Domestic Abuse Bill

Baroness Finlay of Llandaff Excerpts

Committee stage & Committee: 1st sitting (Hansard) & Committee: 1st sitting (Hansard): House of Lords
Monday 25th January 2021 Lords Chamber

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, I wish to speak to Amendment 11, to which I have added my name. It is in the name of my noble friend Lady Grey-Thompson and was powerfully introduced by my noble friend Lady Campbell of Surbiton. It seeks to extend the definition of “personally connected” to both paid and unpaid carers. This reflects the reality for many people who require care or assistance due to having a disability and may have a significant trusting relationship with people outside their family. I also support Amendments 7 and 12 in this group.

A key part of the lives of disabled people are carers who are paid, and unpaid friends, neighbours or family members who provide care or assistance. These people are in a trusted relationship, a trusted position, and have access not only to the person’s possessions and paperwork but to the person’s body. They have access to medication and equipment. Trusting someone in this way creates a close emotional attachment to the extent that, over time, the carer becomes like family. However, such a personal connection increases the risk of physical, sexual, emotional and financial abuse.

We know, sadly, that disabled people are much more likely to experience domestic abuse than others. According to the Crime Survey for England and Wales, 13.8% of disabled women experienced domestic abuse in 2018-19. This is likely to have increased during the pandemic. These statistics are likely to be an underestimate and do not usually account for abuse by carers with a personal connection. Speaking out may be particularly hard for women with learning disabilities, expressive disorders, those who speak little English, or those who may have been threatened with institutionalisation or losing their children.

Many disabled people live alone and have experienced difficult relationships with relatives. A carer may be the only significant person they are connected to, and they may feel that they have no one else to turn to if a carer becomes controlling or physically abusive. It is vital that paid carers are properly assessed for the risk of domestic abuse, and sufficient safeguards to prevent abuse must be put in. While many informal unpaid carers are often motivated by friendship, there are numerous case studies of some who have deliberately befriended a disabled person living alone to abuse them.

I have a concern about Amendment 13 as an amendment to Amendment 12, as it seems to possibly narrow protection for those who stay in supported living but whose main home is with their parents—neither home is their own, yet they may be victims. I listened carefully to the noble Lord, Lord Blunkett. I can see that there is a separate argument for strengthening the Care Act, as it currently fails disabled victims of any form of domestic abuse. However, having two distinct laws and processes for supporting different victims of the same type of abuse is discriminatory. As we will discuss when we come to best interests being used as an inappropriate defence, it risks leading to disabled victims not being protected or supported. Without a change in the definition of “personally connected”, we will fail to protect the victims of abuse by non-family carers and deny them access to the much-needed services available to other domestic abuse victims.

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[Lord Alton of Liverpool (CB) [V]]

My Lords, I thank the noble Baroness, Lady Stroud, for raising this crucial issue. There are four amendments in this group, and I would like to speak to Amendments 15 and 172.

Amendment 15 underlines the importance that the noble Baroness has rightly attached to recognising in the Bill the developing child in the womb. Amendment 172 seeks to place a requirement on the Secretary of State to make provisions for publicly funded trauma-informed and attachment-focused therapeutic work to be made available to all parents of children aged under two years old, where those children are victims of or otherwise affected by domestic abuse.

In parentheses, I also support Amendments 20 and 179 relating to the functions and powers of the domestic abuse commissioner and the Secretary of State.

As the noble Baroness, Lady Stroud, reminded us, at Second Reading the Minister, the noble Baroness, Lady Williams of Trafford, said—and I wholeheartedly agree with her—

“No age group has been left out of the debate, including the unborn child and the foetus”.—[Official Report, 5/1/21; col. 124.]


She went on, though, to say that noble Lords

“rightly drew attention to the devastating impact that domestic abuse can have on children and young people. I talked about the foetus earlier—those adverse impacts start when that child is in the womb. Growing up in a household of fear and intimidation can impact children’s health, well-being and development, with lasting effects into adulthood—in fact, all their lives.”—[Official Report, 5/1/21; col. 129.]

The noble Baroness, Lady Williams, is undoubtedly right. Her words reinforce the arguments of the noble Baroness, Lady Stroud, about the importance of naming the unborn in the Bill, which is what Amendment 15 seeks to do.

As it stands, the Bill’s definition of children does not adequately capture the child in the womb or acknowledge that they too can be victims of domestic abuse. As Amendment 15 recognises, and as other noble Lords have said, there are currently significant baby blind spots in the legislation; “a child”, as a catch-all term, does not adequately encapsulate the unborn’s unique experience of abuse in utero.

As the Bill stands, there is no requirement on the commissioner to encourage best practice in the identification of domestic abuse affecting the unborn, and likewise no requirement on the Secretary of State to issue guidance on how domestic abuse affects the unborn. This lacuna leaves a large gap in our approach to domestic abuse policy. The unborn experience of domestic abuse in utero can live with a person for the rest of their life. As the noble Baroness, Lady Warwick, said, it has been suggested that 30% of domestic abuse begins during pregnancy.

We can come to a fuller understanding of the issue by looking at it from a positive, rather than negative, perspective. I once participated in an inquiry chaired by the late Lord Rawlinson of Ewell, a celebrated Queen’s Counsel and former Attorney-General. The inquiry examined sentience in the womb. It concluded that, rather than being born as a blank slate or the first page of a new book, at birth a newborn baby already has surprisingly extensive experiences of the surrounding world. It was interesting to hear the noble Lord, Lord Brooke of Alverthorpe, recount his own personal experience of the impact of an experience he had while in the womb.

Yehudi Menuhin, the renowned violinist who became a Member of your Lordships’ House, once said he first learned his love of music in his mother’s womb. Indeed, his mother was once told, “Madam, your womb is a veritable conservatoire.” Significant research has shown that listening to and experiencing music stimulates the brain of a baby in the womb and assists the growth of brain structures. Some studies suggest that babies remember music they listened to in the womb for months after being born. Music during pregnancy can have a soothing and uplifting effect on the pregnant woman, but also a positive influence on her unborn child. The womb can be a child’s first concert hall.

Conversely, as intimated during our debate, the Rawlinson inquiry also heard evidence of the effect of negative experiences on the development of a child in the womb and the long-term sequelae. Sadly, the unborn can experience any number of physical traumas when a perpetrator targets the baby violently while still in a mother’s womb. The research also indicates that domestic abuse during pregnancy is associated with poor obstetric outcomes, including low birth weight and pre-term birth.

As the noble Baroness, Lady Stroud, intimated, a mother’s emotional state has a direct influence on foetal development. As we have heard, stressors can negatively disrupt neurodevelopment in utero, which in turn impacts the cognitive functioning and emotional regulation of the child. This can be a life sentence. For all these reasons, I hope that Amendment 15 will be accepted.

I will also speak briefly about the importance of Amendment 172 about access to support for parents. The whole Bill is for naught if there are no provisions to allow people to get the help they want and so often desperately need. This admirable legislation is a once-in-a-generation opportunity to develop a step change in our response to domestic abuse. The reality is that the vast majority of victims—an estimated 70%--never set foot in a refuge and remain at home or in alternative housing. They must therefore have access to support that can actually change behaviour. We must recognise that these first days and weeks of life are also an effective time for intervention. Surely we want to be pragmatic with this Bill.

Like others, I was struck by an evaluation of the For Baby’s Sake programme, led by King’s College London, which provides trauma-informed and attachment-focused therapeutic support for parents. It found that support at this first moment—to which we can all point and say, “That is when I began to be me”—can harness parents’ motivation and empower them to make changes for their baby and themselves. The noble Baroness, Lady Armstrong, alluded to this in her excellent contribution earlier.

The Committee should note that a SafeLives report highlights that 80% of survivors said they think interventions for perpetrators are a good idea. A main conclusion from Breaking Down the Barriers: Findings of the National Commission on Domestic and Sexual Violence and Multiple Disadvantage was the call from survivors for trauma-informed support to break traumatic cycles.

Trauma-informed and attachment-focused therapeutic work is about meeting parents where they are, not where we would want them to be. This therapeutic work should be publicly funded and accessible to all parents in the same way that we offer universal mental health support through the National Health Service. Amendment 172 is therefore about changing the cultural and social landscape around domestic abuse for the next generation. If we only fund refuge and not intervention, we miss a crucial piece of the puzzle in breaking the cycle of domestic abuse.

Amendments 15 and 172 provide the right architecture and structure, a firmer and surer foundation, for making the womb and early days a less dangerous place in which to be, and they help to create an environment in which the baby is loved, cherished, and nurtured. On a personal level, having recently seen the picture of a new, soon to be born, grandchild in the womb—a magical glimpse, now routinely provided by science, of the infinite beauty represented by the delicate formation of a unique, new human being—I am especially pleased to be able to add my voice to those supporting the noble Baroness and her cross-party supporters.

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, it is an honour to follow my noble friend Lord Alton of Liverpool. In speaking in support of these amendments, I must declare an interest as chair of the Commission on Alcohol Harm.

I would like to reinforce the points made by the noble Baroness, Lady Newlove, on foetal abuse by alcohol during pregnancy. The UK is estimated to have the fourth highest rate of alcohol use during pregnancy in the world, with an estimated 41% of women using alcohol during pregnancy. Alcohol exposure in the womb, particularly in early pregnancy, can result in foetal alcohol spectrum disorder, the severe end of which is foetal alcohol syndrome. It is the most common cause of non-genetic learning disability worldwide, and costs the UK around £2 billion a year. Neurological difficulties affect communication, comprehension, attention span, executive function, social skills and decision-making. The huge impact on the child’s wellbeing, from damage that started long before birth, may also be indicative of alcohol-driven domestic abuse later in life.

The Children’s Commissioner’s 2018 report, A Crying Shame, found,

“over 50,000 children aged 0-5 years old – including around 8,300 babies under 1 – living in households where… domestic violence and adult alcohol or drug dependency, and adult severe mental ill-health”

were present. These three factors are often found together.

Shockingly, 26% of 18 to 25 year-olds in the UK are unaware that it is safest not to drink when pregnant. What are we doing to make new mothers aware of the risk of foetal alcohol syndrome and the need to avoid the unintended domestic abuse of unborn children? What are we doing to help these women? The cyclical link is that they might use alcohol to cope with the abuse they experience but, in the process, they inadvertently damage their baby.

As the noble Baroness, Lady Stroud, and the noble Lord, Lord Alton of Liverpool, explained, there is also evidence that a high level of fear in pregnant women can result in a high level of anxiety in the born baby. Although the wording of the amendments might not yet be quite right, the intention behind them must not be lost, and I hope that the Government will discuss better wording for them with the noble Baroness, Lady Stroud.

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[Baroness Newlove (Con) [V]]

My Lords, I speak to Amendments 16, 17, 18 and 19, which are of particular interest to me as the former Victims’ Commissioner for England and Wales. Noble Lords may remember that I had to make a complete new office, once the first commissioner, Louise Casey, stood down from the role to take on the Troubled Families Unit. I fully understand how the designate domestic abuse commissioner, Nicole Jacobs, feels. I have full confidence in her as domestic abuse commissioner, as she is very articulate and knowledgeable, and brings a different context to the role.

I take the point of the noble Lord, Lord Hunt, on the flexibility of a part-time appointment. When I began as Victims’ Commissioner, it was part-time, because I had my other role as champion for anti-social behaviour. The Victims’ Commissioner role was more or less full-time, so I was working for many hours not counted for. I had a conversation with the Secretary of State, and then worked full-time. I therefore agree with the noble Lord, Lord Hunt, on giving the commissioner the flexibility to have discussions with the Secretary of State, whether that role be full-time, four days, or three days. We should take a flexible approach.

Independence is an interesting word, and again I agree with the noble Lord, Lord Hunt, that it comes down to the robustness of the individual. Independence to people outside can mean one of two things: that one is independent from government and is not saying “Yes Minister”. Independence can also provide armour when having discussions with the Secretary of State and other departments. But it is important for everybody to recognise that the domestic abuse commissioner is independent from government because they are advising the Government on what is essential.

Amendments 18 and 19 are the most important: I agree with the noble Baroness, Lady Hamwee, about appointing staff, which is something I had to challenge in my first three years as Victims’ Commissioner. It has to come from who you want to work with: if the Secretary of State picks your staff, this really does not show that you are independent. You need to feel comfortable with your staff, so that you can map out a plan of work you want to do and, to be perfectly honest, so that you can feel you have loyalty within your team and know you are going out there and giving independent advice back to government.

The commissioner must have the ability to appoint staff, but this depends on the budget as well. How big a budget you can have, and how much you can allocate to a proper team for a national role, is really important. I had six members in my team, finally, but this is a national role and it is so important that we support the domestic abuse commissioner with all the tools available.

On that point, I ask my noble friend the Minister: has the designate commissioner already got an office of her own, so that she can begin her role once the Bill gets Royal Assent? It is so important to have independence from government, so that victims and survivors of domestic abuse can have the confidence to come in to see the commissioner and can have clarity, and be able to feel, that they have an open, practical and personal office to come to.

As the noble Lord, Lord Hunt, mentioned, it is robust experience and personality that will make the role excellent, and Nicole Jacobs is an ideal individual for it. I just want the Government to give her the tools to work with and the budget to enrol the staff that she should have to give confidence to those on the outside—so that victims and survivors of domestic abuse can believe in the role and the passion that Nicole Jacobs brings to it.

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, I wish to speak in support of the spirit of these amendments and the arguments so clearly explained by the noble Baronesses, Lady Hamwee and Lady Newlove, and the noble Lord, Lord Hunt of Kings Heath. They have explained why these amendments are needed, certainly in spirit, even if the wording of some of them is not quite right for the face of the Bill.

If the commissioner position was made full-time and the commissioner was able to appoint staff, they could better determine the scope of work and allocation of resources to respond according to need. It is an important fact that the commissioner needs to have some control.

To take one example—I have already declared that I chaired the Commission on Alcohol Harm—we know that, in general, lower socioeconomic groups experience higher levels of alcohol-related harm, particularly violence. The poorest groups are most affected by alcohol-related domestic abuse. You see this with the number of instances of alcohol-related domestic abuse every year, which are fourteenfold in that group compared with the least deprived. The prevalence rate of alcohol-related domestic violence is five times higher among the most disadvantaged groups compared to the least disadvantaged.

This is a huge job. The commissioner must be free to make decisions on how the budget is used, have their own independent office space and not feel in any way stifled by any influence from government in the work that has to be undertaken.

[Baroness Burt of Solihull (LD) [V]]

My Lords, as my noble friend Lady Hamwee has outlined, the aim of this group of amendments is to ensure that the commissioner is independent and able to perform her role unhampered by time and resource constraints.

The term “independent” would be in the title, reinforcing, as with the role of the anti-slavery commissioner, that this person can be free to represent victims as they see fit, reporting to the whole of Parliament, not just the Secretary of State, and paid full-time. This has been questioned by several noble Lords, including the noble Lords, Lord Rooker and Lord Hunt, and the noble Baroness, Lady Newlove. The thinking behind this, frankly, is that it is demeaning to the post to imagine that its holder could ever be regarded as a part-timer, given the scale of the challenge she faces. However, we did not intend that there should be no flexibility in the role at all.

The commissioner should of course appoint their own staff, carrying out the challenges of the role as they see fit within the constraints set out in this Bill; the ex-Victims’ Commissioner, the noble Baroness, Lady Newlove, emphasised this, showing how important that element is. It is a hugely important role: let us give her the tools to do the job.

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Moved by

[Baroness Finlay of Llandaff]

21: Clause 7, page 4, line 20, at end insert “, including substance use, addictions and mental health support.”
Member’s explanatory statement
This amendment specifies that the good practice that the Commissioner must encourage in providing protection and support to people affected by domestic abuse must include substance use and mental health support.

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, as I have already, I declare my interest as chair of the Commission on Alcohol Harm. I am most grateful to all who worked with me on our report. The noble Lord, Lord Ribeiro, was one of the commissioners, and I know he is logged in and may have questions later. He missed signing up to speak today.

These amendments are designed to ensure that the close link between substances, particularly alcohol, and domestic abuse is taken into account throughout the Bill. I have already referred to the close link between alcohol and domestic abuse. A World Health Organization report in 2006 drew attention to research that found that alcohol use increases both the occurrence and severity of domestic violence.

Alcohol Change UK has reported police data showing that domestic incident call-outs increase at times when alcohol consumption is elevated—for example, during contentious football matches or cultural events such as new year. Shockingly, within intimate relationships in which one partner has a problem with alcohol or other drugs, domestic abuse is more likely to occur than not. This was reported by Galvani more than a decade ago, yet still continues behind closed doors and not really recognised.

Although closely linked, the relationship between alcohol and domestic abuse is complex. We know that alcohol is not the root cause of abuse, and it is certainly never an excuse for abusive behaviour.

Domestic Abuse Bill

Baroness Finlay of Llandaff Excerpts

2nd reading & 2nd reading (Hansard) & 2nd reading (Hansard): House of Lords
Tuesday 5th January 2021 Lords Chamber

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, I declare my interest as chair of the Commission on Alcohol Harm. Countless victims know how closely alcohol and domestic abuse are linked. As my noble friend Lady Boycott said, up to half of perpetrators have been drinking at the time of assault, with severe violence and rape twice as likely to involve alcohol. One police sergeant told our commission that the vast majority of domestic incidents he had encountered over 30 years were alcohol related, with the offender, male or female, having drunk excessively prior to offending or being alcohol dependent.

Alcohol’s role in domestic abuse is complex and is often associated with gambling addiction and debt. It is certainly a significant compounding factor and never an excuse. The domestic abuse commissioner’s role must include a focus on the complex relationship between alcohol, domestic abuse and its wider effects, including on children. One anonymous expert by experience recounted how her terrifying father’s drinking and abuse

“bled into every aspect of our lives”,

and that it continued to affect the whole family after his death.

Some survivors self-medicate with alcohol to cope. Women’s Aid reports that women who have experienced extensive violence are more than twice as likely as others to have an alcohol problem, yet sometimes these survivors are turned away from refuges and struggle to find appropriate alcohol treatment services. Only 26% of refuges in London say that they always or often accept women who use alcohol or other drugs. Child contact centres must be registered with all staff trained to observe and to ask appropriate questions.

The role of the commissioner must include a remit to ensure better support and access to treatment for survivors of domestic abuse with an alcohol problem, and these services should also be provided in women-only spaces, as well as in anonymous online spaces, to ensure that their security and mental health needs are met.

One cannot look at domestic abuse as an isolated problem. It is interconnected with problems and inequalities across all society. Those with disabilities are twice as likely to experience severe domestic abuse, often for long periods of time and worsened by communication disabilities. Experiencing abuse can impact the development of communication skills, and those with communication needs are at greater risk of gender-based sexual violence. Non-fatal strangulation must be recognised and prosecuted.

Aspects of vulnerability all intersect, which is why front-line staff everywhere need the skills to ask about abuse and its precipitants in an open way and enable safe reporting. Only when the problem is known can further damage be prevented, and when crimes are reported they must be correctly documented by police and investigated. To be supportive, the commissioners’ board must include understanding the complexities of these antecedents and consequences to abuse, which in turn can inform inclusive support services and appropriate local authority strategies. This excellent Bill warrants support.

Immigration and Social Security Co-ordination (EU Withdrawal) Bill

Baroness Finlay of Llandaff Excerpts

Report: 2nd sitting (Hansard - continued) & Report stage & Report: 2nd sitting (Hansard - continued): House of Lords
Monday 5th October 2020 Lords Chamber

[The Earl of Dundee (Con) [V]]

My Lords, I declare an interest as chairman of the Parliamentary Assembly of the Council of Europe’s Sub-Committee on Refugee and Migrant Children and Young People.

In Committee, my noble friend Minister explained how, early in the pandemic crisis, following talks between her colleague Minister Philp and Greece, three flights of children arrived in the United Kingdom from the Greek islands. All of us will be very grateful to the Government for this. She also referred to the United Kingdom’s humanitarian record in helping vulnerable people, including children.

The amendment of the noble Lord, Lord Dubs, does not so much cast doubt on that or on our future good intentions; instead, and in view of Brexit, its new clause seeks the continuation of rights to family reunion under United Kingdom law, currently secured by the Dublin III treaty yet not necessarily guaranteed after the transition period. Equally, and for the same reason, it aims to ensure that unaccompanied child refugees in Europe will have a legal route to safety in the United Kingdom.

In Committee, my noble friend the Minister gave a number of reassurances. One is the Government’s present endeavour to pursue new reciprocal arrangements with the European Union for the family reunion of unaccompanied asylum-seeking children. Can she say what has been achieved so far and whether that level of progress may now stand to be advanced by the European Union’s paper last week on asylum?

Then there is the role of our local authorities. My noble friend has pointed out that 5,000 unaccompanied children are in local authority care. There may well be councils that would take more, as the noble Lord, Lord Dubs, asserts. My noble friend has commented that, if that is the case, she would like to hear from them, also taking into account the extent to which Kent has to bear the brunt. Does she concur that an approach that is proactive without being coercive might work best? Therefore, should the Government perhaps be more in touch with local authorities to develop co-ordinated plans?

On the protection of vulnerable persons, my noble friend mentioned that current initiatives will be consolidated into a new global United Kingdom resettlement scheme. In outline, can she give us the aims and targets of this new scheme?

In promoting good practice, it goes without saying that internationally the United Kingdom ought to strive to take a lead. Post Brexit, let alone globally, does my noble friend consider that not least should the United Kingdom’s humanitarian standards be well demonstrated in Europe itself within the 47-state affiliation of the Council of Europe, where the United Kingdom remains a much-respected and prominent member?

[The Deputy Speaker (Baroness Finlay of Llandaff) (CB)]

As the noble Baroness, Lady Whitaker, has been unable to be contacted, I now call the noble Baroness, Lady Hamwee.

[Baroness Hamwee (LD)]

My Lords, I put my name to the amendment on behalf of these Benches. To be saying at this stage—three months from the end of the transition period and very close to the practicable end date of the negotiations—that our draft agreement is still on the table, as was said at the previous stage, feels like a denial of reality, and I follow the noble Lord, Lord Kerr, in that comment. Like the noble Lord, Lord Randall, I will be interested to know the up-to-date position.

Certainly a prudent Government would look for a mechanism to plug the gap, as the noble Baroness, Lady Primarolo, said, in case the draft slips off the table or is just not picked up—and this is the mechanism. I am very glad to support it, as I did in Committee when I too had an amendment on family reunion. At that stage, the Minister said that the Government had acted in good faith and that she hoped that the EU would do the same. Like the noble Lord, Lord Dubs, I cannot say that I regard the draft agreement as adequate. The principal obligations are not obligations—they are discretionary—but, whoever should take the blame for the stalemate, we must not let asylum seekers be the losers by being caught in the middle. They are not illegal, not unless and until their claim is refused.

This is likely not to be the first time that I will be taking a different view from the Minister about pull factors, especially when the push factors are so significant.

Of course we agree on the importance of safe and legal routes. That is the most important thing. Our view is that what is safest is to provide legal routes and deprive criminals of the opportunity to exploit people. It may be that our routes to that differ somewhat—perhaps they are not the means that the Home Secretary is considering—but that is not really for today. As has been said, our current rules are inadequate. The Government refer to that well-known paragraph 319X of the rules as providing the route that allows children to join relatives recognised as refugees, but the scope is very narrow, there are many restrictions and substantial fees are payable. As I understand it, the data does not separate out the categories or the basis of application, and those who take that route are included in the Home Office’s figures with other routes. Including all those routes, there were only 30 successful applications in 2018 and 54 in 2019. It is certainly not an adequate substitute for a successfully negotiated agreement on family reunion or a change in the UK’s rules, at least until an agreement or agreements are negotiated, as the amendment provides.

Working with the UNHCR and resettling people from the Middle East is not something we want to see replaced. The noble Lord, Lord Judd, the noble Baroness, Lady Lister, and others referred to the numbers in this plight across the world. As the noble Lord, Lord Dubs, said, we cannot take everyone but we can play our part. It seems to us that it is a policy decision for the Government whether to make it an “and” rather than an alternative.

Immigration and Social Security Co-ordination (EU Withdrawal) Bill

Baroness Finlay of Llandaff Excerpts

Committee stage & Committee: 4th sitting (Hansard) & Committee: 4th sitting (Hansard): House of Lords
Wednesday 16th September 2020 Lords Chamber

[The Deputy Chairman of Committees (Baroness Finlay of Llandaff) (CB)]

We now come to the group beginning with Amendment 86. I remind noble Lords that anyone wishing to speak after the Minister should email the clerk during the debate. Anyone wishing to press this or anything else in this group to a Division should make that clear in debate.

Amendment 86

Moved by

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[The Deputy Chairman of Committees (Baroness Finlay of Llandaff) (CB)]

We now come to the group consisting of Amendment 95. I remind noble Lords that anyone wishing to speak after the Minister should email the clerk during the debate. Anyone wishing to press this amendment to a Division should make that clear in the debate.

Amendment 95

Moved by

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[Baroness Hamwee (LD) [V]]

My Lords, the comprehensive improvement plan is due this month, and the first day of Report on this Bill is the last day of this month. I had made a note, before the Minister said it, that Wendy Williams herself talked about the importance of not rushing the change, but I think we can look forward to the review before—albeit immediately before—we start on Report. I accept of course that changing a culture, like redirecting an oil tanker, is a long process. Indeed, changing culture is something that should go on and on; it is necessary that it should always be a current issue.

The noble Baroness, Lady Sherlock, talked about the importance of not getting the policy wrong; it is about both policy and practice. The obvious read-across from the experience of the Windrush generation is indeed the documentation, as my noble friend mentioned. Recommendations are good, but they will only be evidenced by actions. As the Minister has just acknowledged, the lessons learned from the unhappy experience of Windrush are transferrable. “Fairness” and “humanity”, she said; those are very good last words for today—they are very good words for always. On that note, I beg leave to withdraw the amendment.

[The Deputy Chairman of Committees (Baroness Finlay of Llandaff) (CB)]

My Lords, before we proceed to that point, I have a request to speak from the noble Baroness, Lady Lister of Burtersett.

[Baroness Lister of Burtersett (Lab)]

I am sorry to deter the noble Baroness; I think there was a delay in my request getting from here to there. I thank the Minister for answering most of my questions, but could I just push her a bit further? If the review decided that the only way to address the problems created by the hostile/compliant environment would be to reform the legislation, such as right to rent, is it within its power or terms of reference to be able to recommend that kind of legislative reform?

Immigration and Social Security Co-ordination (EU Withdrawal) Bill

Baroness Finlay of Llandaff Excerpts

Committee stage & Committee: 3rd sitting (Hansard) & Committee: 3rd sitting (Hansard): House of Lords
Monday 14th September 2020 Lords Chamber

Amendments 40 and 41 not moved.

[The Deputy Chairman of Committees (Baroness Finlay of Llandaff) (CB)]

We now come to the group beginning with Amendment 42. I remind noble Lords that anyone wishing to speak after the Minister should email the clerk during the debate. Anyone wishing to press this or anything else in this group to a Division, should make that clear in the debate.

Amendment 42

Moved by

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[The Deputy Chairman of Committees (Baroness Finlay of Llandaff) (CB)]

My Lords, I have received a request to speak after the Minister from the noble Lord, Lord Paddick.

[Lord Paddick (LD)]

My Lords, I thank the noble Baroness for expecting me to speak after her. I have two points. The first is that we seem to be playing a whack-a-mole game about whether the amendments are relevant to the Bill or discriminatory. Let us hit the other one on the head: the only reason these amendments are restricted to EEA and Swiss nationals is that the clerks would not allow broader amendments, because they would not be within the scope of the Bill. They are not discriminatory; they aim to get rid of the hostile environment for everyone. That is the first issue.

Secondly, on the specifics, I apologise to the Minister for not making it absolutely clear which group of people I was talking about when I was saying that the right-to-rent scheme did not work. I was talking about EEA and Swiss nationals, at the end of the transition period, and all those other nationals who can now use the e-passport gates to enter the United Kingdom for six months without a visa.

I demonstrated in my speech that these individuals could rent for up to 12 months without a landlord being in peril of a civil penalty or any other penalty. Indeed, if during that 12 months they produced another ticket, boarding pass or travel booking—or a copy of any of those—they could further extend their rental with the landlord, because they had produced evidence that they had arrived in the UK within the previous six months. Therefore, you can see that they could extend and extend their rental of a property, completely undermining the right-to-rent scheme. Only those nationals who can use the e-passport gates, who get six months’ visa-free travel, can circumvent the system in that way. Those other foreign nationals who require a visa cannot do that because the landlord has to check digitally with the Home Office. The Minister may say that eventually everything will be digital, but this will not be digital. There will not be a digital way to check the rights of people who have six months’ visa-free entry to the UK. It will still be done on the basis of passports, tickets, boarding passes and bookings. That is the point I am trying to make.

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Amendment 42 withdrawn.

[The Deputy Chairman of Committees (Baroness Finlay of Llandaff) (CB)]

We now come to the group beginning with Amendment 43. I remind noble Lords that anyone wishing to speak after the Minister should email the clerk during the debate. Anyone wishing to press this, or anything in this group, to a Division should make that clear in debate.

Amendment 43

Moved by

Immigration and Social Security Co-ordination (EU Withdrawal) Bill

Baroness Finlay of Llandaff Excerpts

Committee stage & Committee: 1st sitting (Hansard) & Committee: 1st sitting (Hansard): House of Lords
Monday 7th September 2020 Lords Chamber

[Baroness Jones of Moulsecoomb (GP)]

My Lords, I shall speak in favour of my Amendment 93. It is obvious that many of the amendments in this group are heading towards the same sort of thing, which is protection for people of all kinds as well as holding the Government to account for what they do. I support several of the amendments that have been spoken to, and I have been moved by some of the speeches from noble Lords.

My amendment is supported by over 50 organisations from all the devolved nations, including the Health and Social Care Alliance Scotland, Macmillan Cancer Support, UNISON and the Association of Camphill Communities. Amendment 93 would require an independent evaluation of the impact of the effects of the Immigration and Social Security Co-ordination (EU Withdrawal) Bill on the health and social care sectors across the UK. This would be made after consulting the Secretary of State for Health and Social Care, the Scottish Ministers, the Welsh Ministers, the relevant Northern Ireland department, service providers, those requiring health and social care service and others. One would hope that this would be automatic with any measure that a Government introduce as they really need to know whether it is working or not.

Proposed new subsection (1) would require the Secretary of State to lay a copy of the report before both Houses of Parliament no later than one year after this Bill is passed. Proposed new subsection (8) would require a Minister of the Crown to make arrangements not later than six months after the report has been laid before Parliament, for the report to be debated and voted on in both Houses.

My amendment is necessary to safeguard the interests of the many people who rely on the contribution of EU citizens and non-EU citizens for the provision of health and social care across the four nations. This of course includes disabled people, children and young people, older people, unpaid carers and those with long-term health conditions. I should perhaps declare an interest in that I am getting older and this might apply to me in a decade or two.

Prior to the UK leaving the EU, a number of studies had highlighted the significant adverse impact of Brexit on the health and social care sectors across the UK. These studies, and the initial information about the points-based immigration system provided in the Home Office’s policy paper, The UK’s Point-Based Immigration System: Policy Statement, suggest that the ending of freedom of movement and the introduction of a points-based immigration system will potentially have a major adverse impact on the health and social care sectors across the UK. I think every speech so far has highlighted that fact.

The proposed independent evaluation that would be introduced by Amendment 93 could play a key role in supporting the health and social care sectors across the UK, helping them to address a range of concern about the proposals. These include concerns that many health and social care workers from other European countries, and from non-European countries, would not meet the proposed income threshold under this system, and that the requirement to have a job offer is unnecessarily restrictive, and will create addition administrative burdens and cost for health and social care organisations trying to recruit staff from abroad. As we have heard, there is a lack of recognition of health and social care specific skills, experience and professional qualifications in the proposed points-based system. As a result, it does not recognise the skills and experience of the workers from across the EU, and from non-EU countries, to enrich health and social care support and services here. Nor does it value the sector and its growing importance as a result of demographic changes.

There is much wrong with the Government’s immigration policy, but health and social care will feel a particularly brutal impact. This independent analysis is required so that the Government can think properly about the needs of health and social care and develop policy accordingly.

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, I declare my interest as chair of the National Mental Capacity Forum. I speak to Amendments 2 and 66, to which I have added my name, and I strongly support Amendment 82, tabled by my friend Lord Patel.

The current proposals will exclude a group of workers we desperately need: carers for those with physical and/or mental disabilities, especially, as my noble friend Lady Masham highlighted, those with spinal injuries and similar severe physical constraints, and those with severe impairments of mental capacity for a wide variety of reasons. Many of these people are at a high risk of Covid and some will have been on the official shielding list. They wish to remain in their own homes and need care around the clock. For them, a live-in carer is the best option, but the annual salary of such a carer will fall below the level to accrue points in the system. That workforce just does not exist here. UK residents are not coming forward to train as live-in domiciliary carers.

Those carers already here are fearful that they will not obtain leave to remain. UNISON is calling for key workers to remain here and be eligible for NHS care—that is, to be exempt from the “no recourse to public funds” criteria—during the pandemic. Around 17% of the social care workforce is made up of migrant workers, with 115,000 European nationals and 134,000 non-EU nationals.

Domestic Abuse

Baroness Finlay of Llandaff Excerpts

Wednesday 29th April 2020 Lords Chamber

[The Senior Deputy Speaker (Lord McFall of Alcluith)]

If the Minister would promise to write on that question, we will move on, to get everybody in.

[Baroness Finlay of Llandaff (CB)]

My Lords, I declare that I am chairing an inquiry into alcohol harms. When will the data on alcohol-fuelled domestic violence during lockdown be made available and collated with sales, given that over half of intimate partner and almost all family homicides in 2014-15 involved alcohol and that the latest research shows that alcohol-fuelled violence is disproportionately clustered in the lowest socioeconomic groups—the people living in particularly difficult situations?

[Baroness Williams of Trafford]

One positive thing to come out of the current pandemic, if there is anything positive to report at all, is the decline in drink-related crimes after hours. However, the noble Baroness is absolutely right that data on the harms of alcohol behind closed doors is yet to be released. I think we will know it retrospectively, and the House will of course be interested in this and all other aspects of domestic violence as time goes on. We will report back to the House on the outcomes of that. So one of the positive things is the lack of violence on our streets, but the downside of that is what is happening inside the home.

Immigration: Refugee Doctors

Baroness Finlay of Llandaff Excerpts

Monday 24th February 2020 Lords Chamber

Asked by

[Baroness Finlay of Llandaff]

To ask Her Majesty’s Government what assessment they have made of the case for accepting refugee doctors to the United Kingdom.

[The Minister of State, Home Office (Baroness Williams of Trafford) (Con)]

My Lords, our new immigration system will ensure that the UK has the skills it needs, including those of doctors. Our refugee resettlement schemes rightly focus on support for the most vulnerable recognised refugees, and those we resettle are supported to apply their skills in the UK.

[Baroness Finlay of Llandaff (CB)]

My Lords, I declare my interest as a member of a BMA working group to support refugee and asylum-seeking doctors. Given the significant hurdles when people flee with no papers or proof of qualifications and are unable to meet the English language requirements or pay the exam fees they need to register, how have the Government sought co-ordination across all healthcare regulators to ensure refugee doctors and other such professionals can achieve registration and bring their experience and skills to the NHS? Given that UNHCR estimates that over 1,000 people who identify as qualified doctors are stranded in refugee camps—many having been trained, in part, in English, yet only 46 having applied last year to the GMC—can the Minister tell us how many were refused entry last year?

[Baroness Williams of Trafford]

The noble Baroness will know, I am sure, that doctors and nurses are on the shortage occupations list. In that sense, they would not be refused entry, but I completely understand the point she makes about someone who is fleeing who does not have proof of their qualifications. The National Academic Recognition Information Centre is the designated UK agency to help doctors and healthcare professionals get their qualifications recognised by various NHS bodies. Individuals can, I know, apply for a statement of compatibility to have that recognised.

Policing and Crime Bill

Baroness Finlay of Llandaff Excerpts

Report: 3rd sitting (Hansard): House of Lords
Monday 12th December 2016 Lords Chamber

[Baroness Finlay of Llandaff (CB)]

My Lords, I am most grateful to the noble Baroness. Lady Hamwee, for speaking to me beforehand; we have had some discussion. I would like to go straight to answering both those questions, from my perspective, as I was the person who tabled the original amendment. I must declare my interest, as I now chair the National Mental Capacity Forum. I took over and started to do that in September of last year.

In terms of consultation, when I was listening to the voice of the person who had been on the receiving end of the Mental Capacity Act it was very evident very quickly that the automatic requirement for an inquest was causing an enormous amount of distress to families. It was also through that process that Ann Coffey MP consulted widely in her constituency and further afield—and coroners have been asked. So this was not brought forward lightly.

There was also consultation with the adviser to the Care Quality Commission, who feels strongly that DoLS are a useful process for safeguarding people who are particularly vulnerable. He was very supportive of the process following the judgment of the noble and learned Baroness, Lady Hale, which clearly laid out the acid tests under which DoLS should be applied.

As for cost savings, I see there being absolutely none. Actually, there is a possibility that costs might go up. Although unnecessary inquests will not, I hope, happen, so coroners will not be taken away from inquests that really do need to happen by the bureaucratic process of the unnecessary inquests, of which there were almost 7,000 last year, that find that death was due to natural causes, it is possible—indeed, I hope that this will happen—that more people will be inclined to make a deprivation of liberty safeguards application if there is a doubt about whether somebody is being deprived of liberty, because the deterrent of knowing how much distress would be caused to people, including families, will be removed.

Care home, clinical and hospital staff find it very distressing to say, “We’re going to go through this process of applying for a deprivation of liberty safeguards authorisation—and, secondarily, by the way, that means that there will automatically be a coroner’s inquest”. For those who culturally need a burial very rapidly after somebody has died, that causes profound upset—as it does to other families. As one coroner’s officer said, to me, “Sadly, sometimes the first time the families realise there has to be an inquest is when I have to pick up the phone to tell them, and they are deeply distressed”.

I suggest that by putting this measure in place we are removing a barrier to the deprivation of liberty safeguards, which are a way of protecting the rights of the most vulnerable person, because there is an inspection process. It must be necessary, proportionate and in the person’s best interests, and the person has a power to appeal to the Court of Protection against a deprivation of liberty safeguard. So people have far greater rights than somebody who ought to have a deprivation of liberty safeguard authorisation in place but where no application is being made. So I hope that this will increase the rights of the most vulnerable as well.

The process of scrutiny is that the Care Quality Commission has to be notified when a standard DoLS is in place. It will know whether a place has unusually many or unusually few DoLS applications, and will look in depth at the quality, the atmosphere and the culture around the way that care is given there. With all due respect to coroners, I think that the CQC is far more likely to detect where things are going wrong than a coroner’s inquest on a single case. But I reiterate that if a family have any concerns whatever, irrespective of whether there was a DoLS in place, they can ask for a coroner to look at a case when somebody has died. If they are suspicious, they can ask the question.

[Baroness Chisholm of Owlpen]

My Lords, I am grateful to the noble Baroness, Lady Hamwee, for raising this important issue. The Government take seriously their responsibilities to the very vulnerable group of people in society whom this amendment concerns. I also thank the noble Baroness, Lady Finlay, for her deep knowledge of this issue, and for the words that she has spoken this evening.

Coroners in England and Wales play a critical role in investigating the deaths of persons where there is a suspicion that death may have resulted from violence or unnatural causes, or indeed where the cause of death is unknown. Coroners will continue to have this duty with regard to persons who have been deprived of their liberty as authorised under the Mental Capacity Act 2005. There is no restriction on when or by whom deaths can be reported to a coroner. Indeed, the registrar of deaths has a duty to report deaths to the coroner where he or she considers that the coroner’s duty to investigate may apply.

The Government recognise that there is a need to improve the scrutiny of deaths that are not investigated by a coroner. The Coroners and Justice Act 2009 contains provisions to introduce medical examiners who will contact the deceased’s family and those involved in the deceased person’s care to identify any concerns as part of a reformed death certification process.

We consulted on our proposals earlier this year and aim to publish our response to the consultation in the new year. This will of course be particularly relevant to vulnerable people in hospitals and care homes, regardless of whether they are being deprived of their liberty. Medical examiners will not just be responsible for scrutinising individual deaths not investigated by the coroner but will have a role in analysing data on deaths across their area. They will identify patterns and contribute to lessons that will reduce avoidable deaths. They will also have a duty to report to coroners deaths for which a coroner’s investigation may be required.

The effect of Clause 155 will be that the death of anyone subject to a deprivation of liberty safeguards authorisation, or an appropriate Court of Protection order, will no longer trigger an automatic coroner’s investigation. We supported this change in the law in the light of views expressed by the then chief coroner, his honour Peter Thornton QC, in his 2015-16 annual report. He called for immediate action to remove deprivation of liberty safeguards cases from the definition of “in state detention”—a point that, just prior to his recent retirement, he reiterated to the Minister for Victims, Youth and Family Justice.

The issue here is not simply one of the resources needed to undertake these inquests. The then chief coroner had addressed this to some extent through his 2014 guidance, revised in 2016, which set out a streamlined process. But, as he has said, these inquests “serve no good purpose”. It cannot be right that more than 20% of inquests undertaken each year are unnecessary, with all that that implies in terms of added anguish for bereaved families.

I thank the noble Baroness for raising the profile of this important issue, but I hope that she will accept that the Government’s recently completed consultation on reforming the death certification process will, when its proposals are implemented, complement and support the work of our coroners who investigate suspicious deaths.

I think that the noble Baroness, Lady Hamwee, asked who we consulted in the consultation. The Ministry of Justice consulted the former and current chief coroner. Having said that, we consider that this removes any further need for further consultation on the coroner’s statutory duties, and I hope that the noble Baroness will therefore be content to withdraw her amendment.

Mental Health Units: Police Response

Baroness Finlay of Llandaff Excerpts

Wednesday 23rd November 2016 Lords Chamber

[Baroness Williams of Trafford]

Seven people with mental health concerns died in police custody in 2015-16 out of 14 deaths in total. That of course is still too many. The number of people with mental health problems in police custody has significantly come down since the Government decreed that nobody with a mental health problem should be held in a police cell but should be taken to a place of safety in every situation where that is possible, and never for children. On the second part of her question, the noble Baroness is absolutely right: training is essential for police officers, not just in combating crime but in knowing the symptoms of somebody with mental health problems.

[Baroness Finlay of Llandaff (CB)]

I declare my interest as chair of the National Mental Capacity Forum. Do the Government agree that in situations in the community where others are at risk because somebody is becoming very violent, it is appropriate to call the police and inappropriate to expect ambulance and other staff to attempt to use any form of restraint? The police are trained and are therefore safer than people using restraint who are not appropriately trained. The College of Policing is actively addressing this issue at the moment through its revised training guidelines.

[Baroness Williams of Trafford]

The noble Baroness is right—restraint is the last possible option. It is certainly not for ambulance staff to deal with someone who is extremely violent and a danger to both themselves and others. So, yes, in rare circumstances the use of Taser will be necessary.