Police, Crime, Sentencing and Courts Bill Debate

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Department: Home Office
Lord Brooke of Alverthorpe Portrait Lord Brooke of Alverthorpe (Lab)
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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.

Baroness Jones of Moulsecoomb Portrait Baroness Jones of Moulsecoomb (GP)
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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.

Lord Hogan-Howe Portrait Lord Hogan-Howe (CB)
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My Lords, I support Amendments 55 and 56, principally because, apart from their justice, it is naturally the right thing to do. As importantly, the amendments move the police into the preventive area more than they are now. I keep urging the Government and the Home Office in particular to make statutory the preventive duties. I am afraid that that is not yet taking shape, and this is a way in which it could do so.

There is a consequence of this. People have talked about the inconsistent approach around the country. That will generally tend to happen: with 43 organisations, we will always end up with an inconsistent approach. For me, 43 is at least 42 too many. That is my view; others will have different views but having so many organisations will lead to inconsistency.

More importantly, we are asking for officers to be more specialist in their investigative capacity. If it is left to the front-line officers, often they do not always have the time, or, frankly, the skills, to investigate these serious types of crime. The natural consequence of that is that more people will be moved out of uniform and into specialist areas. We all need to keep in mind that although part of the public will urge being able to see officers more often, officers are more effective when they are more specialist. How we get that balance right is difficult. This is not a plea for another 20,000 cops; it is about getting the balance right between the specialist who can be more effective and the uniformed officer who is more visible. That debate continues, and the amendments support that.

I rose to talk in particular about Amendments 57 and 58, which I support. Professor Shepherd has achieved some incredible things from his base in Cardiff. There are two big reasons why I support those amendments. The first is the constant bid for consistency. They provide a further test on the definition of serious violence, such as the requirement for hospital attendance, particularly at A&E. There is a danger, of course, that some people will attend A&E who do not really deserve to go there—they believe that they are seriously ill, when in fact they are not—but that risk is fairly low. Most importantly, as the noble Lord, Lord Brooke, said, the amendments will urge the health service to share the data it has to better inform the police and the Home Office on the strategies for the future. I am afraid that if the police can be inconsistent, so can the health service in sharing data that is vital to understanding the nature of serous violence around the country. Without that information, neither the Government nor the police, nor others, can take action.

For those reasons, I support these amendments, which are sensible conclusions.