Baroness Finlay of Llandaff
Main Page: Baroness Finlay of Llandaff (Crossbench - Life peer)Department Debates - View all Baroness Finlay of Llandaff's debates with the Home Office
(3 years, 9 months ago)
Lords ChamberThere is very little of what the noble Baroness said with which I would disagree. The cycle of abuse—whether that cycle is generational or whether it goes from spouse to partner and then reaches down to the children—is ever present and it needs to be broken. I agree that the links between alcohol abuse—not alcohol use but alcohol abuse—and domestic abuse are very well known. On people getting the help they need, it is absolutely clear that support for alcohol or substance misuse should mean that people can access the right services, which are commissioned by local authorities.
The noble Baroness made a point about the domestic abuse commissioner. It has been interesting in these debates that, on the one hand, the independence of the commissioner has been very much promoted, and I totally agree with that. On the other, we are by increment, through the debates in this House, trying to add additional remits and stymie her independence. She is an expert in her field. I know that she will make those links. I talk about troubled families quite a lot in the things that I say. That is because I have seen the way in which multi-agency interventions can be so effective at spotting things such as domestic abuse. The advent of that programme spotted an awful lot of domestic abuse previously unknown—and not only previously unknown but at the heart of the problems that these families were facing. We all know that when a big football match is on, women are quite often hyper-vigilant, knowing that, whatever way the game goes, they will bear the brunt of it—mainly as a result of the use of alcohol.
The noble Baroness also asked me about minimum pricing, which Scotland has introduced. We are keeping it under review as it is implemented in Scotland.
My Lords, I am most grateful to the Minister for what I consider to be a really quite overwhelming response to this set of amendments. We have had a very important debate. I would love to summarise what each person has said, but I am aware that the Committee has other amendments to get on to. I would like to highlight the fact that the toxic trio was launched into our debate on Monday by the noble Lord, Lord Marks of Henley, and picked up again by the noble Baroness, Lady Burt, and it has been the focus around which many people have spoken. I am delighted to hear about the sobriety scheme and sobriety tags being brought in for alcohol-fuelled crime. I was part of that original amendment, some years ago, that allowed the pilot scheme to happen, and have seen the evidence from the US in particular of the efficacy in domestic situations as well. I am grateful in particular to the noble Lord, Lord Brooke of Alverthorpe, for that, and to the noble Lord, Lord Hunt of Kings Heath, for putting local authority services so strongly on the table, with the noble Baronesses, Lady Boycott, Lady Uddin and Lady Wilcox.
My Lords, I speak in support of this whole group. I declare an interest as a vice-chair of the All-Party Parliamentary Group on Speech and Language Difficulties, a patron of the British Stammering Association and, indeed, as a stammerer myself. Stammering is often not recognised as a disability, but depending on its intensity, it has profound effects, particularly on children’s ability to cope with stress and to develop, and it is exacerbated by domestic violence. I am indebted to the Royal College of Speech and Language Therapists for its research.
I will only add to the comprehensive and persuasive speeches by those noble Lords who have spoken to these amendments that in connection with support for communication needs generally in good practice, stammerers have difficulty in reporting traumatic events and in accessing services at the first contact when this is often by telephone. Inclusion of speech and language therapists on domestic abuse partnership boards and in local authority responses in their strategy is of particular benefit to victims who stammer, especially if the role of the therapist is to consider initial access to services.
In respect of guidance on the psychological impact of domestic abuse, in particular on children’s speech and communication, there is evidence that children who are exposed to domestic violence have a greater propensity to develop speech and language difficulties, thus harming their life chances thereafter. For instance, court proceedings can add intimidation and stress, which make these amendments of great importance in alleviating the damage caused by domestic abuse.
My Lords, I declare an interest in chairing the board of governors of Cardiff Metropolitan University, a major provider of speech and language therapy education with 130 students currently enrolled across the three-year course, 49 of whom started in 2020.
I support all the amendments because the links between domestic abuse and people with communication needs are clear but seriously underrecognised. In a cycle of abuse, communication needs in a child are ignored or overlooked as many do not realise how much can be done to improve a child’s life chances if they receive early—I stress early—supportive intervention. Public Health England’s Disability and Domestic Abuse: Risk, Impacts and Response paper reports:
“Disabled people experience disproportionately higher rates of domestic abuse. They also experience domestic abuse for longer periods of time, and more severe and frequent abuse.”
When those victims also have communication needs, they experience more barriers to accessing support such as health and social care services and domestic abuse services, and are at greater risk of ongoing gender-based sexual violence.
But the damage from abuse goes wider. The young child who experiences or witnesses abuse is more likely to have delayed speech and hearing development. This affects global cognitive development, especially in reading and writing, expressive language skills and social interaction skills. These children then fall further behind in many domains and may have flashbacks resulting in emotional shutdown and aberrant behaviours. Of course, they find it harder to express what has been happening, so these children often suddenly break down at school and the whole story unravels, but in a piecemeal and jerky fashion.
The cycle continues. Speech and language therapists working with children and young people in care or in custody report a very high incidence of these children having been abused or witnessed abuse. The key point is that recognition of abuse and subsequent remedial action must happen early, which is why speech and language therapists should be viewed as key members of statutory domestic abuse services.
My Lords, the noble Lord, Lord Ramsbotham, and the noble Baroness, Lady Andrews, have highlighted the link between domestic abuse and communication needs—both in how abuse can lead to communication difficulties and how important communication ability is, so that victims can express the impact that domestic abuse has had on them. The noble Baroness, Lady Finlay of Llandaff, brings her wealth of professional experience to reinforce these points.
Disability discrimination includes when you are treated less well or put at a disadvantage for a reason that relates to your disability in one of the situations covered by the Equality Act 2010, such as when you use public services or have contact with public bodies. Those with communication needs would be included in that. I understand the particular concerns of those noble Lords who are promoting these amendments, but I wonder whether the protections of the Equality Act are sufficient. However, I hear the concern of the noble Lord, Lord Shinkwin, that these protections need to be embedded.
My Lords, I absolutely agree with the noble Baroness, Lady Burt, but it is not simple. I live in Ludlow, 10 miles from the Welsh border. As far as I can see, this amendment applies only to England. There will be people who live in the north of England, close to the Scottish border. There will be people who seek sanctuary in different places. It is not always something you can control if you are on the move and fleeing. What happens to children who are moved from England to Wales or Scotland, or, in rare but not impossible cases, as I recall from the experiences of my constituents, people who flee back to Northern Ireland?
This looks simple and the aim is absolutely bang on. It must be the case that children do not suffer, but we do not have a national health service, do we? We call it the National Health Service, but it is not national; it is devolved. How do we get around the problem of children who have crossed to one of the devolved Administrations? That is the only point I wish to make on this amendment.
My Lords, we should all be grateful to the noble Baroness, Lady Burt, for moving this amendment, and it is a pleasure to follow the noble Lord, Lord Rooker. I bring to this amendment my experience as a clinician some time ago in paediatrics—where, sadly, I admitted several abused children who had been caught in a complex cycle of domestic abuse—as well as my later clinical experience.
When children have experienced or witnessed abuse, some of them then move to live with kinship carers, or they move with the escaping parent, often to a different health provider area. They have to start all over again with schooling and health support. They may change GPs or move from one hospital referral list to another. There are waiting lists across the majority of specialty services required for many different types of support and intervention these children may need and for which they have been referred.
My Lords, like several others, I wanted to sign this important amendment, led by the noble Baroness, Lady Armstrong of Hill Top, which I strongly support.
I alluded in the last grouping to my past clinical experience of decades of listening to people—patients of all ages, relatives, staff and others—in the detective work that is part of diagnostic medicine, where you listen not only with your ears but also with your eyes and all other senses, with undivided attention and from the heart. When I reflect on my early career, I am painfully aware how often signals of abuse were missed or picked up all too slowly, or, very occasionally, wrongly inferred from a clinical sign.
That is why awareness is so important. Listening skills can be used to trigger sensitive open questions that allow those abused to get help. GPs know only too well the importance of an aside uttered by the victim who is about to leave the room, with their hand on the door, or when bringing their child in. When reopening a consultation, gently exploring and reflecting back on what is being said results in the stark reality of someone’s life being revealed.
There is a commendable scheme by the Government on the GOV.UK website, Domestic Abuse: Get Help During the Coronavirus (Covid-19) Outbreak. It relies on someone having summoned up enough courage to step forward for help, but many are too scared, ashamed or damaged to do so. That is why awareness-raising is essential. In the area of dementia, a dementia-aware campaign across society has been important. We need to do similar, but even more widely, on domestic abuse. Across health and social care, schools and the police, so many need to have the skills to ask the right questions, to give permission to people to speak up.
There is a list in the Bill. I wonder if the Minister can confirm that the authorities in that list in Clause 15(3)—
“(j) an English local authority … (n) Her Majesty’s Chief Inspector of Education, Children’s Services and Skills … (o) a body approved as an independent inspectorate under section 106 of the Education and Skills Act 2008”—
will cover schools of all types, and explain how colleges of further education and universities will be included in this obligation to co-operate with the commissioner. Will this ensure that the people who are the shop window of all health and social care services—the receptionists, telephonists, domestic staff, porters and so on—are also trained to pick up on all the important cues? Will this be monitored to reveal whether those cues are appropriately acted on?
This is an important amendment and I am sure we will return to it on Report.
My Lords, I am delighted to support this hugely important amendment. Public authorities of all kinds should be involved in identifying, signposting and providing services for victims. But unless they are properly trained in all these areas and work together, victims will continue to fall through the net and fail to be offered the services they need, or receive them to a good enough standard.
The amendment ensures that workers on the front line such as teachers, police, health workers and housing officers—“from job centres to GPs”, in the words of the noble Baroness, Lady Armstrong—know the signs of abuse when they see them, inquire sensitively and ensure that victims are put in touch with all the services that can help them. This is a huge operation, which is why the commissioner needs to play that pivotal role in ensuring that these bodies are up to the job and on the job. She can require reports on what has been done, how many have been trained and to what standards. She can ask how many potential victims have been approached and what outcomes have been achieved. The amendment specifies that there is nothing to stop authorities conducting their own training, but this should be as well as, not instead of, what the commissioner specifies. We want her to report on her work, findings and recommendations, every year.
We could go further. We should place a duty on these authorities to work together and the commissioner should oversee this co-ordinated effort, as well as the work of the separate authorities. The Minister may be tempted to say that this happens already. I am sure it does—to a degree. But unless the Minister can disabuse me, I do not think that any one person has responsibility for overseeing this co-operation and for requiring reports on work done, results and progress. I would be grateful if the Minister shared her thoughts with the House. I am hopeful, as she spoke from the heart in an earlier group about the effectiveness of multiagency interventions. This is urgent. We know that the pandemic has made the plight of victims even worse. It has shone a bright light on a dark place. Shame on us if we do not do our best to help as effectively and speedily as we humanly can.