|
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.
|