(5 years, 9 months ago)
Grand CommitteeMy Lords, I put my name to this amendment and support it. As my noble friend Lord Lucas said on the previous amendment, the safety of the public is of paramount importance when we talk about shooting; the way we ensure that is by licensing rifles and shotguns.
I have no interests to declare. I do not have a firearms certificate and I do not own shotguns, but this is of great importance to me. It is sad that my noble friend Lord Shrewsbury and I had to table the amendment. It would not have been necessary if the Home Office had got on and dealt with the problem earlier. It has known about it and promised consultation in this area, but it has dragged its feet continuously. The consultation should be well under way by now and the results known so that we could debate it.
Returning to the Minister’s old department, what action is the Department of Health taking to encourage GPs to obey the guidance agreed in 2016? Clearly, as demonstrated by my noble friend Lord Attlee, both GPs and the police are not following the guidance. They want to charge fees when it was agreed that no fees would be charged on initial application.
On another point, in declaring something of an interest, can the Minister confirm that the mental health check will apply to everybody with access to the gun cabinet? It is hugely important for not just the person who owns the rifle or shotgun but for anybody with access to the cabinet as well. People often store other things in those cabinets. In my personal experience, we stored my wife’s jewellery in the shotgun cabinet. It was the safe lock-up. She therefore had access to it and to a gun to commit suicide—she was not going to kill anybody else. I do not believe that her suicide could ever have been prevented, but it would not have happened with a shotgun if she had had to undergo a medical test. Can my noble friend confirm that point for me?
My Lords, I apologise for not having been present for Second Reading and for speaking from the wrong side of the Room.
I will give you a medical perspective, as medicine has been mentioned and is very much part of this. I am holding a letter I got from the Hampshire Constabulary when I applied for my firearm renewal. It says:
“Thank you for your application for the renewal of a firearm and shotgun certificate. In your application you have disclosed that you have glaucoma.
To suffer from a medical condition of any kind does not preclude you from possessing a firearm. When considering application for Firearm or Shotgun Certificates the Chief Officer of Police has a statutory responsibility to ensure that people wishing to possess firearms can do so without being a danger to public safety or to the peace.
To enable the application to progress we require a medical report from your General Practitioner … detailing the background to your condition, the effects it may have and a description of the medication or treatment you received and are currently receiving”.
That is pretty clear on what the police require. It goes on to say:
“Any physical or mental condition that may affect your ability to possess and use firearms safely should be declared”.
Here it diverges slightly from the nine conditions listed in the 2016 Act, in that it includes,
“mental health disorder, epilepsy, stroke, stress related illness, depression, alcoholism, substance use or dependency”,
which are all in the nine conditions, but it then mysteriously adds heart disease and cancer. I could not really see the relevance of that. It goes on to say:
“This list is not definitive”.
I read that out because we already have a pretty stringent process with the police.
In answer to the question about the cabinets, I remember that when I had my cabinet inspected by the police, they came to the house, had a look and asked, “Who has responsibility for and possession of the key? Does anybody else have access to this key? Yes, you can put your wife’s jewellery in there”—I do from time to time—“but technically she should not know where the key is”. That addresses that point.
I have permission from my GP to give noble Lords some idea of the process that GPs go through in doing this. First, the GP will see you—my GP is a senior practitioner in her practice. All the requests are initially screened by the administrative staff, who then pass them on to the GP. The GP makes time to review the patient’s records and checks the history and the paper records—increasingly, these are electronic—for any relevant correspondence or letters that come through and any prescribed medication. The GP then has to make a judgment as to whether there is a risk. If no risk is identified, a relevant code is added to the notes. Administration then takes over the case. It is filed away and an invoice is made—in my case, for £15; we have heard the variations in the cost. If a risk is identified, a report is produced and sent to the police. GPs inevitably get the blame if the application fails. The patient’s record is flagged with an encoded reminder or marker. Should a relevant medical condition occur over the five years of the licence’s term, there is a visible reminder that the patient has a firearm or shotgun certificate.
My GP notes that although this should be straightforward, many reminders relating to other data collections come into their systems and must be dealt with, and that GPs must cope with an element of reminder fatigue. From time to time, an alert may go unnoticed; that is human error but it does happen. I know that the BMA is reported as being against flagging notices, citing a lack of clear protocol for their removal, but the 2016 firearms licensing law requires GPs to place that reminder code in the patient’s notes. That is a very clear statement and GPs should be doing it.
My GP also noted that in the context of extending the period to 10 years for those with mental illnesses, which is being mooted at the moment, GPs would like much more prominent markers so that they can associate a developing mental illness with the person holding a firearm or shotgun certificate. Mental illness is the one real area of concern for general practitioners here. GPs want a much more prominent marker to be flagged up on their screens when this situation arises.
The firearms licences and medical evidence factsheet being produced identifies who should pay fees and when that payment should be made. Where the applicant has declared a medical condition on the application form, as I did, a fee would be expected. If a further medical report is required, the police must pay. During the normal course of validating a certificate, the GP initially checks the patient’s records. There is no current expectation of a fee being submitted, but as noble Lords will know, there has been variability in the amount of fees charged. In some cases, the charging of fees as high as £200 for just an initial check has been reported in Scotland. We must address that lack of conformity now. We should suggest a standard fee equivalent to the charge for a heavy goods vehicle licence, as mentioned by my noble friend Lord Shrewsbury, right across England and Wales.
Providing firearms reports for the police is part of a GP’s job but not of their core general medical services, so they have freedom to charge if they wish to. GPs are under considerable pressure to get this right. The system is in place and is effective. We need clear systems for flagging up critical medical problems to which GPs can respond. I support the amendment.