Forbes v General Social Care Council [2008] EWCST 1267(SW) (03 October 2008)
Tricia Forbes
v
General Social Care Council
[2008] 1267.SW
Before
Miss Maureen Roberts, Chairman
Mr Jim Lim, Specialist Member
Mr Paul Thompson, Specialist Member
DECISION
Heard on 24th and 25th September 2008 at the Care Standards Tribunal, Pocock Street, London.
Representation: The Applicant was represented by Mr. Martin Weinbren of the British Association of Social Workers (BASW).
The Respondent was represented by Mr. David Christie of Counsel
APPEAL
THE LAW
(1) Each Council shall by rules determine circumstances in which, and the means by which –
(a) a person may be removed from a part of the register, whether or not for a specified period;
(b) a person who has been removed from a part of the register may be restored to that part;
(c) a person's registration in a part of the register may be suspended for a specified period;
(d) the suspension of a person's registration in a part of the register may be terminated;
(e) an entry in a part of the register may be removed, altered or restored.
(2) The rules shall make provision as to the procedure to be followed, and the rules of evidence to be observed, in proceedings brought for the purposes of the rules, whether before the Council or any committee of the Council.
(3) The rules shall provide for such proceedings to be in public except in such cases (if any) as the rules may specify.
(4) Where a person's registration in a part of the register is suspended under subsection |(1)(c), he shall be treated as not being registered in that part notwithstanding that his name still appears in it.
PROCEDURE OF THE CONDUCT COMMITTEE OF THE GSCC
While employed by the London Borough of Waltham Forest in respect of Service User A;
1) On 5 May 2005 in relation to Child A's disclosure of physical abuse by her father on 4 May 2005 you:
a) Did not treat the matter as a child protection referral in that you did not:
i) Initiate a child protection inquiry,
ii) Inform the police, child protection response unit or partner agencies of the disclosure,
iii) Arrange for Child A to be accommodated overnight in a place of safety,
iv) Arrange for Child A's siblings, Child B and Child C, to be accommodated overnight in a place of safety;
b) Dropped Child A off at the road side on C Road without undertaking a proper risk assessment;
c) In relation to accompanying Theresa Joseph, to see Child A's parents:
i) Were directed by your manager, Cheryl Sandiford, to accompany Theresa Joseph to see Child A's parents;
ii) Did not accompany Theresa Joseph to see Child A's parents;
d) Did not report back to Cheryl Sandiford;
i) Adequately, or
ii) At all.
2) On 10 May 2005 at a Strategy meeting which you attended in your role as Deputy Team Manager you:
a) Chaired the said Strategy meeting,
b) Did not inform the Interim Team Manager or other attendees of your involvement with Child A on 5 May 2005.
3) Between 5 May and 10 May 2005 you did not record your actions on 5 May 2005 in Child A's file:
b) At all.
And in the circumstances you are guilty of misconduct.
All these allegations except 1(d) (i) and (ii) were admitted by the Appellant.
PRELIMINARY LEGAL POINT
"they are indeed most helpful and I note that the legal assessor in this case specifically referred to them and relied upon them in the assistance that he gave to the Committee. It does not seem to me to matter who drafted them, provided their contents are sensible and helpful, and quite clearly their contents are indeed, in my judgement, sensible and helpful."
THE EVIDENCE HEARD AND READ
(1) Conduct and Disciplinary Investigation by the London Borough of Waltham Forest (the Council) including interviews with all the staff involved.
(2) Minutes of Disciplinary hearing by the Council 20, 23, 25 and 30 January 2006 for the Appellant.
(3) Minutes of the Appeal hearing by the Council 8 May 2006 and the decision of the appeal in a letter dated 13th June 2006.
(4) Full transcript of the proceedings before the GSCC Conduct Committee 11, 12, 13 and 14 February 2008 including the decision and reasons of the Committee.
(5) Statements by the Appellant for internal disciplinary appeal, for the Respondent's hearing and for this hearing.
(6) Statements by witnesses to GSCC committee.
(7) Contemporaneous notes by witnesses regarding the incident complained of.
(8) Minutes of the meeting on 10 May 2005.
EVENTS LEADING TO THE COMPLAINT
THE MANAGEMENT STRUCTURE OF CHILDREN'S SERVICES AT THE COUNCIL
THE DECISION OF THE GSCC CONDUCT COMMITTEE
The Committee was reminded of the following:
1) In accordance with Rule 25(2) or Schedule 2 of the Rules, "In deciding what sanction is to be imposed, the Committee shall take into account:
1. the seriousness of the Registrant's Misconduct;
2. the protection of the public;
3. the public interest in maintaining confidence in social care services;
And;
4. the issue of proportionality."
2) The issue of proportionality requires the Committee to take into account and balance a number of different considerations, in particular, the objectives of the Council (protection of the public and the upholding of the proper standards of, and public confidence in, the Social Work profession) and the right of the Registrant to practice without interference.
3) The Committee must ensure that any restriction it determines to place on the Registrant's right to practice was appropriate and connected to the objectives to be achieved so it was not arbitrary, unfair or based on irrational considerations.
4) Any restrictions imposed by the Committee must also be necessary to accomplish the objectives intended – the Committee must adopt the least drastic means available to it of achieving the objective or objectives in mind.
5) Any restrictions imposed must not be disproportionate. It must not impose a burden or cause harm which was excessive when compared to the importance of the objectives to be achieved.
The Committee decided to make an order for the removal of the Registrant's registration from the register.
The reasons for the Committee's decision were as follows:
1) The Committee carefully considered all of the evidence before it and the submissions made on behalf of both parties. It accepted the advice of the Legal Adviser and in reaching its decision took account of the factors identified in Rule 25 (2) OF Schedule 2 of the Rules.
2) In failing to treat Child A's disclosure, as drawn to the Registrant's attention by Child A and her colleagues, as a child protection matter and acting accordingly, she failed to recognise and fulfil her fundamental responsibilities as a Social Worker to protect the interests of a vulnerable service user. Her actions put the service user at serious risk.
3) This serious failing was exacerbated by the Registrant's subsequent decision to drop Child A off at the road side without undertaking a proper risk assessment. Child A, already vulnerable, was left exposed to further risk. Even a basic risk assessment would have identified this risk. When making this decision the Registrant was acting as a Social Worker and, therefore, was professionally responsible for her own actions. There were a number of other more appropriate actions that the Registrant could easily have taken, such as remaining with Child A herself or ensuring that another Social Care worker remained with her or arranging for Child A to be returned to the social work base. In any event, this situation need not have arisen if the Registrant had listened appropriately to Child A. Child A was clearly indicating that she had experienced physical abuse at the hands of her father the previous day and showed the Registrant the injury caused. Child A was adamant, as she had been throughout her contact with social care staff, that she did not want to return home. It should have been obvious to the Registrant that returning Child A to her parents' home was a wholly inappropriate action. There must have been a real risk that Child A would have been faced with father. Although instructed to act in this way the Registrant's professional responsibility was to question this instruction in the best interest of the child.
4) The Registrant's failures in relation to Child A were further compounded by her actions in failing to disclose her involvement in Child A's case on the 5th May at the Strategy meeting on 10th May 2005. The purpose of such a meeting is to share and evaluate information and plan future action in order to safeguard the child. By deliberately failing to do so for reasons concerned with the Registrant's own position she inappropriately put her own interests above those of Child A. This was inexcusable even taking into consideration the Registrant's difficult working environment at that time. By the time of the meeting the Registrant should have understood the significance of her involvement on the 5th May and reported fully on it. The need for her to report on her involvement was crucial as others involved on the 5th May were not present at the meeting.
5) By not recording her actions of the 5th May between that date and 10th May, the Registrant breached a fundamental tenet of social work practice. The importance of record keeping cannot be underestimated. Recording is essential to facilitate information sharing – a key aspect of social work practice.
6) By her actions the Registrant breached a number of the provisions of the Code of Practice for Social Care Workers, more particularly the following: 1.2, 2.2, 3, 4.2, 4.3, 5.1 (in that the Registrant neglected service users), 5.7, 6.1, 6.2 and 6.5.
7) In reaching its decision on sanction the Committee took into consideration the following mitigating factors:
- That the Registrant had worked as a Social Worker for over 5 years and had not been subject to any previous disciplinary action by her employer.
- The Registrant has no previous disciplinary record with the General Social Care Council.
- The staffing resources and the working environment in which the Registrant was operating – in particular in the absence of a team manager.
- That the Registrant was an inexperienced manager and she had not previously chaired a Strategy meeting.
- The matters before the Committee occurred over a short period of time and were interrelated. To this extent it was an isolated incident.
- The Registrant's indication in her evidence that she would act differently were she to be faced with a similar set of circumstances in the future.
- The admissions made by the Registrant at various stages during her employer's investigation, although these were not made at the first available opportunity.
- The admissions made by the Registrant to the GSCC.
- The limited insight demonstrated by the Registrant.
8) The Committee also took into consideration the following serious aggravating factors:
- The completely unnecessary and serious risk of harm at which the Registrant put a young and vulnerable service user by her actions.
- The Registrant's failure to recognise and act on the clear child protection issues. These were identified by other less experienced colleagues and have been in the forefront or reports and guidance to Social Workers in recent years.
- The length of the Registrant's social work experience including a substantial time in children's assessment teams. This would routinely have involved crisis intervention and child protection matters.
- The Registrant's failure to take into account her prior knowledge of the child and her family. She had previously attended two child protection case conferences in relation to Child A and her family.
- The Registrant has, over time, provided a number of different and, in parts, contradictory accounts of her involvement between 5th and 10th May 2005. Indeed the Registrant was, at times, self contradictory in her oral and written evidence before the Committee.
- The Committee was not satisfied that the Registrant had demonstrated a consistent insight into her failings. She had failed to consistently and fully acknowledge her professional responsibility for her actions. The Committee considered that, at times, she demonstrated a defensive attitude and was seeking to shift responsibility for her professional failings onto others when giving oral evidence to the Committee.
- That whilst the various matters concerned in the allegation are interrelated and occurred over a short period, they were different in nature and were not necessarily consequent on each other.
9) The Committee initially considered whether it was appropriate for no sanction to be imposed and decided this was inappropriate in light of the seriousness of the Registrant's misconduct and the need to protect the public from risk of harm and uphold public trust and confidence in social care services.
10) Consideration was then given to the administration of an admonishment. The Committee decided that this would be insufficient to mark the seriousness of the misconduct and to uphold the reputation of, and maintain public confidence in, the social work profession.
11) The imposition of a suspension order was then given due consideration by the Committee. It noted that there would be no review of the Registrant's ability to practice as a Social Worker at the end of any period of suspension imposed. This raised concerns in the Committee's mind as to the appropriateness of suspension in this case where serious fundamental failings in professional practice have taken place. This, together with the Registrant's failure to demonstrate full insight, made the imposition of a suspension order insufficient in this case. Such an order would neither protect the public nor maintain public confidence in, and standards of, the profession.
12) Taking into account all of the above matters, including the mitigating and aggravating factors, removal of the Registrant's registration was the only appropriate sanction in this case to ensure that the objectives of the Council, including the protection of the public, were met. The Committee considered that this was a proportionate response in all of the circumstances of the case.
THE APPELLANT'S EVIDENCE
ISSUES TO BE DETERMINED
1. Was the sanction imposed by the Conduct Committee disproportionate?
2. Did the evidence as to the alleged seriousness of her actions support the decision to remove the Registrant's name from the Register?
The Tribunal considered these points to be at the heart of the matter and have therefore addressed them at some length in the following sections "Findings" and "Conclusions".
3. Were sufficient reasons given for the decision by the Committee in relation to their decision on sanction?
The Tribunal accept that cogent reasons were given for the decision. The facts were admitted. We disagree with the severity of the sanction as outlined below.
4. Does the fact that the Indicative Sanction Guidance was co-written by the GSCC's head of Conduct mean that the hearing was unfair to the Appellant?
This matter has been covered as a preliminary issue.
5. Were the following factual decisions of the Committee supported by the evidence adduced during the course of the hearing?
a) The Finding that Child A was put at serious risk.
The Appellant acknowledged that letting the child go with the jacket was the wrong decision. There was potential for serious risk.
b) The finding that "The Registrant [had not] listened appropriately to Child A"
Again, the Appellant accepted this point.
c) The finding that "by deliberately failing to do so for reasons concerned with the Registrant's own position she inappropriately put her own interests above those of Child A"
This relates to the non-disclosure at the meeting on 10 May 2005 and the Appellant says that while the relevant information was available she should have spoken of her involvement.
d) The finding, as a seriously aggravating factor, that "the Registrant's failure to take into account her prior knowledge of the child and her family"
Her prior knowledge of the child and family was not from personal responsibility but she was aware of the status of the child protection procedure.
6. Did the Committee fail to give reasons for the assertion that the Registrant's account was inconsistent?
They gave reasons by comparing witness statements and evidence to various disciplinary hearings. The Tribunal found that the discrepancies were not great, bearing in mind the length of time involved and the Appellant's opportunity to reflect on what had happened.
7. Was the decision inconsistent with the prior Interim Suspension Order (ISO) hearing before the Preliminary Proceedings Committee?
We do not accept this. The ISO (which did not impose an interim suspension) is a separate body to the PPC and to the Conduct Committee – each body is entitled to make its own decision.
8. Whether the Committee should have been required to provide reasons as to which individual facts amounted to misconduct and required to state what level of sanction should be applied to each area on which misconduct was found.
We do not accept this suggestion. The allegations and events took place over a short period of time and amounted to one course of action which it was appropriate to judge as a whole and apply a sanction.
9. Whether the Committee's finding of the Registrant displaying a "defensive attitude" as a "serious aggravating factor" did not take account of the cultural background of the Appellant.
We accept the Respondent's submission that cultural issues were not raised at the Conduct Committee hearing and were not elaborated before the Tribunal. Equally we accept that the Appellant was defending herself and may on occasions have appeared defensive when this was not the impression she intended to convey.
10. Did the decision of the Committee to consider the formal allegations of misconduct as one single allegation of misconduct prevent the Registrant from being able to put the case that some components of the misconduct findings should not have been viewed as seriously as others, or not seen as misconduct?
See the finding on point 7 above. The Appellant could and did make this point. The series of events followed from the initial decision. To some extent each area was looked at separately.
11. Should the Registrant's actions have been seen as misconduct at all or should it have been adjudged lack of competence?
The Tribunal were referred to the case of LA v GSCC in respect to this point. However, that case involved a refusal to register as opposed to a decision to remove from the register. There are two separate sets of rules for such cases. The GSCC has its own distinct definition of misconduct: under the Conduct Rules, misconduct is defined as "conduct which calls into question the suitability of a Registrant to remain on the Register". A lack of competence can amount to misconduct and paragraph 6 of the Code of Practice emphasises the fact that a Social Worker is required to work at a competent level. Under Paragraph 23 (4) of the Rules the Committee shall have regard to the Code of Practice in deciding the issue of misconduct. We accept that under the Conduct committee rules a finding of misconduct as defined above can include issues of competence.
FINDINGS
The Appellant has not been completely consistent in her evidence over all the disciplinary hearings and reviews. In many respects she has moved to accept more responsibility for what happened as time has gone on. The Tribunal accepts that her insight is such that she appreciates what she should have done and often, reflection is very much an accepted integral tool in learning theory.
THE TRIBUNAL CONSIDERED A NUMBER OF INTER-RELATED ISSUES AND IN PARTICULAR, WOULD DRAW ATTENTION TO THE ORGANIZATIONAL CONTEXT WHICH THE APPELLANT FOUND HERSELF OPERATING UNDER AND HOW WELL SHE WAS EQUIPPED FOR THE ROLE EXPECTED OF HER.
CONCLUSION AND DECISION
APPEAL ALLOWED.
Our decision is unanimous
Maureen Roberts
Jim Lim
Paul Thompson
3rd October 2008
SCHEDULE FROM ISG for GCSS
COMPETENCE
Mitigating Factor | Aggravating Factor | |
Many complaints from service users | No | Yes |
Insight | Apparent | Absent |
Mitigating factors (for poor performance) | Yes | No |
Level of supervision (if working) | Inadequate | Adequate |
Risk of continuing poor performance | Low | High |
Long history of poor performance | No | Yes |
Many categories of cause for concern/unacceptable (in relation to the Performance Assessment) | No | Yes |
Followed previous recommendations of Committee? (if relevant) | Yes | No |
Likelihood of rectifying areas of concern (Stage in career, age, attitude) | Strong | Poor |
Evidence of efforts to address areas of concern | Yes | No |
Cause for concern relates directly to treatment of service users | No | Yes |
Improvement since first assessment (if relevant) | Yes | No |
Compliance with assessment | Good | Poor |
Insight / remorse | Apparent | Absent |