My Lords, I will briefly follow what my noble friend has said in terms of the practical implementation of this very welcome work that the Government have undertaken. I remind the Committee of the difficulty posed by having continually changing professionals. We debated earlier the issue of children making their transition to adult services. On several occasions, parents have raised with me the difficulties posed by the fact that they will have several changes of social worker just as the child comes to access adult services, such that the advocacy for that child as it goes into the adult services is lost. I am very familiar in children’s services, particularly those for looked-after children, with people complaining and saying, “Look, I have had five social workers in the past two years”. People have had multiple social workers, which is very disadvantaging. When we talk about working together to improve outcomes for children, as we are here, we need to keep a good eye on the practicalities and ensure that there is more continuity of professional care. We need to keep and retain our social workers and other professionals, and not keep moving them around all the time.
Here, I would just like to raise the concerns that I have heard in the past when speaking to psychiatrists working in the health service. They feel that the service is changing and being reformed so often—with the best of intentions—that, once they get to build relationships with partners in other disciplines, they or the partner are moved on. They do not know the other people and cannot work in the kind of way I think we are talking about at the moment. I make a plea that we avoid more large-scale reorganisations of, for instance, the health service in the near future. The same story comes from social workers in local authorities, who continually experience reorganisations of their local authority, which overburdens them and, again, breaks up the relationships necessary for them to be able to
make effective partnerships work in the way that we want them to work in this part of the Bill. I hope that is helpful to your Lordships.