Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 1120-1139)

THURSDAY 23 JANUARY 2003

MS HAZEL BLEARS MP AND MR STEPHEN TWIGG MP

John Austin

  1120. Several of our witnesses have said that the reason that services fail to meet the needs of young people is that by and large they are designed by older people who have not much clue about the needs of young people. We saw last week in our evidence young people themselves who were quite clearly talking about what they felt they needed and wanted, and if you have not seen the evidence I suggest you get the video! I think I speak for many of my colleagues in saying how much we deplore the way some journalists portrayed the very serious evidence that those young people gave to us. What mechanisms are there in place in your department to ensure that young people feed into the policies and the programmes? Have young people had any input into the design of the latest Sex Lottery information campaigns?
  (Ms Blears) Starting with the Sex Lottery campaign, absolutely. We have tested this almost to destruction I think on the target audience we have. This campaign is aimed at adults 18-30. Within that group there are two distinct groups, the 18 to early 20s and the older people, and they have been involved in the whole design from day 1. That is partly why it is controversial and partly why it is effective, and they said time and time again that they want information that is relevant, credible and in places where they go. There has been talk about it being in pubs and clubs and washrooms, but that is exactly where young people are likely to meet their sexual partners—well, maybe not in washrooms!—so they have said that that is where they want the information that enables them to make those choices, so this shows to me that if you do consult with young people in developing your policy you will get a much more effective product at the end of the day which means we spend our money wisely and well. Right across the Department, in everything we do, involving young people in social care as well as in Health Service is absolutely fundamental and we are getting better at it. I would not say we are perfect but we are getting better.
  (Mr Twigg) I have not seen the video of the evidence in Manchester but I have read an account of it and it certainly fits with the discussions I have had visiting schools or with other groups of young people, and very much reinforcing what Hazel Blears said clearly we have to involve young people centrally in the development of these materials, so as we take forward the advice on personal social and health education to schools we are involving young people at every stage. We have a very close working relationship as a department with the National Children's Bureau and we use them for a lot of the different materials that we develop in the whole area of citizenship and PHSE, and I know that two of their officials have been before you.

Andy Burnham

  1121. The four young people before us last week were all my constituents and one of them went to the same school as I did and I asked them to give marks out of 10 on the quality of the sex education they received at school. I have to say they were all pretty negative and it does not seem to have improved a great deal since I can remember in the 80s. Having said that, though, I think there is a growing body of evidence about what constitutes an effective—and you refer to your own departmental work—sex education and relationships programme. Given the mismatch between what seems to be happening on the ground in parts of the country and what you know, what is the DfES doing to bring the quality of what is being done in schools up to an effective programme?
  (Mr Twigg) Firstly, our guidance is still relatively recent. What the Ofsted report shows is that whilst a majority of schools have looked again at their own policies in the light of our guidance, quite a significant minority of them have not, and firstly we have to encourage more schools to do that. Clearly the specifics of these policies are developed at the school level and it is right that that should happen, but we do want to see all of the schools in this country looking again to ensure that they are taking into account all the different elements.

  1122. It is right that that should happen because one of the messages the young people are giving us is that it is so important this information to them that it cannot be left to the whim or the particular character of an individual within the school, and we need to be sure that all young people are getting an absolute basic level of sex education. There was a suggestion that it is not good enough to let it vary from one school to another possibly for religious reasons or whatever, and there needed to be a basic minimum that everyone was getting.
  (Mr Twigg) Yes. There is a basic minimum in terms of the compulsory parts of sex and relationships education generally delivered through the science curriculum, but we have a particular project at the moment to gather the very best practice on sex and relationships education teaching so we can spread that practice, because I do not get a sense mostly that there is any resistance to this in schools. It is often that it is not given sufficient priority, but schools do want to do their best.

  1123. Is there a moral question?
  (Mr Twigg) Not generally.

  1124. It might be the other academics that might be taking a higher priority?
  (Mr Twigg) Exactly and it may be, coming back to the changes announced earlier this week, that with some loosening of the secondary school curriculum there may be more scope within the school timetable that is to be treated more seriously than in some schools at the moment.

  1125. We have received evidence about the age at which it should start but there was consensus amongst our young people that for them it started too late. What do you think is the average age at which sex education should start in schools at the moment? What is the optimum, do you think?
  (Mr Twigg) Relationships education and the scientific aspect of sex education starts in primary schools but clearly the issues that relate to sexual relationships comes up in secondary schools. I think I have an open mind about that and would want to study the evidence. If young people are clearly saying that through their evidence to you or the National Children's Bureau, what I prefer to do is take that away and have a look at that and see whether that has any implications for our guidance.

Chairman

  1126. Can I just come in on this important point? When you say that this will take place in secondary schools, what age are we talking about here? At what age within secondary education would it be?
  (Mr Twigg) Mostly 14. There are elements that are between 11 and 14.

  1127. Are you aware of the average age of first intercourse now?
  (Mr Twigg) I think the average is probably 13.

  1128. No, the average age of first intercourse
  (Ms Blears) Sixteen.
  (Mr Twigg) I thought it was a trick question!

  1129. I hope you are wrong on the answer you gave! The point I would make is that, if the average age is 16, then obviously there are some starting well before 14.
  (Ms Blears) About a third are having first sex under 16.

  1130. It is a fact that there are many girls who are menstruating in primary education, so is this not an issue that we need to be looking at very seriously?
  (Mr Twigg) Yes. This has been looked at in some detail and it is set out in our guidance and also the Ofsted report what we are expecting at each stage. What I think I prefer to do is take that away today and look at whether we need to be introducing some of the elements that come in at 14 at an earlier stage in secondary or even primary.

Andy Burnham

  1131. Picking up on that, young people also talk about pressure or expectation that they may become increasingly sexually active at a younger age. Do you think there is a danger that, if it starts too early, that may reinforce that pressure on young people to be sexually active? It is a difficult balance.
  (Mr Twigg) Yes, but I think the evidence is pretty clear that sex and relationships education does not have that and, if sex and relationships education is partly about making clear that young people have choices and that they can say no, it could have a positive impact in terms of issues like teenage pregnancy and sexually transmitted infections.

  1132. Finally, given the variation within schools and how some schools go about implementing the guidance from the Department and others, we have heard a number of calls for the PSHE sex education element to be made a statutory part of the national curriculum, because it is so important to young people and their lives and their life chances. What is the latest thinking in the DfES about that?
  (Mr Twigg) We are very sceptical about doing that. It is put to us on a regular basis by the National Children's Bureau who feel strongly that this should be the case. The whole direction of policy in terms of the national curriculum as signalled this week in the announcements on Tuesday is away from compulsory elements in secondary, so we have taken modern and foreign languages and design and technology out of the compulsory part of the curriculum. Teachers have also expressed concern that, were we to make this a compulsory part of the curriculum, it could impact on their ability to be flexible with the way in which PHSE is taught.

  1133. If it becomes compulsory, I would guess that you would then get the back-up of better training in teacher training colleges because people know it is something they have to do in secondary schools, so there might be pros attached to it?
  (Mr Twigg) That is a fair point. I think looking at the Ofsted report there is not an issue about whether schools are delivering PSHE but about the quality and the priority it is being given.

  1134. Young people talked about the variations of how teachers handled it and whether they can approach one teacher or another.
  (Mr Twigg) Exactly, and I think that has a lot to do with the levels of professional development and training being provided and, as you alluded to, teacher training, both initially and then through teaching, and that is what we are focusing on. What we hope to achieve as a department is the improvement without having to add an additional element into the compulsory school curriculum, but we will keep a watching brief on that.

Dr Naysmith

  1135. On the area of teacher training, it seems to be clear from the evidence we have had that a lot of teachers do not feel confident, and the children recognise that the teachers are not confident in taking some of these lessons, and it is important to get that sorted. You imply that you are looking at it but if we are talking about this area at all it is really something that has to have high priority, is it not?
  (Mr Twigg) Absolutely, and getting it right is important. We had a pilot project on this with 37 volunteer teachers in the autumn which was very successful and out of that we now have this new programme of continued professional development that I referred to in my opening which is going to have 750 teachers this year.

  1136. But that is a drop in the ocean.
  (Mr Twigg) I recognise that but it is a first step and an important one. Also, what the Ofsted report highlighted was some excellent practice already going on in many schools, and I think part of what we want to do is share that excellent practice across schools, and I referred to the particular project we have which is looking at that at the moment.

  1137. Also, in this area, what came up in our inquiry both last week with the young but also in Sweden and in Amsterdam when we were looking at various matters, is that it is not necessarily teachers who do this sort of education best, and Hazel Blears might like to comment because people talk about community nurses and youth workers being able to do this much better, maybe even coming into schools or special clinics associated with schools.
  (Mr Twigg) I think that is very important and a major change we have seen in education in recent years is the far greater number of other professionals and adults working in various roles within schools, and I have seen very good examples of learning mentors sometimes in the Excellence in Cities programme working closely with young people whom teachers find it difficult to work with, and part of that work is to do with sex and relationships education. We also have our pilot extended schools programme, with 25 schools around the country looking at the other facilities that can be provided on a school site. Twenty of those are having health projects as part of that which Hazel Blears can say more about, and that is an important component of any successful strategy on sexual health.
  (Ms Blears) We have increasingly got a number of health facilities attached to schools and it is a range of workers who are in there: sometimes it is just one school nurse on his or her own and sometimes there is back-up, with maybe a GP or a range of primary care professionals as well. It is done entirely with the agreement of the governors and the parents in that community, and the early evidence of those facilities is that they are extremely well valued and used by the pupils, and that there is a real opening up of some of these difficult issues. Also what is interesting, as you mentioned your visit to the Netherlands, is that I understand that conversations there between parents are at a much greater level on these issues than in this country, and people for cultural reasons find it easier to talk to their mums and dads, and this is an important area of sex and relationship education—perhaps particularly the relationship side of the education. In my community we have a project at the moment working with young people where sex has almost become a kind of brutal commodity, and trying to get the young people to have respect for themselves and their bodies and their relationships is a key issue in trying to delay the age of first sexual experience which is a key strand of our teenage pregnancy strategy—to give people that sense of self respect to make sure we can support them in the choices they make.

Chairman

  1138. May I just say that the British have a problem with sex.
  (Mr Twigg) Yes. There is a particular issue that is highlighted in the Ofsted report about boys, and we are doing some work, again with the National Children's Bureau, about the advice available particularly for assisting boys and particularly the relationship between fathers and their sons.

  Chairman: We would like to come on to that later on.

John Austin

  1139. On the question of the relationships education, surely that is something which started at a very early age and maybe sex comes into it but on the national curriculum, as long as personal health and social education remains outside the statutory part of the national curriculum, does that not mean that sexual relationship education is subject to the whim, the content, the timing of particular government bodies and schools? Do you have a closed mind on this or are you willing to reconsider the question of whether it should be part of the national curriculum?
  (Mr Twigg) I certainly do not have a closed mind on it. I recognise we need to keep a watching brief on this. I have to say the direction of education policy, particularly at secondary level, is away from prescribing more elements of the curriculum, so although we have quite recently introduced citizenship as a core part of the curriculum which has some relevance for the work on the relationship side of sex and relationships education and I have seen some good practice where citizenship is being used in that way, we are sceptical about adding further elements on to it, but I am very prepared to look at the evidence and, if there is evidence that our failure to do that results in schools not delivering, we would have to look at it again but I do not see that in the foreseeable future.


 
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