Lord Marks of Henley-on-Thames
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(1 day, 12 hours ago)
Lords ChamberMy Lords, Amendment 358 is in my name and that of my noble friend Lady Doocey. The noble and learned Lord, Lord Garnier, who co-signed an amendment in the same terms in Committee and spoke to it, is unfortunately unable to be here this evening but is fully behind the amendment, on which he has campaigned for many years. We bring this amendment back on Report because we regard it as very important that the predatory behaviour of quack psychotherapists and counsellors, at which this amendment is aimed, is criminalised as quickly as possible.
I stress that no one, at any stage since I and others started campaigning on this issue, has expressed the view that this abuse of clients by quack psychotherapists or counsellors is not wicked behaviour that ought to be outlawed by the criminal law. This amendment is aimed at those who claim to be psychotherapists or counsellors and effectively secure clients—I could say “ensnare clients”—and are then guilty of coercive or controlling behaviour towards them. These clients are usually young people—but not always, as I think the noble Baroness, Lady Finlay, will point out. They are, however, invariably extremely troubled. Typically, but again not always, the psychotherapists or counsellors then suborn their clients into believing that their parents or other family members have been guilty of abusive behaviour towards them, which, they assert, explains their present emotional and psychological difficulties.
I am grateful to the noble Lord, Lord Marks of Henley-on-Thames, for setting out his amendment on the issue of controlling or coercive behaviour by psychotherapists and counsellors. I fully understand the comments made by the noble Baroness, Lady Finlay of Llandaff, in support of it. I am pleased in some ways—and in other ways I am not—that the noble Lord has managed to persuade the noble Lord, Lord Pannick, to back his cause. However, while I accept that there are concerns in this area, I am sort of with the noble Lord, Lord Cameron of Lochiel, on this one.
The amendment seeks to create an offence of controlling or coercive behaviour for psychotherapists and counsellors providing services to clients, mimicking a similar offence in the domestic abuse context. I understand the need for that, as explained by the noble Lord, and I fully recognise that those who seek psychotherapy and counselling services may be vulnerable. As the noble Lord knows, psychotherapists and counsellors are not statutorily regulated professions in the UK. However, there are other safeguards in place for the public to acquire such services with confidence.
As my noble friend Lord Hunt of King’s Heath said in Committee, this is a complex area where there is an overlap of roles and titles. It is difficult to differentiate between and reach agreement on defining what these specific roles are, be it psychotherapist, counsellor, therapist, well-being coach, talking therapist, mental health practitioner, lifestyle mentor, family coach or spiritual healer—the list could go on.
As the noble Lord, Lord Pannick, touched on, regulation is not always the answer. Quack and unscrupulous practitioners can, as has been described today and during previous debates, easily refer to themselves as something slightly different to avoid any proposed new offence, and regulation does not define the scope of practice.
In Committee, I heard the request for the noble Lord and supporters of the amendment to meet the relevant Minister at the Department of Health. I was pleased to facilitate that discussion, which I know took place on Monday—though there still appears to be a gap between the noble Lord, Lord Marks, and my colleague Karin Smyth MP.
The amendment as it stands is intended to protect vulnerable people from rogue practitioners who call themselves psychotherapists or counsellors, but it does not include a legal definition of counselling or psychotherapy services. I respectfully submit that the amendment is not the right route to take, in the light of that issue.
As I and my honourable friend the Health Minister in the Commons have said, the Government are focused on managing the underlying risks. We are ready to work with sector partners to commission a formal assessment of the oversight of such therapies in order to understand current risks as well as the effectiveness of existing safeguards and whether they need to be strengthened to protect the public better. As I mentioned in Committee—I will repeat it again for the noble Lord—if the Government are satisfied that the conditions for the regulation of a profession are met then they can take action through secondary legislation under existing powers in the Health Act 1999 to make changes and to bring into effect criminal offences relating to a person’s registration with a professional regulator.
I openly and honestly say to the noble Lord that we cannot accept the amendment, but I hope that there is some comfort from both the meeting and the direction of travel that I have set out on behalf of my colleagues in the Department of Health and Social Care. I hope that the noble Lord will be content to withdraw his amendment.
My Lords, I regret that I am not content to withdraw my amendment.
First, I am very grateful to the noble Baroness, Lady Finlay, for highlighting how the opinions of the public may be affected, and the fact that the reputations of psychotherapy and counselling services, which are of value and honestly provided, may be tainted by the dishonest quacks who have absolutely no right to be practising—as a matter not just of regulation but of plain, honest practice—because they are there to take money from innocent clients. My view is that the definition of
“providing or purporting to provide psychotherapy or counselling services”
is wide enough to catch those quacks.
Secondly, I am very grateful to the noble Lord, Lord Pannick, for reconsidering the opinions he expressed in Committee. That is what the gap between Committee and Report is for—to give us all a chance to think—and I am grateful to him for his change of mind and his support for the amendment.
I simply did not understand the objections of the noble Lord, Lord Cameron of Lochiel. I understood the Minister’s objections when he talked about regulation, but he does not seem to have taken on board my point—which is central to all this—that regulation for the purposes of a new criminal offence is simply a red herring. What is important here is creating a criminal offence to catch dishonest people who are quacks, who are taking advantage of vulnerable people by coercive and controlling behaviour, and who ought to be punished for doing so. Others also ought to be deterred from doing so.
With some regret in view of the hour, I do not wish to withdraw the amendment; I wish to test the opinion of the House.