Select Committee on Health Second Report


CHILDREN LOOKED AFTER BY LOCAL AUTHORITIES

FOSTER CARE: CONCLUSIONS

132. Foster carers are an essential and still under-valued part of the care system for looked-after children. Their dedication and commitment should be saluted.

133. We take very seriously the evidence that there is a developing crisis in recruiting and retaining foster carers. Decades of neglect in providing support for foster carers need to be remedied. New tasks are emerging for foster carers, who are required to have a wider range of skills and knowledge than in the past, and are often called upon to deal with children with more challenging and complex problems. Carers require appropriate financial support, as well as professional recognition and other forms of support. While local authorities can still rely on significant numbers of foster carers who are volunteers and are content to receive only their expenses, it is questionable how long this will continue, and many aspects of foster care already demand more professionalism. Two thirds of the children and young people in state care are placed in foster homes. If this resource fails, it may be necessary to return to more reliance on residential care, which is greatly more expensive and in many cases may be less appropriate for the individuals concerned. A serious erosion of the numbers of people willing to offer foster care could in fact trigger the collapse of the entire system of child care in its present form.

134. The question of payment to foster carers needs to be tackled at two levels. Firstly, we believe it right that all foster carers should be adequately reimbursed for actual expenses incurred. The current situation, in which most local authorities pay less than the NFCA recommended rates for reimbursement of expenses, is not only unfair to carers, it acts as a strong disincentive to the recruitment of carers on low incomes, who cannot afford to top up from their own resources what the local authority gives them. We therefore recommend that the Government should require local authorities to reimburse carers at a realistic rate for actual expenses incurred.

135. Secondly, we do not accept the Parliamentary Under-Secretary's argument that fostering would be in danger of ceasing to be a vocation if there were to be an element of reward in payments to foster carers. We believe that there should be a stepped scale of payments to carers, with the level of payment being linked to the level of their skills and experience in dealing with difficult or demanding children. We also believe that in cases where lack of appropriate accommodation or means of transport prevents suitable individuals from becoming foster carers, special payments or other appropriate assistance should be available. We recommend that the Government, in consultation with local government, the NFCA and other interested bodies, should as a matter of urgency draw up proposals for establishing a national framework of payments along these lines.

136. The best independent foster care agencies show what can be done in support of carers, given the availability of sufficient funding. However, we are concerned that the proliferation of these agencies is diverting resources from local authorities which might be more effectively spent in other ways, and may be leading to very distant placements for some young people (this is also a concern in regard to residential placements—see paragraph 171 below). Independent agencies have a role to play within the care system, but it would be undesirable for local authorities to become too reliant on them. We support the call by many of our witnesses for stricter regulation of independent fostering agencies. We recommend that all foster care agencies should be subject to a mandatory requirement that they be approved, registered and inspected. The Government should bring forward legislation as soon as possible to achieve this.

137. In this context we note with concern the lack of regulations to protect young people who come to this country to learn English. At present, legislation only protects such young people if they live in the same place for more than 28 days. We believe that this is a loophole in the law which can be exploited by abusers. We recommend that the relevant legislation should be amended to protect young people who are placed in short-term accommodation with another family by a third party through the registration and inspection of language schools and host families, and to prohibit language students from being accommodated in the home of a person convicted of an offence against children.

138. We believe that local authorities should invest more resources in the training of foster carers, in link and support workers to liaise with carers, and in practicalities like help with transport and insurance. We recommend that the Government should investigate the possibility of setting up a pension scheme for foster carers. We recommend that local authorities should be required to ensure that foster carers receive appropriate training, and to make training opportunities available throughout carers' careers, not just when they first become carers.

139. Local authority investment in these areas is likely to be cost-effective in the long term if it prevents serious shortfalls in the number of carers, and if it removes the need for undesirable and expensive placements in residential care. We recommend that the Government should ensure that local authorities are properly resourced to make these investments. It is essential that there should be sufficient capacity in the system for children to be offered an appropriate choice of placements. It is clear from the evidence we have taken that this capacity does not currently exist; remedying this situation will undoubtedly require the injection of additional resources. Each local authority needs to have surplus capacity at all times in order for real choice to be exercised; this may require more stand-by payments to be made to foster carers.

140. Local authorities need to make greater efforts to make foster caring an attractive option for volunteers from a range of backgrounds. The ADSS told us that some local authorities have positive recruitment policies aimed at groups which they claim are under-represented among carers, such as single, older and gay people, members of minority ethnic groups, and people on low incomes. The "paramount consideration" in choosing foster carers, according to Section 1 of the Children Act, must be the welfare of the child, and it is important to remember that appointment as a foster carer is a privilege, not an entitlement. Subject to these considerations, however, we believe that people from a variety of backgrounds should be encouraged to offer themselves for appointment as foster carers, and that local authorities should strive to disabuse potential volunteers from erroneous preconceptions about the types of people who will be accepted as foster carers.

141. It is also important that social workers should treat foster carers as colleagues, co-workers in a team dealing with the needs of looked-after children, and that they should recognise and draw upon the practical knowledge and expertise which foster carers have built up.

142. There is scope for greater co-operation between SSDs and other agencies, particularly housing, in relation to foster care. Local authorities should wherever possible ensure that potential foster carers are not deterred from taking on this role by lack of suitable accommodation.

143. We support the recommendations made by Sir William Utting in regard to the prevention of abuse in foster care: in particular, his call for selection procedures for foster carers to be strengthened and for a Code of Practice governing the use of foster carers to be promulgated.

144. Local authorities' lack of information about children who are being privately fostered is a matter of great concern. Lack of information entails lack of protection. We strongly support Sir William Utting and those other of our witnesses who called for registration and inspection of private foster carers to be made mandatory, and for failure to register to be made a criminal offence.

145. It is important that the different issues and concerns in relation to foster care are not dealt with in a piecemeal fashion. We recommend that the Government, in addition to accepting the specific proposals we have set out above, should develop and publish a coherent and costed national strategy for the future development of foster care. This is a task which the Government may wish to entrust to the newly appointed UK Joint Working Group on Foster Care, the setting up of which we welcome.


 
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Prepared 16 July 1998