Select Committee on Health Minutes of Evidence


Examination of Witness (Questions 40-59)

THURSDAY 27 MARCH 2003

LORD LAMING

Andy Burnham

  40. You have said before that the Children's Act is basically sound and the will of Parliament just needs to be implemented. Sometimes the balance is not right between the wishes of a family and the wishes of a child. Sometimes too much weight may be given to the views of the child. I am talking just from constituency experience where a child can be putting themselves at risk by their own behaviour yet social workers who are dealing with that case are listening far more to the views of the child than the views of the parents and others around that child and allowing them or almost letting them do what they want and indulge in the behaviour that is putting them at risk rather than hearing that counter-balancing view from the parents. I just wonder, is that balance right in the way the legislation is drafted and the way it is implemented?
  (Lord Laming) I fully recognise that this is tough work that involves a lot of conflict. Human situations are the most difficult that anyone deals with. There is no tick box answer in this kind of thing; you have to be making judgments. But I think it is wrong that those judgments are not regularly monitored and scrutinised so that there can be a degree of objectivity in the system. That is why I believe that it is very important that employees who have this difficult job to do—and I am full of admiration for the people who do it well—need to operate within the context of a system which provides for regular scrutiny, regular monitoring and proper supervision and support. It is true that in any one situation it is possible to err either on the side of the adult or on the side of the child and what I am hoping for in all of these situations is that there will be sufficient review and scrutiny to make sure that there is a proper balance struck between the rights of parents to bring up their children in accord with their own lives and a definite child centred approach where the well-being of the child is in danger of being put at risk.

Dr Naysmith

  41. I return to the structure that you are proposing and some of the details of it. One of the things that you have made clear this morning is that you expect directors of social services to take much more interest in micro-management in determining directly the outcome of the services they are charged to deliver. You have been a director of social services yourself and been an inspector. You must have seen a lot of others in the context. How realistic, in the light of what you know of the way local government works, is it for you to expect that to become the widespread norm?
  (Lord Laming) I am absolutely staggered with people I have read saying that directors of social services cannot know every case in its area no more than a chief executive can. Where in the Report does it say the director of social services should know every case? It is impossible. I was director of social services for a county that had a population of a million. There is no question that I expect directors of social services or elected members or chief executives to know about every case. What I do expect—and this is what the Report is aiming to achieve—is that people in leadership positions should make sure that they have systems in place where, if things are going wrong, they are identified very early and they are corrected quickly. This is what I expect of directors of social services. I expect them to recognise that their first responsibility is about what happens at the front door of the agency. If they do not, then they have to question: "What is the agency there for?" I cannot believe that in the rest of the life that we have—the public life, economic life and commercial life—that people would see that people in management positions have no accountability for what happens at the front door. That is why you have managers, to make sure the system works and works efficiently. I believe directors of social services must be accountable but not for all the bureaucratic process. What you need is the director of social services to be accountable for the way in which services are delivered. When I was a director of social services—if I may be personal about it—I did not think that I managed the best managed department in the country, far from it, but what I did expect to know is what happened at the front door of the services. I spent a lot of time at the front door of the services and what is more, I had people in management positions who operated a system that I believe strongly in which is that life has enough surprises, we do not have to create surprises, and therefore anything that is predictable—anything that people know about—I need to know about. At the end of the day, I am accountable for what happens in the organisation and that is what I want to see in the system.

  42. In a sense we have already talked about this this morning. What you are talking about could be delivered under the present system. I am pretty sure that directors of social services—and actually directors of other services run by local authorities—if they so undertook, could make provisions now to make sure that they knew when the service was failing. Many of them probably do. What is it in this great structure that you are proposing—that starts with safeguarding children whether it is social services, police, health service and others and goes right up to the Ministerial Children and Families Board—that is going to achieve that change that you want to achieve?
  (Lord Laming) I believe that what you and I want to see could be achieved in the current system. There is no guarantee that the agencies that are essential to the well-being of children at a local level—of which there are numerous agencies, not just the public services, but the community agencies—will actually work together in the interests of children. If you look at the police service the well-being of children is a very small part of an overall operation. If you look at the health service there is a huge agenda in the health service of which the children's services are a very small part. If you look at local authorities there is a huge agenda that they have to address of which the well-being of children is a very small part. The current system depends upon a bureaucratic structure which I have already touched upon (I will not go through the figures again), hundreds of different agencies, but more than that it depends on the people who lead those agencies being committed to inter-agency cooperation and sharing work. What I believe is that that is far too precarious and what we need to have is a system which ensures that there is a certainty of things working well at the local level. Frankly, at the present time, there is too great a gap between what Parliament expects and what Parliament can be assured actually happens. I believe Parliament deserves better as I believe children deserve better.

  43. Can I finally put the point to you that the Association of Directors of Social Services argued in response to your Report that because of the changes that have taken place in local government, Cabinets and Scrutiny and Executive Members and so on with specific portfolios of responsibilities, that already the focus of accountability has changed since the situation that you were looking at. They say—this is a quote from one of the documents—that the proposals "do not sit easily with the structure that will be in place in most local authorities". They are suggesting that changes already taking place render at least part of your proposals unnecessary. What do you say to that?
  (Lord Laming) I think it will be for others to think whether that is remotely convincing. It does not convince me in the slightest. I think that it is another illustration of people being wedded to internal bureaucratic processes rather than about having a clear focus on outcomes for children.

Chairman

  44. You talk about what Parliament expects and one of the things that I have learned in 16 years in Parliament is that the vast majority of MP's have not the least idea of the reality of working in a social services team. I think that is a weakness of our system. I worry about the way we are drawing conclusions from a specific set of circumstances in a London Inner City team and whether we are wrong to assume that the reality here is the same all over. When we make decisions they may apply in London but may be different elsewhere. How do you feel about those points? My frustration here is that we send MP's on industry and Parliament Trust schemes all over the place but we never send them to social services departments. It would be very helpful to bring about an awareness of the kind of circumstances that these people are working in. I am sitting here thinking of situations that I have lived through like you have lived through and trying to work out where we go from here. You say a manager is responsible for that front door decision and I am thinking, I was a manager at one point and I have also taken front door decisions. My managing depended on me getting my front door decisions right and sometimes I have got it wrong, but it is down to the individual assessment of the social worker. At the end of the day it comes down to the front door assessment by a social worker. I fear in Parliament that what we have given social services does not enable people to make that right decision. I worry when you imply that Parliament is doing the job in a way that enables the grass roots people to function; I have serious questions about that assumption.
  (Lord Laming) You know the respect I have for you, Chairman, but I have to say that that smacks of council despair as far as I am concerned in that I think within any organisation you have to be clear about what the purpose of the activity is about, what you are there for.

  45. I talk to social workers. I have worked in a busy inner city team that was demoralised, it was overwhelmed with work. I have had a child death, I have had a social services inquiry on a case, I have had inquests where I was told by senior managers to give information that was incorrect. I have been through the mill on this and I think sometimes when I sit in this place and listen to the views of MP's, most MP's do not have the least idea of the reality of what goes on.
  (Lord Laming) You and I are agreed about that, but I thought that we were trying to make sure that we could try to correct that and not have that arrangement. Frankly it is no use MP's or anybody else getting terribly excited when there is a death of a child like Victoria Climbieé and not being prepared to see it through and to make sure that something actually happens from it. The Report is trying to ensure that something actually happens. Since the Report was published I am sure you will understand I have been invited to address these issues in a number of places in the country to different groups, large and small, from different services. Not once, in any of these meetings, has somebody said to me—they might have thought it but they did not say it—all of this is a reflection of what happened in north London in one particular case. What they have said—and I would like to think they intended it—is that what you have done is that you have highlighted some fundamental deficiencies within the system. Since the 1989 Children Act actually came into operation there has been a huge change. When MP's and government ministers in my view rightly get concerned about the number of cases that come along—like Mr Amess suggested—I take it that they actually want to do something about it. People can present what I have recommended as being bureaucratic if they wish to do so. What I say is simply this: if we have, in this country, a system which is intended to achieve good outcomes for children, we need to have alongside it a system which ensures the delivery. It is no use willing the end and not making sure that you actually achieve the end. I think that what I have recommended is not intended to be hugely bureaucratic; it is intended to have a focus, an outcome for children and a certainty of delivery.

Mr Burns

  46. In your Report you fairly comprehensively and clearly considered and rejected the idea of a National Child Protection Agency. I was wondering if you could just briefly tell us why.
  (Lord Laming) I think that one of the rather devastating aspects of the evidence of the inquiry was the way in which people wanted to put labels round children's necks about child protection, sometimes when they had not been seen, but certainly without recognising that a child is not only living through a period of change but their circumstances can change at any time. I think it is a total nonsense to think that child protection can be separated from the child's circumstances or the wider issues within the family structure. Most of all I believe that often the best way to secure the safety of the child is to ensure that the family unit—however it is constituted—receives help in the right way at the right time. A Child Protection Agency I think is fundamentally misguided.

  47. I am interested to hear that because a lot of people with varying degrees of knowledge and understanding of the whole area may find it possibly in a simplistic way an attractive proposition. What I was wondering was, has your view on the concept of a stand alone agency shifted in the light of your work on this inquiry, because we do know—presumably when you were chief inspector—that it was muted there was an attraction in the late 1990's for a sort of stand alone agency. I was just wondering whether, in the light of your experiences from your inquiry, you have shifted your views or if you have always thought that this was not the panacea that some people might think it would be.
  (Lord Laming) My views have changed very considerably during this inquiry. I think that it is superficially an attractive idea to have an agency that is dedicated to a particular function. Also, it is attractive to think that you could put into that agency people from a wide range of different backgrounds with different roles and responsibilities. I concluded through the evidence of this inquiry that first of all it is absolutely essential that all of the different agencies recognise their separate and distinctive responsibilities to the well-being of children. Although collaborative work is obviously very important and at the heart of much we want to achieve, collaborative work should not take place in circumstances that we saw whereby one agency restricted the freedom of another agency to fulfill their duty. When police officers say, "I couldn't investigate this because social services didn't want me to and after all social services are in the lead" social services are only in the lead in a particular function. Only the police, at the end of day—whatever the collaborative exercise—can investigate allegations of crime. Similarly, the questions I received earlier from Dr Taylor about the responsibilities for medicine. So I came to two very clear conclusions. First of all, it is essential that each agency fulfills its distinctive responsibilities and is not deterred from doing so by any other agency. Secondly, keeping the agency identity is of immense importance otherwise there is a tendency to create teams where the responsibilities are blurred and where there would be even more confusion than there is at the present time. I also came to the conclusion that this tendency to think that we only act if there is a referral that includes child protection where everything is written up and is in much more vivid language, where concerns about children are not shared at a much earlier stage, is a real snare. What we have to do is to get agencies to work collaboratively, recognising their distinctive function but to act in the interests of children at a much earlier stage.

  48. Can I go back to the day that your Report was published. In response to the publication the Secretary of State for Health highlighted the issues of poor communication and coordination between the services. He commented, and I quote: "the only sure fire way to break down the barriers between those services is to remove them altogether". He went on to indicate that the establishment of Children's Trusts offered such a way forward. What is your view on that? Do you think that is right?
  (Lord Laming) We took no evidence on Children's Trusts and it would be quite wrong of me to comment on them other than to say that I do not know what is in the Secretary of State's mind about Children's Trusts. What I hope is that the principles that are set out in this Report will be achieved, whatever the structural arrangements that are ultimately settled.

Chairman

  49. Your career goes back to pre-1974—as mine does—and some of my colleagues get bored silly to my reverting back to a system that applied before 1974. When functions such as health visiting were separated from social services at local level my personal feeling is that the subsequent child protection system was not as effective. What is your view on that point, because you would have been working in the system at the same time and seeing those changes.
  (Lord Laming) I think that my general view is that we have gone in for—and this is not a party political point because it goes back a long way—ad hoc piecemeal change and I think that what we have often done is look to achieve one objective without realising the negative side of that and the overall impact it would have on children and families. One of the reasons why I recommend that there should be a National Agency dedicated to children and families is simply because I think you have to see children and families within a much wider system than we do at the present time. Decisions that are made about asylum seekers, about homelessness, about financial benefits, all of these decisions can have a huge impact upon the well-being of children and families and I think it is very important, one way or the other—whether you like the way I have recommended or any other way—that we actually achieve some coherence in the system rather than a kind of piecemeal approach that we have all been involved with.

Mr Burns

  50. Given your past experience over many years of social services and children's issues, what is your view of what Children's Trusts are?
  (Lord Laming) I hope that you think I have come to this Committee to be as helpful as possible, to be open, frank and transparent. I am afraid that I cannot comment at all about Children's Trusts because I am not privy to any of the thinking that has gone on about Children's Trusts.

  51. Given that not only are you the producer of the Report and you have come up with a range of recommendations that you believe are the best way forward to seek to improve and enhance services to try to prevent a breakdown which the subject of your Report highlights, presumably in that respect you will want, in a benign way, to protect your recommendations because you believe they are a positive and best way forward. If there were to be suggestions, inputs and recommendations that you felt threatened those recommendations of your own, would you not feel it your duty to highlight the error of those alternative recommendations?
  (Lord Laming) I did say earlier on that I thought that Government ministers had behaved impeccably during this inquiry so they did not in any way try to influence the outcome of the inquiry. I am not only grateful for that, but I was determined that it would not happen. I think it is a credit to them. As they were developing, thinking about Children's Trusts was running, if you like, parallel to the inquiry. I produced a Report that was based upon the evidence to the inquiry and as there was no evidence to the inquiry about Children's Trusts I really cannot be helpful. With regard to the wider point that Mr Burns made, I hope that I have conveyed to you that I only see structures as a means of delivering outcomes. It is a means to an end and I am not wedded to any particular structure. What I have put before everyone to consider is what I believe is a realistic approach. If the Government—in its wisdom and with its many greater resources than I have—come up with something better I will be the first to applaud it, but I would want to judge it by whether it had in it the means of delivering what I believe are essential which are the child-centred approach, accountability from top to bottom, transparency and something that has teeth to actually make things happen.

  52. I think it is only right that you should applaud those ideas and proposals that come up that are going to move the issue forward in a positive way. The opposite of applaud is to criticise or seek to protect people from the error of their suggestions. Will you be doing that as well?
  (Lord Laming) The task of chairing an independent inquiry actually finishes the day the Report is published. My standing in this situation is only a standing that anybody is willing to give me. You have kindly invited me here this morning, which I appreciate greatly. If, when the Government produces its green paper on this Report, anyone is kind enough to ask if I have a view on the matter, then I quite imagine that I might, in all humility and modesty, offer a few thoughts.

Andy Burnham

  53. Can I tempt you now to comment on the way the ADSS responded to your Report. In particular we were talking a little bit earlier about the incredibly basic nature of some of the recommendations that you made with regard to social care. With that in mind, were you disappointed at their response that many of the early requirements for a recommendation raised resource issues and could not be implemented within current resources?
  (Lord Laming) Let me say what my position was from the outset of this inquiry which is that I was very strongly committed—perhaps more committed than I can convey to you—that the process of the inquiry—the way it was managed and conducted—should be above criticism. The recommendations are fair game for anybody to criticise and if, in fact, the recommendations stimulate a wide debate about how we deal with children in this country then I regard that as entirely healthy. I see the ADSS as one—but only one—of a number of very important organisations who have a proper voice in these matters. Frankly I do not have a view about it.

  54. Let me put it a little bit more bluntly then. In some ways I think they reinforce some of the points you made earlier. The default position, some might say—someone in social services—is to throw their hands up about funding rather than getting on with the job. Do they not make that point forcibly in responding in that way?
  (Lord Laming) It has been the nature of my experience—and I suspect of yours also—that when people see a problem they always think first of all about resources and funding. As I have grown older I would be much more convinced if there was some intellectual rigour behind it that actually produced evidence to support such claims. I take those kind of comments as being well intentioned and okay so far as they go, but they do not take it much further, to be frank.

  55. I have a lot of sympathy for the financial position within the social services that has been operating for many years. I think that that has determined the culture in which they operate. As I say, I have some sympathy with that. One of the recommendations they did make—which I do support—is that the time has come for an exercise to be carried out, akin to the Wanless exercise for the NHS, for social services and social care. What is it that the state needs to be financing going forward? Should it all come from local taxation? What is the balance. Do you agree with that? Is there a need for that kind of exercise?
  (Lord Laming) I did not mean to be quite as dismissive as I obviously sounded. You have to excuse my limited ability to convey what I think sometimes. I did not mean to be dismissive, but what I meant was, where does it actually take us? How much further down the road does that kind of approach take us? I really do believe that resources are very, very important, but not just about money that goes in the budget, but about staff training, about equipment, about so many things that I could immediately reel off. What I believe is that we have moved from a time when, to be absolutely blunt—and I suspect the chairman was a very good example of it—we could get resources by appealing to people's hearts because it was a good cause and children matter, and we have moved into a situation where there really needs to be more than a commitment to the ideal; there needs to be some intellectual substance to it all. I am not privy to Mr Wanless's report on the health service because I have had other things on my mind, but I do think that the funding of services is a really critical issue, but it is a big issue that is not going to be dealt with by just an off the cuff comment that finds its way into the media.

  56. You say that social services have taken children as a cause that is dear to people's hearts, but actually the funding of social services is not one of the top pressing political priorities. The NHS will always be that; it is an obvious political priority. Social services are relying on a mixture of revenue support grants and local taxation. Is that a satisfactory basis to fund such services which are utterly crucial?
  (Lord Laming) Yes, but the bigger the challenge, the bigger the need to rise to the challenge. I think secretaries of state in seeking funding and local councillors in seeking funding for social services, local agencies, if they are not everybody's favourite place to place funding, have to have a much more solid and sound case which is based upon an analysis of what money can achieve and what more money would achieve and what impact it would make. It is not that I am unsympathetic and of course I have believed for many years that social services in general are underfunded. Of course I believe that, but I do not feel that that takes us much further in winning the battle unless there is a much more substantial case to be made which is going to convince Treasury both locally and centrally.

  57. So what you are saying is that we need less whingeing and more getting on with the job.
  (Lord Laming) Absolutely. I think that at end of the day I expect people in managerial positions to have in place systems that evaluate need at a local level, that are able to demonstrate how much of that need is being met through a variety of ways, not just through service provision, and what need is not being met. That need should be articulated up the line. At the present time I suspect there is a lot to be said about the need for more resources but not much by comparison is being said about the dangers of not having it and the weaknesses there will be in the services.

Dr Naysmith

  58. Can I just press you on a question that Mr Burnham has already pressed you on and you have been very careful in your answers. I put it to you quite directly that in the Report you talked about a number of things that can be done right away, in three months, and some that can be done in six months. The ADSS said that that implied it could be done with current resources. You are saying that they can be done within current resources and they are saying they do not think it can be done within current resources. Who is right?
  (Lord Laming) I am saying that it should be done. I am not saying it can be done in current resources. I am saying it should be done. It should be part of the life blood of organisations to behave in that way. We did not take evidence on the funding of local governments.

  59. If it can be done in three months or six months, it can be done within this year's budget.
  (Lord Laming) What an opportunity I have provided them with to make a valuation of their services and to tell Government the reality of how it is on the ground. What an opportunity. I have not heard the thanks come in yet, but you never can tell. After today it could well be that I will be walking on air.


 
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