Policing and Crime Bill

James Morris Excerpts

Monday 13th June 2016 Commons Chamber

[Ann Coffey]

I thank the Minister for that positive reply. When the Bill goes to the Lords, I look forward to seeing the Government’s response in amending it.

[James Morris (Halesowen and Rowley Regis) (Con)]

I rise to speak to the new clauses tabled by my hon. Friend the Member for Broxbourne (Mr Walker) and by the right hon. Member for North Norfolk (Norman Lamb). As chair of the all-party parliamentary group on mental health, I start my remarks with the caveat that the changes the Bill makes to sections 135 and 136 of the Mental Health Act 1983 are very substantial and significant. Over the past few years, there has been considerable improvement in the way in which police forces and police officers deal with people in mental health crisis.

New clauses 42 and 43, tabled by my hon. Friend the Member for Broxbourne, relate to police officers being deployed in psychiatric wards. New clause 42 raises some important questions about occasions when police officers are requested to take action within health-based settings, particularly acute psychiatric settings. That speaks to an important developing relationship between the police and the health service. Sometimes, because of the particular nature of an individual’s condition, or other circumstances, it may be appropriate for police to be deployed in psychiatric settings, but that should happen only in very exceptional circumstances. We might need to look at how acute psychiatric units go about risk-profiling patients who are currently in acute psychiatric settings in order to ensure that it is very rare and exceptional for police officers to be called on to take action within those settings. I broadly support the intentions of the new clause tabled by my hon. Friend, who has done a lot of very important work in this area, of which he is a champion.

I also have a lot of sympathy for my hon. Friend’s new clause 43, which is about Tasers. I agree that only in the most exceptional circumstances should Tasers be used within acute psychiatric settings and that we should have very clear guidance and guidelines as to the appropriate time for the deployment of that kind of force.

New clause 58, tabled by the right hon. Member for North Norfolk, who has not yet had an opportunity to speak to it, raises important issues in relation to implementing the changes to sections 135 and 136 of the Mental Health Act. It refers to the controversial idea of a person’s private dwelling being characterised as a place of safety. This speaks to the relationship between policing and the health service in terms of the operation of places of safety. We need to think about how we can provide a broader range of alternative places of safety, some of which might be based not in the national health service but in the voluntary sector or in crisis houses, and about the capacity of the system to provide appropriate places of safety.

[Mike Penning]

This is a really important point. To be brutally honest, unless we say, “No, we will be the port of last resort”, we will continue to be the first place that people come to, and that then pushes other Departments into getting their act together to do something. The police are now having to say, as we are saying in the Bill, that they will not hold people in police cells inappropriately, as they have been doing for too many years. That will force other Departments to do exactly what my hon. Friend is talking about.

[James Morris]

I thank the Minister for that intervention. There may be a role for police and crime commissioners to explore the need to work more closely with the health service and others to provide the capacity for appropriate places of safety such that police officers do not have to make the sorts of decisions implied by new clause 58.

The overall changes to sections 135 and 136 of the Mental Health Act are essential and quite transformative. We have to be very clear about what we mean by the exceptional circumstances in which people are detained, perhaps moving to a system where it becomes inappropriate in all circumstances even for adults to be detained in police cells. I recognise that there may be a need to define the exceptional circumstances in which that might happen. The proposed changes are positive. The new clauses I have discussed raise important questions that the Minister should consider in summing up.

[Norman Lamb]

It is a pleasure to follow the hon. Member for Halesowen and Rowley Regis (James Morris). I also welcome the contribution made by the hon. Member for Broxbourne (Mr Walker), who does an awful lot of campaigning on this issue.

I have tabled a number of new clauses and amendments. The first issue I want to deal with is whether we should disallow the use of Tasers on psychiatric wards. Before I get into the detail, I, like other speakers, want to acknowledge the inspiring leadership of many police leaders who, through force of strong moral leadership, have managed to change practice in many parts of the country. We owe them an enormous debt of gratitude.

On the issue of Tasers on psychiatric wards, the hon. Gentleman referred to Black Mental Health UK, an important campaigning organisation. As he said, it has drawn attention to the fact that

“in particular Black African Caribbean men”

are

“disproportionately over-represented in S136 detentions compared to the general population.”

That, incidentally, is a conclusion from the joint Home Office and Department of Health review of sections 135 and 136. It has also been reported that the police are more likely to use force against black African-Caribbean men.

I want to challenge the assumption that force is necessary at the level with which it is used at the moment. Black Mental Health UK refers in its briefing for this debate to the United Nations committee against torture, which has stated that Taser X26 weapons provoke extreme pain and constitute a form of torture and that in certain cases they can also cause death. Although they are termed non-lethal, almost 10 known deaths have been associated with the use of Tasers in the past 10 years.

I want to get a debate going on the subject. I am delighted that the Home Secretary herself has said:

“I have been hearing stories, for example, of Tasers having been used in mental health wards and you think, ‘Hang on a minute, what is happening here?’”

That is what we should all be doing: we should be questioning whether that is appropriate, and that is why I tabled new clause 40.

My amendment 124 would, in effect, prohibit the use of police cells as a place of safety for adults. I welcome the fact that the Government are implementing, through this Bill, the joint review’s recommendation to end the use of police cells for children and young people. However, the inspiring leadership of many police officers, working closely with mental health services, means that, in all but the most extreme cases, the use of police cells for such purposes has ended in some parts of the country. In London, for example, hardly any adults go into police cells as a result of section 136, and the same is true about the west midlands over the past two years. If those areas of the country with impressive leadership can do it, we should challenge every part of the country to do so, and the Bill should lead the way.

I welcome the fact that the Minister himself said on Second Reading:

“Unless we actually put a stop to that”—

the use of police cells—

“and say, ‘Enough is enough,’ we will not get the provision we need from other agencies.”—[Official Report, 7 March 2016; Vol. 607, c. 102-103.]

That is absolutely right. We cannot use the fact that the NHS is under pressure as an excuse not to do this. If it is wrong, it is wrong, and it needs to be challenged.

My new clause 45 would ensure that, in every case where there has been evidence of child sexual exploitation, the victims are referred for a mental health assessment. “Future in mind”, the report that I published in March 2015 following a taskforce that we set up to consider children’s mental health services, set out the need for trauma-focused care and for sexually abused and exploited children to receive

“a comprehensive specialist initial assessment, and referral to appropriate services providing evidence-based interventions according to their need.”

The new clause seeks to implement that recommendation.

In its briefing for this debate, the Local Government Association supports the intention, but again raises concern about investment. Are we really saying that the lack of availability of mental health services is a reason not to ensure that every child who has suffered sexual exploitation gets the chance to receive a proper assessment? Surely we have to set what is right in legislation and then ensure that we provide the facilities to make it happen. Anything short of that is not acceptable.

--- Later in debate ---

[Norman Lamb]

The hon. Gentleman is absolutely right. The fear is that that will become the default position in some localities because of the lack of resources available. That would be a big mistake. In circumstances where section 136 is used, surely the person should be taken to a health-based place of safety. A real effort is under way around the country—it is showing signs of success—through the use of approaches such as the street triage service, to reduce substantially the use of section 136 at all and to deal with issues in a more informal way. However, where it has to be used, we must make sure that the person is taken to the right place.

[James Morris]

Does the right hon. Gentleman accept that perhaps we need to think about the definition of “health-based place of safety”? The definition is in the control of the national health service, but perhaps it needs to be broader so that it can mean a voluntary organisation or elsewhere. That would be one way of improving our capacity.

[Norman Lamb]

I noted the hon. Gentleman’s remarks in his speech a few moments ago and he is absolutely right. A crisis house or a place of safety provided by a particular community for one of its people may well be the best place for them to go. We should be willing to open up the definition in an appropriate way.

New clause 59 centres on the right of those detained under sections 135 and 136 to an appropriate adult. Anyone detained under the Mental Health Act 1983 has a right to an independent mental health advocate, except when the detention is under sections 135 or 136. In such circumstances, the person may be very vulnerable, so surely the Bill should embrace the idea, as Mind has argued, that they should have a right to an appropriate adult.

Finally, I want to address the issue of when the clock should start. I welcome the fact that the Bill reduces to 24 hours the maximum length of time for which someone should be held under section 136 while the assessment takes place. There is a critical question, however, about when the clock starts. If there is pressure on resources and facilities, someone could be kept in a police van and driven around a city—that does happen sometimes. That time, under the Government’s proposed definition, would not count. Some hours could pass before the person arrived at the place of safety. Mind’s argument, which is contained in amendment 125, is that the clock should start when a person is detained rather than when they arrive at a place of safety.