My Lords, my name is also attached to the amendment and I respectfully suggest to your Lordships that this is one of two outstanding,
key issues on which the effective implementation of the Government’s welcome approach to integration of education, health and social care depends.
Clause 42 states that where a local authority maintains an ECH plan it must secure the special educational provision. Where the plan specifies healthcare provision, the responsible commissioning body must provide the healthcare. The amendment would simply place a parallel duty on local authorities to provide the social care that is outlined in the plan. This is a key issue for parents as well as, obviously, for many noble Lords in this House. As the legislation is currently drafted, the ECH plans would offer no more legal entitlements to support from social care services than current statements do at the moment. Let us remember that social care provision can be detailed in those statements in a separate section from educational provision. However, the aim of these reforms and the Bill is to provide a simpler system for disabled children and young people, and those with special educational needs and their families, that integrates the different forms of provision into one piece of legislation. One assessment and one plan is what the Government are trying to achieve for those families. There is an opportunity in the Bill to bring everything together. One of the main aims of the Bill is to provide clarity, transparency and integration, as the noble Baroness, Lady Sharp, so eloquently identified.
In Committee and at the various meetings that we have had on this matter, while the Minister has been trying to listen, I do not think that so far the Government have provided any coherent reason for excluding the local authority from the duty to provide the social care specified in the plan. As the noble Lord, Lord Low, reminded us, the first argument put by the Government was that other legislation—the Chronically Sick and Disabled Persons Act together with the Children Act—already provide for that duty. A second argument deployed at later meetings was that placing such a duty in this Bill would give disabled children an unacceptable priority in law above other children in need.
The debate has been rather clouded by well meaning but exceedingly technical legal opinions on both sides. However, the clearest and most helpful opinion has come in the further opinion, dated 13 May 2013, from the lawyers commissioned by the sector. This asked the crucial question in relation to these different arguments as to whether placing local authorities under a duty to deliver the social care set out in the plans would represent a significant change to local authorities’ legal duties under that existing legislation. The crucial question is whether it would represent a significant change. The answer in the opinion is emphatically no. If noble Lords will bear with me, it is worth putting this opinion on the record.
The crucial question asked is whether placing local authorities under a duty to deliver the social care provision set out in the EHC plans would represent a significant change to local authorities’ legal duties in other legislation. Paragraph 13 of the opinion states:
“No. If there were to be a specific duty to provide the social care provision set out in an EHC Plan, this would simply mean that the Local Authority would be discharging its CSDPA 1970 duty (either wholly or in part) by providing the provision set out in the Plan. Indeed, for children who qualify for an EHC Plan the
inclusion of social care provision within the Plan is a helpful way of determining that the Local Authority considers that this provision is necessary to meet their needs—in other words that the test for the 1970 Act duty to arise is met”.
The opinion goes on to say:
“This is very similar to the approach that the Government has adopted in relation to the duty to arrange health care provision … the Government accepts that in arranging the provision specified in the plan a CCG”—
a clinical commissioning group—
“will be discharging its existing duty pursuant to section 3 of the NHS Act 2006”.
This was a question that we asked in Committee: why the difference between social care and healthcare? Paragraph 14 states:
“Any concern that this would involve treating disabled children more favourably than other groups of children ‘in need’ is misplaced. Firstly, disabled children have already benefited”—
for more than 40 years—
“from the specific duty … in the CSDPA 1970 to provide them with support, a benefit which other children ‘in need’ do not enjoy … Secondly, it is a well established tenet of discrimination law that reasonable positive measures intended to correct significant disadvantage experienced by a particular group are unlikely to be discriminatory. Indeed Equality Act 2010 … provides that compliance with the public sector equality duty … ‘may involve treating some persons more favourably than others’”.
Therefore, in this view, the inclusion of social care under the duty to provide the services specified in an EHC plan would not make a significant difference to existing entitlements in social care and, indeed, is simply consistent with local authorities’ current duties.
However, there would be a number of significant advantages to putting this duty into this Bill as well. A main advantage is that it would clarify for parents the responsibilities of the three agencies together regarding what must provided—in other words, everything in the plan—and that would be a very big benefit for parents. Secondly, it would consolidate the integrated approach that runs right through this Bill until we get to social care. Thirdly, it would give children under 18 the same demonstrable, enforceable rights that adults already have under the Chronically Sick and Disabled Persons Act, and thus there would be a seamless and equal status for disabled children from birth to 25. Those are the simplest legal arguments in favour of the amendment.
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However, even simpler is the fact that we are talking about making explicitly enforceable the social care services specified in the plan—that is, those that the local authority itself has willingly assessed the child as needing and has agreed to include in the plan. The local authority will be assessing that level of need in the context of its duties and its resources, as will the health services.
Therefore, I do not think that there is a credible argument for distinguishing between special education, health and social care in relation to the duty outlined in Clause 42, and I hope that the Government and the Minister will listen on this very important issue, as they have done on other issues.