Immigration (Guidance on Detention of Vulnerable Persons) Regulations 2024

Debate between Baroness Lister of Burtersett and Baroness Hamwee

Monday 14th October 2024 Grand Committee

[Baroness Lister of Burtersett (Lab)]

My Lords, these regulations were introduced by the previous Government, so a take-note Motion seemed more appropriate than a regret Motion as there was no time to debate them before the election. I am very grateful to my noble friend the Minister for meeting me to discuss them when he had hardly had time to breathe in his new role. My understanding is that the Government will look at them again as part of a wider review of detention matters, but I thought it important that we debate them now to ensure that noble Lords’ concerns are adequately addressed in the review.

Before I turn to the regulations, we would all find it helpful, I am sure, if the Minister could say more about the review when he comes to respond. In particular, what will it cover, what will be the timescale, will expert organisations be consulted and will both Houses be able to debate the outcome? This would also be helpful to the organisations that provided a joint briefing on the regulations—in particular, Medical Justice, to which I am grateful for its help. Here I should also declare my interest as a RAMP associate.

In effect, the regulations reduce the protection provided by statutory guidance to adults at risk in detention, which could increase the risk of the kinds of human rights violations uncovered in the Brook House inquiry. There are two main concerns. The first is the deletion of the key principle, introduced in 2016, that underlines the intention that fewer people with a confirmed vulnerability will be detained in fewer instances and that, where detention becomes necessary, it will be for the shortest period necessary. Of course, this concerns the wider question of the role of detention, which I assume will inform the more general review.

The second concern is about the reinstatement of the Home Office’s power to seek a second opinion from a contracted doctor on detained individuals who have already received an independent medical assessment that documents the impact and risks to their health of their continued detention. The second-opinion policy was in place from June 2022 to January 2024, when it was deemed unlawful by the High Court following a judicial review brought by Medical Justice.

Three main criticisms have been made of the policy. First, it introduces an additional delay, which could result in an unnecessary prolongation of the period of detention. Secondly, it exposes an already vulnerable person to the risk of retraumatisation. This was emphasised in a witness statement to the High Court from a clinical adviser at Medical Justice. Citing the Royal College of Psychiatrists’ general concern about how detention might trigger reminders of an original trauma, she warned of the dangers to mental health of a reassessment requiring a detainee to relive their experiences yet again.

Thirdly, the policy could have a detrimental effect on the quality of decision-making. Indeed, the UN Istanbul protocol counsels against downgrading the findings from external clinical assessments. There are good reasons why a detained person might be more willing to open up to an independent medical assessor than to one contracted by the Home Office, who might not be trusted. How are Home Office caseworkers, who lack medical knowledge, supposed to decide between any differences that there may be between an external assessment and an internal one? Adopting the lowest common denominator, where both assessors agree, is no answer. If the Home Office has concerns about any particular clinician, should it not take them up with the appropriate regulatory body, as argued in the witness statement to the High Court?

The Secondary Legislation Scrutiny Committee concluded that the data provided by the Home Office

“does not provide compelling evidence either way on the need for the second opinion policy”.

It therefore simply recommended close monitoring of its operation and the publication of the results. Can the Minister confirm that such monitoring is taking place and, if so, can he share any results at this stage?

Before turning to the Home Office’s justification for the new guidance, it might be helpful to put it in the context of the original official review of the welfare of vulnerable people in detention, conducted by Stephen Shaw, and the more recent official Brook House inquiry, chaired by Kate Eves. The Shaw review identified a systemic overreliance on detention and, in particular, that too many vulnerable people were being detained for too long and were not being protected adequately by existing safeguards. This led to the introduction in 2016 of the adults at risk statutory guidance, which aimed to improve protection for this group.

In addition to the statutory guidance, further safeguards are supposed to be provided by rules 34 and 35 of the Detention Centre Rules 2001, but the Brook House inquiry concluded that these rules were not being properly applied, so that adults at risk continued—and evidence, including the recent report of the independent Gatwick removal centre monitoring board, and new research from Medical Justice, suggests continue—not to receive the protection promised after the Shaw review.

Extraordinarily, when questioned by the Home Affairs Committee, Ms Eves said that she found it difficult

“to decipher exactly which of the 31 recommendations to Government are being accepted or rejected”.

A year on from the report, she concluded in media interviews that only one recommendation had been categorically accepted.

The lack of clarity in the previous Government’s response means they did not even get to the starting point when it comes to the monitoring of accepted recommendations, as called for by the Statutory Inquiries Committee’s recent highly critical report. Ms Eves expressed her disappointment to the HAC

“that I do not have confidence that, actually, there has been a meaningful engagement with what was really found and what the recommendations really mean”.

I hope that the new Government will look at this again, including via their review of detention, and that they will now engage meaningfully with the inquiry’s recommendations. May I ask for an assurance that this will be the case?

The Brook House inquiry and numerous other reports, including one just last week from the Royal College of Psychiatrists, have detailed the injurious impact of detention, particularly on the physical and mental health of vulnerable groups. One aspect emphasised by many is the absence of any time limit. According to Ms Eves, it is a profound cause of distress, due to anxiety and uncertainty. I ask that the current review looks again at the previous Government’s rejection of her recommendation of a time limit, which echoed that of countless reviews and reports, including from the HAC when it was chaired by the current Home Secretary.

In her evidence to the HAC, Ms Eves made it clear that she considered the regulations that we are debating today constituted a move in the opposite direction from what she recommended, as they appear

“essentially to be moving towards weakening the protections for vulnerable detainee populations”.

The Home Office’s justification for the regulations, set out in the Explanatory Memorandum, is that the purpose is

“to reflect the current Government’s priorities and approach to immigration detention”,

in response to the challenge of what it dubbed illegal migration, in contrast to the context and priorities of 2016, when the focus was on reducing the use of immigration detention.

Of course, the reference to the “current” Government was to the then Government and was made in the context of the Rwanda policy, which involved an expansion of detention. Happily, the Rwanda policy is no more and I believe that it is officially accepted that the seeking of asylum does not constitute illegal migration, as my noble friend in effect confirmed in Oral Questions last week.

However, regrettably, the Government have nevertheless announced that they will go ahead with the reopening of two detention centres, which has provoked widespread concern. Despite this, I hope that the Minister will be able to confirm that the new Government’s priorities and approach to immigration detention are not the same as the former Government’s and that they will prioritise the human rights of asylum seekers. I hope he will confirm that they will therefore withdraw these regulations in due course, as part of the wider review of detention policy. This would be consistent with the statement about detention made by a Home Office spokesperson last week in response to the IMB’s call for the end of the detention of families with children in the Gatwick detention unit. It said:

“We are fully committed to … providing a service which prioritises people’s safety and wellbeing”.


In conclusion, I hope this debate will encourage such an outcome. In the meantime, the SLSC encouraged us to press for further details on the Home Office’s plans for monitoring, reviewing and reporting on the changes, so I look forward to hearing what monitoring is currently being undertaken.

I finish by quoting from someone who has experienced detention: Jonah, who wrote a foreword for a recent Jesuit Refugee Service report detailing continued abuses after Brook House. He wrote:

“When I arrived in detention, the first thing I observed is that everybody … is treated like a prisoner. … I was in immigration detention for 7 months. It still affects me even today. Detention is like a war camp. They really want to break you, in the hope that you’ll leave and go back to a terrible situation. You are more or less treated like an animal … you’re just a number. In detention, nobody even knew my name … The horrendous things that the Brook House Inquiry brought to light continue to happen … Detention is a terrible place”.


We can all learn from those with lived experience of detention, so I hope that the current review will do so. I beg to move.

[Baroness Hamwee (LD)]

My Lords, I warn the Minister that during the previous Session the noble Baroness, Lady Lister, gained a reputation as a terrier on these issues. Actually, a number of us were badged as terriers, and she was the leader of the pack. She was very energetic in her critiques, particularly and quite successfully on the detention of pregnant women.

It is depressing to have to have this debate. When the Brook House scandal surfaced, three of us, cross-party, met the relevant Home Office Minister. I asked why the Home Office had not terminated the contract with the provider and whether the contract gave the Home Office the right to terminate in the event of such egregious behaviour. The answer was that the same individuals would be rehired whoever the provider was. This was not a matter of TUPE; it was about who would apply. I continue to have anxiety about the terms of the contracts that the Home Office lets, but, of course, commercial confidentiality means that one cannot go further than that.

We have not got the running of detention right, if there is to be detention, especially for more than a minimum period, but that is not for today either. However, this compounds the importance of guidance. I have always thought that anyone seeking asylum or who is detained, is likely to be vulnerable—this is “and” not “or”. I had forgotten that the 2016 Act refers to people who are “particularly vulnerable”. The whole of this population is vulnerable, but not all of them are protected under the legislation and the guidance.