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Category: Social Care

  • Sajid Javid – 2022 Statement on Health and Social Care

    Sajid Javid – 2022 Statement on Health and Social Care

    The statement made by Sajid Javid, the Secretary of State for Health and Social Care, in the House of Commons on 13 June 2022.

    I would like to inform the House that the final version of “Data saves lives: reshaping health and social care with data” has been published today. It builds on the groundbreaking use of data during the pandemic and sets out ambitious plans to harness the potential of data in health and care, while maintaining the highest standards of privacy and ethics.

    When facing this country’s greatest public health emergency for generations, one of the most effective tools at our disposal has been the power of data. Now, as we look to live with covid, we must apply those same tools as we tackle the most pressing challenges facing the country including elective recovery and integration of health and social care.

    Earlier this year, I made a speech setting out my four priorities for reform in health; prevention, personalisation, performance and people. We cannot deliver the change we need to see, and our 10 year plans for cancer, dementia and mental health, unless we embrace the opportunities from data-driven technologies. Last week, Sir Gordon Messenger and Dame Linda Pollard published their review into leadership of health and social care, and I accepted their recommendations in full. Today’s data strategy is the next step in our plans to modernise the NHS.

    This strategy shows how we will use data to bring benefits to all parts of health and social care; from patients and care users, to staff on the front line, to the pioneers driving the most cutting-edge research.

    It is backed by a series of concrete commitments, including investing in secure data environments to power research into new treatments, using technology to allow staff to spend more quality time with patients, and giving people better access to their own data through shared care records and the NHS app. The strategy will support NHS providers to tackle the covid backlog, providing them with the means to monitor and optimise capacity through improved data sharing and the development of advanced analytics. This is all on top of the huge investment that we have already made; for instance investing £200 million in our data for research and development programme.

    It is vital that, as we deliver these benefits, we work in a way that maintains the high level of public trust in how the NHS uses health and care data. That means maintaining the highest standards of privacy and ethics, investing in secure data environments and cyber security, involving the public in decisions about how data is used in the future, listening and responding to their views and concerns.

    We published a draft of this strategy in June 2021, and I would like to thank the hundreds of people and organisations who provided feedback which was invaluable in shaping this final version of our strategy for the future.

    I would also like to thank Dr Ben Goldacre for his work on the Goldacre Report, which was published in April, and made a compelling case for how data can drive innovation and improve healthcare. I fully support his recommendations and this strategy shows how we will take them forward.

    I will deposit a copy of the draft strategy in both Libraries.

  • Wes Streeting – 2022 Speech on the Health and Social Care Leadership Review

    Wes Streeting – 2022 Speech on the Health and Social Care Leadership Review

    The speech made by Wes Streeting, the Labour MP for Ilford North, in the House of Commons on 8 June 2022.

    The Secretary of State has picked quite the week to talk about standards in leadership.

    I give a huge thanks to NHS staff and leaders for the work they are doing against the most extraordinarily difficult backdrop. I also thank General Sir Gordon Messenger and Dame Linda Pollard for carrying out the review. Its seven recommendations are sensible, and I am pleased the Secretary of State has already committed to implementing them.

    As this is a rare example of decisiveness from the Health Secretary, can he tell us when he intends to publish his implementation plan? All too often, the senior leadership of the NHS still does not represent the diversity of the population it serves. Instead of throwing red meat to his Back Benchers, for reasons that will probably be obvious to everyone, I would like to hear how, in particular, he intends to ensure that equality, diversity and inclusion will be improved, so that the best leaders are incentivised into the most challenging roles and are able to provide inclusive healthcare for the breadth of diversity in our great country. Can he explain why the review has not covered leadership in primary care or social care in any detail? Surely this is a missed opportunity. Let us face it: although he is trying to dress this up as the biggest shake-up in history, I am not sure that giving staff an induction on joining the NHS is a revolutionary development, and it hardly meets the scale of the challenge.

    The NHS faces the biggest crisis in its history. NHS staff are in a system under pressure like never before, and there are simply not enough of them. There are currently 106,000 vacancies across the NHS, and staff are leaving in droves. In some specialties, such as midwifery, they are leaving faster than we can recruit them. I do not know how the Health Secretary expects NHS managers to demonstrate good leadership and deliver the best outcomes for patients when there are no staff to lead. For an organisation the size of the NHS, one of the biggest employers in the world, not to have a plan for its workforce is unbelievably negligent. What is the NHS meant to do until he eventually delivers his long-term workforce strategy, which he has been promising for some time? How are managers meant to lead effectively when instead of thinking about patient care as their primary driver, they have become buildings and facilities managers, because the ceilings are falling in? The only place where more than 40 new hospitals really exist is in the Prime Minister’s imagination.

    The Health Secretary said that we should accept only the highest standards in NHS management, so let me ask him not about the generalities, but about the specifics. Last month, it was reported that North East Ambulance Service bosses oversaw cover-ups of negligence, leaving about 90 families not knowing how their loved ones died. He said yesterday that he is still considering whether to launch a review. Is he seriously considering protecting managers who cover up bad practice, instead of standing up for grieving families? Staff in that service were reportedly paid to sign gagging clauses, and I understand that attempts to get them to sign such clauses are still under way. In a written question, I asked how many non-disclosure agreements had been signed in the NHS since the Government said that they would be banned in 2014. He does not know and he is refusing to investigate the use of gaging clauses in the NHS. So how can he claim to be shaking up NHS culture and dealing with bullying when he has no interest in what is going on under his nose?

    Of course the NHS needs good leaders, but when it comes to examples of poor leadership in the NHS, the Health Secretary did not need the Messenger review; he just needed to look in the mirror. This is the man who described the NHS as Blockbuster Video

    “in the age of Netflix”,

    as if it was the greatest revelation since Moses received the 10 commandments. Who has been in government for the past 12 years? On his watch, on this Government’s watch, we have the highest waiting times in the NHS’s history; the lowest patient satisfaction since 1997; longer waiting times for cancer in every year since 2010; heart attack and stroke victims left waiting for about an hour, on average, for ambulances; and patients at risk of serious injury because the hospital is crumbling around them. He kicked off his own Health Week expecting applause for the fact that, despite his best efforts, there are still 9,000 people waiting for more than two years for treatment. He knows, I know, NHS staff know and the public know that with this Government, NHS staff are lions led by donkeys, wanting and inadequate.

  • Sajid Javid – 2022 Statement on the Health and Social Care Leadership Review

    Sajid Javid – 2022 Statement on the Health and Social Care Leadership Review

    The statement made by Sajid Javid, the Secretary of State for Health and Social Care, in the House of Commons on 8 June 2022.

    With permission, Mr Speaker, I will make a statement on the independent leadership review of health and social care.

    This is an important report that comes at a critical time. This Government are embarking on a huge programme of reform to tackle the covid backlogs, to improve people’s experience of the NHS and social care, and to place this system on a sustainable footing for the future. But we cannot seize this opportunity and deliver the change that is so urgently needed without the best possible health and care leadership in place, because great leaders create successful teams, and successful teams get better results. So a focus on strong and consistent leadership at all levels, not just on those who have the word “leader” in their job title, will help us in our mission to transform health and care and to level up disparities and patient experiences.

    This review, which I have deposited in the Libraries of both Houses, was tasked with proposing how to deliver a radical improvement in health and social care leadership across England. It sets out a once in a generation shake-up of management, leadership and training, as well as how we can make sure that health and care is a welcoming environment for people from all backgrounds, free from bullying, harassment and discrimination.

    The review was led by General Sir Gordon Messenger, former Vice-Chief of the Defence Staff, and Dame Linda Pollard, the chair of Leeds Teaching Hospitals NHS Trust. I thank them both for taking on this role and providing their varied experience of leadership, along with everyone in their review team who has contributed to this important review.

    Before I turn to the recommendations of the review, I shall update the House on its findings. The review found that, although there are many examples of inspirational leadership within health and social care, from ward to board, these qualities are not universal. The report states that

    “there has developed over time an institutional inadequacy in the way that leadership and management is trained, developed and valued.”

    As a result, careers in management are not viewed with the same respect and prestige as clinical careers. The review also found

    “too many reports to ignore”

    of poor behaviour, and that the acceptance of bad behaviours like discrimination, bullying and responsibility avoidance has become “almost normalised” in certain parts of the system.

    We must only accept the highest standards in health and care, where failures in culture and leadership can make the difference between life and death. So we must do everything in our power to share and promote brilliant, innovative management and to act firmly where standards fall short. This means culture change from the top of the system to the frontline. The review identifies a number of areas where improvement is needed, and it makes seven transformative recommendations. I will quickly update the House on each of them in turn.

    First, the review recommends new measures to promote collaborative leadership and to set a unified set of values across health and care. This includes a new national entry-level induction for new joiners to health and care, and a new national mid-career programme for managers.

    Secondly, the review recommends that we should agree and set uniform standards for equal opportunities and fairness, with more training to ensure that the very best leadership approaches become ingrained. The Care Quality Commission must support this work by measuring progress through regular assessments. This does not mean more people working in diversity but fewer. In my view, there are already too many of these roles and, at a time when our constituents are facing real pressures on the cost of living, we must spend every penny with care. Instead of farming out this important work to a specific group of managers, it must be seen as everyone’s responsibility, with everyone being accountable for extending fairness and equal opportunities at work.

    Thirdly, the review recommends a single set of unified leadership and management standards for NHS managers. These standards will apply to everyone, including those who work part time and flexibly, with a curriculum of training and development to help people meet them. This modernisation is well overdue, and completing the training should be a prerequisite for advancing to more senior roles.

    Fourthly, the review recommends a more simplified, standardised appraisal system for the NHS, moving away from variation in how performance and career aspirations are managed towards a more consistent system that takes into account how people have behaved, not just what they have achieved.

    Fifthly, the review identifies a lack of structure around careers in NHS management. It proposes a new career and talent management function for managers at a regional level, to oversee and support careers in NHS management and to provide clear routes to promotion, along with training and development.

    Sixthly, the review recommends that the recruitment and development of non-executive directors needs to be given greater priority due to their vital role in providing scrutiny and assurance. It proposes an expanded specialist appointments team in the NHS, tasked with encouraging a diverse pipeline of talent.

    Finally, there is currently little or no incentive for leaders and managers to move into the most challenging roles, as the barriers are often seen as simply too high. I want leaders in the NHS to seek out those roles, not shy away from them. It is essential that we address that and get great leaders into areas that feel left behind. The review proposes an improved offer, with stronger support and incentives to recruit top talent into those positions.

    We will be accepting these comprehensive, common-sense recommendations in full. The recommendations have been welcomed by groups representing people who work throughout the NHS, including by the NHS Confederation and NHS Providers. By taking the review forward, we can finally bring how we do health and care leadership into the 21st century, so that we have the kind of leadership that patients and staff deserve, right across the country, and so that we make sure that some of our country’s most cherished institutions can thrive in the years ahead.

    I commend this statement to the House.

  • Michael Gove – 2022 Comments on Failing Social Landlords

    Michael Gove – 2022 Comments on Failing Social Landlords

    The comments made by Michael Gove, the Secretary of State for Levelling Up, on 8 June 2022.

    In 2022 it is disgraceful that anyone should live in damp, cold and unsafe homes, waiting months for repairs and being routinely ignored by their landlord. These new laws will end this injustice and ensure the regulator has strong new powers to take on rogue social landlords.

    We are driving up the standards of social housing and giving residents a voice to make sure they get the homes they deserve. That is levelling up in action.

  • Nadhim Zahawi – 2022 Statement on Child Protection

    Nadhim Zahawi – 2022 Statement on Child Protection

    The statement made by Nadhim Zahawi, the Secretary of State for Education, in the House of Commons on 26 May 2022.

    Today, the independent national child safeguarding practice review panel published its national review into the murders of Arthur Labinjo-Hughes and Star Hobson.

    The murders of Arthur and Star shocked the nation. It is incomprehensible that anyone could harm a child in this way.

    I want to thank Annie Hudson, the chair of the panel, and her team for their hard work and commitment in setting out the learning from these horrific incidents. Arthur and Star’s extended families did as much as they could to protect them. Being involved in this process and reflecting on what happened must have been incredibly difficult. I want to thank the children’s families for their contributions to today’s review and the insights they have provided while grieving for their huge loss. I am also grateful to professionals across Bradford and Solihull for their engagement with the review. It is only through these open and honest conversations that we can truly learn from what has happened.

    No Government can legislate for evil, but the panel’s recommendations look to address the problems that they have seen across child protection services, and to make such terrible incidents as rare as possible.

    The national review pays tribute to the many professionals across our country who carry out effective child protection every day, whilst recognising that the child protection system needs to be strengthened. To this end, the panel has made local recommendations for safeguarding partners in Solihull and Bradford as well as eight national recommendations to strengthen delivery of child protection services.

    I am committed, with colleagues across this House, to acting on these recommendations. No time can be wasted in learning from these tragedies, and I assure the House that we will do all we can to deliver significant improvements to child protection services.

    We have already taken strong action in both Solihull and Bradford to drive up the quality of services. In Solihull, I commissioned a joint targeted area inspection, served an improvement notice, provided additional funding, and deployed an expert improvement adviser. Alongside this, the local authority has established an improvement board to drive progress and ensure multi-agency working between the police, health and the local authority to keep local children as safe as possible.

    In Bradford, we are establishing a new children’s services trust. Evidence shows trusts can turn around failing services, delivering the care that every child deserves. This approach has worked well elsewhere, notably in Sunderland which improved from inadequate to outstanding in three years. Today I am delighted to announce the appointment of Eileen Milner as the chair of the new trust. Eileen is an experienced leader with a strong track record and will be working alongside our commissioner in Bradford, Steve Walker, and the council, to improve these critical services for children and families in Bradford as quickly as possible.

    My Department’s broader investment in local authority intervention and improvement is already paying off: 53% of authorities are now rated good or outstanding, up from 36% five years ago. 42% more children in need are now living in local authorities which are rated good or outstanding than in 2017.

    Yet system change on a national scale is needed. On Monday, we announced the publication of the independent review of children’s social care, led by Josh MacAlister. The recommendations align with those outlined in the independent review into children’s social care and look to address the problems that they have seen across child protection services and make such terrible incidents as rare as possible.

    As the panel’s national review states, data and information sharing are essential to keeping children safe, and sadly weaknesses in information sharing hindered professionals’ understanding of what was happening to Arthur and Star. This is why we will take action to drive forward, from the independent review of children’s social care, three data and digital priority areas, ensuring local government and partners are in the driving seat of reform. Following the review’s recommendation for a data and technology taskforce, we will introduce a new digital and data solutions fund to help local authorities improve delivery for children and families through technology. More detail will follow later this year on joining up data from across the public sector so that we can increase transparency—both between safeguarding partners and the wider public.

    My ministerial colleagues and I are fully committed to improving the national co-ordination of child protection. Today we have written to all safeguarding partners to emphasise the important messages contained in the national review and put out a call to action to take forward these important recommendations. Together with my colleagues across Whitehall, we will also form a new child protection ministerial group, to ensure that safeguarding is championed at the very highest levels. We are also developing further our offer of support to safeguarding partners and will clarify roles and responsibilities through guidance.

    This is challenging and complex work, and I am sure colleagues across the House will agree with me that the vast majority of those working in child protection go to work each day to try to make things better. No one deserves to be the subject of abuse and harassment, let alone such conscientious, committed and capable professionals doing all they can to protect children from harm.

    I will consider the recommendations from the panel’s national review and those from the independent review of children’s social care and respond in full before the end of this year when we will publish a bold implementation strategy incorporating the recommendations.

    I am committed to driving forward progress with those across all safeguarding agencies to protect children, and with colleagues across Parliament as well as those with lived experience of the care system, to deliver reform.

    I know that people in Solihull, Bradford and far beyond are deeply troubled by the findings of these reviews. I want to assure people across the country that this Government will not shirk our duty of keeping children safe, that the lines written in these reviews will be poured over, and steps will be taken to make sure lessons are learned so that we do not find ourselves here again.

  • Helen Hayes – 2022 Speech on the Independent Review of Children’s Social Care

    Helen Hayes – 2022 Speech on the Independent Review of Children’s Social Care

    The speech made by Helen Hayes, the Labour MP for Dulwich and West Norwood, in the House of Commons on 23 May 2022.

    I thank the Minister for giving me advance sight of his statement today. Labour welcomes the report of the independent review of children’s social care. I would like to add my thanks to Josh MacAlister and his team for their hard work and commitment. I also want to pay tribute to the social workers, support workers, foster carers, children’s home staff, youth workers and everyone else who strives day in, day out to provide safety, support and stability to children who are in need or whose own families are unable to care for them. Their work is vital, it makes a huge difference, and it often goes unrecognised. At the top of my mind today are the group of care leavers I hosted in Parliament earlier this year. They were articulate, thoughtful and kind. All had been through experiences that no child should have to endure, and they all deserved far better than the current system had been able to deliver.

    I welcome the review’s conclusion that a total reset of children’s social care is needed. That conclusion is a terrible indictment of the extent to which this Government have been failing children for more than a decade. During those 12 years, we have seen the number of children living in poverty rise to 4.3 million. That is a key causal factor underpinning the Government’s failure of children: the unbearable pressure on families increases the risk of abuse and neglect. We have also seen the number of looked-after children increase continually, up by a quarter since 2010; the number of section 47 inquiries, when a local authority has cause to suspect that a child is in need, has gone up by 78% since 2011; half of all children’s services departments have been rated “inadequate” or “requires improvement”; vacancy and turnover rates for children’s social workers are increasing; and outcomes for care-experienced children and young people are worsening. In the meantime, the 10 biggest private providers of children’s homes and private foster care placements made a jaw-dropping £300 million in profits last year.

    We welcome the review’s clear statement that providing care for children should not be based on profit—it should not. The law recognises childhood as lasting until the age of 18, and it is shocking that the Government have continued to allow children to be placed in unregistered children’s homes and other completely unsuitable accommodation. We welcome the review’s conclusion that the use of unregistered placements for 16 and 17-year-olds must stop, and stop now.

    At the heart of the Government’s failure is the erosion of early help and family support, which is demonstrated no more starkly than by the 1,300 Sure Start centres that have closed since 2010. We welcome the review’s focus on restoring early help to families so that many more children can be supported to remain and to thrive with their own family, on supporting kinship carers and on seeking to ensure that every looked-after child can build lifelong links with extended family members.

    Although the Minister reannounced a series of policies today, there is nothing here that will deliver the transformation in children’s social care that the review demands. Successive piecemeal announcements are yet further indication of what the review describes as

    “a lack of national direction about the purpose of children’s social care”.

    The Minister does not seem to grasp the depth of change that the review requires, at scale, across the whole country.

    Will the Minister commit to a firm date for publication of a comprehensive response to the review and a detailed implementation plan? Does he expect that there will be a need for legislation? How does this square with the Queen’s Speech voted on last week, from which children’s social care was completely absent? How will today’s announcement of early help investment in a handful of additional places ensure that early help services are available in every single area of the country, so that every family who need help can be supported?

    What representations is the Minister making to the Treasury in response to the review? Will he commit, as the review demands, to an end to profiteering in children’s social care? How will he ensure that the voices and experiences of children are always at the heart of children’s social care? How will he guarantee that the workforce, who are the backbone of children’s social care, are fully engaged and involved as the reforms are implemented? Finally, how will he ensure that, as the reforms are implemented, the framework of accountability for decisions made by the state about the care of children is strengthened?

    This review sets out the urgent need for the Government to put children first and to stop poverty, mental illness, substance misuse, domestic abuse, sexual abuse and other adverse childhood experiences becoming the defining experience of a child’s whole life, so that every child can thrive. Labour will always put children first. We did so in government, and we will do so again. This review represents an opportunity to deliver the total reset that is needed in children’s social care. It is an opportunity that must not be missed, and we will hold the Government to account every single day on the framework of support and the outcomes for our most vulnerable children.

  • Will Quince – 2022 Statement on the Independent Review of Children’s Social Care

    Will Quince – 2022 Statement on the Independent Review of Children’s Social Care

    The statement made by Will Quince, the Parliamentary Under-Secretary of State for Education, in the House of Commons on 23 May 2022.

    With permission, Mr Speaker, I will make a statement on how the Government are responding to “The independent review of children’s social care” and the Competition and Markets Authority’s children’s social care report.

    This Government believe in a country where all children are given an equal chance to fulfil their potential, but sadly we are not there yet. That is why we made our manifesto commitment to launch the independent review of children’s social care in March 2021; its report was published today. The review was commissioned to take a fundamental look at the children’s social care system, and to gain an understanding of how we must transform it to better support the most vulnerable children and families. I want to extend my heartfelt thanks to Josh MacAlister and his team for this comprehensive review, as well as thanking the children, the experts by experience board, and the care leavers, families and carers who shared their experiences of the current system and their aspirations for a future one.

    The review is bold and broad, calling for a reset of the system so that it acts decisively in response to abuse, provides more help for families in crisis, and ensures that those in care have lifelong loving relationships and homes. I look forward to working with the sector, those with first-hand experience and colleagues in all parts of the House to inform an ambitious and detailed Government response and implementation strategy, to be published before the end of 2022. To get us there, I have three main priorities. The first is to improve the child protection system so that it keeps children safe from harm as effectively as possible; the second is to support families to care for their children so that they can have safe, loving and happy childhoods which set them up for fulfilling lives, and the third is to ensure that there are the right placements for children in the right places, so that those who cannot stay with their parents grow up in safe, stable and loving homes.

    To enable me to respond effectively and without delay, I will establish a national implementation board consisting of people with experience of leading transformational change, to challenge the system to achieve the full extent of our ambitions for children. The board will also include people with their own experience of the care system, to remind us of the promise of delivery and the cost of delay.

    I want to be straight about this: too many vulnerable children have been let down by the system. We cannot level up if we cannot make progress on children’s social care reform. However, we are striving to change that. Our work to improve the life chances of children is already well under way, and is aligned with the key themes of the review and the CMA report. On 2 April, we backed the Supporting Families programme with £695 million, which means that 300,000 of the most vulnerable families will be supported to provide the safe and loving homes that their children need in order to thrive.

    We welcome the review’s recognition of this programme as an excellent model of family intervention, and today, with the review as our road map, we are going further. We will work with the sector to develop a national children’s social care framework, which will set a clear direction for the system and point everyone to the best available evidence for how to support children and families. We will set out more detail later this year.

    I pay tribute to every single social worker who is striving to offer life-changing support to children and families day in, day out. Providing more decisive child protection relies on the knowledge and skills of these social workers, which is why I support the principle of the review’s proposed early career framework. We will set out robust plans to refocus the support that social workers receive early on, with a particular focus on child protection, given the challenging nature of this work.

    We will also take action to drive forward the review’s three data and digital priority areas, ensuring that local government and partners are in the driving seat of reform. Following the review’s recommendation for a data and technology taskforce, we will introduce a new digital and data solutions fund to help local authorities to improve delivery for children and families through technology. More detail will follow later this year on joining up data from across the public sector so that we can increase transparency, both between safeguarding partners and the wider public.

    Recognising the urgency of action in placement sufficiency, we will prioritise working with local authorities to recruit more foster carers. This will include pathfinder local recruitment campaigns that build towards a national programme, to help to ensure that children have access to the right placements at the right time. As the review recommends, we will focus on providing more support throughout the application process to improve the conversion rate from expressions of interest to approved foster carers.

    Delivering change for vulnerable children is my absolute priority and, as suggested by the review, I will return to the House on the anniversary of its publication to update colleagues on progress made.

    This statement also provides an opportunity to welcome the recommendations set out in the Competition and Markets Authority report into the children’s social care market, which was published in March. As an initial response, I have asked my Department to conduct thorough research into the children’s homes workforce, engaging with the sector and with experts to improve oversight of the market.

    Sadly, we know that too many children are still not being protected from harm quickly enough. This is unacceptable. On Thursday, the child safeguarding practice review panel will set out lessons learned from the heartbreaking deaths of Arthur Labinjo-Hughes and Star Hobson, and the Secretary of State for Education will come to this House to outline the Government’s initial response to these tragic cases. For too long, children’s social care has not received the focus it so desperately needs and deserves. I am determined to work with colleagues across the House and with local authorities across our country to deliver once-in-a-generation reform so that the system provides high-quality help at the right time, with tangible outcomes. For every child who needs our protection, we must reform this system. For every family who need our help and support, we must reform this system. For every child or young person in care who deserves a safe, stable and loving home, we must reform this system. This is a moral imperative, and we must all rise to the challenge. I commend this statement to the House.

  • Nadhim Zahawi – 2022 Comments on Children’s Social Care

    Nadhim Zahawi – 2022 Comments on Children’s Social Care

    The comments made by Nadhim Zahawi, the Secretary of State for Education, on 23 May 2022 following the publication of the review by Josh MacAlister.

    This is the start of a journey to change the culture and dramatically reform the children’s social care system.

    Everything we do to raise the outcomes for children and families must be backed by evidence. This report will be central in taking forward our ambition to ensure every child has a loving and stable home and we will continue working with experts and people who have experienced care to deliver change on the ground.

    I am grateful to Josh MacAlister for his work, as well as to the families, young people, and professionals who shared their experiences.

    We are ready to meet the challenge set by this review and I will set out my plans for bold and ambitious change in the coming months.

  • Jonathan Gullis – 2022 Speech on Foster Carers

    Jonathan Gullis – 2022 Speech on Foster Carers

    The speech made by Jonathan Gullis, the Conservative MP for Stoke-on-Trent North, in the House of Commons on 21 April 2022.

    It is a pleasure to serve under your chairmanship in Westminster Hall once again, Mr Robertson. I warmly congratulate the hon. Member for Jarrow (Kate Osborne) on securing this important debate and sharing her personal experience. As Members from across the House have said, it is truly inspiring.

    My partner and I hope one day, when our children are slightly older, to offer a home and an opportunity to young people. For eight and a half years before entering this place, I worked as a head of year, dealing with behavioural and pastoral issues in the secondary education sector, and I had direct contact with some of the fantastic foster carers of the children I was proud to look after. It was an enlightening and warming story. Looking at how to spend money from the budget to invest in those young people and give them exciting opportunities outside the school gates, as well as pushing their learning and educational outcomes, was something that I thoroughly enjoyed.

    I want to focus on the great work that is being done in the constituency I am proud to serve, Stoke-on-Trent North, Kidsgrove and Talke, and across the wider city of Stoke-on-Trent. Since 2019, Stoke-on-Trent City Council has made it very clear that children and young people need to be its No. 1 priority. A complete overhaul is needed, as the challenge in 2019 was, quite frankly, immense. Children’s services in Stoke-on-Trent have never been rated good or outstanding. An Ofsted inspection in early 2019 showed that the situation was dire—that is the only word I can use to describe the quality of services available to more than 1,000 of the most vulnerable young children in our city, who required us to look after them. Children’s services received the worst possible rating of inadequate from Ofsted, and inspectors uncovered multiple failings, which left youngsters at risk of harm.

    Since May 2019, Councillor Dave Evans, who was appointed to the children and young people portfolio, has been working with Councillor Abi Brown, the leader of Stoke-on-Trent City Council, and has made big strides to improve fostering services across the Potteries. Ably assisted by team manager Kate Bailey and recruitment officer Marie Plant, Councillor Evans and his team have radically changed the council’s approach. The council has been pushing hard to get as many organisations signed up to the fostering friendly scheme, the Fostering Network’s programme to encourage employers to support fostering and, in particular, foster carers. Stoke City Football Club, Bet365, Staffordshire police, Stoke-on-Trent City Council and health groups are all now signed up to the scheme. That effort is part of the team’s new approach to running family services.

    To be recognised as a fostering friendly employer, the council has had to demonstrate support for employees, make the workplace friendlier for foster carers to benefit the children in their care, and also make it easier for people to consider fostering. In 2020, the council launched a new fostering friendly policy for all its employees, setting out benefits for any staff member who decides to come forward to become a foster carer. They include flexible working arrangements and paid time off for those going through the foster care approval process. Councillor Evans and his team are urging organisations and businesses across Stoke-on-Trent to become fostering friendly, as part of the push to become recognised as the first fostering friendly city in the United Kingdom.

    Part of the new approach that Stoke-on-Trent City Council is taking is making fostering more visible and spreading the word. Social workers now go to events across the city such as Stoke-on-Trent Pride and the Better World Festival, and they hold coffee shop drop-in sessions. I am pleased to say that the new approach that the council has taken is paying off. Recruitment of foster carers is up, with 33 recruited last year compared to 30 the year before, and the council is now the fifth biggest recruiter of social workers in the country.

    As well as getting more organisations signed up to the fostering friendly scheme and boosting recruitment, Councillor Evans and the team have worked to improve retention of foster carers, which is important as there are more than 1,000 cared-for children in the city of Stoke-on-Trent. Fosterers have been given a stronger voice, with increased representation on the corporate parenting panel to give them a say on key decisions across children’s services in the city. All of this progress has been reflected in Ofsted’s latest monitoring report

    Even the Stoke Sentinel has had to be positive about the turnaround. As Councillor Evans has said, the clearest sign of improvement is that Ofsted has found that children in Stoke-on-Trent are now safe—Ofsted had previously found that they were not. Of course, there is still a long way to go. As I said earlier, the council has never been ranked as good or outstanding for children’s services, but that is the goal, and I am 100% confident that thanks to the new approach adopted by Councillor Evans and his team, when Ofsted carries out its next full inspection this autumn, that goal will be achieved.

    Before I close I want to give the fostering team a shout-out for running the Potters ‘Arf marathon last year, and again this year. This is something I know my hon. Friend the Minister will be proud to hear. Having seen and walked the hills of Stoke-on-Trent, I will not be anywhere near that race, apart from standing on the sidelines and cheering with a cheesy oatcake in my hand. I warmly congratulate all those taking part to raise awareness and money for good causes, and I look forward to cheering the team on.

  • Kate Osborne – 2022 Speech on Foster Carers

    Kate Osborne – 2022 Speech on Foster Carers

    The speech made by Kate Osborne, the Labour MP for Jarrow, in the House of Commons on 21 April 2022.

    I beg to move,

    That this House has considered the recruitment and retention of foster carers.

    It is an honour to serve under your chairmanship, Mr Robertson. I thank the Backbench Business Committee and the supporting Members who made it possible to secure this debate. I also thank the Fostering Network, Home for Good and one of my local authorities, South Tyneside, for organising meetings and relevant briefings for me and my team, which were very useful for this debate. I put on record my thanks to those bodies for their work in championing the overlooked and neglected fostering sector. I am sure all Members present will want to join me in welcoming the Fostering Network and foster carers to the Public Gallery. It is great to see them here.

    One cannot overestimate the important role fostering plays across child protection and safeguarding. In a climate where, over the last 12 years, local authorities have been forced to adapt their operations through cuts to local expenditure, exacerbated by the coronavirus pandemic, the demand for foster carers has never been greater, with many children needing emergency support. That is why I will focus my opening remarks on why the fostering sector and carers need increased recognition and wraparound support from local authorities and independent fostering agencies.

    While the debate is centred on the recruitment and retention of foster carers, we also need to look at the challenges faced by the sector more broadly, and at where we can share experiences of local authorities and constituents to not only platform the sector, but raise its profile and actively encourage people to enter into fostering.

    Margaret Ferrier (Rutherglen and Hamilton West) (Ind)

    The Welsh Government’s initiative Foster Wales has created a network of local authority fostering services across Wales, showing a clear national commitment to the cause. Does the hon. Lady agree that England and Scotland would benefit from a similar national call to action?

    Kate Osborne

    Yes, I agree, and I will refer to a similar point in my speech.

    As I was preparing for this debate and looking at the statistics, two particular facts on recruitment stood out to me. First, the number of initial inquiries to foster is at an all-time high. There were 160,635 initial inquiries from prospective fostering households in the year ending 31 March 2021. In contrast, only 10,145 applications—a mere 6% of initial inquiries—were actually received. Secondly, according to the annual fostering statistics published by Ofsted, the number of foster carers in England has increased by only 4% since 2014, while the number of children in foster care has increased by 11%.

    Those statistics show a crisis in recruitment and retention. Members on both sides must ask why those significant shortfalls in the fostering sector are occurring and what we in this place can do to help to alleviate this recruitment and retention crisis. I believe that we need to champion foster carers, but central to that must be deeds, not just words: we need to make sure that foster carers are fairly paid and respected as workers.

    Set out in its 2021 “State of the Nation’s Foster Care” report, the Fostering Network’s findings on pay are damning:

    “Over a third of foster carers said that their allowances do not meet the full cost of looking after a child.”

    That is certainly something I can give personal testimony of, from my experience as a foster carer before entering this place; it has also been said to me today by some of the foster carers present.

    Secondly, the report notes:

    “Fourteen local authorities reported that their foster care allowances were below the NMA for at least one age group across England. Of these, two were in London, four were in the South East and ten were in the area of the rest of England.”

    While I thank the Children’s Minister for writing to 13 local authorities on the specific issue of the national minimum allowance, that has to be weighted against this Government’s political decision to put the burden of inflation and the cost of living crisis on the backs of ordinary people.

    Janet Daby (Lewisham East) (Lab)

    My hon. Friend is making a meaningful speech, including about her own experiences as a foster carer. She may or may not know that I used to be a manager in fostering, and for as long as I can remember there was an issue with the retention of foster carers and with those carers not being valued enough. Does my hon. Friend agree that the severe cuts to local government funding have had an indirect impact on the support that social workers can offer foster carers, which in turn has an impact on their ability to continue fostering and how they can look after, or manage the welfare of, a child?

    Kate Osborne

    My hon. Friend is absolutely right: we cannot keep taking money out of local authorities and expect them to still deliver the same level of services. The impact, unfortunately, is felt by the children and young people who are in the fostering system or child services.

    The financial pressures and stresses felt by carers, highlighted by the Fostering Network’s research, are only set to get worse. The Nationwide Association of Fostering Providers believes that the Government should urgently make a pay award to foster carers, both within local authorities and independent fostering agencies, to preserve and protect this precious resource for children and young people in need. This would be an important signal to foster carers that the Government really do value their contribution.

    Another critical issue that we have to be aware of is the responsibility local authorities and IFAs have in providing vital—often emergency—wraparound support for foster carers and their families. I put on record my thanks to South Tyneside Council, one of my local authorities, for its progressive outlook in prioritising this area. First and foremost, we have to recognise that each child currently being supported through fostering services has different and complex needs, which must be met from the first moment that child comes under the care of their carer. That is why South Tyneside’s model of training carers to degrees, whereby they can be matched with the child best suited to their level of training—a model that is in the best interests of all parties and, most importantly, those of the child or young person—is highly commendable. In this, it is vital that children are kept as close to the local authority as possible. This approach means that at crisis point there is no delay in support, and any crisis has a better chance of being mitigated, as tailored, traumatic and therapeutic support can be accessed quickly.

    Rachel Hopkins (Luton South) (Lab)

    My hon. Friend is making a powerful speech on this important issue. Regarding the role of local authorities and the point about funding, does she agree that the crisis with children’s social workers and the shortage that we have is exacerbating the problems, and will impact on the very commendable operating model she is talking about?

    Kate Osborne

    I absolutely agree with my hon. Friend. As has been said, the funding that is being taken out of the system means that, unfortunately, we are not continuing to provide the support that is needed, in terms of both social workers and the many other people who are involved in children’s care.

    The system South Tyneside Council has in place means that if a breakdown occurs between the child and foster family, the local authority is accountable, thus upholding the fostering standards to improve outcomes. With such support mechanisms in place, more people will be encouraged to become foster carers.

    However, we must recognise that South Tyneside’s model relies on factors for which the responsibility lies truly at the feet of Government Ministers. The cuts to local authorities over the past 12 years, along with the present day record levels of children needing emergency foster care mean that my local authority, like most others, must turn to independent fostering agencies to plug the gap. The money local authorities have to spend from Government grants, council tax and business rates has fallen by 16% since 2010. That means that local authorities have an increasingly limited capacity to respond to significant inflationary pressures.

    While I respect the work that members of IFAs do to alleviate the pressure felt by local authorities, those agencies have the ability to add another complex, unnecessary layer between the child and the local authority, meaning that when crisis hits, unnecessary delays, which are detrimental to all involved, are often hard to avoid. In South Tyneside Council, 50% of children are placed into IFAs.

    We also need to break down the popular perceptions of fostering, which undermine the diverse and varying shapes that it can take. Fostering should not be compared with adoption, although it often is. We need to break through the perception that fostering is a means, whereas adoption is the end, because one size does not fit all. We also need to recognise that circumstances in the lives of carers can change. The value of a carer fostering one child needs to be recognised as the same as a carer who may foster many children.

    Finally, we need to appreciate that, more often than not, foster carers can be thrust into a situation at extreme short notice. Their presence in the safeguarding process can often be to provide emergency care.

    Tulip Siddiq (Hampstead and Kilburn) (Lab)

    My hon. Friend is making a powerful speech. The House is always at its best when Members draw on their personal experience and my hon. Friend’s speech shows that she knows what she is talking about. I add my thanks to Fostering Network, who I have worked with a lot in the past and who I have found to be incredibly helpful.

    I want to pick up on black, Asian and minority ethnic foster carers and children from BAME communities. BBC analysis shows that two thirds of councils in England have a shortage of BAME foster carers, but 23% of children on the waiting list are from BAME backgrounds. Black boys are left longest on the waiting lists. I wondered whether my hon. Friend might comment, and I hope the Minister will also pick up on that point.

    Kate Osborne

    That point came up in my meeting with the head of children’s services in my local authority. As my hon. Friend says, we are desperately short of BAME foster carers.

    Often children arrive into foster care with nothing apart from the clothes they are wearing. The responsibility lies firmly with the fostering family to pick up from there, otherwise the child would have nothing.

    What do we need from the Government? I would like the Minister to look at and seriously consider the Mockingbird strategy as adopted by South Tyneside and many others, and to listen to best practice from my and other local authorities. I hope we will hear more on that today from other Members.

    The Mockingbird model is based on the idea of an extended family. The strategy focuses on a fostering hub, where satellite carers work in sync to provide specialist and centralised care to children along with real-time support for those satellite carers. Mockingbird means intervention can take place without the need to necessarily remove children completely from their support network, should an emergency occur. Depending on circumstances, the programme can be adjusted to include birth families and adoptive families, and to provide support for independent living, while giving assurance to foster carers and those in care that a secure and close support network is at hand.

    I also want the Minister to listen to the recommendations set out by the Fostering Network, which with others is calling for a fully funded national fostering strategy, a national fostering leadership board and a national register of foster carers. In addition, the Government need to carry out a comprehensive review of the minimum levels of fostering allowance, using up-to-date evidence to ensure foster carers are given sufficient payment to cover the full cost of looking after a child.

    There is no one quick fix to address the issues relating to the retention of foster carers. The themes of carers feeling unsupported, making a financial loss and not being treated as workers would lead to a high turnover rate and chronic difficulties in recruitment in any workforce. I hope that today’s debate acts as an opportunity to address Members’ concerns from their constituencies and encourages the Minister to put recommendations in place.