Education Committee

Debate between Lucy Allan and Robert Halfon

Thursday 11th January 2018 Commons Chamber

[Robert Halfon (Harlow) (Con)]

I am delighted to make this short statement about our Committee’s report. Social justice is one of the primary objectives of the Education Committee. It is vital that young people in foster care are able to climb the educational ladder of opportunity like anybody else. I begin by paying tribute to the previous Committee of the 2015 Parliament and particularly to its Chair, the former Member for Stroud. I also thank the officers of the Education Committee, who have done a huge amount of work on this report.

In our final evidence session, we heard moving testimony from young people with experience of foster care. Members present had dry throats and some had tears in their eyes. We also heard from my hon. Friend the Member for Scarborough and Whitby (Mr Goodwill), the former Minister for Children and Families, for whom I have huge respect; he was willing to share his evidence session with the young people, which created an important and unique session.

In our report, we wrote of the importance of valuing the three pillars of fostering: valuing young people, valuing foster carers and valuing the care system itself. The fact is that the foster care system in England is under significant pressure. That must be of national concern, given that it is often the most vulnerable young people in our society who are being failed by a care system that does not meet their needs.

The number of looked-after children has risen by 7% since 2013. I welcome the fact that the Government have recognised that pressure and commissioned their own review of fostering by Sir Martin Narey and Mark Owers. I understand that that review is with Ministers at the moment and will be considered alongside the recommendations made by our Committee.

Let us begin with valuing young people. Foster children face a lottery of care, frequent placements, and the possibility of being separated from their siblings. We heard moving evidence from young people who spoke about the number of placements they experienced. One young person in foster care had been through eight placements in four years. Another spoke about having

“moved six times in less than no time”,

while another had lived in thirteen different foster placements and two children’s homes in five years. Such frequency of placement change can only be damaging to the children’s wellbeing, development and future prospects. The Government must redouble every effort to ensure that young people and children do not face the prospect of such a dizzying number of placements.

What truly shocked every member of the Committee was that some foster children move placements with very short notice, little to no information, and often without any advocacy rights at all. It is clear that the guidelines intended to tackle these issues are being applied inconsistently at best and inhumanely at worst.

To give another example, we heard about young people in foster care being separated from their siblings. Figures suggest that 70% of siblings are not placed together when one is already in care. A 17-year-old, who had been moved away from her siblings, told us that

“to lose a bond with your own siblings is sad, because you’re by yourself in the world and your siblings are practically your best friends and now you’re losing them—you’ve lost your parents and then your siblings, and it’s like your whole world has crashed down really quite quickly.”

Young people must be placed with siblings wherever it is possible and appropriate. If it is not, social workers and others have to make a greater effort to facilitate regular and meaningful contact. I urge the new Minister with responsibility for children to ensure consistency and guarantees of advocacy for all foster children. Ofsted says that one in three children do not even receive any information on their placement, which is unacceptable.

The second chapter of our report focuses on valuing foster carers. They play an important role in our society—they provide remarkable care in difficult circumstances—but are often under-appreciated, undermined and undervalued. The Fostering Network estimates that there is a deficit of 7,600 foster carers. The foster carer population is disproportionately female and ever ageing. Too often they have to wade through a treacle of bureaucracy, and they are not adequately supported financially or professionally in the vital work they do. Their status is unclear in terms of employment—but not, sadly, with the Inland Revenue, which treats them as if they were employed.

In our report, we press the Government to ensure that all foster carers are paid the national minimum allowance. The Fostering Network found that 12% of local authority fostering services were paying below the national minimum allowance for at least one age bracket, that 47% had frozen allowances and that five had reduced rates compared with 2016-17. Ministers need to make sure that the allowance matches rises in living costs and allows carers to meet the needs of those they are caring for. Carers must also benefit from legal protection against the increasing number of malicious and unfounded allegations.

The final section of the report concerns valuing care. We recommend that the Department for Education establish a national college to work towards improving working conditions for carers, provide a resource for their training and support and give them a national voice and representation. Initially, we envisage not a building but a virtual college on the internet. We believe there is value in a mechanism for greater sharing of best practice and increasing professionalism and for creating a proper identity for all foster carers across our country. We believe that a national recruitment and awareness campaign, initiated by the Department, could help to improve capacity in the system.

For too many children and young people, the experience of care is of something done to them, not with them. There has to be greater involvement of foster children and better information for them on their placements, and a consistency of practice to ensure that all young people can benefit from an appropriate and positive experience of foster care. The Government listened to the strong representations from Committee members on extending the extra 15 hours a week childcare entitlement to children in foster care, and I welcome the moves that have been made on that. In this new year, the Committee hopes that Ministers will consider the recommendations in our report and show that we truly value foster children and foster care.

[Lucy Allan (Telford) (Con)]

I thank my right hon. Friend for his statement and for ensuring that the fostering report was finished in this Parliament. I was a member of the Select Committee in the previous Parliament, and am a member in this one, and I am glad he shares my views on the importance of making sure that children in care have a voice. Does he agree that one of the most powerful points made to the Committee during the inquiry was on the importance of stability and permanence in a child’s life, especially for children who have experienced so much instability and disruption? Will he work with me to ensure that both their voices and that issue continue to be heard in the House?

[Robert Halfon]

May I put on the record my huge thanks to my hon. Friend for her support and hard work on the Committee in getting the report to the House and for her remarkable knowledge about and passion for children in care? She is absolutely right that stability is one of the most important things. It is incredible to me that children are moved from pillar to post, often without any knowledge of what is going to happen, any choice or any access to advocacy. That has to change.

Capital Funding: New Hospital in Harlow

Debate between Lucy Allan and Robert Halfon

Wednesday 18th October 2017 Westminster Hall

[Lucy Allan (Telford) (Con)]

My right hon. Friend is making an excellent and passionate speech about the needs of his community—a new town, just like mine. He is setting out the problems of decaying infrastructure against a backdrop of increasing population. Does he agree that, as new town MPs, we should be championing our hospitals at all times? They are the centre of our communities and cement our identity. Hospitals are something people are deeply attached to and they form so much of what the town is, whether it is the Princess Alexandra or the Princess Royal in Telford.

[Robert Halfon]

My hon. Friend has set up the all-party parliamentary group on new towns, of which she is the chair and I am pleased to be vice-chairman. We set it up because we have many of the same problems. Our towns were built at the same time and we have the same issues, whether it is to do with our hospitals or regenerating housing and our high streets. I thank her for the work she does on this and the way she represents her new town and her constituents in Telford.

As I was about to say, the hospital secured £1.95 million of emergency department capital funding in April this year, allowing significant building works to support the department’s work, including the expansion of the medical assessments base. That is coupled with an A&E-focused recruitment drive to take advantage of the new facilities.

That leads me on to staff recruitment and retention. While Harlow hospital now has 27 more doctors and 35 more nurses than in 2010, the vacancy rate in recruitment is a perpetual worry. The nurse vacancy rate for September stood at 25%. Staff vacancy rates were picked up in the CQC report in 2016, in which inspectors found that

“staff shortages meant that wards were struggling to cope with the numbers of patients and that staff were moved from one ward to cover staff shortages on others.”

The proximity of Princess Alexandra Hospital to London plays a major role and, although pay weighting is a factor, I have been told by the hospital leadership and Harlow Council’s chief executive, Malcolm Morley, who is in Parliament today, that career development is significant. Princess Alexandra Hospital must compete with Barts and University College Hospital in specialist training and career development. The retention support programme established career clinics and clear career pathways, but there is only so much that the hospital can do to compete with the huge investment and facilities at London hospitals. Harlow needs to be able recruit and retain staff. Recruitment is related partly to the future of the hospital itself and partly to the staff’s ability to develop their careers in Harlow. Of course, both factors relate to the hospital’s infrastructure.

I have tried to make sure that our NHS in Harlow is a top priority for the Government, and I have had many meetings with the Health Secretary and the hospitals Minister. I am pleased to say that they have visited our hospital a number of times, most recently in May, when the Health Secretary visited the Princess Alexandra Hospital to speak to the hospital leadership team about Harlow’s case for a new hospital. He spoke of

“the exciting proposals which are coming together to invest capital in upgrading these facilities, including the option of a brand new hospital.”

He also stated:

“These proposals are at an early stage but upgrading services on this important site will be a priority for a Conservative government”.

Following capital funding announcements for sustainability and transformation partnerships in July, I was informed that

“Princess Alexandra Hospital is still a real priority”

for the Department of Health

“and work is ongoing to take it forward”,

and that the Government are “on hand” to carry on helping to get the Princess Alexandra bid together. Given that the Health Secretary said that Princess Alexandra Hospital is a priority case, will the Minister say what the current budget is for capital funding and how it will be allocated to new hospitals, such as Harlow?

In autumn 2016, the Secretary of State requested that the PAH board, the local clinical commissioning group and local authority partners progress a strategic outline case. After considering a number of options,

“the SOC concluded that a new hospital on a green field site, potentially as part of a broader health campus, to be the most affordable solution for the local system”—

note the expression “most affordable”—

“and the solution that would deliver most benefit to our population.”

The health campus would bring together all the services required to ensure that healthcare in Harlow is fit for the 21st century: emergency and GP services, physio, social care, a new ambulance hub, a centre for nursing and healthcare training.

Having recently met the chief executive of the East of England Ambulance Service, I know that there has been a significant increase in the number of calls from critical patients who need a fast response. Harlow has four new ambulances but the development of a top-class ambulance hub would allow huge improvements in that area. The health campus could also act as a centre for degree apprenticeships in nursing and healthcare, bringing specialist training to the eastern region. It could build on strong links between the Princess Alexandra Hospital and Harlow College and capitalise on the new Anglia Ruskin MedTech innovation centre at the Harlow enterprise zone.

The health campus proposal has been supported by West Essex CCG, the East and North Hertfordshire CCG and the Hertfordshire and West Essex STP, which brings together 13 local bodies and hospital trusts. A joint letter has been signed by more than 10 councils, including Harlow Council, Epping Forest District Council, Essex County Council and the Greater London Authority.

Despite recognition from local authorities and Ministers alike, some NHS England officials—I stress the word “some”—suggest that a refurbishment would be more fitting than the development of a brand-new hospital, due to capital funding constraints. That solution is the equivalent of an Elastoplast—a short-term option that will do nothing to solve real, long-term problems.

Given the support from the Government and key organisations, we need to be sure that plans for a new hospital are not obstructed. Will the Minister give an assurance that NHS England and NHS Improvement will work positively with public, private and voluntary sector partners to progress the plans? A rapid strategic solution is needed, rather than a short-term fix.

The cost of the new campus model would be between £280 million and £490 million, depending on the type and preferred method of funding. The hospital leadership is looking at all the options to maximise public sector investment and bring together the public, private and voluntary sectors. Private investment will not involve any kind of private finance initiative contract. Instead, the leadership will focus on how the private sector works with the NHS and how the development can generate revenue flows through social care, for example. The development also raises the potential development of housing as a source of income and private investment. These are decisions for the future. When the PAH leadership looks at private investment, it will consider supported housing and similar options.

Moreover, Public Health England’s move to Harlow will create a world-class health science hub. Without exaggeration, once Public Health England has completed its move, Harlow will be the health science capital of the world, Atlanta aside. We must ensure that the Princess Alexandra Hospital is an important partner that benefits from and adds to that success. The creation of a health campus is vital not only for Harlow but for the surrounding area. The infrastructure of the campus would be fundamental to the vitality of the community and the economy of the entire region that the Princess Alexandra serves.

I have visited the Princess Alexandra Hospital many times. I defy the Minister to find more professional and dedicated staff, doctors and nurses. They work day and night to look after the people of Harlow and the surrounding area. I have seen the incredible work in A&E, intensive care and the maternity and children’s units. That is why I know that PAH staff are second to none. However, their professionalism and hard work will go to waste unless our hospital is fit for purpose. I know that the Secretary of State recognises that, given his numerous visits to the hospital and what he has said since. I know that the Minister himself recognises that, given his visit to the hospital this time last year. I know that all the key local authorities, neighbouring MPs and trusts are supportive. I urge the Minister to do everything possible to ensure that Harlow has a hospital that is fit for the 21st century.