Adult Survivors of Child Sexual Abuse

Lilian Greenwood Excerpts

Wednesday 22nd May 2019 Westminster Hall

[Sarah Champion]

I completely agree with my right hon. Friend, and I congratulate him, because as a Rotherham MP he has been an absolutely tireless campaigner, both to get justice for the survivors in Rotherham and to get the support services, which we are still waiting for.

The APPG’s inquiry into adult survivors of childhood sexual abuse found that the average male survivor waited for 26 years before disclosing abuse. Therefore, it cannot be right that, at the moment survivors are ready to speak about their abuse, they are forced to join the back of a queue, with waiting lists a year long, and sometimes waiting lists are closed, due to demand and the lack of funding to meet it. Across the country, the reality for survivors is a lengthy wait for support, or limits on the number of sessions available.

Although it was welcome that the Ministry of Justice increased by 10% the rape support fund, which provides grants to specialist sexual violence support services, specialist services are seeing demand increase far in excess of 10%.

[Lilian Greenwood (Nottingham South) (Lab)]

I congratulate my hon. Friend on securing the debate, and I am really pleased to have this opportunity to intervene on behalf of survivors in Nottingham. She is doing a fantastic job. Does she agree that there needs to be a specific pathway, so that people can get referred to robust trauma therapy without having to tell their story again and again, and wait for months? Actually, there is a model for such a pathway, because one has been established for veterans. Should not the same level of care and support be given to these people who—to be honest—have already been failed by the system once? Providing such a pathway would go some way towards recognising that we have failed them by allowing them to be victims of child sex abuse in the first place.

[Sarah Champion]

I completely agree with my hon. Friend, and it should go on the record that she has been such a fighter for the survivors in Nottinghamshire, which is hugely appreciated. Yes, she is right that victims should not have to battle and beg to get support services to enable them to live their life. They are a victim of crime; access to such support should be an automatic right. But victims having to tell their story time and again is something that we keep hearing about. The thing that I am most fearful of is that some of the people going through that fight will just step away from it, and who can blame them for that? However, as a society and as a Government, we need to address that situation and we need to do it now.

To that end, would the Minister consider developing a mechanism for pegging the funds to uplifts in demand, so that specialist services and survivors are not forced to bear the effect of any funding shortfall? Instead, the Government would pre-empt that need and fund it accordingly. We all have to admit that for too long the Government have been behind the curve on this issue.

If we acknowledge the prevalence of abuse and its devastating costs to the individual and society, the logical policy to adopt is a transformative funding package that funds services that redress the trauma of abuse and help survivors to recover. Minister, that requires more than an occasional 10% uplift.

Will the Minister commit to asking the Chancellor for a cross-Government strategic fund, which meets the core funding needs of specialist services, to prevent and respond to child sexual abuse? He may find that he is pushing against an open door, because in March and again in the main Chamber yesterday the Chief Secretary to the Treasury spoke about survivors, saying in March that

“because they have been traumatised and left in despair after suffering the consequences of crime…it should be government’s responsibility to prioritise support for these people”.

Both the NHS and the specialist voluntary sector have a vital role to play in supporting the recovery of survivors. On average, 17% of the budgets for specialist sexual violence and support services comes from the rape support fund, and 14.5% comes from NHS England and clinical commissioning groups, or CCGs. The APPG’s inquiry heard that CCGs have a responsibility for commissioning long-term therapeutic support for survivors. However, when I asked Ministers for an assessment of the effectiveness of CCGs in this regard, they told me that they do not even collect the data on it.

When survivors tell us that the support they need is not there, and specialist support agencies find many CCGs challenging to work with, I must say that this lack of data is extremely concerning. I therefore also ask the Minister to make representations to his colleagues in the Department of Health and Social Care to collect this data centrally, so that proper analysis of it can be made. If it is discovered that CCGs are failing in their duty to commission such support, will he consider ring-fencing funding for the long-term therapeutic support that survivors need?

There also needs to be research into the availability of appropriate services for black, Asian and minority ethnic survivors; for lesbian, gay, bisexual and transgender survivors; and for disabled survivors. During the APPG’s six-month inquiry, we found virtually no evidence, or indeed recognition, of those survivors’ specific needs, nor a desire to commission the services that they need, which is of considerable concern.

Minister, a nationwide public health campaign about child sexual abuse is required. It would raise awareness and—importantly—reduce stigma. It should also aim to direct both survivors and professionals to sources of information and support. In the absence of professional expertise, survivors said that they need quality information about the impact of abuse and about where they can access support. To date, professionals are described as being “caught out” by disclosures, and therefore as being unable to provide up-to-date, relevant and accurate information. In such a situation, survivors usually take it upon themselves to find information and services on the internet, which has mixed results.

In parallel with a public health campaign, the Government need to address the fact that existing sources of information and support are patchy and disparate. The Government could do more, in co-operation with the specialist voluntary sector, to provide online resources about the impact of abuse, and information about the support services that are available, both locally and nationally. This will necessitate cross-Government working and marshalling existing online information from police and crime commissioners, specialist service umbrella agencies, and the Ministry of Justice’s own Victim and Witness Information website. Survivors and professionals need to know where they can source information and support; currently, there is just no clear answer for them.