People with Mental Health Problems: Detainment

(Limited Text - Ministerial Extracts only)

Wednesday 31st January 2018 Westminster Hall

[The Minister for Policing and the Fire Service (Mr Nick Hurd)]

It is a great pleasure to serve under your chairmanship, Mr Hosie. I congratulate the right hon. Member for Orkney and Shetland (Mr Carmichael) on securing this debate and the way in which he presented it. Perhaps coincidentally, it follows a debate I was here for yesterday on perceived failings in the way in which the criminal justice system deals with people on the autism spectrum.

The underlying challenge is the same: it is about awareness, understanding and ensuring not just that the right protocols are in place, but that they are implemented by human beings. That is a challenge, and I wholly endorse what the right hon. Gentleman said about the progress we have made as a society and a Parliament in our understanding of mental health and the consequential priority that we need to attach to it. I pay tribute to his work on that in the Cabinet of the coalition Government, and to the work of many of his colleagues, not least the right hon. Member for North Norfolk (Norman Lamb), who is tireless on this subject.

We have made progress, but the right hon. Member for Orkney and Shetland is entirely right to raise tough questions about implementation and culture inside the criminal justice system and the police system. I do not think anyone would argue that the police are the agency best suited to dealing with people who are solely or primarily unwell by virtue of mental ill health, but the reality is that the police spend a lot of their time dealing with, supporting and safeguarding people on the mental health spectrum.

I have just completed a tour of our police system in which I talked to every single police force in England and Wales. One of the most consistent themes in all those conversations was concern about the increasing amount of time that our police officers spend with people who have a spectrum of mental health concerns. In some of those cases, that is entirely right and appropriate, because those people may be pursuing criminal activity or there may be a public safety issue. Increasingly, however, the police are being called into situations to which those two criteria do not apply. That is increasingly uncomfortable territory for them, because they are not necessarily the most appropriately qualified people to deal with such situations.

Let me address the right hon. Gentleman’s fundamental point about culture. I must put on record some of the improvements and the good things that are happening, but I need to acknowledge that there remains a stubborn cultural issue around how the police, and other bits of the public sector system, respond to complaints. I have been very explicit with the new chief executive of the Independent Office for Police Conduct, which is the new body that is taking over from the Independent Police Complaints Commission, that the Government, the IOPC and the police need to work together to try to change the culture. That is much easier to say than to do.

Too often when something goes wrong, as it inevitably will, there is a tendency to circle the wagons, blow smoke and protect the police family. We need to move away from that, and towards a culture of learning from mistakes. That is how the police improve. I argue strongly that doing so is very much in the interests of the police family, because we police by consent. That is built on a foundation of trust in our police system. Incidents such as that which the right hon. Gentleman recounted chip away at confidence and trust in our police. Therefore, it is in the interests of the police system to embrace the need for a new culture. When I speak to the superintendents conference, they volunteer that that is what we need to do.

It is a cultural change. I do not think the problem is necessarily with the frameworks, the procedures, the standards or the rights of prisoners in custody. We have made considerable progress on that, but I acknowledge that there remains a stubborn problem with its implementation in practice.

[Kate Green]

I accept what the Minister says about culture, but I wonder whether he could look at one systems issue, namely the matter of obtaining medical information from a person’s own mental health practitioner where an individual in detention is already under the care of mental health services. I understand that is not part of routine procedure at the moment. Will the Minister go and look at that, and see whether it should be?

[Mr Hurd]

I certainly give an undertaking to the hon. Lady that I will look into that. Prisoner rights in custody are pretty clear in terms of the duties on a custody officer—a custody officer is required to determine whether a detainee is, or might be, in need of medical treatment or attention, and to make sure that he or she receives appropriate treatment or attention if he or she appears to be suffering from an illness or injury or a mental disorder—but I give the hon. Lady that undertaking and will write to her.

Having acknowledged the point made by the right hon. Member for Orkney and Shetland, I want to place on record some of the genuine improvements that have been made. He raises a real concern, which has weight in the police system because of the amount of time police officers spend, in the modern age, dealing with people on the mental health spectrum.

A considerable effort has been made in recent years to improve local responses. Crisis care concordat partnerships have been successful in pushing people together at a local level to address long-standing issues such as the overuse of police cells as places of safety. As I have gone around the system, I have been very impressed to hear about the various triage schemes in many areas. Those schemes encourage closer working and exchange of real-time information between the police and health professionals. There are different models. Some have health staff embedded in police control centres. Others have health professionals working alongside police on the ground, and sometimes in the custody suites. The common feature of those models is that they enable the police to deal more confidently with people in crisis, informed by professional advice about the best solution.

Many areas are developing community-based voluntary sector or partnership drop-in centres—sometimes called crisis cafes or places of calm—to which those who feel themselves nearing a crisis may be referred, or may self-refer, for support and advice. Such co-operation mechanisms have resulted in a significant and, I hope, welcome reduction in the use of police stations for those who have committed no offence. In 2016-17, a little more than 1,000 such uses were recorded, compared with just under 8,500 in 2012-13, so there is progress on that front.

We are changing the powers available to the police under the Mental Health Act 1983. In particular, the use of police stations as places of safety has been completely banned for under-18s. For adults, regulations now set out very specific criteria on when a police station can be used. Police officers are required, if practicable, to consult a mental health practitioner before detaining a person under section 136, but I will come back to the hon. Member for Stretford and Urmston (Kate Green) with a more refined position on requirements to consult the individual’s own medical practitioner.

The period for which a person may be detained for the purposes of a mental health assessment under section 135 or section 136 is now reduced to 24 hours to ensure such assessments and arrangements for further care are completed as swiftly as possible and that people are not unnecessarily delayed. Police powers to detain a person under section 136 have been extended to any place other than a private dwelling, enabling the police to act promptly in places such as workplaces.

Better community partnership and changes to the 1983 Act have clearly made a difference.

[Mr Carmichael]

The point on which the IPCC upheld the complaint of my constituent’s son was that he should have been detained under section 136 as well as the Criminal Justice Act 1988 provisions, and that did not happen. That was a fairly narrow point, in many ways, but anecdotal evidence suggests that it is fairly widespread. What is the Home Office doing to establish an objective picture and find out what is happening on the ground? I suspect the procedures are not that bad, but the implementation requires some attention.

[Mr Hurd]

I accept the point that the IPCC found that guidance to detain under both section 136 and for any accepted offence had been breached in that case. I am not quite sure how long it took between 2014 and that judgment—probably too long. I accept that, but I come back to my earlier point. The right hon. Gentleman will know from experience that from the specific, we learn and probe general application. That is why our complaints process must work better than it does at the moment, not just for his constituent’s son and others in that position, but for the police officers concerned.

A lot of police officers are, in their words, being left out to dry for long periods of time, while the processes take too long. We want a swift process of finding the truth; we want accountability—accountability matters—but then we want a culture of learning and thinking, “What have we learned, and what are we doing about it?” We are not there yet, but everyone is talking about it in the right way. Part of my responsibility as Policing Minister is to continue pushing on that.

I am running out of time, but I should mention that if a person who has been detained for an offence is identified as having possible mental health or substance misuse issues, they may be referred to liaison and diversion workers for advice and onward referral to support services. Such schemes now provide support across 80% of police custody suites and courts in England, with the expectation that 100% coverage will be achieved by 2021.

On police use of force, a new memorandum of understanding between police forces and mental health and disability settings was finalised in 2017. At the extreme end of that is the response that we have to make to the report on deaths in custody. Some of the issues that the right hon. Gentleman has picked away at—the human testimonies, and the attitudes of the police when they feel defensive—come through very clearly in that report, and we have to break those down.

As I hope I have made clear, across a range of the avenues available to the Government, we are making some progress. I repeat my undertaking to come back to the hon. Member for Stretford and Urmston on her question.

Motion lapsed (Standing Order No. 10(6)).