Children: Welfare, Life Chances and Social Mobility — House of Lords, 2018-11-01
Topic: Health
Simon Russell (Crossbench, Unknown): My Lords, I too thank the noble Baroness, Lady Massey, whom I think of as my noble friend. We are both members of the Parliamentary Assembly of the Council of Europe, and I can speak from direct experience of how highly regarded she is there for the wide range of work that she does. People listen to her very carefully. I should also declare an interest as a governor of the children’s charity Coram What a pleasant change it is not to talk about Brexit and to focus on something that, frankly, is of equal importance: our children and giving them the best possible future. As I thought about this subject and researched it, I suddenly felt myself morphing into a male version of Doctor Who entering the TARDIS. I emerged 30 years ago, when, amazingly, I was a rather younger and more hirsute Member of your Lordships’ House. I was actively involved with the all-party parliamentary group on drugs misuse and had become involved with a charity called Life Education Centres—now part of Coram and the largest provider of health education in primary schools in the United Kingdom The environment that we were navigating through was very complex in terms of delivery. There were far too many interested parties, lots of fragmentation, and three often competing and divergent government departments—education, health and the Home Office—apparently following a policy of "divide and despair", "accept limited responsibility", "avoid any blame", "try to avoid the difficult subjects" and, above all, "keep your head down" The end of that impasse came with a demonstration of genuine leadership and courage from the then Prime Minister, John Major, who I personally very much regret is not a Member of your Lordships’ House, as I think that his counsel would be of great use at this time. He initiated the first ever joined-up holistic review of all aspects of drugs policy. He identified an outstanding civil servant, Dame Sue Street, who in 1995 produced Tackling Drugs Together, a landmark publication that recognised the problem and accepted joint responsibility for a joined-up and properly thought-through and funded approach to trying to do something about the issue What is the lesson for us today from that experience? The Early Intervention Foundation, in a very timely publication this week called Realising the Potential of Early Intervention, has essentially said that there are great similarities with the situation of 30 years ago that I described, and it proposes a very clear holistic review of the whole situation. We know that there are four key areas of focus. We know that there is the physical aspect, and we know that we have to look at social and emotional needs, cognitive needs and behaviour. We also know that there are three key red-flag areas that indicate potential problems for the future: substance misuse, risky sexual behaviour and child maltreatment We also know that late or ineffective intervention is costing us a staggering estimated £17 billion per annum. There has been a huge reduction in Sure Start centres. The following local authorities have closed more than 70% of their centres: West Berkshire, Camden, Stockport, Bromley, Oxfordshire—a flagship example of a leading Conservative local authority—and Staffordshire. I am afraid that it is not a great list to be on. Our poorest children are already 11 months behind their peers when they start primary school. There are five key flaws in our current approach, including inadequate and inconsistent funding; short-termism—a besetting political disease; and a fragmented approach across no less than five departments of state: education, health and social care, work and pensions, housing, communities and local government, and that graveyard of political reputations, the Home Office. We need to deliver only what works and, above all, we need to use evidence, evidence and more evidence. So what can and must we do First, we need someone to emulate John Major’s leadership and courage, and that needs to come from the top. As the noble Baroness, Lady Tyler, suggested, we need a cross-government task force under Sue Street mark 2 and an initiative that will join the dots and provide clarity of understanding, direction, long-term intent and commitment to resource allocation. I suggest that the report it produces should be called "Working Together for our Future, our Children". Secondly, we need to create an independent expert panel to advise the Government and to develop and refine strategy and best practice. Thirdly, we need to accelerate concerted support for local areas to deliver effective and timely intervention. Fourthly, we need long-term investment backed by cross-party commitment I have three specific questions for the Minister, two of which he already knows about. First, will he identify the John Major of today, with the courage and leadership to put children first, and put the case to him or her with all the force he can muster? Secondly, what steps are Her Majesty’s Government taking to explore proposals to impose a legal duty on local authorities and other statutory deliverers to provide effective early intervention? How do they propose to ensure that sufficient funds are available, particularly for those areas that have been most impacted by severe reductions. Lastly, do the Government agree that a key performance indicator must be to measure early intervention’s ability to improve social mobility—and, if so, how are they going to measure it I would like to put on the record my admiration for and gratitude to the Sutton Trust and Sir Peter Lampl, who would be a great Member of this House, for setting an example to us all and reminding us of the talent we possess and what young people are capable of.