My Lords, in this Bill, which has many good things, I wish only to signal that where children with communication difficulties are concerned—I declare an interest as patron of the British Stammering Association and indeed as a long-term practitioner—there is more work to be done.
For instance, there is a risk that the proposed changes to SEN services will end up excluding such children. Most children with speech, language and communication needs do not have statements and so will not be eligible for education, health and care plans. If school action and school action plus are replaced by a single category of SEN, they will lose out.
They may also lose out if a local authority uses the qualification “wholly or mainly” in allocating healthcare that is associated with education or training to duck out of providing it for children with communication needs, as my noble friend Lord Touhig observed. I know that the Government claim that this provision maintains existing case law, but I ask for the Minister’s confirmation that lawyers agree.
There are some admirable attempts to join up government at local level, but they need to be really effective. Joint commissioning arrangements between local authorities and clinical commissioning groups are welcome, but the duty must be strong enough to actually deliver support on the ground. Similarly, local offers should reflect local joint strategic needs assessments and there must be arrangements for them to be monitored. Any why should the inspectorates themselves not be required to co-operate? The duty to co-operate in Clause 31(2) has a big get-out clause in it which we will need to look at again.
Personal budgets may not be appropriate for the kinds of provision that these children need. They risk fragmenting commissioning routes, so a measure of quality assurance would be important.
I remind your Lordships of the crucial importance of ease of communication for our children as they navigate school and the wider world. The report by the All-Party Parliamentary Group on Speech and Language Difficulties last February emphasised the severe adverse implications of communication difficulties for literacy, mental health, behavioural problems and employment. Four out of five young people not in education, employment or training have speech, language or communication problems, as do very many of those excluded from school, as well as so many of those in custody, as the noble Lord, Lord Ramsbotham, explained in his penetrating speech earlier. Over 1 million children have speech and communication needs not caused by external factors such as having English as a second language.
Not to invest in effective provision produces problems that are costly to solve, as well as distressing for individuals. As my honourable friend John Cruddas said recently, in speaking of social investment:
“Some of the largest returns have been in improving children’s ability to communicate”.
We must ensure that the Bill enables that.
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