My Lords, times without number during the Bill’s various stages, noble Lords from all quarters have highlighted the fact that children in care are four to five times more likely to have a mental health problem than children in the general population. We have advanced convincing arguments at each stage that there is a pressing need for all children entering care to be given the parity of esteem to which the noble Lord, Lord Warner, referred between physical and mental health assessments by appropriately qualified professionals.
We thought that the Minister was going down that track on Report when he tabled an amendment to Clause 1 to make it clear that all local authorities must promote both the physical and the mental health of children in care. That was certainly an important and welcome step, because the current system simply is not working. However, he was not willing to go what we regarded as the logical step beyond that.
It is fair to say that the Minister set out his reasons why he and his colleague, the Minister for Vulnerable Children, Mr Timpson, are not in favour of that. It has been argued that such a move would be too prescriptive in terms of when and how the assessment should be carried out and who might be qualified to do so. It has been argued that the assessment would be seen as potentially stigmatising, and it has also been said that it would cut across the work currently being undertaken by the Department for Education’s expert working group.
I do not think that any of those three holds water. I will not spend any time on the first two but in terms of the expert working group, it should be said that the Alliance for Children in Care and Care Leavers, which has assiduously provided noble Lords with briefings on various aspects of the Bill throughout its progress, is concerned at the Government’s failure to fully support this amendment. That organisation has 24 members, 21 of which are charities actively involved in the sector, but it also includes the Children’s Commissioner for England, the British Association of Social Workers and the National Association of Independent Reviewing Officers.
All those involved in the alliance deal on a day-to-day basis with the mental health and emotional well-being of children in care. The alliance is a body of some substance, and it speaks with some authority. The Department for Education appears to acknowledge that, because the alliance is represented on its expert working group. While that group has the respect of most within the sector—noble Lords were certainly impressed when we met its co-chair, Alison O’Sullivan in September—it will not report until this time next year. As I said on Report, it means that many children
will continue to have their mental health issues undiagnosed in the intervening period. Of course, it is not just the end of next year; it is the fact that when the recommendations come out and the Minister decides which to accept and implement, a suitable piece of legislation has to be found. That may not become available until after the next general election—and by that I mean the one scheduled for 2020.
We feel that that is much too far off into the distance. I remain at a loss as to why Ministers are not able to overcome their doubts and simply get on with filling what is palpably a serious gap in the services offered to children entering care. I know that the Minister has been considering representations made to him by the noble Baroness, Lady Tyler. I am not alone in sharing her hope that he will have something positive to say in this area when he answers the debate, so that this matter, which has been discussed for too long, can at least move forward.