(7Â years, 6Â months ago)
Commons ChamberMy hon. Friend has gone way beyond my expertise, which people will probably think is not a difficult task in itself. I am afraid that it would take greater minds than mine to answer the question whether those permissions are needed, have been acquired, would be required and have been given. I do not know. This shows the benefit of having proper scrutiny of legislation in this House and I commend my hon. Friend for doing that, but I am not sure that I am the right person to answer those technical questions.
On the importance of being able to scrutinise proposed legislation, does my hon. Friend accept that he is essentially being chided by my hon. Friend the Member for Harborough (Neil OâBrien) for not having provided an explanatory statement for the new clause?
I think that my hon. Friend is the one doing the chiding. I suspect he is probably right to do so. I was unable to find the time to do that, and he is right to pick me up on it. If I had, colleagues might have had more of their questions answered. I listen to him a great deal, and particularly on these issues pertaining to Fridays, how things should be done and the importance of their being done, he tends to be right.
Thank you, Mr Speaker. I certainly do not object at all to my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois) interrupting me with his point of order, with which I agreed wholeheartedly. Thank you, Mr Speaker, for your response. I seem destined not to get through my amendments, for different reasons.
My hon. Friend has been identifying the complexity of these matters in relation to both overseas electors and domestic electors. Does he agree that it might be a good idea if the Government were to commission the Law Commission to draft some legislation on the subject that could then be brought forward as a draft Bill and properly discussed? The attempts in this Sessionâincluding in my Voter Registration Billâto get consensus across the House have failed, as indeed this Bill has failed to get consensus. Is it not time to get some expertise from the Law Commission?
I am grateful to my hon. Friend for his suggestion, which has a great deal of merit. I am not entirely sure that a private Memberâs Bill was the best route for this legislation, and we probably do need a bit more expertise, as he suggests. I certainly would not disagree with that.
I am not entirely sure whether I had got to new clause 12 or new clause 13, but, in the interests of trying to get through my amendments, I am going to move on to new clause 13 and hope that that was where I had got to.
(8Â years, 3Â months ago)
Commons ChamberI am grateful to the Minister for that. I appreciate that we are in a strange situation in which the Government do not have time to decide whether to agree with the amendments, but they certainly have time to write speeches on why they will disagree with them because they are not in a position to accept them. We have got ourselves into a completely farcical situation. The Minister is going to read out the speech that has been prepared to say why she cannot accept the amendments, but we all know that the reason why she cannot accept the amendments is that she does not have the Department organised to get things decided within eight days. As I said, that gives the impression that the Government have been taken hostage by the civil service. The Department of Health and Social Care is probably one of the worst offenders for being taken hostage by its civil servants. I am being charitable in saying that, because I presume that that is why so many socialist, nanny-state proposals come from the Department. I cannot believe that the Ministers actually believe in all that rubbish, so it must be the civil servants who are running the Department if those things are coming forward.
With this Bill, it seems that the civil servants, who never want to accept any amendments tabled by anybody other than themselves, are doing their best to try to stop any improvements to the Bill. It is a shame that we have got ourselves into a farcical situation. The Minister is absolutely right: there is nothing to prevent Members from tabling amendmentsâwe know that because we have tabled them, and we are grateful to you for selecting them, Mr Speakerâbut we have got ourselves into a rather farcical situation in which we have done an awful lot of work, and my staff have done an awful lot of work, I might add, to try genuinely to improve the Bill, and then we come across this ridiculous bureaucratic situation, about which I have only just found out with this Bill but which no doubt applies to every Bill. It is important that everyone knows that if Members table amendments at this stage of a Bill, they are wasting their time. It is a completely pointless exercise.
I do not think that we are wasting our time when we table amendments. Contrary to what my hon. Friend says, I still have faith in the Minister, as I think she believes she is in charge. I believe she comes to this debate with an open mind, and, if, having heard the merits of a particular amendment, she decides that she will allow it, then she will say so from the Dispatch Box.
Let me mention another issue. We often find that because of the constraints on private Membersâ business, people say, âWeâll amend it in the Lords.â If the Bill is amended in the Lords, its progress is jeopardised because it then has to come back here again for us to consider the Lords amendments. So in fact the Government should be more assiduous and quick in dealing with amendments to private Membersâ Bills than amendments to their own legislation.
My hon. Friend is absolutely right, but he is being slightly naive in thinking that we will get some rapid decision making. As, I think, Mr Speaker, you were alluding to in your response to my point of order, the only time that the Government appear to be able to act with speed is when they think they are going to lose a vote. At that point, they seem to be able to react with miraculous speed. We do not seem to need any write-arounds at that point, or eight days of write-arounds; they appear to be able to cobble something together within seconds, particularly if my right hon. and learned Friend the Member for Beaconsfield (Mr Grieve) clicks his fingers. They then appear to swoop into action in no time whatsoever. It seems to me that if hon. Members actually want to improve the Bill, they should be busily telling their Whip that if we put these amendments to a vote, they will vote for themâI hope, Mr Speaker, that you will allow some of them to be put to a vote, particularly where the hon. Member for Croydon North says that he actually agrees with them. Perhaps then we might have some rapid decision making after all. We will see, but it has been yet another depressing morning in the history of Parliament for me. I have been here 13 years, but have found out only today how these things work. I started off cynical and I have become even more cynical as time has gone on.
I shall go through the farce of speaking to my amendments, even though we cannot actually make any headway on them. As the hon. Member for Croydon North alluded to, amendments 44 to 78 apply throughout the Bill and change the wording from âuse of forceâ to âuse of restraintâ. I was encouraged to hear him say that he had originally believed that the term should be the âuse of restraintâ, but had been persuaded to change it to âuse of forceâ by, I think, the Government.
The comments I make here largely come after consultation with my local Bradford District Care NHS Foundation Trust. The amendments that I have tabled would ensure that the terminology used in the Bill was correct and in line with that commonly used by mental health trusts. The term âuse of forceâ is predominantly used by police forces in reference to the use of physical force while carrying out their duties. It is important to note that, although the police do play a part in the restraining of patients, it appears that the Billâs primary focus is on the restraint methods used by staff in a mental health unit. Although we must not forget that the police are on occasion called to assist in the physical restraint of patients, it would be more appropriate to adopt the correct mental health terminology for actions used predominantly by mental health staff in a mental health setting. Not only that, but the use of the word âforceâ in this regard is somewhat misleading and suggests that the restraint being used on patients is being conducted with a degree of aggression, violence or excessive force, which is simply not the case.
I am told that restraining a patient, particularly in a mental health unit, often involves little to no use of actual force in the sense that most of us would understand it. The term ârestraintâ has been adopted as common terminology within mental health trusts and covers varying degrees of interaction with a patient. It can be applied, for example, to a person simply holding out a hand to stop someone advancing towards them, or to methods of calming such as simply talking to a patient. They are examples of the use of restraint.
I understand the points that my hon. Friend makes, and I will come on to some of them later on, as they probably sit better with other amendments that have been tabled. I certainly accept his point, and as always, he makes it well.
I am also concerned that using the word âforceâ might worry people who are thinking about seeking treatment for mental health conditions. If they see that, it might scare them into wondering what may happen to them in some mental health settings. My view is that the word âforceâ in this case is not appropriate, not sensible and not actually what is generally used. Of course an element of force is used at times to carry out some methods of restraint, but common sense would suggest that the terminology used in the Bill should be what the sector uses.
When one looks at the drafting of clause 1 (6), references to the use of force are to
âthe use of physical, mechanical or chemical restraintâ.
Force is being limited there to restraint, except that there is also,
âthe isolation of a patient.â
Is it not the case that the drafting is really confusing? It suggests that the only difference between force and restraint is the addition of the isolation of a patient in the definition of use of force.
My hon. Friend is absolutely right. He has made the point that I was literally just about to make. The use of force is defined as being physical restraint, mechanical restraint and chemical restraint. I reiterate my earlier point that, quite clearly, the most appropriate term to use is âuse of restraintâ. That is what the definition of the use of force is in the Bill. It sounds more sinister than it actually is, and that is clearly more appropriate terminology. I have tabled more than 60 amendments, but that point deals with more than 30 of themâabout 35âin one fell swoop. I hope that other Members will accept that âuse of restraintâ is the more appropriate terminology.
Let me move on now to my other amendments. Amendment 9 to clause 5, which is about training on the appropriate use of force, would remove paragraph (c), which is about
âshowing respect for diversity generallyâ.
The hon. Member for Croydon North mentioned that earlier. Restoring the faith of the public in their services is a key element and purpose of this Bill, and why not? We should all have the confidence and reassurance of knowing that when we go to any public service, we will be treated properly. However, when it suggests that illnesses are not diagnosed in proportion to the demographics of our society, I question whether people will draw the wrong conclusion from that. We could question whether anything in our daily lives mirrors social demographics. Of course it does not; it would be absurd to think that it does. What we need to keep in mind is that any illness, and specifically mental illness, is not selective in whom it touches and the outcomes that it can cause. It does not discriminate by peopleâs ethnicity, sexual orientation, religious belief or gender or in any other way. Mental illness is a very complicated and personal experience, whichâas is well documentedâcan have a harrowing and life-changing effect on those who are directly affected by it, and on the people and families around them.
It has been argued that different ethnic groups have different rates and experiences of mental health problems, with people from black, Asian and minority ethnic groups in the UK more likely to be diagnosed with mental health problems and more likely to experience a poor treatment outcome. It is documented that for every 1,000 people of the black/black British population, approximately 41 are in contact with secondary mental health services. What is not mentioned so much is that for every 1,000 people of the white British population, approximately 37 are in contact with the same level of service. In actual numbers, 1.3 million of the total 1.5 million patients in contact with this service are of a white ethnicity, so the use of the ratio format instead of the actual figures over-exaggerates a point that is already not entirely convincing. For example, for every 1,000 people of the Asian/Asian British population, approximately 26 are also receiving secondary mental health care. In actual numbers, this is approximately 69,000 patientsâhigher than the total of mixed ethnicity and other ethnic groups combined, and 16,000 patients more than the black/black British category.
I do not want to make it sound like a competition for numbers; it clearly is not. These numbers represent people. But the Bill currently makes it appear as though this is an issue that only affects one ethnicity, when that is quite clearly far from the case. The suggestion that there should be a conscious overview of regulating the diagnosis and treatment of a patient not according to their symptoms, but according to their ethnic background, may result in turning it into a competition. By putting in place such measures, the good intentions of stopping ethnic discriminationâthe existence of which is already questionableâwould instead create discrimination against those who are not of a BAME background or, more specifically, not of black/black British ethnicity. This would therefore generate another problem altogether. In the simplest of terms, asking to provide further intensive training on unconscious bias and diversity, on top of what has already been established at the core of the service that is currently being provided, not only creates an unnecessary segregation among patients but is patronising towards staff to an unwarranted level.
I draw a parallel with the stop-and-search issues in London. It seems to me that a very well-meaning intention to stop a disproportionate number of black people being stopped and searched has ledâdirectly or indirectlyâto an increase in the amount of knife crime in London and in the number of people who are dying as a result of knife crime in London. I might add that it is largely young black men who have been the victims of that well-meaning policy.
I fear that mental health staff, rather than being asked to treat people exactly the same irrespective of their backgrounds, may wellâdirectly, indirectly or because they feel some pressureâstart to treat people differently as a result. That will have serious consequences. I fear that it is some people from black and minority ethnic backgrounds will who suffer most and not get the treatment they should as a result.
The hon. Gentlemanâs motives are entirely honourable and decent, and I support them 100%. My fear is about what will happen in practice, because of the evidence of what happened with stop and search in London, to be perfectly honest. Exactly the same thing happened in that case, so it is not as if we have no evidence on which to base this fear. If the hon. Gentleman speaks to police officers, they will tell him that they were petrified of stopping people from a particular ethnic background because they feared they would be castigated for being racist. That is absolutely what happened. All I am saying is that my fear is that that may well happen as a result of this legislation, although I accept that it is not the hon. Gentlemanâs intention.
My hon. Friend is making an excellent point. Is it not also the case that substance and drug abuse has developed enormously, particularly in urban areas, as a result of this misguided policy on stop and search? It is then drug and substance abuse that so often leads to mental health issues.
My hon. Friend is absolutely right to draw that comparison. It goes to show that well-meaning initiatives can often have the exact opposite result to what was intended.
In addition, diversity training programmes do not show any particular progress in the area that they are trying to improve. In fact, they have often proved to have the opposite effect. In a 2016 edition of the Harvard Business Review, an article entitled âWhy Diversity Programs Failâ states:
âIt shouldnât be surprising that most diversity programs arenât increasing diversity. Despite a few new bells and whistles, courtesy of big data, companies are basically doubling down on the same approaches theyâve used since the 1960sâwhich often make things worse, not better.â
The article says that companies have been heavily reliant on diversity training to reduce workplace bias, and bias during the recruitment process and employee promotions. It also says that studies have shown that this consistent and forceful approach to tackling diversity can
âactivate bias rather than stamp it out.â
The article points out that social studies have found that people too often rebel against rules in a bid to assert their autonomy, and argues that companiesâin our case, public servicesâwill see far better results when they drop control tactics to make people conform. Even eminent people at Harvard are not particularly convinced that such a measure would have the result that the hon. Member for Croydon North intends.
On top of that, there are so many variations of diversity these days that there is a vast array of specifics to cover. For example, to my knowledge there are at least 71 variations of gender. I have a list here, but I will not test the patience of the House by reading them all out. Hon. Members who thought that there were only two genders are, I am afraid, well behind the times; there were 71 at the last count. I am sure that my hon. Friend the Member for Walsall North (Eddie Hughes) knows about this, as an esteemed member of the Women and Equalities Committee. I am sure that he can reel them all off from the top of his head, but most people could not.
Then we get on to the variations of religion that could be discussed. There are estimated to be approximately 4,200 different religions around the world, going far beyond those commonly observed in the UK. They include beliefs such as mysticism, paganismâwhich has, I think, 47 variants within itâRaĂŤlism, Judaism, the ghost dance movement, chaos magic, and the happy science movement. The one that I personally liked most of allâI had not heard of it before but I am thinking about becoming a convert to itâis the Prince Philip movement. Being a great fan of Prince Philip, that sounds to me like a marvellous organisation.
I cannot accept that at all, Madam Deputy Speakerâit is a delight to see you in the Chair. My amendment is clearly pertinent to the Bill given that I am trying to remove something that is in it. If it was not pertinent, no doubt Mr Speaker would not have selected it. I am afraid that I cannot accept my hon. Friendâs challenge to the authority of the Chair. I am sure, Madam Deputy Speaker, that were I to be out of order, you would be the first to leap to your feet and put me right.
Will all these different religions, genders and all the rest of it be covered in the diversity training that I am trying to remove from the Bill? We cannot ignore the fact that they exist and therefore have as much right, presumably, to be detailed in diversity training as anything else. Let us not forget diversity of ideological beliefs. Will that be covered too? This is a throwaway phraseâone of those things that everybody puts into everything. It is meaningless. There are lots of meaningless things in political discourse: social justiceânobody knows what it is but everyone is in favour of it; sustainable developmentâwe are all in favour of it, but nobody has ever been able to tell me what it actually means; diversity trainingâlet us shove it in as a little part of our Bill, but nobody really knows what it is trying to achieve. I am not entirely sure that there is any point to it, and if there is any point, it will be counterproductive. I cannot accept this aspect of the Bill, and that is why my amendment 9 tries to remove it.
Amendment 10 to clause 5 is about training on appropriate use of force. It would remove paragraph (k) on training on
âethical issues associated with the use of force.â
I am trying to make sure that legal issues are the focus of the training, not ethical issues. How does one go about taking account of ethical issues in the use of force or restraint? As I said earlier, staff have a very difficult job as it is. When they are focusing on whether they should be using restraint with a particular patient, are we seriously saying that they have to start considering, at that moment, the ethical issues associated with it? Surely this House is about making sure that people act within the framework of the law, not about what I, the hon. Member for Croydon North or somebody else thinks are the relevant ethical issues. How do we decide what the ethical issues are that people should be considering? The ethical issue that I might think is particularly pertinent may be different from the one my hon. Friend the Member for Christchurch (Sir Christopher Chope) or the hon. Member for Croydon North thinks pertinent. What sort of a situation are we putting staff in when they have to be thinking about the ethical issues, as intended in this Bill? I would not be able to explain that to them. We should be removing these bits of flim-flam from the Bill and making sure that we are instead asking people to follow a legal framework.
As always, my hon. Friend is making an excellent point. In his extensive research, has he been able to ascertain the source of the support for the flim-flam that he is describing with regard to the use of the word âethicalâ? The Minister said earlier that the Bill has the support of all stakeholdersâI do not think she used that word, but she might have chosen to do so. Where is the evidence that the stakeholders are behind the use of ethical issues being part of the training?
I am afraid I cannot answer my hon. Friendâs question. I do not know. The Minister was absolutely right to highlight the fact that although stakeholders do welcome this Bill, it would be wrong to say that they welcome every provision within it. That is certainly the feedback that I have had from my local care trust. While it certainly agrees with the thrust of the Bill and many of its provisions, there are still some it is not comfortable with. I cannot tell my hon. Friend about the genesis of this or any widespread level of support for it, because I am not aware of it. Perhaps the hon. Member for Croydon North or the Minister can help out. All I can say is that that definition of âethicalâ is
ârelating to moral principles or the branch of knowledge dealing with theseâ.
I am not sure whether my hon. Friend is any more enlightened by that definition that members of staff may have to take into account. I have no idea what it all means, to be perfectly honest, and yet we are expecting members of staff who are dealing with patients in difficult situations to be weighing up all these things.
I think it can be established that everyone has their own individual take on morals, but surely we cannot start applying ethical and moral views in serious situations such as these. This will end up being the beginning of a long list of other factors that it will be demanded people be mindful of. My view is that healthcare should be provided in a legal and law-abiding way, and not with the addition of anybodyâs personal, individual ethical take on what is moral and not moral.
My hon. Friend may well be right; I do not know. I have not been able to find any evidence for that, but it may exist somewhere. Perhaps the promoter of the Bill or the Minister will be able to enlighten us. If my hon. Friend has any evidence, I would be very happy to change my mind, but as it is, I cannot see any purpose to the provision.
The general thrust of my argument is that while this Bill should indeed be making staff and institutions accountable, it should also be helping them in their daily job, but it is making their life far more difficult than need be. I do not see that it is helping to protect the rights of patients, which is at the heart of what it is supposed to do.
My hon. Friend has referred to the definition of âethicsâ and âethicalâ. Paragraph (k), to which he is addressing his remarks, talks about the âprincipalâ ethical issuesânot all ethical issues but the âprincipalâ ones. Does he have any insight into which ethical issues are âprincipalâ and which are not?
My hon. Friend makes a good point. I do not know the answer to thatâwho knows? It is a mystery to me, and therefore it will almost certainly be a mystery to any institutions trying to implement these measures. We have to bear in mind that this is not just meaningless. This will be the law of the land. Institutions and members of staff could well be taken to court over whether they have sufficiently taken into account these âprincipalâ ethical issues. Surely it would be intolerable to put people in that legal uncertainty. I am not entirely sure that we, the people who are passing this piece of legislation, have any idea what it means ourselves, so how on earth are the people who are supposed to implement this meant to?
Surely laws have to be fit for purpose. I know that my hon. Friend the Member for Christchurch is an eminent lawyer by background, and no doubt his profession will be dancing in the aisles at the prospect of all this uncertainty, because they are the only people who will benefit. The patients will not benefit, the staff certainly will not benefit, and the institutions will not benefit, because they will probably find themselves facing expensive legal suits. Unless this is simply a benefit for the legal profession, I cannot see any point to it whatsoever.
I am confident of scoring a few more runs on amendment 11, because the hon. Member for Croydon North indicated that he supported it. As I indicated to Mr Speaker at the start, I may wish to press the amendment to a Division and test the will of the House on this matter. The amendment would insert new paragraph (l) in clause 5(2), which relates to training in the appropriate use of force, to include training for mental health staff about who is responsible, and the roles and procedure when the police are called to assist.
Some people may sayâI would not necessarily dismiss this out of handâthat clause 5 is already too prescriptive. There is an argument for saying that we should take out this detailed list of things that people should be trained in and effectively leave it to institutions and local experts to sort out training for themselves, rather than putting every little element of what that training should consist of in statute. There is certainly an argument for saying that we should get rid of all these areas of training that are prescribed. Of course, the problem with prescribing everything is that what will happen is that everything prescribed will be covered, but nothing else will be. Something may well have been missed out from the list, but if it is not on the list, institutions will not bother with it. That is my problem. Given that we are prescribing so much, it is essential that we get those things right, otherwise important things will be missed in the training. It seems to me that we go one of two ways: either we do not prescribe any of it; or we prescribe everything, because otherwise things will be missed out.
I certainly agree with my hon. Friend about the necessity of putting the two amendments in the Bill, and I think that everybody who has been listening to his speech will be of the same opinion. I wonder whether he would be able to tempt the Minister to intervene now and say that, having heard my hon. Friendâs compelling case, the Government will indeed accept amendments 11 and 12.
I am grateful to my hon. Friend. If the Minister wishes to intervene, I will not stop her.
There you go, Madam Deputy Speaker. What can you say? The civil service script has been brandished. There is always a reason in the civil service why anything should not be done, but all I can say to the Minister is that, to be perfectly honest, the idea that it is not necessary could apply to every single individual thing that is already listed. If we wanted to go down that line, we could say that all these things are being done anyway individually by this person or that person. Either there has to be a comprehensive list of things that the Government feel are essential, which must be covered in the training, or they do not. How on earth, knowing what happened to Mr Lewis and in the other cases that I have mentioned, can anybody stand up and say, âHaving listened to that, we do not think these things are absolutely necessary.â? It is literally beyond belief. We literally could not make it up. It is a shameful situation that we have got ourselves into, to be perfectly honest. I will let people decide which side they are on. I hope that we can test the will of the House on those amendments, so we can see what people make of them and whether they want to be in the civil service box of deciding that nothing needs to be done, having listened to those cases. We will let the House make its mind up, and that is that.
Looking at the amendments on what should be in the training, has my hon. Friend had a chance to look at my amendment 98? It would introduce into clause 5(2)(a) the involvement of âpatientsâ and âtheir familiesâ in the planning, development and delivery of care and treatment. It seems that with the cases that he has cited, family involvement can be crucial, and this should also be part of the training.
The answer to my hon. Friendâs question is yesâI have looked at his amendment and agree with it. If he would allow me, I had planned to go through my amendments first, before moving on to other peopleâs. I have his amendment in my sights and I will come to it later. I have read it and very much agree with him.
My next amendmentâamendment 14âmoves us on to clause 7(2), which states that reporting the use of force
âdoes not applyâŚwhere the use of force is negligibleâ.
My proposal would amend it to include restraint that does not include physical contact. The amendment would ensure that there is a not a series of pointless recording of every interaction with a patient that falls under the category of restraint. I am still using the word ârestraintâ, but I am appreciate that I am in danger, at the end of these amendments, of losing the battle, and that it will be called âforceâ. However, for the purposes of putting forward my amendments, I will still call it ârestraintâ, as I am seeking to do. Restraint is defined in the dictionary as the
âdeprivation or restriction of liberty or freedom of action or movementâ.
It must be reiterated, however, that it can be conducted in the most subtle of ways. The law entitles people to freedom of movement provided that they are not harming others or themselves while exercising that right. The policies of NHS services vary between trusts. Overall, the guidance for all medical staff follows the same basic principles, but specific details are more varied.
It would be fair to say that health trusts across the board consider physical restraint to be a last resort that should be used only following the exhaustion of all other methods. Staff are advised to call for the assistance of security when physical restraint is considered, as they will have been trained in restraint techniques. Bradford District Care Trust advises that the assistance of police be called upon only as a final resort when usual restraint methods have failed and there is a serious concern for the safety of the patient, staff or other patients on the ward. I have been told that as a general rule a patient would have to be exhibiting sustained high levels of physical aggression, often involving some kind of weapon, before the police were called.
Some services, such as the London Ambulance Service, apply a different approach and advise that police be called at the earliest sign of physical restraint being required. That is due to the service not providing its staff with training in physical restraint and therefore leaving them vulnerable without the back-up of police services. In all cases of restraint, staff are required to apply the principle of using the least restrictive and most proportionate option to control behaviour, for the least time possible. Again, the word âproportionateâ is reiterated through the guidelines on restraint, which reminds us that it is consistently a consideration when restraint is conducted.
The types of restraint fall into three categories: low-level restraintâinterventions that prevent a person from behaving in a way that threatens to cause harm to themselves, others or trust property and/or equipment; physical restraintâany manually applied method, be it physical, mechanical, material or equipment, that immobilises or reduces the ability of a person to move their arms, legs, body or head freely; and chemical restraintâa drug or medication used to manage a patientâs extremely violent or aggressive behaviour that can be administered, if necessary, against the patientâs wishes. Such drugs might, of course, also be used when the threat of harm is less immediate, with the patientâs consent, or if it is in the assessed best interests of a patient who lacks capacity.
Low-level or psychological restraint methods are the initial exercises conducted to try to prevent a situation from escalating quickly. Most often, this will be a variation of calming methods, which are less restrictive than methods in other categories, and which can ultimately allow the patient to have a timeout in isolation to calm down. Essentially, that can be as simple as telling someone not to do something or depriving them of equipment or possessions that may enable them to do what they otherwise would doâfor example, removing glasses, hearing aids and mobility aids. It is less invasive and more frequently used with those who suffer with dementia.
Those less invasive approaches to patients allow them to retain a certain element of control over the outcome, but it is precisely those approaches that I fear will fall through the loophole of being constantly recorded, which will take the time of carers and care trusts away from the patients who actually need help. The key restraint methods the Bill is concerned with are those that require an element of physical contact, which should be reported appropriately. It is important that we remove the need to report minor interventions, which are not really at the heart of the Bill.
In the interests of time, I will group the next few amendments together. Amendment 15 to clause 7, on recording the use of force, would remove paragraph (k). Amendment 17 to the same clause would remove subsections (9) and (10), which require the recording of relevant characteristics of the patientârace, sexuality and so on. Amendments 21 to 30 are to clause 7 and amendment 31 is to clause 8, on statistics prepared by mental health institutions. Amendment 21 would insert new paragraph (q), which would add
âthe relevant characteristics of the staff involved (if known)â
to the list of relevant characteristics in subsection (9). The other amendments would change the list to include the relevant characteristics of both patients and staff, make the list plural to cover both patients and staff and include the relevant characteristics of the staff involved.
Amendments 32 to 35 to clause 7 would remove paragraphs (c), (e), (f) and (h), which deal with a patientâs marriage status, race, religion and sexual orientation. Those amendments would remove such unnecessary labelling of patients. I am not one for putting people into categories, and I am not a fan of labels. All these things are irrelevant to the treatment of people with mental health problems, and we should not be getting bogged down listing everybodyâs gender, race, sexual orientation, marital status and so on. It is all irrelevant to the treatment of people with mental health problems, and we should not be bogging down the staff with all this political correctness.
Is it not extraordinary that the list to which my hon. Friend refers makes no reference to whether the patient has any family or relatives?
Again my hon. Friend is absolutely right. One could argue that that is important and should be logged. I am sure we would all want to involve the family in discussions about the treatment of family members. That might well have helped in the case of Mr Lewis. Yes, it is extraordinary that the bit that could actually be relevant to the treatment of the patient is not included and all this other stuff, which is completely irrelevant to their treatment, is included. It seems like unnecessary political correctness.
In recording the use of force, the inclusion of race to help tackle racism, of sexuality to tackle homophobia, and of gender to avoid sexism, will do nothing to aid the patients. Surely, if we believe in equality, all those things are irrelevant. We should not be pointing out peopleâs differences. Those things cannot be changed and are not relevant, and we should not be passing legislation that tries to make them an important part of treating people with mental health conditions.
If we will insist on going down this route, however, I am confused about why the Bill requires only the recording of the patientâs characteristics, and not those of the person giving out the treatment. If there is institutional racism, or whatever it is that people try to hang a hat on, surely the characteristics of the person using the force must be relevant. Surely a complete picture can never be grasped only by recording the characteristics of the patient. If we are trying, as I think the hon. Member for Croydon North is, to uncover unconscious bias, institutional racism, or whatever he wants to call itâpeople have their different terminology to hang their hat onâsurely it cannot be done without amendment 21. He indicated in his opening remarks that he had sympathy with it, and I am grateful to him for that. I hope he agrees that it is not just useful but essential if we are going down this route.
The Bill also asks that the police wear body-worn cameras so as to literally give a full picture of their involvement in these cases. Why are we only reporting one side of the story when the police are not there? If the relevant characteristics of the staff are included in the report, the recorded statistics might give a better representation of the matter. I feel that the provision I suggest in the amendment was not originally added because it might highlight a very different narrative from that which some would like to present. One particular concern I have is that these reports will be used to try and back up the questionable argument of institutional racism in the health service, despite studies showing a lack of early diagnosis of mental health illness and psychosis because of a lack of trust in mental health services among people from BAME communities.
It is consistently documented that BAME patients, particularly those with African and African-Caribbean backgrounds, are more likely to be diagnosed with a form of psychosis, and to enter the mental healthcare system via a more confrontational approach than would be the case through a routine appointment with a GP. That is the basis for the institutional racism argument. However, it should be considered that the suggestion of institutional racism in the mental healthcare system is what is preventing people from seeking early medical help in the first place. It is not helping the situation; it is making the situation worse. People are being told, âDonât enter these services, because there is institutional racismâ, and that is not helping anyone.
I think we have all encountered constituency cases in which people suffering from mental illnesses are shifted from one location to anotherâfrom one clinical commissioning group area to another, or from one part of the country to another. In one of my constituency cases, someone is being told that they must go up to Manchester to be treated for a mental condition. If people are being dealt with in different locations, it is all the more important for there to be one set of medical notes that records everything that has happened.
That is a very good point. I had not mentioned that people might be moved from one institution to another, but that, of course, makes the amendment even more important. I am not in favour of excessive bureaucracy, but that strikes me as being an essential part of what the Bill is intended to achieve. The purpose of my amendment 16 is to deliver the Billâs original aim. In fact, that is the theme of all my amendments. They are certainly not intended to weaken the Bill; if anything, they are intended to encourage the hon. Member for Croydon North to go further. The amendment is not just something nice to tag on to the Bill. I think that it goes to the heart of what the Bill should be about. Restraint techniques should be documented in medical notes to provide other medical practitioners who are treating the same patient with an overview of how that individual patient responds to the use of that form of restraint. I cannot see why that should not be part of the Bill.
As I said at the start, I genuinely appreciate the constructive way in which the hon. Gentleman has approached the Bill, and he has just given another indication of that. The question isâthis is the dilemma that we always seem to have on a Fridayâwhether we should rush through legislation that we know is not as it should be, and try to patch up little defects with a bit of sticking plaster here and a bit of sticking plaster there, or whether we should make an effort to ensure that the Bill is in a fit state in the first place.
The hon. Gentleman is arguingâit is a perfectly respectable position to holdâthat it is all right to gloss over the fact that lots of really important things are missing and to provide a big sticking plaster called guidance, telling people, âHere is some guidance. We forgot to put this in the Bill, by the way. It should have gone in, but we did not sort it out in time. Parliament couldnât be bothered to do its job properly, so here is a list of all the things that you should and should not be doing.â That is a perfectly reasonable case to make, but I take the view that when we pass legislation in the House, we should be a bit more mindful of the people who will have to implement it, and make sure that it is fit for purpose the first time round.
It seems to me that it is possible for everyone to be satisfied. The last thing that we want is for the Bill not to go on to the statute book. It is broadly a good piece of legislationâalthough, as I have explained, I have reservations about itâbut I think that we have an opportunity to make it better. We have three options. The first, which is the ideal option, is for the House to put the Bill into proper shape and accept some of my amendments, which I think are clearly necessary. The hon. Gentleman himself accepts that some of them should have been in the Bill originally. Secondly, we can opt for the sticking plaster route: we can cock it all up ourselves, then put a sticking plaster called âguidanceâ over it and hope that someone will be responsible for sorting it all out. Thirdly, we can give the Bill another slot at a future date so that the Government have time to consider and do their write-rounds, and the hon. Gentleman can do a bit more consultation. Hopefully we can deal with the Bill later in the year, along with some of these amendmentsâeither agreed or not agreedâon the basis of the write-rounds and the consultation. That seems to me to be the most sensible way of going about it.
I think that what is important is for a sensible piece of legislation to go on to the statute book. There are plenty of days left in the current Session on which we could deal with the Bill. Putting everything that should be in the Bill in guidance at the end does not really do it for me. It might do it for the hon. Gentleman, it might do it for the Minister, and it might get us over a little hurdle, but I do not really think that it is the best way to pass legislation in the House.
My hon. Friend sets out the three options very clearly, and if we went for the last of them that would give the Government an opportunity to produce the draft guidance so we can see what will be in it. What has concerned me so far is that the Minister has said that quite a lot of the things my hon. Friend and I think should be in the Bill are not necessary, and the Minister is not even saying they should be in the guidance. If we get the draft guidance, we will be able to see where we stand.
My hon. Friend is right. The Minister is doing her best; she does not decide the Governmentâs bureaucratic nonsense of decision-making strategies and all the rest of it. This is not her fault; she is left in a difficult situation, and I am the first to appreciate that. But as my hon. Friend says, at present we are not even getting a guarantee that these things will be in the guidance; we are being told they might be dealt with in the guidance, and even that there is an expectation that they might be. But I have been here long enough; I have been shafted before on private Membersâ Bills where I have been promised that an amendment will be tabled in the Lords to deal with something and then it never arrives. So a bird in the hand is certainly worth more than two in the bush, particularly when it comes to Government promises on amendments and guidance in my experience. That is not a party political point; both sides have been guilty of that in the past. I am therefore looking for a bit more than a waft here and a waft there suggesting this might be covered in guidance; I am looking for something a bit more concrete than that. Indeed, I do not think it does the Bill justice if it goes through Parliament when it is not in a fit in a state; we all want to see it in a fit state.
My amendments 18 to 20 to clause 12 relate to police body cameras. I propose to change subsections (1) and (2) to say that police âshouldâŚtry toâ, rather than âmustâ, take a video recording. I also want to remove subsections (4) and (5) which make police âliable to criminalâŚproceedingsâ if they fail to take a video.
As the College of Policing has stated, it is an indisputable fact in todayâs society that law enforcement officers carrying out their duties, and the tactics they use, are under greater scrutiny than ever before. That is a good thing, and I am a massive fan of police body-worn cameras; they are fantastic for the interests of justice, and they safeguard the interests of police officers, who often face vexatious complaints. The footage can be produced to show that what they did was absolutely right, which is almost always the case. That is fantastic for the courts, too, because they can see at first hand what actually happened, rather than have to deal with conflicting accounts and have to choose to believe one witness over another and so forth. I am therefore a big fan of body-worn video cameras, and they are often the modern method of detailing interactions with the public by the police. Their aim is to improve the accountability and transparency of police conduct when police officers encounter the public. This is a move that the Home Office highlighted at the time of their launch as being the technology of the future, and as a means to help save police time and improve working practices.
General procedure for using the devices is that they are to be used only for recording encounters with the public and are not to be constantly recording for the duration of a shift. The policy of West Yorkshire Police, which covers my area, on body-worn camera video advises that it is to be used where a degree of investigation or exercising police powers is required unless there is a good reason not to. The rationale for not using body-worn video cameras may need to be explained at a later stage, and justified to a supervisor and/or during court proceedings. The recording must be proportionate, and the effect it may have on individuals and their privacy must be taken into account. It is advised that the cameras be switched on the moment the incident becomes apparent, and in some cases this may be en route for the incident. However, it is stated that officers must announce that they are using the recording equipment in clear wording: for example by saying, âI am wearing and using body-worn video. I just need to tell you that; you are being videoed and audio recorded.â The recordings taken are stored on the camera until they are returned to their docking station at the police station. From there, clips are downloaded and sent to the central system for viewing. These clips cannot be altered, changed or deleted by the officer in any way, which keeps them completely authentic for evidence purposes.
I am grateful to the Minister for that, and I am sure that police officers will be grateful, too. However, I just feel that there are occasions when it may be practicable to wear a camera, but for whatever reasonâthe pressure, time or the heat of the situationâthey forget, and I wonder what will happen in such cases. There could be a situation in which it is practicable for them to wear a camera but, owing to the noises they make and the flashing lights or whatever, they think, âYou know what? In this circumstance, Iâm unsure Iâm going to do that, because it might make this patient worse.â I worry that there are insufficient loopholes, so to speak, for police officers who are trying to do the right thing in difficult situations and that we are in effect trying to make things more difficult for them. I fear that, as a result of this Bill, criminal proceedings will be brought against a police officer that never should have been brought. It is all right to say, âWe donât think that that will happen,â but these things do happen. I want the law to be worded to make that as unlikely as possible. That is my only concern, and we will see whether my fears are realised.
Is there any evidence to suggest that the police will not want to protect themselves by taking body-worn cameras to such incidents? Why do we need this measure in the Bill at all?
My hon. Friend makes a good point. The evidence is that police officers are the biggest supporters of body-worn cameras. They are crying out for them and want to use them more often, and they want the cameras to have a longer battery life. I agree that it is entirely unnecessary, so do we need to go down the road of criminalising police officers because they forgot to wear a camera? It might have been entirely practicable, but they may have simply forgotten. Should that really be a criminal offence? I am dubious. We ought to be giving our police officers more support, not trying to make their lives harder.
I have been discussing my amendments, but other right hon. and hon. Members have tabled several amendments, and I want to start on those by discussing new clauses 1 and 2, tabled by the hon. Member for Croydon North. I understand what he is seeking to do, and it was perfectly reasonable for him to say that if there is death at the hands of the police, the Independent Police Complaints Commissionâalthough I think it has a new title these daysâwill get involved and all the rest of it, so why should other deaths not be subject to a similar procedure? That is a perfectly respectable point, and I have every sympathy with that view.
We have been around that issue, so I do not intend to revisit it again. The fundamental amendments 11 and 12, which I have addressed at some length, go to the heart of what happened to Mr Lewis on that terrible occasion. They would ensure that training was given to staff to ensure that those things could not happen again. It is therefore essential that those amendments are made to the Bill and that these things are not just dealt with as part of guidance, which may or may not then be covered off by individual trusts. We have a duty to make sure that the things that happened to Mr Lewis are absolutely covered in the training given to staff.
My hon. Friend is absolutely right not to fall foul of the scaremongering, because we are fortunate to be in a much longer Session than usual, and the Government are still to announce the extra Fridays that will be available to discuss private Membersâ Bills. If a Bill such as this is supported by everybody in the Chamberâby the Government and the Oppositionâbut there is need for further improvement, why not improve the Bill, rather than putting it on the statute book in an imperfect state, given that we know jolly well how difficult it would be to amend it later through a further private Memberâs Bill? Let us make this a good Bill.
The Bill will definitely conclude its Report stage at some point, but if it does not pass today, it will not be my fault. For goodnessâ sake, we still have two and a half hours to go. The Government still have plenty of opportunity to say that they will accept amendments 11 and 12, and if they do so, the Bill will go through today. If they need more time to do a write-around before those amendments can be agreed, that is literally in not my hands, but the Governmentâs. If they want the Bill to get through todayâ
But we do not know what will be in this guidance. I am making the case that it is absolutely essential that amendments 11 and 12 are made to the Bill. The hon. Member for Croydon North said quite clearly that he agreed with them and that he also thought they should be made to the Bill. I appreciate that he is trying to find a compromise but, strictly speaking, he would be happy for the provisions to be in the Bill. I think they should be in the Bill; he thinks they should be in the Bill. The Minister has not even made a commitment that these specific amendments would be reflected in the guidance. I am literally being offered nothing, apart from her saying, âOh, we know this Bill is not good enough. We will try to sort out a bit of guidance here and there. Itâs not perfect, but just let it through because it has a worthy sentiment behind it.â We must start treating legislation with a bit more respect in this place. The Minister says that the Bill has gone through parliamentary scrutiny, but this is parliamentary scrutiny. This is the Billâs Report stage for goodnessâ sake.
The Governmentâs line seems to be that this legislation is an urgent measure. If it is so urgent, may I ask the Ministerâthrough you, Madam Deputy Speakerâwhat state the guidance has reached?
Absolutely. It appears, to me at any rateâI do not know about anyone elseâthat the Government are just making things up as they go along, desperately trying to get this Bill through in any form whatever. Whether it is good, perfect or indifferent is neither here nor there. They just want to get it through, presumably so that they can say at next questions, âWe got the Mental Health Units (Use of Force) Bill through Parliament.â Well, perhaps they just want to pass any old legislation, include a few decent clauses and hope that it will do the job, but I am afraid that is not what this House should be about. It is about saying that we have identified areas where the Bill should be strengthened, and we therefore have a duty to find a way to do that. If the Government will not agree to do it today, I am afraid that we will have to try to ensure that they do it in the future.
I am determined that the Bill will go through in a proper form that will help to stop what happened to Mr Lewis ever happening again. We have to get back to the central reason for the hon. Member for Croydon North introducing this Bill in the first place. The points on which I am focusing are not just useful add-ons here and there; they are at the very heart of the purpose behind the hon. Gentlemanâs Bill. I do not really see why he should be so complacent about letting it through without these things being included.
Anyway, hon. Members have tabled amendments that deserve to be scrutinised. The right hon. Member for North Norfolk has tabled quite a few. With amendment 40, he wants to include the threat of force as part of the use of force, so that the threat of restraint would be considered the same as the use of force. I am afraid that I cannot agree with that. We do not want to deter people from warning of the threat of force, when warning of the threat of force may actually stop them having to use it in the first place. I do not really see how the threat of force can be treated in exactly the same way as the use of force. Often, threat of force seems to be a legitimate restraint technique. If staff are not threatening to use force before they actually use it, the use of force might become more likely. I do not agree with that amendment.
And, of course, every threat of the use of force would have to be recorded, would it not? The threat of force was actually included in the original drafting of the Bill and was taken out in Committee, so I do not understand why the right hon. Member for North Norfolk (Norman Lamb) wants to include it again.
I agree. The same applies to amendment 41 âalso in the name of the right hon. Member for North Norfolkâwhich would include the âthreat of isolationâ alongside isolation itself, and to his amendment 42, with which he wants to include the âcoercion of a patientâ. I am not entirely sure why such an amendment is needed, to be perfectly honest. He includes a definition of coercion in amendment 43, as
âthe use or threat of force, with the intention of causing fear, alarm or distress to control a patientâs behaviour or elicit compliance with the application of a use of force.â
I am not really sure what that adds to the Bill, to be perfectly honest. I do not think that anything it does add to the Bill is something that I could support anyway. I think that he is taking these definitions a bit too far given the Billâs purpose.
The right hon. Gentlemanâs amendment 37 would insert into clause 3:
âA policy published under this section must set out that the use of force will only be used without the sole intention of inflicting pain, suffering or humiliation, or subjecting patients to tortuous, inhumane or degrading treatment, or without inflicting punishment or intimidation.â
With regard to using force with
âthe sole intention of inflicting pain, suffering or humiliationâ,
I look to people who are more legally qualified than me, but surely that must already be illegal. I cannot believe that that can already be lawful in this country. Therefore, this amendment is not necessary either.
Amendment 36 refers to a
âdescription of each of the methods of restraint that may be usedâŚwhat steps will taken to reduce and minimise the use of forceâ
and
âa description of the techniques to be usedâ.
Paragraph (d) is the worst bit. It refers to
âa commitment to reducing the overall use of force in the mental health unit.â
Would that potentially mean that restraint and force is not being used when it should be used because somebody had a commitment to reduce its overall use? Surely, we should be seeking to make sure that restraint and force are used appropriatelyâat the right times, in the right situations, with the right patients. As long as that is being done, the number of cases is neither here nor there. It is the appropriateness that matters, not the numbers. This amendment would mean that restraint would not be used when it should be used. The lack of trust in staff in this is something that I cannot possibly support.
Amendment 38 says that
âsubsection (1) must include a patientâs right to advocacy and how to access an advocate.â
Again, this may deter staff from using restraint even when it is necessary, thinking that they are going to get into a compensation culture with vexatious legal claims being made against them. We should not be passing laws that encourage that.
Amendment 79 says:
âThe Secretary of State must publish quality standards for trainingâ
and
âThe Secretary of State may delegate the publication of quality standards for trainingâ.
There is already a requirement to have standards for training; the right hon. Gentleman seems just to want to add the word âqualityâ. I am not sure that there is any indication that the standards for training would not be of quality anyway. It goes without saying that we want quality standards of training; we do not need to put that into the Bill.
Amendment 80 refers to âtrauma-informed careâ. I do not have a particular problem with that. Again, it is an issue of how prescriptive we should be in relation to the training. I have already spoken at length about that. The right hon. Gentleman makes some fair points.
The right hon. Gentlemanâs other amendments include amendments 83, 84 and 85. Amendment 83 says:
âThe Secretary of State must make a statement to Parliament, as soon as practicable following the publication of report under subsection (2).â
It is difficult to disagree with that, to be honest. I do not see why that should not happen. I would be perfectly happy about it.
My hon. Friend the Member for Christchurch has also tabled some amendments. His amendment 88 would
âleave out âmechanical or chemicalâ and insert âor mechanicalâ.â
I think that he wants to get rid of the chemical type of restraint from the Bill. A chemical restraint can be described as a medical restraint to restrict the freedom of movement of a patient. Such chemical restraints can sometimes also be used to sedate a patient if necessary. I think that his amendment is understandable. My only concern is whether it might lead to perverse outcomes whereby chemical means of force are used more often than they should be to get round the Bill. I am a bit nervous that that may happen. I would therefore deter him from pressing ahead with it, although I certainly understand where he is coming from.
Amendment 90 to clause 1 seems to be a consequential amendment, so we do not need to deal with that. Amendment 89 would leave out paragraph (b) from clause 1(6), to remove the isolation of a patient from the list of things referred to by âuse of forceâ. I am much more sympathetic to this amendment, because my hon. Friend makes a good point. I am sure he will express his own opinion when the time comes on why he feels so strongly about that, but my view on first reading is that it is perfectly sensible. Amendment 91 is consequential to that.
Amendment 98 is one to which my hon. Friend referred in an earlier intervention. It would insert the words âand their familiesâ after âpatientsâ, to allow patients and their families to plan, develop and deliver their care and treatment in a mental health unit. This is an excellent amendment. It is essential that families are involved in the treatment of their family members. In many cases, if the family could have been more involved from the start and been able to help and warn what the situation was, such problems and terrible situations would not have happened. It is a very sensible amendment, and I hope that he will pursue it with vigour, because it is really important that we involve family members in treatment.
Amendment 100, which would ensure that guidance is published no later than six months after the Act is passed, is particularly pertinent to the discussions we have been having. My only quibble is that six months may be too long, but I certainly agree with the thrust of it, which is that there should be a time limit.
It all depends on when the draft guidance is produced. My amendment is referring to the guidance that emerges after any consultation. As I said earlier, I think that the consultation should take place very early, but six months is a maximum.
My hon. Friend is on to something with that, and I certainly agree. It is quite extraordinary that we do not have the draft guidance already, but I will not go over that again.
Amendment 101 is sensible. It would insert the word âsignificantâ after âanyâ, to require a record to be kept of any significant use of force on a patient by a member of staff. That is sensible because we do not want to include other things that should not be included. The point I make is that the word âsignificantâ is rather subjective. One personâs âsignificantâ may not be another personâs âsignificantâ, and it might be a bit difficult for trusts and staff to understand what counts as âsignificantâ. My only concern is whether that adds confusion.
At the moment, clause 7(2) states that subsection (1) does not apply to cases where the use of force is ânegligibleâ. That is refined in subsection (3). I am effectively saying in my amendment that âsignificantâ is non-negligible.
I hope that my hon. Friend will expand on that later. He makes a good point, and I am broadly sympathetic to it.
I have now gone through the amendments on the amendment paper. Different Members have tabled quite a few amendments, and therefore it takes a bit of time. I would like to think that, like the hon. Member for Croydon North, people have been convinced of the necessity of amendments 11 and 12, which go to the heart of what the Bill is supposed to be about.
Some people looking at todayâs proceedings may say that my hon. Friend has been speaking for a long time, but we need to remember that when Bills are considered, the amendments are often grouped so that we do not consider all amendments in one discussion. Today, we are considering all the amendments to the Bill in one group, which I think explains why he has spoken for a bit longer than he might sometimes do.
(8Â years, 4Â months ago)
General CommitteesExactly. I obviously was not party to the conversation, but as I understand it, nothing about potential changes to council tax or business rate valuations was discussed.
Subsequently, last October the Government indicated to council officers across Dorset that they were no longer content with a 20-year harmonisation period, and that the period would be much shorter. That was confirmed to me by the chief official at the Departmentâhe is in the room todayâwhen I met him on 7 November at the behest of the Secretary of State. I was told then that the Government thought that the maximum period for harmonisation would be five years, but in practice it has never been more than two years in the past, and a maximum of two or three years is likely. A harmonisation period of two or three years would completely transform projections on savings, yet there has been no update from the councils to show what the impact would be in practice.
The issue of harmonisation is fraught. The Government invited all councils in Dorset to make submissions on harmonisation in time for the 8 January deadline. I know that Christchurch did that, but not whether other councils did. Unlike with the Governmentâs decision to go ahead with the two unitary authorities proposal, which they announced on 26 February, they have not yet said where they stand on the fraught issue of harmonisation. Their criteria for judging the issue are so broad and vague that it gives them absolute discretion over what answer they provide. As the issue has now been raised by my hon. Friend the Member for Bournemouth West, I hope that when the Minister responds he will say unequivocally what harmonisation and equalisation period the Government will set in the event of these orders going through.
I congratulate my hon. Friend on the campaign that he has run energetically on this issue in the House of Commons. For those of us not from Dorset, am I right in thinking that the situation could be summed up in this way: what is proposed is a good deal for Poole and Bournemouth but a very bad deal for people in Christchurch, and the Government have decided to impose a bad deal on Christchurch against peopleâs wishes, for the benefit of people in Bournemouth and Poole? That seems to be my hon. Friendâs case. Am I right in that analysis?
That is a succinct but absolutely correct analysis, and if it was not correct, the people of Christchurch would not have voted as they did. More than 17,000 people went to a local poll to express the view that they do not want to be subject to Bournemouth and Poole control. I say âcontrolâ because in a Poole, Bournemouth and Christchurch unitary authority, Christchurch will have 13% of the councillors, which means that they would always be outvoted and in a minority. The green-belt area around Christchurch would be open to being removed at the behest of Bournemouth and Poole, so that they could land grab and so on.
(8Â years, 7Â months ago)
Commons ChamberI think the principle is that if the farmersâI know my hon. Friend has a significant interest in farmingâare going to benefit from land drainage schemes, and this is essentially one mega land drainage scheme, I do not see why they should not have to pay for the benefit that they get from the scheme. That is what this is all about.
I am toldâI do not hold myself up as an expert on anything, but certainly not on thisâthat if there was no longer any land drainage, the navigation would be much wider, more effective and deeper. In a sense, the land drainage enables the farmers to make their profits off the land and is of direct benefit to them, whereas the navigation would be there even if there was no land drainage. I do not know whether my hon. Friend accepts that that is a true analysisâperhaps he is a better student of geography than Iâbut that is what I am told.
When the commissioners were first given their role, it was on the basis that they would recover charges from the landowners, rather than from the users of the navigation. If charges are to be introduced for the use of the navigation, the argument is that those charges should be used to keep the navigation open and usable by those who are being charged for using it. That seems to me a perfectly equitable principle on which to proceed. That is the background to the first new clause.
I apologise to my hon. Friend for missing his opening oration. Can he tell me how many times this water is not maintained to this depth? Are we dealing with a solution looking for a problem or is this a genuine problem?
I am not briefed to have an answer to that. All I can do is make the general comment that this has been raised by the March Cruising Club, which I imagine would not be concerned about it if it was not a problem. The March Cruising Club believes it is important to have this adequate depth of water set out to make sure the navigation is available.
That brings me on to new clause 2, which would require the provision of specified facilities at Stanground Lock and Salters Lode Lock. It states:
âThe commissioners must, within twelve months of the day on which the Act comes into force, provide facilities at Stanground Lock and Salters Lode Lock including a lavatory, a fresh water point, bins for the disposal of refuseâ
and so on. It also states that they should provide
âa minimum of ten moorings, each available for up to seven days at any one time and capable of accommodating a boat of up to fifty feet in length.â
Again this is a quid pro quo: if the commissioners want to make money out of the navigation and the vessels using it, it would be sensible for them to make sure there are proper facilities for those vessels, which will be paying significantly for the privilege of using the navigation.
A similar point is raised in new clause 3 by the March Cruising Club. This clause states:
âThe Commissioners must, within twelve months of the day on which this Act comes into force, provide facilities within the town of March including a lavatory, a coin operated water showerâ
and so on. I understand that the commissioners have more or less guaranteed that that is what they are going to do, but the petitioners understandably want to ensure that those undertakings and expressions of good intention are properly reflected in the legislation, rather than just being left as a matter of good will.
I particularly support new clause 5 and struggle to find a reason why anyone could not, because it seems to be only fair and proper. Has my hon. Friend had any discussions with the Billâs sponsor or the people behind it to find out whether they think it is a common-sense clause that they would accept or, if not, what logical reason they have for not accepting it?
We have not yet reached that stage. That might be my fault, because I have not sat down with the Billâs promoters to discuss these issues in detail. I understand that there was quite a lot of discussion of such issues in Committee. For the reasons that I have set out, the petitioners are still unhappy and feel that there should be a new clause to incorporate this provision.
I am grateful to my hon. Friend for his intervention. We will come to clause 4 and the amendments to it later. I shall say nothing other than that the petitioners and I were pleased that clause 4 was introduced in Committee in response to the concerns that were expressed. As I mentioned at the outset, just because it was introduced at that stage, that does not mean that it is perfect, which is why we are dealing with these new clauses and the amendments to clause 4, to which I shall come in due course and in order, because it is much easier for people to follow proceedings if people start at the beginning and go through clause by clause.
Does my hon. Friend agree that if new clause 5 is not accepted, that would effectively mean that people think it would be fine for the charges to be made but the facilities not to be in good repair and working order? That would clearly be intolerableâ[Interruption.]
I hear my hon. Friend the Member for Torbay, who speaks on behalf of the promoters, saying from a sedentary position that my hon. Friend the Member for Shipley (Philip Davies) is wrong about that. Let us wait until we discuss clause 4, which was introduced in Committee, to see whether we can tease out a little more information on all the implications.
Amendment 1 basically says that the time given between the Bill obtaining Royal Assent and being implemented is unreasonably short. The period is currently specified as only 28 days; it seems to me that it would be reasonable for it to come into force six months after the day on which it was passed. I would not say that it is the most important of the amendments, but it would be interesting to hear why the promoters do not think that that is a reasonable position to have. We know that, under the provisions of this Bill, some byelaws will have to be drawn up. That does not mean that work on the byelaws cannot start in advance of the Bill being passed into lawâa period of six months will then need to be left for the Bill to be implementedâbearing in mind the fact that we are dealing with a lot of lay people who will probably need quite a lot of notice of the changes that will have to be made under the provisions of this Bill.
Amendment 2 is, in a sense, a drafting amendment. As we get a definition of âpolluting matterâ under clause 2, it seems much easier to keep it as an objective test. I have no quarrel with defining polluting matter as
âsewage or any other injurious matter, whether solid or liquidâ.
We will not let our imaginations run riot on that. What I find more difficult is what is meant by the word âoffensiveâ. What is added by including that word? Essentially, what is offensive to one person may not be offensive to another, and it is a subjective test. I would be interested to know from my hon. Friend the Member for Torbay what that subjective test adds in that particular part of the clause on polluting matter.
Let me turn to amendment 3. I am going through these amendments quite quickly, because there is no need to spend a lot of time on amendments to which there should be a short and succinct answer, saying, âYes, I agree with my hon. Friend, these are good amendments and we will be happy to incorporate them in the Bill.â
Amendment 3 is more of a probing amendment. We are in the new age of electricity, and the definition of power-driven vessel here includes
âany vessel propelled by a detachable outboard engineâ
but it does not include a sailing boat, a rowing boat or a canoeâfine. However, now that we have a new generation of electric motors, why do we not introduce in a Bill such as this an incentive for people to use electric power on these waterways? Obviously, electric power is much less polluting and better for the atmosphere. If it is as quiet as many of these new cars seem to be, it will hardly disturb anybody, as the boat, powered by an electric motor, glides down the route of the navigation. I am interested in hearing the thoughts of my hon. Friend on that.
Indeed, in recognising the Minister for Agriculture, Fisheries and Food on the Front Bench, who has come along to help us in our deliberations, I could perhaps say that this is an issue for the Government. Perhaps the Government might be interested in thinking about introducing some sort of incentive for the use of electric motors rather than outboards. I know that a lot of my constituents would be very happy if there were more electric-driven vessels rather than power-driven vessels. This could open up a much larger issue, but why not start raising it now on the first occasion today?
That takes me on to amendment 4, which is about the âuseâ. Are we talking about the use of vessels? The Bill says:
ââuseâ in relation to any vessel on a waterway, includes launching the vessel onto the waterway, keeping or mooring it on the waterwayâ.
I have no quarrel with the rest of it, which is
ânavigating it on the waterway, and letting it for hire on the waterwayâ.
There seems to be a lot of concern about what happens when people have a vessel that is kept at the side of the waterway or even in a marina, or is used as a houseboat. Are we really saying that that amounts to using the vessel on a waterway? Under this definition, it would amount to using the vessel on a waterway and that does not really seem to be common sense. Surely using a vessel on the waterway means actually using itânavigating it and letting it for hire on the waterwayâbut it does not include keeping or mooring it on the waterway.
Amendment 5 is a more extensive version of a similar concern that has been raised by a number of the petitioners. They say that the amended definition of waterways, compared with the definition before the Bill was in Committee, is a
âmove in the right directionâ,
but that
âit still serves to extend the jurisdiction and control of the Commissioners into privately owned property (such as marinas), which will usurp the rights of property owners to decide who and which boats can use the water over their land.â
The petitioners feel that this is an
âunwarranted interference with the rights of private citizensâ,
and that, at the very least, there should be a provision for boat owners whose vessels remain permanently in the marina to make an off-the-water declarationâa sort of waterways statutory off road notificationâso that they are no longer liable for the charges. In fact, that is a very good analogy. If individuals do not use their motor vehicle on the road, they do not have to pay road tax, so if people are not using their houseboat on the water, why should they have to pay these charges? That issue could be resolved by having a narrower definition of waterway, which is what amendment 5 would do.
Lines 11 to 18 of clause 2 say that
ââthe waterwaysâ means the waterways in respect of which the Commissioners are the navigation authorityâŚincludingâŚthe waterways set out inâŚSchedule 1ââ
what we would all understand as the waterwaysâ
âwater control structuresâŚorâŚthe banks of, those waterways; andâŚany watercourse in the Middle Levelâ,
which is obviously what this Bill is about. However, I do not see why that should include a lake, pit, pond, marina or substantially enclosed water adjacent to those waterways and from which any vessel may be navigated, whether through a lock or into the waterways themselves. If a vessel is navigated into the waterway, it is in the waterway and is liable under the provisions of this Bill. But if it is not navigated in there, it does not seem relevant to say that it could be navigated. One way of reducing the scope of the definition of âwaterwayâ, about which the petitioners remain concerned, would be to support amendment 5.
I turn to amendment 6 to clause 3âa clause that was introduced as a result of the work done in Committee. The clause establishes a navigation advisory committee, and the petitioners are very pleased about that, but they also think that it needs further definition. That is not a criticism of the people who tabled the amendment. However, given the way that we deal with legislation in our two Houses, sometimes an amendment can be improved when further considered.
Unfortunately my children and I are so old that they do not benefit from visits to ToysâRâUs, but it is very sad when any long-established business goes into administration.
With regard to whether people are representative or appear to be so to the commissioners, perhaps the commissioners might fear that there could be some kind of legal action on the basis of whether and how someone could be determined to be representativeâthat somebody might say, âWell, I donât think these people are representative of X, Y and Zââand so a qualification was put in to help to get them out of a potentially sticky situation. Does my hon. Friend think that that is why the amendment was worded as it was?
If I may say so, that is a more plausible explanation than the one being put forward by my hon. Friend the Member for Torbay, but I think we have said enough about that. We will hear what he thinks when he responds to the debate.
I turn to amendments 6, 7 and 8 to clause 3. The petitioners are concerned that the requirement that the commissioners must take the committeeâs views into consideration has limited use, because the commissioners could say that they have taken those views into consideration but found them to be of no value. The only remedy for any such failure to take the committeeâs views properly into account would then be judicial review, which is strictly time-limited, expensive and hugely unreliable, with historical bias, they think, in favour of authorities. I do not know about that, but certainly they are right in saying that judicial review is a long-winded and potentially expensive way of seeking redress.
In the light of those concerns, I have tabled amendment 7 to clause 3(6), which would mean that instead of the commissioners being required to âtake into considerationâ any matter, they must âgive fullâ consideration. There is a difference between taking into consideration and giving consideration. If the commissioners gave full consideration to any matter, that would be useful.
To reinforce that point, amendment 8 would add a sentence to the end of subsection (6), which would then say that the commissioners give full consideration to any matter, recommendation or representation which may from time to time be referred or made to them by the committee
âand in the event of not accepting such a recommendation or representation give full reasons for that decision.â
That would provide the sort of protection that the petitioners seek and would strengthen clause 3 and make it an even more effective addition to the Bill.
Amendment 9 to clause 4 would leave out subsection (2). It is in essence a probing amendment, to draw attention to the whole issue of charges and constraints upon the way in which charges can be made, which, as has been said, is a useful amendment to the Bill. I am suggesting that it could be linked more specifically with each of the different uses for which charges will be recoverable.
Amendment 10 would mean that in exercising the power under clause 4(1)(a), rather than the whole of subsection (1),
âthe Commissioners must aim to secure that, taking one financial year with another, the income from charges under that subsection does not exceed the annualised costs incurred by the Commissioners in exercising their functions in respect of navigation under the navigation Acts.â
It seems that that relates to the use of any waterway by any vessel. Those would be the charges for the use of the waterway, and they would link in directly with the functions in respect of navigation under the navigation Acts.
I am much more dubious about linking in the reasonable charges for the provision of services and facilities in respect of the waterways and their banks, because they are not separated out from the more general, nor is the requirement for registration of any vessel under navigation byelaws. Those charges should be separately identified and accounted for, and they should undergo this test: taking one financial year with another, the charges under those subsections should not exceed the annualised costs. This is a refinement of clause 4, and I think that it would improve the clause significantly.
Amendment 11 also deals with the annualised issue. The effect of amendment 12 would be as follows:
âThe Commissioners may revise, waive or remove any charge fixed under subsection (1)(a), and different charges may be fixed for different cases or classes of case.â
The amendment would extend the commissionersâ discretion, while making sure that it was specific to the different categories of activity for which they can recover charges.
Amendment 13, which is a probing amendment, would leave out subsection (4). I hope that we will hear further explanation of why the commissioners want to
âmake the use of the services and facilities referred in subsection (1)(b) subject to such terms and conditions as the Commissioners may specify in writing.â
The most radical amendment that I have tabled to clause 4 is amendment 14, which I hope will find favour with Members from across the House. The amendment would add, at the end of the clause:
âNo charge shall be payable in respect of the use of a waterway by a vessel being used by a person who is registered disabledâ.
I raise that because there is quite an issue about disability, the use of waterways and the use of powers similar to those sought by the promoters of the Bill. Such powers have been abused on occasions, and disabled people have been severely pilloried and discriminated against. Why should it not be possible to exempt disabled people from these charges?
I have been sent a press cutting dated April 2015 from Wiltshire, where a disabled boat owner who lived on the Kennet and Avon canal faced costs of up to ÂŁ76,000 as a result of action that was taken against him by the Canal and River Trust. The individual was living on incapacity benefit and disability living allowance. Instead of allowing him to repair his boat over a period of time, the trust strictly imposed the conditions of his licence and required him to vacate his boat, which was also his home. Insult was added to injury by the fact that he was denied legal aid, and he was instead represented by the legal officer of the National Bargee Travellers Association.
Obviously, they would get the exemption only if they applied for it. Disabled people are proud, and I have a lot of disabled residents among my constituents, but that does not mean that, for example, they do not cherish the ability to park their cars using a discretionary parking permit.
In direct answer to my hon. Friendâs intervention, I had not received any representations from disabled constituents of his before making this speech; if I had, I would have referred them to him. However, what I can say is that the Canal and River Trust, which was dealing with this issue in Wiltshire, has now accepted in principle that disabled boaters should not have enforcement action taken against them in the same way as able-bodied boaters, but it has not yet been very keen to communicate that policy to disabled people there.
All I can say is that, given how the powers have been used on inland waterways in other parts of the country, there is potentially an issue, and by putting forward amendment 14, I have at least ensured that it is discussed. As we know, there is even more interest in the other place in promoting the cause of disabled people than there is in this House. It may well be that, when the Bill gets to the other place, Members there will wish to pursue the content of amendment 14 if it is not accepted by the sponsor today.
Amendments 15 and 16 are designed to leave out clauses 5 and 7. I tabled them to enable us to have a debate on the content of those clauses, should that be thought desirable. However, having regard to the time, the best thing to do is probably not to speak to those amendments but to go on to one or two of the later amendments.