It is a pleasure to serve under your chairmanship this afternoon, Sir Edward.
For clarity—after some mix-ups this morning, for which I apologise—these are probing amendments that we are not seeking to press to a vote today. We have tabled them to get on record some responses from Ministers about how the single unique identifier will be used.
As the shadow Minister has pointed out, there is widespread agreement that clause 4 is absolutely necessary and long overdue. Failure to share information effectively has been identified, over many years, as one of the key barriers to keeping children safe, to providing joined-up support to meet their needs and to conducting research across the children’s system. Professor Jay’s report on child sexual abuse brought that, and the failure of agencies across the system to share data, into stark relief. In the Committee’s evidence session on Tuesday, the Children’s Commissioner cited the same example as Professor Jay gave me when I met her last week: teenagers in a particular area had a very high prevalence of sexually transmitted diseases and that data was not shared with relevant agencies, although it clearly should have put up a red flag.
I strongly welcome the clause and pay tribute to the Children’s Charities Coalition, which has done a lot of work and research in this space. Amendment 44, in my name, would expand the criteria that require a designated person to use the consistent identifier in the information that they process. As the Bill stands, it requires consideration of
“safeguarding or promoting the welfare of”
the child. As we have all said, those criteria are vital, but they could be interpreted as relating only to acute risk. We want to insert the word “wellbeing” into the Bill to seek to ensure that the broader needs of the child would be taken into account when considering the provision of joined-up support across the children’s system.
Will the Minister explain why the Bill limits the use of the consistent identifier only to “safeguarding” and “welfare”, and state how broadly she envisages those being defined? For instance, would sharing information about a disabled child with health and educational needs but no social care needs fall into this category? Will she also give an indicative timeline for when local services will be required to start using the consistent identifier in their systems?
Amendment 43 seeks to provide clarity where we think there may be ambiguity in the Bill, by ensuring that all babies, children and young people are assigned a consistent identifier regardless of whether they have been identified with any safeguarding or welfare concerns. I think that is the intent of the Bill, but the amendment seeks to clarify it. We know that, for years, professionals, charities and commissioners have called for this measure, and we need it across all our systems to be able to manage the interactions between the different services and to share information efficiently and securely. I would be grateful for the Minister’s confirmation on that point.
Amendment 45 would enable the use of a consistent identifier for research and commissioning purposes. The subsection that would be deleted by the amendment appears to explicitly exclude the use of anonymised cohort data for those purposes. This probing amendment questions why that use is being ruled out. I recognise that I, and many others, have always raised concerns that data sharing should be done safely and in an appropriate way.
I worked for a brief period in the organisation formerly known as NHS Digital; I used to walk around with a lapel badge that said, “Data saves lives”. Data does save lives and is so important for not only safety but research and commissioning. If data is de-identified and shared safely, we can use it for certain cohorts of children who are at risk of poor outcomes, such as children with special educational needs, looked-after children or children missing from education. It would allow commissioners and researchers to analyse such children’s needs, risk factors and outcomes across different services, and provide a much more complete picture of the needs of children and young people, identifying gaps in provision and interventions that could be used. It would also support the development of new, qualitative indicators to measure impacts. I would welcome the Minister’s comments on the Government’s rationale for the Bill’s specifically not allowing that use.
I have one final comment on the use of the single unique identifier: it will work only if there is investment in the systems so that they are able to share that data. I know from talking to my own local authority about the barriers to sharing information. Sometimes there is an unwillingness among agencies to share information, but sometimes it is just that the systems cannot talk to each other. We now have the technology to be able to do that. In order to implement it and use the single unique identifier to the best effect, we have to provide the agencies with the means to share information for the safety, welfare and wellbeing of our children and young people.