Have we forgotten our commitment to supporting children?

Evidence suggests that the Coalition's approach is making things worse, not better, for our children.

This is a response to my series on childhood in Britain by Tom Rahilly from the National Society for the Prevention of Cruelty to Children, Kate Bell of Child Poverty Action Group, and Roger Harding of Shelter.

Every parent wants the best for their children. From keeping them safe to ensuring that they flourish, they have a common set of aspirations which is echoed by the rhetoric of our political leaders. Ed Miliband has described his concept of the "British Promise": each generation expects their children to do better than them, while David Cameron has asserted in his New Year Message that “We are doing what’s right for our country and what’s best for our children’s future. And nothing could be more important than that.” It seems clear that the prospects for our children are a political priority.

But is this priority translated into action when it comes to making decisions? Or as we focus on resolving the economic crisis, have we forgotten our commitment to supporting children?

The picture is pretty gloomy. Research by the Chartered Institute of Public Finance and Accountancy (CIPFA) shows that children’s services have been hit disproportionately by spending cuts. The majority of local authorities have scaled back or closed services. In 2011/12 some councils were forced to slash their children’s services budget by more than 20 per cent, compared to overall cuts of around 10 per cent. Councils are avoiding cuts to statutory services, especially in child protection, and as a result cuts are inevitably falling on preventative services and family support such as Sure Start.

More broadly, research for the NSPCC, Action for Children and the Children’s Society shows the impact that changes to tax and benefit changes and responses to the economic crisis are likely to have on families. The number of vulnerable families is estimated to rise to over one million by 2015, with increases in the number of children in workless households, maternal depression, families in material deprivation, and numbers living in poor quality of overcrowded housing. Current measures to protect families from the impact of austerity are insufficient to stop this trend.

What about the key priority for Government and parents: keeping children safe? The Government has placed high priority on improving support for children in care. The Children and Families Bill, published on 5 February, aims to speed up public law proceedings and reform the process of adopting a child. These measures are welcome but do not in and of themselves improve the quality of support that children in care receive or the family support needed to prevent abuse and neglect before it takes place. An estimated 45 per cent of children in care have mental health difficulties as a result of abuse, neglect and their experiences in care. But too many children don’t receive the support they need - a 2010 study found that 49 per cent of children with an apparent mental health problem were not receiving or accessing a service from mental health services. Councils report that support for children in care is becoming scarcer; a trend that is likely to continue as funding pressures hit home.

These pressures are likely to get worse. Since 2008, the number of children in care has risen from 59,380 to 67,050. The government is right to highlight the difference that care can make. But the focus on early intervention appears to have been lost. The government recently cut support for early intervention by £150 million to support adoption. More help for adoption is welcome but it doesn’t make sense to fund it by cutting earlier support, which can help prevent initial harm. Early help was a key recommendation of the Munro review, supported by ministers just 19 months ago.

When we turn to child poverty, there is a better story to tell. Between 1998/99 and 2010/11, the number of children in poverty fell by 1.1 million, with real benefits for children’s prospects. Looking at child wellbeing between 1997 and 2010, the University of York found that 36 out of 48 indicators across the fields of material wellbeing, child health, subjective wellbeing, mental health, education, housing, child maltreatment, children in care, childcare crime and drugs, had moved in the right direction. The only indicators showing negative trends were immunization rates, diabetes, obesity, and sexually transmitted diseases.

But these trends look likely to go into reverse, as child poverty rates are set to dramatically rise in forthcoming years. The IFS predicts that an additional 800,000 children will be in child poverty (measured on the relative measure of 60 per cent of median income) by 2020. From 2010-2015 a working lone parent will lose over six per cent of their weekly income, compared to just over two per cent for a working single person; a couple, with kids, struggling to find work, will lose around 11 per cent compared to just over 8 per cent for the same couple without children. This assessment was made before the impact of the Welfare Uprating Bill, which restricts increases in financial support to 1 per cent across the board. It is likely to result not only in rises to relative poverty rates, but an absolute decline in living standards, as prices rise faster than families’ ability to pay for them.

And when we look at housing, it’s becoming increasingly clear that children are hit harder than most by our chronic lack of decent, affordable homes. For the rising number of children growing up in private rented homes, the dream of a stable place to live seems further away than ever. With the doors to home ownership or social housing locked for many, some families are seeing whole childhoods play out in homes that they can’t make their own. A private rental system designed decades ago, when most renters were students or young professionals, means that most are living from one six or twelve month contract to the next.

For parents, this means sending children to school in September without knowing where they’ll be living come the summer term. Living from tenancy to tenancy, on a merry-go-round of bedrooms, schools and friends, many of the 1.3 million families in privately rented homes wonder when their voices will be heard. If the government is to address the fundamental family need for stability, they must now look at reforming this system and give families a home where they can put down roots.

Examination of these three areas suggests that the rhetorical commitment to children’s prospects is currently just that. And nor has the relationship between different areas of policy been thought through. The Chief Executive of the Child and Family Court Advisory Service (CAFCASS) has warned that record numbers of children are likely to be taken into care this year, due to the effects of benefits changes and public sector cuts. Poverty is widely recognised as one of the factors that increase the stresses in families that can result in abuse and neglect. It also is critically linked to poor housing. The rising cost of paying for a home is a major contribution to family budgets squeezed far beyond the comfort zone, and more than a third of renting families say that they’ve cut down on food to pay the rent.

Times are undoubtedly tough. People know that and, to some degree, accept it - the response to the economic crisis is the defining issue of the 21st century so far. What people will never accept, though, is giving up on their dreams for their children. Whatever the response to our economic crisis, it has to keep the hope for our children centre stage. Sacrifices today have to pay off for children and families tomorrow. However, across areas like care, family support, family income and housing, the danger is that we are not only sacrificing today but sacrificing our children’s tomorrows.

The Coalition’s programme for government promised to make society more family friendly. Evidence suggests that this has not been the case. It’s time we think about how we can achieve the best for all children. Our future generations depend on it.

A playground in Tower Hamlets, where a recent study has shown that 42 per cent of children live in poverty. Photograph: Getty Images

Alan White's work has appeared in the Observer, Times, Private Eye, The National and the TLS. As John Heale, he is the author of One Blood: Inside Britain's Gang Culture.

Photo: Getty Images
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The hidden crisis in the National Health Service

Hospitals are no longer safe places for their staff, warns Simon Danczuk.

It feels as though not a week can pass without the media warning of a fresh “crisis in the NHS”.

But while funding shortages and the impending junior doctor strike are rightly cause for concern, another major crisis is going largely unnoticed.

Figures show that 43 per cent of A&E staff have been physically assaulted at work. Every eight minutes there is some sort of violent incident in a UK hospital.

This is unacceptable, but unfortunately cases of violence against NHS workers seem to be on the increase while the government turns a blind eye to this problem of its own making.

Plotting a graph would show a startling correlation between insufficient NHS funding and the number of doctors and nurses being attacked. As NHS budgets reach breaking point, so too do many patients.

The issue, which will be highlighted in the documentary A&E: When Patients Attack, which airs tonight on Channel 5 at 10pm, is a national scandal.

Health experts suggest that the problem can be directly linked to longer waiting times and staff cutbacks, leading to growing frustration and tension in A&E and other departments. With winter fast approaching, and the notoriously busy festive season to come, incidents of violence look set to get worse. Nobody, least of all our overworked NHS doctors and nurses, should face the prospect of going to work to be attacked, spat at or insulted.

Based at the Queen Elizabeth in Birmingham, one of the country’s biggest hospitals, When Patients Attack follows a security team which uses uniformed guards and a bank of CCTV monitors to keep hospital staff safe.

The sight of a uniformed private security team in an NHS hospital is visually jarring, it would look more at home in a high-security prison than in a place of care and compassion. But the sad reality is, guards like this are a necessary part of the NHS under a Tory Government.

A&E centres across the UK, including the one in Rochdale, are being closed or consolidated creating extra journey times for patients and more pressure on those that remain.

But there is a gaping logical flaw here. NHS trusts are spending money, which should be on patient care, on employing security staff to deal with the fallout from cuts in care.

Seeing the level of physical, verbal and racial abuse that doctors and nurses have to endure makes When Patients Attack hard to watch at times. What is clear is that many of the patients featured are not lashing out for some malicious reason, they are vulnerable and bewildered people in need of care.

Many have learning difficulties or mental health problems, others are disorientated or in pain, there are those under the influence of drink or drugs and some just have nowhere else to go. A significant amount on the security team’s time seems to be spent convincing patients who have been discharged to leave the premises.

Here we see a less obvious example of how Conservative cuts are impacting on our NHS. Hospitals are always open and always welcoming. The duty of care means that no one is turned away. As a result, they are filling the void left by homelessness shelters and local government social services.

David Cameron has made much of the Government’s plan to put mental and physical health on an “equal footing”. But this will remain little more than empty rhetoric as long as those suffering from serious and complex mental health issues continue to seek help at A&E because of a lack of any alternative.

It is not just cuts to councils and the health service that have created this epidemic of NHS violence. In my constituency of Rochdale alone, Greater Manchester Police has been forced to withdraw 150 officers from the beat because of budget cuts. Business owners and members of the public have told me that Police response times have increased dramatically since 2010. It is important that violent incidents are diffused as quickly as possible and while an in-house security team is helpful, the additional support of trained Police officers is vital. Each additional minute that NHS staff have to wait for the Police increases the risk that a situation will escalate and become more serious.

Jeremy Hunt speaks of a seven-day-a-week NHS. But these grand plans ring hollow when we see the reality on the ground in the NHS today. This government cannot even guarantee that staff can work without the fear of physical harm. Our doctors and nurses are among the hardest working people in any community. The very least they can expect is to be able to care for us in a comfortable, supportive, and above all safe, environment.


Simon Danczuk is Labour MP for Rochdale