Agenda item 2 is our third evidence session on the Victims and Witnesses (Scotland) Bill. As the session will be in round-table format, I start by asking people to introduce themselves. I am the MSP for Greenock and Inverclyde and I am the committee’s convener.
I am the head of service for adult disability services at Quarriers.
I am an MSP for Glasgow and I am deputy convener of the committee.
I am chief executive of Kibble.
I am the head of safeguarding for the Church of Scotland. I am representing the Church of Scotland and CrossReach.
I chair the Catholic church’s authorised listeners group. I am here to speak on the bill.
I am an MSP for Glasgow.
I am the member for Clydebank and Milngavie.
I am an MSP for North East Scotland.
I am public affairs officer for Barnardo’s Scotland.
I am the MSP for the Kirkcaldy constituency.
I am an MSP for North East Scotland.
I am an MSP for South Scotland.
As people might have observed in our previous evidence sessions, we will start with the general context of the work that has been put in, with the involvement of various parties, during the consultation on the bill. Do people believe that the work that has been put in gives us a good context for going forward? Does anyone want to take up that general question?
It is good to be part of the process, and it is good to be here today. We have come a long way. Following the questions in the consultation that were formulated to inform the legislation on the national confidential forum, we now have the bill, which is being considered at stage 1.
Does anyone else have comments?
This might be an opportunity for me to say a little about how Quarriers has been involved to date and to introduce why we feel that we have been invited here.
I have a follow-up question. From the involvement that Quarriers had in the initial pilot, what benefits and challenges did you face as an organisation? Others might also want to comment on that. What benefits or challenges were there in that process?
In the initial stages, there was a degree of anxiety about opening ourselves up to interrogation, in some ways. However, we learned that a foundation of the process was its totally confidential nature and—we learned this strongly—that the process put the individual at its heart. It should be about the needs of only the person who has been abused in the past. Once we understood that clearly, it was easy for our board of trustees to agree to participate in the forum.
Do the other witnesses have views on the process and whether it offers a good grounding from which to proceed with the bill?
I am from Kibble, which dates back to 1857 and is based in Paisley. Miss Kibble, the daughter of a wealthy textile entrepreneur in the town, was worried about young people in prison. She established what was initially a farm school, which later became an industrial school and then an approved school. Today the organisation is much wider, but we still have a significant number of residential places.
I am representing the Church of Scotland. I am head of safeguarding, which covers child and adult protection for the church.
We agree with a lot of what has been said today and in previous evidence sessions. We certainly support the NCF and believe that it would be a great therapeutic help to some survivors. However, we also agree with the Scottish Human Rights Commission and lots of other organisations that some of the proposals do not necessarily go far enough.
I will echo something that Richard Crosse said about having safeguarding listeners in place. In the Catholic church we call them something different—authorised listeners—but the process is the same: listeners are in place throughout Scotland and it is a bit like the national confidential forum. People can come forward and there will be someone placed in their diocese to listen to them and signpost them to where they might need help after that. Listeners would try to help people with counselling or whatever their need is.
The suggestion has been made that the bill should have an obligation for the national confidential forum to refer any criminal activities automatically, no matter what. What are the panel’s views on that?
I agree with that. As has been said in evidence at previous meetings, confidentiality goes so far, but it is never possible to give a full guarantee of confidentiality when it is suggested that there is evidence that people, in particular children, might still be getting put at risk—possibly because someone who is still working with children has been named.
I noticed that, in part 6 of proposed new schedule 1A to the Mental Health (Care and Treatment) (Scotland) Act 2003, which the bill will insert, paragraph 13(4) says that the national confidential forum “must disclose” information to prevent a crime from occurring if its members feel as a result of information that has been disclosed that somebody else is at risk. Paragraph 13(5), in relation to historical abuse, says that the NCF “may disclose” information relating to a suspected crime from the past. That “may” should perhaps be a “must”.
I agree with what has been said, but it brings up another important element: the support that is provided to survivors who could give their accounts. If that information might be referred on to the police or others, adequate support is required before, during and after the survivor has given their account, to ensure that they are fully aware of what is happening and that they get any particular support that is needed. If they need particular mental health or therapeutic support, they should get that support as part of the process. That is crucial.
In our view, the police would have to be involved. One lesson that has been drawn from investigations is that they have often not been well conducted—for the accused and the victims. Special training needs to be given to the police involved. As for other types of investigation, we would expect some specialist inquiries to be held. That is essential if justice is to be seen to be done for everyone.
I just want to build on a point from Barnardo’s. At the outset, survivors who attend the national confidential forum should be made aware of the limits of confidentiality, and no surprises should be sprung on them. They should enter into the process knowing what the outcome might be if the information that they provide suggests that a crime has occurred and that others, or they themselves, might still be at risk.
Further to that point, we recognise that many people find it difficult to engage and that starting the process is the hardest step. If there was a definitive statement that referrals to the police would be automatic for historical incidents, my view and that of others would be that some people would be unlikely to take that first step.
Does Mr Wells want to comment on that?
I was not going to comment on that specifically but, in some ways, other safeguarding responsibilities that are on us almost lead to the fact that the word has to be “must”. That is because of legislation that we and local authorities need to work to.
Does anyone else want to follow up Gil Paterson’s point about the use of “may” or “must” and whether the provision could become a barrier? People will perhaps enter into the process because it is not a legal one. It will be in confidence and will not be in public or in the papers or the courts. Is there a contradiction in our feeling that the need to prevent people from perpetuating such trauma and abuse should overcome the needs of those who want to speak about the issue for the first time, put something on the record and have their trauma acknowledged? Is that a big issue?
It is helpful for people to come forward and tell their story, but I know that trying to ensure that such abuse does not happen to anyone else is high on the agenda. That is one thing that people say, and it can sway people in making decisions on passing information elsewhere.
The message that we have had from previous panels and, I think, again today is that, when the person at the centre enters the process, they should fully understand its limitations and extent. That is the key point. Who would provide that support? How do we ensure that such support would be provided to the approximately 1,000 people who—as I think we heard last week—could be involved? Who would be the best people to provide that support? Where are they?
The well-established and well-regarded survivors organisations in Scotland would perhaps be well placed to assist with that process. The starting point is probably to get views from survivors on—and assess—their needs and the type of support that they want, and tailor a service to meet those needs.
We are discussing whether that would be a barrier to an individual. Presumably, people could go to the police at any time—they could go to the police tomorrow; they do not need a confidential forum to do so. Although some criminal investigations flowed from the pilot, I thought I heard the witnesses say that, for the majority of people, an acknowledgement of their trauma and their experience was enough.
That was in Tom Shaw’s report and in the evaluation—to which I referred earlier—by the Scottish institute for residential child care. Quarriers itself did not meet those individuals, because we were not part of the time to be heard process in that way, so I cannot speak for them. I am speaking about what I have read in the report and in the evaluation.
It was clear from some of the people who have already given evidence that there is no single answer. In fact, the evidence from most people seemed to suggest that different people wanted quite different things. Some quite understandably wanted nothing to do with their previous care provider, but there appear to be others who feel a sense of affinity with the organisation in spite of what individual carers may have done.
I am interested in hearing the panel’s views on the eligibility criteria that the bill sets out, particularly in relation to age—that the person should be 18 or above—and the definition of “institutional care”, which specifically excludes the foster care that Graham Bell just mentioned.
That is a good question on the scope of the bill with regard to age. Perhaps Jean Urquhart would like to comment.
No doubt the national confidential forum reference group’s long and wide-ranging discussion about age eligibility will be reported, but what came out of it was the fear that people with a valuable story to tell—for example, the 16 and 17-year-olds who are just out of care—could be missed. When we debated the issue, I wondered whether there could be an exceptional circumstances caveat. The group kind of agreed that it would be exceptional for a 16 or 17-year-old just coming out of care to talk about these matters—they might not want to know anything or even speak to anyone about them—but it would be good to have a caveat in exceptional circumstances so that a younger person could be given the opportunity to speak to the forum. If we are all about plugging gaps, that would certainly be one to think about.
We agree that consideration should be given to the under-18s. The matter is not only complicated—after all, these people might still be in care—but challenging, and if the age limit were to be lowered we would need to be careful that adequate, appropriate and proper support and services were available to the children in question.
I understand why the bill is about institutional care. The messages that we send out are important and, speaking as a former foster carer and as an adoptive parent, I think that given the sheer scale of the numbers of youngsters involved it would be naive to think that everything is in the past. How the bill is constructed will be important in establishing the openness and transparency that we will want things to be dealt with in future. However, in dealing with certain foster care issues, we might well require a different approach from that taken in relation to residential institutions.
We do not have a particular view on the issue of lowering the age of eligibility. In some ways, it is a bit of a technical issue about the definition of a child. The key thing is that, no matter who the person is or how old they are, they know that they have somewhere to go and someone to speak to.
I agree with Jean Urquhart that provision should be made for 16 and 17-year-olds. I note that one of the NCF’s general functions is to identify any patterns or trends in the experiences of those placed in institutional care and to make policy and practice recommendations. Even if only a handful of 16 or 17-year-olds had something to say about their experience in residential care, that would still be data about patterns, trends and changes to policy that might be required, which would otherwise be lost. It does not seem a terribly good idea to suggest that they come back when they are 18. That said, I can see why the Scottish Government wants to regularise the definition of a child; after all, various pieces of legislation define children as being up to 18, up to 16 and so on.
Does anyone think that the scope should be extended to kinship care?
I said that there are different kinds of foster care, and kinship care is one that I was thinking about. I do not know where the boundary should be.
Are there any other responses on kinship care?
Can someone remind me of the definition of kinship care?
I do not know what the formal definition is, but I presume that it involves people being cared for by relatives.
Bob Doris will help with the definition.
The Children and Young People (Scotland) Bill, which is, of course, currently going through the Scottish Parliament, reviews the matter, but there are two definitions. A child can have a permanence order or can be a looked-after child who is placed with a family member. There is also a range of informal kinship care arrangements involving social work placements in which the state technically does not have a looking-after, corporate parent role. I hope that that helps with the definitions, but I am afraid that it does not make things less complex.
In that context, I wonder whether the key is who has placed the child in the family setting and what measures they have taken to ensure that that setting is and continues to be safe. That might be a pointer to who may have some responsibility if things go wrong or become harmful.
As Bob Doris mentioned, there are complexities in relation to the scope of the legislation and challenges for those who are drafting it.
On the observations by people who took part in time to be heard that they could not identify their testimony in a report, I do not know whether that was deliberate or a matter of editing. Some 98 people were seen. If people wish to recognise their testimony so that they can ensure that the report truly reflects what they said, and if that could be built into the process, that would be appropriate.
On anonymity, it must be made clear at the outset to those who participate what they can expect, how the process will work and what the outcome will be. That is crucial to ensuring that, at the end of the process, the survivors who participate feel that they got what they needed out of it.
I know how important it is for people, once they have made the decision to speak, to feel that they have been heard. One way that they know that they have been heard is if they recognise some of their words in the report. I guess that it might be impossible to have every word that everyone said in a report, but the suggestion was made at the reference group meeting that a code known only to the person who spoke could be used to signify to them that certain words were their contribution.
I understand some of the concern about the matter being seen as a mental health problem. Survivors see themselves as being stigmatised by having been in care and then having been abused. A strong feeling has come through from them that that stigmatisation continues because of the link that people make with mental health. We can try to be as professional about it as we like, but the moment that we put it in that bracket, people will feel like that. I am not sure that I have an alternative, but I understand perfectly well why people are concerned about that.
We have a couple of questions about the annual report of the national confidential forum, for which the bill makes provision. Graham Bell suggested that the annual report could help to raise awareness, be a preventative tool and bring wider acknowledgement, and I think that it was Richard Crosse who referred to the current situation and asked what recommendations can be made as a result of the acknowledgement of problems.
Its most important task is to keep the matter on the public agenda, as part of creating the sense that it is no longer hidden. That is its fundamental value, but it also needs to be clear about what is being done to assist and support survivors.
I was just thinking that, if this were education, we would expect to see learning outcomes. We should expect the annual report to set out what has been learned, what trends have been identified and what the policy outcomes might be. That would certainly be useful.
Survivors and survivors organisations will look at annual reports to see what the outcomes are. Given that the term “outcomes” is just jargon for how needs have been met, I think that it would be good if the annual report could say that X number of survivors had contact with their care providers and that the outcomes were, for example, access to records, a period of professional counselling or just an acknowledgement by the care provider. Those are the measures that I think survivors and survivors groups would look for.
The annual report must, year on year, add to our knowledge of the issues that people have faced and are facing. It is also worth considering building into the process some periodic and independent evaluation to ensure that we can be confident that the forum is achieving what it sets out to achieve.
The outcomes issue is really important and, if presented in the right way, the annual report could be useful in encouraging others to come forward and give their own accounts. After all, they would be able to see that the system works and that their contribution would serve a purpose. We should also ensure that any document comes in a friendly format that helps to encourage people, is put where they can find and read it and lets them think about coming forward themselves.
I have a final question to cover the range of issues that we are examining. We have already talked about support for people entering the process and have heard evidence that people can feel tremendous relief and euphoria in getting a weight off their shoulders that they have not told anyone about. However, does anyone have any thoughts on the question of aftercare and the provision of support not just prior to but after the hearing in order to deal with any consequences that might arise?
I can perhaps say a little bit about the experience of Quarriers and highlight an issue that has not been discussed. Built into time to be heard was an entirely voluntary restorative justice pilot that was delivered by Sacro and which people could opt into if they wanted to take a closer look at the matter. Essentially, people met trained Sacro counsellors to explore the issues further and discuss what they might be looking for in going to the next stage of restorative justice. My understanding of the pilot’s outcomes comes purely from Sacro’s evaluation report, but of the 98 people involved in time to be heard 15 opted to have a further look at whether they wanted to pursue that route, a number that was considered to be higher than might have been experienced in other restorative justice programmes.
Did the process reawaken issues for individuals, or did it enable them to find services that they had not known existed? Was work done on that? Are we creating a problem or are we solving one by doing what we are doing? That is the conundrum.
The same question could be addressed to the whole time to be heard process. I think that for one or two people, it reawakened things. Clearly that was part of the point, in some ways; the idea was to give people the opportunity to talk—in some instances for the first time. There are some moving stories in the report from people in their 80s who talked, almost for the first time, about experiences that they had when they were 10, which they had carried with them for such a long time.
Gerry Wells’s point about the need to build in support is probably where there is currently a weakness in the system—that takes us back to the point that was made earlier. That is why I urge that there be guidance, for example, to help care providers to make the link between the national confidential forum and what they can provide in the context of their responsibilities. I talked about the Church of Scotland’s safeguarding service. That is just part of a response procedure that we have put in place to help people to identify their needs and to help us to meet them, where it is practical and reasonable to do so.
It is worth remembering that when people come forward there is sometimes an immediate reaction, but sometimes it takes time. We need to be aware of that. Reports are sometimes written quite quickly, which means that they miss reactions that come later in the participants’ lives. That is why care has to be there during and after participation. The reaction might set in much later.
If no one else wants to comment, it remains for me to thank you all for coming and for your written and oral evidence. If you want to raise issues that were not covered this morning, please do so. We encourage you to observe the evidence that we take over the next couple of weeks and to feed back to us informally, to ensure that we take account of your views before we publish our report. Thank you very much for your time.
We now move to our second panel on the Victims and Witnesses (Scotland) Bill. As usual, we will begin this round-table session with introductions. I am Duncan McNeil, the MSP for Greenock and Inverclyde and the convener of the Health and Sport Committee.
I am an MSP for Glasgow, and deputy convener of the Health and Sport Committee.
I represent the Care Leavers Association.
I am the head of inspection for children’s services and criminal justice for the Care Inspectorate.
I am an MSP for Glasgow.
I am director of strategic development and depute chief executive of the Care Inspectorate.
I am the member for Clydebank and Milngavie.
I am an MSP for North East Scotland.
I am the MSP for the Kirkcaldy constituency.
I am an MSP for North East Scotland.
I am an MSP for South Scotland.
Duncan Dunlop is still trying to get here. There has been a slight delay, but we will proceed in hopes that he will make it in time.
I will keep the first question relatively general. As we know, the national confidential forum is based on the time to be heard pilot. That information has been evaluated and published. Do our witnesses believe that the time to be heard pilot was a good basis on which to take forward the national confidential forum? All the provisions in the bill clearly follow from that.
It has been a long 10 years. Organisations and individual survivors have all worked really hard. Now, organisations such as Quarriers are on board and we have moved slowly through the processes.
I do not like to say this at this point, Zachari, but at the first round-table session, we made the point that the committee has been asked to specifically consider the health-related aspects of the bill. We are not trying to dodge issues relating to justice, however, and I am grateful that you have put that point on the public record.
The Care Inspectorate welcomes the proposals to establish the national confidential forum as an independent and impartial forum. The time to be heard pilot gave us evidence of the health and wellbeing benefits for people who participated in the pilot study.
I will move the questioning on. We want to keep the questioning open because we want to give witnesses an opportunity to express what they feel needs to be expressed about the bill.
Good morning, I am Duncan Dunlop from Who Cares? Scotland.
Does Jacquie Pepper want to comment on the justice aspect that has been referred to?
I heard the evidence that was given earlier and the questions about whether the national confidential forum must make representation to the police when it is concerned. Provision could be made to allow people to give testimony in a confidential manner and to cover circumstances in which there are current concerns about an immediate risk to a child or a vulnerable adult. We need to balance that with the rights of an individual not to involve the police. It is a delicate balance but it is possible to make such provisions.
Does the bill make such provisions?
It does, but we need to ensure that we are thinking not just about children; we need to think also about vulnerable adults as being at risk, and that needs to be explicit.
We need to recognise that the mental health of survivors or care leavers of all ages has been affected by their involvement in the pilot forum. Without redress or access to justice—although it is a separate issue—people have been retraumatised and the process has affected many of the survivors who have fought long and hard to access those areas. There needs to be clarity about what the national confidential forum is and what it is not, what can be offered and what is not being offered, and what support there will be before, during and in the long term after the process.
I am just trying to work out what is happening. Usually the committee witnesses are much more strident about expressing their views. I realise that this is quite a sensitive bill and I am tempted to go through some of its individual provisions and to give the witnesses a chance to comment on them.
The Care Inspectorate certainly welcomes the fact that the body is to be situated in the Mental Welfare Commission, which clearly has the expertise to support it. We concur with the earlier evidence on the positioning and the body’s perhaps being a subsection of the Mental Welfare Commission. The important point is that governance arrangements are set up to ensure that the forum remains independent and impartial and that people are not stigmatised, as was suggested earlier, because of their mental health issues. However, we believe that the Mental Welfare Commission is well placed to provide that support.
The Care Leavers Association also supports that, although the governance arrangements are important. However, we also need to recognise that care leavers and survivors have had poor and negative experiences with mental health service providers. Some survivors are surviving and indeed striving, yet the issues of abuse are still prevalent in their lives. They might not want to be labelled as being in mental health services.
Bob Doris wondered why we were not being vociferous enough, but perhaps this gets us to that point. Perhaps this is the wrong time in the discussion to make this point, but the mental health issue is an interesting one when we look at the overarching state of young people who are in care. The target is to get waiting times for access to child and adolescent mental health services down to 26 weeks. For an adolescent, 26 weeks is a long time, but some people wait well over a year to get access to the service.
I completely agree with Duncan Dunlop.
I thank Mr Dunlop for his passionate response—I asked for people to be more strident and that certainly was passionate and well put. Obviously, we have a duty to scrutinise the bill, and that is the main part of what we are doing here. However, one of the provisions is on an annual reporting process. Zachari Duncalf mentioned the ability to learn from what has happened to young people in the care of the state not just in the past few years but over generations. How should the annual reporting mechanism work and how should it inform Government policy and the Care Inspectorate in looking at the situation?
As an academic and a researcher, I know that the research on young people in care and care leavers stops at a particular point, and services stop at a particular point. The annual reporting process gives us the ability to see longer-term issues and outcomes around employability, accommodation and mental health, for example. We see those as young people’s issues, but actually they last a lifetime, because there are longer-term effects. Reporting on the statistics, the outcomes, the positive elements of care and the processes can really benefit us in the wider scheme of things.
I like Zachari Duncalf’s point. We did some research that we called a conversation across the care generations. As part of that, a woman who had left care, who is now in her early 40s, was talking to a guy of 17 or 18 who had been in the care system. There was recognition that, materially, the provision that is made for young people in the care system has got a lot better and that there is less risk of physical or sexual abuse, although that can still happen and we need to safeguard against it. However, what is still missing for a large number of young people, which is exactly where the reporting mechanism has potential, is that they are not cared for or loved within the system. They are not given access to what they believe are long-term, caring, loving, stable relationships, which are the fundamental basis of most family situations.
We certainly welcome some of the comments that have been made this morning. There are four key points. First, in relation to the national confidential forum, we need to learn from historical abuse and the experiences that people have had. Secondly, we need to ensure that there is appropriate support for people who have had these terrible experiences, that support is tailored to individual needs and that it is available for as long as the individual requires it. That might mean that someone who is now looking at going into residential care as an older person requires particular support, because they might well be revisiting trauma from residential care when they were a child. Thirdly, collectively, we need to prevent further abuse. That is a responsibility of national policy, the delivery partners and indeed scrutiny bodies across the country. Finally, we need to improve the quality of care so that young people do not continue to experience the levels of abuse that we have seen in the past.
Zachari, do you want to come back in?
Yes. I reiterate a couple of points that Karen Anderson and Duncan Dunlop made. What is lacking in current services and reporting structures is what happens beyond the statistics, outcomes and targeted measures. A life in care and beyond care is much bigger than that. For survivors and adult care leavers, this debate brings in the emotional side—the love, care and support that are seriously lacking in our current care system—and how the longer-term effects of that are played out through people’s lives.
Does Jacquie Pepper want to say something?
On the Care Inspectorate’s responsibility for improvement across services for children and right through the life cycle, we are keen to learn from the outcomes of the national confidential forum as part of our improvement agenda and how we inform our inspection methodology.
How does the Care Inspectorate’s current methodology assess, recreate or measure a loving, caring relationship such as the one that Duncan Dunlop and Zachari Duncalf have referred to? I would be interested to hear ideas on how to recreate that in a residential setting.
We will very soon commence a review of all our regulated care service methodology and some of the discussion today and what we learn from that can feed into that. The methodology that we currently use focuses on four quality themes across regulated care services: quality of care and support; quality of staffing; quality of the environment; and quality of leadership and management. As of April 2012, every inspection that is undertaken of any care setting has inspection across four quality themes.
How does that meet the test, Ms Duncalf?
That requires private conversation and further discussion, and the committee is not necessarily the place for that because we would be here for quite some time. I do not think that the way in which the residential sector is regulated meets the criteria for good practice sometimes and the needs of young people in care. For example, young people make mistakes, as do adults. Young people go out and get drunk and come in late, and yet we want to regulate that or to see that as a problem of their care experience, when actually that is just them being young people. Sometimes we—I do not necessarily mean the Care Inspectorate—are too quick to regulate things, but that perception of regulation does not allow young people to make the mistakes that they are entitled to make as young people.
That was rather neatly set up convener, because that covered part of what I was going to ask in my questions. Mr Dunlop’s testimony was very powerful and I do not want him to think that we are ignorant of the issues that he has raised. The committee is about to embark on a substantial piece of work on the inequalities agenda and a lot of what has come out will feed into that. The input of Who Cares? Scotland into that process will be very welcome.
Kinship care is an interesting issue; there was a point in history when we formalised kinship care. Previously, communities, friends and family looked after children, but we did not formalise that. Anybody, including adoptive parents, who has been formally assessed and has been recommended to be a carer for young people should be under scrutiny for that. People who have experienced abuse in those settings, where the individuals concerned had been assessed as being appropriate adults for their care, should be allowed to come forward and to use the national confidential forum.
From the information and statistics that we have, we have noticed a rising trend regarding placements in foster care since 1987, with a decrease in placements in residential care. The important thing in all this is that, although the setting might be different, experiences may be shared. The Care Inspectorate welcomes the proposal to include foster care.
It makes a great deal of sense to include foster care. I will give you an example. We have delivered a lot of independent advocacy, generally based around residential units—we cross the care spectrum. In one particular area, we were doing a review of the foster care network. There was a lot of reticence about allowing advocates in. People asked why we need to speak for their young people because they felt that they could do that for them.
I want to make very strongly the point that the national confidential forum should not sideline access to justice. There is a danger of younger people going through the process and not actually having access to justice, as we have seen happen with older care leavers many times.
I am interested in how young people will find out about the forum. Who Cares? Scotland would have a real issue as an organisation because it would probably fall on us to let young people know about it. Not many people who have been through the care system would know about the forum. As advocates for those children and young people, our organisation can certainly let them know about the forum, but if we are to support them through the process we need to be confident that they will benefit from it. We will work with them up to the age of 25, so there needs to be clarity on what they can expect to gain from the process. That is one proviso that we would give, as an advocacy organisation.
The committee is looking purely at the therapeutic and health issues relating to the matter. Points were raised at previous evidence sessions about what closure can be provided. Obviously, people might not have had closure if their experience is very recent, as might be the case for some young people, but I note that the bill provides that any experiences that relate to an on-going situation, which would apply in many cases, would lead to the justice system becoming involved in the process.
It is critical that we strike the appropriate balance. As I have pointed out probably a few times this morning, the key is to ensure that, when people share their experiences of abuse, any support mechanism that is put in place for them—before, during and after—is tailored to their individual needs. Those needs will be different from individual to individual depending on their circumstances—current health issues, their environment and so on. To summarise, from a Care Inspectorate perspective, whether the support that is provided is advocacy or a package of support for disability, mental health or whatever, the care and support should be tailored to people’s individual needs, reflect their rights and address their wishes. There should be choice, and we need to respect that, too.
Sometimes, people find it difficult to locate what will work for them and what they need. When people know what they need, they can more proactively get support for themselves. Therefore, we need a wide range of options so that people can explore them and dip in and out of options as time progresses. The whole process—before coming to the forum, during the forum and afterwards—could take a very long time. In thinking about the support that needs to be put in place beyond the pilot, given that in Ireland thousands of people came forward, we need to ask whether we have the capacity not only to support the forum but to provide that support, advocacy and wide range of services that people need.
Many people already have support mechanisms or relationships with providers of services for independent support and advocacy services, or they may have friendships. Those should also be supported through people’s contact with the NCF. Similarly, after giving testimony to the NCF, people should have locally available support within their community and local network, rather than its being provided at a distance, so that it is easily accessible.
Further to what Jacquie Pepper said, people who have an advocacy relationship that they feel comfortable with when they come to the forum will not want to go to a stranger. In our experience, they will want that person to walk alongside them through the entire process, from beforehand right through to when they return home. I do not know who might provide that support for the older generation, but people might already have that through various mechanisms. Those services would be expected to give quite a lot of support, in terms of time, to help people to go through the process.
I disagree with those points. My research, and research that the Care Leavers Association has done with hundreds of care leavers, shows that many older care leavers are isolated. They have not told partners, children or friends that they have ever been in care, let alone that they have experienced abuse. They might not have access to services, and some of those who have accessed services have found those experiences to be negative. Although they might have people who can support them, we have found that, once people have declared to the forum that they have experienced abuse, they have lost those support networks, or those support networks have become a bit rocky.
It is interesting to note that very few people are known for their care identity beyond the age of 18. However, there must be about 40,000 or 50,000 adults in Scotland who have been in care. This summer, we will be launching a sort of alumni of care initiative, which will enable people to talk about the fact that they were in care and say how well they have done for themselves, whether because of or in spite of it. They can come along and say that they are a teacher, a doctor, a businessperson or whatever and have done very well, having been in care.
I think that that is the duty of the reporting mechanisms, as well. The annual report should not just report an outcome. If we are looking at an outcome as closure, those numbers will be exceptionally small. That is not to say that the national confidential forum has not been successful in many ways; it is simply to point out that we should not focus just on those outcomes and targets. We should also focus on the positive ways in which people have strived in life, either in spite of their care experience or because they have known good and effective key workers. We can learn from that and take that with us as well.
How does the Care Inspectorate hope to use those outcomes and the annual report as resources for identifying the issues and adapting its policies around inspection and review? What needs to be in there to help you?
Rather than just wait for an annual report, we would seek early engagement with whoever is appointed to head or oversee the national confidential forum. That is so that we can have early indicators of themes or trends that might be emerging across Scotland or at a localised level. We will take that information and intelligence and use it to inform a proportionate risk-based and targeted scrutiny activity, through strategic inspection across all the partners that are involved in the delivery of children’s services—health, social work, education and police—or down to individual service level. However, regardless of the level, we would be looking to ensure that people who use the service are protected and that we are able to give some form of assurance to members of the public and those who use the service.
In response to some of the earlier comments, I should say that the Care Inspectorate has a broader role than the care commission had. We not only regulate care services, but we have a strategic role with regard to a whole-system look at how children’s services are working across Scotland. Ministers have asked us to lead on a joint inspection of services for children, the pilot phase of which is just completing. Taking on board the lessons of the forum into that process at an early stage is important, because it concerns decision making at an early stage in children’s lives.
The capacity issue was mentioned earlier. Our engagement with your organisation has focused mainly on the care of older people, including the inspection regime, budgets, the number of inspectors and so on. I think that we asked for an assurance that, despite the focus on that, you were not forgetting the other aspects of your work such as the inspection of children’s care. Some of this is historical. However, what do you anticipate will be the impact on your organisation of this part of the bill?
The first thing to say is that the Care Inspectorate’s inspection plan is approved by Scottish ministers annually. It was approved recently for the forthcoming year. Wherever possible, we look to make efficiency savings throughout the year and redirect resources into front-line scrutiny.
Does the complaints process apply across the board to all the areas that you cover?
It applies to regulated care services.
As we have no further questions, do our witnesses want to highlight any areas that have not been covered? Is there anything else that you want to put on the record?
We need to look at the forum as a way of giving a voice to people who have been through our care system. I take the point that this is the Health and Sport Committee, and the issue is one of health and wellbeing, given the impact that the forum will have on individuals in helping them to gain closure. However, this work is also about preventing young people who go through the system in future from going through the same experiences and being scarred as individuals. Over time, the forum may evolve, grow and develop from primarily being there for the older generation who have been through care.
The committee spoke about confidentiality at the previous session. The preservation of confidentiality will be critical to the success of the forum. It will be essential to put measures in place for that, to reassure people that the forum will be confidential and to make that information clearly available to everyone who will take part.
I take Jacquie Pepper’s point. I also want to reiterate the points that were made by previous witnesses who have come to the committee, in particular Helen Holland, Chris Daly, David Whelan and Jim Kane, that confidentiality is really important but survivors need to recognise their experiences in that information. Survivors need to be given transcripts. In my research, I found that having transcripts or a visual representation of their experience has helped people to work through their experiences with third parties.
That is interesting; if I am correct, I do not think that that point has been raised in that context. We have discussed the pre-hearing process and helping people to decide whether they wish to go ahead. However, the interesting point that Zachari Duncalf makes is that people should not be debarred from any services that flow from the forum and getting access to services should not be conditional on their going and giving that testimony. That is an interesting point, which we can discuss with others and the minister.
Sorry, but as a final comment I want to say that the forum has been a long time coming. Survivors and organisations have worked really, really hard for it. We must do it properly and we must get it right the first time round. We have already had a pilot that has raised many issues. We must now put the forum in place and we must have access to services, to outlets for redress and to all sorts of different things including justice. However, it must be done well so that it does not become another element of the retraumatisation that may happen as part of the process.
That is a good point on which to end our session. We encourage our witnesses to watch as the committee’s consideration of the forum progresses, and we will be happy to hear from you on anything that you feel would aid us in our final report. Once again, on behalf of the committee I thank you all for coming and for giving us your time and evidence in both oral and written forms.
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