(3 years, 2 months ago)
Lords ChamberMy Lords, as the holder of a Scottish peerage, I particularly welcome and congratulate my noble friend Lady Davidson on what was, as one expected it to be, an excellent maiden speech. I agreed with everything she said this afternoon on this subject.
Listening to this debate, it is clear that it is personal stories that are most compelling. Fortunately, I have no such personal experiences but, like the noble and right reverend Lord, Lord Carey, I strongly believe in compassion. I am heartened by the many letters that I have received, although they are distressing and heartrending, to say nothing of the more than 80% of the public in favour of assisted dying.
In my three minutes, I will make two points and one plea to the Government. My first point is about palliative care. Contrary to what some have said, palliative care clearly does not deal effectively with all relevant end-of-life cases. We have heard from the noble Baroness, Lady Black, about the experience of her daughter in this regard. I quote from a letter written by seven senior doctors, including a former president of the BMA, which says:
“No amount of investment in Palliative Care could eradicate the small but significant number of horrific deaths that some people are currently forced to endure”.
My second point is about the inequity of the current position. As some noble Lords have already said, approximately one person a week currently travels to Switzerland to end their life at a cost of about £10,000. That financial barrier, and other practical barriers, clearly make it impossible for very many people to do so, so many are forced to end their life much sooner than they would otherwise choose to do. This Bill would give some dying people—those falling within its remit—the choice to die at a time and place, surrounded by their loved ones if possible, of their choosing.
Finally, I make a plea to the Government. Clearly, without government support this Bill is going nowhere. Even if there is a majority in favour of a change in the law this afternoon, this will run into the sand. Therefore, as requested by the noble Baroness, Lady Mallalieu, can the Government make time for legislation on a free vote, to respect the will of the more than 80% of the public who are in favour of assisted dying?
I end with the words of five faith leaders:
“There is nothing sacred about suffering, nothing holy about agony”.
(3 years, 9 months ago)
Lords ChamberMy Lords, the arguments about the Bill being suitable for this measure that have been advanced again today by the noble Lords, Lord Marks and Lord Alderdice, and the noble and learned Lord, Lord Garnier, were powerfully deployed in Committee. They cut no ice with the Minister, and I have seen nothing to indicate since then that there is likely to be any change of heart. This will mean that this is yet another missed opportunity to deal with a very real problem.
In Committee, the noble Lord, Lord Parkinson, accepted that there is a need to find a remedy for this damaging and often criminal preying on the vulnerable who seek help for mental distress from unregulated and often totally unqualified self-styled talking therapists. There is ample evidence of the harm that has been caused: the noble Baroness, Lady Finlay, has just given us some. Victims have been alienated from their families, and, as I remember from my years in practice at the criminal Bar, on occasion this led to criminal trials based on what later appeared to be false memories implanted by self-styled talking therapists.
However, I believe that there has been a degree of progress since Committee, and I was very grateful to be included in the meeting that the noble Lord, Lord Marks, arranged with the noble Baroness, Lady Penn, the Minister and others; I thank the Minister for that. It became clear from that meeting that there are at least two ways in which a solution could be achieved if this Bill is not allowed to be the vehicle to deal with this.
Apparently, under the Health Act, regular reviews take place to decide whether specific occupations should require compulsory registration. This means that a successful applicant must meet proper standards and checks, and faces sanctions if the rules are broken. The change from voluntary to compulsory registration can be made by regulation, so no primary legislation is required.
The bogus practitioners of talking therapies, at whom this amendment is directed, currently do not have to register; as a start, they should be required to do so. These people use a variety of names for what they do and might well try to change their descriptions to avoid mandatory registration of a particular category. However, a generic name can surely be found and such a relatively minor difficulty overcome. After all, they are all talking therapists.
It became clear from our meeting that members of the public but also, surprisingly, some of those who direct them to these services, such as GPs, need to be better informed of the importance of using only registered practitioners. The public surely deserve to be better protected and compulsory registration would help to do just that. However, more is required, too: having to register might make it difficult for those who do not meet the required standards, but not impossible for the unscrupulous to continue to operate. There are criminal elements to the way in which some of these so-called therapists operate, which this amendment addresses. They will still need to be addressed in addition to compulsory registration. If that cannot be done in the Bill, as the Government contended in Committee—I still hope that they will change their mind—it can and should be met by a provision, possibly in a forthcoming health Bill or, as suggested by the noble Lord, Lord Marks, and the noble and learned Lord, Lord Garnier, in other legislation to be brought forward as soon as possible.
These are not isolated cases. When the noble Baroness, Lady Jolly, raised this matter in the House last year, she received an astonishingly large response from victims and their families. This type of abuse, as the noble Lord, Lord Alderdice, just said, has gone on unchecked for many years. It continues to sever children from their families, causes mental harm and misery to victims and their relations, and in some cases leads to serious false allegations being made. All sides agree that a remedy is needed yet every time an attempt is made to find one, successive Ministers have said, “Not this Bill—not my department, guv”.
Two common defects in our present system of government are stopping abuses being prevented in future. The first, I fear, is a culture of siloed departments: “We can’t deal with this or that because it’s someone else’s brief, someone else’s department”. Too often, there is a reluctance or failure to collaborate across departments to pass on and follow-up a problem which arises, or there is a change of Minister so that the problem falls—as this one has done over and over again down the years—into a black hole of inaction between them. It was therefore encouraging that the noble Baroness, Lady Finn, also attended the meeting with the noble Lord, Lord Parkinson. The second is the shortage—not an absence but certainly a shortage—of Ministers who, when those in their department say “We can’t do it” say to them: “This is a real problem. I want to find a solution. Please go away and come back with a way in which we can do it.”
The Minister was very helpful in our meeting, which enabled us to focus on the direction of some possible solutions. What we now need from him, if he cannot change his mind about the admissibility of the amendment in this legislation, is a commitment that the issue will at least receive urgent attention across departments and, after so long be treated as a priority. In this of all weeks, it is worth perhaps saying that people in mental turmoil who need help will, we hope, go searching for it. Failure to guide them to genuine help from properly registered practitioners is allowing some to fall into unscrupulous and dangerous hands. I do hope that the Minister will give us the assurance we need tonight.
My Lords, I too speak this evening in support of the amendment of the noble Lord, Lord Marks. I apologise that I was unable to speak in Committee but I have read that debate, including the speeches of the noble Lord, Lord Marks, the noble and learned Lord, Lord Garnier, the noble Baronesses, Lady Finlay and Lady Jolly, and the noble Lord, Lord Hunt of Kings Heath. I agree with all that they said.
I developed an interest in this subject because I personally knew two families where young adult, female family members were, might I say, captured by what the noble Lord, Lord Marks, has called a charlatan counsellor—with prolonged, distressing and tragic consequences for the families and individuals in question. But as he and the noble and learned Lord, Lord Garnier, have reminded us this evening, this issue is much more widespread: so much so that, as the House has heard, France, Belgium and Luxembourg have legislated against this behaviour.
At this late hour, I do not propose to repeat the arguments compellingly put both this evening and in Committee in favour of similar legislation being enacted here. My understanding is that the Government, as they have said before, may be sympathetic in general but, as several speakers this evening have intimated, too often one gets the timeworn mantra from the Government that this is not the right time and not the right Bill. I remember this particularly being said several years ago in relation to the Leveson Section 40 point.
My question to the Minister this evening is the same as that put by the noble Lord, Lord Marks, and other noble Lords. If that is the Government’s position, when will be the right time to legislate against these reprehensible practices by charlatan counsellors who cause so much distress to so many families? In closing, I respectfully suggest that, as the noble Lord, Lord Alderdice, said, government inaction on this issue has already dragged on unacceptably long.
My Lords, this has been an interesting debate and I thank all Members who have taken part. The proposed new clause in my name and those of my noble friend Lord Marks of Henley-on-Thames and the noble and learned Lord, Lord Garnier, both of whom have spoken very forcefully, would create an offence of:
“Controlling or coercive behaviour by persons providing psychotherapy or counselling services”
in a person’s home.
We have heard that my noble friend Lord Alderdice, himself a psychiatrist, has long taken an interest in this issue, even tabling a Private Member’s Bill. The noble Baroness, Lady Finlay of Llandaff—another doctor—the noble Lord, Lord Fairfax of Cameron, and the noble Baroness, Lady Mallalieu, have made excellent cases for outlawing these charlatans. I thank them all for their robust and informed support.
Some time ago, I was approached by someone whose child in their 20s had their life ruined by an unregistered and untrained counsellor. Both the behaviour of and treatment by this charlatan were coercive and turned the child completely against their family. This is not something that many families talk about at length, but after hearing the dinner hour debate in the House some time ago, when my noble friend Lord Marks and the noble and learned Lord, Lord Garnier, both spoke, a significant number of people approached me and provided the evidence that convinced us that this is an issue that deserves attention from government.
What is done by these bogus counsellors is lawful but also amoral, unethical and without shame. I ask the Minister to support the proposed new clause. Without it, charlatans posing as professionals will be able to ruin yet more families and more young, vulnerable lives.
(8 years, 9 months ago)
Lords ChamberMy Lords, in view of what I am about to say, I would like to make one point clear at the start. I am no cake-filled, misery-laden little Englander—or whatever phrase it was that a citizen of this country disparagingly made about this country recently. I happen to speak four European languages with varying degrees of competence and have spent a large part of my life working and living, on some occasions, in European countries with great pleasure. Time is obviously very tight today. I recently heard from the Minister that we will have more opportunities to debate this subject between now and 23 June. So I will confine my remarks to one point today.
First, I will make two preliminary comments. As everyone knows, what has become the European Union was started after World War 2, primarily by France and Germany as the European Coal and Steel Community out of, as my noble friend Lord Jopling said, an understandable desire that they should not fight each other again any time soon. My father, who was a Member of this place, along with many of his contemporaries who had lived through the war, was a keen supporter of Europe, if I may call it that. But as we know, what we now have bears very little resemblance to that first body. What started life as a trade organisation has grown into a political behemoth full of pretensions but also shot through with defects and weaknesses.
Of course, the clue is in the name: “the European Union”. Throughout this debate, and generally, people refer to this body as “the EU”. So just to remind ourselves of the inexorable direction of travel, let us call it “the European Union” and not by the shorthand.
I come now to my main point. I want to compare my right honourable friend the Prime Minister’s 2013 Bloomberg speech, which I have recently read with great approval, with what in fact he brought back from his recent frantic negotiations. I ask whether it is reasonable for him to recommend the package achieved to the British people, given the pre-negotiation promise he made—that if he did not consider that what he had achieved was satisfactory, he would not recommend it to us.
As those of your Lordships who have read the Bloomberg speech will know, in it the Prime Minister set out his frank views of what is wrong with the European Union today and his vision of the ways it needs to reform itself, as well as the changes he regarded as essential to the UK’s relationship to the European Union.
The Prime Minister began by saying:
“For us, the EU is a means to an end—prosperity, stability, the anchor of freedom and democracy both within Europe and beyond her shores—not an end in itself”.
He went on to set out what he saw as the three major challenges facing the EU: first, how the eurozone problems are driving fundamental change in Europe; secondly, what he quite rightly called the “crisis of European competitiveness”; and, thirdly, the increasing gap between the EU and its citizens.
Regarding competiveness, he said:
“Europe’s share of world output is projected to fall by almost a third in the next two decades”.
Regarding the democratic deficit, he said that,
“there is a growing frustration that the EU is seen as something that is done to people rather than acting on their behalf”.
He commented that,
“the biggest danger to the EU comes not from those who advocate change but from those who denounce new thinking as heresy”.
Perhaps that comment might be rather relevant to this debate.
Finally, he said:
“My point is this. More of the same will not secure a long-term future for the eurozone. More of the same will not see the EU keeping pace with the new powerhouse economies. More of the same will not bring the EU any closer to its citizens. More of the same will just produce more of the same—less competitiveness, less growth, fewer jobs”.
In summary, I would say that it was a call for fundamental reform both of the EU itself and of our relationship with it. He went on in his Bloomberg speech to suggest four or five remedies for these three challenges: competitiveness, flexibility, the repatriation of powers and more democratic accountability and fairness.
Now let us look at what he brought back. First, I acknowledge sincerely the great personal effort that the Prime Minister obviously put into these negotiations in very difficult circumstances. I understand that a fig leaf normally has three or five lobes—but the Prime Minister has settled on four points, which are in the document that we are considering today. The first is,
“permanent protection for the pound and … guarantees that”,
the UK,
“will never be required to bail out the eurozone”.
The second is,
“commitments from the EU to cut red tape, complete the Single Market and sign new trade deals”.
The third is,
“formal agreement that … the UK is carved out of ‘ever closer union’”,
and the fourth is,
“new powers to tackle the abuse of free movement”,
of EU citizens to protect the UK’s benefit system.
Putting aside for now questions about whether these points, about which there remain concerns, are legally binding, do they amount to the fundamental reform that the PM set out in his Bloomberg speech? Are they in fact new at all or simply restatements of existing norms? With great respect for all the hard work that the PM put in, with the exception of the very thin concessions conceded to allay our immigration concerns, no, they do not and are not.
I was going to detail the essential shortcomings of the deal but it seems that this may not necessary. On this key point, please listen not to me but to no less than the written words of Global Counsel, the consulting arm of the noble Lord, Lord Mandelson, who I note is not in his place. Global Counsel comments that the Prime Minister’s deal,
“includes no new ‘opt outs’, no UK veto on unwanted financial services legislation and no repatriation of powers”.
As they say in court, no further questions.
This brings to my final point, as I am looking at the clock. I wish that the Prime Minister had been a little more candid with the British people about what he had brought back. He could have said, “Look, I haven’t been able to achieve what I set out to, so, in accordance with my promise, I therefore have to recommend that you do not accept it”. Secondly, he could have said, “Look, this is the best deal that I could do in all the very difficult circumstances, and you just have to accept that. Let’s get on with it because of the impossibility”—as the current government document says—“of a prosperous and secure life for the UK outside the EU”. I regret that the Prime Minister would appear to have pulled the wool over the eyes of the British people. They have got used to this in relation to Europe over the years, and I regret that it may come back to bite him in a painful place on 23 June.
In his Bloomberg speech, the Prime Minister stated that,
“the democratic consent for the EU in Britain is now wafer-thin”.
For the reasons that I have tried to set out in these brief remarks, the wafer may be about to break.