Mental Capacity (Amendment) Bill [Lords]

Debate between Baroness Laing of Elderslie and Chris Bryant

3rd reading: House of Commons & Report stage: House of Commons
Tuesday 12th February 2019 Commons Chamber

[Chris Bryant]

I was expecting my hon. Friend the Member for Stockton North (Alex Cunningham) to go on a bit longer, but now that I have the Floor, let me say this.

There is quite a bit of consensus, certainly among Labour Members, that there are elements of the Bill with which we are not happy, and I am sure that we will vote on those in a few moments. What the Minister said earlier makes me hopeful that she will do her level best to ensure that the way in which the needs of people with acquired brain injuries can be met will be clearly laid out in the code of conduct. As my hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) said, some of the issues are very specific to them; they are different from those affecting other people in the same category.

The deprivation of liberty is one of the most important issues that Parliament ever has to consider. We all accept that, and it was referred to by both the Minister and my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley). I hope that we manage to get the code of conduct right, at the right time, and that the process we use ensures that as many as possible of the users, patients, carers and organisations that are involved in this matter on a daily basis have a real opportunity to feel that they can own that code. I think that that is the point at which the Minister might manage to assuage some of our concerns, although some Labour concerns are extremely strong.

As I told the Minister yesterday, I do not intend to press my amendment to a vote. She is smiling now. I therefore beg to ask leave to withdraw the amendment.

Question put and agreed to.

Amendment, by leave, withdrawn.

[Madam Deputy Speaker (Dame Eleanor Laing)]

With the leave of the House, I propose to put Government amendments 5 to 37 together.

Schedule 1

SCHEDULE TO BE INSERTED AS SCHEDULE AA1 TO THE MENTAL CAPACITY ACT 2005

Amendments made: 5, page 8, line 6, leave out from “Wales,” to end of line 10 and insert

“the person registered, or required to be registered, under Chapter 2 of Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016 (anaw 2) in respect of the provision of a care home service, in the care home;”.

This amendment amends the definition of “care home manager”, in Wales, so it will be the person who is the registered service provider. This mirrors the approach taken for England.

Amendment 6, page 8, line 13, at end insert—

““Education, Health and Care plan” means a plan within the meaning of section 37(2) of the Children and Families Act 2014;”

This amendment is consequential on Amendment 22.

Amendment 7, page 8, leave out line 16

This amendment is consequential on Amendment 13.

Amendment 8, page 8, line 17, at end insert—

““independent hospital” has the meaning given by paragraph 5;”

This amendment is consequential on Amendment 13.

Amendment 9, page 8, line 27, at end insert—

““NHS hospital” has the meaning given by paragraph 5;”

This amendment is consequential on Amendment 13.

Amendment 10, page 8, line 46, leave out “Hospital” and insert “NHS hospital and independent hospital”.

This amendment is consequential on Amendment 13.

Amendment 11, page 8, leave out line 47.

This amendment is consequential on Amendment 13.

Amendment 12, page 9, line 15, after “6” insert “(1)”.

This amendment is consequential on Amendment 18.

Amendment 13, page 9, line 16, leave out “a” and insert “an NHS”.

This amendment amends paragraph 6(a) so that where arrangements are carried out mainly in an independent hospital the responsible body for those arrangements will not be the hospital manager.

Amendment 14, page 9, line 17, at end insert—

(aa) if the arrangements are carried out mainly in an independent hospital in England, the responsible local authority determined in accordance with paragraph 8A;

(ab) if the arrangements are carried out mainly in an independent hospital in Wales, the Local Health Board for the area in which the hospital is situated;”

This amendment makes provision for who the responsible body will be for cases where arrangements are carried out mainly in an independent hospital in England or Wales.

Amendment 15, page 9, line 18, leave out “paragraph (a) does not apply” and insert “none of paragraphs (a) to (ab) applies”.

This amendment is consequential on Amendment 14.

Amendment 16, page 9, line 27, leave out “neither paragraph (a) nor paragraph (b)” and insert “none of paragraphs (a) to (b)”.

This amendment is consequential on Amendment 14.

Amendment 17, page 9, line 28, leave out “(see paragraph 9)” and insert

“determined in accordance with paragraph 9”.

This amendment is consequential on Amendment 14.

Amendment 18, page 9, line 28, at end insert—

‘(2) If an independent hospital is situated in the areas of two or more Local Health Boards, it is to be regarded for the purposes of sub-paragraph (1)(ab) as situated in whichever of the areas the greater (or greatest) part of the hospital is situated.”

This amendment provides that, for the purpose of determining who is the responsible body, if a hospital is situated in the areas of two or more Local Health Boards, it should be regarded as situated in whichever of the areas the greater (or greatest) part of the hospital is situated.

Amendment 19, page 9, line 29, after “manager” insert

“, in relation to an NHS hospital,”.

This amendment is consequential on Amendment 13.

Amendment 20, page 9, line 45, at end insert—

(ca) if the hospital is vested in a Local Health Board, that Board.”

This amendment makes provision that the hospital manager for an NHS hospital vested in a Local Health Board will be that Board.

Amendment 21, page 9, line 46, leave out from beginning to end of line 12 on page 10

This amendment is consequential on Amendment 13.

Amendment 22, page 10, line 20, at end insert—

8A (1) In paragraph 6(1)(aa), “responsible local authority”, in relation to a cared-for person aged 18 or over, means—

(a) if there is an Education, Health and Care plan for the cared-for person, the local authority responsible for maintaining that plan;

(b) if paragraph (a) does not apply and the cared-for person has needs for care and support which are being met under Part 1 of the Care Act 2014, the local authority meeting those needs;

(c) in any other case, the local authority determined in accordance with sub-paragraph (4).

(2) If more than one local authority is meeting the needs of a cared-for person for care and support under Part 1 of the Care Act 2014 the responsible local authority is the local authority for the area in which the cared-for person is ordinarily resident for the purposes of that Part of that Act.

(3) In paragraph 6(1)(aa), “responsible local authority”, in relation to a cared-for person aged 16 or 17, means—

(a) if there is an Education, Health and Care plan for the cared-for person, the local authority responsible for maintaining that plan;

(b) if paragraph (a) does not apply and the cared-for person is being provided with accommodation under section 20 of the Children Act 1989, the local authority providing that accommodation;

(c) if neither paragraph (a) nor paragraph (b) applies and the cared-for person is subject to a care order under section 31 of the Children Act 1989 or an interim care order under section 38 of that Act, and a local authority in England is responsible under the order for the care of the cared-for person, that local authority;

(d) if none of paragraphs (a) to (c) applies, the local authority determined in accordance with sub-paragraph (4).

(4) In the cases mentioned in sub-paragraphs (1)(c) and (3)(d), the “responsible local authority” is the local authority for the area in which the independent hospital mentioned in paragraph 6(1)(aa) is situated.

(5) If an independent hospital is situated in the areas of two or more local authorities, it is to be regarded for the purposes of sub-paragraph (4) as situated in whichever of the areas the greater (or greatest) part of the hospital is situated.”

This amendment makes provision as to who the responsible body will be in cases where arrangements are carried out mainly in an independent hospital in England.

Amendment 23, page 11, leave out lines 45 to 47.

This amendment is consequential on Amendment 22.

Amendment 24, page 12, line 19, at end insert—

12A (1) The following must publish information about authorisation of arrangements under this Schedule—

(a) the hospital manager of each NHS hospital;

(b) each clinical commissioning group;

(c) each Local Health Board;

(d) each local authority.

(2) The information must include information on the following matters in particular—

(a) the effect of an authorisation;

(b) the process for authorising arrangements, including making or carrying out—

(i) assessments and determinations required under paragraphs 18 and 19;

(ii) consultation under paragraph 20;

(iii) a pre-authorisation review (see paragraphs 21 to 23);

(c) the circumstances in which an independent mental capacity advocate should be appointed under paragraph 39 or 40;

(d) the role of a person within paragraph 39(5) (an “appropriate person”) in relation to a cared-for person and the effect of there being an appropriate person;

(e) the circumstances in which a pre-authorisation review is to be carried out by an Approved Mental Capacity Professional under paragraph 21;

(f) the right to make an application to the court to exercise its jurisdiction under section 21ZA;

(g) reviews under paragraph 35, including—

(i) when a review will be carried out;

(ii) the rights to request a review;

(iii) the circumstances in which a referral may or will be made to an Approved Mental Capacity Professional.

(3) The information must be accessible to, and appropriate to the needs of, cared-for persons and appropriate persons.

12B (1) Where arrangements are proposed, the responsible body must as soon as practicable take such steps as are practicable to ensure that—

(a) the cared-for person, and

(b) any appropriate person in relation to the cared-for person,

understands the matters mentioned in sub-paragraph (3).

(2) If, subsequently, at any time while the arrangements are being proposed the responsible body becomes satisfied under paragraph 39(5) that a person is an appropriate person in relation to the cared-for person, the responsible body must, as soon as practicable, take such steps as are practicable to ensure that the appropriate person understands the matters mentioned in sub-paragraph (3).

(3) Those matters are—

(a) the nature of the arrangements, and

(b) the matters mentioned in paragraph 12A(2) as they apply in relation to the cared-for person’s case.

(4) If it is not appropriate to take steps to ensure that the cared-for person or any appropriate person understands a particular matter then, to that extent, the duties in sub-paragraphs (1) and (2) do not apply.

(5) In this paragraph “appropriate person”, in relation to a cared-for person, means a person within paragraph 39(5).”

This amendment inserts new paragraphs 12A and 12B of the new Schedule AA1 to require responsible bodies to publish information about authorisation of arrangements under the Schedule and to take steps at the outset of the authorisation process to ensure that cared-for persons and appropriate persons understand the process.

Amendment 25, page 12, line 32, after “practicable” insert

“and appropriate, having regard to the steps taken under paragraph 12B and the length of time since they were taken,”.

This amendment amends the duty in paragraph 13(2) of the new Schedule AA1 for a responsible body to take steps, as soon as arrangements are authorised, to ensure that cared-for persons and appropriate persons understand matters relating to the authorisation, to reflect the fact the body may have already have done that very recently under new paragraph 12B (inserted by Amendment 24).

Amendment 26, page 12, line 33, leave out from “any” to “understands” in line 34 and insert “appropriate person”.

This amendment amends the duty in paragraph 13(2) so that the duty to ensure that cared-for persons and appropriate persons understand matters relating to an authorisation does not also apply to independent mental capacity advocates (who can be expected to understand those matters) in line with the new duty in paragraph 12B (inserted by Amendment 24).

Amendment 27, page 12, line 34, leave out from “understands” to end of line 5 on page 13 and insert

“the matters mentioned in paragraph 12A(2)(a), (c), (d), (f) and (g) as they apply in relation to the cared-for person’s case”.

This amendment aligns the description of matters that must be explained to the cared-for person and any appropriate person with the list of matters in new paragraph 12A (inserted by Amendment 24).

Amendment 28, page 14, line 46, at end insert—

‘(1A) The person who makes the determination need not be the same as the person who carries out the assessment.”

This amendment makes it clear that a determination need not be made by the same person who carries out an assessment. A person could, for example, make a determination based on an assessment carried out previously by a different person (paragraph 18(6) of the new Schedule AA1 allows for this).

Amendment 29, page 14, leave out lines 47 and 48 and insert—

‘(2) The appropriate authority may by regulations make provision for requirements which must be met by a person—

(a) making a determination, or

(b) carrying out an assessment,

under this paragraph.

(2A) Regulations under sub-paragraph (2) may make different provision—

(a) for determinations and assessments, and

(b) for determinations and assessments required under sub-paragraph (1)(a) and determinations and assessments required under sub-paragraph (1)(b).”

This amendment provides power to make regulations setting out requirements which must be met for a person to make a determination or carry out an assessment. The requirements will relate to matters such as knowledge and experience. Different requirements may be set out for a person making a determination than a person carrying out an assessment.

Amendment 30, page 15, line 12, after “the” insert “determination or”.

This amendment is consequential on Amendment 29.

Amendment 31, page 15, line 14, after “the” insert “determination or”.

This amendment is consequential on Amendment 29.

Amendment 32, page 15, line 16, leave out “The” and insert “An”.

This amendment is to make it clear that the assessment being referred to is an assessment on which a determination under the paragraph is made.

Amendment 33, page 15, line 32, leave out “made on an assessment” and insert

“by a person, who meets requirements prescribed by regulations made by the appropriate authority, made on an assessment by that person”.

This amendment is to make it clear that a determination required under paragraph 19 of the new Schedule AA1 must be made by the same person who carries out the assessment on which that determination is based and that person must meet requirements set out in regulations.

Amendment 34, page 15, leave out lines 38 to 44.

This amendment is consequential on Amendment 33.

Amendment 35, page 15, line 46, leave out from “16,” to “by” in line 1 on page 16 and insert

“a determination may not be made”.

This amendment is consequential on Amendment 33.

Amendment 36, page 16, line 7, leave out “assessment” and insert “determination”.

This amendment is consequential on Amendment 33.

Amendment 37, page 16, line 9, leave out “assessment” and insert “determination”.—(Caroline Dinenage.)

This amendment is consequential on Amendment 33.

Amendment proposed: 49, page 16, line 12, leave out from “out” to the end of line 16, and insert “by the responsible body.”—(Barbara Keeley.)

This amendment would require the responsible body to carry out the consultation in all cases.

Question put, That the amendment be made.

Points of Order

Debate between Baroness Laing of Elderslie and Chris Bryant

Monday 14th May 2018 Commons Chamber

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I thank the hon. Gentleman for his point of order which, as he knows, is not a point that I can answer now from the Chair, but I appreciate the importance of the matter that he has drawn to the House’s attention. Those on the Treasury Bench will have paid attention to his important point, and it will undoubtedly be conveyed to those who have responsibility for such matters. The hon. Gentleman is well aware that if he wants to attempt to bring the appropriate Minister to the Chamber to answer questions on this topic, various routes are open to him to do so.

[Chris Bryant (Rhondda) (Lab)]

On a point of order, Madam Deputy Speaker. I am sure that you will have gathered that quite a deal of concern has been expressed by Members on both sides of the House about the general data protection regulation, which comes into full force on 25 May. Some of the training that was provided last week by another organisation on behalf of the House authorities gave MPs’ staff the impression that they should be deleting all electronic information relating to their constituency casework from before the 2017 general election. Indeed, the organisation, IT Governance, encouraged Members’ staff to do so and organised for the material to be deleted.

I do not know whether this is your impression, Madam Deputy Speaker, but my anxiety is that our casework is an essential part of doing our job. Being able to remember and have a record of what representations were made for a constituent 10 or 15 years ago is important, and some cases last a long time. As for our personal security, there are times when we want to know the pattern of who has turned up to our surgeries, how often, what anxieties they had and whether their issues were addressed.

I understand that a letter has gone out from the Department for Digital, Culture, Media and Sport to some Members, but not all. There is some uncertainty and a lack of clarity about what the proper advice should be, and—I notice that an inspirational piece of paper has been handed to you—I just wondered whether you might be able to provide a bit more clarity. In the end, we have to be able to do our job properly, and we cannot let silly laws get in the way.

[Madam Deputy Speaker]

I thank the hon. Gentleman for his point of order. On his last point, there are no silly laws; there are only laws that are passed by this Parliament. Therefore, it cannot, by definition, be a silly law. However, I completely take his point about the importance of Members of this House complying with the rules while continuing to do our work for the people who live in our constituencies in an efficient and correct manner. He has made a good point.

I do not have an inspirational piece of paper, but I do have the knowledge that the House of Commons Commission is due to meet later this afternoon. I would be surprised if the Commission does not consider the hon. Gentleman’s points. In fact, I am pretty sure that the Commission will consider those points shortly, and I am sure that the outcome will be that any Member who wishes further guidance on how to apply the new law will get it and that all Members will be properly helped in ensuring that they carry out their duties correctly.

European Union (Withdrawal) Bill

Debate between Baroness Laing of Elderslie and Chris Bryant

Committee: 7th sitting: House of Commons
Wednesday 13th December 2017 Commons Chamber

[Chris Bryant]

rose—

[The First Deputy Chairman of Ways and Means (Mrs Eleanor Laing)]

Order. The hon. Member for Rhondda (Chris Bryant) knows better—and he also knows better than to raise his eyebrows because I have called for order. He does it often enough, and it is not his job.

Exiting the EU: Sectoral Impact Assessments

Debate between Baroness Laing of Elderslie and Chris Bryant

Wednesday 1st November 2017 Commons Chamber

[Madam Deputy Speaker]

I thank the hon. Gentleman for directing me to page 819 of “Erskine May”, which I will look at as soon as I have an opportunity so to do, but he will be aware of the rules on privilege, as I am, and the way in which those rules can be interpreted. Like him, not long ago I served for many weeks on a Committee considering the way in which privilege can be applied. If I were to say that it is a grey area, that would not be an exaggeration. There is no black and white in the way in which privilege is applied. But I thank the hon. Gentleman for drawing to my attention to that particular point in “Erskine May”.

[Chris Bryant]

Further to that point of order, Madam Deputy Speaker. “Erskine May” is written in black and white. It makes it absolutely clear, as the hon. Member for North East Somerset (Mr Rees-Mogg) mentioned—I am partially giving you time to read page 819 in case you need to, Madam Deputy Speaker—that if the House chose to, it could refer each and every individual Minister who chose to ignore the decision of the House to the Committee on Privileges, and they could then be suspended from membership of the House.

[Madam Deputy Speaker]

I am grateful to the hon. Gentleman for giving me time. I must say it would not matter whether “Erskine May” was written in black and white, or green and yellow, or purple and orange. The fact is that the rules on privilege are not a matter that can be decided immediately without consideration of all of the circumstances. I am not going to make a ruling here and now about the way in which the Minister and his colleagues should interpret what is happening in the House today.

--- Later in debate ---

[Madam Deputy Speaker]

I thank the hon. Gentleman for his point of order. From his point of view as the Chairman of another Select Committee, he has made his point well. As I said earlier, that is not a matter on which I can make a ruling from the Chair at this moment.

[Chris Bryant]

On a point of order, Madam Deputy Speaker. There seems to be in the Government’s mind some belief that they should do all the redaction. If the House decides that the impact assessments should be provided to a Select Committee, I believe it would be better if the Select Committee could then decide what it was going to publish. The serious, important point is that were any member of that Committee to breach the Committee’s decisions and publish the impact assessments willy-nilly, off their own bat, I am sure you would agree that that would be a matter of privilege. It would be a contempt of Parliament.

[Madam Deputy Speaker]

I thank the hon. Gentleman for his most interesting point of order, but it is hypothetical. I would hope that any member of a Committee would act in a way that would not be a breach of privilege and would not breach the rules of Parliament. The whole issue of privilege, its importance and the importance of behaving in a way that is commensurate with the role of being an hon. Member of this House is there not for the sake of tradition or any frothy reason, but to preserve our freedom through democracy. That is why these matters are of great importance.

We will now return to the debate because, as the Chamber well knows, these are not points of order for the Chair, but matters for debate. There is clearly disagreement, which is why we have debates on these matters. We will recommence with Mr Phil Wilson.

Points of Order

Debate between Baroness Laing of Elderslie and Chris Bryant

1st reading: House of Commons
Thursday 13th July 2017 Commons Chamber

[Chris Bryant (Rhondda) (Lab)]

On a point of order, Madam Deputy Speaker. I think that in a moment the European Union (Withdrawal) Bill will be presented. It has already been online on the parliamentary website for the last hour and a half. This is a complete breach of the Standing Orders of the House: the convention is that it is presented to the House before it is presented to anybody else. Also, we cannot get a copy of it in the Vote Office, but we can get a copy of it online. I hope that there will be an investigation into this matter.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I am grateful to the hon. Gentleman for bringing this matter to the attention of the Chair, and I understand that indeed the text of the European Union (Withdrawal) Bill has been located on the Parliament website this morning, in advance of its presentation. This should not have happened, and I can assure the hon. Gentleman and the House that an investigation is currently under way into this most regrettable matter.