30/04/2026
"A Review of Systemic Failings in UK Adoption" produced by Fiona Wells and the PATCH - Passionate Adopters Targeting Change - with Hope community puts into words something that families I work with have been trying to say for years, but haven't always been heard.
As a therapist working in adoption and fostering, I see the human cost of these failings. Not as statistics. As real people sitting in front of me.
The parents who were told their child's meltdowns were a parenting problem, not a trauma response.
The families who asked for help and were investigated instead of supported.
The children whose prenatal exposure, FASD, sensory needs, and neurological injuries were never properly assessed (for many different reasons).
Permanence is not the end point, it's the start. That is one of the most important things this review says and one of the things the system most consistently gets wrong.
The review identifies failings across the adoption landscape:
🔴Blame culture embedded in social care, education, health and safeguarding
🔴No mandatory whole-child assessment before placement
🔴FASD misunderstood as defiance
🔴Sibling harm minimised
🔴Parents carrying a therapeutic role they were never trained or supported to hold
🔴No national data on breakdowns, re-entries to care, or what actually happens to children long-term
And underneath all of it, one consistent pattern: behaviour is responded to, while the injury/ trauma beneath it goes unseen.
"Harm unseen harms everyone — the child, the family, professionals, systems, and society as a whole." Sadly is so true!
This is why therapeutic support in adoption and fostering matters. Not as an add-on. As a necessity. Families need practitioners who understand trauma, who see the whole child, and who work with, not against, the people who love them.
You can read the review here
https://www.ourpatch.org.uk/wp-content/uploads/2026/04/A-Review-Of-Systemic-Failings-In-UK-Adoption.pdf