My Lords, I shall speak to Amendments 4 and 31 in this group. Clause 1(1)(d) refers to “relevant partners” but, as the noble Lord, Lord Ramsbotham, stated, that is too vague. I want to emphasise some of the benefits of explicitly including health and housing services in that framework of support.
As my noble friend Lady Lister said, looked-after children, young people and care leavers historically experience poorer health than their peers and are also more likely to need specialist health services than the general population—whether that be mental health services, help with addictions or sexual health advice. Looked-after children, surely, must have access to mental health services and the speech, language and communications support that they need.
None the less, as the Local Government Association has pointed out in briefings sent to noble Lords, children’s services are already overstretched and any new duties must be fully funded so that they do not have an unintended detrimental impact on other services for vulnerable children and young people. Expansion of corporate parenting duties took place in Scotland in 2014 and, for the most part, has been a success without requiring any additional investment from central government. Perhaps there are lessons to be learned there.
Currently, looked-after children are supported by a social worker, an independent reviewing officer, a carer and a personal adviser who advocate for their interests. The most important thing is to ensure that there are good outcomes, and for that to happen there should be a focus on continuity and building strong relationships, not simply adding an additional member of care staff to the structure.
For the NHS to contribute effectively to the corporate family, health services must be able to identify looked-after children and young people accurately, and local authorities must help it to do this. The NHS provides services to assess individual need and provides access to therapeutic services resourced to meet those needs.
Where children are not within mainstream education provision, access should be co-ordinated to make sure that they receive health promotion advice and appropriate health checks, including, most importantly, mental health checks. A lead clinician could be appointed to co-ordinate mental health support in each local authority area.
The days when social housing was provided mainly by local authorities is long gone. Housing services provided directly by councils or in partnership with housing associations remain an integral part of the corporate family. Throughout the country there are many housing associations with close links to local authorities in terms of providing housing for groups of people with specific needs, and care leavers are clearly one of those groups. Homeless people are another and, without proper support, young people in the first of those categories can easily slide into the second one. Care leavers are particularly vulnerable to homelessness, and preventing homelessness among care leavers should be recognised in local strategies and plans.
Moving into independence involves more than simply finding a roof. Corporate parents should satisfy themselves that young people leaving care have the necessary life skills and confidence to cope with independent living. Some young people will need more support than others, and that is why a range of services needs to be made available—and this should include the type of tenancy offered. A single person’s tenancy may not be the best option for a young care leaver striking out into the big, and possibly bad, world for the first time.
The noble Baroness, Lady Howarth, talked about this transitional period. She urged us not to talk about people leaving care but to people moving on. That is a very apt description. Health services as well as housing services must support people as they make the difficult and inevitably demanding move into independent life.
The local offer made to care leavers will lack both authority and effectiveness if it is restricted to the list appearing in Clause 1. Given the debate that we have had within this group, that is unlikely to remain the case. If the corporate parenting principles were applied to health agencies, it would encourage them to take greater responsibility. The same would be true of housing.
In closing, I will say that the call of the noble Lord, Lord Ramsbotham, for consistency is important. He suggested that that could be achieved through some kind of tick list of what agencies are required to be involved. I hope that I do not do them a disservice by
saying that my noble friends Lady Lister and Lord Warner support the principle of extending the agencies involved—and so do I.
I hope that the Minister, having heard the various comments in this debate, will accept the amendments in principle and come back on Report with an amendment that broadens the scope of Clause 1.
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