Evidence-based Early Years Intervention

Darren Jones Excerpts

Thursday 21st March 2019 Westminster Hall

[Darren Jones (Bristol North West) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Davies, and to speak as a member of the Science and Technology Committee. I pay tribute to our Chairman, the right hon. Member for North Norfolk (Norman Lamb), for providing the leadership and allowing us to undertake this work on the Select Committee, and to draw conclusions from a wide-ranging gathering of evidence.

I am sure this is not a party political issue. Everyone will agree that it is right to intervene when there are adverse childhood experiences. The evidence, as we have heard today and as we stated in our Select Committee report, is very strong on that point. We know that many of the problems that lead to adverse childhood experiences, whether increasing domestic violence, drug or alcohol misuse, mental health problems or financial stress and money worries, are part of the cycle of harm that can lead to a multi-generational impact of these heartbreaking situations.

In my view—as a member of the Labour party, this is inherent to my political decisions—that is linked to poverty and inequality. That is why, whether on adverse childhood experiences, Sure Start and children’s centres, or any form of investment in the early years, I keep finding myself back in this place talking about those issues, because they are the nub of the cause for many young people, who, through no fault of their own, suffer in their life as a consequence of the poverty in our country.

I congratulate the Chair of the Select Committee on making it clear that evidence, the use of data and investment in prevention are the way to go. I am sure the Science Minister will agree with that, given that he is the Science Minister, but I rather hope that he might share that conclusion with colleagues in his new cross-departmental group.

This is not only an issue of concern to me at a national level; I have a strong constituency interest in the matter, too. Bristol City Council, for example, is leading in innovation in this area of work. On 17 January 2019, my colleagues in City Hall held a conference on adverse childhood experiences in Bristol and how the council’s new vision statement could bring partners together to help tackle the causes. The event was held by the council in partnership with Avon and Somerset police and our clinical commissioning group.

[Norman Lamb]

I am grateful to the hon. Gentleman for his work on this subject on the Committee. He mentioned the police; I do not know whether he is aware of it, but there is some really good, innovative work going on, linking police to schools. When the police identify a situation of domestic violence overnight, they will alert the school first thing, so that a child arriving at school who has perhaps experienced the most horrific trauma overnight is given proper support and protection the following day, rather than perhaps being told off for being a naughty child, which can easily happen in ignorance of what has happened to them.

[Darren Jones]

The right hon. Gentleman is absolutely right. Partnership working is a phrase that we often hear in local government, and sometimes it is a bit amorphous, but that is a classic example of why it is so important. I have had cases where constituents have told me stories of when they would go to school, albeit a long time ago now, and end up being treated as if they were ill and having to sleep in the nurse’s room at the school as opposed to taking part in classes, because of the experiences they were dealing with at home. As a consequence they missed out on their education, when instead the support should have been put in place at that time to help them in the best possible way.

The involvement of Avon and Somerset police is important because we know, and the evidence shows, that for children who suffer adverse childhood experiences, especially those who suffer multiple ACEs, the outcomes associated with that cycle of harm include mental health problems and drug or alcohol misuse—criminal activity is therefore connected with that. The police have a role not only in tackling criminal activity but, as I said at the outset of my speech, in helping to deal with the causes.

[Martin Whitfield]

Does my hon. Friend agree that it is not a question of simply identifying children who have suffered or are vulnerable to suffering such experiences, but that the real importance and the real financial saving is in the interventions that follow; and that the good practice that has been shown in many areas, if it were shared across the country, would prevent this from becoming a tick-box exercise by professionals that does not address the problem?

[Darren Jones]

I agree with my hon. Friend; that was why the conference we held in Bristol was so popular—so popular, in fact, with over 400 delegates wanting to come, that they had to run the conference twice, because they could not fit everyone into the setting to do it together. More than 50 partner organisations across education, policing, probation, the voluntary sector, health, social care, public health and the Mayor’s office have signed up to our vision in Bristol.

This is also a question of political leadership, because Bristol knows that multiple ACEs lead to other factors that make for a negative environment in the communities in which we live. We know they will have an impact on problems such as knife crime and gang activity, and that they cause problems with mental health for people and therefore a lack of positive environment in the community, but also problems for economic productivity. That is why, in our “One City Plan” in Bristol, we have a clear and specific target of ensuring that children,

“grow up free of adverse childhood experiences having had the best start in life and support through their life.”

That particular strategic target for the council is linked to other targets, such as reducing knife crime and gang activity, dealing with period poverty and ensuring affordable childcare.

However, the access point is really important—returning to the comments by my hon. Friend the Member for East Lothian (Martin Whitfield). We cannot just rely on police or a school; we need a way to ensure that intervention, support or just someone being there when you need them are available. I reiterate the comments that the Chair of the Select Committee made about the lack of delivery on the health visitor programme where, as has been said, many people have no intervention or access point for much of their early years.

That is why, in Bristol, we have been able to protect all our children’s centres. The financing has clearly been cut because of austerity funding from central Government, and the services that can be made available have gone down to the bare minimum, but we have kept them all open for that reason. I pay tribute, as I have on previous occasions, to my friends the Mayor of Bristol, Marvin Rees, and the cabinet member for children and young people’s services, Councillor Helen Godwin, for ensuring that sustainability in Bristol.

In a previous debate in this place on the funding of maintained nursery schools, my hon. Friend the Member for Bristol West (Thangam Debbonaire) made a powerful point about a constituent of hers who said that she was in a domestic violence situation and the only way that she could get access to support was by taking her child to the children’s centre, because it was not seen to be going to the police or going to get intervention for the abuse she was suffering from her partner. She was taking the kids to nursery, but because the services were co-located in that environment, she was able to get support.

[Dr Drew]

It is good to hear that children’s centres still exist in some parts of the country. In my constituency we only have two left. Does my hon. Friend agree that the problem is that it is locking the NHS in? That may be only a Gloucestershire problem, or it may happen further afield as well. We seem to have failed with the idea that it should be education, police and children’s services in general; it always seems that the NHS is the weak link. Is that true in his part of the world, or is it just a Gloucestershire phenomenon?

[Darren Jones]

All I know in my part of the world is that the health service and our schools are having to pick up more and more of the work that others used to do in the past. Certainly, if I talk to headteachers in some of the more challenging parts of my constituency, they tell me that they are having to invest more and more in family support staff, who work with families and young pupils in a way that schools were never placed to do in the past. We all know that school budgets are extremely tight, so that particular school is using some of its pupil premium funding to help children in those scenarios. I am pretty sure that the original intention of pupil premium funding was not to offset cuts to children’s centres or local councils; it was to give an extra hand to pupils from poorer backgrounds to get on and do well in life. In fact, it is just covering cuts made from the centre, and is therefore ultimately not having a positive impact on the bottom line, either for individuals or for the country.

However, this is not only about council leadership, because we also often rely on the charitable sector for the delivery of services. In my constituency is the Southmead Project, led by a chap called Dr Mike Pierce, who received an MBE for his work in this space. Mike was born and bred in Southmead and was himself the victim of adverse childhood experiences, and he speaks powerfully on the issue. I have done so before, but I again pay tribute to him. His leadership over the 24 years that the project has supported young people in that area has been quite remarkable.

However, Mike is not optimistic about the future. He relies on generous charitable fundraising, philanthropic donations and sponsorship from local businesses in order to keep his project afloat, in the face of cuts not only to the council but to organisations such as clinical commissioning groups and the police, which previously supported his charitable organisation. At the same time, demand is increasing. The project has a waiting list of young people in households where domestic violence or drug or alcohol misuse—or worse—are present, and it cannot get around to giving those young people the support that they need because it does not have the capacity to do so.

As a consequence—this is often the case when there are cuts to public services—residents end up coming to see their MP because there is nowhere else to go. It really is heartbreaking when constituents are in front of me in tears, with no access to support. Quite frankly, there is very little I can do, as the Member of Parliament, other than raising issues such as this in the House. We must understand that the decisions we make on public policy, funding and national strategies flow through directly to the lives of these young people, whose potential is being lost.

[Norman Lamb]

We should add child sexual abuse to the hon. Gentleman’s examples of adversity. The Government commissioned an inquiry into child sexual abuse, which is under way. Its prevalence across the country is deeply disturbing, yet we do not really have any confidence that children who suffer from it get the support that they need in order to live a good life. In adulthood, they are often diagnosed with personality disorders or psychosis—horrors that completely change their lives. Supporting them at an early stage might make all the difference.

[Darren Jones]

I thank the right hon. Gentleman for that intervention, which is timely because the founding purpose of the Southmead Project was to support victims of child sexual exploitation. Its “Wall of Silence” exhibition portrays the impact that ACEs had on many people when they were young, and now. That impact lasts for the whole lifetime, but evidence shows that effective, immediate intervention at the right time—when victims are suffering from sexual exploitation or are in other distressing environments—has an enormous positive impact on life chances. The research is very clear on that.

Whether it is on the basis of stories that we have heard in our constituency surgeries, evidence received by our Select Committee or the statistics that we are offered at local authority level, we all agree that neither young people nor their families should be victims of these distressing and heartbreaking environments. Families who end up in these situations often do so not through their own fault, but as a result of living in poverty. We ought to do much more, not only by providing support to people who need it, but by investing—using evidence and data—in prevention. That is not only the right thing to do; it is right for those individuals and for our country.

I share the right hon. Gentleman’s concerns about the response that our Select Committee received from the Government. I look forward to the Minister’s confirming that we will be able to work with this new cross-departmental group, hopefully to elicit a more positive response.