{"id":38507,"date":"2017-02-15T22:20:37","date_gmt":"2017-02-15T21:20:37","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=38507"},"modified":"2017-02-23T21:20:28","modified_gmt":"2017-02-23T20:20:28","slug":"geoff-debelle-the-children-and-social-work-bill","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/02\/15\/geoff-debelle-the-children-and-social-work-bill\/","title":{"rendered":"Geoff Debelle: Why the Children and Social Work Bill needs to be amended"},"content":{"rendered":"

Safeguarding vulnerable children is a priority for the Royal College of Paediatrics and Child Health (RCPCH). I have therefore been closely following the passage of the Children and Social Work Bill through Parliament over the past few months. This bill updates and amends existing children\u2019s social care legislation and aims to \u201cmake provision about looked after children, make other provision in relation to the welfare of children, and make provision about the regulation of social workers.\u201d<\/p>\n

Currently making its way through the House of Commons, the bill originated in the House of Lords last year, where it was introduced with the controversial Clause 29, which would grant local authorities powers to \u201ctest different ways of working.\u201d This clause meant that local authorities could deviate from existing children\u2019s social care legislation\u2014with permission from the secretary of state\u2014and act outside the scope of the law in developing new processes and mechanisms for delivering children\u2019s social services.<\/p>\n

The sheer breadth and depth of these powers\u2014and the lack of detail about how they would be supervised or monitored\u2014caused great concern among the children\u2019s sector and in the House of Lords. Peers successfully voted to scrap the clause during their final reading of the bill in autumn 2016. However, a government amendment tabled to the bill during the House of Commons committee stage has reintroduced this controversial measure. Despite more detail about how these powers to test different ways of working may work in practice, we still remain concerned about their scope and potential impact.<\/p>\n

To be clear, the RCPCH is by no means against innovation per se; in fact, we encourage it. But we do have concerns about the notion of unfettered innovation implied in this bill. This legislation will have the potential to have an adverse impact on some of the most vulnerable children in the UK. Children who may have suffered from accumulative trauma and physical and emotional abuse, including sexual abuse, are extremely vulnerable.<\/p>\n

For many of these children, the local authority is their “corporate parent.” Their contacts within these local authorities may be the only professionals they feel they can trust. That trust must not be eroded by work that, while it may be innovative, might not be carefully evaluated and rigorously monitored. It cannot be taken as axiomatic that innovative practice is a force for good; it can be a force for bad practice.<\/p>\n

This bill could mean that health professionals across the country would be working outside a legislative framework in an unstandardised and inconsistent manner to deliver children\u2019s services. Without a framework that ensures standards are consistent, the power to test different ways of working could open the floodgates to all kinds of practices, in the name of supporting children\u2019s social care.<\/p>\n

The clause might also add to the disrupted lives of many of these vulnerable children. Many already have to move to different places of care, which may mean a change in the local authority responsible for them. For these young people who have just got used to the way one local authority works, under this clause a move may mean a shift in practice, a different way of working, and a new way of offering support\u2014all of which could contribute to an individual\u2019s feelings of instability and insecurity.<\/p>\n

There is no need for this clause. Local authorities are already doing innovative work under current legislation. They should share that good work. This clause should be rejected and the RCPCH is calling on MPs to vote against the amendment re-introducing it to the bill.<\/p>\n

If this clause does go through, it is imperative that local authorities act in the best interests of children to make sure their needs are at the heart of any new initiative. Interventions introduced on their behalf must be subject to robust evaluation, including the use of properly conducted randomised controlled trials, using social equipoise as a guiding ethical principle. We owe it to these children\u2014some of our nation\u2019s most vulnerable citizens.<\/p>\n

Geoff Debelle<\/strong>, officer for child protection, Royal College of Paediatrics and Child Health.<\/em><\/p>\n

Competing interests:<\/strong> Nothing further to declare.<\/p>\n","protected":false},"excerpt":{"rendered":"

Safeguarding vulnerable children is a priority for the Royal College of Paediatrics and Child Health (RCPCH). I have therefore been closely following the passage of the Children and Social Work […]<\/p>\n

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