“… I would like to make clear that [the Claimant] had enormous respect and credibility within Haringey Council generally (and with me in particular) and that position did not change at all until” the Ofsted inspection was about to commence. I will be returning to the Ofsted inspection in more detail in due course (see Section 11 below) and to Dr O’Donovan’s perception of the preparations for it within Haringey. I should for completeness in this regard add that soon after what has been described as “the media storm” erupted after the verdicts in the criminal case were returned, but before the Secretary of State’s decision under challenge in these proceedings was announced on1 December 2008 , 67 head-teachers from State-funded schools in Haringey wrote to The Times praising the Claimant as “an outstanding public servant” and referred to her commitment and leadership in the education field and the improvements made in the Borough in the time she had worked there. They suggested that if she should be lost to Haringey “then our children and young people will lose one of their most effective, determined and committed champions.”
“I am satisfied that the claim crosses the threshold of arguability. I am also satisfied that an extension of time has been justified for challenging the decisions dated1 December 2008 . I do not consider that permission should be refused on the grounds of lack of promptitude or the availability of any other remedy.”
“It is a convention of our litigation that at trial in general the evidence of a witness is accepted unless he is cross-examined and is thus given the opportunity to rebut the allegations made against him. There may be an exception where there is undisputed objective evidence inconsistent with that of the witness that cannot sensibly be explained away (in other words, the witness’s testimony is manifestly wrong), but that is not the present case. The general rule applies as much in judicial review proceedings as in other litigation, although in judicial review proceedings it is relatively unusual for there to be a conflict of testimony and even more unusual for there to be cross-examination of witnesses.”
“3.3 The work of LSCBs is part of the wider context of children’s trust arrangements that aim to improve the overall wellbeing (i.e. the five Every Child Matters outcomes) of all children in the local area. 3.4 While the work of LSCBs contributes to the wider goals of improving the wellbeing of all children, it has a particular focus on aspects of the ‘staying safe’ outcome. 3.5 Whereas the children’s trust has a wider role in planning and delivery of services, LSCB objectives are about co-ordinating and ensuring the effectiveness of what their member organisations do individually and together. They will contribute to delivery and commissioning through the Children and Young People’s Plan and the children’s trust arrangements. 3.6 There is flexibility for a local area to decide that an LSCB should have an extended role or further functions in addition to those set out in this chapter. Those must of course still be related to its objectives. The decision should be taken as part of the scope of the wider children’s trust. However, the LA and its partners should make sure that any extended role does not lessen the LSCB’s ability to perform its core role effectively.”
“3.38 From1 April 2008 , each LSCB will have the functions set out in Regulations relating to child deaths. They become compulsory on LSCBs by that date, but can be carried out by any LSCB from1 April 2006 . e) Collecting and analysing information about the deaths of all children in their area with a view to identifying: i) any matters of concern affecting the safety and welfare of children in the area of the authority, including any case giving rise to the need for a serious case review ii) any general public health or safety concerns arising from deaths of children. f) Putting in place procedures for ensuring that there is a co-ordinated response by the authority, their Board partners and other relevant people to an unexpected death of a child.”
“3.49 It is the responsibility of the LA [Local Authority], after consultation with the Board partners, to appoint the Chair. The Chair may be a LA employee, such as the Director of Children’s Services (DCS) or the LA Chief Executive, a senior employee of one of the Board partners, or another person contracted with, or employed specifically, to fulfil this role. Where the Chair is not a senior person from the LA, such as the DCS or Chief Executive, they are accountable to the LA, via the DCS, for the effectiveness of their work as LSCB Chair. The Chair should not be an Elected Member …. 3.50 The Chair has a crucial role in making certain that the Board operates effectively and secures an independent voice for the LSCB. He or she should be of sufficient standing and expertise to command the respect and support of all partners. The Chair should act objectively and distinguish their role as LSCB Chair from any day-to-day role – e.g. as an employee of the LA.”
“8.19 The LSCB should commission an overview report that brings together and analyses the findings of the various reports from organisations and others, and that makes recommendations for future action. 8.20 The overview report should be commissioned from a person who is independent of all the agencies/professionals involved. Those conducting management reviews of individual services should not have been directly concerned with the child or family, or the immediate line manager of the practitioner(s) involved.”
“In all cases, the LSCB overview report should contain an executive summary that will be made public and that includes, as a minimum, information about the review process, key issues arising from the case and the recommendations that have been made. The publication of the executive summary needs to be timed in accordance with the conclusion of any related court proceedings. The content needs to be suitably anonymised in order to protect the confidentiality of relevant family members and others.”
“Joint Area Reviews (1) Any two or more of the persons and bodies to which this section applies must, at the request of the Secretary of State – (a) conduct, in accordance with a timetable drawn up by them and approved by the Secretary of State, a review of children's services provided in – (i) the area of every children's services authority in England; (ii) the areas of such children's services authorities in England as may be specified in the request; (b) conduct a review of such children's services provided in the area of such children's services authority in England as may be specified in the request. (2) Any two or more of the persons and bodies to which this section applies may conduct a review of any children's services provided in the area of a particular children's services authority in England. (3) The purpose of a review under this section is to evaluate the extent to which, taken together, the children's services being reviewed improve the well-being of children and relevant young persons (and in particular to evaluate how those services work together to improve their well-being). (4) The persons and bodies to which this section applies are– (a) the Chief Inspector of Schools; … (d) the Commission for Healthcare Audit and Inspection …; (5) Reviews under this section are to be conducted in accordance with arrangements made by the Chief Inspector of Schools …”
“(1) This section applies to a local education authority's functions under this Act and to other functions (of whatever nature) which are conferred on them in their capacity as a local education authority. (2) If the Secretary of State is satisfied (either on a complaint by any person interested or otherwise) that a local education authority are failing in any respect to perform any function to which this section applies to an adequate standard (or at all), he may exercise his powers under subsection (4), (4A) or (4B). (2A) The Secretary of State may also exercise his powers under subsection (4), (4A) or (4B) where— (a) he has given a previous direction under subsection (4), (4A) or (4B) in relation to a local education authority in respect of any function to which this section applies, and (b) he is satisfied that it is likely that if no further direction were given under subsection (4), (4A) or (4B) on the expiry or revocation of the previous direction the authority would fail in any respect to perform that function to an adequate standard (or at all). (4) The Secretary of State may under this subsection give the authority or an officer of the authority such directions as the Secretary of State thinks expedient for the purpose of securing that the function is performed on behalf of the authority by such person as is specified in the direction; and such directions may require that any contract or other arrangement made by the authority with that person contains such terms and conditions as may be so specified. (4A) The Secretary of State may under this subsection direct that the function shall be exercised by the Secretary of State or a person nominated by him and that the authority shall comply with any instructions of the Secretary of State or his nominee in relation to the exercise of the function. (4B) The Secretary of State may under this subsection (whether or not he exercises the power conferred by subsection (4) or (4A) in relation to any function) give the authority or an officer of the authority such other directions as the Secretary of State thinks expedient for the purpose of securing that the function is performed to an adequate standard. ….. (7) Any direction given under subsection (4), (4A) or (4B) shall be enforceable, on an application made on behalf of the Secretary of State, by an order of mandamus.”
“2.5 This guidance is issued under sections 18(7) (Director of Children’s Services) and 19(2) (Lead Member for Children’s Services) of the Act, which requires that CSAs ‘must have regard to any guidance issued by the Secretary of State’ in exercising their functions under those sections. This means they must take the guidance into account and, if they decide to depart from it, have clear reasons for doing so. 2.6 The provisions of this guidance relating to the DCS are statutory for any authority that exercises its power to appoint a DCS under Section 18, and for all authorities once the duty to appoint a DCS comes into force …. The provisions of the guidance are advisory in relation to the LM until section 19 of the Act is brought into force. After that date, the provisions become statutory guidance. 2.7 Where a local authority has appointed a DCS and/or designated a LM in advance of both the statutory powers and duties under sections 18 and 19 of the Act being brought into effect, the authority will need to ensure that the DCS’ and LM’s duties and responsibilities are aligned with the guidance in this document, once the duty to appoint or designate comes into force.”
“3.2 The Director of Children’s Services will have three key roles: a. professional responsibility and accountability for the effectiveness, availability and value for money of the Local Authority children’s services; b. leadership both within the Local Authority to secure and sustain the necessary changes to culture and practice, and beyond it so that services improve outcomes for all and are organised around children and young people’s needs; and c. building and sustaining effective partnerships with and between those local and out-of area bodies, including the private, voluntary and community sectors, who also provide children’s services in order to focus resources (financial, human, physical or any other resources) jointly on improving outcomes for children and young people, particularly in safeguarding and promoting the welfare of children.”
“4.16 Accountability and responsibility for the delivery of Local Authority children’s services includes assuring the Chief Executive and, through him or her, the members of the authority’s executive and members of overview and scrutiny committees, that: a. the needs of children and young people in the authority’s area have been assessed; resources from the Local Authority, other public agencies, the private sector, and the voluntary and community sector, have been identified; and services are being appropriately targeted on delivering improved outcomes; b. the children’s services provided or commissioned by the authority and its strategic partners are effective at meeting identified need, are more integrated, child and family orientated, and directed towards achieving outcomes shared across agencies; c. there are sufficient financial, human and other resources available to discharge the authority’s statutory children’s services functions and maintain service standards in the future, and staff are supported and developed so that they have the required competencies; d. the arrangements by which the DCS acts as principal point of contact for the conduct of local authority children’s services business with the Department of Education and Skills, other government departments, and organisations with responsibility for inspections (e.g. inspectorates and commissions) are operating effectively; e. information is being provided to national agencies as required; f. services comply with statutory requirements, including equality and anti-discrimination legislation; and g. arrangements are in place through which concerns may be raised within the Local Authority that systems and practices may be unsatisfactory.”
“3.3 The Lead Member’s role mirrors the DCS’ role at the local political level. The LM will have: a. political accountability for the effectiveness, availability and value for money of all Local Authority children’s services; b. leadership within and beyond the Local Authority to engage and encourage local communities in order to improve children’s services, and to ensure that services, both within the Local Authority and across partner organisations, improve outcomes for all and are organised around children and young people’s needs; and c. a particular focus, with the DCS, on safeguarding and promoting the welfare of children across all agencies.”
“The majority of assessments of need are undertaken in a timely way. In recent years, a high proportion of initial assessments have been made in response to referrals, reflecting an understandably cautious approach to protecting children. However, cases are not always prioritised sufficiently well or consistently by referral and assessment services; there is variation in practice between the two geographically-based teams, including the application of national guidance on sharing information. There are delays in addressing some children’s needs, including potential child protection concerns; in some of the individual cases sampled during the review, standard assessments had not been carried out, making planning difficult and resulting in delays for children and young people. The turnover of social work staff is high, resulting in lack of continuity in managing cases. The electronic recording system, Framework I, has the potential to provide a good overview of practice but there continue to be problems in embedding the system and there is as yet insufficient management scrutiny of electronic files.”
“… the role of [GOL] is to act as an intermediary between central and local government, ensuring improved coordination of local children’s services, monitoring performance of local authorities in this policy area and facilitating communication between local authorities and central government. Where serious case reviews are concerned, [GOL] is responsible for tracking the progress of the reviews and for providing support and challenge e.g. commenting on the quality of the reviews’ analysis and recommendations.”
“The decision to set up a serious case review should be taken within a month of the case coming to the attention of the Chair, and the review should be completed within four months unless an alternative timescale is agreed with the Government Office. Sometimes the complexity of a case does not become apparent until the review is in progress. As soon as it emerges that a review cannot be completed within four months of the LSCB Chair’s decision to initiate it, there should be a discussion with the Government Office to agree a timescale for completion.”
“This was my first SCR and was the first SCR to be conducted at Haringey since the new service was formed. I was keen to ensure that it was conducted entirely properly and as such I followed the advice in "Working Together", sought advice from colleagues in GOL as to how the process would be managed given the seriousness of the case and the likely public concern, and I discussed best practice with colleagues in other authorities who had experience of SCRs.”
“Following a meeting between [GOL] colleagues and Haringey on29 April 2008 we understand that the authority is now looking to finalise the SCR by mid/end of May…. the [DCSF] has been promised a full copy of the final version which will be sent in parallel to Ofsted for evaluation. The timing of making this version available will be in advance (at least a week) of the related trial commencing (schedule 9 June). Haringey will not publish the executive summary of the SCR until after the trial has concluded. This will allow the part of the SCR which enters the public domain [Executive Summary] to reflect both the trial outcome and the result of Ofsted’s evaluation. [GOL] colleagues have worked with Haringey to strengthen the recommendations in the SCR and have also pushed for the authority to include a safeguarding target in their Local Area Agreement ….”
“Good question. Orla Delargy went along to the press conference she and Jane Collins (GOSH Chief Exec) gave today. The media were hostile and became more so. Sharon’s stance on all this is very robust and in my view a touch more regret and apology would have gone a long way. She was asked today whether she would resign to which she replied categorically ‘No’. I have no reason to doubt her competence or her sincerity – and she has been very open and cooperative with me – but her stance today and her position as Chair of the LSCB as well as DCS makes things trickier. And Beverley wants to be sure that Council members are on side and have satisfied themselves there is no action to be taken – that’s why she’s asked me to speak to the Chief Executive. ”
“The death of Baby P in Haringey is a very tragic case that will have shocked and appalled the country. It makes all of us question how someone could do such a terrible thing to a child and set out to deceive the very people trying to help. Safeguarding children is Government’s top priority and we expect it to be the top priority for local agencies too. In response to Lord Laming’s report following the death of Victoria Climbié we introduced fundamental reforms to help keep children safe. Local areas are also now required to review every case where a child is harmed or killed, and neglect or abuse is suspected. We will be considering the serious case review in this case and whether there needs to be a further investigation of child protection procedures and practices among local agencies in Haringey.”
“There was a fierce exchange at PMQs re Baby P. Story is being ramped up and we’re being asked to ‘take over’ Haringey. Early heads up.”
“Early in the afternoon David Bell and I had a telephone conversation (on speakerphone) with the Chief Executive …. She told us that the leader of the Council had spoken to Beverley Hughes. Ita O’Donovan said it would be helpful to understand what the Department were proposing. She asked if we were seeking the resignation of the Claimant and we said we were not. We mentioned that one option we were exploring was an inspection led by Ofsted. As far as the Claimant was concerned two options were discussed: that she remained in post with someone working alongside her to provide her with support and challenge, or that she be suspended. We knew very well that it was not within our remit to seek the Claimant’s suspension and we certainly did not do so. The employment of the Claimant was a matter for Haringey. However, we asked what the Council’s intentions were and whether the Claimant retained the confidence of the Council. The Chief Executive was emphatic in saying that she did. We accepted this and it was therefore agreed that the option of someone working alongside the Claimant to offer support during any inspection would be explored. This led to my having subsequent telephone conversations with John Coughlan. It is incorrect to say that officials pressed for the Claimant’s suspension ….”
“On12 November 2008 , David Bell … telephoned me but certainly did not press for Sharon Shoesmith's resignation …. At the time I did not feel that DCSF were pressing for the Director's resignation rather they sought confirmation of the Council's position in relation to the Director. I can recall that the Leader of the Council, Councillor George Meehan, shared my view that Ms Shoesmith retained the confidence of the Council and agreed with what I had said. Councillor Meehan did not at any time say to me that he had received any telephone call urging that Ms Shoesmith be suspended (whether at a meeting with Ms Shoesmith present or separately) and I do not believe that this happened. I cannot recall if I mentioned to Ms Shoesmith that I had received a call from David Bell. However if I did, I am certain that I did not say that I had received a telephone call about her suspension, since that simply did not occur.”
“The relevant portion of Prime Minister’s Questions took place just after midday on12 November 2008 . A series of meetings took place between officials and the Secretary of State during the course of the afternoon of12 November 2008 . As these effectively constituted a continuing discussion with the different officials involved, the divisions between these meetings were not always clearly demarcated. Officials were working in the margins of meetings as a result of the iterative discussions with the Secretary of State and to look at the feasibility of the options that were finally agreed upon (namely the request for an urgent JAR and the secondment of John Coughlan).”
“In our Written Ministerial Statement this morning we said that, in addition to Lord Laming’s independent report on progress on implementing the reforms introduced following the Victoria Climbié Inquiry, we would be considering the Serious Case Review commissioned by Haringey Local Safeguarding Children Board into the tragic death of ‘Baby P’ and whether there needs to be a further investigation of child protection procedures and practices amongst local agencies in Haringey. It is important to make clear from the outset and to avoid any confusion, that the Serious Case Review was commissioned under the statutory procedures set out in Working Together to Safeguard Children. We are assured by Haringey that the Serious Case Review was conducted in accordance with the correct procedures, which require the Local Safeguarding Children Board to commission the overview report from an independent author. Ofsted will of course be conducting, as is standard practice, their own evaluation of the Serious Case Review against these procedures. The full Serious Case Review report was submitted to the Department for Children, Schools and Families this morning. The Children’s Minister, Beverley Hughes and I have today urgently studied these findings. The review’s findings indicate a number of failings of practice and management by the agencies involved. Having studied the report, there is clear evidence that; • each agency has singly and collectively failed to adhere to the procedures for the proper management of child protection cases set out in Chapter 5 of Working Together 2006. In particular: there was evidence of poor quality practice, management and supervision of staff in all agencies; andhealth professionals appear to have failed to follow the appropriate procedures when there was evidence of a child having suffered non-accidental injuries. • there was inappropriate use of family friends as temporary carers for Baby P. Our reading of the Serious Case Review suggests that the local authority was responsible for making arrangements for the placement of this child with a family friend and therefore Regulation 38 of theFostering Services Regulations 2002 should have been followed. Further examination of the Serious Case Review may reveal other areas where the implementation of proper procedures could have led to a better outcome for the child. Clearly such findings in an individual case raise serious concerns about the wider systems and management of services for safeguarding children in Haringey. In the light of these findings, I have today decided that Ofsted, the Commission for Healthcare Audit and Inspection and the Chief Inspector of Constabulary should carry out an urgent Joint Area Review of safeguarding and promoting the welfare of children in Haringey. I am requesting this underSection 20(1)(b) of the Children Act 2004 . The Review will need to undertake an urgent and thorough inspection of the quality of practice and management of all services which contribute to the effective safeguarding of children in the local area. It will be important to ensure rigorous scrutiny of the quality of practice and decision making by front line workers and their managers, and of the effectiveness of management practice and performance management systems in all relevant agencies. I would expect the Review to be led and carried out by inspectors with specialist expertise and experience in child protection. Given the importance and urgency of these matters, I request that a first report be submitted to me by1 December 2008 . In parallel, Beverley Hughes and my officials have today been in contact with Haringey Local Authority. I can announce that while the Joint Area Review undertakes its work, Haringey have agreed that with immediate effect, John Coughlan, Director of Children’s Services in Hampshire, will be seconded to work alongside the DCS for Haringey to ensure that proper procedures for safeguarding children are in place and are being properly applied. The case of Baby P is tragic and appalling. It is our duty to take whatever action is needed to ensure that such a tragedy doesn’t happen again, that lessons are learned and that children in Haringey are safe.”
“The fact that Baby P died despite 60 visits from Haringey Social Services is a national disgrace. I believe that ALL the social workers involved in the case of Baby P, including Sharon Shoesmith, Marie Ward, Sylvia Henry and Gillie Christou should be sacked and never allowed to work with vulnerable children again. I call on the Chief Executive of Haringey Council, Ita O’Donovan, to ensure this. And I further demand that Beverley Hughes, the Children’s Minister, and Ed Balls, the Education Secretary, should apply immediate and sustained pressure to ensure this happens. I also demand that the doctor involved in Baby P…should also lose her job and not be allowed to treat the public again. And I ask the General Medical Council to ensure that this happens.”
“There’s a lot of concern being expressed, and considerable anger, about the reaction of people in Haringey, in the authority, to what happened. Do you share that unease at the way they’ve spoken of the case publicly?”
“Well it is really important, first, to say that these are really, really difficult jobs, as you said, but in the end if there are management systemic failures, yes there’s got to be accountability, and also there’s got to be action to make sure that things are put right. And I have the powers to act but I’m not going to do the easy political thing and seek a headline with an action today, what I want to do is to do it properly and that’s why the Inspectors are going in.”
“I cannot think this is what anyone wanted. It is just a travesty. I am working professionally with all that is being thrown at me. Tonight my brother is flying to Belfast to comfort my 89 year old mother who has press outside her house. She is so shocked she thinks I have killed a child … Surely this cannot be the way we work with these issues …. This is not how to safeguard children.”
“THE whole nation has been shocked and moved by the tragic and horrific death of Baby P. Thousands of mums and dads, grandparents and children have written to me personally. And the huge strength of feeling across Britain is clear to see from the million plus readers - including many teachers and social workers - who have already signed The Sun’s petition. All of us are finding it impossible to understand how adults could commit such acts of evil against a little boy. And everyone is angry that nobody stepped in to stop this happening. Social workers, police officers, GPs and all the people in our country who work with children do a tough job, often in really difficult communities. They make difficult judgments every day. And many of them are the unsung heroes of our country. But where things go badly wrong people want to know why. That’s why I immediately sent inspectors into Haringey to find out what went wrong. Their report will be on my desk by Monday and I will not hesitate to act on what they say. Nothing I do next week can bring back Baby P or take away the suffering he endured. But we have a duty to do whatever we can to protect children from abuse and make sure we have proper accountability too. I will not rest until we have the very best child protection arrangements in the world.”
“safeguarding”, “looked after children”, and “children and young people with learning difficulties and/or disabilities” plus any additional investigations warranted by particular weaknesses in the area in question. This meant that JAR inspections would always cover those ECM Outcomes and Key Judgements that were relevant to the three core areas, but coverage of the remainder would depend on the particular circumstances. In determining that coverage, regard was had, among other things, to the area’s most recent APA and the areas for development identified within it. 37. These changes were reflected in a document published by Ofsted in April 2007 entitled “Joint area review of children’s services from April 2007” (“the Published Arrangements”). The document provided “information on the arrangements for joint area reviews from April 2007”
“APAs were a largely paper-based exercise, drawing on, among other things, performance indicators calculated by reference to data provided by the authority, and the findings of the most recent JAR. A council’s Performance Indicators measure its performance against a wide range of targets, e.g. % of initial assessments within 7 working days of referral. Whilst APAs sometimes involved meetings with the authority to clarify issues and check evidence, they did not encompass any fieldwork activity.”
“Emerging issues will be discussed with the [DCS] (or equivalent) and other senior officers drawn from the local partnership, when the review team is on site. At the end of the fieldwork headline feedback will be given and within four weeks a draft report will be sent. The director of children’s services will be asked to coordinate written comments on the factual accuracy of the JAR report within two weeks of receiving the draft. During this period the lead inspector and deputy lead inspector will visit the local area to meet senior officers, the designated Lead Member and other members of the local strategic partnership to discuss the draft report. Meetings to discuss the findings of the corporate assessment will also be held during the same week. The report will be published about four weeks later, together with the enhanced youth report, normally at the same time as the corporate assessment.”
“48. Corporate assessment and JAR teams will coordinate their feedback and reporting arrangements to ensure clarity and consistency. Throughout the fieldwork stage, the team leader will discuss emerging issues with the [DCS] (or equivalent) and other senior managers as appropriate. At the end of the fieldwork, the team leader will provide an oral summary of the main findings to the [DCS] and the designated lead member. 49. Within four weeks of the end of fieldwork, and at the same time as the draft corporate assessment report is sent to the chief executive, a draft report will be sent to the [DCS] (or equivalent) who will be asked to coordinate written comments on its factual accuracy within two weeks. 50. During this two-week period the lead inspector and deputy lead inspector of the JAR team will discuss the draft report with senior officers of the local partnership. Both reports will be issued simultaneously about four weeks later.”
“21. First, the Secretary of State had asked that “a first report should be submitted to [him]”
“The Secretary of State did not prohibit the giving of feedback during the course of the inspection. The Secretary of State did say in his letter to Her Majesty’s Chief Inspector, Christine Gilbert, of the12th November 2008 [see paragraph 143 above] that ‘Given the importance and urgency of these matters, I request that a first report should be submitted to me by1 December 2008 ’. By this, the Secretary of State indicated that the report should be submitted to him and not to anyone else by that date. Insofar as this may have been interpreted by Ofsted as meaning that there should be no feedback at all to the Claimant or other agencies before submission of the report, then this would have been a misunderstanding.”
“I alerted you to the intention of the [Healthcare Commission] to use this inspection as an “initial consideration”, possibly leading to further investigation about details of the specific tragedy. In the light of this, as well as recent press and TV coverage, which seems to be suggesting that our inspection will look at the circumstances surrounding the tragedy, it would also be useful to clarify between us what your understanding of the inspection remit is. The letter from the [Secretary of State] is clear that he has asked for a JAR, albeit one with a specific focus in relation to safeguarding and child protection. I will need to check the letter when I get into the office tomorrow, but I do not think we have been mandated to examine in detail the particular tragic case at this time. The serious case review is, of course, being evaluated separately at the same time as our inspection, and we will take the initial outcomes of that evaluation into consideration as part of the evidence and to help focus our spotlight where it needs to shine in the [local authority]. However, this is not the same as doing a full investigation into the particular circumstances that led to the tragedy.”
“The duty room is located within, and is an integral part of, the contact referral and assessment service. It receives and processes all referrals to the Council’s social care services, and carries out any initial assessment work that is required in order to decide what kind of action is required, and whether the provision of services is, or may be, appropriate. That may range from the provision of information about (for example) leisure activities for disabled children to the instigation of court proceedings when a child requires protection.”
“13. … Over that weekend and on the 17th and 18th November I was aware of the increased and increasing anxiety among staff and officers in CYPS. I had seen over the weekend, how difficult it was to get data from Framework I. It is a core requirement in safeguarding that what is recorded on a particular case can be understood and appreciated by anyone looking at the case file or Framework I, so that the social care professional knows what has happened on the case and what is required by way of next steps. To understand the record, it is important to be able to see immediately when it was first notified; a chronology of the dealings; and what the recorder is saying about the family at any given time. The record should demonstrate reflective practice, that is to say, an appreciation of the known state of affairs and what should be done to address it. If there are gaps in the records, the person tasked to respond will not know what has happened on the case and will find it difficult to make a judgment about what should happen next. When I saw and heard about the great and glaring gaps in Framework I over that weekend, alarm bells started ringing for me. If the data was incomplete, I could not see how the case management could be adequate and therefore I was concerned that management and supervision could not have been effectively carried out. 14. In addition to these concerns, I was also present during a fraught exchange that weekend (which left a lasting impression on me) between [the Claimant] and her Deputy about delayed responses to correspondence in relation to a case. This case concerned a child in care and the correspondence related to an injury to that child which had not been answered or addressed. I cannot recall the exact length of the delay in providing any response but it was a question of several months since the letter had been received. [The Claimant] was speaking to her Deputy about the case and was very concerned at the delay. She was very upset as was her Deputy. Immediate action was required by [the Claimant] to be taken by the Deputy Director following this exchange. I specifically recall thinking that this might be indicative of wider problems and felt that it did not bode well for the inspection when added to the issue concerning the absence of data on Framework-I. 15. … It was my judgement based on many inspections I have seen, that early signs were that the outcome could be negative and this is what I attempted to convey to [the Claimant] over the course of the weekend and the week that followed. It was difficult to have these conversations with [the Claimant] because her focus was the inspection and seeing that through as she kept telling us. There were moments when I thought she could see how matters were unfolding but then those insights seemed to disappear. I knew she was under great pressure and making a huge effort to concentrate on the task on hand. 16. Indeed I had a discussion with [the Claimant] on the evening of16 November 2008 where I said that I thought things did not look good and that she needed to think about that. As I recall [the Claimant’s] response was that she wanted to focus on getting through the JAR inspection and that it was too soon to come to that conclusion. I disagreed on the basis of what I had seen. I have seen preparations for inspections before and could tell that there was a palpable difference between the high levels of anxiety being exhibited by managers in Children and Families over this inspection and the "normal" level I have seen in most other inspections. When I went home that evening I was seriously concerned about the outcome of the inspection.”
“6. I was trying to help in whatever capacity I could and as I did so, two things struck me as glaring issues, and led me to conclude that the inspection was likely to be extremely challenging for us. First, staff were updating Framework [I] in preparation for the Inspection and were preparing excel spreadsheets of our cases for the inspectors. I saw staff sitting in front of whole sections on screen that were empty and although I am not a social care professional, I understand the difference between an exercise involving the tidying up of records, and empty screens. What I saw was the latter and I was really concerned about the scale of the information that was missing from our systems. I spoke to Eve Pelekanos (who was helping with the Framework-[I] records) about the glaring gaps. She and other staff were plainly concerned. She told me that there were significant gaps in the data and that staff were trying to complete them. Even to someone not familiar with the system it was evident that this was more than a simple tidy-up exercise and that something fundamental was wrong. This was not a secret. It was discussed openly over the weekend and staff were in a real state about it. Whilst I do not recall personally discussing it with [the Claimant], I cannot accept that she would have been unaware of it. The scale of the omissions was significant and she was sending more and more staff to the floor to input their records.” 7. I was also shown the spreadsheet that we were required to prepare for Ofsted on children's cases. There were extensive gaps in the information fields that we were required to provide. The inspectors were due to arrive the following day and I concluded that our inability to provide full and comprehensive data would not paint a good picture of our safeguarding ability.”
“For example, as files were prepared for inspectors, there were omissions evident. When the computerised database for children’s cases, Framework-I was being examined to complete the data tables requested, there were gaps in entries.”
“There is total distraction about the press interest, the forthcoming Panorama programme and the need to support staff. Although the building … is open to the public, it has been noticeable that there has been no mention of how members of the public are protected from walking past the TV film vans etc in order to access services. There has also, as yet, been no mentioned of how senior managers are ensuring that good quality responses are being made to the needs of vulnerable during this difficult time and of the importance of maintaining services.”
“48. … In the course of an inspection, each inspector will compile an individual RoE after each interview or document reading activity. Those individual RoEs are then collated by Ofsted at the end of each day and fed into a single collated RoE for the inspection. 49. The collated RoE for this inspection contains 797 rows, each setting out a brief summary of an individual item of evidence considered in the course of the inspection by each of the inspectorates that contributed to the inspection. 50. The RoE is not a comprehensive record of everything said at each interview, or contained on each file that was reviewed, but a record of the findings that were pertinent to the Key Judgements under consideration. It was compiled for the purpose of assisting the inspection team to formulate overall conclusions arising from the JAR, not the purpose of either anticipating or rebutting the complaints now made by [the Claimant]. As a result it does not set out exactly what was put to her, or any of the other officials interviewed by Ofsted.”
“The nature and quality of dialogue with the DCS was affected by the pressure of the circumstances during the fieldwork week; response to requests for information improved the following week. Daily liaison meetings and one formal interview … were held with the DCS during the fieldwork and regular ‘phone contact was maintained at the start of the week beginning 24 November in relation to provision of documentation and information connected to the review. The judgement of [Ms Brown] and [Ms Ryan] was that the intense media pressure, coupled with the presence of the review team meant that by the end of the fieldwork week the responses of the DCS to the team’s questions was (sic) less focussed and coherent than they might have been expected and it was therefore sometimes difficult to triangulate evidence. The lack of appointment at the start of fieldwork of one link officer by the council (several people were charged with aspects of this role) meant that there were delays in receiving documents. Communication during the week beginning 24 November improved and documents were provided promptly.”
“A central element of our method in conducting such a JAR is ‘triangulation’. By that method we seek to corroborate evidence with more than one further item of evidence. As part of the process of triangulation we seek to raise the issues that arise, for example, out of the documents with staff at appropriate levels in order to test the accuracy of the picture emerging from the documents, or from other interviews.”
“20. We saw such interviews as an opportunity to explore whether the interviewee’s own perception of the circumstances was consistent with what we had read and heard from others. To that end, we sought to encourage a very open discussion. We would not, for example, say “I put it to you that ...” in the way a lawyer might. Rather, we would explain the issues that we had been considering and/or the concerns that we had identified and say “tell us what you think works well, what you think the challenges are, and what issues you think need to be resolved”
“Pat [O’Brien] and I were very concerned about what we had found in relation to the cases we inspected during the duty room inspection. We wanted to feed back those concerns to managers in order to alert them to the problems we had encountered and to enable them to take the necessary action to ensure that those children were adequately safeguarded, It also gave them an opportunity to consider our concerns and to direct us to additional evidence where it existed to modify our understanding.”
“Whilst we would occasionally interview individual social workers about specific cases in the course of a JAR, this was not always the case. Whether or not it is appropriate to do so depends on the nature of the issues that arise from our scrutiny of the cases selected for tracking …. In this case … the concerns that arose were extremely serious, and fundamental to the way that safeguarding systems were operating in Haringey. In those circumstances, our principal concern was not to explore the individual cases in greater detail, but to discuss the broader themes that they illustrated in order to identify the extent to which managers and staff were aware of those themes and what, if any, action was being taken to address them. We did this both through the case-tracking feedback meeting, and during a focus group with frontline social workers the same day …. In fact, the people we spoke to confirmed the themes that we had identified from the individual cases.”
“I came away from that further meeting aware that we had problems but knowing that these were not unique to Haringey, as has subsequently been confirmed in the most recent Laming report where a number of the issues raised at this meeting and in the inspection report are acknowledged to be country-wide issues.”
“The question whether the problems were unique was not the point, and was not discussed at this meeting. The issue was the quality of safeguarding in Haringey. … the scale of the failings that we found during the case-tracking exercise was unique in my experience.”
“… where serious mistakes are made, there must be accountability, and I will not hesitate to act on the findings of the inquiry into what went wrong in Haringey and of Lord Laming’s review. Our responsibility, working together, is to ensure that children are safe and protected from abuse, and we will not rest until we have the very best possible child protection arrangements to safeguard out most vulnerable children in every part of the country.”
“And we do not think that a further letter is needed.”
“Christine remains in no doubt as to what Ofsted needs to do with the inspection. She confirmed that there will be an examination of some of the papers relating to Baby P. Without quite saying it, I got the distinct sense that there were wider and substantial concerns that had already been identified in Haringey. I can’t help feeling that the weight of negative evidence will be so great that Sharon will be compelled to resign or the Council will force her to go. All of this is pure speculation on my part and should not be shared with Ministers at this point.”
“This interview focussed upon capacity and the cross cut to performance management …. DDCS very distressed, verging on tearful on numerous occasions but in response to my question decided to proceed with interview as “things must carry on”
“46. At the … meeting (on the Thursday) [the Claimant] reiterated that she had no issues to raise about the inspection but did mention that the Chief Executive was considering whether to complain about the process. 47. Also during the … meeting, [the Claimant] indicated that she knew the report findings were unlikely to be positive and she asked that her name not be mentioned in the report. I did not comment on this request other than to explain that JAR reports do not generally name individuals.”
“She was in tears. She was very distressed and clearly understood that our findings were unlikely to be favourable. She said that, whilst she had felt she had “robust oversight” of performance issues, she now realised that the Performance Indicator data did not give the whole picture …. She asked me what more she could have done to make herself aware of the issues of concern in children’s services. We discussed the need for members to challenge and scrutinise information provided by council officers at all times, and to obtain information from a range of sources, such as children and their families, rather than to rely exclusively on information provided by council officers.”
“I would like to emphasise that we did not go to Haringey … expecting to find poor practice. We were not there to prove that services were inadequate. Given that more than a year had elapsed since the previous JAR we would have expected practice to have improved. The evidence was, however, clear and overwhelming that safeguarding practice was inadequate.”
“Thank you for our helpful telephone conversation this morning. As discussed, it is unlikely that the inspection team will need to come back on site this week, as we are now further considering the documentation and beginning to formulate our report… I am aware that you are sending me some further documentation via e-mail today, and I thank you for that in advance. I also attach written confirmation of the list of further information that we are requesting, and which we discussed earlier. If there is anything on the list which proves problematic to e-mail, do please just let me know. As we agreed, I am happy for all the information to be e-mailed to me, and I can then distribute it as required to my inspectors. Thank you very much indeed for all your help with this… Take good care…. ”
“254. During the course of the following week, [Ms Ryan] and I were engaged in drafting the Report. We received comments from senior Ofsted managers for the purposes of quality assurance … and also senior representatives of the Healthcare Commission and HMIC. I should emphasise, however, that the final draft Report reflected fully the findings and views of the inspection team. I wrote every word of it. I was never under any pressure from my managers to reach any particular conclusions or change any of the conclusions or judgements that we had reached. 255. When we had first arrived at HCCS, [the Claimant] had suggested to me that the inspection team might be under political pressure. I assured her that this was not the case. I believe that we acted at all times with the utmost objectivity and independence.”
“During the course of 27th November, arrangements for receiving the report were finalised directly between Christine Gilbert and David Bell. At the Department’s request, it was agreed that a draft would be provided to the Department in advance, on the evening of Sunday30th November 2008 . Ofsted would then brief the Secretary of State at 9 a.m. on1st December 2008 . There would then be a separate meeting between Ofsted and Haringey to enable Ofsted to feed back the findings of the JAR and to make any suggested changes. Once the report was finalised, there would be a meeting between Ministers and Haringey to discuss the report and the Secretary of State’s proposed action. It was agreed on 28th November that, for reasons of practicality, these scheduled meetings should take place at Sanctuary Buildings.”
“… The issue of who would attend the meetings to be held with Ofsted and the Secretary of State at the DCSF on1 December 2008 was decided by me in terms of who needed to state the Council position. I regarded that role as falling to me as the Chief Executive in relation to the meeting with the Secretary of State. I considered that the meeting with Ofsted was likely to be a meeting to check the accuracy of the report, rather than an exercise involving a line by line assessment of its validity. I decided that it was not necessary or appropriate for [the Claimant] to be present. I took two senior officers for that purpose, one from CYPS and the Council's link officer for the inspection. Both officers had been closely involved in the inspection and were familiar with matters that had been raised in questions and interviews during its conduct. They did not attend the meeting with the Secretary of State. I would add that I was genuinely worried about [the Claimant’s] health and safety and had already advised her to remain outside London on 1 December. I judged that attending such a meeting was likely to be highly emotional and very stressful for her as head of the safeguarding service. Furthermore, I was concerned about the tremendous pressure she seemed already to be under and what I had perceived as her variable ability to concentrate during this very difficult period.”
"Dear Heather, Forgive me for contacting you but if it is at all possible please can any national humiliation of me be avoided if at all possible. I am afraid of any more media. I will be very grateful. If there is any possibility of anything positive I would also be very grateful. You don't need to send any reply. I understand. I just need to ask you. Thank you. Sharon."
“There were press outside my flat when I got home (I came past in a cab) and so I had to wait in a nearby café until late before going in. During that wait I did send the text message to Ms Brown …. It was sent late in the evening from the café where I had sought refuge until the press had left my flat. I was exhausted and had endured the delivery of a petition said to be signed by 1.4 million people to Downing Street who wanted rid of me. I had been chased that morning by TV cameras and it was then that the most often used piece of film of me was taken. By then I had had a death threat and police secured my windows and gave me advice about my safety. That threat had focussed on my daughter and she had left London. I had extra smoke alarms fitted above the door to my flat and a cage lined in foil fixed over the letterbox to catch any burning material that might be put through it. The police set up an arrangement whereby I could get an instant police response if I needed it. I was being recognised on the tube and was photographed on the bus. Given the context in which the inspection took place I expected the report to contain some criticism but I knew that it would not mention me or focus on me or anyone else because JAR reports did not mention individuals as a rule and Phil Pullen had told me that this report would be no exception …. I was trying to elicit some kind of response by sending the text message. Although by now I was very afraid for my safety on London's streets I was coping well with the pressure. I am a very resilient person ….”
“32. In the event, the drafting process continued over the weekend of 29 and 30 November, during which time I reviewed the report for final proofing and editing of the report, including the incorporation of further input from HMIC and the Healthcare Commission. I should explain that the editing did not involve material changes to judgements but was simply ensuring consistency of style and dealing with final comments from the Healthcare Commission and HMIC and to allow for Christine’s final approval. 33. The final draft was completed at around 4pm on Sunday 30 November, when I sent it to Christine. I understand that she forwarded it to the Secretary of State’s Private Secretary at around 5pm after she had approved it.”
“Officials and Ministers were stunned by how damning and critical the report was. The … findings clearly demonstrated that Haringey’s performance of their safeguarding responsibilities was inadequate and Ministers were advised by officials that the threshold for intervention in accordance with section 497A of the 2004 Act was satisfied. Ministers and officials were struck by the very stark nature of the findings and the depth and breadth of the failings they highlighted …. … These findings from Ofsted showed systemic weaknesses in the quality of safeguarding practice, supervision, management and inter-agency working. Ministers and officials were left in no doubt about the scale of the failure and the importance of taking swift, decisive action to address a very serious situation within Haringey.”
“(a) pursuant to [section 497A(4B)] … he directs that: (i) the Council shall appoint until31 December 2008 and on such terms and conditions as the Secretary of State agrees John Coughlan as their Director of Children's Services, in accordance withsection 18(1) of the Children Act 2004 for the purpose of the functions conferred on or exercisable by the Council which are specified insection 18(2) of the Children Act 2004 ; and (ii) the Council shall appoint Libby Blake as Mr Coughlan’s Deputy on such terms and conditions as the Secretary of State agrees; and (b) pursuant tosection 7A of the Local Authority Social Services Act 1970 Act, … that the Council shall appoint Graham Badman to chair the LSCB.”
“In their summary judgement, the inspectors say that there [is] … insufficient management oversight of the Assistant Director of Children’s Services by the Director of Children’s Services and Chief Executive.”
“Overall, the Inspectors' findings are … devastating. Their report sets out detailed recommendations, all of which must now be accepted in full. And having studied their report, I have decided to take immediate action. My first priority is to put in place a new leadership and management team in Haringey children's services to ensure that vulnerable children in the borough are properly protected. I have directed Haringey Council to appoint John Coughlan as Director of Children's Services. Haringey Council will now remove the current Director of Children's Services from her post with immediate effect. Mr Coughlan is one of the most highly respected Directors of Children's Services in the country - and I am grateful that he has agreed to extend his secondment to Haringey to manage the transition to new management. My direction takes place under section 497A(4B) of theEducation Act 1996 . It takes immediate effect and will last until31 December 2008 . I will identify a new Director of Children's Services to take up post from1 January 2009 - and it is my intention to direct this appointment too.”
“Q. First of all, can you confirm that Sharon Shoesmith will not be given a payoff with public money? Could you also say what you intend to do or what recommendations you have for the social workers who were involved in this case, Maria Ward, Sylvia Henry and Gillie Christou? It’s quite clear from this report you’ve just published that there were serious failings on the ground as well as in the management so surely they have some questions to answer about their actions, and should they be carrying on working with children? And thirdly, do you recognise the force of the Sun campaign which led to 1.3 million signatures handed in to you and the Prime Minister last week? A. Well I undoubtedly recognise the force of the petition from your newspaper, and right across the country many, many people, millions of people have been affected, and millions of people have been affected, including teachers, including social workers, mums and dads, grandparents, children themselves, that they have studied and seen and seen in the newspapers the reality of this tragedy. And, you know, as I’m sure all of us understand, the passage of time does not make it any easier to bear or easier to read about; it’s, if anything, more upsetting. As I’ve said, the result of my direction today to Haringey is that the director of children’s services will be removed immediately from her post. Her employment relationship is with Haringey and so the normal employment and legal procedures will take place; but I have to say, I think most people will look at this report, look at the clear evidence of management failures and say that this kind of failure should not be rewarded with compensation or payoffs to … in the way in which you suggest. That’s a matter for Haringey. I have to say I would be astonished if elected members in Haringey chose to do that, but it's a matter for them.”
“Q. First of all, I wanted to ask you, were you surprised that Sharon Shoesmith didn’t offer her resignation given the damning findings of Ofsted? And secondly, given that Lord Laming introduced many of the structures that we are now living with today, is he really the right person to be conducting a review of how those services are not working? A. Well, Sharon Shoesmith will only now be seeing the detailed inspectors’ report, the inspectors’ report was submitted to me at nine o’clock and then to the leadership of Haringey Council this morning, and I then had a meeting with Haringey Council after that. So the director of children’s services will only now be seeing the detail of this report which, as I said, is devastating about management … sorry … Q. Why didn’t Sharon Shoesmith resign? A. That is not a question that I can answer, and nor can I answer why employees of Haringey have made the decisions they’ve made in the last couple of weeks. What I decided to do, and I’ve always been clear about his, that I would go through … do it properly, I’d get the inspectors in, I would look at their findings and then I would act; and I have acted to remove the director of children’s services from her post today and appoint newer leadership, both at a director of children’s services and, through Graham Badman as the effective chair of the local safeguarding board; so there’s been a root and branch change in the management of children’s services in Haringey. But that’s not really a question that I can answer today.”
“Q. You mentioned the powers that you acted under, but is there any precedent for a central Government minister sacking a local government officer, and was there any reason why you have to do it rather than leave it to Haringey – was it that they were dragging their feet? A. Well, I have not sacked anybody. I have removed the … that official from her post, from her statutory responsibilities, and I’ve directed the replacement of a new person to go in and take over those responsibilities. The employment relationship, as you know, is for Haringey, and that’s something I know they will considering this afternoon and immediately. There is a precedent for this to happen. But these are obviously powers which you only use in the last resort, and you use them with care because they are strong powers. But in this case I judged it was the right thing to do. You’ll know that there have been a number of interventions in different local authorities around the country over the past decade or so. I don’t know that there’s been one done in this way. I’m confident that we’ve never, ever directed a change in the local safeguarding board chair, the … effectively the chair of the board, if you like. And to be honest, having seen this report today, independent of any personnel changes which have been made, I think that I would have decided that intervention and direction now and in the coming months was the right thing to do in Haringey. But, you know, in terms of particular people, we are where we are. Q. Sorry to, just to clarify: what’s the difference between sacking and removing someone from their job? A. Well, the employment … I don’t employ the director of children’s services in Haringey; Haringey Council, which is a statutory body, they employ that lady, Mrs Shoesmith, and it is for Haringey now to decide what employment and legal process to follow. It’s not my role; I don’t have the power to do that. But what I do have the power to do is intervene and remove somebody who I judge not fit to hold an office, to be removed from office, and that’s what I have done, and I have directed a new director of children’s services to go in. It’s a matter for Haringey to decide how to then take that forward, and I know that’s something that they will be looking at as we speak.”
“We are deeply sorry we are that we did not do more to protect Baby Peter. We have a duty to protect children and on this occasion we failed. I have found it hard to understand how anyone could do such terrible things to a defenceless baby. The council takes full responsibility for all the failings in our service. We acknowledge our duty to protect children in Haringey and the failings in our service identified in the report. We welcome the support which is being offered by Government in terms of the intervention announced by the Secretary of State earlier today to help us make the improvements which we understand are so necessary. We need to make changes to the ways we work and we need to make changes to the ways we work in partnership. We will work with all local partners to support improvement. We can’t change what happened. This report confirms that we could have done more to protect Baby Peter. We can change things for the future. The best tribute we can now give him is to take action immediately, make the changes we need and start to rebuild confidence in our child protection service.”
“I want to say how truly sorry I am that this young child (Baby Peter) has lost his life. I know we did not do enough to protect him and that is and going to be something I will never forget. There has been personal and collective anguish and sorrow from staff across the Council. I offer my sincere apology and sympathy to his father and family. I welcome the report from Inspectors who recently conducted a Joint Area Review on Safeguarding Children in Haringey, as I know my colleagues within the Police, Primary Care Trust and Great Ormond Street Hospital do and we are committed to doing everything we can to improve how we work and how we work together. The report which we have just received will be supported by the appointment of a new Director of Children’s’ Services. Our plans for longer term improvement will be reported to the Council along with the detailed actions we are committed to delivering. I can tell you of the actions that are being taken immediately to improve the quality of services for safeguarding children within the Borough: We were directed by the Secretary of State to remove the current director of Children and Young People’s Services from her statutory duty. We suspended her immediately and will follow the legal process as speedily as possible. We have suspended a number of other staff, pending investigation following the Ofsted report. We will follow the process as speedily as the law allows. The position of other staff will be subject to review in the light of today’s report. The review will be carried out by John Coughlan, the new Director of the Children and Young People’s service. I am pleased that the Secretary of State directs that the interim Deputy Director should be confirmed in post. As the minister outlined, an independent Chair of the Local Children’s Safeguarding Board has been appointed to ensure independent challenge and scrutiny of the Council and its partners’ services and specifically with regard to serious case reviews. The first meeting of the board will consider the report and look at changes we need to make individually and collectively as a result of the report. In the sixteen months since Baby Peter died Haringey’s social workers have continued to do their best, often in very difficult circumstances, to protect vulnerable children in our community. Despite the pressure of the last few months and weeks, they continue to put the interests of those children first. On 1 December the Leader of the Council, Councillor George Meehan and the cabinet member for children and young people resigned from their posts.”
“I write to confirm the decision to suspend you from your duties with effect from Monday,1 December 2008 . The suspension will be on normal contractual pay and it was operate until there has been time to fully investigate the effect of the Direction of the Secretary of State made on1 December 2008 in relation to the position you hold and the allegation that the relationship of trust and confidence in you has been fundamentally breached following receipt of the report of the Joint Area Review which sets out failures in the effectiveness of the management of child protection services at the most senior level in the Council.”
“I am happy to send this letter by post if you wish, but due to urgency I am e-mailing you directly. I am requesting some additional information so that we can move quickly to resolution on all the issues raised in the Secretary of State’s Direction. The Council has fully accepted the findings and recommendations of the Joint Area Review. The authority also recognises that the findings set out in the report are, of necessity, drafted in a summary form. However, in the main this means that these findings are presented without the detailed supporting findings from the evidence gathered during the inspection itself. John Coughlan has been charged by the Secretary of State to consider and address any immediate staffing issues raised by the Baby P case. The Council is also giving immediate consideration to the employment aspects of the directions issued by the Secretary of State as well as the findings of the report of the review. You will be aware from the statements issued yesterday by the Council that it has suspended three senior members of staff in its Children and Young People’s Service, including the Director. It would assist both Mr Coughlan and the Council in taking urgent action on these matters for more information to be made available on critical aspects of the report and its findings concerning the operation of Haringey Council’s child safeguarding services, particularly their management in the this context, I write to request that the detailed findings supporting the content of the main findings in paragraph 7, paragraphs 35 to 44 and paragraph 47 be made available so that consideration can be given to them in the course of the actions currently being taken in respect of staff. I look forward to hearing from you as soon as is reasonably possible.”
“The effect of the Direction of the Secretary of State made on1 December 2008 in relation to the position you hold and the allegation that the relationship of trust and confidence in you has been fundamentally breached following receipt of the report of the Joint Area Review which sets out failures in the effectiveness of the management of child protection services at the most senior level within the Council.”
“It is normal practice to afford 10 working days notice of such meetings. The exceptional circumstances of the public interest surrounding your position makes such notice difficult. I believe it is in the interest of both parties to expedite matters. I am proposing therefore to make a payment in lieu of such notice to you on the basis of a value of 10 working days salary.”
“Heather Brown … has passed me your e-mail of3 December 2008 for consideration. Clearly, you might find it helpful to be given more details about what the inspection found and, therefore, I am happy to agree to a meeting between John Coughlan, Heather and perhaps Phil Pullen, Assistant Divisional Manager, Local Services Inspection, who helped to quality assure the inspection. I would be grateful if you could confirm who else you would want to have at the meeting in advance. Heather or Phil will then contact John Coughlan to make the necessary arrangements. I am sure you will understand that, although Heather will be able to provide more detail around the findings, she will not be able to share the evidence base directly. This is in line with our usual practice. I would like to take this opportunity to wish you well with the work you are not undertaking to address the important issues identified in the report.”
“This is to inform you that today Sharon Shoesmith was dismissed from Haringey Council with immediate effect. The decision was taken by a panel of councillors. Ms Shoesmith will not be returning to work in Haringey. She will not receive any compensation package, nor will she receive any payment in lieu of notice. The is because of the Secretary of State’s direction on 1 December removing Sharon Shoesmith from her statutory role and appointing John Coughlan to that role, and because of the content of the Joint Area Review which raised serious concerns about the management of safeguarding children services in Haringey. This is an exceptional procedure which reflects the unusual circumstances of the last few weeks. Measures have been taken to bring additional resources to Haringey and we are working to implement all the recommendations of the Joint Area Review. Once again I want to thank all staff for their commitment to the job at hand, which has been exemplary. We are proud of how steadily people have put their minds to providing the best work they can, across the council. There is a strong sense of commitment to our services and the responsibilities we have to our residents and partners ….”
“I write to confirm the outcome of the meeting that was held on8th December 2008 at which you were present and represented by Richard Penn. At the meeting a panel of elected Members considered the following matter; The effect of the Direction of the Secretary of State made on1 December 2008 in relation to the position you hold and the allegation that the relationship of trust and confidence in you has been fundamentally breached following receipt of the report of the Joint Area Review which sets out failures in the effectiveness of the management of child protection services at the most senior level within the Council. The Members carefully considered the issues surrounding your employment with the Council including the matters raised by yourself and Richard Penn on your behalf at the meeting. The Panel made the following decision: 1. The Panel found that the effect of the Direction of the Secretary of State on1 December 2008 , which it had no reason to suppose was not valid and lawful, was to remove responsibility for all duties and functions for your post as Director of Children and Young People's Service. The Panel further found that no significant elements of that post could be exercised outside of the effect of that direction. 2. The Panel found that the relationship of trust and confidence in you had been fundamentally breached as a consequence of the summary judgement and main findings of the Joint Area Review which identified a catalogue of shortcomings across the service. In particular the Panel had regard to the lack of effective supervision and management within the service e.g. child protection planning and assessment. The Panel noted that a number of key failures were accepted by you. 3. The Panel took no account of the statement by the Chief Executive at the Press Conference on1st December 2008 in reaching its decision. 4. The Panel noted that the Joint Area Review recognised substantial failings within other agencies but were not able to comment on these as they were not within its remit. Therefore the decision of the Panel is that sufficient evidence was presented, given its findings in 1-4 above, to justify summary dismissal with immediate effect. ….”
“Sharon Shoesmith has been dismissed from Haringey Council with immediate effect. The decision was taken on Monday by a panel of councillors. Ms Shoesmith will not be returning to work in Haringey. She will not receive any compensation package. She will not receive any payment in lieu of notice. This is because of the Secretary of State’s direction on 1 December removing Ms Shoesmith from her statutory role and appointing John Coughlan to that role, and because of the content of the Joint Area Review of safeguarding children in Haringey, published on the same day, which highlighted the inadequate management of arrangements for safeguarding children. The content of the report led to a fundamental loss of trust and confidence in Ms Shoesmith.”
“It is … very surprising to learn that not only has Sharon been dismissed with no compensation for her previous good work, but with not even the statutory three month notice period. We believed that Haringey as a Council was more principled than this. We believed that you would adhere to fair employment practice. We believed that you had a duty of care to employees who have dedicated years of their working life to Haringey and its services. We fear for the recruitment of any quality staff for Haringey for the foreseeable future.”
“You have invited the Panel to consider whether we accept that your legal submissions are correct. As a dismissal appeal panel all of the Members are experienced in dealing with factual arguments. We also appreciate the fact that you have made your legal submission in an accessible way. We understand your submission to be a criticism of the legality of the Secretary of State’s direction however, we consider that such arguments are more appropriate for a court of law, not a fact based forum of lay people such as this appeal panel. It appears from your submission that your case is that the decision of findings of the Secretary of State were flawed however, we cannot rule on the exercise of those government powers. For this reason we consider that this hearing must proceed on the basis that the Secretary of State’s power was exercised lawfully. We recognise that this is a point in dispute for you and anticipate that you may seek a public law remedy in future. However, the focus of this hearing are (sic) the requirements of statutory employment law.”
“It is not good enough, and we can see from the Council’s documents and indeed from the way the case was put this morning that the Council had no alternative. They were directed by the Secretary of State it is said …. Well, first of all, they didn’t have to, the Council weren’t directed to dismiss her - they were directed to appoint someone else as interim director. That may have meant that her position may have to be considered, but it could have been considered in a number of ways. Were there any functions of her post which weren’t being assigned to the new director, she had been working in tandem with the new director since the 13th November. Could that arrangement have continued given her managerial skills, which had been successfully and generally favourably commented on in relation to education? Were those management skills transferable elsewhere within the Council … it didn’t follow and the Council were wrong to proceed … on the basis that they had to do what they were doing because that was what the Secretary of State directed.”
“MEMBER LEVEL APPEAL HEARING I write to confirm the decision of the Member Level Appeal Panel, which met on Wednesday 7 January, Thursday 8 January and Monday12 January 2009 to consider your appeal against summary dismissal at which you were represented by Mr Tony Childs. The Appeal Panel considered the following allegation, as set out in the Council's letter of3 December 2008 . The effect of the Direction of the Secretary of State made on1 December 2008 in relation to the position you hold and the allegation that the relationship of trust and confidence in you has been fundamentally breached following receipt of the report of the Joint Area Review which sets out failures in the effectiveness of the management of child protection services at the most senior level within the Council. The appeal hearing proceeded as a re-hearing of the allegation. The Panel reached its own conclusions on the basis of the evidence presented at the hearing. The grounds of appeal challenged the validity of the Secretary of State's Direction, issued on1 December 2008 . Your legal adviser made legal submissions on that point, but the Panel held that it was not the proper authority to challenge the Direction and it would proceed on the basis that it was lawful and valid. The grounds of appeal also challenged the decision of the original dismissal panel on8 December 2008 . However, as this appeal was a re-hearing, the appeal panel had focused on the evidence presented, with particular emphasis on the Joint Area Review (JAR). The Panel reached its own independent conclusions without any outside influence. In particular, the Panel had not taken account of any press reporting and had expressed its displeasure about material reported in the press at the time of this hearing. The Panel carefully considered the allegation and the grounds on which you had based your appeal reached the following findings: 1. The Panel reached the findings that the effect of the Direction of the Secretary of State on1 December 2008 , which it had no reason to suppose was not valid and lawful, was to remove responsibility for all duties and functions for your post as Director of Children and Young People's Service. 2. The Panel found that trust and confidence had been lost due to the summary judgement and the main findings of the JAR. These identified a catalogue of short comings across the service. The JAR specifically records the lack of effective supervision and management within the service. 3. The Panel appreciated that you had submitted information that questioned the validity of the JAR's conclusions. The Panel had also noted that the JAR records substantial failings in services other than Haringey. However, this Panel had no opportunity to verify your information through questioning the authors of the JAR. 4. In reaching its conclusions, the Panel had considered the impact of the Laming Inquiry on Haringey Council and took the view that the Director of Children's Services was personally accountable for any failings identified in the Service by the JAR. 5. The Panel considered acceptance of this responsibility to be a fundamental term of your employment. The findings of the JAR are such that this term had been breached. On that basis, the Panel dismissed the appeal and the summary dismissal was upheld.”
“… where an Act of Parliament confers an administrative power there is a presumption that it will be exercised in a manner which is fair in all the circumstances. (2) The standards of fairness are not immutable. They may change with the passage of time, both in the general and in their application to decisions of a particular type. (3) The principles of fairness are not to be applied by rote identically in every situation. What fairness demands is dependent on the context of the decision, and this is to be taken into account in all its aspects. (4) An essential feature of the context is the statute which creates the discretion, as regards both its language and the shape of the legal and administrative system within which the decision is taken. (5) Fairness will very often require that a person who may be adversely affected by the decision will have an opportunity to make representations on his own behalf either before the decision is taken with a view to producing a favourable result; or after it is taken, with a view to procuring its modification; or both. (6) Since the person affected usually cannot make worthwhile representations without knowing what factors may weigh against his interests fairness will very often require that he is informed of the gist of the case which he has to answer.”
“Another way of stating what is in essence the same principle is to say that the chief officer must observe the rules of natural justice. Reference to ‘rules’ can, however, be misleading if it is taken to suggest some universally-applicable procedure or some formula-based test of what is required of the decision-maker. It can, I think, lead to an unduly doctrinaire and mechanistic approach. A test of fairness is to be preferred because, being very general, it can better embrace the almost infinite variety of situations which fall for consideration. The minimum that fairness demands in one case may be much more than fairness requires in another.”
“The appellant has first to show that his position was such that he had, in principle, a right to make representations before a decision against him was taken. But to show this is not necessarily enough, unless he can also show that if admitted to state his case he had a case of substance to make. A breach of procedure, whether called a failure of natural justice, or an essential administrative fault, cannot give him a remedy in the courts, unless behind it there is something of substance which has been lost by the failure. The court does not act in vain ….”
“I would readily accept the view expressed by Lord Denning MR and Cumming-Bruce LJ in George v Secretary of State for the Environment[1979] 77 LGR 689 at pp.695 and 699 that there can be no such thing as a technical breach of natural justice. That is because, to my mind, a procedure must in all the circumstances of a given case be either fair or unfair. Since (always assuming the absence of a prescribed statutory procedure) the court is concerned with matters of substance and not mere form, a procedure cannot be unfair in a purely technical sense. There is no third category embracing procedures which are unfair to the subject of the decision as a matter of technicality but not substance.”
“While cases may no doubt arise in which it can properly be held that denying the subject of a decision an adequate opportunity to put his case is not in all the circumstances unfair, I would expect these cases to be of great rarity. There are a number of reasons for this: 1. Unless the subject of the decision has had the opportunity to put his case it may not be easy to know what case he could or would have put if he had had the chance. 2. As memorably pointed out by Megarry J in John v Rees[1970] Ch 345 at page 402, experience shows that what is confidently expected is by no means always that which happens. 3. It is generally desirable that decision-makers should be reasonably receptive to argument, and it would therefore be unfortunate if a complainant's position became weaker as the decision-maker's mind became more closed. 4. In considering whether the complainant's representations would have made any difference to the outcome the court may unconsciously stray from its proper province of reviewing the propriety of the decision-making process into the forbidden territory of evaluating the substantial merits of a decision. 5. This is a field in which appearances are generally thought to matter. 6. Where the decision-maker is under a duty to act fairly the subject of the decision may properly be said to have a right to be heard, and rights are not to be lightly denied.”
“Probability is not enough. The defendant would have to show that the decision would inevitably have been the same and the court must not unconsciously stray from its proper province of reviewing the propriety of the decision-making process into the forbidden territory of evaluating the substantial merits of the decision. Authority for this synthesis may be found in R v Chief Constable of the Thames Valley Police, Ex p Cotton[1990] IRLR 344 , 352, Simplex GE (Holdings) v Secretary of State for the Environment(1988) 57 P & CR 306 , 327, R v Secretary of State for the Environment, Ex p Brent London Borough Council[1982] QB 593 , 646, and see also Fordham,JudicialReviewHandbook, 4th ed (2004), para 4.5 and Lewis,JudicialRemediesinPublicLaw , 3rd ed (2004), para 11– 027.”
“Parliament entrusted the underlying statutory power, which entailed a discretion to adopt a policy of fixing a tariff, to the Home Secretary. But the power to fix a tariff is nevertheless equivalent to a judge's sentencing power. Parliament must be assumed to have entrusted the power to the Home Secretary on the supposition that, like a sentencing judge, the Home Secretary would not act contrary to fundamental principles governing the administration of justice. Plainly a sentencing judge must ignore a newspaper campaign designed to encourage him to increase a particular sentence. It would be an abdication of the rule of law for a judge to take into account such matters. The same reasoning must apply to the Home Secretary when he is exercising a sentencing function. He ought to concentrate on the facts of the case and balance considerations of public interest against the dictates of justice. Like a judge the Home Secretary ought not to be guided by a disposition to consult how popular a particular decision might be. He ought to ignore the high-voltage atmosphere of a newspaper campaign. The power given to him requires, above all, a detached approach. I would therefore hold that public protests about the level of a tariff to be fixed in a particular case are legally irrelevant and may not be taken into account by the Home Secretary in fixing the tariff. I conclude that the Home Secretary misdirected himself in giving weight to irrelevant considerations….”
“… the imposition of a tariff, which is intended to fix the minimum period to be spent in custody, is, in itself, the imposition of a form of punishment. This has … the characteristics of an orthodox judicial exercise, which is directed to the circumstances of the offence and those of the offender and to what, having regard to the requirements of retribution and deterrence, is the appropriate minimum period to be spent in custody. The judge, when advising the Secretary of State about the tariff, must and does confine his attention to these matters. He does not take account of public petitions or public opinion as expressed through the media. Expressions of opinion from these sources, however sincere and well presented, are rarely based on a full appreciation of the facts of the case.”
“As with other Ofsted inspections – and as s.20(3) makes clear – a JAR is concerned with the effectiveness of organisational processes and performance overall. It is not an investigation into the performance of individuals. Neither does the JAR focus solely on the local authority’s organisational processes and performance but on the individual and combined processes and performance of all agencies responsible for the delivery of services to children and young people in a local area. This includes, for example, the health service and the police. As such JAR reports do not generally refer to named individuals.”
"There is insufficient strategic leadership and management oversight of safeguarding of children and young people from Haringey by elected members, senior officers and others within the strategic partnership."
"There has been insufficient leadership and strategic oversight of safeguarding services by Members and senior officers. In particular, this relates to failures to implement compliance with the requirements of the Climbié Inquiry."
"There is insufficient strategic leadership and management oversight of safeguarding of children and young people ... by elected members and senior officers within the strategic partnership. This is demonstrated by failure to ensure full compliance with some requirements of the Climbié Inquiry recommendations."
"Social care, health and police service files on vulnerable children do not demonstrate that managers have good oversight of the process of the case."
"Not finding records on the system — lack of managerial oversight."
"There is a managerial failure to ensure full compliance with some requirements of the inquiry into the death of Victoria Climbié, such as the lack of written feedback to those making referrals to social care services."
" ... in this version, we have removed the references to Climbié throughout the main body of the report, but it remains in the main findings. We are happy to delete that reference, also, or reinstate the other references, depending on your advice please."
"53. When allocating a case to a social worker, the manager must ensure that the social worker is clear as to what has been allocated, what action is required and how that action will be reviewed and supervised."
"The local safeguarding children board (LSCB) fails to provide sufficient challenge to its member agencies. This is further compounded by the lack of an independent chairperson."
"While the local children safeguarding children board (LSCB) provides an adequate oversight of broader safeguarding issues, it fails to provide sufficient independent challenge."
"Current management arrangements within the council and across the partnership do not facilitate sufficient independent challenge on safeguarding matters. The local safeguarding children board is chaired by the director of the children and young people’s service. The management arrangements for independent reviewing officers, with senior management responsibility resting with the deputy director of the children and young people’s service, are insufficiently independent of operational line management in social care."
"Social care, health and police authorities do not communicate and collaborate routinely and consistently to ensure effective assessment, planning and review of cases of vulnerable children and young people."
"one of the things we can see from the files is a lack of multi-agency" and "not assessing together but in parallel"
"Too often assessments of children and young people, in all agencies, fail to identify those who are at immediate risk of harm and to address their needs."
"Assessments of vulnerable children and young people by social care, health and police services are insufficiently rigorous and do not always focus on the needs of the child."
"In the vast majority of files read, the quality of assessments and care planning is poor. Information from other agencies is not always included and considered in the assessment and there is evidence of too limited analysis and understanding of the issues. Not all files have a chronology of the case and there is repeated failure to take proper account of the historical concerns. Social care managers are aware of the poor quality of assessments. However, there is no identifiable activity to address these deficiencies."
"The quality of front line practice across all agencies is inconsistent and not effectively monitored by line managers."
“Not finding records on the system – lack of managerial oversight” and “[Not] all relevant children opened on the system”
"Social care, health and police service files on vulnerable children do not demonstrate that managers have good oversight of the process of the case."
"Child protection plans are generally poor."
"Arrangements for scrutinising performance across the council and the partnership are insufficiently developed and fail to provide systematic support and appropriate challenge to both managers and practitioners."
"Performance management arrangements across the (partnership??) council, health services and police do not adequately support the Children and young people's Trust?/partnership Board in meeting their statutory responsibility for the safeguarding of children"
"The standard of record keeping on case files across all agencies is inconsistent and often poor."
"The standard of record keeping across agencies is inconsistent and sometimes poor."
"There is too much reliance on quantitative data to measure social care, health, and police performance, without sufficiently robust analysis of the underlying quality of service provision and practice."
"The heavy reliance on performance indicator data to measure social care and health (and police??) performance has led to a focus on meeting performance timescales. Insufficient priority is given to collecting, analysing, reporting and using information on the quality of services received by children and their families."
"6. Ministers have invoked their powers of direction only when absolutely necessary and in proportion to the extent and nature of the failure identified. The most extreme forms of intervention, and in particular directing the outsourcing of services, have only been used where there is compelling evidence of serious failure and of the inability or reluctance of the authority concerned to tackle that failure within a reasonable timescale. Intervention normally follows a period of discussion with the local authority, leading if possible to agreement about the action to be taken. ... 7. Since 1997 statutory powers have been used in 12 local authorities, although we have never used the "
"Haringey: a directed outsourcing of a general education function resulting in the senior management team being replaced with the external contractor's staff and the contractor having responsibility for the management of staff who remained the responsibility of the Council. The contract ended in 2004 ..."
“ … I think that earlier decisions in this general field must now be read in the light of the employment protection legislation to which I have referred. The concept of natural justice involved in many of the cases is clearly now subsumed in that of an "unfair dismissal." To the extent that such cases laid down any principle of law, then of course they must be followed. As always, however, to the extent that they were really decided upon their own facts they provide no precedent for later cases.”
"If the employer shows that he has a substantial reason for dismissal ... that does not in itself establish the fairness or unfairness of the dismissal. Except in [certain] special cases ... it is necessary to the second stage of adjudication of fairness. At that stage, the issue of fairness depends upon whether the tribunal is satisfied that in the circumstances the employer acted reasonably in treating the reason shown to him as a sufficient reason for dismissing the employee. The tribunals are able to take matters both of substance and procedure into account when deciding the issue of reasonableness. At the substantive level, the tribunals can consider the whole sequence of developments leading to a dismissal and can, in effect, apply their own standards of good employment practice in order to evaluate the dismissal ...."
“If men are inclined to deal unjustly with their fellows, the possession of power aggravates this inclination. That is why irresponsible and uncontrolled power is the greatest source of injustice.”
“… there is no duty of general disclosure in judicial review proceedings. However, there is … a very high duty on public authority respondents, not least central government, to assist the court with full and accurate explanations of all the facts relevant to the issue the court must decide.”
“2. The disclosure of documents in civil litigation has been recognised throughout the common law world as a valuable means of eliciting the truth and thus of enabling courts to base their decisions on a sure foundation of fact. But the process of disclosure can be costly, time-consuming, oppressive and unnecessary, and … the general rules governing disclosure [have not] been applied to applications for judicial review. Such applications, characteristically, raise an issue of law, the facts being common ground or relevant only to show how the issue arises. So disclosure of documents has usually been regarded as unnecessary, and that remains the position. 4. Where a public authority relies on a document as significant to its decision, it is ordinarily good practice to exhibit it as the primary evidence. Any summary, however conscientiously and skilfully made, may distort. But where the authority's deponent chooses to summarise the effect of a document it should not be necessary for the applicant, seeking sight of the document, to suggest some inaccuracy or incompleteness in the summary, usually an impossible task without sight of the document. It is enough that the document itself is the best evidence of what it says. There may, however, be reasons (arising, for example, from confidentiality, or the volume of the material in question) why the document should or need not be exhibited ….”
"2. Major issue from Phil any e-ms on system. Baby P or Haringey are deleted. URGENT!"
"Later that morning I remember discussing the confidentiality issues with Clive Newsome, who was then the Business Manager in Ofsted's local services inspection division [who was] the person in the division that dealt with the team of dedicated officers who advise Ofsted on data retention on a regular basis .... His advice was that e-mails should not be deleted and, following our discussion, I appreciated that it would be an error to delete any emails relating to the inspection process, even those relating to purely administrative matters, particularly given the high profile nature of the Haringey joint area review."
"Having thought matters through, I decided to retract my earlier request and, as soon as possible, I made telephone contact with Heather Brown. I was able to speak to Heather early that afternoon requesting that she inform all members of the inspection team not to delete any e-mails. I have spoken with Heather Brown since this time and she confirms that she did communicate the retraction of the request to each inspection team member on that day."
“…the presumption, as one would expect, is not to be applied in an absolute way. In Malhotra v Dhawan [1997] 8 Med LR at 319, the principle as laid down by the Court of Appeal was accurately summarised in the head note to this effect: “If it were found that the destruction of the evidence was carried out deliberately so as to hinder the proof of the plaintiff's claim, then such finding would obviously reflect on the credibility of the destroyer. In such circumstances it would enable the court to disregard the evidence of the destroyer in the application of the principle.” “If it were found that the destruction of the evidence was carried out deliberately so as to hinder the proof of the plaintiff's claim, then such finding would obviously reflect on the credibility of the destroyer. In such circumstances it would enable the court to disregard the evidence of the destroyer in the application of the principle.”