the perpetrator, but where we can, let us try to keep her and her children at home, so that they do not have to put up with such concerns about things that are terribly important on a day-to-day basis, but sadly become another consequence of fleeing.