(2 years, 8 months ago)
Lords ChamberMy Lords, in moving Amendment 61, I shall speak also to Amendment 62. It is convenient to take the two together.
Since Committee, the noble Lord, Lord Sharpe, has kindly written, and I am grateful to him for sending a letter in which he set out statistics relating to the deaths and serious injuries arising from drinking and driving and for those drinking excessive alcohol. The numbers that he quoted are broadly similar to those which I ran in Committee. Reference is also made to the later figures which have come out for 2020, on which I shall not comment because they relate, in part, to four months of the year when we were in lockdown, when traffic levels fell and a whole range of other factors were quite different from normal life. I suppose the one saving grace of that period was that pedal cyclist casualty rates fell by 34%; one can only hope that that might continue in future.
What we have had is a decade of broadly the same number of deaths of people who have been killed by drunk drivers and probably a marginally increasing number of people being seriously injured in recent years. Is this to continue? Is the law right? The Government maintain that they want more evidence before they make changes. In his opening remarks in Committee, the Minister said:
“the Government take road safety very seriously and believe that any form of drink-driving is unacceptable and a serious road safety issue”.—[Official Report, 8/11/2021; col. 1535.]
I was surprised, but pleasantly pleased, to hear him say that.
I assume that the provisions are based on science and evidence. If so, could I ask the Government again, as I did way back in 2016, when I moved a Private Member’s Bill, whether they are prepared to present that science and put it in the public domain? As the Government know, clearly, that has relevance to the law of the land.
However, why do the Government continue to permit and give guidance that allows motorists and motorcyclists to drive with quite high levels of alcohol in their blood, especially when other countries now do not? In recent years, many have reduced their levels, but not the UK and Malta. If the Government really believe what I have just quoted from the noble Lord, why do they ignore the science that the more alcohol you drink, the more you risk a collision and possibly maiming or killing people on the scale that continues, as a decade’s data now shows?
I cannot give that assurance but, as I say, the scope of the consultation is still being worked up. As I have also said, once the call for evidence is concluded we would welcome submissions from all interested parties, so I am sure that that can be part of the scope.
My Lords, I am grateful to all who have participated in the debate and particularly to the noble Baroness, Lady Finlay, for the work that she has done. I first express my sympathy about the experience that she has had. I am grateful to others who have spoken in support. I will not go on at length at this time of night, but I have two Front Benchers who are not happy about what I am seeking—or are certainly not supporting it.
My real concern is that we have been at this for years. I am offered, along with others, a review. But if the Scottish evidence is no different, we are in a Catch-22 situation where the Government will say, “The evidence from Scotland is not satisfactory from our point of view, and therefore we will make no change”. Personally, I am very much in the camp with the noble Baroness, Lady Bennett, and others who would like to see an even lower limit such as the Swedish one of 20. It cannot be nil, because the body itself generates a degree of alcohol that would always register, so for me personally it would be 20, but I have no evidence—other than going to Sweden and bringing it back—that will persuade the Minister. He is hooked on Scotland and what has happened. Changes need to be made in Scotland to enforce the limit more, given the problems encountered there.
So, I do not see a great deal of hope in withdrawing and waiting for this review, when there is no guarantee that the Government will take a different position—namely, that which I started on: the science is that if you drink, your risk of a collision goes up the more you drink. That is a fact of life and the scientists prove it, yet we go in a different direction and have a lead and guidance from the Government which allows people to drink and drive more than in any country in Europe, bar Malta. I believe it is wrong. I think that many Ministers believe it is wrong, and maybe even our Front Bench think it is wrong. So tonight, although I regret that it is late and I will keep noble Lords longer, I will not withdraw my amendment; I wish to test the mood of the House.
(2 years, 8 months ago)
Lords ChamberI welcome the report and congratulate the Government on being prepared to set out a strategy. I can understand why some people are unhappy about part of it. Alcohol is quoted as the great place to go for a wonderful life with wonderful regulation and without all the consequential problems that you have with an unregulated market. All I can say is that, if we had a strategy on alcohol that set out some of the targets that we have here, I would almost think about joining the Government.
I declare an interest, in that I am the co-chair of the All-Party Parliamentary Group on the Twelve Steps Recovery Programme for Addiction, which covers not just alcohol but gambling and drugs and a whole range of things. We have already had an intervention in the Commons, and we have been offered a ministerial meeting over the recovery part of the report—over whether you are prepared to spend more time trying to get people totally sober, because we feel that the effort to try to get recovery and sobriety in so many areas has been falling so short.
In particular, we have harm reduction with methadone, and the rumour is that we are now spending £1 billion a year on methadone; it is very difficult to get to the real figures, but the story is that it is £1 billion a year. We did not have methadone available at all in 2006, when it first came around. How many people have secured sobriety during that period? How much work has been done to try to get them sober and off the drugs—because it is a drug, and it has its consequences. People die from methadone. That is the kind of research that needs to be done—then we can try to look for adequate resourcing.
I am grateful that the Minister has set out targets. Those of us who want to see recovery will be trying to keep her nose to the grindstone on it, so we deliver on them. I am sorry that we do not have the noble Lord, Lord Ramsbotham, with us today, because much of this problem of course ends in jail. That is where we need more openness in jails, to admit people who are willing to assist people to get recovery. We have found with the 12-step programme—
Sorry, we need a full debate on this. My question is on the 12 steps. Will the Government commit themselves to apply them more fully than they have done in the past, and will they do a proper record of the work that is done and research on that?
I am very pleased to have heard from the noble Lord, Lord Brooke, who equates the harms from alcohol with the harms from drugs. Socially, in many cases, the harms from alcohol are worse, because it is so freely available. He is right that quite often these things end in prison—whether it is drugs or alcohol. He talked about the ministerial meeting, and I would be very happy to join him in that if he wishes—and I would also be very happy if he wanted to join the Government. It is not my call, though.
The original impetus for a new strategy came from Dame Carol Black’s review of drugs, which recommended the setting up of this cross-government drugs unit, responsible for co-ordinating and delivering a drugs strategy. Of course, our strategy goes wider than just the health harms—although the noble Lord’s point about alcohol stands just as much. That said, I look forward I hope to joining him, and take on board all the points that he makes.
(2 years, 10 months ago)
Lords ChamberMy Lords, I too add my support to the amendment moved by the noble Baroness, Lady Bertin. Many points have been covered, and I simply want to say that if the definition of serious violence is not expanded in this way, the concern is that many local areas will not consider it within their strategies.
Join-up on this is absolutely vital. Local strategies to prevent domestic and sexual violence through education, research and specialist violence reduction units are key, including primary prevention, which I have raised before in your Lordships’ House. We must do all that we can to enable work across services and through effective partnership.
As has been said, the Domestic Abuse Act is a very good thing, yet a lot of time was spent during the passage of that Bill in this House trying to highlight overlooked groups and issues. This amendment once again highlights these issues by creating the necessity of more joined-up thinking between key agencies and ensuring that they remain cognisant of the issues. This amendment is vital.
My Lords, I support everything that has been said so far. I will speak to Amendments 57 and 58, in which I am endeavouring to specify the broad categories of serious violence, ensuring that any violence that is serious enough to result either in injury requiring emergency hospital treatment or harm constituting grievous bodily harm would meet the threshold for serious violence.
I am grateful for the general support I have had, especially from those noble Lords with long policing experience who see merit in what I present today. It might be that, as yet, we have not quite got the wording right. It is a bit like the debate that we have been having so far. There is a case for us coming together if in fact we can convince the Minister that, in principle, there is merit in what we are arguing; we could come together later, perhaps, to get the wording right, if the Government are to be so convinced.
My amendments are not solely about knife crime, but the intention is to ensure that the broad categories of serious violence are specified so that local partnerships must address such violence in their prevention plans and take full account of the information available on serious violence, which comes up in the A&E data. That is particularly important.
When the Home Secretary introduced the assessment of the public health duty—the public health measures—on 15 July 2019, he said that collaboration to reduce serious violence was particularly important. The Government have of course moved to introduce this legislation following that.
The violence that constitutes serious violence is not specified in this Bill. Good legislation depends on such specifications and definitions. It will rightly be for the local partnerships to decide how they will reduce serious violence, but it would be neglectful if this legislation does not state what serious violence includes.
The impact assessment signed by the Home Secretary relies heavily on the effectiveness and cost-effectiveness of the use by local partnerships of data collected in hospital accident and emergency departments for the prevention of serious violence. This approach, known as the Cardiff model for violence prevention, has been found in rigorous evaluations to reduce violence related to hospital admissions and serious violence recorded by the police by as much as 38%.
This approach has four principal advantages in the context of the Bill. First, it specifies a broad category of serious violence: violence serious enough to result in emergency hospital treatment. Secondly, it makes sense from a public health perspective, which is missing in what is, after all, a public health duty. Thirdly, following the implementation of the emergency care data set, the Cardiff model data on violence location, weapons and assailants, for example, can be recorded and shared for violence prevention by every NHS trust with an A&E. Fourthly, these NHS data are valid and reliable measures of serious violence, which would be available for joint inspections. Most importantly, even if just 5% of partnerships achieved the Cardiff-model benefits identified in the impact assessment, total benefits are estimated to be at least £858 million over 10 years and a reduction of around 20 homicides a year.
On Monday, the noble Lord, Lord Paddick, referred to the invaluable work of Professor John Shepherd at Cardiff University. Professor Shepherd has helped greatly in the scheme that has been running in Cardiff—he certainly helped me in preparing these amendments and for speaking today. He makes the point that, if the amendments are not adopted, the Bill when enacted is most unlikely to achieve the reductions in serious violence. There is nothing specific around which to achieve that objective. Violence that results in emergency hospital treatment, and which affects all age groups and both genders, in and outside the home, would not be considered serious. The Bill when enacted would not resonate or easily be owned by the NHS and by clinical commissioning groups; they would not be obliged to commission this approach.
We therefore have to make sure that the local authorities get the data, get an outline of what needs to be done, and then get a clear instruction, from within the Bill itself, that there must be action taken and that they must not ignore what has been produced in this very valuable information.
I therefore hope that we can move forward collectively in looking at the range of amendments and see if we can produce something that actually puts specifics in the Bill, that then can be acted on lower down the line.
My Lords, I support Amendment 58 in the name of the noble Lord, Lord Brooke of Alverthorpe, but I think all of the amendments in this group are extremely worthwhile. The noble Baroness, Lady Bertin, gave a thoroughly well-argued pitch for her amendment, to which the Government have to listen. The noble Baroness, Lady Brinton, also argued very comprehensively for the inclusion of stalking, and I agree with that very strongly.
I wanted to sign every single amendment to this Bill, so I have ended up signing a sort of weird collection, and I apologise for that; I care about it all because I am so distressed about the Bill in general.
On Amendment 58, we need to know exactly what the Government intend with their duty to reduce serious violence. We talked earlier about intrusions, particularly relating to confidentiality, so it is quite important to have a redefined definition of serious violence. Because we have identified those intrusions, without safeguards, we must be sure that Parliament is clear and precise about the situations to which we intend this duty to apply; otherwise, we are left with a vague duty that interferes with people’s right to privacy in arbitrary and unfair ways. I very much hope that the Minister is listening and agreeing.
(2 years, 10 months ago)
Lords ChamberMy Lords, I am grateful to the noble Lord, Lord Paddick, for his remarks. It will come as no surprise to the Minister that I have a few things to say about alcohol over the course of our deliberations.
The Home Office’s outcome delivery plan, published on 15 July 2021, highlights alcohol use as a principal driver of serious violence and other crimes. However, the plan does not include any measures to reduce alcohol use. Reducing alcohol availability, increasing alcohol price and limiting alcohol marketing are powerful levers already in the hands of the Government for reducing serious violence, but none of these is included anywhere. As drafted, the Bill appears to be blind to the ubiquitous role of alcohol in serious violence both in and outside the home.
In 2019, 176,000 people in England and Wales needed emergency hospital treatment after being injured in violent incidents. Most of this serious violence takes place after 10 pm and is alcohol related. This is just the tip of the iceberg, as the Crime Survey for England and Wales demonstrates so clearly. People living in the most deprived areas are six times more likely to be affected than those in the least deprived areas. Quite apart from triggering violence, intoxication increases vulnerability, including to sexual violence, as physical decision-making capability is eroded. Hate violence increases as inhibition decreases.
One of the solutions is pricing. Even tiny alcohol price increases make a big difference. A 1% increase across the on and off-licence trades is estimated to reduce the number of people injured in serious violence by at least 6,000 in England and Wales. But at the moment, the Government’s action is in the opposite direction: they freeze or even reduce the levies and duties on alcohol. We wait with interest to see what the Chancellor will do this coming Wednesday, because effectively what the Government have done in recent years by reducing the price of alcohol in relative terms is give a licence for people to drink more and commit more violence, particularly after 10 pm. I hope there is some chance that we will start taking a different view of that. The statistics should not be ignored; they have got worse, and we should be taking action.
I bring apologies from my friend, the noble Baroness, Lady Finlay, who is unable to speak today. Had she done so, she would have talked about the related issue of drugs. Drug-related homicides are increasing. There were 311 such homicides in England and Wales in 2018-19 and 337 in 2019-20.
If one takes the consequences of the abuse of alcohol and drug taking, one sees that we have not a diminishing problem but an increasing one. We need to take all the steps we can in any way open to us to try to ensure that we start moving in the opposite direction. The amendment that I bring to the Committee seeks to ensure that the consequences of alcohol, and the need for those consequences to be recognised, are recognised in the strategy that will be drawn up, which I hope will be worth while and worth pursuing.
(2 years, 11 months ago)
Lords ChamberMy Lords, I have been on many demonstrations in the past and I have caused a lot of trouble in my previous life. There is some of this Bill I dislike—that has been well examined so far today and will be further examined, and I will support that examination—but there are parts of the Bill that I like too. As I get older, I get more and more modest in my aims and I am particularly pleased that the Government, in Part 5, at Clause 65, are addressing the issue of drink-driving. I presented a report from a sub-committee in 2002, urging that we should reduce the limit from 80 milligrams to 50. The rest of the world has moved on and gone down to 50 and below, and Scotland has gone down to 50, but we remain, along with Malta, the only country in Europe that still has this 80-milligram limit. Are we not brave, sticking it out on our own? We were cutting the numbers of deaths on the roads up to about 2010 but we have plateaued since then. Indeed, in the last 12 months the number of deaths on the road has gone up, and it is time we came back to this topic again and reviewed it.
I got a Private Member’s Bill through this House in 2016 to reduce the limit; it never got into the Commons. I am giving notice that I will again bring forward amendments in Committee seeking to put us into line and be sensible, and I hope the Government will be sensible in their response. Clause 65 increases the maximum penalty for causing death by dangerous or careless driving while under the influence of drink or drugs from 14 years’ imprisonment to life imprisonment. I support that. However, to help prevent drink-driving injuries and fatalities, the Bill should be amended to bring in a new, lower drink limit in England and Wales, backed by appropriate enforcement and provision of alternative transport choices. England, Wales and Northern Ireland, as I said, have some of the highest limits and we have a big problem starting to arise again, and it is related to drugs as well. Action has been taken and the law has been changed, but further steps need to be taken.
The recent report by the Parliamentary Advisory Council for Transport Safety noted that drink-driving is one of the biggest causes of road deaths: 13% of the deaths we see on the roads arise from drink and related drugs. What is not frequently mentioned or covered is the high number of very serious injuries that people suffer from being involved in accidents with people who are driving with too much drink or with drugs. That is an equal concern for us and I hope that the Government will address it. In looking to the idea of changing, I hope they will take the statistics into account about those serious injuries.
It is late in the evening and I have not a great deal more to add. The case has been made in Scotland and throughout the whole of Europe. We are well out of step. If we want union with Scotland, let us get in line with Scotland. I hope the Minister will act this time around. I think her colleague the noble Lord, Lord Ahmad, dealt with this previously and put up a rather timid defence on behalf of the Government, but none the less obdurately stuck with where they were. I hope she will be prepared, this time around, to look at the evidence and to change, bringing us into line with what happens elsewhere.
(3 years, 7 months ago)
Lords ChamberMy Lords, it might sound peculiar to say that I have great reservations about amendments that seem so sensible in putting forward a better use of technology, AI and data. What is there to argue with? However, I have some very big concerns about this set of amendments.
Using data as a predictive tool to improve preventive interactions sounds like common sense but could mean adopting a pre-crime approach that criminalises and demonises people when no crime has been committed. It can also be fatalistic and get things very wrong. One noble Lord made the point that algorithms can predict our likes and dislikes based on what we buy. Well, if you could see what Amazon predicts I will like, based on what I bought at Christmas, you would know that depending on algorithmic predictions in something as serious as criminal justice cases would be a mistake. We should be very wary of going down that road.
I think it is important to protect civil liberties, even in our eagerness to protect those at potential risk of being abused. When the likelihood of repeated abuse is based on data of previous convictions, I worry about branding someone as an abuser in perpetuity. We have to ensure that we do not forget redemption, second chances, the possibility of learning one’s lesson and rehabilitation. We have long since rejected the abhorrent practice of branding women with the letter A for adultery—a barbaric practice consigned to the past—and we must be wary of not metaphorically branding people as abusers through being cavalier about using data to predict future behaviour. We also have to consider the possibility of the police or the authorities undermining an individual’s life or job prospects on the grounds of an indelible label—branded an abuser forever. I worry about data being discussed in that way.
To take another issue, that of hate crime, we have seen problems with how data retention is being used. We already know that when no crime has been committed, non-crime hate incidents are stored and accessed by third parties and can be used as part of the DBS checks used by potential employers and other authorities. So I think we need to be very cautious here. In Amendment 62, the police can access previous related criminality and convictions when handing out a DAPN, which is after all a non-criminal sanction. We just need to be hesitant about saying that we can tell, fatalistically, what someone is going to do.
I am also concerned that data sharing is being talked about as though it is an obvious answer in preventive work. Data sharing is a contentious and important issue and we need to take it seriously in terms of this Bill. Sometimes under the guise of multi-agency work and precautionary inventions and policy, there may be a temptation to forget why we as a society understand that sharing data is something that should be done with great care for civil liberties and our commitment to the right to privacy. We even have special GDPR legislation—which in my view is overly bureaucratic and overzealous, but that is not the point. That makes a fuss if data sharing happens when, for example, theatre ticket data is shared with another arts organisation. That can be illegal. Therefore, just because we care so passionately about stopping domestic abuse, we should not be cavalier about data sharing. In intimate and family matters, data sharing needs to be handled sensitively.
Since the Covid emergency, we have become perhaps less vigilant about sharing our personal data, for example with track and trace. However, this is an emergency and not the new normal. Normal concerns about data sharing touch on important matters about who has access to data and our personal information. We rightly worry about the irresponsible sharing of intimate data concerning our medical histories or interpersonal relationships. I therefore either need reassurance to accept these amendments or will be objecting to them. I need reassurance that in our eagerness to protect victims of domestic abuse, we do not forget that data is not just a pragmatic, technocratic matter; its misuse can destroy lives. This is a political issue, and a matter of civil liberties that we take it seriously.
My Lords, I am very grateful for the opportunity to speak in this debate, particularly in following the noble Baroness, Lady Fox. Before I speak, I apologise to the Hansard writers; I was asked for my notes in advance and said “Well, here’s the notes, but there’s no guarantee that I will stick to them”. That is certainly the case, in the light of two developments.
First, there was the contribution of the noble Baroness, Lady Fox. I agree with everything she said about the need for care and caution in dealing with data and algorithms, and the way things are going in the future. I have no problem whatever with that. However, I will speak positively in support of Amendments 23 and 28. I congratulate my noble friend Lord Hunt of Kings Heath on his great opening speech, and the noble Baroness, Lady Grey-Thompson, who also spoke on those two amendments.
Secondly, I have had my feet and legs cut from under me, to a degree, by the great response that the noble Baroness, Lady Williams, gave on the group starting with Amendment 21, in the name of the noble Baroness, Lady Finlay. She referred to pressure from me, along with the noble Baroness, Lady Jenkin, for a review of how tagging might be employed. We had a meeting 10 days or so ago, at which I raised that issue. I said that I was not happy about the view expressed on alcohol by the Minister responsible for safeguarding, Victoria Atkins, at that meeting but, in fairness to her, she has responded very positively to the views we expressed about the potential need to use tagging in the area of domestic abuse. I hope that, in the context of our later debate on stalking, the Government will look at the use of tagging in a positive way—applying, of course, care and caution.
I thank the noble Baroness, Lady Finlay, for the work that she has done on tagging. She worked with the previous Mayor of London, whom I congratulate on a day when he is getting a kicking; the current Prime Minister was wise enough to see that there was a growth in abuse linked to alcohol, not a lessening, and that one way to slow it down might be to tag people who were drinking excessively. They were likely then to be sentenced and sent down; instead, they were tagged. I have met a lot of people in Alcoholics Anonymous meetings who have been tagged. They would rather have the tag than be sent to jail, given the stigma that goes with jail compared to being tagged, which is then forgotten about. I believe this can be applied equally in dealing with individual perpetrators. I have worked for perpetrators and tried to defend their interests as best I could, to get them on the right track. As the noble Baroness, Lady Williams, has recognised, tagging can be done very usefully; in turn, I think it can be used for stalking.
I am grateful to the LSE and, in particular, Manchester University for the work that they are doing. I believe we are opening up an entirely new area in which we need to do ever more work, not less. We are short of resources. I am grateful to the Royal College of Psychiatrists for the assistance that it gives me but we are extraordinarily short of psychiatrists. We need to spend time with individuals. We have to look for technology developments that enable us to gather the data which helps with identification, and to find positive ways in which algorithms can assist people. Why should algorithms be used solely for the benefit of profits for the gambling industry and so on? Why can they not be turned the other way, so that public services can use them beneficially to identify the facts about individuals and bring those facts to their attention, and then offer support and assistance to move in a different direction?
That is the message which I give to the noble Baroness, Lady Fox. We do not look back and worry all the time. Yes, we have cares and concerns, but we look to see what form of opportunities are opening up through AI and other technologies. Tagging is an old-fashioned technology; I was going to speak about that but I could spend some time on AI as well, which I will not. However, there is much opportunity here for us. In particular, we need to look at the segregated way in which our police forces operate. That approach has been worth while and beneficial, but it has had its day. Now, technology encompasses the whole world, not just Europe, and we need to see how we, in turn, can come together and work for positive outcomes.
The noble Baroness, Lady Greengross, has withdrawn so I now call the noble Lord, Lord McConnell of Glenscorrodale.
(3 years, 7 months ago)
Lords ChamberI call the next speaker, Lord Cormack. Ah, we have lost Lord Cormack, but we will try to bring him back. I call Lord Brooke of Alverthorpe.
My Lords, I am rather surprised to see that I am down to speak on Amendment 15. As far as I was aware, I was not scheduled to speak, and there is not a great deal that I can add, but I have listened with great care to the debate so far and can speak from a little bit of experience.
My mother had me during the Second World War. My father was away. She had three teenage boys aged 11, 12 and 13 and she was working in a mill as a weaver. Going to work in the early hours one morning during a blackout, she walked into a parked wagon that she had been unable to see. She lay on the floor unattended to for an hour and a half, while she was carrying me. She was quite ill afterwards but managed to recover. I was told that this was possibly a reason why I have not been what you might call a straightforward individual. I had other issues later in my childhood, during a formative stage, which had quite an influence on me.
I was not scheduled to speak, but that is a little confession. It is true and it is about a life that was affected by what happened in the womb and then later, during my early childhood, so I speak with experience, so the psychiatrists and doctors tell me. That is my contribution. More work needs to be done in this area. What happens to a child in the womb and in the first two years are of vital importance, and more work needs to be done on that.
My Lords, I am very grateful to have the opportunity to speak in support of the noble Baroness, Lady Finlay. I declare an interest as a member of the Commission on Alcohol Harm, which she chaired so admirably, where I saw much of the evidence on the difficulties and consequences that arise from an abuse of alcohol.
The Minister is probably not surprised that I am speaking on this, as we have had many exchanges, over many years. I want to speak in general terms about the direction of policy. These amendments are about trying to give the commissioner the tools, support and all that she might need to explore all the different avenues with which she has to work to find solutions to the problems that she faces. As the noble Baroness, Lady Finlay, said, it is not alcohol alone; it is one of several issues, but it is an important one.
Our feeling is that, when the Conservatives came to power—they have been in power for over a decade now—they started ambitiously, under David Cameron, in trying to address the problems arising from alcohol in the widest sense; here we are focusing particularly on abuse in the family. In many areas, regrettably, matters have deteriorated. There have been some improvements but, latterly, we have found more people being taken ill with alcohol and more people dying through obesity linked to alcohol, with Covid-19 and a range of other issues that have troubled us greatly.
I seek an assurance from the Minister that, notwithstanding all the campaigning that we have done and the many areas where we have failed to make progress, on this one the Government will take alcohol seriously as a factor closely linked to the problem. I say that having met the Minister last week to talk about perpetrators, when we were accompanied by the Minister who steered this through the Commons, who I did not feel was inclined to take alcohol as seriously as it ought to be. I am not saying this about the noble Baroness, Lady Williams. The view was, “Well, let’s not go down that avenue—most people drink responsibly, and we do not have problems with the overwhelming bulk of people drinking.” We are talking here of a problem that has deteriorated. There is more domestic abuse now and problems with alcohol in certain areas.
The devolved Administrations have done well and are ahead of us, but in England we have been slow to act. This opportunity, in the creation of the commissioner and the need to provide her with support, gives us a chance to get down into the detail. We have specialist advice, so she should get the best research and tools, so that the best possible outcomes flow forth, so that we see abuse reduce. It is inflicted mainly on women, but on men, children and older people too. I hope the Minister does not just gives us reassuring words but commits to giving the commissioner all the tools in this area, so that we start to see real change taking place.
My Lords, the Committee has every reason to be grateful to the noble Baroness, Lady Finlay, and the others who have tabled amendments in this group. We will all be grateful to the Government if they secure a positive response. It is not enough to thank the movers for the amendments, to acknowledge their importance and express concern, but not accept them. That would be an inadequate response. The symbiotic link between substance abuse, mental health issues and domestic abuse is so strong and all-pervading, as the noble Baroness has explained, that it needs to be specifically recognised in this legislation and met with positive statutory commitments to take every step that we can to ensure that the link is recognised and, as far as possible, addressed.
In May 2019, in a paper called the Dynamics of Domestic Abuse and Drug and Alcohol Dependency, published in the British Journal of Criminology, a group of distinguished academics drew together the literature on these issues in connection with the precursor of this Bill. They cited
“the findings of domestic homicide and serious case reviews … which reveal the pertinence of a ‘toxic trio’ of domestic abuse, mental health issues and drug and alcohol problems in cases where women or children are killed”,
and considered
“how substance use features in around half of intimate partners homicides in the United Kingdom”,
according to Home Office figures. They pointed out that the Government’s consultation paper
“Transforming the Response to Domestic Abuse followed suit, highlighting the ‘complex needs’ of those living with ‘drug and alcohol misuse, offending, mental illness and poverty’”.
The American Society of Addiction Medicine cites studies showing that victims and abusers are 11 times more likely to be involved in domestic violence incidents on days of heavy substance abuse, and that domestic abuse against women who are with men who drink alcohol is up to four times more likely than in relationships with men who do not drink or take drugs. World Health Organization figures suggest that 50% of men accused of killing their spouses were drunk at the time.
Research led by Professor Seena Fazel, professor of forensic psychiatry at Oxford University, and published by the Public Library of Science, tracked 140,000 men who had been clinically diagnosed with a drink or drug problem and analysed how many had been later arrested for domestic abuse offences. For those dependent on alcohol, the figure was six times higher than the average; for those with a drug problem, the figure was seven times the average. The study also found an increased risk of partner violence among men with mental illnesses and behavioural disorders, and an interrelationship between mental disorders—particularly ADHD, personality disorders and clinical depression—and the use of drugs as coping strategies, as well as with the perpetration of domestic violence, hence the description of the “toxic trio”.
No one is suggesting that substance abuse is or ever can be an excuse for domestic abuse. However, the relationship between the two is undeniable. It does, of course, work both ways, on victims as well as abusers. The British Association of Social Workers, in its extremely well-presented guide for social workers, Substance Use and Domestic Abuse, cites research demonstrating that victims of physical or sexual domestic abuse have an increased likelihood of alcohol or drug abuse, but it also points out that the substance abuse may predate the abusive relationship. It says this about the position of victims:
“For some victims of abuse, during times of turmoil, substances may be the only constant in their lives that they can depend on. Perpetrators may also use substances to control their victims, in such ways as limiting victim’s access to substances, demanding sex for substances, or using substances as an apology after an abusive episode. Among victims of abuse, the relationship with their partner may be intertwined with their relationship with substances, making separation more complex.”
Most of this work is relatively recent. Society as a whole is hidebound by outdated attitudes and prejudices around domestic abuse, and these are only now being dissipated. They extend to the judiciary—a matter currently under consideration by the Court of Appeal in a case that started last week—and these questions came under close consideration by the Ministry of Justice in its paper last June Assessing Risk of Harm to Children and Parents in Private Law Children Cases. The Bill represents a major step along that journey. I urge the Government to accept all these amendments to bring a sharp focus on what are undoubtedly complex and difficult inter-relationships, but ones which lie at the heart of tackling domestic abuse.
(3 years, 7 months ago)
Lords ChamberMy Lords, I greatly welcome the Bill and hope that in her response the Minister can indicate that the Government are open to considering further amendments to make this an even better Bill, and an Act in due course.
I want to speak about perpetrators and rehabilitation. I declare an interest as a patron, along with the now retired Baroness Gould of Potternewton, of the Everyman Project, a charity whose mission is to prevent interpersonal violence, particularly domestic violence and abuse. Its core activity is working with perpetrators and addressing the root causes of their unacceptable actions, which are basically spurred by anger, although, as the noble Baroness, Lady Finlay, has described, other factors also come into play. Quite often, substance abuse, particularly alcohol, is closely associated with domestic violence. This charity also provides advice, support and counselling to the victims of domestic abuse and violence, but it mainly works directly with men who become aware that they need support to change. It also works with public sector agencies such as the police, who make referrals, and other public bodies that wish to develop joint services.
Counselling programmes have been developed to help to break the cycle of abuse and violence, with the aim of perpetrators avoiding repetitive behaviour and accepting responsibility for their actions. Outturns are measured and the levels of success are quite good, given the nature of the problem being tackled. The difficulty is that this kind of support is very thin on the ground throughout the UK, and even where it exists there is the perennial problem of funding. When the debate started, my noble friend Lord Rosser and the noble Baroness, Lady Burt of Solihull, raised the absence of any training, education or rehabilitation for perpetrators, and since then we have had several notable contributions from other Peers arguing, along similar lines, for a strategy to deal with the perpetrators and the importance of breaking the cycle of violence that so often goes down the line through families and is repeated and repeated and repeated.
I hope that the Bill is extended to try to break that cycle as well as provide all the necessary support and assistance which mainly women will need and will gain from the Bill. A start must be made in a different approach to perpetrators from what we have had before. We must be more systematic and less haphazard than we have been in the past in providing that kind of support, limited though it has been.
Do the Government support these kinds of initiatives? I am sure that they do. Do they recognise that we need more of them? Is the Minister willing to say that this will be further explored with a view possibly to creating a strategy along the lines that others have argued for? It may seem in the totality of the debate a fairly small issue at this stage, but it is not. It is a major one that now needs addressing. I hope that the Minister can give a positive reply.