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CHILDREN AS COMPLAINANTS IN THE HEALTH AND PERSONAL SOCIAL SERVICES IN NORTHERN IRELAND

9 REFERENCES

Aiers, A. and Kettle, J. (1998) When Things go Wrong, Young People's experience of Getting Access to the Complaints Procedure in Residential Care. National Institute for Social Work/ Selly Oak Colleges

Cabinet Office (1997) Setting Up a Complaints System
http://www.cabinet-office.gov.uk/servicefirst/1998/complaint/b5part1.htm

The Children Act (1989) HMSO

The Children (NI) Order (1995). Belfast: HMSO

The Children Order Guidance and Regulations, Volume 3: Family Placements and Private Fostering (1996) Belfast. The Stationery Office

Hammaberg, T. (1990) The U.N. Convention on the Rights of the Child-and how to make it work. Human Rights Quarterly, 12, 97-105. cited in Walker, E., Brooks, C.M. and Wrightsman (1999) Children's Rights in the United States: In Search of a National Policy. Sage Publications. California

HSS Executive (1996) Complaints, Listening, Acting, Improving. Guidance on Implementation of HPSS Complaints Procedures. Northern Ireland Health and Personal Social Services

HSS Executive (April 2000) Listening, Acting, Improving. The HPSS Complaints Procedure. Guidance on Handling HPSS Complaints: Hospital and Community Health and Social Services. Northern Ireland Health and Personal Social Services

Lansdown, G. Taking Part: Children's Participation in Decision Making IPPR

Lewis and Lewis (1990) Consequences of empowering children to care for themselves, Pediatrician, Vol 17, 63-67 cited in Walker, E., Brooks, C.M. and Wrightsman (1999) Children's Rights in the United States: In Search of a National Policy. Sage Publications. California

Monteith, M. and Cousins, W. (2001) Interim Report of The Multiple Placements Project Childcare Research Centre, Queen's University Belfast

Monteith, M. and Cousins, W. (1999) Children and Young People with Disabilities in Northern Ireland: Part III Social Services Developments and the Impact of the Children (NI) Order 1995, Belfast: Centre for Child Care Research

Monteith, M., Sneddon H., (1999) 'The vulnerability of children with disabilities to abuse: a literature review', Child Care in Practice, 5(2): 122-127.

System Three Social Research and York Health Economics Consortium (2001) NHS Complaints Procedure National Evaluation. Department of Health

Switzer, V. (1997) Child Care Statistics in Northern Ireland. Centre for Child Care Research

Utting (1997) People like Us- The Report of the Review of the Safeguards for Children Living Away from Home, The Stationery Office

Wallace, H. and Mulcahy, L. (1999) Cause for Complaint? An Evaluation of the Effectiveness of the NHS Complaints Procedure. University of London, the Public Law Project.

ANNEX 1

THE TRUST POSTAL QUESTIONNAIRE

ANNEX 1 CHILDREN AND YOUNG PEOPLE AND COMPLAINTS SYSTEMS IN THE NORTHERN IRELAND HEALTH AND PERSONAL SOCIAL SERVICES

This questionnaire is divided into two sections, the first deals with complaints made by or on behalf of children and young people under the Wilson complaints procedure introduced in 1996. The second section deals with Complaints made by, or on behalf of children and young people under the Children (NI) Order 1995.

For the purposes of this questionnaire a child or young person is defined as a person under the age of 18. All questions pertain to the year ending March 31st 2001

Section 1: WILSON PROCEDURE COMPLAINTS

(a) Publicity

1.1 How are complaints procedures publicised in your Trust area?
1.2 Is there separate publicity material specifically designed for children and young people? YES/NO If YES then please describe
1.3 Is there separate publicity material designed for children and young people with disabilities? YES/NO If YES then please describe
1.4 Is there separate publicity material designed for children and young people from ethnic or linguistic minorities? YES/NO If YES then please describe

(b) Organisational Issues

1.5 How many Trust staff are directly involved in the complaints procedure?
1.6 How much funding does the administration of the complaints procedure? require per annum?
1.7
In which part of the Trust's organisation is the complaints office located?
1.8 Does the Trust provide any training generally to Trust staff about how to deal with complaints? YES/NO If YES then please describe
1.9 Are there any particular difficulties in dealing with complaints made by or on behalf of Children and young people?

(c) Advocacy

1.10 Does the Trust provide any special support to children and young people in making their own complaints or to represent children throughout the complaints procedure if adults are making complaints on their behalf? YES/NO If YES then please describe
1.11 Do any external advocacy organisations get involved in children's cases in the complaints procedure? YES/NO If YES then please give their names and describe their role
1.12 When adults approach the Trust with complaints about the treatment or care of children and young people, does the Trust try to distinguish between the children's views and needs and those of the adults in pursuing the complaint and in defining what the issues of the complaint are? And if so how?


(d) Complaints Statistics

1.13

For the year ending 31st March 2001 Please give details of the number of complaints made by or on behalf of children and young people resolved at each of the following stages. In each case please distinguish between complaints made by children and young people themselves and those made on their behalf.

Number of complaints Number of Complaints resolved informally through local resolution Number of cases requesting independent review Number of cases referred to independent review
Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children
               
1.14

Please give details of the eventual outcomes of these complaints:

Number of complaints upheld Number of Complaints partly upheld Number of complaints not upheld
Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children
           
1.15 What is your Trust's definition of a complaint?
1.16

Please give details of the subject of complaints made by or on behalf of children received under each of the following subject headings during the year ending March 30th 2001

Subject of complaint Number of Complaints
Access to premises  
Access to records (right of access)  
Access to records (unavailability)  
Admissions, delay/cancellations (inpatient)  
Aids, adaptations and appliances  
Appointments, delay/cancellations (outpatient)  
Board Purchasing  
Clinical diagnosis  
Code of openness complaints  
Communication/information to patients  
Complaints handling  
Confidentiality  
Consent to treatment  
Discharge and transfer arrangements  
Hotel/support/security services  
Independent sector services purchased by Trusts  
Mortuary & post-mortem arrangement  
Patients privacy & dignity  
Patients property & expenses  
Patients status, discrimination (e.g. race, sex age)  
Policy & commercial decisions  
Professional assessment  
Staff attitude/behaviour  
Transport, late arrival/non-arrival  
Transport, suitability of vehicle  
Transport, length of journey time  
Treatment & Care (quality)  
Treatment & Care (quantity)  
Waiting lists, community services  
Waiting time, outpatient departments  
Waiting time, A&E departments  
Waiting times, community services  
Children Order complaints  
Other/not elsewhere classified  

 

1.17

Is there anything else you would like to add about complaints involving children?

This section of the questionnaire has been completed by:

Name & Post (please print)
Address
Contact telephone number

Thank you very much for taking the time to complete this questionnaire. We appreciate it very much. The information that you have provided will be of great benefit to our research.



Section 2: CHILDREN ORDER COMPLAINTS

This section deals entirely with complaints made under the Children (NI) Order 1995 procedures All questions pertain to the year ending March 31st 2001

(a) Publicity

2.1 How are Children Order complaints procedures publicised in your Trust area?
2.2 Is there separate publicity material designed for children and young people? YES/NO If YES then please describe
2.3 Is there separate publicity material designed for children and young people with disabilities? YES/NO If YES then please describe
2.4 Is there separate publicity material designed for children and young people from ethnic or linguistic minorities? YES/NO If YES then please describe
2.5 Is there separate publicity material designed for children and young people in residential care? YES/NO If YES then please describe
2.6 Is there separate publicity material designed for children and young people in foster care? YES/NO If YES then please describe

(b) Organisational Issues

2.7 How many Trust staff are directly involved in the Children Order complaints procedure?
2.8 How much funding does the administration of the Children Order? complaints procedure receive per annum?
2.9 In which part of the Trust's organisation is the Children Order complaints office located?
2.10 Does the Trust provide any training generally to Trust staff about how to deal with complaints made under the Children Order? YES/NO If YES then please describe
2.11 Which parts of the Children Order complaints procedure are particularly difficult to operate?

(c) Advocacy

2.12 Does the Trust provide any special support to children and young people to enable them to make their own complaints or to represent children throughout the Children Order complaints procedure? YES/NO If YES then please describe
2.13 Do any external advocacy organisations get involved in the Children Order complaints procedure? YES/NO If YES then please give their names and describe their role
2.14 When adults approach the Trust with Children Order complaints about the care of children and young people, does the Trust try to distinguish between the children's views and needs and those of the adults in pursuing the complaint and in defining what the issues of the complaint are? And if so how?
2.15 How does the procedure differ for complaints made under Children Order as opposed to complaints made under the Wilson system.

(d) Complaints Statistics

2.16 For the year ending 31st March 2001 Please give details of the number of Children Order complaints made by or on behalf of children and young people resolved at each of the following stages. Number of complaints Number of Complaints resolved informally through local resolution Number of cases requesting independent review Number of cases referred to independent review Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children
2.17 Please give details of the eventual outcomes of these complaints Number of Complaints Upheld Number of Complaints Partly Upheld Number of Complaints Not Upheld Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children Made by children Made by adults on behalf of children
2.18

What were the top three subjects of complaints made by children themselves (rather than adults acting on their behalf) under the Children Order for the year ending March 31st 2001?

Subject of Complaint Number of complaints
1  
2  
3  

 

2.19

What were the top three subjects of complaints made by adults on behalf of children under the Children Order for the year ending March 31st 2001?

Subject of Complaint Number of complaints
1  
2  
3  

 

 

2.20 How many complaints were made concerning children and young people in residential care for the year ending March 31st 2001?
2.21 How many of these complaints were made by the children and young people themselves?
2.22 How many complaints were made concerning children and young people in foster care for the year ending March 31st 2001?
2.23 How many of these complaints were made by the children and young people themselves?
2.24

Is there anything else you would like to add about Children Order complaints?

This section of the questionnaire has been completed by:

Name & Post (please print)
Address
Contact telephone number

Thank you very much for taking the time to complete this questionnaire. We appreciate it very much. The information that you have provided will be of great benefit to our research.

ANNEX 2

TELEPHONE INTERVIEW SCHEDULE

ANNEX 2 INDEPENDENT REVIEW PANEL INTERVIEWS
TELEPHONE INTERVIEW SCHEDULE

THE PROCESS OF APPOINTMENT

Interviewee
Name
Date
Post
Area Served
How long have you been involved with the complaints system?
How did you first become involved?
What was the process of appointment?
Did you receive any induction or training in preparation for your post?

what form did this take? did any of this training relate to dealing with complaints involving children and young people?

EXPERIENCE OF MEMBERSHIP

What normally happens when a panel is established?
How would you describe your own role on the independent review panel/complaints system?
Could you tell me something about how the decision-making process of the panel works?
E.g. do you consider that all members have an equal say and that everyone's opinion is of equal value?
Based on your experience of panel hearings/the complaints system, how would you assess the independent review process' performance in:
Ensuring a full and fair airing of issues

Very good Good Adequate Poor Very poor

Making staff accountable for their actions

Very good Good Adequate Poor Very poor

Making appropriate recommendations

Very good Good Adequate Poor Very poor

Provoking improvements in services

Very good Good Adequate Poor Very poor

Maintaining its independence

Very good Good Adequate Poor Very poor

(Probe further on responses to these questions)

COMPLAINTS CONCERNING CHILDREN

Have you ever been involved in a complaint that involved a child/young person?
Did this differ from complaints that involve adults?
Where there any special issues relating to the complainant's age and understanding?
If the interviewee has not been involved in complaints involving children and young people, then does he or she think there would be any differences or special issues which could arise?
Supplementary hypothetical question How would you re-arrange the way a panel normally works in order to receive/hear evidence from a child (an under 16 year old) and again, How would you re-arrange the way a panel normally works in order to receive/hear evidence from a child (regards a child under 12)?
How would you assess the independent review process/complaints system performance/potential in dealing with a complaint concerning a child/young person?
Very good good adequate poor very poor How do you think the complaints system in general could be improved?
How do you think the complaints system could be improved in order to make it easier for children and young people to use?

ANNEX 3 THE ADVOCACY PRO FORMA

Name of Organisation:
Address:
Telephone Number:


Please describe your Organisation's Aims and Objectives

What sort of services does it provide?
Has your organisation ever provided advice regarding complaints involving children's treatment within?
a) The Health Service YES/NO
b) Social Services YES/NO
If you have answered YES to either of these two questions please say a little more about what this involved:
Does your organisation work:
a) Directly with children and young people YES/NO
b) With Adults seeking advice/help on children's behalf YES/NO Please attach any other material concerning your organisation which you feel may be relevant Thank you for completing this form
Please return in the enclosed envelope to:
The Children and Complaints Project,
Centre for Child Care Research,
5a Lennoxvale,
Belfast BT9 5BY

ANNEX 4

ADVOCACY ORGANISATIONS SURVEYED

LIST OF ADVOCACY ORGANISATIONS SURVEYED QUEST

Partership for Social Work Education Craigavon Travellers Support Committee
Rafferty & Boyle Parents Advice Centre
McClure & Co Tara Counselling Centre
Playboard Child Care NI
Include Youth BCM Quayside Project
Council for the Homeless (NI) MENCAP in NI
NI Volunteer Development Agency First Key
Crawford, Scally and Co Carrickfergus Training Unit
Voluntary Service Belfast Magnet Young Adult Centre
James H Rodgers & Co Youth Action NI
Fostering Centre Westside Project (St Patricks Training)
Families in Contact South & East Belfast Children's Panel Pilot
Extern Home Start Down Project
Interact Southern Travellers
Falls & Hanna Solicitors Early Years Partnership NI
NI Women's Aid Federation Children's Holiday Scheme
Hewitt & Gilpin Belfast City Council
Greater Shankill Alternatives Wessex South Centre
Simon Community NI NI Foster Care Association
Belfast Travellers Sites Project University of Ulster
Lower Falls New Start Project Citizen's Advice
NICIE Eastern Drug Co-Ordination Team
Pathways Project (BELB & Extern) Cinemagic Film Projects for Young People
EJ Lavery & Co Down Lisburn Trust
McGrady Collins Relate
Western Area Office Law Centre (NI) EMBARC
Barr & Co Solicitors Survivors of Trauma
The Greater Twinbrook & Poleglass Community Forum SHAC housing Association
Northern Visions Irvinestown Youth Club
North and West Belfast Trust Childen's Express
Advice Support Worker Fermanagh College
NIPPA Northern Ireland Youth Forum
NI Anti-Poverty Network Cedar Grove Childrens Centre
Barnardos Hilltop Children's Home
Housing Rights Service NI Donard King & Co Solicitors
Guardian NEELB
Ad Litem Agency Travellers Movement (NI)
Russells the Solicitors Glenmona Resource Centre
John Ross & Son NI Council for Ethnic Minorities
Craigavon and Banbridge H&SST Northern Ireland Hospice
The Law Centre Children's Services
Gingerbread NI Belfast Central Mission
VOYPIC NSPCC
Youth Justice Unit Save the Children Fund
NIACRO Foyle Newpin
McCann & McCann National Deaf Children's Society
Belfast Education and Library Board Upper Andersonstown Community Forum

ANNEX 5

THE PROPOSED POWERS OF THE NORTHERN IRELAND CHILDREN'S COMMISSIONER

The Proposed Powers of the N.I. Children's Commissioner

  • Where the Commissioner believes that a public authority is acting in a way that is not compatible with the United Nations Convention on the Rights of the Child, or believes that existing policies, procedures and services affecting children are inadequate, the Commissioner could write to the authority recommending the actions he or she thinks the authority should take, and setting out the reasons for the Commissioner's opinion. The authority would be obliged to respond within a set time, detailing the steps it would take or, if it disagreed with the Commissioner, its reasons for doing so. If the Commissioner remained dissatisfied, he or she could make a report to the Northern Ireland Assembly.
  • The power to call for persons and papers would ensure that the Commissioner has a right of access to general information and papers on legislation, policy, procedures and services; and also to specific information and papers, for example, details of a specific complaint which has been made, and how it was handled, including the outcome of any investigation. The Commissioner should only be allowed to have access to confidential information about children with the consent of parents and children where appropriate.
  • The Commissioner could be given access to all public and private institutions for children. In using this power, appropriate safeguards would be required including the need to have due regard to the wishes and right to privacy of the children concerned.
  • The power to assist children, including financially, in connection with legal proceedings in respect of alleged breaches of their rights in strategic or other appropriate cases, having due regard to the need to avoid unnecessary duplication.
  • The power to bring proceedings in his or her own right involving the law, policy and practice relating to the protection of children's rights generally, or where the Commissioner believes that a child's rights have been denied.
  • The power to intervene as a third party in legal proceedings on any matter, or any proceedings in any court, tribunal or inquest involving law, policy or practice relating to children's rights in Northern Ireland.
  • The power to act as an amicus curiae on any matter or any proceedings in any court, tribunal, or inquest involving law, policy or practice relating to children's rights in Northern Ireland. In using any of the above powers, the Commissioner could be required to have due regard to the right of children to confidentiality, and to the rights of others, especially parents, affected by any action the Commissioner may take. Where there is a conflict between the rights of children and the rights of adults, the Commissioner could be required to give priority to the rights of the child. A series of sanctions are also being considered for those who might obstruct the Commissioner during the performance of his or her tasks.
Eastern Health and Social Services Council, 1st Floor, Lesley House, 25-27 Wellington Place, Belfast, BT1 6GQ Freephone: 0800 917 0222 Fax: (028) 9032 1750 Minicom: (028) 9032 1285 E-mail:enquiries@ehssc.org

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