(3 years ago)
Commons ChamberThe hon. Gentleman is mischaracterising the success of the X-ray scanners. I have seen how they work at Lincoln, and they discover objects concealed within a person that would not otherwise be found. It shows the terrible ingenuity of organised crime gangs in getting these substances, mobile phones and so on into prisons. It is precisely because we want to break down these empires that we have such enhanced security measures across our prison estate.
I thank my hon. Friend for mentioning the good practice at Downview and High Down. Most importantly, she has the joy of being a Prisons Minister with money, and I congratulate my right hon. and learned Friend the Member for South Swindon (Robert Buckland) on securing it. It will all go to waste if we do not address the inflation in the number of prisoners due to the addiction of this House to ever longer sentences. There are better ways of punishing people and protecting the public than prison. Her and her colleagues’ rhetoric will affect sentences and the Parole Board, which needs a lead and confidence from those charged with these responsibilities.
(3 years ago)
Commons ChamberAs I say, I think there is a big difference with this plan, which is that on the supply side we are very much coming at this from an economic point of view. We have done an enormous amount of work to examine the nature of the business. We are not necessarily looking at the individuals involved, who very often are replaced if they are arrested—sometimes within hours—but fundamentally at the structure of the business, and interfering with it in a way that means it does not reoccur, using the method of distribution and communication against the business to make sure that we stamp it out. We are showing success across the country, particularly on county lines.
On drug consumption rooms, as I say, we remain open to evidence. We are looking at the evidence that has been presented by the Scottish Government, and we will respond to the Minister there shortly. However, as I say, even if that evidence was compelling—I am not convinced that it is at the moment—there are legislative obstacles that mean that we have no option for the moment but to focus on health investment and making sure that we ramp up treatment and rehabilitation, which we have seen have effect across the world.
I welcome the commitment in the strategy to building a world-leading evidence base, and the funding of it, with a cross-Government innovation fund to test and learn. Given our desire to become world leaders in this space, will the Minister confirm that that evidence will include international examples and evidence?
I am more than happy to confirm that we will look anywhere in the world where there are good ideas that are having impact and effect, but the evidence has to be properly evaluated, properly peer reviewed and scientifically proven, because we are dealing with people’s lives here. Across the world, we have seen unintended consequences from measures taken on narcotics, which we do not want to repeat. I know that my hon. Friend has done a lot of work in this area and that he is very well informed. I hope that, over the months and years to come, we can communicate regularly on this issue.
(3 years, 2 months ago)
Commons ChamberOn a point of order, Madam Deputy Speaker. On Monday, in answer to my supplementary question during Home Office questions, I believe—I have obtained guidance on the law from a senior lawyer—that the Minister for Crime and Policing most inadvertently misled the House, and I humbly invite him to take this early opportunity to correct the record. The Minister stated that the process for the rescheduling of compounds is that approval is given for a medicine by the Medicines and Healthcare products Regulatory Agency, and advice is then taken from the Advisory Council on the Misuse of Drugs about the rescheduling, as happened with Epidyolex. Nothing in the legislation requires MHRA authorisation for a compound drug to be moved to schedule 2 to 5 under the Misuse of Drugs Regulations 2001.
The effect of the Minister’s statement means that in practice, compounds will largely not be researched to become medicines. That would require market authorisation as, under the apparent new policy, which has so far never been presented to the House, compounds can never escape the rigours and expense of schedule 1. For British scientists that is a particular barrier to the exciting science around the psychedelic class of drugs that is now more easily developed and researched in North America than it is in the UK, where the science began. For those British scientists denied the opportunity to do that research, due to the costs imposed by the scheduling, it is a constant frustration that there is no recent scientific basis to support the scheduling in the first place.
The Minister’s statement was contradictory not only in logic, but also given recent precedent because—ironically, on the basis of the example given by the Minister—market authorisation for Epidyolex was granted two years after cannabis-based medicines and medicinal products as a whole were placed in schedule 2, precisely to facilitate the prescription of non-MHRA approved special medicines.
(3 years, 3 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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I join the congratulations to the hon. Member for Jarrow (Kate Osborne) on securing the debate. I follow an extremely moving account from the hon. Member for Ochil and South Perthshire (John Nicolson) about the personal circumstances of the people we are trying to assist. I have a couple of points to make, briefly and hopefully well within the time allocated.
The hon. Member for Jarrow made clear a number of issues about finding and establishing people’s credentials and the difficulty associated with that for LGBT people in societies such as Afghanistan. I welcome the statement on Afghanistan last week by my hon. Friend the Member for Louth and Horncastle (Victoria Atkins), then a Minister at the Home Office, when she undertook to give us a point of entry, in order to get advice from officials in the Home Office who have to make these difficult decisions. It is incredibly important that there is a dialogue between people who are supporting LGBT people trying to make these asylum claims, so that they can be assisted to assist the Border Force to make the judgments necessary, in order to ensure that our country is kept safe while these individuals are enabled to be safe.
I welcome that undertaking; it is incredibly important. We failed to achieve it during the conduct of Operation Pitting. I am interested to know how many Afghan citizens got out, courtesy of the United Kingdom evacuation operation. I can understand to a degree why it may be the case that there were no LGBT people who were evacuated under that third group of people at risk, not least because we had not identified them as a cohort. They have now been so identified by the Prime Minister in his statement, which was a point reiterated by my hon. Friend, whom I congratulate on her appointment as Minister for Prisons and Probation. There are some old boys kicking around who have had that title before and would be happy to give advice, if sought.
I am also very pleased that she appears, from the list of Government responsibilities, to have kept responsibility for Afghan resettlement. It is a credit to her that, having held that responsibility for only a month, she is in a new role and different Department, but is being invited to continue because she has got across her brief so well. There are enormous hopes invested in my hon. Friend that this issue will be dealt with sensitively and effectively.
(4 years, 6 months ago)
Commons ChamberI am going to try to get everybody in. However, I need to finish the statement at 12.50 pm. That will require short answers and short questions.
Madam Deputy Speaker, I will do my level best, but I was the probation Minister between 2010 and 2012. One of the proudest moments of my time was attending a dinner where the Princess Royal presented the British Quality Foundation’s gold award to the National Probation Service. The reforms that subsequently were done to probation service would not have been done by me. They were visited upon the Department to a degree by some whizz kids—bright people—some of whom are now very senior in the Government.
There were two faults. The first was that the companies were too large and did not equate with the geographical area of the police force. I would have given them, had I done it, to the police and crime commissioners, saying that they were responsible for the input and the output. A very good point was made by the shadow Lord Chancellor about engaging local authorities in all the services we have to bring to an offender for there to be a decent chance of getting them rehabilitated.
Secondly, I say to my right hon. and learned Friend that, attractive as going back to the position of 2012 might seem to me, we were trying to find the opportunities to make sure that we can get the charities, the private sector and everyone else engaged in the great work of rehabilitation of offenders. We are in many ways back to square one, but there is a huge opportunity to be grasped.
I am very grateful to my hon. Friend. I pay tribute to the work he did as a Minister in the Department. I can reassure him that this is not a return—a “back to the future”—but a new departure. He is right that I will focus relentlessly on the need to harness the smaller organisations; we are going to do that. At force level, we will do it by working with PCCs. I have already engaged with them on several occasions about the need for co-commissioning. Where we have PCCs working together in reducing reoffending boards, I see that as another vehicle for the commissioning of truly localised services. I hear my hon. Friend, and we are going to act on it.
(4 years, 6 months ago)
Commons ChamberI am grateful to the hon. Lady for raising that issue. I can give her the strongest reassurance that, though at times it might appear, from some of the coverage of how terrorism is monitored in prison, that our system is failing, it is not. There are many aspects of the counter-terrorism regimen in our prisons that are world leading and which other countries are learning from and coming to us for help and advice on. I can say this about our recent announcement: the doubling of the number of specialist probation officers, and imams with specialist training, will further improve the way we deal with terrorism both inside prisons and in the community.
I can reassure the hon. Lady that, after 2017, when the Home Office and my Department came together with the joint extremism unit that deals with terrorism, a visitor to a prison with a particular specialism—Belmarsh, for example—would have seen embedded in the command and control structure police officers, probation officers, all parts of the system working jointly around a particular offender: not just monitoring but anticipating and understanding the trends, themes and information emerging. A lot of this is of a sensitive nature and it would be wrong of me to dwell too heavily upon the detail, but I can say that we have created separation centres. Those are challenging, as one should not use them on a whim and there needs to be a clear basis on which to separate individuals of known extremism from the rest of the prison population. Otherwise, there is a danger of creating an even more worrying unit or cadre of individuals who feed off each other and whose agenda of hate and terror is only entrenched by their being separated from the rest of the prison community.
The hon. Lady is right to say there is a challenging balance to be reached between separation and the danger of the proselytization of these views among other more susceptible members of the prison community, but we have the resources and are ploughing them in. The Bill is only part of the step-up approach I announced earlier this year. She can be reassured that not only is the work being done in prisons but—to deal with her point about the community—the specialist probation officers will have a community role as well. Furthermore, as I will refer to shortly, the statutory review of Prevent will give us all an opportunity to hone, improve and refine our approach to terrorism within the community.
When I was Prisons Minister between 2010 and 2012, we abolished control orders, to which we are returning, because of the inflexibilities they created. I will speak on that in my main remarks. Will not the inflexibilities and the mandatory elements in the Bill make significantly more difficult the job of those most brilliant people in the Prison Service engaged in the rehabilitation of this most difficult class of offenders?
I pay tribute to the work my hon. Friend did in my Department at the beginning of the coalition Government. He is right that in many instances the removal of flexibility in sentencing can pose huge challenges, but we are dealing with an exceptional cohort—a small group of people whose type of offending is very different in my view from the mainstream of other types of offender. As he knows, I have worked in the system for many years, and I have seen individuals capable of the most astonishing rehabilitation, who have turned away from crime and gone on to lead blameless lives, but I am afraid that within this cadre of people there is a stubborn minority who are not capable of rehabilitation, who might show superficial signs of co-operation but whose agenda remains unchanged and undeterred and whose chosen path remains the same, even many years later. That is the sad reality of terrorism and I make no apology for taking an exceptional course to deal with an exceptionally difficult, troublesome, and dangerous group of people.
I take on board what the right hon. Gentleman says, and I know that the Secretary of State will as well. We all want to get this right for the sake of the national good. Flexibility and agility are perfectly legitimate considerations, but it is not unreasonable for us to have some sense of whence they come if we are going to make the case for doing something that would go against the run of our normal approach to the rule of law and safeguards. That is sometimes necessary for the greater national good, but we ought to have a pretty clear basis for doing it.
Does my hon. Friend share my anxiety that the resource issue—the difficulty of setting TPIMs up in the first place—combined with the roll-over factor in the Bill means that the default position on a reduced balance of proof will simply be that the two-year TPIM will be replaced constantly? That will become the default position based on the difficulty of producing resources to effect a proper prosecution, which is the standard we want to achieve.
My hon. Friend, who has much experience in these matters, makes a very good point.
Ultimately, most of us who believe in the rule of law will always prefer to see prosecution and conviction as the best possible means of dealing with this issue. It is not always possible, but we still need to have important safeguards in whatever regime there is. I am sure the Government recognise that, but we really do need to get it right, for everybody’s sake. I hope that the Lord Chancellor will reflect on how best to make the case for this and to justify what is, on the face of it, a change that may well have much merit—one wants to give the benefit of the doubt—but that could perhaps do with a little more amplification as the Bill progresses.
The other matter that I hope that the Lord Chancellor might bear in mind as the Bill goes forward is the need for some form or other of proper judicial scrutiny of these matters. I recognise that there are plenty of safeguards in the regime that is proposed in the Bill. However, Mr Hall makes another interesting point in one of his notes: that there has been a rather troubling development of the opting out of judicial review by some suspects subject to TPIM orders. That provision was intended to ensure that there was some oversight. It is up to them whether they do that. They may not do it necessarily for the very best of motives, given the rather warped ideological nature of what drives them, but it does ironically remove a means by which best practice can be brought in hand.
That is why Mr Hall suggests that a solution would be for the Secretary of State to seek the High Court’s permission for any extension beyond a two-year length of the TPIM, in the same way that he currently does when the TPIM is first made. It would be perfectly proper to make that longer TPIM, and I can quite conceive of many circumstances when it is, but perhaps the modest requirement of an application to the Court would not be onerous in the circumstances but would put in a sensible safeguard for all such cases.
If we go beyond the two-year length of a TPIM, perhaps we should also be looking at thinking again, at some point, about what is the burden of proof. The greater the level of restriction, as the Law Society has observed in one of its briefings, perhaps the greater the burden of proof that should be required. For example, if there is a set of conditions that includes relocation, is it perhaps reasonable to expect a greater degree of care to be taken on the burden of proof in a matter of that kind, as with other matters?
Those are matters of important detail. I am sure that they need not detain the progress of this Bill on Second Reading, but they are not, I submit, something that we should lose sight of.
Finally, on polygraphs, I accept that they have been used in relation to the release of sexual offenders, but the science on them is still very uncertain. There remain concerns among lawyers and other practitioners as to their dependability in all circumstances, which is why, after all, they are not used as evidence in criminal cases for understandable reasons. I would be worried if we became over-reliant on polygraphs without some sort of proper check and balance. When they were brought in, certainly in England and Wales, in relation to sexual offenders, they had been piloted first. It will not be possible to pilot them in this case, so is there not a strong case for post-legislative scrutiny? That is the view of the independent reviewer in his note, and it seems to fit with good practice in terms of legislation as well.
Those are my points, which I hope will be taken in a constructive spirit by the Government. As someone who supports the Bill, I want to get it right. We probably do not want to have to revisit burdens of proof and mechanisms any more than we need to in future. It must be in everybody’s interests to get it right this time and make it stick for as long as this awful threat persists. I will certainly support the Bill on Second Reading, but I hope that we can have constructive engagement on the detail as we go forward.
It has been a real pleasure to sit through the debate and listen to the quality of the speeches. I cannot help but reflect that both the Lord Chancellor and his shadow, the right hon. Member for Tottenham (Mr Lammy)—both good men and good lawyers, and a fine reflection on our profession—probably, if left to their own devices, would not have wanted to deliver quite the speeches they gave. The shadow Lord Chancellor’s speech flew when he talked about the duty to try to rehabilitate and to deradicalise, and quoted Jack Merritt and considered what he would have wanted. Then, when he got into the detail, he was pulling his punches on some of the issues in the Bill that are singularly problematic. My hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill), the Chairman of the Justice Committee, gave a very good and wise summary of the challenges in the Bill.
My hon. Friend the Member for Keighley (Robbie Moore) gave, in a sense, the speech designed to give the public reassurance that we are going to be tough on terrorists and unyielding in our approach. I say to him that it is so much more complex than that. There are so many balances that have to be struck. We need to understand what we as a society now are competing with as far as the apparent terrorist threat is concerned. The hon. Member for North Down (Stephen Farry) pointed out that our overreaction in Northern Ireland—internment, Bloody Sunday and the injustice seen in what carried huge popular support to tackle the murderous wickedness of the then Provisional IRA—meant that the terrorists were able to enjoy significant support from their own community. There is a real battle to be won against those who want to engage in murder and mayhem, perhaps for reasons that are wholly unrelated their ideology. As a society, we have to detach them from their support base, so that the community is on our side. In the end, we are engaged in a battle to protect our society’s liberal values, so we must not take measures that are plainly unjust.
On imposing mandatory 14-year sentences, the hon. Member for Belfast East (Gavin Robinson) made the point that it is our job to impose a sentence. No, it is not. It is our job to decide what the maximum sentences ought to be, and the Sentencing Council then gives recommendations to the judiciary about the appropriate tariff. There should always be room for judges to be able to come to their own judgment about the appropriate sentence in the circumstances of the individual case that is presented to them. I have the gravest reservations about apparently securing public support by having ever longer mandatory sentences. We will do an injustice and find that we have given the opportunity for that injustice to be exploited by these people. They will then get a level of support from the communities they come from. We are working so hard with such communities, with the Prevent programme and all the other aspects of policy, to convince them that they will not be the continuing victims of injustice, and that, as a society, we are trying to address the issues that lead them in a direction where they might be minded to give some support to people who are turning on our society.
Of course, it is even more complicated than that: there is religious faith. The perversion of Islamic faith sits behind some of the violence and the motivation of some of these people, so that they think they are acting with some perverted form of God’s truth on their side. I urge my hon. Friend the Member for Keighley and others to turn the board around—understand why people are coming from the place they are and why they have these attitudes. Then we will get to a better place where we are able to understand the injustice that they perceive, and we will have a chance of beginning to address it. We must address it by not betraying our own values. If we betray our values by the justice measures that we take, we might find ourselves on the wrong end of the European Court of Human Rights because we have taken measures that are manifestly unjust and unable to be reversed by our own court system, and those measures will then be reversed by the convention to which we must remain attached—we will create a further set of problems for ourselves.
I urge Ministers to consider some of the wise words of the Chairman of the Select Committee, my hon. Friend the Member for Bromley and Chislehurst, the shadow Lord Chancellor and the hon. and learned Member for Edinburgh South West (Joanna Cherry). There is a degree of unanimity about the very careful set of balances we have to find here, and we need to make some changes to the Bill in Committee to get those balances right. We have to carry public confidence; I understand that. If we cannot carry public confidence, we will set up problems for ourselves. But we continue to swing back and forth on this—we abolished control orders in 2011, and here we are putting them back again nine years later—and this pendulum is not doing any of us any favours.
(5 years, 5 months ago)
Commons ChamberI have been engaged in this issue since the very early days when I arrived in this Parliament in 1997, guided, along with many other right hon. and hon. Members, by the experience within my own wider family.
By 2040, nearly one in seven people is projected to be aged over 75, so we will be engaged in supporting an ageing population who will lead fuller lives, working longer, by adapting the workplace and ensuring that individuals can reskill throughout their life. But people will be living with chronic conditions, and multiple morbidities and cognitive impairments will become more common within our population. I have no doubt that our innovative and caring society will solve, or certainly ameliorate, these conditions, but the hard truth is that more of us will have to grapple with surviving with the pain and indignity of crippling progressive infirmity in later life.
If we do not change the law, even more people than the current one every eight days may travel to Switzerland for an assisted death—and, of course, there are all those people who do not have the means to travel and all those travelling to Switzerland early so that they can exercise the autonomy available to them there. I do appreciate the views not only of right hon. and hon. Members but of the public who express concerns over assisted dying. It is of course a controversial subject. However, the injustice and the tyranny of having no escape from pain and indignity that our law continues to impose on a growing number of our fellow citizens will not go away until we address it. In Oregon, since 1997, a total of 1,127 patients have died from ingesting these medications. Not only does the yearly figure barely rise above the 0.003% mark, but only 64% of those who have received prescriptions for the medications since 1997 have actually taken them.
When we discuss this emotional topic, the most grotesque characteristics of greedy, overbearing relatives are conjured up in some hypothetical dark fantasy, but these arguments about a slippery slope or the vulnerability of people simply ignore the fact that this applies only to terminally ill people. When the Assisted Dying Bill came to this House in 2015, its terms would require two doctors to sign off on the fact that the person would be dead within six months and the process to be overseen by a High Court judge. How many more measures would opponents of this principle want to satisfy them? The difficult truth is that for many, it is none. This is about the imposition of a faith-based view of the sanctity of life overriding any sensible application of personal autonomy for people in dreadful and terminal strife.
No, I will not. I might want to pick up on the example the hon. Lady gave later in my remarks.
That personal autonomy on any individual application of universal human rights includes the freedom to control and direct one’s own life and, in this case, death. Yet again, despite a poll in March of more than 5,000 people showing that 84% of Britons wanted a change in the law on assisted dying, they have to contend with the moral certainties of those who are not suffering extreme pain and who are taking these decisions on their behalf—us. We have a responsibility to discuss this issue in an honest, compassionate and evidence-based manner, and we have a swathe of evidence available to us.
The whole Oregon experience entirely supports that this is a practical, sensible, humane and decent measure. Over two decades later, the opinion of the people has not changed one iota. This Parliament, in not facing up to its responsibilities, is party to increasing tyranny, pain and despair.
Ultimately, this is about potential control. Just as people exercise control over how they live, they should be able to exercise control over how they die. In reality, the vast majority of people will never take this choice, even when faced with it. With strong safeguards, Oregon, Washington state, Montana and Vermont have had no documented reported cases of abuse. Why, when the evidence is clear, do we deny everyone the comfort of some personal control over the end of their life?
To return to the point made by the hon. Lady, I wonder what her mother’s view was, because under the law, she could not exercise her autonomy. I am utterly certain that the hon. Lady would have wanted, with all the generosity in the world, to ensure that her mother had the full support available to her. Well, that just might not have been the view of her mother, in the pain and difficulty that she was facing. Why was she not allowed the opportunity to make that decision?
The hon. Gentleman is absolutely right; she would have argued that she should have had the right to take her own life, but let me put one statistic to him. He mentioned Washington state—51% of the people who took the tablets there said that their reason for doing so was that they were a burden to the people they loved. That is the exact reason that my mother would have done the same. We must weigh the evidence properly.
The evidence is there to be weighed by two doctors and a High Court judge, and the hon. Lady’s mother and other people in those circumstances would have had the right to exercise their autonomy. It is that autonomy and that control that we are choosing to suppress. Sadly, for now, it remains that we have a cruel, outdated law that forces people to die earlier by traveling to Switzerland while they are fit enough to travel, or to suffer pain, indignity and degradation that we would never impose on a suffering animal.
Thank you, Madam Deputy Speaker, for giving me the opportunity to speak in this important debate. I congratulate my hon. Friend the Member for Grantham and Stamford (Nick Boles) on initiating yet a further discussion on this subject. We have heard some passionate contributions, and very moving ones, including that by the hon. Member for Sheffield Central (Paul Blomfield), who delivered his speech with great dignity; I congratulate him on that.
We discuss a wide range of matters in this House, from rather mundane ones, such as those which we were discussing before this debate, to those that affect life and death. Nothing, of course, can be more important than issues that affect life and death.
I am not a lawyer; nor do I claim any particular insight. Indeed, I see through a glass darkly. I have an uneasy feeling, which I know is shared by some hon. Members, that we as a society are moving towards a situation in which assisted dying is legitimised, and I recognise that many would support that, as we have heard this afternoon. For myself, I believe life to be sacred and God-given, and I readily acknowledge that that is a view that is not universally accepted. However, I am sure we can all agree that life is uniquely precious, and that we should do all we can to preserve it, and I do not in any way question the motives of those, be they Members of this House or members of the public at large, who take a different view. Many will have reached those conclusions having witnessed the slow, painful death of a loved one.
I believe that any move to lay out a statutory framework is a further step, however small, towards an acceptance that assisted dying is in some way given the seal of approval. Some things are best left in the grey area.
We are today discussing the functioning of the current law, and it is perhaps an argument to say that it is not as clear as some desire, but surely the question is whether we can give clarity to such a complex matter—can we, as the Legislature, frame an Act of Parliament to cover all the complexities—or is it better, in cases that are presented to the prosecuting authorities or the courts, to leave it to them to consider the unique circumstances that each case presents?
Both my parents died of cancer and suffered in their final months. I well remember the telephone call from a specialist who, having received the results of the tests on my father, said, “We must hope that God is merciful and does not allow him to suffer for too long”. Although he did suffer, it was not for too long. In fact, he lived for a further six months after I received that fateful call. In his final weeks, which he spent in St Andrew’s hospice in Grimsby, I saw what comfort could be offered through palliative care. No longer did he suffer the periods of pain that he had had in earlier weeks—and that happened as long ago as 1988. Through my visits to St Andrew’s since, and to Lindsey Lodge hospice near Scunthorpe, both of which serve my constituency, I have seen the advances that have been made in the years since. Sadly, my mother died in hospital on the day that she was to be transferred to St Andrew’s.
In the case of both my parents, it is probably true that their passing was hastened by drugs, such as morphine, and no doubt others would argue that it would have been better had they been given the opportunity to shorten their lives by a few weeks or months, but I firmly believe it is better that the situation is left as it is. If one is old, frail, weak and seriously ill, one needs help, support and compassion—not the added worry and the nagging doubt over whether everything possible is being done to preserve one’s life.
I congratulate my hon. Friend. He is making an extremely good argument so far, except that it does not address the wider benefit that comes from a change in the law here, which is about the knowledge that you have that control available to you as you enter a period when you might be contemplating these very difficult decisions. That is the principal benefit that would come from a change in the law. By leaving a grey area in the law, we deny nearly all of us the benefit of knowing that we have that control at the end of our life.
I thank my hon. Friend for his intervention and acknowledge that that is a deeply held view for him and many others, but I am afraid it is not one that I share.
On 4 June, in making the case for holding this debate to the Backbench Business Committee, the basic justification set out by the hon. Member for Grantham and Stamford (Nick Boles) was that a lot has changed since the House last debated these matters, and therefore it would be opportune for the House to have an opportunity to discuss them. I would like to go into that in some detail, in the short time that I have.
First, I want to say that I respect the views of others in the House greatly, and I hope that right hon. and hon. Members will respect my point of view, which may be very different from some of those expressed in today’s debate. I am a man of faith. My father was a man of faith; he died, and I know he believed in the sanctity of life, as do I. I believe that in my constituency of Strangford, the vast majority of my constituents also believe in the sanctity of life, and they also believe that the law should not be changed. I want to put that on the record at the start of my speech.
Both the Royal College of Nursing and the Royal College of Physicians have moved to adopt a position of neutrality on the question of assisted suicide. The Royal College of Nursing actually adopted its position of neutrality some 10 years ago—six years before the Marris Bill came to this House. Neutrality is far from endorsement, and that has to be understood. It no more gives grounds to positively endorse assisted suicide in 2019 than it did in 2015.
The manner in which the Royal College of Physicians approached its poll, however, has had the effect of leaving a significant cloud hanging over it. In the 2014 poll, those who opposed assisted suicide were 44.4%; in the 2019 poll, they were 43.4%. The proportion opposed to assisted suicide is the largest by a significant margin, and almost identical to the 2014 result. For the Opposition side of the House—indeed, it is important for the whole House—I point out that in Tony Blair’s landslide 1997 general election victory, he received 43.2% of the vote. The Royal College of Physicians actually voted against this change by 43.4%. So there is a figure, when we come to stats in this House.
Before that poll, however, the council of the Royal College of Physicians, without consulting its members, decided that it wanted to go neutral, and structured the rules of the contest in such a way that that was bound to be the outcome. It took the extraordinary step of saying that unless 66% of respondents either opposed or supported assisted suicide, the college would adopt a neutral position. From that very moment, the result was a foregone conclusion. I want to talk about some reasons why it is the wrong one, and worded the wrong way.
Professor John Saunders, a former chair of the RCP’s ethical issues in medicine committee, wrote in The Guardian to accuse the college of carrying out
“a sham poll with a rigged outcome”.
Over 1,500 doctors and medical students signed an online petition expressing alarm over the college’s behaviour. Professor Albert Weale, chair of the college’s ethical issues in medicine committee, resigned in protest. He claimed that the RCP council failed to take notice of ethical advice that the committee had provided on the subject of the poll.
I am sorry; my speech is subject to a time limit.
Professor Weale commented:
“There is simply no point in the committee offering reasoned positions if they are ignored by council.”
The process has resulted in a legal challenge, which is ongoing, and damaging criticism from the Charity Commission as well:
“It is unclear whether the Council took into account that”
the majority of at least 60% required
“would make it almost impossible to achieve”
that majority.
In looking at the results of the RCP survey, it is very important to consider the detailed response to the 2019 poll by specialty. It reveals that those whose specialism means that they have a real expertise in the field of death and dying remain overwhelmingly opposed to assisted suicide: 80.9% of those participating in the poll working in palliative medicine were opposed to a change in the law. Some 48.3% working in respiratory medicine were opposed, 44.1% in geriatric medicine, 43.5% in neurology and 43.4% in gastroenterology. Again, those figures tell the story.
I appreciate that the Royal College of General Practitioners and the British Medical Association have said that they will poll their members on this issue, but we do not have any results yet. Both those bodies would be well advised to study the RCP experience and learn from its mistakes. In that regard, they would do well to study an important new paper written by the former chair of the ethics committee, Professor Weale. They would find it very helpful indeed.
There were questions about the wording of the ComRes poll. In Dr Al Baghal’s executive summary of his review of the poll, he says:
“Overall, we would caution MPs and the public…There are a number of problems noted with this survey.”
Those problems included the fact that the poll is likely to be unrepresentative because of the demographic profile of respondents; the fact that only one side of the argument was presented to respondents in the question wording, using emotive language including terms such as “unbearable suffering”; and the fact that response options for several questions were designed such that they led people to choose a certain answer, even if they did not have a strong opinion, and may have led to respondents tending to select positive options even if that was not their settled opinion.
The basic problem with the proposal to legalise assisted suicide remains unchanged. It costs about £5 to give someone a lethal dose of barbiturates. It costs between £3,000 and £4,000 to keep someone in a hospice for a week. In that context, the right to die for the eloquent and financially well off will become a duty to die for the vulnerable. That is how I and other hon. Members feel, and it is deeply shocking that anyone living in a so-called civilised society should avail themselves of a state-sanctioned means of killing themselves.
In both Oregon and Washington State, 52% of those questioned said that not wanting to become a burden was one of the motivations for their decision. I have no desire to live under a law like that, and no desire therefore to see the legalisation of assisted suicide in the UK. We need a system that supports and helps families so that no one feels they are a burden, and I will push for change on this rather than in the current law.
(5 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
As hon. Members would expect me to say, these things have more nuances and complexities. The basic idea that it is impossible for anybody except the Government to deliver good probation services was disproved, in fact, by the Labour pilot—the Peterborough pilot—which by bringing in the voluntary sector and social investors was able to reduce reoffending by a staggering 9%, particularly by providing something that we are developing at the moment and that does not fully exist yet in Scotland: a fully integrated through-the-gate service linking the prison officer in the prison with probation in the community. We need to take into account that this is not a binary choice.
I am very slightly disappointed that my hon. Friend referred only to the Peterborough pilot, which we inherited when my right hon. and learned Friend the Member for Rushcliffe (Mr Clarke) and I arrived in the Ministry of Justice in 2010. By the time that we were moved from the Ministry of Justice—for me, that was to spend more time with the Kaleidoscope Trust and with you, Mr Speaker—we had at least 20 different pilots, putting responsibility for the rehabilitation of offenders on the probation service in Wales and Staffordshire, three police services, three local authorities and eight health authorities dealing with issues such as drug addiction. We were waiting to see what was going to work best when all these pilots were swept away and the probation service was broken up. Will the Minister look at trying to make the system more coherent by establishing a link between the probation service and police and crime commissioners in the community to make the justice system rather better joined up across the community?
First, I pay tribute to my hon. and gallant Friend for the work he did on piloting many of these ideas. We can learn a great deal from those pilots. Central to our reforms will have to be co-ordination—having the right relationship between the national probation service and the community rehabilitation companies, and thinking about the geography—and part of that will be thinking about how the CRCs work with the police and crime commissioners.
(5 years, 10 months ago)
Commons ChamberMay I join in the general welcome for the inspectors’ report in this extremely difficult area? I acknowledge that this is a growing area of criminal justice interest because of the public anxiety behind the nature of these offences, for all the reasons the Minister gave about the growing burden on the service. In order to understand the nature of the cause of the offending behaviour—for the probation officers overseeing it and for offender managers generally, but also for the offenders themselves so that they can manage their behaviour in future—it is critical that the investment in forensic psychology is appropriate to the demand placed on the system. Is he satisfied that sufficient resources from the national health service and from elsewhere are going into the criminal justice system in order for it to manage the scale of the problem that it is having to manage?
First, I pay tribute to my hon. Friend, who was a prisons and probation Minister. The connection with the NHS is central. Additional funding has gone into the NHS, and we need to ensure that that focuses on the most vulnerable offenders in terms of mental health, addiction and the need for courses provided by the national health service. Getting that right will be essential in dealing with violent crime, sex offences and short-sentence offences. The NHS connection is vital. The most important thing, from my point of view, is ensuring that we have the treatment provision in the community for addiction.
(6 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
The right hon. Gentleman has enormous experience of the issue, having been the prisons Minister responsible for managing private prisons. He is therefore aware that one reason we can stand up in front of the House and say we are confident we can do this is that we have been doing it for 25 years.
Some 14 private sector prisons are operating, with good reports from the inspectors. We have a lot of experience of how this is done. This is not a new area of Government activity; the right hon. Gentleman himself managed exactly these prisons. The key is balancing proper competition, which brings in diversity and innovation, with the right key performance indicators to make sure that we stay on top of that performance.
Unsurprisingly, I add my congratulations to the Minister to those of my right hon. and learned Friend the Member for Rushcliffe (Mr Clarke); I absolutely endorse his non-ideological approach. In considering what he will put in place in future, will he look carefully at prison maintenance contracts? I think it would be better if the prisons themselves had greater control over such contracts, rather than there being one contract let centrally to maintain very many prisons.
Getting the balance right on maintenance will be central. We are talking about three different kinds of maintenance: big structural maintenance, the daily replacement of fittings and so on, and the basic cleaning and facilities management. We need new approaches to all three, but in relation to the last, I pay tribute to the governor of Leeds prison, who is showing that prisoners, by focusing on such things, can get qualifications themselves, improve living conditions for prisoners and prison officers, and take those skills back into the wider community to find employment.