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The Parliamentary Under-Secretary of State for Justice (Edward Argar)
I congratulate the hon. Member for Warrington North (Helen Jones) on securing this debate on such an important, complex and sensitive issue. I am grateful for her passionate and thoughtful views. Her erudite speech highlighted, if my recollection is correct, not only her distinguished time as a parliamentarian but her previous career as a distinguished solicitor, as was evident from her careful and clever deployment of her legal knowledge.
Coroners’ courts are the oldest part of the judicial system in England and Wales, but they have not stood still; they have continued to evolve their processes. The Coroners and Justice Act 2009 set out a comprehensive suite of reforms to coroner law and practice, which was implemented in July 2013. The dedication and commitment of the Chief Coroner, His Honour Judge Mark Lucraft QC, and that of his predecessor, whom the hon. Lady mentioned, both in working towards continued improvement and in providing leadership, guidance and support to coroners, is second to none, and I am grateful to them both for their service.
In 2017, almost 230,000 registered deaths in England and Wales were reported to coroners—43% of the total number of deaths—and inquests were opened into 31,500 deaths by the 88 coroners’ areas across England and Wales. As the hon. Lady said, by definition bereaved families engage with coroners at an extremely difficult and stressful time in their lives. I believe that the coroner service does a wonderful job of working to ensure that its engagement is as respectful and caring as possible.
As the hon. Lady alluded to, I had first-hand experience of that when I recently had the privilege of visiting the Westminster coroner’s court to open a garden of remembrance—a personal initiative taken forward by the excellent Inner West London senior coroner, Dr Fiona Wilcox. I was also able to observe an inquest into a suicide, and I saw for myself how deftly and sensitively Dr Wilcox handled the legal process, alongside sensitively handling a bereaved family and their feelings. I pay tribute to her and all her coroner colleagues for their dedication and professionalism, often in very difficult circumstances. It is a service of which we can be proud.
As the hon. Lady said, put simply an inquest is a court hearing held by the coroner to establish who died and how, and when and where the death occurred, but it differs from other types of court hearing because it is inquisitorial, rather than adversarial, and does not establish criminal or civil responsibility, as she said, deploying her legal knowledge. At the end of the inquest the coroner—or jury, where there is one—reaches a conclusion. Historically, the standard of proof for a conclusion of suicide has been established by case law, as the hon. Lady said. Although suicide was decriminalised in 1961, case law continued to apply the criminal standard—that is, beyond reasonable doubt—as opposed to the lower civil standard.
To go to the crux of the debate, as the hon. Lady said, there have been calls for the Government to address that situation, not least by campaigning organisations such as PAPYRUS, which she mentioned and which campaigns energetically not only on this issue but on the broader one of preventing suicide among young people. As she said, the Health Committee recommended lowering the standard of proof for suicide in the reports of its suicide prevention inquiry, published in December 2016 and March 2017. The Government made it clear in their July 2017 response that they had been considering whether to make such a change. Recently, however, the matter has moved on as a result of evolving case law, with the judgment handed down by the High Court on 26 July in the case of R (Maughan) v. Her Majesty’s Senior Coroner for Oxfordshire. Before continuing, I put on record my sincere condolences to the family of James Maughan on the sad loss of their loved one in difficult circumstances.
In brief, the case, which has been alluded to, was a judicial review of the jury inquest held into Mr Maughan’s death. The senior coroner invited the jury to record a narrative conclusion, rather than a short-form conclusion of suicide, which he directed should be determined on the civil standard of proof. The judicial review claim was made by the bereaved family on the basis that the jury’s conclusion was unlawful because it amounted to a conclusion of suicide reached on the balance of probabilities, rather than on the criminal test of beyond reasonable doubt.
That judicial review claim was dismissed by the High Court on the basis that previous case law applying the criminal standard of proof was incorrect and that the correct position in the opinion of the court was the application of the civil standard. However, the High Court gave the bereaved family leave to appeal the judgment, which they have now done. A date has not yet been confirmed for the Court of Appeal hearing of the case. Pending that hearing, I hope that the House understands that it would not be appropriate for me to discuss the judgment of the High Court, other than the factual account that I have just put on the record, the forthcoming appeal, or any issues relating to or arising directly from either one, because that might impact on the case.
Helen Jones
I realise that the Minister cannot comment on the case, but may I ask whether he has had discussions with his colleagues in the Department of Health and Social Care about the impact of the existing situation on any assessment of the number of suicides and the design of services to meet them?
Edward Argar
Such issues of suicide prevention are discussed regularly with the Department of Health and Social Care. I am about to come on to suicide prevention and the broader point that the hon. Lady made, in particular about understanding the scale of the issue. If she allows me one more paragraph, I shall come on to exactly that.
I appreciate that the point I made about being slightly limited in what I can say given the legal context will disappoint the hon. Lady. I hasten to add that my intention is never to disappoint her—
Edward Argar
I hope not by me—yet. I can only assure the hon. Lady that I have of course noted the points that she and other hon. Members have made today and in the past. I will consider them very seriously, along with the Court of Appeal ruling when judgment is handed down in that case. I shall respond as appropriate at that point. Clearly, however, while the case is being heard I shall stray no further.
To come on to the hon. Lady’s wider point, I shall touch on the broader issues underlying the debate: the importance of preventing suicide, tackling potential contributing factors and understanding what it is that drives suicide in some cases. As she said, a verdict of suicide in a coroner’s court of course means that a tragedy has already occurred, and every death by suicide is a tragedy with a devastating effect on families and communities. That is why the Government updated the national suicide prevention strategy last year—to strengthen the delivery of its key areas for action, such as expanding the strategy’s scope to include addressing self-harm as an issue in its own right.
I am encouraged that data published by the Office for National Statistics this week show that in 2017 the suicide rate in England reduced for the third consecutive year. The rate is now at its lowest for seven years, which brings us closer to achieving the national ambition to reduce suicide by 10% by 2020.
Helen Jones
As the Minister knows, evidence given to the Health Committee stated that apparent reductions in suicide are often linked to changes of practice in the coroners’ courts. Will he therefore look seriously at what the Health Committee recommended on coroners being given more training in how to construct their narrative verdicts, and on giving the Chief Coroner more resources to ensure similar practice across all the courts?
Edward Argar
I am happy to look into both those matters. My understanding is that the suicide registration statistics, which are used to calculate the suicide rate, already include deaths by undetermined intent, where a suicide conclusion was not reached but where it is likely that the death was caused by suicide. There is a slight difference in the calculation of the rate, but I shall look into the points that the hon. Lady made.
I am encouraged that the suicide rate among men—the highest-risk group, as the hon. Lady said—reduced for the fourth consecutive year. That is of course a reason to do even more, because every suicide is a tragedy, and we must seek to do everything we can to prevent any suicide if at all possible.
To address suicide prevention in mental health settings, this year, the previous Health and Social Care Secretary launched a zero-suicide ambition across the NHS, starting with mental health in-patients but seeking to include all mental health patients. My opposite number in Health, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Thurrock (Jackie Doyle-Price), has a personal commitment to that agenda. She is working extremely hard to ensure that the record levels of spending on mental health by the Government continue to drive improvement.
Clearly, suicide prevention must be a key Government priority. The hon. Member for Warrington North is absolutely right to highlight the fact that the issue is not a partisan or party political one; it is about doing what is right and improving the situation for everyone. I thank her for securing the opportunity to focus on such an important issue in the specific context of the operation of the coroners’ courts and system.
The recent High Court judgment has thrown a spotlight on a particular aspect of the national debate around the complex and sensitive network of issues involving suicide. I may not have been able to go into the level of detail that the hon. Lady might have wished, but I hope that I can offer some reassurance with my commitment: we await the decision by the Court of Appeal with keen interest, we will consider it carefully, and we will continue to reflect on the particular issue that she has highlighted so eloquently. Furthermore, should she so wish, I am happy to meet her to discuss it further.
Question put and agreed to.