My Lords, when I first read Part 2 of the Bill, to which I shall confine my remarks, my first reaction was, “You couldn’t make this up”. There are many good things in this Bill, as others have said, but on Part 2 I really have to say to the Government, “You cannot be serious”.
I must declare my interests, as I have a very personal involvement in this subject. It goes beyond being a social worker, with a great deal of interest, therefore, in how social workers are supported and recognised; I have form in the area of regulation of social work. In the late 1990s, I chaired the commission that recommended the setting up of the General Social Care Council, the GSCC. This had been wanted and called for by the social work profession and allied colleagues for many years, and the Government accepted the recommendation of my committee wholeheartedly. There was a great deal of rejoicing across my profession. In 2001, I served for six months as the interim first chair of the GSCC. By 2012, I was chair of the Professional Standards Authority, which reviewed the functioning of the GSCC, which was found wanting; subsequently, as chair of the PSA, I oversaw the transfer of regulatory responsibilities to the Health and Care Professions Council. I also helped to launch the College of Social Work, which was designated as the body that would oversee the professional functions, leaving the regulatory functions with HCPC. Noble Lords will see that I do not have a very good track record in this regard. The HCPC is now assessed by everybody who knows this field as doing an excellent job, and doing it most efficiently and cost effectively. So while I bow to no one in my desire to see the profession of social work properly recognised and supported, I have to ask the Minister why he is doing this, and what he expects to gain from it.
I have three main objections to the new regulator, and if the Minister can set my mind at rest about them, I shall be delighted and relieved. My first concern is one that was highlighted by the noble Lord, Lord Warner, about the conflict between different government departments. The primary purpose of a regulator is public protection. Does the Minister agree with that? There is no reference in the Bill to the public protection purpose of statutory regulation. The health and social care Act of 2015 introduced consistent public protection objectives across the nine independent regulators of health and care professionals, overseen by the aforesaid Professional Standards Authority. In that authority’s paper, Rethinking Regulation, which followed on the work of the Law Commission, which reviewed the existing regulatory framework, radical reform proposals had been made, which included reducing the number and cost of regulators. The Government have expressed support for those ideas and the Department of Health will shortly consult on reforms to professional regulation along those lines. The proposals from the Department for Education in this Bill therefore run entirely contrary to the principles of better regulation and to the approach of the Department of Health to the reform of regulation of health and care.
The regulatory landscape is incoherent and confusing, with a proliferation of regulatory organisations created piecemeal at different times, for different reasons, and in response to different problems. The regulatory proposals in this Bill perpetuate this error. Surely, the Government should have taken what the PSA calls a “right touch approach”, by clearly identifying the problem to be addressed and considering how the problem could best be resolved by making better use of, or reforming, the current arrangements. This could include ensuring
that social work falls within the remit of the proposed reform of health and care professional regulation. I also have concerns that the Government have not thought properly about the scope and remit of the proposed new social work body within the wider context of health and care regulation.
I repeat: the primary purpose of a regulator is public protection. That is quite distinct from quality improvement functions, which are commonly carried out by a professional body or college, whose primary functions are to improve education, training and continuing professional development. It is also different from the representative role fulfilled by a membership organisation, such as the British Association of Social Workers, whose primary role is to represent the interests and views of its members and provide advice and support to them. A new body of the kind proposed, combining representative, improvement and regulatory roles, will create an organisation with competing, confused and conflicting responsibilities. The GSCC, previously responsible for regulating social workers, was itself criticised for having an unclear remit covering both regulatory and improvement functions—and that was wound up by the last Government, as I have already said.
Ahead of the transfer of regulation of social workers to the HCPC, the Government commented that they saw potentially significant benefits from,
“putting the regulation of social workers on a similar footing to the regulation of health professions”.
At a time when the need for a closer relationship between the health and social care services remains a very live issue—and how many times in this House do we talk about the need for closer co-operation?—this seems a very unwise thing to do. There is no evidence at all that the HCPC is not doing an effective and efficient job of regulating, so why confuse the situation?
My second concern is about the independence of the new regulatory body—or, I should say, the lack of independence. There is well-established principle in statutory professional regulation that regulation should be independent of government but with direct accountability to Parliament. The Bill proposes a potentially different model, giving broad powers that would allow the Secretary of State or another person—it is not clear who, or in what circumstances—to exercise regulatory powers, or a new regulator to be established.
There is no reference in the Bill to oversight of any new regulator by the Professional Standards Authority. The HCPC is currently overseen by the PSA. The PSA fulfils its role by scrutinising the fitness-to-practise decisions of the regulators and referring cases to the High Court where it considers that a decision may have failed to protect the public. Again, we come back to the essential importance of protecting the public. While the idea of a separate regulator for social work may seem attractive, it should not be brought about by the loss of the independence which the current system—overseen, I remind your Lordships, by the Privy Council—provides. There should also be a role for a voice for professional social work. I remind the right reverend Prelate that the College of Social Work was set up and abolished by the Government, although it was making good progress until the withdrawal of government funding led to its closure.
My final concern is about cost. The up-front cost of setting up such a body will have to be borne by government, unless it is going to be borne by social workers. Each year, social workers pay £90 to remain on the HCPC’s register. Therefore, the proposed policy will entail either a significant increase in fees for social workers or substantial ongoing costs to the taxpayer if it cannot operate on those fees. The annual report for 2010-11 highlights that the GSCC’s expenditure on regulatory activities for 2009-10 was just under £19 million. Roughly £2.5 million of that was funded by social worker registration fees and the rest—around £16 million —was funded by government. According to a recent Written Answer from the Department of Health, the closure of the GSCC in 2012 and the transfer of its regulatory responsibilities cost £17.9 million but has led to an annual saving to the Government of £13.5 million. Have the Government done a thorough review of the cost of their proposals? At the time of the GSCC’s abolition, the Government estimated that the increase in fees paid by social workers would have to be at least £235 a year if it were to be self-financing. I cannot believe that the Government want badly paid social workers to pay this, so we must ask where the money is coming from and whether it is a proper use of public money when social work services and training are under severe strain. I would like the Minister to answer very specifically on cost review and how it will be funded. I do not question the Government’s intention to try to be supportive of social workers, but I have to ask: is this the way to do it?
I hope the Government will listen to the wise words of your Lordships’ House.
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