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A Year On From The Climbi Inquiry
1.
Editorial 75 Copyright ©
2004 John Wiley & Sons, Ltd. Child Abuse Review Vol. 13: 75â79 (2004) Copyright © 2004 John Wiley & Sons, Ltd. Child Abuse Review Vol. 13: 75â79 (2004) Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/car.842 A Year On from the ClimbiĂ© Inquiry This themed issue of Child Abuse Review marks the first anniversary of the publication of the ClimbiĂ© Inquiry (Lord Laming, 2003) in the UK with a number of papers which explore the themes and legacy of that report for policy and services in England and Wales. The ClimbiĂ© Inquiry was billed as âthe inquiry to end all inquiriesâ: it seems unlikely to achieve that end, not least because there is as yet no definitive agreement about the form such inquiries should take in the future. However, the inquiry has contributed to significant policy shifts from government and, while some of these, such as the introduction of Childrenâs Trusts, were evident prior to the publication of Lamingâs report, others constitute a direct response to its findings. The inquiry report has also been instrumental in giving the final decisive push to the long campaign to appoint a Childrenâs Commissioner for England. The recently published Children Bill announced the estab- lishment of this post, of Childrenâs Commissioner for England, although it appears that the Commissionerâs remit will not extend to dealing with individual cases or complaints. The call for an end to inquiries conveys a weariness with the old format and a concern that the messages of inquiries into child deaths, while becoming increasingly repetitive, were achieving little in the way of significant change. Lamingâs report did much to break the mould of inquiry format: as Partonâs article in this issue notes, publishing the ongoing proceedings and report on the web transformed the inquiry into a global event and made it widely accessible. The intro- duction of the âexpert seminarsâ in the second phase of the inquiry served to broaden its remit and the range of evid- ence which was considered. However, in many respects, the ClimbiĂ© Inquiry remained dominated by a legalistic in- quisitorial model which allowed little opportunity for either frontline practitioners or members of the community to contribute their views and experiences in a way which would promote learning rather than blaming. The inquiry took a âbroad brushâ approach to allocat- ing blame, emphasizing the responsibilities of both middle and senior managers for shortcomings in practice. The Governmentâs response (Her Majestyâs Government, 2003; Editorial Nicky Stanley âThe ClimbiĂ© Inquiry remained dominated by a legalistic inquisitorial modelâ âThe long campaign to appoint a Childrenâs Commissioner for Englandâ
2.
76 Editorial Copyright ©
2004 John Wiley & Sons, Ltd. Child Abuse Review Vol. 13: 75â79 (2004) Department of Health et al., 2003) to the report goes some way towards implementing Lamingâs proposals for new struc- tures which will increase accountability in child care services. However, it is not immediately apparent how increased ac- countability will serve to improve the quality of practice and its supervision. The danger is that tighter structures for scru- tinizing and monitoring child care work will result in a focus on procedure rather than increasing practitionersâ capacity to engage with families: more boxes will be ticked, but children will still go unheard. Likewise, the Green Paperâs proposals for systems for flagging and tracking children may serve to reinforce the current tendency to prioritize identification and assessment of both need and risk over services and interven- tions to meet those needs. Public inquiries have been criticized on a number of grounds: their length and expense (Corby et al., 2001), the spotlighting of negative rather than positive practice, their re- liance on hindsight vision (Stanley and Manthorpe, 2001) and the extent to which their evidence has supplanted that pro- vided by research studies. However, their strengths are often neglected. One of the achievements of inquiries in health and social care is to foreground the experiences of children and families whose stories are not often told in the public arena. Partonâs detailed comparison of the ClimbiĂ© and Colwell Inquiries in this issue highlights the social circumstances of the families depicted in these reports and notes the extent of change in the 30 years which separate them. He identifies the challenges encountered by practitioners who work with shift- ing family structures in the current context of cultural diver- sity. His paper also emphasizes the lack of trust both between agencies and in the inquiry process itself, both of which were apparent in the evidence to the ClimbiĂ© Inquiry. This lack of trust can be seen as mirroring the general publicâs increasing doubts concerning the knowledge and authority of profession- als in health and social care, doubts which have been fuelled by inquiries such as the ClimbiĂ© Inquiry, but also by others such as the Bristol Royal Infirmary Inquiry (Kennedy, 2001) and the Shipman Inquiry (Smith, 2002, 2003). Partonâs analysis of the two inquiry reports also serves to demonstrate the considerable extent to which the responsibil- ities of local authorities with regard to the welfare of children have broadened. Professionals in health, social care and, as Goldthorpeâs paper emphasizes, education now carry more responsibility but have relinquished much of the public respect which previously facilitated their access to families and to in- formation. This issue needs to be more openly acknowledged and addressed in both national and local contexts. âA focus on procedure rather than increasing practitionersâ capacity to engage with familiesâ âForeground the experiences of children and families whose stories are not often told in the public arenaâ âThe lack of trust both between agencies and in the inquiry processâ
3.
Editorial 77 Copyright ©
2004 John Wiley & Sons, Ltd. Child Abuse Review Vol. 13: 75â79 (2004) Reder and Duncanâs discussion of Lamingâs findings em- phasizes the demands made on practitioners in terms of their skills and experience. They stress that increased guidance, checklists which aim to ensure that tasks have been undertaken and more sophisticated technology will not ensure the quality of professionalsâ communication with children nor the clarity of their communication with other professionals. They argue that training for child care professionals needs to promote the âhealthy scepticismâ advocated by Laming and to develop styles of reasoning which integrate subjective and intuitive approaches with objective and âscientificâ ones. They also high- light the need to invest in training and improved salaries: measures that might have the effect of enhancing the status and retention of staff. The significance of these issues is acknowledged by the Green Paper, although it is not as yet evident whether additional resources will be allocated to address them. Goldthorpeâs paper provides a wide-ranging discussion of the legal implications of the Green Paperâs key proposals. She identifies some of the barriers which impede the transfer of information between professionals and notes the lawâs lack of clarity in this area. However, while arguing the necessity for clearer guidance to promote communication between profes- sionals, she stresses the need to seek out and hear the views of children. Childrenâs rights to express their views are enshrined in the UN Convention on the Rights of the Child, although the Convention is, as yet, not incorporated into English law. When consulted, children frequently emphasize the import- ance they attach to confidentiality, as the final paper in this issue demonstrates. Childrenâs demands for confidentiality may, of course, conflict with professionalsâ needs to share information. Currently, concerns about disclosing informa- tion usually relate to adultsâ rather than childrenâs rights to privacy. Once we begin to fully acknowledge childrenâs human rights, discussions about how and with whom information is shared will need to involve them as well as parents and professionals. The last two papers in this issue report the perspectives of parents and children. Dale explores parentsâ views of child protection social work. Many of the findings recall those of earlier key studies in this field (Department of Health, 1995), which identified parentsâ experiences of being excluded from key decision-making processes such as child protection case conferences. However, of particular relevance to the Govern- mentâs proposal to phase out child protection registers (De- partment of Health et al., 2003), are the perceptions of parents in this study that registration conferred stigma but delivered âTraining for child care professionals needs to promote the âhealthy scepticismââ âChildren frequently emphasize the importance they attach to confidentialityâ âRegistration conferred stigma but delivered little in the way of resourcesâ
4.
78 Editorial Copyright ©
2004 John Wiley & Sons, Ltd. Child Abuse Review Vol. 13: 75â79 (2004) little in the way of resources. In common with some of the other articles in this issue, Daleâs research provides evidence of the value of practitioners possessing well-developed skills in communicating with families when working in contexts of fear and mistrust and having the time and resources to deliver practical and therapeutic support to families. However, parents also described social workers as overburdened with work and, in the absence of tangible resources, passing cases back and forth between one another. Such criticisms echo those of the ClimbiĂ© Inquiry and suggest that familiesâ lack of confidence in parenting may be reinforced by the impression that they are being offered under-resourced and undervalued services. Vincent and Danielâs paper describes a study of calls made by children to ChildLine Scotland over a period of a year; the research included more detailed qualitative analysis of calls made during a 2-week period. Nearly a third of the children ringing ChildLine about abuse or neglect had not told anyone else about the abuse. However, among those who had told someone else, friends were the most likely confidantes. The proportion of children who had talked to professionals was small and some of this group found professionals unrespon- sive. Such findings reinforce Reder and Duncanâs emphasis on the need for child care practitioners to be sufficiently skilled and confident to both listen to children and act on their testi- mony. However, they also remind professionals that they are not the only source of support and advice available for children and suggest that preventive programmes aimed at encouraging all children to identify and respond appropriately to those who are experiencing abuse or neglect may have considerable benefits. Conclusions like these draw attention to the extent to which the vision of the Green Paper is circumscribed. The consulta- tive document confines its focus very much to professional interventions and communication and has little to say about the role of the wider community in preventing or respond- ing to abuse. Victoria ClimbiĂ©âs history demonstrates that members of the community can encounter an abused child but fail to recognize and respond to the abuse. Other indi- viduals, such as Victoriaâs childminder, can recognize signific- ant harm but may be unsuccessful in eliciting an adequate response from professionals. Much abuse continues to go un- recognized and many children never come to the attention of statutory agencies. Broader approaches which seek to educate the whole community and raise awareness of both childrenâs rights to protection and the means to secure it need to be developed. âFriends were the most likely confidantesâ âThe role of the wider community in preventing or responding to abuseâ
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2004 John Wiley & Sons, Ltd. Child Abuse Review Vol. 13: 75â79 (2004) References Corby B, Doig A, Roberts V. 2001. Public Inquiries into Abuse of Children in Residential Care. Jessica Kingsley: London. Department of Health. 1995. Child Protection: Messages from Research. HMSO: London. Department of Health, Home Office, Department for Education and Skills. 2003. Keeping Children Safe: The Governmentâs Response to the Victoria ClimbiĂ© Inquiry Report and Joint Inspectorsâ Report Safe- guarding Children. Cmnd 5861. Department of Health: London. Her Majestyâs Government. 2003. Every Child Matters. Cmnd 5860. The Stationery Office: London. Kennedy I. 2001 Inquiry into the Management and Care of Children Receiving Complex Heart Surgery at the Bristol Royal Infirmary. The Stationery Office: Norwich. Lord Laming. 2003. The Victoria ClimbiĂ© Inquiry. Report of an Inquiry by Lord Laming (chairman). The Stationery Office: London. Smith J. 2002. First Report: Death Disguised. The Stationery Office: London. Smith J. 2003. Second Report: The Police Investigation of March 1998. Cmnd 5853. The Stationery Office: London. Stanley N, Manthorpe J. 2001. Reading mental health inquiries: messages for social work. Journal of Social Work 1: 77â99.
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