Policing and Crime Bill

Debate between Baroness Howe of Idlicote and Baroness Meacher

Report: 1st sitting: House of Lords
Wednesday 30th November 2016 Lords Chamber

[Baroness Howe of Idlicote (CB)]

My Lords, I would like to support Amendment 117, moved by the noble Baroness, Lady Walmsley, which would eradicate the practice of police cells being used as a place for safety for people in crisis. It is an important amendment, both because people who are experiencing a mental health crisis and being detained under the Mental Health Act have committed no crime and because, for those in such a distressed state, being linked into health support is critical.

People who are picked up by the police under the Mental Health Act are detained because of a real risk of harm to themselves or others. Regardless of their age, no one should be made to feel like a criminal simply for being unwell; these people are in need of help and support. They are detained in order that a mental health assessment can be made and for any further treatment and care to be put in place. When you are in a mental health crisis, you are likely to feel overwhelmed and extremely distressed. Your behaviour may seem aggressive and threatening to others, but nevertheless you still need support and compassion. In fact, the people who display the most challenging behaviour are often the most vulnerable—those most in need of health support.

Health-based places of safety need to be equipped to manage someone’s challenging behaviour, and areas such as Merseyside and Hertfordshire are able to do this, where police cells have not been used at all for the past year. This amendment acknowledges that achieving a total ban on the use of police cells in some areas is not yet possible, so it gives the Secretary of State the power to determine a date for implementation. This is important because it sends the message loud and clear that all parties agree that people who are extremely unwell should never be taken to a cell. The amendment will be a lever to ensure that health-based places of safety are invested in and that staff are trained to manage challenging behaviour.

Police cells are clearly never appropriate for people in crisis, and we need to challenge the assumption that sometimes they are. We have already come some way in improving the lives of those with mental health problems, so ending the outdated practice of taking someone in crisis to a police cell is an obvious, achievable and important next step. I hope that the Minister can accept the excellent amendment in the name of the noble Baroness, Lady Walmsley.

[Baroness Meacher (CB)]

My Lords, first I must apologise that I was not involved in the earlier stages of this Bill due to a family health problem. However, I want to speak briefly but very strongly in support of Amendment 117, moved by the noble Baroness, Lady Walmsley.

This House was responsible for ensuring that parity of esteem between mental and physical illness is enshrined in law—a point already referred to by the noble Baroness. This was rightly heralded as an important advance which, over time, should transform attitudes to mental illness and change the treatment of those suffering from mental health problems. Is it conceivable that we would send a patient with a severe physical illness, perhaps cancer or a heart problem, to a police cell because no suitable bed was available locally? Of course not. We would all regard that as utterly inhuman.

But to send a patient in a mental health crisis to a police cell is even more inhuman than doing that to someone who is capable of understanding what is going on. The patient will probably be frightened enough by their own thoughts and the voices going on in their head. They may not understand what is happening to them. Handcuffs and strange people in uniform will be even more terrifying to such patients than they would be to a physically ill person. I do not know the figures, but I do know about the extreme distress that these situations generate and I have no doubt that a good proportion of those who survive—not everyone does—will end up with post-traumatic stress disorder.

I draw on my experience of mental health services over many years and my supervision of investigations into deaths in custody during my years with the Police Complaints Authority. I want to refer to a couple of cases from that time that come to mind in the context of this amendment. A young man of about 20 years old was detained under Section 136 with no mental health professional available to him. The plan was to take him to a police cell. The police had been warned that the young man could be violent, so a firearms officer was made available, which is perfectly reasonable. The patient had delusions that the people around him were all dead and that he was the only one who was alive. He said to the police officers, “You are dead”, who took this comment to be a threat to life. The firearms officer took out his pistol and shot the young man, who died.

The other case I want to refer to involved a very unwell man taken, again I am pretty sure under Section 136, to a police station, where he was restrained on the floor. We do not know what terrible thoughts the patient had in his mind, but the more he was restrained the more he struggled to get free, and understandably the more force was used by the officers to control him. The patient died on that floor. These patients would probably have recovered reasonably well over a period of a few weeks and might have lived full lives for many decades. We can imagine the feelings of their relatives.

The police officers suffered terribly during the lengthy investigations. I have to confess that those investigations were always lengthy and I am sure that they still are. They did not know whether they would be found guilty of murder or manslaughter. That is an appalling thing to happen to a young man who had gone to work that day assuming that he would do his duty as always, but without the mental health skills he needed to deal with the challenges confronting him. This situation is not fair either to patients or to police officers.

Along with other Peers, I very much welcome the ban in this Bill on the use of police cells for those aged under 18 and the plan to reduce their use for adults. Without Amendment 117, my fear is that it could be many years before the aspiration to end the use of police cells as so-called places of safety is actually achieved. The noble Baroness, Lady Walmsley, has been sensitive to the resource pressures, which I certainly understand, in proposing that April 2019 should be the date by which this aspiration must be achieved. This is a modest amendment that simply reinforces the direction of travel of the Government, which I applaud. I hope that the Minister will give it the serious consideration it deserves and bring forward an amendment at Third Reading.

Serious Crime Bill [HL]

Debate between Baroness Howe of Idlicote and Baroness Meacher

Monday 2nd March 2015 Lords Chamber

[Baroness Howe of Idlicote (CB)]

My Lords, Amendment 5 after Clause 70 is clearly a well intentioned measure, but I am concerned that if mandatory reporting of FGM is implemented in isolation it could have unintended consequences. Like my noble friend Lord Patel I am worried, in particular, that professionals will have no discretion and will be obliged to report, even when it may not be in the best interests of the child. The evidence from other countries where mandatory reporting of child abuse in general has been introduced suggests that there could be similar unintended consequences if a duty was introduced for FGM. Most notably: women and girls could be discouraged from seeing healthcare professionals because of concerns about catapulting themselves or friends and family into criminal investigations; professionals may seek to avoid discussions that could lead to disclosure if they are fearful of the consequences; and individuals would be likely to report on any occasion when they come into contact with a girl who they believe has undergone FGM, resulting in a girl being visited by police or social workers on multiple occasions in the short space of time before they are 18, which could be a fairly traumatising experience.

Will the noble Baroness please clarify what would happen in instances where the duty to notify police of FGM is not in the best interests of the child? Surely it is vital that the guidance on this piece of legislation is fully and carefully considered, and that experts who deal with these cases are fully involved. Can she also clarify the intentions for the guidance on how this duty will be implemented, and confirm whether this guidance will be subject to full consultation?

[Baroness Meacher (CB)]

My Lords, I add a few words of strong support to those of my noble friends Lord Patel and Lady Howe. It seems that this is trying to deal with the problem after the horse has bolted. As the Minister knows, we argued at length earlier in discussions on the Bill about the need to tackle this matter at source, where these ideas are being pressed—by the leaders and religious leaders of some communities who believe that this is necessary to save you from hell and such matters. To go down this road will be quite dangerous, because there will be an inclination by families and communities to hide these children from view. Not only may they not seek medical attention—that would be incredibly serious, as my noble friend Lord Patel has said—these girls and women need extra healthcare and may get none at all if they are hidden away. But you can also imagine that these children may be hidden away from “ordinary” English schools, because teachers may come to know about what has happened, and these families and communities will be under more pressure to set up separate schools, not integrating with our society. That would be absolutely retrograde to encourage in some way.

Obviously this is an unintended consequence. I am sure the Government’s motives are utterly right and pure, but these things can have the most devastating unintended consequences, and one can just imagine the greater isolation, being kept away from healthcare, schools and so on. These children will be incredibly vulnerable if these amendments go through, and I put on record again that we need to tackle FGM—and my goodness, we need to tackle it—at source. It is probably far too late in the day, but really it is the community and religious leaders who need to be stopped when they are preaching non-authentic Hadith and pressing for FGM on that unauthentic basis. Even at this late stage I plead with the Minister to take a step back and think whether this is the right way forward. I profoundly believe it is not. The most eminent QC in this country, Dexter Dias, who knows about these things, would say the same. Go to the community and religious leaders; do not try and deal with this after the event when these children have already been tortured.