All 4 Debates between Baroness Brinton and Baroness Meacher

Mon 5th Feb 2024
Mon 6th Mar 2023
Mon 7th Mar 2022
Health and Care Bill
Lords Chamber

Lords Hansard - Part 1 & Report stage: Part 1
Wed 8th Dec 2021
Police, Crime, Sentencing and Courts Bill
Lords Chamber

Lords Hansard - Part 2 & Report stage: Part 2

Victims and Prisoners Bill

Debate between Baroness Brinton and Baroness Meacher
Baroness Brinton Portrait Baroness Brinton (LD)
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I am very grateful to the noble Baroness for that very helpful intervention.

At the end of the debate on the previous group, I asked the Minister how we can get into the culture, focusing on the things that need to be looked at in stalking cases. Stalking advisers would be key to that. They would not just support the victim but know and understand the local people in their system and the criminal justice system; they would talk to them and ask them to look out for things. I hope the Minister can give a positive response. From our Benches, we support these amendments.

Baroness Meacher Portrait Baroness Meacher (CB)
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My Lords, I will speak extremely briefly, because others have spoken at great length, to support very strongly Amendments 67 and 69 and to applaud the noble Baronesses, Lady Thornton and Lady Brinton, and the noble Lord, Lord Russell, for seeking to ensure that the Secretary of State provides guidance for stalking advocates along with guidance for domestic abuse and sexual violence advisers.

As we know, stalking all too often ultimately leads on to criminal violence against women. An important measure ultimately preventing violent crime against women is to provide this support and advice for stalking advocates. It is far better than waiting for violence to occur before intervening. These are much more important amendments than they might appear.

Lord Roborough Portrait Lord Roborough (Con)
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My Lords, government Amendment 74 has been tabled to place a duty on the Secretary of State to issue guidance about victim support roles specified in regulations and to give the Secretary of State a power to make regulations that specify those roles. This replaces the current Clause 15, which specifies that guidance must be issued about independent sexual violence advisers and independent domestic violence advisers.

Through the Bill’s passage to date, we have carefully listened to concerns that naming particular roles in the Bill could be misinterpreted by funders as the Government prioritising these roles above others. We remain clear that ISVAs and IDVAs are only two roles within a rich and diverse support sector, meeting a range of victim needs, and that the right mechanisms are in place to ensure that funding for services is determined on the basis of local need for a resilient and cost-effective support offer. But we are conscious that the debate about naming certain roles in the Bill risked overshadowing the purpose of the clause, which is simply about improving a consistency of certain roles. While we know that this is not an issue or intervention wanted or needed for all support roles, we have also listened to arguments put forward that there are other support roles that might benefit from the improved consistency provided by national statutory guidance.

Therefore, this amendment avoids naming any victim support roles in the Bill. It instead provides the more flexible mechanism afforded by regulations to set out the relevant roles for which guidance must be issued, for use now and in the future. We intend to still use this only in cases where consistency of service provision is of sufficient concern to warrant national statutory guidance. This of course remains the case for ISVAs and IDVAs.

I am pleased to announce today that following constructive debate and engagement, the Government agree that such guidance is warranted for independent stalking advocates. They do vital work to support victims of these terrible crimes, as highlighted in the coroner’s report following the inquest into the tragic death of Gracie Spinks. Clear national guidance on the role of independent stalking advocates will be an important step in improving support for stalking victims. In response to my noble friend Lady Newlove, the Government can of course commit to consulting thoroughly with all stakeholders. We will require guidance to be issued on support services named in regulations. We will shortly publish draft regulations that will list independent domestic violence advisers, independent sexual violence advisers and independent stalking advocates. We have therefore heard the point on the value of ISAs and will require guidance to be issued.

I offer my thanks to the Victims’ Commissioner, my noble friend Lady Newlove, and the domestic abuse commissioner, Nicole Jacobs, for their engagement on this clause, to the National Stalking Consortium, convened so well by the Suzy Lamplugh Trust, and to the wider victim support sector, which is assisting the Government in developing the relevant guidance.

Turning to some of the points that have been raised in this helpful debate, I hope I can reassure the noble Baroness, Lady Thornton. The Criminal Justice Bill does not have any stalking-related measures, but stalking victims have further been supported by the following legislation since 2012. The Stalking Protection Act 2019 aimed to protect people from the risks associated with stalking. Stalking can fall within the scope of the Domestic Abuse Act 2021 where the perpetrator and victims are 16 or over and personally connected. With the Protection from Sex-based Harassment in Public Act 2023, if someone commits an offence under existing Section 4A of the Public Order Act 1986, and does so because of the victim’s sex, they are liable for a higher maximum penalty. Finally, the Online Safety Act 2023 names Section 2A and 4A offences as priority offences.

I turn to some of the points raised by the noble Lord, Lord Russell of Liverpool. The Government of course recognise the value of ISAs—and I have recognised it in this amendment today—and have provided additional funding to stalking charities to help support victims, including funding specifically for advocacy. The Home Office part-funds the National Stalking Helpline, run by the Suzy Lamplugh Trust, providing £160,000 annually between April 2022 and 2024.

Through the Government’s up-to £39 million domestic abuse and stalking perpetrator intervention funds, PCCs for Cambridgeshire and Peterborough, Cheshire, Kent, Sussex and the West Midlands are delivering interventions for perpetrators of stalking, and support for victims. An evaluation partner has been appointed so that we can develop an evidence base from this fund that works to protect and support victims. It is fair to say the Government can always do better, and we welcome a response to many of the points that have been raised and any dialogue between the department and interested parties.

In response to the noble Lord’s point about the Suzy Lamplugh Trust’s super-complaint to the police, we recognise the devastating impact stalking can have and expect the police to take reports seriously and to take swift action. We thank the trust for submitting this complaint—the Government will follow its progress with interest and have already provided relevant information about some of the issues to the investigating organisations.

To, I hope, reassure the noble Baroness, Lady Brinton, we have been engaging with stakeholders about the inclusion of ISAs throughout the passage of the Bill, and we are pleased to be able to confirm that we intend to specify in regulations that ISAs are included in the duty of the Secretary of State. As I mentioned earlier, our point is that these advocates are of equal status, and we do not want to create a hierarchy, so inclusion puts them on the same level as ISVAs and IDVAs.

On the points about information and how these offences are treated, stalking is an offence that often escalates over time—as we have heard earlier in this debate. That is why it is important to take preventative steps to protect victims of stalking at the earliest possible opportunity. In January 2020, the Home Office introduced stalking protection orders, which aim to address perpetrators’ behaviours before they become entrenched or escalate in severity. The Government have also awarded up to £39 million, as I mentioned, for the domestic abuse and stalking perpetrator intervention funds. Finally, victims can access support at any stage of their journey through the National Stalking Helpline, which is run by the Suzy Lamplugh Trust and funded by the Home Office.

As we are bringing forward this amendment, and intend to specify ISAs in regulations, I urge the noble Baroness, Lady Thornton, not to press her amendments requiring guidance to be issued for independent stalking advocates. I hope that this demonstrates that the Government are committed to ensuring that victims of these terrible crimes receive the right support.

Retained EU Law (Revocation and Reform) Bill

Debate between Baroness Brinton and Baroness Meacher
Baroness Meacher Portrait Baroness Meacher (CB)
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My Lords, I will follow the words of the noble Baroness, Lady Ludford. I have added my name to the question on whether Clause 10 should stand part of the Bill. As noble Lords know, my view is that the Government really have a responsibility to withdraw the entire Bill; they should take it away and have civil servants work up all the policy developments that are assumed in it. As it stands, decisions on all these policy areas will simply be left to Ministers to make through delegated legislation; that is not acceptable at all. I was strongly supported by my noble friends Lord Wilson and Lord Lisvane and many others when I made this point in an earlier debate.

Clause 10 transfers powers wholesale from the EU to Ministers, who will then decide which regulations to propose. It includes extensive amendments to Part 1 of Schedule 8 to the European Union (Withdrawal) Act 2018. In omitting sub-paragraphs (1) to (5) of paragraph 4, the Government are further reducing the power of the UK Parliament with respect to retained EU legislation, and, as the noble Baroness, Lady Ludford, said, with particular respect to retained direct EU law. The Government justify that on the basis that retained direct EU law did not have as much parliamentary scrutiny as other parts of retained EU law, but that was because the UK was bound to comply with retained direct EU law under the treaty of Rome. We are now not in the EU—we are in an entirely different situation—and the UK Parliament needs to take over responsibility for this area of law, which represents at least 50% of retained EU law.

As noble Lords know, we parliamentarians cannot amend secondary legislation. It would be extremely difficult in this context for Parliament to reject the secondary legislation involved, and therefore Parliament will have no option, in my view, but to accept the delegated powers we are talking about here. Surely this is entirely unacceptable. Ministers’ regulations across a vast range of policies will affect the entire UK population very considerably.

Clause 10 radically changes the European Union (Withdrawal) Act 2018, affecting a huge transfer of powers from Parliament to Ministers. This is in conflict with stated government policy and the Government’s Explanatory Memorandum to the Bill. Clause 10 should not stand part of the Bill.

Baroness Brinton Portrait Baroness Brinton (LD)
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My Lords, it is an honour to follow the noble Baroness, Lady Meacher; I agree with everything she said. I also very much agree with the previous speakers, including my noble friend Lady Ludford.

I will make a point in response to the points made by the noble Lord, Lord Hamilton, when he questioned the noble Baroness, Lady McIntosh, on whether her amendments would delay the process and whether that would be a problem. The fundamental problem we have is set out very clearly by the Delegated Powers and Regulatory Reform Committee in paragraph 35 of its 25th report, which quotes from the RDEUL memorandum:

“Overall, the change in status will make it possible to amend or repeal a greater amount of RDEUL using secondary legislation, which will enhance the ability for amending RDEUL more quickly without the need for primary legislation. This is a more proportionate status for RDEUL, as when made it was not subject to the same degree of UK Parliamentary scrutiny as an Act of Parliament or even domestic secondary legislation.”


However, the committee goes on to say that

“RDEUL has a special status because much of it is of considerable significance in policy terms.”

Once again, we have spent most of the last three Committee days discussing issues relating to policy and asking for clarification on when that will be nailed down and understood and when Parliament can look at it before final decisions about the Bill are made.

I return to the question I asked on the first day of Committee: at what point will the dashboard be frozen? After it is frozen, how long will it be before it comes into law? Will it be 31 July, October or 30 December? How do Ministers respond to the issue that Parliament will have to give up a significant role in key policy terms, which is normally part of primary legislation, and which would be moved into secondary legislation under this clause? At the moment, we still do not have an answer as to when Parliament will be able to look at the detail of the dashboard to make decisions on it.

Health and Care Bill

Debate between Baroness Brinton and Baroness Meacher
Baroness Brinton Portrait Baroness Brinton (LD) [V]
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My Lords, I declare my interest as a vice-president of the Local Government Association. I will speak very briefly from the Liberal Democrat Benches to offer our support for both the amendments in this group.

The amendment tabled by the noble Baroness, Lady Pitkeathley, Amendment 113, says that unpaid carers, including those under 18, must be properly consulted by the NHS to ensure that they are able to provide the care needed to keep patients safe. In Committee—and, more recently, at the excellent and moving round table with family carers organised by Carers UK, about which the noble Baroness, Lady Pitkeathley, just spoke—we heard evidence of hospitals discharging patients before assessments had been completed and before carers had even been told. The burden that this places on carers is totally unacceptable and unsafe. Worse still—and unsurprisingly—the home arrangements too often break down when family and unpaid carers are not a full part of the consultation process. We support the noble Baroness, Lady Pitkeathley, in this vital amendment.

The second amendment, Amendment 144, to which I have added my name, was tabled by the noble Baroness, Lady Wheeler. The amendment ensures that there are always proper social care needs assessments to ensure that both the family and unpaid carers are consulted, along with the relevant local authority; and that ICBs must have an agreement in place with the relevant parties to ensure that vulnerable people are not discharged without the right support. Some carers are themselves vulnerable people, and we need to make sure that all protections are in place for them too.

Equally importantly, it ensures reporting by the relevant authorities back to the ICB so that it can monitor discharge effectiveness. It says—as a bit of stick to go with the other carrot parts—that the ICB must pay for any

“additional costs borne by a local authority in caring for a patient whilst carrying out social care needs assessments”,

in the event that the patient has been discharged before this was completed.

There are 1.4 million unpaid carers who save the state just under £3 billion a year—and they need more than guidance. Both of these amendments will ensure that the patient and their unpaid carer are assessed and supported properly, and that the key stakeholders—the NHS, the relevant local authority and the ICB—must work together to make this happen.

Baroness Meacher Portrait Baroness Meacher (CB)
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My Lords, I rise to support Amendment 113. I applaud the noble Baroness, Lady Pitkeathley, both on this amendment and on the years and years of commitment she has given to the support of carers.

It is extraordinary what this Government are prepared to do in this Bill. In revoking the Community Care (Delayed Discharges etc.) Act 2003, they are abolishing the “safe to discharge” test, which requires processes to have been followed to ensure that appropriate and adequate care is, or will be, in place for a patient’s discharge from hospital. The Government are proposing that carers’ rights in primary legislation should be put in statutory guidance instead.

As a member of the Delegated Powers and Regulatory Reform Committee, I am very conscious that, under this Government, secondary or delegated legislation is used more and more to concentrate power in the hands of Ministers rather than in Parliament. The only possible reason for the Government to remove carers’ rights from the Bill, and to put them into secondary legislation, is to weaken those rights. Can the Minister give any reassurance on that point? It is a very important question.

A number of us recently met with a group of so-called adult carers—teenagers and adults—and also with a group of young carers. Both of those experiences were humbling from my point of view. I will mention a couple of points that came up. One teenager rather casually mentioned that she had begun being a carer at the age of three. This is unbelievable, is it not? I forgot to ask her what she actually had to do at the age of three; it is difficult to imagine. But, whatever she had to do, the idea that she somehow had a sense of responsibility at that age is truly alarming.

The other memorable moment was when a teenager was asked, “What is the most difficult thing for you, or the biggest problem that you have as a carer?” I thought she would say that she did not have any time to play with her friends or that she had to do all sorts of boring and horrible jobs that her friends do not. But no, she did not say any of that; what she actually said was, “The biggest problem I have is that the hospital staff won’t tell me how much medication my mum needs. They say they’ve got to talk to my mum, but that’s impossible.” The selflessness implied in that is just completely extraordinary—and of course there were lots of other incredible points.

If these young carers are not consulted before their dependent relative is discharged from hospital, they may be at school or in the middle of a hockey match—it is just unimaginable that this requirement should be in any way weakened. I ask the Minister to take extreme care on this issue when going back and considering the Bill; only then can we be sure that patients are not just medically fit to be discharged from hospital, as the noble Baroness, Lady Pitkeathley, said, but are safe to be discharged—that is, carers or others are there to look after them.

BASW rightly points out that revoking a local authority’s Care Act duty to integrate care and support provision with health provision at the time of the key decision about where a person should be discharged to from hospital undermines the model of integration between social and health care staff—surely the absolute opposite of the whole objective of the Bill. I understand that discharge to assess is probably reasonable for medium and long-term care planning. However, an assess to discharge approach is even more important and should be done in hospital, from the date of admission to hospital. Where is that commitment in the Bill? I look forward to the Minister’s response.

Police, Crime, Sentencing and Courts Bill

Debate between Baroness Brinton and Baroness Meacher
Baroness Meacher Portrait Baroness Meacher (CB)
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My Lords, I rise to move Amendment 11, and speak to Amendments 22, 25 and 30. I thank the Minister for our very helpful meeting this morning, and for the detailed letter I received at 4 pm. I have carefully considered the points raised, and reread the letter to ensure I had understood it, but the basics facts remain the same—as I think the Minister realises—and I will do my best to explain them.

My comments also apply to Amendment 25, but I will focus on the three identical amendments to the three clauses. They ensure that disclosure of information by one public body to another under Part 2 of the Bill does not contravene data protection legislation. This is an incredibly important principle, yet the data sharing provisions in Part 2, as the Bill stands, would enable data protection legislation to be breached. Data protection legislation does permit information to be shared for the purposes of preventing crime, which is important too. If Amendment 11, along with identical Amendments 22 and 30, is passed, personal data could be passed to be police, but professionals could not be forced to do so against their professional judgment. That is the key principle we want to achieve.

The Minister’s letter says that the data shared under the duty is intended primarily to consist of aggregated and anonymous data, et cetera. But we have to focus on what the Bill says, rather than what our excellent Minister may intend. As I said to her this morning, if our Minister were Home Secretary, I might be content with the wording in the Bill, on this issue—I am not sure about everything else—as I have great respect for both our Ministers.

The Minister also says the duty applies to duty holders, not directly to front-line professionals, including youth and social workers. But it is these professionals who hold the information which the police may find helpful, not directors of social services, for example.

It is vital that, if we are to deal with serious violent crime, we do not undermine prevention work. It is therefore important that young people trust their teachers and youth workers. We believe these professionals must be able to exercise their professional judgment about whether it is more effective and important, in preventing serious violence, to be able to continue working with vulnerable and potentially dangerous young people to steer them away from drugs and crime, or to pass on information to the police. There will be times when the sharing of information with the police may be the first, and immediate, priority. However, if in the professional judgment of the teacher or youth worker working with the young people is the top priority, then she or he must be able to exercise that judgment, in my view.

The Minister is likely to argue that the modification of the disclosure of information legislation envisaged in the Bill is similar to that in other Bills and therefore should be accepted. We had a lengthy discussion on that issue this morning. On checking these other Bills it appears the context is quite different, as is the nature of the information that may be shared. The closest example is the Environment Act, which uses similar wording to that in Clause 9, under which information sharing may be required. However, in the Environment Act, this relates to whether public authorities are complying with environmental legislation; it has nothing to do with personal information for law enforcement purposes, which is an entirely different matter. The Medicines and Medical Devices Act only requires information to be shared without consent in a veterinary context—you cannot really ask a cow for her consent to pass on information about her. Therefore, this is not relevant to this Bill.

It seems the Government may not have drawn the right conclusions from the criticism of the Met Police’s gangs matrix system. As the Minister knows, Corey Junior Davis was murdered after his details in the Met Police’s gangs matrix were shared and fell into the wrong hands.

The system that produced that breach is being reproduced in the Bill. Surely, we will see replicated across the country other harms generated by the Met Police’s gangs matrix: young people losing college places that would probably have given them a route out of trouble; the application of eviction notices likely to lead them on a downward spiral of drugs and crime; and endless costly and pointless stop and searches, thereby undermining young people. We could also expect a repeat across the country of the discriminatory profiling that was inherent in the Met Police’s gangs matrix.

I very much welcome the Government’s acceptance of the need to respect the professional judgment of medical and social care personnel. All that we are asking for in the amendment and, indeed, the other two in the group is that the same respect for personal judgment be applied to teachers and youth workers as the Government now recognise should be given to doctors and others. Without these amendments, the work of the key public servants to prevent serious violence will be jeopardised, an issue that I should have thought the Government would be concerned about.

The Bill also gives the police the power to monitor compliance with the duty to require other bodies to share information with them, and it gives the Secretary of State enforcement powers to back those police powers. The amendment offers vital protection for professionals in exercising their judgment on how best to reduce serious violence by their clients.

The Minister has said that the collection of data is necessary in order to identify the kinds of serious violence that occur in an area and, so far as it is possible to do so, their causes, and then prepare and implement a strategy with bespoke local solutions. I am sure that the Minister knows that no personal information is required in order to do that. It is well established that anonymous data is sufficient to develop appropriate strategies. The draft statutory guidance says that most information will be depersonalised, but it does not say in what circumstances it will not. If it were clear that it was all about professional judgment, that would be fine—and that is what we are seeking.

These are incredibly modest amendments that, added to the government amendments, would go some way towards protecting the efficacy of our public services and enable young people to benefit from preventive and therapeutic interventions. These are the best hope of preventing serious violence over many years. We are not talking just about a one-off crime here. We are talking about the culture and style of life, and these public servants are working on the front line to try to divert these young people into education, training, jobs and so on. Instead of doing that, it is a huge thing to somehow divert those people into the criminal justice system. Punitive responses are never the right answer to vulnerability and deprivation—generally the backdrop to serious violence.

Baroness Brinton Portrait Baroness Brinton (LD) [V]
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My Lords, I thank the Minister and her officials in the Home Office and the Department of Health and Social Care for meeting me, the noble Lord, Lord Ribeiro, the General Medical Council, the British Medical Association and the National Data Guardian, and for listening carefully and agreeing that a patient’s personal information should not be disclosed under regulations made under Clauses 9, 15 or 16 by a health or social care authority, which currently includes a clinical commissioning group in England and a local health board in Wales, or under regulations made under those clauses. However, I wonder whether the Minister can help me and confirm that Clause 17, where the Secretary of State can instruct the transfer of information, even if a specified authority refused, will definitely not apply to patient data.

I am entirely supportive of the amendments in the group tabled by the noble Baroness, Lady Meacher, the right reverend Prelate the Bishop of Manchester and my noble friend Lord Paddick. While I am grateful that the Government have recognised that there is something particular about a patient’s personal health data, there still remains the issue relating to staff in a specified authority being asked to hand over personal data to the police and other bodies. There are some roles, such as youth workers and children’s home workers, where trust has had to be built up with the people who come to them. Any data relating to those at-risk people, whether potentially violent or potential victims, should not do anything to harm that relationship. As the noble Baroness, Lady Meacher, has said, anonymised data can be used.

As we know from doctors’ and nurses’ ethical arrangements, there are exceptional times when it is important for such information to be passed to the authorities. I believe that we can rely on the workers in other sectors to see that responsibility. Amendment 24 specifically sets out the ethical and legal rules that should apply.

Finally, I believe that the Secretary of State should not have these powers, however rarely they might be used, so I also support my noble friend Lord Paddick’s Amendment 35.