Theodore Dalrymple
Download 'Too Hot', an exclusive Specials track from iTunes
It is not very difficult to predict the outcome of the official inquiry into the death of Baby P, the 17-month-old child who, like Victoria Climbié, died a horrific death in Haringey despite being well known to child protection services there.
The report will note with asperity the number of opportunities lost, many of them obvious even to non-specialists, to save Baby P. It will discover that procedures were not followed and forms were not filled in correctly. It will draw attention to the lack of communication between all the agencies involved in his so-called care, and point out the imperative need for better communication between those agencies. This it will do partly because it is true and partly because all official inquiries find, a priori as it were, that the problem that called them forth was partly caused by poor communication. As E.M.Forster put it a long time ago, “Only connect”.
The report will make scores, perhaps even hundreds, of recommendations (Lord Laming's report into the Climbié case made 108). In two, three or four years' time there will be another case somewhere in the country, and the lament will go up: the lessons were not learnt.
Why were the lessons not learnt, and why will they not be learnt? The answer is complex.
The first is that the work of child protection is very difficult, emotionally wearing and even dangerous. Staff turnover in the organisations that carry it out is often rapid. Most British paediatricians in training have experienced threats from parents or guardians, and 5 per cent have been assaulted sufficiently badly to need medical treatment. If this is true of doctors, who generally still retain a modicum of public respect, the situation of social workers is likely to be even worse. There is nothing like a constant fear of violence for undermining both the will to do anything and the judgment.
The second is that the fundamental purpose of the British public service is to provide a meal-and-mortgage-ticket for those who work in it, especially at management level. The ostensible purpose of an organisation is rarely its real purpose. I know this from my experience in the Health Service.
Thus, when a problem reveals itself, the response is a curious one, that is to say simultaneously one of work creation and work avoidance.
The work creation consists of instituting ever more “failsafe” and “best-practice” procedures, usually with all their associated paperwork, which are then bowed down to and worshipped like the Golden Calf. Of course, this creates the impression of terrific pressure of work, that can be relieved only by the employment of more and more staff with strange titles such as Compliance Manager and Best-Practice Co-ordinator.
This work creation is dialectically related to the work avoidance. So much effort goes into the procedure that no time, energy or inclination is left over to secure the alleged purpose of the procedure.
Documentation is its own justification; and a superstition now exists among the police, nurses, doctors, social workers, prison officers and no doubt others that nothing can go wrong if the forms are filled in correctly. Anyone who has been to a coroner's court lately will know that this is a superstition shared by many coroners.
When procedures become so exacting and time-consuming, the exercise of judgment is deemed neither necessary nor possible. Indeed, it will get you into trouble, because it is not part of the procedure. There is simply no contest between the most obvious reality, staring you in the face, and what the form says. The form says it all, and wins every time.
This is particularly the case when the staff have little confidence in themselves and will not be supported by their senior staff if anything goes wrong. As anyone who has worked for organisations such as child protection services knows, when something goes wrong the purpose of internal, and sometimes of external, inquiries is not to learn from experience, but to find the person lowest in the hierarchy who can be blamed. This is not an atmosphere conducive to the exercise of common sense.
We should not forget, either, that for many years successive British governments have been actively promoting by their policies social conditions in which child abuse, both physical and sexual, is more likely to occur.
In a land of serial stepfatherhood such as ours, we must expect dramatic cases of the most revolting cruelty to emerge more frequently than the absolute minimum number of cases that the wickedness of man dictates and probably, alas, makes unavoidable. No quantity of recommendations, social workers or even best-practice procedures will make up for this.
Will anyone benefit in the end from this terrible case, that causes one to tremble when one reads of it? Will Baby P have died in vain, as (apparently) did Victoria Climbié? Yes, there will be beneficiaries. I have little doubt that information technology consultants, asked whether they can come up with a system that will co-ordinate all the information about all the children at risk in the country, so that nothing like this ever happens again, will come up with a plan that will cost billions to install and that will not work. But they, the consultants, will have benefited enormously.
What seems to have been the stunning incompetence of the Haringey social services is actually by no means unusual in contemporary Britain; it is the dramatic and immediate human consequence of that incompetence that is unusual. We see the same incompetence in other spheres of endeavour every day.
Why would one expect child protection, which is inherently complex and difficult, to work properly in a country that cannot even organise its rubbish collections with reasonable expedition?
Theodore Dalrymple is a former prison doctor
Win a luxury weekend to Newcastle and its neighbour Gateshead, find out more here
Risk, resilience and embracing new technology
Industry sectors news at a glance. Interactive heatmap, video and podcast
Discover the power of collective thinking. Submit a solution and be in with a chance to win a Media Hub Home Entertainment System
The inside track on current trends in the charity, not for profit and social enterprise sectors
Everything the Business Traveller needs to know to make a better trip
Make the most of the summer and enter our fabulous photographic competition, you could win a £5000 holiday
Corsica is an island of beauty and contrast, an ideal holiday destination
Enjoy further reading from Travel to Fashion, Business to Sport, discover more
Shortcuts to help you find sections and articles
The clever way to lease a new car is with Car leasing made simple™
2009
per month on 36-month
Personal Contract Hire (PCH)
2008
42850
Car Insurance
£24,250 - £30,346
MI5
London
£60,000
The Environment Agency
Bristol
Up to £90K
Boots
Midlands
OTE £85k
Credit Protection Association
Nationwide Opportunities
Completely London
Luxury Condo's in Manhattan with NYC views
The best new homes in Wimbledon?
Nationwide
Fabulous Cruise And Cruise & Stay Offers Including Virgin Atlantic Flights Prices Start From Only £699pp!
Last Minute Cruise And Cruise & Stay Offers. Med From £499pp, Caribbean From £699pp!
5 star quality at a 3 star price.
8 fabulous Canadian cities ...you won’t find cheaper
Contact our advertising team for advertising and sponsorship in Times Online, The Times and The Sunday Times, or place your advertisement.
Times Online Services: Dating | Jobs | Property Search | Used Cars | Holidays | Births, Marriages, Deaths | Subscriptions | E-paper
News International associated websites: Globrix Property Search | Property Finder | Milkround
Copyright 2009 Times Newspapers Ltd.
This service is provided on Times Newspapers' standard Terms and Conditions. Please read our Privacy Policy.To inquire about a licence to reproduce material from Times Online, The Times or The Sunday Times, click here.This website is published by a member of the News International Group. News International Limited, 1 Virginia St, London E98 1XY, is the holding company for the News International group and is registered in England No 81701. VAT number GB 243 8054 69.
Top notch stuff from Dalrymple, though this is a mere yawn for him no doubt. A simple, seemingly oblique, but intelligent response would be to reintroduce a financial incentive to marriage. But we cannot be surprised by the lack of a courageous response to the death of Baby P.
Richard, Sheffield, UK
Hand control and finance for child safety over to the NSPCC. They're experienced and know what they're doing. They're not into performance figures and stars, just saving children from savagery. They know all the tricks these monsters try to hide their brutality; they're not so easily fooled.
CS, Cambs, Cambs
Article highlights where the responsibility truly lies - government policy. I have given up social work practice after 14 years because I felt unable to do my job (protect children) in the face of constant budget cuts, changes to legislation and policies and structural reorganisations.
Sue, Leeds,
Ok a lot were to blame for this, but where was the biological dad, that supposely loved this child so much, where was he????????????????
Sally, Winsford, cheshire
The father says in a statement that "he loved his son deeply". He also said he looked after baby P a few days before he died and that he was crying "daddy,daddy" when he took him home to his mother. My question is: WHY did the father hand him back over to his mother? WHY didnt HE notice the injuries
Steve, London, UK
For BABY P X
A little boy, sent for all to love,
Now gone to angels up above,
Now he will have all the care,
That I wish we could all share,
No more pain he shall have to endure,
Just so much LOVE, and needed care.
GOD BLESS YOU&KEEP YOU SAFE BABY P X
charmaine edwards, RIPLEY, Derbyshire
The lunatics (i.e. the London looney left wing of the trade unions) have probably taken over the asylum in Haringey
Once this particular rot sets into a particular public service it is very difficult to remove.
Hibberd, London,
Rest In Peace Baby P. May the Almighty take you and hold you in his arms. I will never ever ever forget you, beautiful baby.
Oudey Glover-Tettey, London, England
Brilliant article that illuminates the cancerous displacement of substance by process, of judgement and experience by centralised, simplistic and arrogant micro-management all across the public sector. Management consultants have a lot to answer for.
Michael, London,
Baby P, I am so upset about this poor child, how could they, the dog was probably treated better, do any of these people have other children? What of Baby P's father, why wasn't he given custody of the child? I am tortured by the thoughts of what this poor little boy went through.
Paula Mac Aodhagain, Tipperary, Ireland
Dr D has it exactly right - on the morals of Britain and on the state of its public services. Public administration is paralysed by a managerialism of targets, compliance checks, audits, idiotic mission statements, road maps, milestones and every other consultant born claptrap. Who will save us?
R Solicar, Exeter, England
Let's ban the use of the word "inappropriate" in all government writing. This useless word hides an appalling level of truth; when I see it, I want to puke.
Let's use instead, "sickening", "grotesque", "psychotically violent", and lastly, "bad enough to make you feel ashamed to be human."
iain, bedford, uk
Dr. Dalrymple is slightly off base when he writes "nothing can go wrong if the forms are filled in correctly."
It should read "no one can be blamed".
Excellent article. Copies of it and the intelligent comments posted in response should be sent to every MP and council member in the UK.
RW, Victoria, BC, Canada
The job of professional child protectors seems to have become impossibly difficult - and dangerous for some. Perhaps at some point we will have to face the fact that some people are not suitable to be parents - and should be prevented from assuming such a role. 1984 - maybe.
david, Ligneyrac, France
This country is full of unthinking droids. This is the problem.
The first reaction of most workers is defensive, task avoidance, shirk responsibility and pass it on, don't get involved.
From call centres to social workers: appallingly low levels of intelligence, common sense and respect.
Laura Roberts, London, UK
As a professional working with exceptionally vulnerable young people I deal daily with evidence of and disclosure of abuse. My job requires me to fill in forms about each concern - I have been asked to stop filling in so many as it is creating a paper backlog. Who am I protecting here?
Anon, Leeds, UK
Colin, we got into this mess by replacing individual professional judgment and responsibility with form filling to satisfy quality inspectors/auditors. BS5750 started it all in the early 80s, and it is still expanding. Quality is judged by record keeping, not actual performance. This is the result.
Stephen Mannering, Nottingham,
There is something grimly ironic about a news bulletin that juxtaposes a gut-wrenching catalogue of child cruelty with an appeal for more sperm donors, for it is statistically unarguable that two biological parents provide an altogether more stable and secure environment in which to raise a child.
Andrew Schofield, London, UK
We got into this mess by electing, three times, a government whose underlying ethos dictates that everyone being treated equally is more immportant that anything else. Hence a standard bureacratic approach which makes autonomy frowned upon, and kills common sense.
Jon Hatswell, Woking, UK
Reinstatement of the death penalty, anyone?
Archie, Thrapston, England
Dr. Dalrymple is to be congratulated on his analysis. having worked in inner city Primary Education, I have witnessed the bureaucratic 'Stakanovite' sinecurists he describes operate at first hand: his predictions on the net beneficiaries of this tragedy are also tragically accurate.
Dr. Steven Grainger, Southsea, UK
Ever since public services and servants stopped working for the public and began dictating to the public this trend has been increasing.
This needs to start a change at the top where MPs are accountable and actually represent their constituants.
Russ, Glasgow,
"How did we get into this mess?" Asks Colin from Shrewsbury. By ignoring the warning bells that the good Dr Dalrymple and other independently minded people have been sounding for a decade or more and following slavishly the doctrines of New Labour. That's how.
Paul, Saigon,
At last someone who has worked in the area willing to tell the truth about Public Sector gravy train. We might as well have no child protection and all the related costs than have what we have. It doesn't work. Better to take all at risk kids and send them to a decent boarding school - cheaper too.
Pennie, London,
I have asked myself since I returned homeagain, Just what has happened to England?
It seems few people are willing to speak the truth, stand up for what is right and stick their necks out, (especially for someone other than themselves).
I thought that those qualities were so once so very BRITISH?
Pat van der Veer, Liverpool, U.K.
I work for a large multinational alongside government agencies, and I can totally agree with pretty much all of what Dr D is saying. My work is full of frustration because of processes and forms, it does actually surprise me when tasks are completed, albeit 3 months late (because of reviews usually)
Chris, London, UK
"Baby P's mother and her boyfriend .. tortured him to death, not social workers"
Quite so, but it is the system the article complains of that overlooks this. It is ineffective against social ills if it tries to administer them out of existence via excessive process and the language of evasion
john, edinburgh,
This is a very balanced and, extremely ufortunately, entirely accurate article that reflects the self serving nature of our astonishingly incompetent and astonishingly expensive public services.
At the end of the day, reports will be published and no one at all will be held to account for failure
Peter, London,
Scott of Stirling - while it is true the mother & boyfriend were the ones who actually tortured Baby P to death, it is because scum like this exist we pay social workers to prevent such atrocities happening. Why, Why do they NEVER learn.
eileen, Gloucestershire,
Don't blame stepfatherhood, serial or otherwise - real dads can be just as terrifying. Jozef Fritzl was no stepdad.
Bob Samms, Warwick, UK
In current and past dealings with social workers, I would say that this article hits the nail squarely on the head.
Attempts to keep a child safe, are overwhelmed by stupidity and - frankly rotten - form filling. Male parents who care provably and deeply, are treated as 'abusive' and 'threatening
Charlotte Peters Rock, Knutsford, England
A few years ago I was mugged in Manchester at gunpoint. I called the police from the callbox in a highly traumatised state, who assured me they would be there straight away. They arrived 40 mins later. When I was taken to the police station, I went past a room full of bobbiles filling out forms
Charles, London,
Dr Dalrymple is probably one of the best commentators on the general state of the United Kingdom, not just restricted to medical matters, in any paper I've come across. Though medicine is the focus, the larger context is always taken into account. Thank you for the straight talk and thoughtfulness.
HTrivedi, London, UK
Good article, but yet another piece of commentary which seems to forget it was Baby P's mother and her boyfriend who tortured him to death, not social workers. His killers weren't ticking boxes or protecting their jobs, and no 'review' could explain their actions. Far more worrying than paperwork.
Scott, Stirling,
How do we get out of it? Read John Seddon, the Vanguard solution. Long story short, Command and control, target-driven, box-ticking behaviours are stripped out and all the time freed up by this can be used to do the work that we were supposed to do in the first place.
Alison Bell, Hamilton, Scotland
Use your eyes, trust your judgement and act! I agree with the comments on paperwork. No doubt all procedures will have been followed and forms completed so that's ok. The baby should have been in care just on the bases of the disgusting neglect let alone abuse.
s swallow, hillingdon, uk
My first reaction is to say that Dr D is just a bit too cynical. But on reflection maybe not, we do see this 'process-driven' workstyle all over the UK these days. Form over function, shift the blame, no one takes responsibility for anything. How did we get into this mess? How do we get out if it?
Colin, shrewsbury,