Select Committee on Health Second Report


CHILDREN LOOKED AFTER BY LOCAL AUTHORITIES

Adoption

146. Children whose relationship with their birth families is deemed to have irretrievably broken down may be placed for permanent adoption. The most recent figures, show that 2,300 children, or 4.5% of children looked after, were placed for adoption at 31 March 1996.[161] Both the number and proportion of children placed for adoption have increased in recent years; in 1991 this category accounted for only 3% of children looked after.[162]

147. A report by the SSI in 1996 found that serious delays frequently occur between the forming of a plan for the adoption of a child and the making of a placement. These delays were found to be partly attributable to the absence of a sense of urgency on the part of the SSD, or unwillingness to commit resources to the cost of inter-agency placement.[163]

148. Several of our witnesses claimed that SSDs and individual social workers can display an irrational hostility to the concept of adoption. The Adoption Forum told us that the "presumption that all children are better off with their birth families ... is palpably lacking in common sense when so many children are mistreated, abused and neglected by those families". They claimed that "linked to this presumption is the practice of returning children time and again to their abusers, or those who have been seen to be unable to deal with life as a parent ... functioning biology does not make a person a good enough parent".[164] The Forum argued that a child who has been 'looked after' continuously for six months is unlikely to be successfully reconciled with his or her birth family in the long term, that in such cases adoption should be considered, and that it should be a statutory requirement for adoption to be considered in the cases of children who have spent over 18 months in the care system.[165]

149. A group of adoptive parents gave oral evidence to us. They claimed that many social workers were biased against adoption, and that where mothers were unable to cope with very young children and wished to have them adopted, undue pressure was often brought to bear on them to change their minds.[166] Sir William Utting said that his review team had found evidence that "authorities are too careful and painstaking in their regard for parental rights and are less active in protecting children against known or suspected harm ... some children told us that one of the worst things for them was actually being made to go home at weekends to families where they had been abused".[167]

150. An alternative view of the prospects for increased use of adoption was offered by an organisation called Parent to Parent Information on Adoption Services (PPIAS). According to PPIAS, although there were "many thousands of people who would dearly like to adopt, ... these are mainly couples, often young and infertile with no parenting experience, who desperately want a healthy, young, trouble-free child".[168] PPIAS agreed with the Adoption Forum that "delays and too stringent criteria" within the current care system made it unnecessarily difficult to adopt. However, they continued, "an improved system would still not turn thousands of young, inexperienced, infertile couples, who long for a baby, into parents immediately able to take on board the needs and behaviours of:

    (1)  an 18 month old who has been severely neglected from birth; or

    (2)  an eight year old who has been rejected by his birth mother, abused by his mother's partners, and moved 26 times through the 'care' system; or

    (3)  a group of four brothers and sisters who need to stay together and to recover from years of sexual abuse."

This was a point made also by BASW, which observed that the difficulties which arose in matching looked-after children placed for adoption with approved adopters waiting for children came about because "the children needing placement are almost always older children with special needs, while the prospective adopters who wait are those who wish to adopt very young children". However, BASW conceded that there was legitimate concern that some placements are delayed because local authorities cannot afford to pay inter-agency fees.[169]

151. PPIAS pointed out that many children who are unlikely ever to return to their birth families do not wish to be adopted or are not suitable for adoption: "some would benefit more by living in a small group home, ... and some are nowhere near ready for family life and may wreak havoc on an unsuspecting and unsupported adoptive family when placed. Sadly, we have much evidence of exactly this kind of scenario—as well as much evidence of excellent practice in the adoption field nationwide". PPIAS argued that adoption is always likely to be a trauma to a child or young person, that in former years birth mothers suffered from society's stigmatising of illegitimacy and the pressure put on them to place their babies for adoption, and that therefore "a return to wholesale adoption [is] not the answer". They argued that adoption should be considered as an option in specific circumstances when this would be in the child's best interests, and that when a child has lived with foster parents for over 12 months, adoption by the foster parents should be the first option considered. Prospective foster parents should therefore be assessed on the basis that they might, one day, become adoptive parents.[170]

ADOPTION: CONCLUSIONS

152. We are in no doubt that the Children Act is correct to presume that the best possible outcome to episodes of care is the child's successful reunion with a loving birth family which receives appropriate support to enable it to cope with the child. Nonetheless, in some cases there is no realistic prospect of a child ever returning to its birth family. In these circumstances adoption should always be considered. In our opinion adoption can be a positive choice, but should proceed only where (a) it is judged that there is no realistic prospect of reconciliation with the birth family; (b) adoption is in accord with the wishes of the child (assuming the child to be old enough to reach a decision on these matters), and (c) the would-be adoptive parents have been assessed as capable of coping with the demands the child will place on them.

153. The dangers of inappropriate adoption are all too real: the evidence we have taken in our current inquiry into the welfare of former British child migrants has shown the emotional damage that can be done when a child is removed unnecessarily from his or her birth parents. Nonetheless, the recent SSI report, together with the evidence we have taken from Sir William Utting and others, makes clear that local authorities too often do fail to take adoption sufficiently seriously as an option, that unnecessary delays occur, and that insufficient support is offered to adoptive parents. Where a looked-after child is adopted, it is important that the decision-making process should proceed without delay, and that appropriate support be offered to adoptive parents during and after the process of adoption. We support the view of PPIAS that the option of adoption by foster parents should be seriously considered, and that the possibility of this happening should be taken into account in the initial assessment of prospective foster parents. We recommend that the DoH should publicly commit itself to the principles we have set out above, and issue appropriate guidance to local authorities on how those principles should be implemented.


161  DoH, Children Looked After by Local Authorities: Year Ending 31 March 1996, England (1997), Table 4. Back

162  Ibid., p 13. Back

163  DoH, For Children's Sake: An SSI Inspection of Local Authority Adoption Services (1996); see ev pp 71-72. Back

164  Ev p 272. Back

165  Ibid., p 273. Back

166  Q73-32. Back

167  Q842. Back

168  CLA 32B. Back

169  Ev p 94. Back

170  Ibid. Back


 
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