Motion made, and Question proposed, That the sitting be now adjourned.—(Mark Lancaster.)
It is a pleasure to serve under your chairmanship, Mr Dobbin. I am delighted to secure a debate on an issue that is of great importance to me personally, as a parent of a child in receipt of speech and language therapy services and as vice-chair of the all-party group on speech and language difficulties, chaired ably by the noble Lord Ramsbotham, whose track record in this field is second to none.
Let me set the scene by discussing the seminal importance of communication skills in modern society. We are living in an increasingly complex world, where more and more information is available to us. Therefore the ability to communicate effectively is becoming ever more vital in securing employment and gaining skills. Communication is about having the ability not just to use language, but to understand and assimilate information being conveyed to the individual; it is a two-way process. For many children it is a given that the importance of communication is understood at an early age, but for a significant cohort that is not the case, which is where invaluable help from speech and language therapy comes in, to teach the child the value of communication itself.
As many as 10% of children in the United Kingdom—more than 1 million—have speech, language and communication needs that are not caused by language neglect or English as an additional language. That means that, in the average classroom, there are two or three children with such communication difficulties. Of that group, a large cohort—some 5% to 7% of the child population—has a specific language impairment, which means that they have difficulties acquiring, learning and using language that are not associated with factors such as cerebral palsy, hearing impairment or autism spectrum disorders. We are talking about children whom we would all describe as bright, but who struggle to listen to and understand the language being used in the classroom, or who struggle to express themselves effectively. Perhaps we politicians should draw the distinction between being articulate and being bright. One can be both, but sometimes one can be either/or.
The Department for Education annual special educational needs statistics demonstrate that speech, language and communication needs are the most common type of primary need for pupils with full statements of SEN in maintained primary schools. In January 2011, nearly 28% of pupils in maintained primary schools had speech, language and communication registered as their primary need.
I congratulate the hon. Gentleman on securing an important debate that all hon. Members can relate to in respect of their constituencies. In Northern Ireland, we have some 8,650 pupils with learning difficulties: there are three in every class of 30, which illustrates the magnitude of the problem. Does he agree that it is best to have a co-ordinated approach in schools, with families as well, so that the capacity to help and teach children can be reached and they can have that wee bit extra help when they need it most?
I am grateful to the hon. Gentleman for giving us some of the Northern Ireland figures: the three-per-classroom figure reflects the United Kingdom average. He makes an important point, which I will come back to in discussing examples in Swindon, because I am familiar with the services there.
In areas of social deprivation, upwards of 50% of children are starting school with language delay. That does not mean that their general cognitive abilities are below the national average, but their language skills are delayed. That delay can often run into secondary school and that has an impact on literacy and general attainment. It is clear from research that reading difficulties can be made worse if children are taught written language before their spoken language skills are developed enough to access this teaching.
I congratulate the hon. Gentleman on obtaining this debate. The figures that he has given us are startling: almost 1 million children across the United Kingdom have difficulties. In Northern Ireland, we have a major problem owing to the shortage of speech therapists. Does he agree that, for children to be helped in the classroom, it is vital that we have trained staff to identify the difficulties at an early age?
The hon. Gentleman is right. He talks realistically about the fact that, although it would be wonderful to have a speech and language therapist in every classroom across the country, it is about increasing staff training so that generally, whether they are teachers or teaching assistants, they have awareness and understanding of how to manage and help children with identified speech, language and communication disorders. However, having link speech and language therapists for each mainstream school, such as the one we have in Swindon, is an excellent way of making sure that there is a network of specialists who can provide support when needed for teachers dealing with children in the mainstream environment.
I apologise, Mr Dobbin, because I must leave in a few moments to attend other meetings in the House. I congratulate the hon. Gentleman on securing this important debate.
In Stoke-on-Trent, Stoke Speaks Out has done fantastic work addressing speech and language needs in a deprived community. The hon. Gentleman talks about linking schools and organisations in Swindon—I think he was going to give examples—but what is his view on linking all groups, such as Stoke Speaks Out and the groups that work in Swindon, to have a national approach to this matter?
I am glad that the hon. Gentleman raised that, because there is an opportunity to do that through the Government’s response to the better communication research programme, set up under the previous Government as a result of the Bercow review. I pay tribute to Mr Speaker for the work that he has done in this field. The report published by this Government at the end of last year, entitled “Better communication research programme: improving provision for children and young people with speech, language and communication needs”, led to the creation of a communication council, which I believe will address the hon. Gentleman’s legitimate question. The council will involve the Department for Education, the Department of Health and the Communication Trust, which is an organisation comprising more than 40 bodies in the field of speech, language and communication. The aim of the council will be to promote best practice, to share the good work of councils, such as Stoke and Swindon, to work out ways in which the research that has been obtained can be shared with as many councils and agencies as possible and to promote a better awareness of speech, language and communication needs. I should be grateful if my hon. Friend the Minister provided an update on the progress being made with regard to the work of the new communication council.
I was talking about primary school. It is important to note that there is an attainment gap. Although nearly 80% of all children achieve the expected level in English at the end of key stage 2, just 25% of children with speech, language and communication needs reach that level: a gap of 55%. The gap in maths is similarly dramatic—it is 46%—and in science it is 41%. In key stage 4, when young people are doing their GCSEs, just 15% of children with speech, language and communication needs achieve five GCSE A* to C or equivalent, compared to 57% of all young people.
As I said, we are not talking about children who are not cognitively able—they are—but their communication impairments mean they lose out big time when it comes to achieving the qualifications they need to progress into further education, training and employment. We talk a lot in this place about young people who are not in education, employment or training, and this issue is part of the problem. Unless we nail it here and now, we will not do justice to the hundreds of thousands of young people who are still not in education, employment or training.
An Institute of Directors skills survey reveals that businesses suffering skills shortages named communication skills as among the most difficult skills to obtain, with 22% of businesses experiencing difficulties recruiting people with oral communication skills and 18% experiencing difficulties recruiting those with written communication skills. That evidence reinforces the point I made at the beginning of my remarks that communication skills are becoming vital to not only social interaction, but the economic contribution young people can make to society. This issue is not, therefore, just a question of social good, but a fundamental question of economic activity and this country’s future economic prosperity, so there is a hard edge to all this.
In Northern Ireland, 51% of school providers have indicated that speech and language difficulties are a serious problem, which shows the magnitude of the issue. Does the hon. Gentleman feel that there should be better co-ordination between schools, education boards and business to ensure we have follow-through?
I am grateful to the hon. Gentleman, and I like his point about linking up with business so that the skills young people acquire, such as communication skills, match what businesses need. We need to look at that in terms of young people, in 2015, coming to their GCSEs and, indeed, reaching the age of 17 or 18 and remaining in some form of learning environment.
I, too, apologise to my hon. Friend because I have to leave shortly for another meeting. I have two brief points. Does he agree that we must start picking up the problems in pre-school and nursery? Otherwise, we get intense behavioural problems, which is not a good start to the child’s period at school. On GCSEs, does he share my concern about the potential impact of Ofqual’s proposal to remove the speaking and listening assessment from GCSE English language?
I am grateful to the hon. Lady for both those points. I will come to the concerns I share with her about Ofqual and GCSE English language in a little while, but let me deal with her first point, about early years. Often, we are talking about a pre-education setting and a health setting. I have long advocated the need for a proper, health-based assessment of speech, language and communication needs at the age of two, and I am supported by people such as Jean Gross, the communications champion. The Government are similarly committed to moving in that direction. With the increase in health visitor numbers—an extremely welcome initiative, which is already having an effect in places such as Swindon—and with extra training for health visitors and other professionals, we can start to identify a cohort of young people who, at the moment, are not being identified until early years education or, sometimes, even later.
I congratulate my hon. Friend on securing this important debate. On pre-school and pre-early years, he makes an important point. A couple of constituents recently approached me with their son, who is pre-school age. As parents, they found it incredibly difficult to find the correct signposting for speech and language therapy for him. Does my hon. Friend agree that, although the increase in the number of health visitors may well help, it is imperative that they have the knowledge to allow them to refer parents and children on to the specialist help that can nip the problem in the bud and, therefore, prevent the significant problems he identified at key stage 4 and later life?
I entirely agree; indeed, I would go further. In Swindon, we are training staff in early years settings and children’s centres. We are training our health visitors in the skill of early identification and in the support strategies that can be put in place there and then. Despite the fact that Swindon’s child population is rapidly increasing—our population generally is increasing, and we expect it to grow from 209,000 last year to 240,000 in the next 15 years—the need for specialist referrals is staying stable. That is clearly important, because we are saving valuable resources by putting in early support to prevent issues from becoming acute and prevent the need for more specialist referrals. That is good for the child, good for the family and good for the provision of local services, at a time when resources are increasingly tight.
In that context, I am glad to commend my local authority for being flexible about the use of health and education funding, so that there is a link speech and language therapist in each mainstream school—in other words, the artificial division between sources of funding for health and education has been broken down, there is proper joint commissioning and people are intermeshed, rather than just working side by side. For example, speech and language therapists have been TUPE-ed over to the local authority, and there is a genuine coming together of services around the child. That must increasingly be the way forward for local authorities.
Let me deal briefly with the Children and Families Bill. In recent weeks and months, we have had much debate about it—I see that the hon. Member for Washington and Sunderland West (Mrs Hodgson), the shadow spokesperson, is in her place, and she joined in much of that debate in Committee and on Report last week—so I do not want to go over old ground. However, from the point of view of speech and language communication, it is important to deal with some of the concerns that remain, despite the general welcome for the Bill, and the warm welcome for the approach taken throughout Bill proceedings by the Under-Secretary of State for Education, my hon. Friend the Member for Crewe and Nantwich (Mr Timpson), who has responsibility for children and families, and for his engagement with the sector, as well as with families, children and young people who have an interest in, and passion for, this issue.
We have talked about early identification not only at pre-school level, but at the first opportunity, when the problem is identified. There are still concerns about how the Bill will ensure that the identification mechanisms will work across all phases of education. There needs to be clearer guidance across health, education and social care about how speech, language and communication needs are identified. Paragraph 11(a) of schedule 1 in the draft regulations in the indicative code of practice makes it clear that local offers must set out what speech and language therapy provision is available. That is welcome, but it would be helpful to have further clarity about how the draft regulations would ensure that those responsible for the quality and delivery of services can be held to account. The Minister has indicated that those are draft regulations and that there will be a full consultation later in the year, but today is a golden opportunity to highlight some of the work that needs to be done.
I have made the point many times to the Minister that it would be helpful to have a common framework in which local authorities could be guided to construct their offer. That would help us to have a consistency of approach to speech and language therapy. I am not asking for uniformity, but simply for a common framework within which local authorities can be guided towards best practice.
I welcome the Minister’s comments that children and young people with SEN who would not be eligible for a full education, health and care plan will continue to be tracked under the new framework, but further reassurances as to how that will function in practice would be welcome. We must avoid any compromise over the identification of the need. The imposition of a duty on health providers, which was the subject of an amendment tabled by my hon. Friend the Minister, was good news. That clearly reinforces the existing commitment in the Bill to impose a duty jointly to commission services. We had a long argument about the phrase “wholly or mainly”, and my hon. Friend the Minister is familiar with the issue. Until now, speech, language and communication needs have been identified as educational needs, and we hope that that will remain the case, and that it will be clear.
I welcome the declaration that communication and interaction are a primary need, in the draft code of practice, but there are concerns that the role of schools in SEN provision remains at the edge of the Bill; there is not a huge amount of detail about what responsibilities schools will have. That is important, bearing in mind the welcome move to the creation of academies and free schools, and the unintended consequence that that may have on long-term provision of speech and language therapy services locally. There is a tension, is there not, between the need to employ therapists on a medium or long-term basis and the short-term spending priorities of schools that must spend to budgets? Some further clarity about how academies can work collaboratively to commission services would be extremely helpful. It would regrettable if, through the welcome and admirable ethos of the new academy structure, we lost some of the long and medium-term thinking that is necessary in the commissioning of services from speech and language therapists.
My hon. Friend the Minister will, I know, update us on progress as much as he can, but I want to mention a couple of issues that I hope he will deal with. Early identification is the key to improving educational outcomes for children and young people with speech, language and communication needs, so will the Government introduce clear guidance to all health, education and social care providers on identifying those needs, to ensure that the needs of those we are dealing with—10% of the cohort—are met?
The creation of childminder agencies comes under part 4 of the Bill, but is relevant to the debate. I would welcome some clarity about how children with speech, language and communication needs will be identified and receive the support they need—particularly with respect to early years non-maintained settings.
Training has come up in some interventions, and I have already made a realistic acknowledgement of the limitations of resources. It is clear that staff knowledge of speech, language and communication needs is crucial for parents and young people with those issues. Currently, the universal work force has limited knowledge of speech, language and communication issues, and low confidence in identifying and supporting children with those difficulties—particularly hidden difficulties. However, historically, staff knowledge of speech, language and communication needs has been worryingly low.
That was demonstrated by research undertaken by Ofsted on the skills and knowledge of qualifying teachers, which identified that fewer than half had good or better skills, and concluded that
“not enough new teachers had consistent high-quality training during initial teacher education and induction to ensure that they developed good teaching skills, underpinned by a deep understanding of language development and the acquisition of literacy skills.”
Additionally, the research showed that 32%
“did not have sufficiently in-depth training in assessing pupils’ skills and knowledge in language and literacy to be able to use their judgements effectively”
for the planning of lessons and the provision of extra help. Evidence also shows that many early years staff feel inadequately equipped to help children with language delay, with more than 60% of teachers reporting that they lacked confidence in their ability to meet children’s language needs. Those are 2012 figures, so they are relevant and important. I should be grateful for further clarity about how teachers’ knowledge of speech, language and communication needs, and that of the wider education work force, is developing.
I join in congratulating the hon. Gentleman on obtaining the debate. Does he agree that UK devolution presents a double-edged sword when it comes to these difficult issues, in that the devolved institutions and the Westminster Parliament progress at varying speeds, but that we could benefit from best practice in the communication and cross-fertilisation of ideas and projects across the United Kingdom? That could only enhance the way we deal with the issues.
I agree with the hon. Gentleman and hope that the work of the communication council will include consideration of the devolved nations, Northern Ireland, Wales and Scotland.
I want briefly to consider low-incidence, high-cost specialist need, and approaches that can help with communications. One such approach is augmentative and alternative communication. It is estimated that about 0.5% of the population may need that approach at some point in their lives: that is about 260,000 children and adults. In addition, it is estimated that 0.05% of the population need access to regional specialised augmentative and alternative communication services, and communication aids. I am talking about the sort of technology that you may have seen, Mr Dobbin, when meeting speech and language therapists. It would include iPads, and apps developed to assist with communication. I have had a go at some of them; they are incredible, and, frankly, rather fun to use, to begin with. They are a great tool for young people, who are extremely adept at using the touch technology that is now available. The technology is evolving all the time, of course, and the problem for local commissioners is that often they make expensive decisions that quickly become obsolete. We must address that, and I would welcome support for local health and wellbeing boards to deal with such problems.
I congratulate my hon. Friend on his speech so far. Does he share my concern that many education authorities give children quite complex and expensive AAC equipment, which is removed when they leave the education system, leaving them bereft in adulthood? What thoughts does he have on how we can ensure a better transition for them from school to adult life?
I am extremely grateful to my hon. Friend and pay tribute to his work on the all-party group for young disabled people. He makes an excellent point. We need to think of new models and frameworks to deal with the issue of ownership of the technology. We should remember that some of it is expensive, and we cannot put an undue burden on the children and their families; however, perhaps with a joint ownership or lease-back approach we could make the transition to adulthood much easier for those young people. I would welcome further debate on my hon. Friend’s point about making sure that it is not all about the equipment, but about the young person. It is clear that as technology develops we can get things right and avoid expensive mistakes by local commissioners.
My hon. Friend the Member for Mid Dorset and North Poole (Annette Brooke) mentioned Ofqual’s proposal to remove the speaking and listening assessment from GCSE English language. There is huge concern that that proposal will damage one of the most important drivers for giving speaking and listening due consideration in secondary education, and significantly reduce the incentive to teach oral communication in schools; there will be no chain of accountability for pupils’ performance if that assessment is removed. I believe that that will lead to further disadvantage for the 10% cohort that we are so concerned about, and it could be considered an admission of defeat, as it suggests that schools and teachers cannot be held accountable for how speaking and listening are assessed. I would be grateful if my hon. Friend the Minister could comment on that proposal, and suggest a way forward that might ensure that those skills are still at the heart of secondary education in a way that meets the needs of children and young people who have speech, language and communication needs.
It has been a pleasure to open this debate, and I have spoken for a considerable time, but I will end on this note. I moved amendments to the Children and Families Bill on inclusion. At the time, I said that, in general, inclusion is not some sort of buzz word used by the politically correct; for tens of thousands of young people with disabilities, their right to access not only mainstream education services but mainstream social provision, and indeed a whole range of mainstream services, is vital if we are to value their contribution to society.
I will give an example of where I believe inclusion works well: a playgroup for young pre-school children that can incorporate speech and language therapy within its weekly schedule. What does that mean? It means convenience, not only for the child but for their family, who do not have to go to two separate appointments during the week, with all the concomitant disruption that that causes. That is what inclusion means, and I very much hope that, when the Bill is considered by the House of Lords, there will be a return to what I regard as the important and integral right for children and young people to be part of the mainstream of our society. That is what this debate is all about: children and young people attaining speech, language and communication skills, so that they can be part of the mainstream of our social and economic life. They deserve nothing less.
I congratulate my hon. Friend the Member for South Swindon (Mr Buckland) on securing this debate and on the way in which he raised these issues in relation to the Children and Families Bill on Report. I am sorry that I was unable to attend that debate, but I read his speech with great interest because I have been approached by a number of constituents about the difficulties they have faced with their children who have speech and language impairments.
As a consequence of those approaches, I convened a meeting in my constituency. The meeting was on the wider issue of autism, but nevertheless I heard many very moving accounts from parents about the difficulties they face under the current fragmented system, which makes it unclear to whom they can turn, and presents difficulties in accessing the help their children need. For those reasons, I welcome the recognition implicit in the Government’s introduction of the Bill that the current system for addressing special educational needs is not fit for purpose and that we need a system that better integrates the provision of services for parents and, frankly, just stops making it so difficult for parents to achieve what they need.
My hon. Friend, for reasons I understand, emphasises the economic benefits of ensuring better provision, but there is a more fundamental question about our duty as a society to ensure that parents who face difficulties that other parents do not face are spared being repeatedly put through the ordeal of finding it impossible, or at least very difficult, to access the services they need. The transitions through the different phases of a child’s life present repeated hurdles that parents must clear.
In the specific case of speech and language impairment, what do parents want to ensure? First, they want to ensure that the problem is diagnosed and picked up early. Secondly, the diagnosis having been made, they want to ensure adequate provision of the therapy and the particular, specific and, yes, sometimes resource-intensive services that such children need, without having constantly to petition different agencies and providers and without the difficulties that they have experienced. And thirdly, in the event that they do not feel a service is being provided adequately, they want to make certain that they have the ability to appeal, that the appeal is clear and that providers are therefore held to account for the services they are obliged to provide. We should judge the new measures in the Bill against the yardstick of those three tests.
I welcome the Bill and the Minister’s particular commitment to it and to these issues. He has made enormous strides in setting out a new approach that will produce a much better system. From his response to my hon. Friend the Member for South Swindon in Committee and on Report, I think the Minister recognises that there is still some concern about speech and language therapy and whether the new system will have the accountability that I describe.
I know the Minister is considering the code of practice, as my hon. Friend the Member for South Swindon mentioned. Will the Minister take this opportunity to reassure those groups and parents who are engaged with this issue that the move to the new system will indeed secure an improvement for parents and not make things more difficult for them? First, will the new system ensure that the issues that children might have are picked up at the earliest possible stage?
Secondly, will there be no room for doubt in the new integrated assessment, so that where speech and language therapy is identified as being needed, it will be treated as an educational provision that cannot be gamed or passed over by providers? The concern is that if that is not the case and if for some reason the existing case law that has built up in this area can be bypassed or ignored, parents will be left in a position of being told that a particular form of provision has been identified as necessary but that, because the provision is not held to be an educational provision, it will not actually be provided and will instead be passed over to another provider that sidesteps its obligation. The concern is that the Bill’s aim to ensure that there is an integrated assessment and that agencies work together, which is exactly what parents want, might be sidestepped.
Thirdly, as a consequence of ensuring that speech and language therapy is treated as an educational provision, where there is a lapse or where parents are unhappy with the provision, is the appeals system adequate to ensure that their concerns will be answered?
I know my hon. Friend the Minister has indicated his willingness to address those concerns, but there is still anxiety out there about whether the transition to a new system will produce exactly what the Government intend. The Bill is an important opportunity to achieve very different provision of essential services. We know the gains that can be made when the agencies work together, and we know that they can produce a tailored, integrated service that not only produces a better service for the children but hugely reduces the anxiety that parents face when they constantly have to navigate their way around the different services.
There is a huge opportunity here, but there is also a need to reassure parents about the move to the new system. If my hon. Friend the Minister is able to do that, with particular reference to the code of practice, and to address the concerns that my hon. Friend the Member for South Swindon has now raised on two occasions, I would be very grateful.
It is as ever a pleasure to serve under your chairmanship, Mr Dobbin, just as it is to debate matters with the hon. Member for South Swindon (Mr Buckland) and the Minister, which is just as well given how many times we have done so over the past few months. I congratulate the hon. Member for South Swindon on securing the debate and for his comprehensive and passionate speech. He is becoming a real expert on the issues we are discussing, for which he is becoming the go-to Member in the House, and he is to be commended for that. We had some good-quality discussions on this area of policy when the three of us served on the Children and Families Bill, with other Members—no longer in their place—who also served on the Bill Committee.
Today’s debate allows us to go into further detail, with specific reference to children and young people with speech, language and communication needs. The topic—to be more specific, speech and language therapy—was the subject of the first parliamentary debate that I spoke in as a shadow Minister, way back in 2010. That debate, which was secured by the hon. Member for Blackpool North and Cleveleys (Paul Maynard), who is present this morning, was oversubscribed, as he might remember, but we heard a lot of personal stories about the need for and the value of speech and language therapy, including from the hon. Gentleman and me.
I have a son who had speech therapy until the age of seven. Sadly, that therapy did not cease at seven because he was cured, but because we moved south to a London borough that decided his speech was within the normal realms. It was not, but that is what we call the postcode lottery, which we hope will be addressed to an extent by the local offers, especially if they are underpinned by a national framework, as we called for in Committee. I will return to that point in more detail.
Since I have been a Member of the House, there has been a small number of opportunities to debate and discuss this important topic, not least the excellent debate on the Floor of the House in the previous Parliament following the outstanding Bercow review into speech, language and communication needs. As we all agree, it was a seminal report on the situation throughout the country of children and young people with speech, language and communication needs and on the support, or lack of it, available to them. I am interested to hear an update from the Minister on where we are with regard to the recommendations made in the Bercow review and whether they have all been met or are under way. Once again, we have had an excellent debate, with a great deal of interest from Members in all parts of the House and some excellent contributions.
I am pleased that the hon. Member for South Swindon mentioned augmentative and alternative communication aids and equipment, because that area is often not discussed in the House, perhaps because it is so specialist. For the children, young people and adults who rely on such AAC equipment, however, it is fundamental to their lives and to the quality of their lives.
I recently had an Adjournment debate on that very subject, which was replied to by a Health Minister. Does the hon. Lady agree that part of the problem is the lack of clarity in Government about where AAC should sit? Should it be a Department of Health or a Department for Education priority?
The hon. Gentleman makes a valid point. As the name suggests, the education, health and care plans are a combination of education, health and social care. The Minister must be commended for his excellent work in that regard, to get the involvement of the Department of Health and that collaboration and cross-departmental working that in the past has been lacking, leading to confusion about whether AAC sits under Education or Health. I am sure that the Minister will respond to that point when he winds up. Under the new plans, I hope that things will become clearer, if only in the sense that the different parts of government work better together to meet the needs of the child or young person. The right hon. Member for Arundel and South Downs (Nick Herbert) asked for assurances from the Minister that the new system will bring improvements and not make it more difficult for parents to access the support that their child needs. We all agree that that is what we want to see from the new system, which I hope will be the case.
Speech, language and communication needs are highly prevalent: more than 30% of those on school action plus schemes have been identified as having speech, language and communication needs, and around a quarter have statements. Only 44% of pupils with speech, language and communication needs achieve their expected progress in English; as we heard from the hon. Member for South Swindon, even fewer—35%—do so in maths by the end of their school life. Even by age 19, little more than half those young people have achieved level 2 qualifications, which means a C or above at GCSE. Obviously, fewer still go on to get A-levels: just one in five young people with speech, language and communication needs has achieved a level 3 qualification by the age of 19.
Shockingly, those statistics suggest that speech, language and communication needs hold back children and young people more than other special educational needs and disabilities that we might otherwise think have a bigger impact on educational outcomes. The proportion of children achieving level 3 qualifications is lower for those with speech, language and communication needs than for those with hearing or visual impairment, multi-sensory impairment, physical disability, autistic spectrum disorders and specific learning difficulties. Such statistics clearly indicate that we have a real problem with how we provide support for such children and young people. It is therefore little surprise that they are so over- represented in exclusions from school and the youth justice system—about 65% of young offenders have speech, language and communication difficulties, according to the Communication Trust.
I am extremely grateful to the hon. Lady for those shocking statistics about 65% or more of young people in custody having such need. Is it not essential that we use the Children and Families Bill as an opportunity to reach in to those young people in custody, to rehabilitate them and to reduce the risk of reoffending? That is what it is all about.
The hon. Gentleman has made an excellent point, which we discussed at length in Committee and on Report. Noble lords will return to the issue in the other place, and Lord Ramsbotham will be seeking some commitment from the Government, specifically to amend or even scrap clause 69 of the Bill. The area is vital, and I am sure that we and others will return to it time and again until that figure of 65% comes down to a more representative level.
I am afraid that my point might be slightly political. Will the hon. Lady put some pressure on her Front Benchers about the Anti-social Behaviour, Crime and Policing Bill? They are opposing abolition of the antisocial behaviour order—ASBOs trap many young people with speech and language needs in a cycle of breach that ends up in imprisonment—and its replacement with the injunction to prevent nuisance and annoyance or IPNA, which will enable a positive requirement to be imposed on the individual and might help to tackle some of the conditions. Will she have a discussion with her shadow Front-Bench team, please?
The hon. Gentleman has made his point, but I will not test the Chair during this debate by expanding on antisocial behaviour or on my discussions of the subject with Front-Bench colleagues. The hon. Gentleman has made his point, however, and it will have been heard by my colleagues.
That failure—all those young people being excluded and ending up in the youth justice system and then adult prisons—is a significant cost to the public purse, through lost productivity and taxes from children not reaching their potential, and the cost of welfare or of keeping the young person in youth justice or in the prison system, if it comes to that. Therefore, early intervention and getting the right support in place as soon as possible are important not only to the individual child or young person, but to the whole of society. That is why I pushed the Minister so hard, as did everyone who spoke on these matters during Committee consideration of the Bill, on the provisions that will be in place under the new system, and particularly on the role that early years settings and early years area special educational needs co-ordinators working across those settings will be expected to play.
The Minister resisted my calls for local authorities to have a duty to co-operate with private, voluntary and independent child care providers with regard to children in their settings whom they believe to have special educational needs, saying that he believed it would place a burden on those providers. However, as I have heard from such providers, the problem is that they are often completely ignored by local authorities when they try to refer a child for an assessment or some other form of help. That is the problem that I was trying to solve with an amendment. I hope that our noble colleagues can address it in more detail in the other place.
I would also like early years area SENCOs to be given a statutory role to ensure that PVI child care settings are given the support that they need to identify and adequately cater for such children. As we discussed in Committee, the draft code of practice includes a heading on that role, which I welcome, although there is no content yet. I am sure that the Minister and his officials are working on that now, so I would be grateful if he could tell us what progress has been made on developing that guidance since our discussion in March.
Obviously, the vast majority of children and young people with identified SLCNs do not qualify for a statement at present, and will not qualify for an education, health and care plan when the new system is rolled out. At present, their teachers and parents have school action and school action plus as a graduated response to meeting their needs, which will become a single SEN category under the new code of practice. We are still not sure exactly how that will look in practice, but the Minister assures us that the 1.4 million children on school action and school action plus will continue to be supported, and we must take him at his word.
Clearly, though, the level of support that children receive will owe much to the quality of the local offer in their area, which is why I have sought at every stage of the Children and Families Bill to strengthen the wording of the legislation on that issue. In particular, the Minister and I, along with the hon. Member for South Swindon, have had many debates about what standards we should expect from local offers in terms of provision and accountability. I am sure that such debates will rumble on as the Bill continues its passage through the other place.
I reiterate a point made in last week’s debate by the Chair of the Select Committee on Education, the hon. Member for Beverley and Holderness (Mr Stuart). The success of this raft of reforms rests on getting local offers right. I do not believe that the Department for Education can afford to take the chance that 152 flowers will blossom if cash-strapped councils are left to their own devices.
Finally, teacher training is crucial in making every school a good school for children and young people with high-incidence SENs such as speech, language and communication needs; the hon. Member for South Swindon mentioned that as well. Every teacher is a teacher of children with speech, language and communication needs, but not every teacher knows how to be. Fewer than half of newly qualified teachers surveyed by Ofsted had good skills and knowledge of language development, and about one third did not have sufficient training to enable them to plan how to give such children extra help in the classroom. That is clearly not satisfactory.
Again, I feel that the Department for Education should be leading on that issue by requiring improvements to teacher training and continuing professional development so that every teacher has the skills needed to teach the class in front of them rather than just the subject. The Department is going in the opposite direction, saying that people do not need a teaching qualification to teach, or even to head a school in some instances. Labour Members restated our opposition to that idea this week.
That said, I hope that the Minister, outside the Children and Families Bill process, will consider our calls to make such improvements to the quality of the work force. He has made a lot of improvements to the Bill during his relatively short time in office, for which Members from all parties are grateful. During his remaining time in post, however long or short it may be, I hope that he will continue to listen to the concerns of parents and practitioners and take the actions needed to ensure that the unacceptable outcomes for children and young people with SLCNs that the hon. Member for South Swindon and I described will be improved in the years to come.
It is a pleasure to serve under your chairmanship, Mr Dobbin, for the remaining 35 minutes of this debate. I hope that my time in office will be longer than that, so I can reach the end of the debate still in post.
I congratulate my hon. Friend the Member for South Swindon (Mr Buckland) on securing this important and still timely debate—it follows Report of the Children and Families Bill last week—which has been well attended by Members on both sides the House. I know that he speaks from a voluminous amount of personal experience, as he does valuable work with children and young people with special educational needs and their families in his constituency.
As my hon. Friend rightly reminded us, he is also the vice-chair of the all-party group on speech and language difficulties. He has been championing the cause not just through that group but through the work that he has done on the Bill. As a member of the Committee that considered the SEN provisions in the Bill, he helped to shine a bright light on many of the key issues by tabling amendments and making wise and measured contributions to the discussions. I thank him again for his engagement. I also thank the hon. Member for Washington and Sunderland West (Mrs Hodgson), who has been another constructive participant in those debates.
I will try to cover as many of the points raised as possible. In the usual way, I will be happy to write to hon. Members to provide full answers if any points remain outstanding. I will deal at the outset with the specific points raised. The points made by my right hon. Friend the Member for Arundel and South Downs (Nick Herbert) on behalf of his constituents exemplify why it is necessary for us to push through these important reforms, so that parents in his constituency and across the country do not face the battles that form the downside of their experience in trying to access special educational provision for their children. Those problems prevent them from feeling that the system is working with them rather than against them, which happens on too many occasions.
The hon. Member for Washington and Sunderland West raised the importance of the local offer in trying to drive improvements on the ground. The local offer will set out in one place information about all the services that the local authority expects to be available in the local area and beyond for local children and young people with special educational needs and their parents. We have been clear in the indicative regulations that it must cover support for all children and young people with SEN, not just those with education, health and care plans. That could include provision from small specialist services providing outreach support to schools, such as those offering support to children using alternative and augmentative communication, as well as the provision normally available in mainstream settings and on offer in special schools and specialist colleges, including those in the non-maintained and independent sectors.
The local offer will also let parents know how to access services, what support is available to enable them to do so and what to do if they are unhappy with the support on offer. My approach is to make that engagement as clear and simple as possible for parents to access, so that they do not have to navigate through what I have described in the past as a labyrinthine array of different organisations and processes. We must have a single, easy entry into ensuring that those services are properly provided.
Regulations and a new SEN code of practice will set out a common framework for the local offer, but the key to the success of the local offer in each area will be the transparency of information and the involvement of local parents, children and young people in developing and reviewing it. That will help to ensure that it is responsive to local needs. Arguments have been made for stipulating minimum standards for the local offer. I believe that that would weaken local accountability and lead to a race to the bottom, as my hon. Friend the Member for South Swindon said in Committee.
We made an indicative draft of the code of practice available to the Committee to aid consideration of the SEN provisions in the Bill, and we are revising the guidance in the draft to take account of the points raised in Committee and the wider discussions that we are having and continue to have with others. To that end, I had a productive meeting recently with the Communication Trust, another key interest in the speech, language and communication sector. I also had the privilege, only last week, of visiting Springfield special school in my constituency, which makes excellent provision for children’s speech, language and communication needs, particularly for those who need alternative and augmented communication. If I have time, I will explain a little more about how that experience has enriched my understanding of this important area. My officials will shortly meet the Communication Trust and many of its constituent groups—I believe it is made up of 47 such groups—to discuss the code of practice. That will offer the opportunity to consider the guidance on the local offer and the issues raised this morning.
Important points were raised about the need to ensure that we identify and provide for children’s speech, language and communication needs as quickly and as early as possible. My right hon. Friend the Member for Arundel and South Downs and my hon. Friends the Members for South Swindon, for Mid Dorset and North Poole (Annette Brooke) and for Romsey and Southampton North (Caroline Nokes) all made that point.
Age two is an important time for children and their parents because it is when problems with language development and behaviour become readily identifiable and when intervention may be more effective than for an older child. That can make a real difference to a child’s future. The early years progress check that we introduced at age two and our work with the Department of Health to develop an integrated health and development review at age two to two and a half will make a real difference. Developmental delays, including in speech and language, will form part of that review and the training of clinicians will include assessing speech and language needs.
As my hon. Friend the Member for South Swindon said, by 2015, we will recruit and train an extra 4,200 health visitors to identify disability and special educational needs, to provide advice and support and to suggest activities to enhance language development and communication skills, including referral for speech and language therapy when appropriate. We have also commissioned the Early Language Consortium to deliver a £1.4 million three-year early language training programme to train practitioners to identify language development problems and to work with children and families. We aim to train nearly 13,000 professionals and to reach 95,000 families through that programme.
Ofsted evidence points to over-identification of SEN. The better communication research programme was funded by the Department for Education and arose from a recommendation by the Bercow review. We are continuing to take forward many of the key recommendations, including our work with the Communication Trust, our grants and contracts with the trust, to help to disseminate much of the good practice that came out of that research programme and to ensure that all that is brought together in one place, with the involvement of the royal colleges, and used effectively and pragmatically where we know it can make a difference on the ground.
That research also shows that some groups, such as those with speech, language and communication needs, are under-identified. We plan to replace the present system of School Action and School Action Plus in schools with new guidance to help schools to ensure that they identify children with SEN more accurately and put the right support in place as quickly as possible. The new SEN code of practice will include clear expectations for schools on the processes for identifying and assessing pupils, setting objectives for them, reviewing progress and securing further support. That will not change the legislative duties on schools to use their best endeavours to secure special educational provision, to have an SEN co-ordinator, to notify parents of such provision and to publish information on how they are implementing their policy on SEN and disability. Those are all set out in the Children and Families Bill.
The local offer presents clear opportunities for local authorities and schools to reflect approaches with good evidence of positive impact. I CAN’s programme, “A Chance to Talk”, which is supported by funding from my Department, is one example. It provides a comprehensive approach to children’s speech and language development across clusters of schools and through the involvement of NHS speech and language therapists. It incorporates a joint commissioning approach to ensure that children with the most complex needs receive specialist help at school. That is very much the model that my hon. Friend the Member for South Swindon talked about and it has flourished in his constituency. It provides flexibility in health and education, breaks down many of the barriers that my right hon. Friend the Member for Arundel and South Downs spoke about in relation to his constituency, and starts to bring about the culture change that we need to see on the ground.
Teachers tell us that the quality of their training is increasing, and many hon. Members have spoken about the importance of training the work force. Through the school direct programme, we are giving schools greater control over how they recruit and train teachers to meet the needs of their pupils. For example, ARK school is working with Canterbury Christ Church university to train 54 teachers through school direct. The programme includes intensive training during the first three years of a new teacher’s career, with additional training in inclusion behaviour and the teaching of reading and writing. They have a clear focus on SEN and equipping teaching to meet the range of pupils’ needs.
I am aware that the practical tools for schools developed by the better communication research programme, including those for developing communication supporting classrooms, are being widely disseminated by the Communication Trust as part of its work with the Department and elsewhere. The Department is also supporting the development of teachers’ skills in meeting SEN in other ways. A national scholarship fund for teachers has helped 600 teachers to obtain a qualification related to SEN, and there have been specialist resources for initial teacher training and new advanced level online modules for serving teachers, including on dyslexia, autism and speech and language skills. Funding has been provided for new SENCOs to complete the master’s-level national award for SEN co-ordination, with 10,119 between 2009 and 2012 and a further 800 in 2013-14.
Additional training for established SENCOs has been offered through NASEN, formerly the National Association for Special Educational Needs, to 5,000 teachers to date and there has been funding for several sector-specialist organisations, including the Communication Trust, to support the implementation of SEN reforms and to provide information to schools and teachers. The Institute of Education was awarded a grant in 2013-14 to explore the development of a scalable pilot to increase knowledge and skills in SEN within initial teacher training for trainees who wish to study this area in greater depth as part of their programme.
There has been a strong effort in initial teacher training and the current work force to develop skills and expertise in special educational needs, so that the ambitions set out in the Green Paper are reflected in the draft code of practice, which states that all teachers should be special educational needs teachers. That is becoming a reality following the work that I have mentioned.
A key change to the Bill, which several hon. Members have mentioned today and in Committee, is the introduction of a specific duty requiring those responsible for commissioning health provision to secure the health care provision in education, health and care plans. That significant change has been acknowledged and widely welcomed. The new duty builds on the joint commissioning duty in the Bill which requires local authorities and clinical commissioning groups, as well as NHS England when appropriate for national commissioning, to assess the needs of the local population of children and young people with SEN, and to plan and commission services to meet those needs. Joint commissioning arrangements must include those for securing education, health and care needs assessments, and the education, health and care provision specified in education, health and care plans. The new health duty requires health commissioners to ensure that the health care elements of those plans are provided for each individual. That provides direct clarity to parents that the support their child needs will be provided.
My hon. Friend the Member for South Swindon raised particular concerns in Committee, on Report and again today about clause 21 of the Bill and about when health provision is to be regarded as special educational provision. My right hon. Friend the Member for Arundel and South Downs also made that point. Clause 21(5) states:
“Health care provision or social care provision which is made wholly or mainly for the purposes of the education or training of a child or young person is to be treated as special educational provision”.
That was included to fulfil an undertaking I gave during pre-legislative scrutiny that we would maintain existing protections, including case law, and preserve the current position where there is no duty to secure the health provision in plans.
Under the broader, integrated assessments and plans in the Bill, decisions will be based on special educational, health and care provision. Without clause 21(5), it may be difficult for a tribunal to say that, although speech and language therapy is health care provision made by health care providers, it is in fact special educational provision. The clause also enables appeals to the tribunal in respect of health provision when it is defined as special educational provision, as now. However, as I said on Report—I am happy to reiterate it for the purposes of this debate—we want to get things right, so that the position is clear for parents and for young people and children with a special educational need. I am content to continue listening to the views expressed in this House and in the other place to ensure that that is the case.
I applaud the Minister for his efforts, but will he look again at the Bromley case that I referred to on Report? Although I accept that it was in the context of the old system of statements of special educational need, there, we had a very clear exposition from Lord Justice Stephen Sedley, as he then was, of what is necessary for the purposes of provision. As for my wording, I agree that just removing “wholly or mainly” may not be the right approach, but we all need to strive together to get the wording absolutely right, so that we avoid the nice legal arguments that the Minister and I might enjoy academically, but which are no good to families.
As ever, my hon. Friend makes an excellent point, which reminds us lawyers that sometimes we need to look beyond the boundaries of a legal document and reflect more on what it seeks to achieve, as a way of ensuring that it does what we intend it to. I will look carefully at the Bromley case that he mentioned, not only in context, but as a demonstration of where we need to think through the implications of the clause as drafted to ensure that some of those eventualities do not still pertain in the new environment and in the reformed system that we all want to see work. I am happy to do that, and I have clearly indicated my intent to continue thinking carefully about how that aspect of the Bill will fulfil all those objectives.
I completely agree with my hon. Friend and with the hon. Member for Washington and Sunderland West that young offenders, including those with special educational needs, need to receive the right support and access to education, both when in custody and when they return to their communities. Clause 69 is necessary because it prevents our legislation from coming into conflict with existing comprehensive statutory provisions governing how education support is delivered in custody, as set out in the Apprenticeships, Skills, Children and Learning Act 2009, which I am sure the hon. Lady remembers well.
Duties placed on local authorities by that legislation are fulfilled through contracts held by the Education Funding Agency that are funded by the Ministry of Justice. As hon. Members will know, the MOJ is clear that the current system is not working, which is why it recently consulted on transformational reforms to how education and support in youth custody should be delivered in future. I have ensured that the education element for children, including those with SEN, in the care system and elsewhere, is being properly considered as part of the review. That provides an important opportunity to be absolutely clear about what role the time that a young person spends in custody plays, both as a form of punishment and in rehabilitation, so that when they come out of custody, they have every prospect of moving on in a positive direction. We have done that elsewhere in the prison estate. There are some good examples, but we can do much better, which is why I have given a commitment to my hon. Friend the Member for South Swindon that we want to make progress, both in my Department and across Government, as the Bill moves on and as other work is done by the Ministry of Justice on the consultation that is taking place.
I know that the Minister was a family practitioner, but does he agree, perhaps from his experience dealing with criminal cases, that, very often, crimes of violence are precipitated by communications misunderstandings and young people resorting to using their fists—or worse—instead of being able to communicate with each other to resolve any differences?
My hon. Friend is absolutely right. He will know—as do I, from my family’s experience of fostering many children—that some manifestations of the inability to communicate result in outbursts of anger. I have spoken before, on one occasion, about when someone who appeared to be, on the surface, a quiet, unassuming young man ended up smashing every single pane in my Dad’s greenhouse, because he did not know how else to communicate his anger, frustration and worry about what had happened to him in the past. I am very alive to that fact, which is why I am determined that we make progress in that important area.
I agree with my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard)—I am looking forward to coming to his working group later today on speech, language and communication needs—on the importance of ensuring that children and young people who need specialised communication aids have access to them. I know that he has raised that vociferously on a number of occasions, including in Prime Minister’s questions, in which the Prime Minister was clear that he wanted to help bring about the important changes that my hon. Friend wants.
My hon. Friend made the point about whether the interest in Government in the issue lies in health or education. The best answer I can give is that it is in both, which is why, in both those Departments, there is a strong interest from Ministers, who work not only individually, but collectively. I have met the Minister of State, Department of Health, who has responsibility for care, on a number of occasions to discuss that and other matters that transcend the Children and Families Bill, to ensure that we are moving in the right direction and in a way that will bring about the best results.
For lower-level alternative and augmentative communication needs, it will be up to health commissioners and their local authority partners to work together—we should lead by example by doing that in national Government—to ensure that the right services are in place locally to meet the needs of the population, and to reflect those services in the local offer. Highly specialist services needed by only a very small number of children will be commissioned centrally by NHS England, as my hon. Friend will know.
Prior to 1 April this year, there was no national commissioning of AAC services. There was no standard or nationally consistent definition of the services that were the commissioning and funding responsibility of the NHS. As a result, there was variation in organisations and in the commissioning and funding of specialised AAC services, and inequitable access to such services. A key priority must be to ensure that commissioning arrangements for specialised services are placed on a much more robust and equitable footing across England. That is currently being undertaken by NHS England’s area teams.
Work is under way to establish the required baseline for AAC services. Area teams are working with colleagues in clinical commissioning groups to identify the value of contracts for communication aids. My hon. Friend the Member for South Swindon mentioned the work of the former communication champion, Jean Gross, whose 2010 report suggested that a national budget of £14 million was required for 2012 to 2014 to bring the required baseline into effect. Working with experts on its AAC sub-group, NHS England will be looking at the report’s assumptions and other available data. We need to be clear that the progress on AAC has to be fulfilled to a degree that ensures the greatest level of equitable access that we can achieve. The development of the national commissioning of those services provides an opportunity to have much more consistency. I hope that that will be an important step forward.
One reason why I am pleased to support my hon. Friend the Member for Blackpool North and Cleveleys in trying to improve the situation is that I saw for myself, on my visit to Springfield school in Crewe, some of the incredible aids that are now available. Those are quickly coming on stream all the time. I was given a number of demonstrations involving buttons and click mouses, and I was also told about gaze technology—I confess that I cannot remember the exact phraseology, but that is the term that I have decided to use—in which the length of time a person keeps their eyes fixed on the screen determines their command to the device. That is an astonishing way of providing anyone, whatever their level of communication, with an opportunity to communicate.
As the technology advances, some of the costs of the technology, certainly in the early stages, prove quite significant, so we need to think carefully about how we ensure, as my hon. Friend rightly said, that the equipment can still benefit the individual as they move on from compulsory education and, we hope, make the transition to a fulfilling adult life.
There was recently a reception, which some hon. Members may have gone to, about the gaming industry. One company there, SpecialEffect, is developing some of this eye-movement technology. It works in the gaming industry, but also on the educational opportunities provided by that technology. A lot of people may think that gaming is not necessary, but this is a very important move, with regard to cohesion, and young people feeling included in society, and able to play games and take part in other online activities in the same way that their peers can. The cost of the technology could be prohibitive, so I am pleased that the Minister is aware of it and has availed himself of it. I hope that we can ensure that where these technologies can help children with their education and the social aspects of their life, they will not be deemed too prohibitively expensive all the time.
The hon. Lady is a great advocate of the role that information technology can play in the lives of many children and young people with special educational needs. That even led to her persuading me, in Committee, to include elements relating to IT in the code of practice. This is another example of where we have the chance to widen the opportunities for many young people with speech, language and communication needs who, not many years ago, would not have had any of that at their disposal. Yes, there will be costs that must be taken into account, but with some of the new commissioning arrangements that are coming on board, including the joint commissioning in the Bill, and with personal budgets, there is a raft of ways in which, with the right support, many families can start to consider that as a reality, rather than a pipe dream. It is incumbent on all of us to think carefully about how we can help them to achieve exactly that.
I want to touch on an important issue that my hon. Friends the Members for Mid Dorset and North Poole, and for South Swindon, touched on—the Ofqual consultation proposal not to assess formally speaking and listening skills at GCSE. Clearly, pupils need speaking skills for their future progression, and employers value good communication skills and want them to be taught. The subject content of the new English language GCSE will strengthen the requirement to teach pupils how to become more confident in using spoken language in formal settings. The key point is how speaking skills are taught. Often, we dwell on the subject matter, rather than how that will be put across and absorbed by each individual child in such a way that it will endure. We do not want it to be just an exercise in process.
Improvements to the new national curriculum key stage 2 and 3 programmes of study for English will result in students being better prepared for the start of their GCSE courses. We do not want to undermine the robust standard of this subject by including assessments that cannot be externally validated, and that is reflected in Ofqual’s proposals. We have consulted organisations representing students with special educational needs as part of the equality analysis that we published in March. Overall, we believe that the benefit to all students will be positive. Students will follow more robust and challenging GCSE courses that will have real value for their future progression to further education and employment. Those with special educational needs can, through the Equality Act 2010, be supported in their exams through reasonable adjustments, such as extra time or supervised rest breaks. Ofqual, as the independent regulator, will monitor access arrangements and reasonable adjustments as the reformed GCSEs are introduced.
The consultation is still open. I know that the Communication Trust and others have submitted their own reflections on the proposals, and I have no doubt that Ofqual will take those reflections extremely seriously. We shall have to wait for the outcome of the consultation to see what steps are to be taken next, but it is important that Members of the House have the opportunity, both through the consultation and through the debate today, to make their feelings known, so that every angle is properly considered when understanding the ramifications of any changes on which Ofqual is consulting.
The changes that we are making in relation to special educational needs through the Children and Families Bill and through the 20 pathfinders across 31 local authorities are a key feature of our determination to ensure that all vulnerable children, whatever their background, have the chance to reach their full potential, not just in their education but in their wider life socially, culturally and otherwise. It is encouraging that we have reached the halfway point of the Bill’s passage and there is strong consensus on much of what it is designed to achieve and how we are going about that.
We are not talking about a small cohort of children in our country. We are talking about a significant number of children, and as my hon. Friend the Member for South Swindon rightly pointed out on a number of occasions, we have a duty to ensure that they have every opportunity to reach their goals, academic or otherwise, that we would want for our own children. I know that as the Bill moves on, many Members here and in the other place will want to continue this dialogue, which has been extremely constructive to date, to ensure that we meet our responsibilities in Parliament to provide the best possible framework for the local agencies that are working so hard on the ground, in the public, private and voluntary sectors, to help to bring about these important changes. I am confident that we have set our stall out in a way that will drive reform and bring about the culture change that we all want and that, as a consequence, many children and families will feel that rather than the system working against them, it is much more on their side.
We are already starting to see, in some of the evaluation of the work that the pathfinders are doing, reports from parents who are starting to feel more included. They are being properly consulted. They are seeing changes in attitude, particularly in the health service, towards their involvement in not just the assessment process, but the delivery of services. The building blocks are starting to be put in place. Some of the relationships are starting to be recalibrated and are starting to mesh; my hon. Friend the Member for South Swindon said that was happening already in his constituency.
We still have a huge amount of work to do. We are under no illusions about the fact that it will be a monumental task for all of us to ensure that this is a lasting and fulfilling change for many families, but the signs are encouraging, and I look forward to working with hon. Members on both sides of the House to continue to do all that we can to ensure that these important reforms really do hit the mark.