by LFC2007 » Sun Nov 16, 2008 6:40 pm
When the level of incompetence stretches to the highest echelons of government, and when the outcomes are as tragic as this, they have to be held accountable. The problems in Haringey social services were flagged to an executive level, and to me, that means heads have to roll at an executive level. You cannot stop all child deaths, but you should be able to where the professionals are involved. This case doesn’t just highlight individual errors of judgement, it also points to a wider systemic problem.
It shouldn't have taken another tragedy of this nature to precipate a response. Particularly when there's a tragic precedent within a half-mile vicinity of this one.
I struggle to understand how, inspite of the abuse being recorded by social workers, no action was taken. The council didn't act, the police didn't act (both had statutory powers to remove the child) and there were seemingly no further actions (by way of referral, e.g. to the NSPCC - who also have statutory powers to remove) taken by the Health services - who were aware of the extent of the injuries and knew they weren’t likely to have been accidental. The council sought legal advice before taking out an emergency protection order (standard procedure), but they opted not to on the basis that the advice indicated that '...the threshold for care proceedings was not met'. Two points arise:
1) It would appear that the council were deterred from proceeding with the protection order because of the legal advice. Rather than take a decision based on the specialist judgement of the social workers, and any other relevant agencies (e.g. NSPCC), they felt compelled to decide against proceeding as a result of the legal advice they received. Aside from the obvious questions relating to this 'threshold' and how the council's legal team came to their decision, the council could still have proceeded in applying for a protection order. If their judgement indicated to them that the risk of significant harm was immediate, they should have applied for the protection order. A child's life was at stake, those charged with analysing the case were best placed to make a judgement on whether to proceed with the protection order, not the lawyers. The final decision lay with a senior manager of the children's services so they must be held accountable for their decision.
2) Social workers informed the police of the abuse directly, but they failed to exercise their statutory powers to remove the child. The powers they have are supposed to act as a safety net for extreme cases - cases like this one - so why didn't they act in accordinance with those powers? It suggests to me that the police didn't consider it within their sphere of responsibility, and preferred to leave it in the hands of the 'proper' body i.e. social services. It may also be a partial consequence of Lord Laming's recommendations (after the Climbie tragedy) which recommended that police focus more of their time on the investigation of other crime, as opposed to liaising, and working jointly with social workers on the investigation of harm.
Social worker(s) recorded Baby P’s injuries, but pro-active action wasn’t taken. It was the complete failure of the network around the worker(s) which appears to have led to the ommission which led to the tragedy. Baby P was returned home even though serious injuries remained unexplained, this was a key time during which the relevant agencies and the police failed to act. In an attempt to deceive the social workers, the mother explained the injuries as 'behavioural', i.e that he was injuring himself. After this, the appropriate analytical work didn't take place, which would've conclusively proven this wasn't the case (e.g. by removing the child to see how he behaved on his own). Or, during the early stages of the investigation when the first injuries to Baby P had been reported, to look for inconsistencies between the mother’s explanations and Baby P’s injuries. These comparisons demanded a multi-agency investigate team with specialist skills, that did not take place and social services became distracted by her explanations, even though they had an idea that the injuries were not accidental.
I'm not fully aware of the relevance of other bureaucratic issues social workers face, although I have read testimonies from workers, and seen polls by research groups which suggest that red tape takes 'thinking time' away from cases and focuses it more on targets. I think this could be a key point as the current system is (or has been) in danger of making data entry the primary task as opposed to the difficult judgement calls, which unquestionably requires debate, analysis and ultimately a hard-thought decision. Generally, it would appear that they feel overworked and under resourced. Added to this are various other organisation-related issues regarding supervision of recently qualified workers (lack of supervision & joint working).