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

Tulip Siddiq Excerpts

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

[Edward Timpson]

In some respects, in what I hope are very limited cases, that situation already arises, where a child or young person has been moved out of their host local authority and they are not content with the arrangements that have been set up in the new local authority. [Interruption.] Will the hon. Gentleman bear with me? They may want to pursue that through the advocacy that they are entitled to. We are seeking to ensure that when that situation arises, though we hope it does not in the vast majority of cases, if at all, there is whole local authority ownership of that issue and that transcends local authority boundaries. That would ensure greater consistency of approach, not just from social workers but those who are responsible for housing and other functions of that local authority.

If the hon. Gentleman looks at some of the changes that we have already made to the residential care system for children, if a child moves out of area, that has to be signed off by the director of children’s services of the host local authority and there has to be a proper level of consultation and agreement between the local authorities as to what the arrangements will be. The aim is to ensure a good and consistent level of service provided by both the local authorities, irrespective of where the child happens to be between the two of them—in some cases it is more than two.

It is important to recognise that these seven principles and the areas they cover are designed to touch every aspect of that child’s time in care. By having to have regard to those principles, we will end up in a situation in which local authorities more widely are taking account of their responsibilities more seriously, irrespective of the type of placement that child or young person is in, their age, their background, or the sort of placement that is best suited to their needs. The whole point of having statutory guidance is to try to assist local authorities in coming up with practical ways, as well as engendering the culture change we want to see, to make sure that we get the improvements that we want to be part of.

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

It is a pleasure to serve under your chairmanship, Mr Wilson; this is my first Bill Committee, so please bear with me if I ask questions that seem obvious. I understand that someone could be moved out of their local host borough. If they move to another borough, who has the primary responsibility for the child and where is their assigned social worker: in the host borough or the new borough?

[Edward Timpson]

The original local authority where that child was taken into care continues to have overall responsibility for their care. That is why it is important that they co-ordinate very closely with the receiving local authority to ensure that the child is cared for as well as they possibly can be. When that breaks down, it is often a consequence of the host local authority not having that real sense of responsibility and, in a sense, passing that responsibility on to the receiving local authority. That should never be the case.

In my previous life as a family law barrister, I was involved in cases where local authorities were unaware of where a child was living in the local authority to which they had been transferred. That is unacceptable, and it is exactly the sort of issue that Ofsted would be interested in when inspecting a local authority. What we are really trying to push for with these principles is to ensure that we get that continued level of interest, responsibility and determination, with local authorities still seeing those children as a high priority when fulfilling their role as corporate parent. That should never be diluted because the child happens to be moving around the system geographically.

Having grown up with foster siblings, I also know how important it is to demonstrate consistently that someone cares for and supports these children and young people; that someone worries about their safety, their relationships and their aspirations, and that they will help them realise their ambitions. Most children and young people are fortunate to have families who do that for them, but I want that for looked-after children and care leavers, too. As the local authority stands in place of these children’s parents, it is important that they should seek to act as any good parent would, as I said a few moments ago. If we take an examination of Ofsted reports that tell us where that is done well—Trafford, Hackney, Hertfordshire and Lincolnshire—we see that that is where corporate parenting is at its strongest. That is what this clause is designed to do, and what I believe it will achieve.

As was the case in the other place, this group of amendments seeks to ensure that corporate parenting principles are meaningful and practical. I believe that they are. Ofsted already has corporate parenting firmly on its radar. The inspection framework refers to corporate parents nine times, and I have no doubt that inspectors will have these principles clearly in their sights when they assess how well a local authority fulfils its corporate parent role. I have already had the pleasure of discussing this clause with Ofsted’s lead on social care, Eleanor Schooling, and I am confident that they will understand and want to test how local authorities are responding to these new principles.

As well as the wording of the clause, local authorities and Ofsted will have the statutory guidance that will be made available under this clause. As I have alluded to, that will include more detail on how the principles will work in practice, and the importance of embedding them within the culture of the organisation, driven by strong leadership from the top, as well as examples of how each principle could be applied on the ground. We plan to consult formally on draft guidance in the new year.

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[Steve McCabe]

I do not want to take up too much of the Committee’s time. Having listened to the Minister, I am in no doubt about his aspirations. I also had the benefit of shadowing his post in the previous Parliament, and I have no doubt that his actions are well intentioned. However, I wonder whether he will be able to achieve his ambitions with this set of proposals, which is why the amendment tabled by my hon. Friend the Member for South Shields is of such significance. The danger here is that we have a set of words but no guarantee that they will translate into action.

I would have liked the Minister to explain to the Committee why there are seven principles in the first place. There were three others suggested in the House of Lords, but they were rejected out of hand. The Minister has made no reference to those whatsoever, and we have been left almost short-changed in terms of the information we have. The danger of not making this a duty is that although the Minister might think that this is the heartbeat of his legislation, to other people it looks like window dressing. The statute books are littered with children’s legislation that has been nothing more than window dressing.

That is why we should take advantage of this opportunity to probe exactly what these principles will do. If they are that important, why is the Minister not prepared to insist that local authorities should act on them? It is hard to find fault with their general wording, but I wonder whether in fact they give local authorities a great many opportunities to dance around the issues.

I note that the Minister spoke of his desire not to straitjacket local authorities, which was his reason for saying that they must “have regard to” the principles, rather than imposing them as duties. He took as his example clause 1(1)(e), about having high aspirations. I want to probe that a little further to see what he really has in mind. Are those aspirations governed by the local authority’s view of what might be high aspirations?

Once a child comes into care, their health is likely to deteriorate, particularly their mental health, which has a 50% greater chance of resulting in some kind of episode. Their education is likely to deteriorate, which is why we have created the post of virtual school head. That is why there was so much emphasis in what the Minister did in the previous Parliament on trying to raise children’s educational aspirations. Whose aspirations are we talking about: the local authority’s, the child’s, their natural parents’ or their advocate’s? Who will determine what is a high enough standard for that child? The rest of us would determine for our own children, and we would want the absolute best for them. But when the Minister talks about aspirations, whose decision will be the determining factor?

The Minister talks about not wanting to straitjacket the local authority. He gave an interesting example about refuse collection not necessarily being an area where one would want to tie the local authority into aspiration. On the surface, I would agree with him. He went on to say that in the case of housing that might be different. What about the quality of housing that a young person is placed in? Does that not affect aspiration? What about the level of the repair service they receive, if the place is in a difficult, high-rise block with mould and water running down the walls? What about the local environment that the young person is placed in? If the local authority deems it all right to put them in a run-down block of flats in a difficult part of town, where the walls are littered with graffiti and there are needles, syringes and broken bottles everywhere, does that not affect a young person’s aspiration? Should that not be something the Minister is telling us about?

Actually, clause 1(1)(e) has a huge impact on how that young person is affected. If these principles mean anything at all, should we not be leaving the Committee absolutely certain that the Minister for Children and Families is saying that the principle of aspiration, as defined in clause 1(1)(e), means that no longer will any local authority be allowed to place a child in the appalling environmental conditions that can do nothing but diminish their aspiration and affect their overall wellbeing and health?

I want to check on one other thing. In the other place, Lord Nash referred to the Minister for Vulnerable Children and Families. Has the Minister had a change of role? Has something been slightly altered? If these principles apply specifically to vulnerable young people, I wonder what that distinction is. We all know that many kinds of young people come into care, driven by many different factors, but often those who have suffered the worst neglect and abuse are the most vulnerable. If he is saying that an additional level of consideration should be applied to them, it would be good to know that.

I understand the Minister’s point—this was raised by the hon. Member for Faversham and Mid Kent—about a young person received into care by one authority who then lives in another authority. He will know as well as I do the tragedy of that. It is probably best exemplified by events in Rotherham and Rochdale. When these children, often from the south of England, are transferred to authorities in the north of England, they are completely forgotten. That is why it was possible for some of the terrible things that happened there to take place and go unnoticed. The Minister said that both authorities would have responsibility. When I pursued him on the question of conflict between authorities, he assured us that the present system is designed to cater for that. I want to raise that question once more, in relation to the point his hon. Friend the Member for North Dorset made at the outset of the Committee about the different levels of cuts and finance available to local authorities.

If a child is received into care by one local authority and then sent to live in the care of a different local authority, and if there is a set of proposals for their welfare—their education, for example, or perhaps they need counselling because of trauma they have suffered, or particular needs that were identified through an assessment following their placement—and it is deemed that they should receive a particular kind of formal support, what would happen if the local authority that received them then refused on the basis that its budget situation had since changed substantially, to the extent that it could no longer afford that service? Who would be responsible for ensuring that these principles were applied? Would it be the local authority where the child is now residing, which would undoubtedly argue that the bill had to be picked up by the local authority that had received the child into care?

I raise that point because, as the Minister said at the outset, these principles are the heartbeat of his legislation. The principles are worthless unless we know exactly how they will be applied and how they will directly affect the interests of a particular child. If the Minister cannot give us a graphic description of how that would work, these are empty principles; they are not principles that underpin a better future for children. Otherwise, this is empty legislation and these are empty words on paper that will litter the walls and shelves of social work offices up and down the country and contribute nothing to the welfare of the young people we are concerned about.

The Minister should therefore consider once again whether his principles are so essential to his legislation that they should be applied as a duty to the local authority, which should have no wriggle room from addressing them. That is the only way he will ensure that he gets the outcomes that I am sure he wants to achieve.

[Tulip Siddiq]

I note what the Minister said about a holistic approach to looking after these children. He mentioned front-line staff and the council working together as a whole, which I agree with. I was a councillor for many years in a council that is rated in the top three boroughs in the country, and I was also a cabinet member. We faced a £80 million shortfall overall and I had to make a 30% cut to the services that I was in charge of. Although I appreciate the sentiment behind these principles and I think they are very timely and needed, will the Minister comment on the fact that councils are stretched? Front-line staff are disappearing because they cannot afford to keep them on, and councils are struggling to provide even the basic services because of the lack of funding.

This is not a political point. Councils across the country are struggling with what I saw first-hand. I appreciate the sentiment that there should be an holistic approach to looking after these children—and I agree that that should happen, because they are the most vulnerable in society—can we carry that out at a time when councils are struggling with their funding because of the cuts to local government budgets from national Government?

[Edward Timpson]

This debate has been helpful in teasing out a little more understanding of the purpose of the principles. I accept that the principles in themselves are not going to transform the life of every child in care. However, as I have set out, we seek to provide a strong and comprehensive set of principles that will apply to all local authority officers, irrespective of their role, and which will engender a shared sense of responsibility and push to the forefront of their mind the impact of their decisions on children in care and care leavers placed with them.

I want to reassure the hon. Member for Birmingham, Selly Oak, who thinks about these things very deeply and cares about making sure that we come up with an approach that will have a positive impact, that the principles are not set in isolation. All the underlying responsibilities of local authorities remain in place.

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[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.

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[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.

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[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.

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

Tulip Siddiq Excerpts

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

[Stella Creasy (Walthamstow) (Lab/Co-op)]

I will be brief; I am sure that over lunch Government Members have had a chance to contemplate the argument that I made. I am conscious that Opposition Members who have joined us might want to be reminded of them. There are three points that I want the Government to come back on if they are not going to accept our amendments. First, the idea of a basic minimum standard for care leavers. If we are not to have a minimum standard, how does the Minister intend to ensure that all care leavers are given a level of service that we can be proud of?

Secondly, on the Minister’s approach to dealing with young asylum seekers who are not part of this legislation at the moment, the amendment seeks to bring them in scope to make sure that they are given equal protection. As I said earlier, turning 18 does not stop someone being vulnerable overnight. Finally, how do we deal with the specific issue of financial management problems that many care leavers face, particularly the problems that are well documented in the benefits system? If the Minister does not intend to accept our amendments to support care leavers through the benefits system and to make sure that we recognise those problems and the cost to us of not recognising those problems, what plan does he have to address those issues? At this point, I shall let others take the debate forward.

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

I thank my hon. Friend the Member for Walthamstow for her passionate speech. Even though she was interrupted mid-flow, she has summed up very well. It will not come as a surprise to the Committee that I wholeheartedly endorse her speech and the amendment on the national minimum standard for care leavers. I want to point out that we cannot just rely on local authorities to make specific decisions, because there are different standards across the country for different local authorities, as I saw as a councillor before entering Parliament.

Various policy concerns can be addressed by introducing a national minimum standard, but I want to focus specifically on people’s mental health, especially that of vulnerable people leaving the care system. One early study of care leavers in England that I found interesting found evidence of a range of mental health problems for care leavers. One in five care leavers reported long-term mental health problems. Everyone here will be aware of the stigma surrounding mental health. One in five is probably not a true reflection of how many mental health problems there really were among care leavers, because some of them would not want to report problems for fear of being stigmatised.

The mental health problems that the care leavers spoke about included eating disorders, bipolar issues, depression and serious phobias that haunted them later in life. In addition, there were shocking statistics: a quarter of care leavers reported heavy drinking on a regular basis and two thirds admitted that they used drugs regularly. It is no surprise that many of the care leavers who spoke about their experiences said that their mental health problems originated in the life that they led before they, in a sense, entered adulthood. They said that a lot of their mental health problems came from the poor housing that they had experienced and the lack of finance and intimate relationships in their life.

The NSPCC rightly pointed out in its 2014 report that leaving care is an extended process rather than a single event, which I wholeheartedly agree with and which speaks to our amendment. Care leavers face the significant challenge of psychologically moving forward towards adulthood, often trying to make sense of their past life experiences. With the withdrawal of care services, support services and care placements, they have to test out the reliability of their network of friends and family. The shadow Minister has made the point over and over again that we should not have a postcode lottery when it comes to care and the future of care leavers. Nor should we have a lottery of personal circumstances, where those who are lucky have a network of family and friends to rely on, but those who are not often fall into either depression or a life they would not have wanted to lead.

The Opposition acknowledge that multiple changes to someone’s living circumstances will affect them, but change cuts across every aspect of the lives of care leavers; we need to be aware of that, because we are dealing with the most vulnerable people in society. Those changes relate to their finances, access to housing and search for jobs, and care leavers confront those challenges while experiencing a withdrawal of care placements and social support services as they turn 18.

I point to a few stats from the Children’s Society that I thought were particularly striking: 63% of care leavers entered the care system because of abuse or neglect, which is a figure that should put us all to shame; 50% of children in care had emotional and behavioural health that was considered normal, while 13% were borderline and 37% gave cause for concern. I am sure that everyone agrees that those statistics are worrying. They should trouble us all, and they should compel us to act in the interests of the nation.

National minimum standards will allow for a fairer system overall, for which the cost will be wholly outweighed by the benefit of ensuring that the most vulnerable people across the country are treated equally. I trust that Members across the House and from different parties will agree with that after hearing some of the shocking statistics that I have outlined.

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

I will briefly comment on the part of clause 2 that relates to the local offer, before turning to the amendments and new clauses. I will try not to detain you for too long, Mr Wilson.

I am not really clear on the local offer. The Minister has a great deal of experience of the local offer; he pioneered the approach in the Children and Families Act 2014. I am not entirely sure how different what he proposes in the Bill is from the offer in that Act. I took the trouble during the lunch break to look at the rather helpful report from the Children’s Services Development Group entitled “The Local Offer, Children and Parental Rights”. It has a nice foreword by the right hon. Member for Chesham and Amersham (Mrs Gillan), who is the chair of the all-party parliamentary group on autism. You will be delighted to know that I will not read the report to you, Mr Wilson, but there are some things in it that are worth noting.

The offer, as it exists in the Children and Families Act, was intended to help local authorities to identify gaps in provision and to make sure that they were addressed, and the report assesses how successful that has been. It found that there are significant variations in the offers made across the country, with some quite good examples in east midlands, Yorkshire and the Humber, and some very poor examples in the west midlands and the south-west. It also found that less than 4% of local authorities have a named person whom anyone trying to understand the local offer can contact, while less than half of all local authorities listed independent specialist schools on their website, despite that being a requirement that the Minister set out in the Act. There is also a significant variation in the information that is provided on those websites. The Children’s Services Development Group says that a best practice guide for local authorities and a mandated template for the local offer would be helpful.

I draw the Committee’s attention to that because the Opposition suggest that it would be helpful to the local offer in the Bill if there were minimum standards by which we could judge the progress of the Minister’s proposals. I asked him to look again at the experience of the local offer in the Children and Families Act and to check whether there is a risk that local authorities will simply seek to replicate that kind of approach in this piece of legislation. I am not saying that that approach is useless, but I am sure the Minister will share my disappointment that it has not been as successful as anticipated in its operation so far.

I turn to the question that my hon. Friend the Member for Hampstead and Kilburn has just been tackling about the needs of children leaving care. The Minister and I obviously got into the wrong place before lunch when I thought that he was telling me that I should not be too concerned about the educational and mental health outcomes for children leaving care. If that is not what the Minister was saying, I am more than happy to accept that.

However, I took the trouble to go back and have a quick look over lunch at some of the things that we know. I looked at the report by Saunders and Broad which examined long-term mental health conditions—the very things that my hon. Friend has just been talking about—with a greater propensity among children in care and leaving care, who suffer from depression, eating disorders and phobias.

I looked at the mental health and wellbeing report produced by the Select Committee on Education in the fourth Session of Parliament. The first line of that report says:

“The mental health of looked-after children is significantly poorer than that of their peers, with almost half of children and young people in care meeting the criteria for a psychiatric disorder”.

That report, as the Minister knows, went on to recommend that child and adolescent mental health services should be made available for all looked-after young people up to the age of 25, in recognition of the distinct issues which this vulnerable group of young people experience as they attempt to leave the care system.

I also looked at the situation on employment. As I understand it, these are the Government’s figures: three-quarters of care leavers are inclined to leave schooling without any formal qualifications. Of the Government’s study of 26,340 former care leavers aged 19, 20 and 21, 40%—nearly 10,500 young people—were not in employment, education or training, compared with 14% of all 19 to 21-year-olds. The percentage of care leavers who could be described as NEETs has risen by 1% in the past two years.

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[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—

[The Chair]

Order. That was only supposed to have been an intervention.

[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 ] (Third sitting)

Tulip Siddiq Excerpts

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)

Tulip Siddiq Excerpts

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

[Stella Creasy]

I am genuinely sorry that the hon. Lady thinks it is outrageous to suggest that we need to get this right and see the potential of those children—[Interruption.] I genuinely have not accused her. I am asking whether she wants the UN convention on the rights of the child to be the framework by which safeguarding is undertaken in this country for all children, including those who are at the moment in France, Greece or Italy and have been identified as possible candidates for the Dubs amendment. She is right that there was cross-party agreement. I am surprised that there is not cross-party agreement on this, frankly. The statement on 8 November seemed to go against that.

I am sorry that it seems to be controversial to want the UN convention on the rights of the child to be the framework by which we treat safeguarding. The Minister said on Second Reading that he would go away and look at the guidance to see whether it stood against his statement on safeguarding. I hope he will explain why the Home Office issued guidance that appears to undermine the Government’s safeguarding commitment. If he does not support these amendments, how is he going to guarantee that every child that the UK considers for safeguarding is treated equally? What else, if not the UN convention on the rights of the child, should guide us? I will happily finish now to hear what the Minister has to say. I hope that Government Members will understand that this is about our passion to get this right; it is not a party political point.

[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 ] (Seventh sitting)

Tulip Siddiq Excerpts

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.

[The Chair]

With this it will be convenient to discuss new clause 19—Duty to promote physical and mental health and emotional well-being—

‘(1) In section 22 of the Children Act 1989, in subsection (3)(a) at end insert—

“(3D) The duty of a local authority under subsection (3)(a) to safeguard and promote the welfare of a child looked after by them includes a particular a duty to promote the child’s physical and mental health and emotional wellbeing.

(3E) For the purpose of supporting a local authority in discharging its duty under subsection (3D), each clinical commissioning group must appoint—

(a) at least one registered medical practitioner, and

(b) at least one registered nurse,

for each local authority with which any part of the clinical commissioning group overlaps.”’

This new clause would improve the outcomes for looked after children through a clarification of duties of cross agency working between local authorities and health partners, by elevating the roles of designated doctors and nurses into primary legislation.

[Tulip Siddiq]

It is a pleasure to serve under your chairmanship, Mrs Main, and to speak to new clauses 18 and 19. Following the Prime Minister’s announcement that she wants to employ the power of Government to deal with mental health problems across society, I hope that these new clauses will not prove contentious to the Minister and Government Members.

According to the Care Quality Commission’s report last year, “Not seen, not heard”, almost half of children in care have a mental health disorder. Worryingly, the Department for Education’s report on young people leaving care shows that they have five times the risk of a suicide attempt of their peers. We tabled new clause 18 because we believe that mental health assessments are important tools for identifying mental health conditions early. Barnardo’s has made the point over and over that mental health needs must be met early to avoid crisis points.

Last year, the Government argued that automatic mental health assessments for children in care and care leavers would be stigmatising, and that it would not be appropriate for them to have mental health assessments at a given time. We have taken that on board. Bearing in mind what the Government have said about stigma, our new clause does not propose automatic mental health assessment for all children in care and care leavers at a specific time. Instead, we simply seek to ensure that the changes to mental health provision are supported by primary legislation.

By agreeing to the new clause, the Minister could ensure that the Government give mental health priority at every level, and that the Bill covers children in care and care leavers. New clause 18 would allow the Government to incorporate the outcomes of the recently announced mental health assessment pilots into regulations, and I hope that he will support it.

The same goes for new clause 19, which would improve outcomes for looked-after children by clarifying the duties for cross-agency working between local authorities and health partners and elevating the roles of designated professionals into primary legislation. Children in care and care leavers need someone who can ensure that health and social care services meet their particular mental health and wellbeing needs. Children in care currently have a designated doctor and nurse tasked with assisting local commissioners in addressing the health needs of looked-after children in their area, but the problem is that their exact responsibilities are unclear. Many local areas struggle to fill posts, and where posts are filled, professionals report that they are unable to influence planning decisions.

The Alliance for Children in Care supports stronger requirements for the role of designated doctors and nurses for looked-after children, as they believe that would begin to address current shortcomings and enshrine the role of designated professionals in legislation. I hope that the Minister will listen to the experts and the views that I have outlined and support the new clause.

[Edward Timpson]

I thank the hon. Lady for raising the important issue of the mental health and emotional wellbeing of looked-after children and care leavers. Improving mental health services and support for all children and young people is a priority for the Government. As she reminded the Committee, on Monday 9 January, the Prime Minister announced that the Department for Education and the Department of Health would work together to produce a Green Paper on the mental health of children and young people. That Green Paper will consider specifically how to build on what has already been done since “Future in Mind” to bring together a practical strategy for improving specialist mental health services, as well as how to improve preventive activity to help and support children and young people from nought to 25 years.

The paper will cover all relevant parts of the system—not just health but the care system, schools, universities and families. I agree that looked-after children and care leavers should receive the best possible assessment of their needs and then the necessary mental health support, but unfortunately, we know that not all such young people experience the best possible response. I have seen at first hand, both in my constituency and in my previous practice, how transformative timely and high-quality mental health support can be. Sadly, I have also seen the consequences where that is not provided.

However, improvements to mental health assessments are unlikely to be delivered by additional legislation; it is better practice on the ground that will deliver a better response to children’s needs. There are already legal requirements for health assessments, covering both physical and mental health, for looked-after children on their entry into care. Under the Care Planning, Placement and Case Review (England) Regulations 2010, all local authorities must set out a care plan for looked-after children, which must include a health plan setting out what arrangements the authority will make to meet the child’s health needs. A child’s health is expressly defined as including emotional and mental health.

To help inform the health plan, local authorities are required to carry out a statutory health assessment for all looked-after children on entry into care. It must be carried out by a registered medical practitioner and must address physical, mental and emotional health. Guidance from the medical royal colleges sets out the knowledge, skills and competences needed to undertake the assessments. Department for Education and Department of Health statutory guidance on care planning and promoting the health of looked-after children emphasises the importance of mental health, developmental milestones and social and relationship skills, which form part of a statutory health assessment.

Although the law and statutory guidance are clear, I share the concerns of the hon. Member for Hampstead and Kilburn about the quality of the initial health assessments for looked-after children and about whether in practice enough importance is placed on mental health needs. We listened to the issues raised by the Select Committee on Education, organisations such as the National Society for the Prevention of Cruelty to Children, and Baroness Tyler and other peers. As a consequence, we have announced that we will establish pilots to test new approaches to mental health assessments for looked-after children.

I am happy to reiterate that commitment today. Initial meetings have already taken place among DFE, Department of Health and NHS England colleagues, who will take forward that work with a view to beginning pilots in April or May. The pilots will give us an opportunity to test and explore a range of approaches, building on the findings of the Education Committee and other research in this area. We may, for example, look at the skills and training of those carrying out healthcare assessments, and particularly at assessment methods and identification tools, and models of multi-agency working. I am also keen that children and young people themselves help to shape the pilots and inform best practice in this area.

Alongside the pilots, the expert working group on the mental health of looked-after children provides a huge opportunity to improve the mental health support that children in care receive. How looked-after children’s mental health is assessed is a focus for the group, crucially alongside the services that are put in place to support those children. The expert group is looking not only at entry into care but at suitable assessment support as a continuum across the child’s life. That includes the support that they receive on leaving care, including through routes such as special guardianship or adoption.

It is important that we do not pre-empt the group’s findings. Legislating before the expert group’s report and the pilots would risk tying the Government to a legislative option that may not make the tangible improvements to services that young people need. At worst, it would stymie the ability to use the findings from the expert group and the pilots in the best way possible for children and young people. We are committed to acting on those findings. Should they recommend that further legislation is needed, the Government will of course consider introducing it at that point. I appreciate that the hon. Lady’s new clause would come into force after the pilots have finished, but it simply duplicates what is already set out in law. In our judgment, what is needed is a change in practice on the ground, not in legal requirements.

Turning to the needs of former relevant children, looked-after children should have a review of their care plan, including their health plan, prior to leaving care. Consideration of their health needs, including mental and emotional health, should already be part of the review. We know from young people themselves that one of our priorities needs to be to get the transition between child and adolescent mental health services and adult services right. To improve practice regarding that transition, in December 2014 and January 2015, NHS England published new service specifications for commissioners, giving guidance and best practice on the transition from children and adolescent mental health services to adult services or elsewhere. Those specifications intentionally do not stipulate an age threshold for transition. They state that transition should be built around the needs of the individual, rather than their age.

I turn briefly to the proposed duty on local authorities to promote looked-after children’s physical and mental health and emotional wellbeing. There is an existing statutory duty under the Children Act 1989 to safeguard and promote the welfare of looked-after children. Promoting a child’s health is an integral part of promoting their welfare, and the regulations and statutory guidance on care planning are explicit that health includes mental and emotional health.

In addition to what I have already set out, we have further strengthened the legal position by making explicit reference to physical and mental health in the corporate parenting principles in clause 1. A Government amendment in the other place on the subject has been widely welcomed. It means that all local authorities in England will be required to have regard to the need to promote the physical and mental health and wellbeing of all looked-after children and care leavers. I hope that reassures the hon. Lady enough that she will be able to withdraw her new clause.

[Tulip Siddiq]

I thank the Minister for his response. The trials and pilots are a welcome step forward. With some reluctance I will withdraw the new clause, although it would clarify the exact positions of the designated professionals and put a little more practice into looking after a vulnerable group. Opposition Members will keep a close eye on this matter, because the Government’s record on mental health in all areas so far has been appalling. However, I will withdraw the new clause, because I appreciate the points about defining what the trials cover and the outcome of the pilots that he proposes and the Green Paper. I beg to ask leave to withdraw the motion.

Clause, by leave, withdrawn.

New Clause 21

Designated support for family and friends carers

“(1) In the Children Act 1989, after section 17ZI insert—

“17ZJ Designated support for family and friends carers

Each local authority must appoint at least one person as a designated lead for family and friends care, to co-ordinate the provision within their area of family and friends care support services.”” .—(Mrs Lewell-Buck.)

This new clause would provide kinship carers, council staff and other agencies with clarity as to who is the named senior manager with responsibility for family and friends care in the authority and who has responsibility for ensuring that the local authority complies with family and friends care guidance.

Brought up, and read the First time.