Healthcare: Yarl’s Wood

Lisa Cameron Excerpts

Wednesday 6th January 2016 Westminster Hall

[Kate Osamor]

The hon. Lady makes a valuable point. As she eloquently said, the woman may have experienced trauma at the hands of men and then may have to sit and talk to a man and undress in front of him, which could double or triple the impact of what they have been through. It would be wonderful if the Minister could provide some data on the ratio of male to female members of staff.

Furthermore, medical appointments often take several hours, much longer than the newly restricted one-hour lunch-break slot. Thorough medical assessments are vital in light of the poor quality of healthcare and are instrumental in helping to identify the most vulnerable detainees. Medical Justice wrote to Yarl’s Wood in October 2015 about the matter and was told it was down to the Home Office. It subsequently wrote to the Home Office and has received no reply. I hope this debate will bring forward a proactive response.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

I thank the hon. Lady for securing this important debate. Does she agree that comprehensive trauma assessments for women necessitate a lengthy process over several sessions over a period of time, because people generally find it difficult to open up and discuss intimate details in a one-off consultation?

[Kate Osamor]

The hon. Lady makes a valuable point, and she knows from experience how much time it takes to be able to extract information when someone has been tortured. A one-hour slot is inadequate.

I want the Government to think about the harmful nature of detention as a policy, so I reiterate my requests that the Government lift restrictions on visiting times for independent doctors and refurbish legal rooms so that they can accommodate medical consultations in a dignified and professional manner; that they ensure that rule 35 is properly used to fulfil its function as a safeguarding mechanism for the most vulnerable; and that they end the detention of pregnant women and those detained under the Mental Health Act.

I hope that the Government will respond to my specific demands. I will say pre-emptively that while I welcome their efforts to address the matter through the Shaw review, its scope is limited. By not addressing detention as a policy, particularly for asylum seekers, it fails to deal with the root of many of the healthcare issues at Yarl’s Wood: detention exacerbates existing mental health issues, particularly for vulnerable victims of torture, and has a lasting impact on their wellbeing. It is important that the Government consider the long-term impact of detention on the mental health of ex-detainees when reviewing their policy, especially given that the latest figures collected by HMIP show that the number of women released into the community is more than double the number of women deported. Women who had been previously detained in Yarl’s Wood have told me of the devastating impact it has had on their mental health.

The Government must act now to improve a healthcare situation that has been severely criticised by women inside Yarl’s Wood, ex-detainees, and independent organisations. I particularly hope that my first demand regarding independent visits can be accommodated as a matter of urgency.

--- Later in debate ---

[James Brokenshire]

I will be careful not to pre-empt the Government’s response, but the hon. Lady will not have long to wait for the Shaw report. I recognise the importance attached to it. Indeed, the Home Secretary commissioned the report because of the importance we attach to it. My comments today will be based on the position as it stands, but the Government will have more to say on these issues shortly.

[Dr Lisa Cameron]

I speak as the MP for the constituency where Dungavel is based, and also as a psychologist. When I visited that centre, it struck me that another issue of vulnerability for individuals who have suffered abuse and trauma is being detained alongside foreign national offenders who may be violent or sexual offenders. Will the Minister comment on how such risks are assessed, particularly given that it was pointed out to me that prison records do not always follow foreign national offenders into the units?

[James Brokenshire]

I assure the hon. Lady that risk assessment takes place. There is sometimes a mix of different people within an immigration removal centre: some of them will be foreign national offenders, and others will be there as a consequence of the removal process. It is worth underlining that we are talking about immigration removal centres. The primary purpose is the removal of people from this country, but there will be public protection issues, and risk assessment is clearly a core part of the operation of any immigration removal centre.

I am conscious that I now have four minutes left to respond to the various points made, so I will try to make as much haste as I can. Several Members mentioned indefinite detention. It is not possible to detain under immigration powers indefinitely. There are significant, long-standing and, we believe, appropriate protections against the arbitrary use of administrative detention by the state in this country.

I say to my right hon. Friend the Member for Meriden (Mrs Spelman) and other Members that we are carefully considering alternative options to detention. Our published policy is clear that alternatives to detention should be used wherever possible. As I indicated on Report of the Immigration Bill, we are considering the overall issues of the detention estate more broadly and are examining alternatives as part of that ongoing work. Members referred to the family removals process.