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An all-party group of MPs and peers is next month to meet Beverley Hughes, the minister for children, to discuss concerns that the hunt for potentially abusive parents might be out of control.
The group says large numbers of parents are being wrongly suspected of Munchausen’s syndrome by proxy (MSBP), a condition where people supposedly fabricate illnesses in their children to gain attention. It wants a review of government guidelines issued to social workers, police and teachers.
MSBP was first identified by Professor Sir Roy Meadow, a paediatrician who was struck off the medical register last year, and later reinstated on appeal, after widespread criticism of his work. He was a key prosecution witness in the cases of Sally Clark and Angela Cannings who were both jailed for killing their children. Their convictions were quashed, however, after Meadow’s theory that some cot deaths were actually murder was discredited.
Despite the government’s official view that MSBP, also known as fabricated or induced illness, occurs in only about one person in a million, up to 12,000 children a year are being taken into care for MSBP- related reasons, according to the report.
The 104-page report, drawn up by Consensus, a group of parents and professionals, says Department of Health guidelines on MSBP issued in 2002 are phrased in such a way as to trigger referrals of parents to social workers even without any evidence.
The guidelines state: “When a possible explanation for signs and symptoms is that they may be fabricated or induced by a carer, and as a consequence the child’s health or development is likely to be impaired, a referral should be made to social services.” Among the cases highlighted are:
Damian Green, a Tory frontbench spokesman who is part of the cross-party group, believes the guidelines are encouraging social workers and schools to be overzealous in their attempts to find MSBP. He said: “You have the possibility of huge injustices arising through the inflexibility of these guidelines which are based on questionable theories.”
Other members of the group include Earl Howe, a shadow health minister; Jon Cruddas, the Labour MP for Dagenham; Dr Richard Taylor, a retired consultant and independent MP for Wyre Forest; Nick Gibb, MP for Bognor Regis and Littlehampton; and Lynne Featherstone, the Lib Dem member for Hornsey and Wood Green.
The MPs are concerned by huge geographical variations in the number of families being placed under investigation by social workers. In 2003, 264,000 parents or children faced “initial assessments” by social workers who suspected possible abuse.
While in Buckinghamshire there were only 540 initial assessments, in Kent the number was 12,510. Even allowing for differences in their populations, parents in Kent were 10 times more likely to be investigated over child protection issues. The report argues this discrepancy may be explained by some areas disregarding the MSBP hypothesis, “whereas in others it is taken as gospel and applied with zeal”.
The report has brought to light a number of harrowing cases. They include that of Tina England, one of Gibb’s constituents, who had both her adopted children placed on an “at risk” register because West Sussex social services thought she had MSBP. Her elder son Donald (not his real name), now 20, who has cerebral palsy and learning difficulties, was experiencing stomach pains and England was advised by medics to put him on a special diet.
()But social workers became concerned that she was exaggerating his disabilities and showing signs of MSBP. They considered both Donald and his 14-year-old brother Nigel (not his real name), who has more severe learning difficulties, as well as autism and epilepsy, to be at risk.
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