Baroness Finlay of Llandaff (CB)

My Lords, I support the amendments in this group and strongly congratulate the Government on having picked up the concept of a unique child identifier. I was part of the group, with the noble Baroness, Lady Tyler, when we did not get there on previous legislation, and we were told that one reason was that the Department for Education could not see how it could do that and link with health, so seeing the Department for Education involved is particularly cheering. I will make a case quite strongly for the NHS number rather than anything else, partly because I think we need to learn lessons from other number systems. If we look just at hospital records, different hospitals have different numbers and then there is the NHS number, and that has resulted in all kinds of clinical muddles and potential errors. The other thing is that children move around. People do not stay in the same area all the time, and the NHS number moves with them. If they have one number and move to a new area and register with a GP, for example, and then go to register with a school, if there have been major concerns then eventually those case notes will come through and people will become aware. Going back to my previous experience, sometimes we found that the families with the highest risk had multiple addresses, out of town and in different cities. The other advantage is that, although we have devolved healthcare systems, we have a unique NHS number so, if people move between Scotland, Wales, Northern Ireland and England, that number will persist. That is not a central database; it is simply saying that the number is there. Children’s names change and their “known as” also changes. They may be known as another name but the number, a little like their genetic make-up, is fixed, which is really helpful. It will also avoid problems of lots of children having the same name, which is when muddles happen. I am from Wales, and we have a lot of people called David Jones and David Evans, and quite a few called David Williams, let alone Siân and Ceri. They are great names but, if you are trying to differentiate between them, you have to be really careful. The final reason why I think this is particularly important is about transition and children who have learning difficulties and neurodiversity. Transition is an extremely difficult time for children. In those late teens, hormones are kicking in all over the place and all kinds of things are happening. Their relationships with the people who have been their carers through childhood change, and they can be at particular risk during those times, particularly during puberty if they have real learning difficulties. I really hope that the pilot with the NHS number continues. When the Minister responds, it will be very helpful to know what kinds of numbers are being evaluated in those pilot areas—I hope there are more than one—so that the studies are sufficiently powered to be valid. Where have the objections come from? Who has not complied with being engaged? There may be some education needed to remove any sense of threat, because it will make safeguarding easier for people who have responsibility for children.