Debates between Baroness McIntosh of Pickering and Baroness Burt of Solihull during the 2019-2024 Parliament

Tue 27th Apr 2021
Domestic Abuse Bill
Lords Chamber

Consideration of Commons amendments & Consideration of Commons amendments
Wed 10th Mar 2021
Wed 10th Feb 2021
Domestic Abuse Bill
Lords Chamber

Committee stage:Committee: 6th sitting (Hansard) & Committee: 6th sitting (Hansard) & Committee: 6th sitting (Hansard): House of Lords
Mon 1st Feb 2021
Domestic Abuse Bill
Lords Chamber

Committee stage:Committee: 3rd sitting (Hansard) & Committee: 3rd sitting (Hansard) & Committee: 3rd sitting (Hansard): House of Lords
Tue 17th Nov 2020
Medicines and Medical Devices Bill
Grand Committee

Committee stage:Committee: 6th sitting (Hansard) & Committee: 6th sitting (Hansard) & Committee: 6th sitting (Hansard): House of Lords

Domestic Abuse Bill

Debate between Baroness McIntosh of Pickering and Baroness Burt of Solihull
Baroness McIntosh of Pickering Portrait Baroness McIntosh of Pickering (Con)
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My Lords, I am delighted to follow the noble Baroness, Lady Finlay of Llandaff, and thank her for all the work and passion that she has shown in bringing this series of amendments to the House. I am also grateful for the support shown across the House, especially by the noble Baroness, Lady Burt, the noble Lord, Lord Ponsonby, and others on all Benches. I also thank and pay tribute to my noble friend Lord Wolfson of Tredegar in his absence. Without his particular personal interest in the issues before us we would not be where we are today. I therefore ask my noble friend Lord Parkinson to pay fulsome thanks to him.

It is important to welcome the fact that there will be some movement. I say that especially as vice-president of the National Association of Child Contact Centres and co-chair of the All-Party Group on Child Contact Centres. However, I regret that, under the terms of the amendments before us in the name of my noble friend on the Front Bench, it may be two years before we see any change whatever. It is welcome that all of us across the House are united in wanting to ensure that children can continue to see absent parents in the event of a family breakdown in safety.

However, I regret that there is no sense of urgency, such as that which we have seen with the Private Member’s Bill that will go through in this parliamentary Session, which makes sure that there are national standards and safeguards for all those working with 16 to 19 year-olds. It is bizarre and slightly concerning that they are being treated preferentially as compared with those in a younger age group, infants and those possibly up to the age of 18, seeking to meet parents in child contact centres and settings.

It is important that we establish that contact centres and services, as outlined by the noble Baroness, Lady Finlay, are subject to the same basic minimum safe- guarding, training, DBS and criminal checks, and enhanced checks as all others working with children, including childminders and nurseries. The Bill will leave the House today with the addition of these amendments, which I welcome in so far as they go, but it does not go as far as it should.

I shall quote the statement issued yesterday by Sir James Munby, as president of the National Association of Child Contact Centres, and former President of the Family Division. He stated:

“The government’s reservation to support Baroness Finlay’s amendment, which has been drafted in partnership with the National Association of Child Contact Centres, would be a missed opportunity to address an anomaly in safeguarding children and improving standards in general and specifically in regard to domestic abuse…The amendment is seeking is to ensure the same standards of safeguarding, accreditation, checks and training for all child contact centres and services whether in a public or private setting, and on the same basis as those who work with children as child minders, in nurseries and now with 16-19 years olds in education.”


Perhaps the most disappointing omission in the Government’s amendments is that we have failed to alert them to certain essential facts. DBS checks already apply to those setting up contact centres through an accredited service. However, if one is not accredited, one can go ahead without getting DBS checks. Therefore, amending the regulations will not move matters forward. That applies also to enhanced DBS checks. About one-third of families who attend child contact centres are self-referrals, so they have no-one to guide them to an accredited centre unless they go on to the NACCC website. Also, in tune with what the noble Baroness, Lady Finlay, said, the weight placed on the judicial protocol means that guidance will need to change to the equivalent of a requirement to ensure that it can support the expectation being placed upon it. The essential fact is this: if there is no one to check whether someone has DBS certificates, how would anyone know whether they have them or not?

I simply end with a question to my noble friend. If evidence comes to light within the two-year period he has allowed for the review, which is welcome, will the regulations that the Government are empowered to apply through the Ministry of Justice be put in place? Secondly, why is a higher bar being asked for in the evidence required for the younger age group of infants to 18 year-olds than that required in the Private Member’s Bill introducing safeguards for 16 to 19 year-olds? However, I welcome the movement that has been made and hope that we can work together with the departments concerned in this regard.

Baroness Burt of Solihull Portrait Baroness Burt of Solihull (LD)
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My Lords, I am grateful to the noble Baronesses, Lady Finlay of Llandaff and Lady McIntosh of Pickering, for their tenacity in protecting the interests of vulnerable children and abuse victims. Their knowledge and experience have fuelled their tenacity and insistence that a solution be found. The noble Lord, Lord Ponsonby, has used his great experience in the family courts, and I have had, if not exactly the same level of experience, raw enthusiasm in backing the cause.

However, that would have all been to no avail if the noble Lord, Lord Wolfson of Tredegar, had not only seen what we were trying to achieve but gone the extra mile in seeking a solution, despite the fact that we did not have all the incontrovertible evidence he sought. I am sorry that he is not in his place, but I know that the Minister will pass on these remarks. When we suggested that the Government, not the NACCC, should obtain the evidence, he has come up with the amendment, which I hope the noble Baroness, Lady Finlay, will be minded to accept, to go and get the evidence. The widening of the definition of a child contact centre will catch many informal organisations—those that we are most concerned about—in the net.

All that any of us wants is to protect our children at a most difficult and vulnerable time, to ensure that unskilled and even unscrupulous people do not get anywhere near those children, and that those children are received into a welcoming environment manned by skilled, trained and compassionate people. We are not there yet and, as the noble Baroness, Lady Finlay of Llandaff, said, the movers of the original amendment will be setting two-year reminders in their diaries after the passing of the Bill, so the Government can expect timely reminders if the report has not appeared as the deadline looms.

Domestic Abuse Bill

Debate between Baroness McIntosh of Pickering and Baroness Burt of Solihull
Baroness McIntosh of Pickering Portrait Baroness McIntosh of Pickering (Con) [V]
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My Lords, I declare my interests as vice-president of NACCC and the co-chair of the All-Party Parliamentary Group on Child Contact Centres. I am delighted to join the noble Lord, Lord Ponsonby, and the noble Baroness, Lady Burt, in supporting the noble Baroness, Lady Finlay, in this amendment. I thank her for bringing forward Amendment 21 at this stage. I refer to my previous attempt to plug this legislative loophole in the Private Member’s Bill that I brought forward in 2016-17.

Life is full of choices, and, regrettably, children do not choose when their families will split and break down and their parents separate. What is important for children’s well-being, and in keeping with the United Nations Convention on the Rights of the Child, is that children continue to have contact with both parents following a family breakdown. Often at that time, the absent parent in particular may suffer severe stress from the family breakdown and encounter substance or alcohol abuse. It is extremely important in those circumstances where a child cannot see the absent parent in their own home that they have a safe haven of a secure contact centre, or related services are provided, where contact can safely take place. That is why the terms of this amendment are so important. It is a very simple, straightforward amendment to ensure that all child contact centres and organisations that offer child contact services are accredited in accordance with national standards in relation to safeguarding and preventing domestic abuse, as specified in regulations made by the Secretary of State.

I too am grateful to my noble friend the Minister for the two meetings he has held with us and for sharing the text of the letters he proposed to send, which I will come on to in a moment. At present, as the noble Baroness, Lady Finlay, has explained, while the National Association of Child Contact Centres has been asked to set standards, the regulations required have not yet been put in place. This remains one area of family law which is unregulated. It is essential that the memorandum of understanding between Cafcass and NACCC, to which the noble Baroness, Lady Finlay, referred, be respected by all referrals, and that the judicial protocol also to be followed by family courts is adhered to in all referrals.

I am concerned that my noble friend the Minister appears not to appreciate that child contact centres are the only group that do not have requirements in law, whereas all others—for instance, childminders and nurseries—do. At the moment, anyone can set up a child contact centre. The amendment seeks to ensure that the standards for public and private law provision are the same.

There is evidence that court referrals are, at times, to centres that are not accredited by NACCC or overseen by local authorities, as is required by the judicial protocol. It is also true that awareness by courts of the judicial protocol on child contact is, at times, patchy.

The motivation behind the amendment is to ensure the safest environment in child contact cases, to allow regular contact between absent parents and children, and to ensure that appropriate safeguards are in place, including in instances where a parent may have alcohol or substance abuse issues, as I set out earlier.

While I welcome the proposal of my noble friend the Minister to write to the President of the Family Division and the chief executive of Cafcass, I believe that this is not going far enough. We have a one-off opportunity here to plug the legislative gap, and letters alone will not implement the provisions and put in place the legal framework that we seek to achieve.

I end with a plea to my noble friend the Minister, and all noble Lords, to ensure two things: first, that the same standards will apply for both public and private provision for all child contact centres and services; and, secondly, to accept Amendment 21, providing the legal basis to bring forward the regulations required to achieve this. I believe that this is the only way that we are actually going to do justice to providing a safe environment for the innocent children in a family breakdown, by providing them with a safe haven in which to meet the absent parent. If there is anything short of a full commitment from the Minister in these circumstances, I urge the noble Baroness, Lady Finlay, to test the opinion of the House.

Baroness Burt of Solihull Portrait Baroness Burt of Solihull (LD)
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My Lords, I thank the Minister for meeting the noble Baroness, Lady Finlay, and other supporters of this amendment, including me. There is no agenda here: we just need children to be safely supervised during contact by properly trained people who can spot the signs of stress and distress in children.

On the first day of Report, I spoke to Amendment 15, in the name of the noble Baroness, Lady Armstrong, about the need for training for all who come into contact with victims. Child contact centres are a very strong and sensitive example of the need for training. As the noble Baroness, Lady Finlay said in Committee, the quiet child is not necessarily the happy child. Trained professionals know how to spot the difference and what to do. There are many examples like this, where a trained professional could, and should, intervene to help, to signpost and to stop potential harm being done.

The main issue here revolves around whether unaccredited centres are operating and in what circumstances. We know that court referrals should be made only to accredited centres, but does every member of the judiciary know? The Minister has attempted to reassure us about that. What about non-court referrals? I discussed this with Barnardo’s. Anyone can make a referral to a child contact centre—a social worker or other professional working with the family, a parent, the child who wants contact with their parent, and Barnardo’s itself. Who is making them pick an approved centre, especially when they are likely to be more costly?

Anyone can start up a contact centre. The noble Lord, Lord Wolfson, in his remarks in Committee, asked for proof that unapproved child contact centres were operating. As the noble Baroness, Lady Finlay, said earlier, this has proved difficult to obtain, because there is no obligation on them to register.

In January, the Government launched an independent review into children’s social care. Will the Minister commit to including child contact centres in this review? As it stands, this is not good enough. If the noble Baroness, Lady Finlay, decides to put this to a vote, we on these Benches will support her.

Domestic Abuse Bill

Debate between Baroness McIntosh of Pickering and Baroness Burt of Solihull
Committee stage & Committee: 6th sitting (Hansard) & Committee: 6th sitting (Hansard): House of Lords
Wednesday 10th February 2021

(3 years, 9 months ago)

Lords Chamber
Read Full debate Domestic Abuse Bill 2019-21 View all Domestic Abuse Bill 2019-21 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: HL Bill 124-VI(Rev) Revised sixth marshalled list for Committee - (8 Feb 2021)
Baroness McIntosh of Pickering Portrait Baroness McIntosh of Pickering (Con) [V]
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My Lords, I am delighted to follow the noble Baroness, Lady Jones. I too pay tribute to the noble Baroness, Lady Greengross. Once again, she has identified an area which is absolutely right for an addition to the Bill. I would be very interested to know whether the Minister has had a chance to study how these provisions have operated in Scotland and Wales. If they have operated effectively there, as it would appear, it seems timely of us to introduce them at this stage of the Bill, or certainly on Report.

As other noble Lords have rightly identified, how we can better protect older adults, particularly those receiving social care in their own homes—we know that that number will grow over the next 20 to 30 years —is worthy of attention. This is a good opportunity to tackle abuse and raise awareness of potential abuse among older people. I have no hesitation in commending Amendments 165 and 166 to my noble friend and congratulate the noble Baroness, Lady Greengross, and her co-authors on bringing them forward and allowing us the opportunity to support them today.

Baroness Burt of Solihull Portrait Baroness Burt of Solihull (LD) [V]
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My Lords, these two small but important amendments are perfect examples of what I have been banging on about throughout the Bill and what my noble friend Lady Brinton kindly alluded to: the need for a joined-up approach on the part of all services to work together to help victims, particularly, in this instance, older people. Amendment 165 in the name of the noble Baroness, Lady Greengross, and other noble Lords requires local authorities’ staff who suspect abuse to notify social services or the police. I am grateful to her and to Hourglass for all the work that they do. As she said, Hourglass says that 40% of the calls it received in 2019 related to financial abuse—the most common type of abuse reported—but it often goes hand in hand with physical and psychological abuse. When victims reach out for financial support, those in the local authority must be trained not just to process the claim or recognise the signs of abuse, but to report it to a relevant social worker or the police.

The noble Baroness, Lady Meacher, illuminated the Committee with her telling description of how real-life long-term relationships can escalate, a point echoed by my noble friend Lady Hamwee, who linked back to the day-to-day regarding the need for training professionals.

Amendment 166, also in the name of the noble Baroness, Lady Greengross, tackles the issue of when a social worker is refused entry to premises and suspects that domestic abuse is being perpetrated. As we have heard, at present the social worker would need to ask the police to obtain a magistrate’s order, but there are several benefits of their being able to obtain entry themselves, not least not having to further burden an already overstretched police force. Research by King’s College, which has already been mentioned, identified that this could prevent escalation to the point where a more drastic intervention by police was needed and speed up the process of safeguarding inquiries. This power has already been trialled. As several noble Lords have mentioned, it was introduced in Scotland in 2008 and in Wales in 2016. It seems to work well and creates a greater expectation of compliance, which may obviate the necessity of obtaining an order at all. Obstruction of entry is rare but, on the occasions when it is needed, this no-messing early intervention can save lives.

--- Later in debate ---
Baroness McIntosh of Pickering Portrait Baroness McIntosh of Pickering (Con) [V]
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My Lords, I am delighted to follow the noble Lord, Lord Ponsonby, and the noble Baroness, Lady Grey-Thompson, who so eloquently and movingly spoke on this amendment. I am starkly aware that this afternoon is the first time that we have heard these figures on domestic abuse against disabled people. Disabled women are three times more likely to be abused by family members. This is deeply shocking and makes us pause for thought.

I am aware of the excellent work of the noble Lord, Lord Ponsonby, as an active and practising magistrate. My question to him and the Minister relates to this point. If we pass this amendment, which appears attractive in the way it has been moved and reads, and repeal provisions in the legislation for the so-called carers’ defence to the offence of controlling or coercive behaviour in intimate or family relationships, should cases be brought to court under the legislation, practitioners would be scrabbling around for other legislation, such as the Mental Capacity Act and other Acts to which noble Lords have referred. There is a certain neatness and ease of reference from keeping the defence in its place, although I hope that it does not have cause to be used.

I am conscious of the huge shortage of carers in the country at the moment, particularly those looking after vulnerable and disabled people. They have a sensitive and caring role to play, so the background to this amendment is particularly sensitive. With those few remarks, I would be interested to know, from the Minister, what the position would be if we removed this defence and, from the noble Lord, Lord Ponsonby, whether he thinks that it would cause a difficulty for practitioners.

Baroness Burt of Solihull Portrait Baroness Burt of Solihull (LD) [V]
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My Lords, I am grateful to the noble Lord, Lord Ponsonby, and the noble Baroness, Lady Grey-Thompson, for raising this. Amendment 171 seeks to repeal the so-called carers’ defence in coercive and controlling relationships. I am grateful to Stay Safe East for its excellent briefing. The noble Lord, Lord Ponsonby, and the noble Baroness, Lady Grey-Thompson, highlighted the frequency of disabled people being abused compared to non-disabled. The noble Baroness, Lady McIntosh of Pickering, was shocked by these figures and so was I.

As we have heard, the so-called carers’ defence clause reposes in the 2015 Serious Crime Act. This defence can be employed by the carer if she can prove that she believed that she was acting in the victim’s “best interests” and that

“the behaviour was in all the circumstances reasonable”.

Stay Safe East maintains that this Act discriminates both directly and indirectly against disabled victims. It says:

“The purpose of legislation on domestic abuse is to protect survivors, rather than to defend the rights of abusers or alleged abusers.”


It is already hard enough to get a case involving a disabled victim to court, as so many difficulties and barriers stand in the way. To abuse a disabled person in the cause of their own “interests” surely must be one of the most patronising and demeaning excuses for perpetrating coercive control of the victim. It piles insult on injury, can prolong the abuse and ultimately denies justice to the victim. I do not need to add to the cogent and clear description, particularly by the noble Baroness, Lady Grey-Thompson, of what this form of coercive control looks like and how it makes the disabled victim feel. Let us shut that loophole and give disabled victims justice and their dignity back.

A carer can already claim the “best interests” defence without our having to enshrine it in law. I listened carefully to the remarks of the Minister on Monday and she seems to have prejudged the amendment without listening to the arguments, which is most unusual for her. In response, I say that the arguments that she uses can be used in favour of the amendment. She said:

“As is the case with all legal defences, it is for the courts and juries to decide merit on a case by case basis”.—[Official Report, 8/2/21; col. 123.]


Why not take this patronising defence out of English law and let the courts decide, as she suggests?

Domestic Abuse Bill

Debate between Baroness McIntosh of Pickering and Baroness Burt of Solihull
Committee stage & Committee: 3rd sitting (Hansard) & Committee: 3rd sitting (Hansard): House of Lords
Monday 1st February 2021

(3 years, 9 months ago)

Lords Chamber
Read Full debate Domestic Abuse Bill 2019-21 View all Domestic Abuse Bill 2019-21 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: HL Bill 124-IV(Rev) Revised fourth marshalled list for Committee - (1 Feb 2021)
Baroness McIntosh of Pickering Portrait Baroness McIntosh of Pickering (Con) (V)
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My Lords, I am delighted to follow the noble Lord, Lord Ponsonby, and pay tribute to his wealth of experience as a family magistrate. I too am delighted to lend my support to the amendment and I congratulate the noble Baroness, Lady Finlay of Llandaff, on introducing it so eloquently. It follows on from a Private Member’s Bill which I sponsored soon after I was introduced into the House. It called for the equalisation of standards for child contact centres; that is, centres offering public and/or private provision.

I am sure my noble friend Lord Wolfson will recall, from his early days in private practice, some of the heartrending cases we have all had to deal with of trying to allow and permit family relationships to continue. That is why I pay tribute to the National Association of Child Contact Centres and declare my interest as a vice-president. I join the noble Lord, Lord Ponsonby, in paying fulsome tribute to the work it does. I am also an officer of the All-Party Parliamentary Group on Child Contact Centres and Services, where we try and bring these issues to the fore in both Houses of Parliament.

This amendment is particularly appropriate to this clause in Part 4 of the Bill, which looks at local authority support. Children are often caught up as innocent victims of domestic abuse but it is essential they maintain contact, in so far as is safe and possible, with both parents in any family situation. What is clear at the moment is that public and private provision in child contact is not equal; it is important to ensure safeguarding is recognised and extended to both. The child contact system, as I understand it, is the only child service that is not nationally accredited or regulated, and addressing this is the purpose of Amendment 91. I accept this clause is looking at the “Support provided by local authorities”, but it is in these difficult situations that a child may have suffered through no fault of their own from the abuse of a parent—most likely, the non-resident parent.

I hope my noble friend Lord Wolfson, other noble friends and the Government will look favourably on this amendment. It seeks to rectify a situation to ensure all child contact centres will work to the highest standards and that those children who are separated from one or other parent, in these particularly sensitive situations, will continue to have access and contact with both parents. It seems entirely appropriate that we consider Amendment 91 against the background of Part 4. In these circumstances, I am delighted to lend my support to Amendment 91 in the name of the noble Baroness, Lady Finlay, and others who have lent their support.

Baroness Burt of Solihull Portrait Baroness Burt of Solihull (LD) [V]
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My Lords, I too was delighted to add my name to this amendment. The noble Baroness, Lady Finlay, has already made an excellent case for why all child contact centres should be accredited, and I will not detain the House by repeating those arguments.

I have some difficulty understanding why the Government are reluctant to accept the case for all child contact centres to be accredited. It is not a cost to them, after all, and even if there were a cost attached, I would argue it would be worth it. This is the only example of a child service that does not require universal accreditation or regulation. But it places the child in a potentially dangerous and damaging situation because they may not be supervised by trained staff in an appropriate and consistent environment.

The Government, in a letter to the National Association of Child Contact Centres, confess to not knowing about the nature and extent of unaccredited child contact centres. So, they do not know the size of the problem or the standards that these centres are operating at. Of course, accreditation does not guarantee a child’s or a parent’s safety, but it would ensure safeguarding risks are accounted for. There would be quality and consistency in all child contact centres. We know that children, as well as mothers, get killed. Why on earth would we take the risk of having untrained staff manning unaccredited child contact centres?

The courts and Cafcass should refer children to accredited centres. We have the noble and learned Baroness, Lady Butler-Sloss, to thank for that. If an accredited centre is good enough for these children, why should it not be good enough for every child? Would the Minister reflect, before he responds, on whether he is willing to take the risk?

Medicines and Medical Devices Bill

Debate between Baroness McIntosh of Pickering and Baroness Burt of Solihull
Committee stage & Committee: 6th sitting (Hansard) & Committee: 6th sitting (Hansard): House of Lords
Tuesday 17th November 2020

(3 years, 11 months ago)

Grand Committee
Read Full debate Medicines and Medical Devices Act 2021 View all Medicines and Medical Devices Act 2021 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: HL Bill 116-VII(Rev) Revised seventh marshalled list for Grand Committee - (17 Nov 2020)
Baroness Burt of Solihull Portrait Baroness Burt of Solihull (LD) [V]
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This string of amendments all talk about recording information, and I broadly agree with all of them. I particularly mention Amendment 104, in the name of the noble Lord, Lord Lansley, because of the mention of the Caldicott principles. Many people, particularly noble Lords in the Liberal Democrat party, jealously guard our right to privacy—hence the promissory tone of Amendment 100 in the name of my noble friend Lady Jolly.

The purpose of the proposed new clause in Amendment 107, to which I have put my name, is slightly different from that of the other clauses because it seeks to ensure that a proper systematic analysis is made of the effectiveness of mesh implants through registers. The Cumberlege review notes that registries are

“few and far between and all too often prompted by catastrophe”

in relation to transvaginal mesh and PIPs. This is obviously a good phrase because the noble Baroness, Lady Finlay, has already picked it out of the report.

This clause proposes a register. It requires the Secretary of State to report on progress towards creating databases relating to other devices. I appreciate that there are many databases out there—far more than I anticipated when first became involved in this Bill. The idea of the registries is to draw all this information together. As the Cumberlege report says,

“a ‘registry’ … would act as a repository for more complex patient related information datasets enabling research and investigation into patient outcomes.”

This would be more holistic and far more useful than just a database, enabling any adverse outcomes to be spotted early and not allowed to fester, literally, for years before defaults are spotted.

Patient groups must be consulted on devising the register. Time and time again, victims reported that they had not been listened to, despite the fact that the mesh felt “like razor blades” inside them. Never again must a patient feel patronised, unheard or left to suffer in silence. Of course, those healthcare professionals at the coal face, as it were, of the issues must have their say. We know that some registries exist today, but this database would bring everything together, instead of the piecemeal system we have at the moment.

I will go back to the lady whose poignant testimony I quoted at Second Reading, whom I called Jane. Jane had an estimated five pieces of mesh inside her, although the health professionals treating her maintained that there were only two. How can this be? I leave noble Lords to speculate but, in my view, this is a sharp indictment of the state of the service our health service gives to patients in this area. Unless we have a proper register of everything that is inside a patient, when it was inserted and what its performance record is, how are we going to enable them to be given the appropriate treatment when problems arise? The Royal College of Surgeons endorses this view—it wants all medical device implants overseen by registries.

Finally, I express my gratitude to the noble Lord, Lord Bethell, for the briefing this morning. I was very heartened to learn of the hard work going on in this area and the aspiration that a register for vaginal mesh implants could be up and running in only a year. I wish the Bill well.

Baroness McIntosh of Pickering Portrait Baroness McIntosh of Pickering (Con) [V]
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My Lords, first, I apologise for not being able to participate at earlier stages of the Bill because of the clash with speaking in the Chamber. I congratulate the noble Baroness, Lady Finlay, on introducing these amendments and, especially, my noble friend Lady Cumberlege for all her work in preparing her report in advance of this. I also thank the Minister, my noble friend Lord Bethell, for briefing us this morning. I will particularly speak in favour of Amendments 100 and 101.

I hope that my noble friend the Minister will look favourably on patients being able to report directly to the register. The testimony that my noble friend Lady Cumberlege and others heard in the context of her report was very moving. As my noble friend Lord Ribeiro said, it is absolutely essential that the voice of patients is heard. This absolutely goes to the heart of medical and surgical treatment. We must ensure that, whether they have had a good or a bad experience, patients are able to place their experiences on the record. Amendments 100 and 101 go some way to achieving that. Were my noble friend not to like those amendments, I hope that the Government would come forward with a similar provision to put our minds at rest. I thank the noble Baroness, Lady Finlay, for these amendments, and I lend my support to them.