I move amendment No. 1 to amendment No. 2:
In subsection (1), line 1, to delete "may" and substitute "shall, immediately upon the coming into operation of this Act,".
This provision is fundamental to the protection offered by the Bill; the Minister and I have privately discussed this approach and we will now debate it publicly. It brings us back to an issue to which Deputy Shortall properly drew attention earlier. I agree with the Minister that it is important clear procedures are in place for the reporting of abuse and that there is a clear line in each health board as to where the responsibility lies for ensuring, first, the reports are received and properly recorded, and, second, they are responded to speedily and properly.
Different types of people will report that children are at risk of physical or sexual abuse or are victims of neglect. The first type are those who work professionally with children. Among those are school teachers who may be genuinely concerned that a pupil is the victim of abuse and who feel that a health board should be so notified. It is desirable that those who work in that position should know specifically who to approach and who will take responsibility for ensuring that reports made are followed up properly.
Another group in this category are general practitioners. There was a recent public and tragic case involving the McColgan family in which a general practitioner was criticised for allegedly not responding properly to the circumstances of the children in that family who were patients of his. He has publicly denied that he did not respond properly and it is not for me to comment on where the blame lay in that context. It is important that GPs who conclude that a child is at serious risk have a proper line of communication with health boards, but it goes beyond that.
GPs are not the only members of the medical profession who may be concerned that a child is at risk or to whom reports may be made of a child at risk. Parents or a parent or a third party attending with a child at the accident and emergency department of a hospital may report to the doctors there, or a doctor examining injuries a child has suffered may have these concerns. I would extend that to members of the nursing profession, either within a hospital to which a child is brought or public health nurses who are often catalysts in alerting social workers within a community care team that a child is at risk.
For all these people, having a designated officer to whom they may report, who is identifiable to them and has a responsibility to respond in turn, is a useful procedure and needs to be complemented by proper guidelines. However, when it comes to members of the public the matter is much more complex. They will not necessarily know who is the designated officer, no matter how much publicity is given by the health board. The designated officer may not always be available - there is a problem within health boards about to whom one reports at weekends, when no one is available for 48 hours, that a child may be at serious risk, Child abuse does not occur only from Monday to Friday; it happens on Saturdays and Sundays also. Members of the public - such as a parent who is concerned about possible sexual physical abuse of his or her child, a next door neighbour or a person working in a sports club - who are concerned that children are being abused will not always go to a person who is simply the child care manager.
A large number of reports of child abuse currently received by health boards are made by individuals to social workers within the boards, to members of the community care team, to public health nurses and to general practitioners. It is important not only that the professional who makes a report to a health board is granted immunity but that the members of the public who see social workers and members of community care teams and public health nurses as representing the health board, as being caring individuals who know what to do when a child is at risk, are also granted immunity by this legislation. In this context, I believe it is very important that it is not only reports of child abuse made to the child care managers or heads of community care teams which are granted the protection provided for in this Act; I believe it would be wrong to restrict protection in that way, although guidelines should clearly encourage professionals to report to child care managers, heads of community care teams and social workers who are responsible for ensuring that reports on children at risk are properly addressed.
I appreciate the Minister's acceptance of the amendment to amendment No. 2. However, in regard to amendment No. 3, I believe it is not only the director of community care who would be a designated officer in the context of providing immunity. I specify the director of community care because, as I understand it, child care managers are not yet in place. It is important that people who make reports to social workers, GPs, hospital doctors and nurses or public health nurses would also be granted immunity. The guidelines will clearly ensure that reports made to such people would subsequently be reported to the child care managers. However, the system currently envisaged does not guarantee this.
If we are to adopt the structure which the Minister has outlined and which he considers to be working efficiently in the context of the development of the new guidelines, a number of essential issues must be considered. It would be important to ensure that the same protection would be afforded to children throughout the country, irrespective of the particular health board areas in which they lived, and it would be important to ensure a uniformity of approach by the chief executive officers of each health board in regard to the appointment of designated officers. We do not want the Western Health Board, for example, to say that the only designated officer in its region is the child care manager while other health boards might include public health nurses, social workers and GPs.
We must remember that the designated officers have different functions. We are seeking to provide a system of immunity from civil liability to people who report child abuse in good faith. The designated officer structure is, in a sense, intended to facilitate the health boards to respond efficiently to reports and to ensure these matters are reported to the people with responsibility to deal with and respond to them. I am concerned that, by trying to make the health boards more efficient, we will deprive people who, in my opinion, should be entitled to it, to the immunity which the Bill, as originally published, provides for.
I would like to facilitate the Minister's adoption of the structure he has outlined and I believe amendment No. 2 is very important in that regard. Amendment No. 2 to the amendment No. 2 would allow him to publish guidelines which would ensure a uniformity of approach by health boards. It would allow for the development of an overall departmental policy to determine who, within the health community, falls within the ambit of immunity. I would certainly envisage that immunity should be granted in regard to reports made to public health nurses, other members of the medical profession and health board social workers.
I will not be satisfied if that matter is not clarified as I believe it will create an artificial situation in which some reports of child abuse would be granted a degree of immunity not granted to others. The granting of immunity would set people's minds at rest about the possibility of their being sued in the courts in the event of their concerns not being validated or proved correct. I appreciate that the Minister wants to give amendment No. 2 further consideration but I do not think amendment No. 2 to his amendment is a matter on which the chief executive officers of health boards should have a determining view. What the chief executive officer of a health board may regard as comfortable or convenient may not necessarily represent desirable public policy. Public policy, in my view, should be that reports of abuse made to any of the health board employees I have outlined, with whom the public has dealings on a daily basis, should be assured of the immunity provided for in the Act unless, of course, reports are not made in good faith and have no basis in fact. Deputy Shorthall touched on this issue without realising it was one about which the Minister and I have been engaged in discussions.
I am anxious that the Minister would take amendment No. 2 to his amendment on board and that he would do so in the context of assuring the committee that the guidelines he will issue will ensure the personnel to whom I have referred would be granted immunity. It may not be appropriate to do so immediately but it might be possible to do so as an interim measure until such time as the new child care guidelines are issued which will properly provide that reports made to public health nurses, social workers and other members of the medical profession should be passed on by them to the director of community care or the child care manager if they believe they give rise to genuine concern.
I am anxious to ensure that people who make reports on children at risk in good faith to health board professionals, other than child care managers, are not deprived of the protections provided for in the legislation. The Minister may say they will have some protection under common law but that is precisely the issue which has caused such a degree of disagreement and which has necessitated this type of legislation. The same argument could be applied to reports made by teachers and members of the medical profession and if it were, there would be no need for this legislation.
In 1991, the Law Reform Commission expressed the clear view that this kind of legislation was necessary and that view has been reiterated by the report of the inquiry into the Kilkenny incest case, among others. We have passed the point of wondering whether this kind of legislation is required. My view is that it is. If we agree to grant immunity to people who report child abuse concerns in good faith, that immunity should not be confined to circumstances where a report is only made to a director of community care or child care manager.