Kinship Carer Identification

Tom Collins Excerpts

Monday 23rd February 2026 Commons Chamber

[Tom Collins (Worcester) (Lab)]

Sometimes, a child’s birth parents cannot look after them. Around 100,000 children in the UK are looked after by the state, and most of us are familiar with the concepts of adoption and fostering. But it is estimated that well over 100,000 children in the UK are being raised by members of their extended family, or by friends of their family: they are being cared for by kinship carers. An ever-increasing number of children are now in kinship care, and staying with a family member or friend has a range of benefits over being looked after by the state. Kinship care can reduce trauma, provide valuable stability and help children preserve their sense of identity and connection to their community.

Yet, despite being both widespread and beneficial, kinship care has remained undervalued and under-recognised by our systems. It is astonishing that, as of yet, councils are under no obligation to ensure that potential kinship placements are always explored and assessed for suitability before children become looked after. Yet children who grow up in kinship care are more likely to be kept with their siblings compared with those in foster care, have better social and emotional wellbeing and better long-term physical health, and are more likely to have stable permanent homes, achieve higher levels of employment later in life and report that they feel loved. Making kinship care the first choice rather than the lucky product of chance is a simple change, and I hope the Minister might speak to its pursuit.

There are other ways in which kinship carers could be put on a more equal footing. For example, many would be helped to stay in active employment by being allowed employment leave rights equal to those of parents who are adopting. That is another simple change that could make a big difference.

There is one way in which our systems are very clearly failing children and their dedicated carers that I would like to address. I would like to share some experiences of kinship carers that, sadly, are typical, as they frequently struggle to prove to hospitals, schools, doctors and dentists that they have parental responsibility.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman for rightly bringing forward this issue. I spoke to him beforehand and he knows partly what I am going to say. The Minister might be aware of and want to follow the example of Northern Ireland. Northern Ireland has a higher rate of kinship care—31% of looked-after children, compared with England’s 16%. That is largely due to a long-standing cultural emphasis on family placements. There is also the fact that Northern Ireland offers the most consistent support, as all approved kinship foster carers are legally entitled to the same would-be allowance as mainstream foster carers, ranging from £149 to £268 per week. Does the hon. Member agree that, as is often the case, what we are doing in Northern Ireland might be an example of the very thing that he and the Minister wish to see?

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[Tom Collins]

I am grateful to the hon. Gentleman for raising good cases and good examples that we might like to follow. I also appreciate his having spoken to me beforehand about his experiences with the situation in Northern Ireland.

I would like to share the experiences of Clare. She said:

“I rushed into A&E in a complete panic. I was carrying my two-year-old nephew…who was struggling to breathe. The receptionist barely looked up as she asked me my nephew’s name and date of birth. Her next question filled me with fear: Who are you? As I answered, she looked up and I knew what was coming—a barrage of questions about why I had taken care of this child. Where was his mother? Could I prove that social services knew he was in my care? And—most terrifyingly of all—did I know that the hospital could not treat him without the consent of someone with parental responsibility? He was struggling to breathe, his face white as a sheet and his chest heaving, while this person was calmly telling me they couldn’t help.”

Donna’s step-grandchild was badly injured. The only thing she could do was call the local authority to see if it would vouch for her. It took two hours for the call to be returned. The child had lost blood and was in tremendous pain. Only once it was explained by the social worker that Donna was the legal guardian did they give him pain relief and begin to treat the injury. However, the injury required surgery and at a hospital in the next county, an hour’s drive away, Donna once again had to explain who she was. No one from the first hospital was there to verify that Donna was the carer. She had to call children’s services again and wait four hours for verification.

[Melanie Onn (Great Grimsby and Cleethorpes) (Lab)]

The examples that my hon. Friend cites are incredibly traumatic. These situations are even more complicated for those who do not have legal parental rights and who have an informal kinship arrangement. Has he had any thoughts about what could be done to support those families?

[Tom Collins]

It is true that there is a real diversity in the situations of kinship carers, both in the causes of people finding themselves caring for young people and in the legal structures that they are operating under. We totally recognise that, as we move forward in trying to tackle these issues, we need to be really open-eyed to that full range of different experiences and situations.

Caroline tells her story:

“Eve landed on her arm, screamed out in pain, one look and I knew it was broken. I took her to the emergency department…and she was admitted immediately to the children’s ward. An X-ray was taken and Eve was administered morphine. The consultant booked Eve in for an operation the following day. She had been on morphine all night to help her with the pain. The surgeon came round and explained the procedure. Eve was prepped and then the anaesthetist came with a form to sign. He asked who I was. I told him I was aunt and the legal guardian. He then asked to see my legal order. I told him that no one had asked…He said, ‘I refuse to administer anaesthetic without seeing the legal document.’ I had been up all night with a crying young girl; the last thing I thought about was a legal order. I called my husband, who had to leave work to go home and find the document. It took two hours for the photo ID to be sent…During this time, Eve was hooked up to morphine. We had to wait for the anaesthetist to finish his surgery list to look at the photo on my phone, which was accepted in the blink of an eye.”

Steph points out that this happens consistently:

“I have to show copies at all doctors, dentist, school, etc. Any time we have to make a decision for him I have to show proof. Can you imagine if I lost that piece of paper? It’s not right having to explain that you are the carer in front of the child again and again. Imagine how the child feels.”

Sadly, these situations are typical and, as Steph points out, they can be deeply traumatising for both children and carers.

Christine says:

“I really don’t want to carry my SGO with me; I’m worried I will lose it or it will get into the wrong hands.”

She is not alone. It is also perhaps unfair of us to expect clinical professionals to recognise the various forms of legal document that are not recorded on any Government system but instead live as paper artefacts with mysterious acronyms such as SGO, special guardianship order, or CAO, child arrangement order. How can we be failing children and kinship carers so badly?

Yet there is hope. Christine goes on to say:

“We should be given a card with a barcode and all the details they need to know so that you can keep it in your purse.”

Caroline agrees:

“We need an ID card that will live in my purse, so I don’t have to go through this again.”

Kinship Carers UK, a national charity based in my constituency of Worcester, has the answer. It is ready to help develop an authorised photographic kinship carer ID card and app for all carers, regardless of the type of legal order. This card would allow kinship carers to live fully prepared for any eventuality. It would allow clinical staff to immediately recognise and validate a kinship guardianship situation and to deliver best practice in trauma-informed care, never requiring a family to retell their story or relive past trauma simply to access basic care.

The benefits go further. Preventing the situation described by our kinship families would save money as well as distress. The cost savings to councils on social worker time no longer spent answering queries or to the NHS in rebooked appointments are hard to quantify, especially as the Office for National Statistics has not managed to identify all kinship children, and health trusts do not record instances of rebook treatments for that reason. Even conservative estimates show a kinship carer ID card paying for itself within a year.

Kinship Carers UK has already been in talks with the Department of Health and Social Care and has received a positive response. It is ready to fundraise to secure resources for development, but talks have stalled, as work on the NHS app pushes a full digital implementation of a kinship carer ID back to potentially 10 years away. For kinship families, that is too long, and we as a Government of action, innovation, partnership and collaboration can do better. With a co-ordinated plan in partnership with the Department for Education, DHSC and possibly the Ministry of Justice, Kinship Carers UK can lead a consortium of charities to realise the ID card and information resources for NHS workers. That could be realised within two years, with later digital integration with the NHS in a decade.

My ask of the Minister is simple: will he and the Secretary of State for Health arrange to meet Kinship Carers UK and myself to formulate a plan with the goal of having authorised kinship carer ID cards issued by the end of 2028, for final adoption by the NHS by 2035? It is time for us to act and do what kinship carers are asking us to do and make the system work for them, not against them. Kinship carers work tirelessly to give the children they raise the very best opportunities in life; let us match their commitment. Let us commit to ending the stories we heard this evening and begin a new one: when this Government stepped up and delivered the kinship ID card.