Firearms Licence Holders: Mandatory Medical Markers

Debate between Geoffrey Clifton-Brown and Helen Maguire

Wednesday 28th January 2026 Westminster Hall

[Helen Maguire]

It is interesting to hear that there is another system in Northern Ireland, and indeed, I urge the Minister to look at that and see whether it could be applicable here.

[Sir Geoffrey Clifton-Brown (North Cotswolds) (Con)]

I should perhaps clarify for the House that I chair the all-party parliamentary group on shooting and conservation. I congratulate the hon. Lady on securing this debate. Does she agree that one of the critical reasons that medical markers are not yet compulsory—I entirely agree that they ought to be—is that some doctors do not want to do it because they think it will put them in a decision-making position on whether a person should have a shotgun or firearms certificate? In fact, that is not the case; the decision maker is the relevant constabulary, and, in law, the chief of that constabulary is ultimately responsible for the decision.

[Helen Maguire]

I absolutely agree with the hon. Member. This is about safeguarding the public. There are many other examples of doctors having similar abilities to use this information.

[Sir Geoffrey Clifton-Brown]

The hon. Member has prompted the second point that I want to make. Doctors and other medics are perfectly happy to do medical checks on people in relation to driving licences. That is an issue of public safety. Why is there inconsistency in doing it for firearms?

[Helen Maguire]

I absolutely agree, and I will be coming on to that further in my speech. Let me be clear that this debate is in no way about firearm ownership—the Government are consulting on that separately, and that is its own debate. Today’s discussion is about how we can ensure that medical professionals have the information required to best support the individuals they serve.

Emma and her daughter Lettie Pattison, who lived in my constituency, were shot and killed by Emma’s husband almost three years ago, before he turned the gun on himself. Before his latest shotgun licence renewal, George Pattison had used an online doctor to receive a “significant amount” of propranolol between 2019 and 2021. However, despite his change in mental health, the online doctor was unaware of his firearms licence, and the medication was not disclosed to his GP, which meant that neither professional was able to intervene. If they had, maybe Emma would still be working at Epsom college and Lettie might have celebrated her 10th birthday this year.

Robert Needham killed his partner Kelly Fitzgibbons, and their children Ava, age four, and Lexi, age two, in West Sussex in 2020. In Needham’s case, as a result of changes to gun licence guidelines, a flag was initially inputted and then removed. A statement from Kelly’s family following the inquest into their deaths described the monitoring and sharing of information between police and medical professionals about Needham’s shotgun licence as a “shambles.”

Having corresponded with medical organisations, I recognise that balancing the need for patient-doctor confidentiality is paramount. In the first instance, the GP should always ask for the individual’s consent before contacting another authority, such as the police, about how the issues they are facing may impact their ability to safely possess a gun. However, doctors can break confidentiality when it is in the public interest. According to the British Medical Association, public interest is likely to be justified where it is essential to protect other people from risks of serious harm or death.

GPs also must already abide by several safeguarding protocols and laws. The Care Act 2014 sets out six key principles of safeguarding, including prevention, noting that it is sometimes possible to act before harm has come to an individual. With those existing guidelines, mandatory markers are not an attempt to reinvent the wheel; they are simply a way of flagging vital information that is key to the patients and public safety. The Royal College of General Practitioners considers it valuable to have those digital markers in place, and notes that software systems should develop, implement and secure the functionality of the markers in patient records. The college recommends that the Government work with the providers of GP systems to resolve this issue.

The BMA also supports medical markers. They told me that doctors have a professional responsibility to share information that might impact on the safety of someone holding firearms in the community, and we need effective systems to do so. The Domestic Abuse Commissioner’s office welcomes the digital medical marker and recognises the work of bereaved families who have lobbied tirelessly to ensure that action is taken to prevent future harm and further loss of life. The British Association for Shooting Conservation and the Countryside Alliance, who have a combined membership of over 200,000 people, both support the introduction of mandatory medical markers.

June 2010, March 2020, August 2021, February 2023—these dates are etched in the memories of families torn apart by gun violence: each one a failure of the system; each one a life that could have been saved. The Government have a choice: they can listen to the families of victims, to medical professionals, gun owners and the organisations working to end violence, or they can continue to leave the door open to tragedy. The Liberal Democrats believe that mandatory medical markers are a proportionate evidence-based safeguard. They allow concerns to be flagged early if someone’s health changes, rather than waiting years until a licence renewal, and can save lives. So I ask the Minister today: will he finally release the data on how many GPs are using the markers and will he commit today to making them mandatory?