Policing and Crime Bill

Lord Adebowale Excerpts

Wednesday 14th September 2016 Lords Chamber

[Baroness Hamwee]

My Lords, I am reluctant to say anything that could be interpreted in any way as negative about the initiative of my right honourable friend the Member for North Norfolk with regard to the mental health crisis care concordat. It is a very important—I was going to say “document”, but it is far more than a document. I am sure that the noble Lord, Lord Rosser, will not disagree that we should be mainstreaming mental health care in everything and should not have to refer to it specifically. I dare say we will come back to the concordat when we deal with the detention of people who are mentally ill, which we will do later in the Bill.

My only hesitation—and perhaps I should have waited to hear from the Minister, but I am afraid I could not resist jumping in to claim credit for my party and its part in the creation of the concordat—is about whether it is appropriate to refer in legislation to something which I read as being a living arrangement, something that is developing, drawing more and more parties into it and finding more and more ways of achieving its essential objective. The issue is important. It may be a matter of how it is dealt with legislatively.

[Lord Adebowale (CB)]

I support the amendment moved by the noble Lord, Lord Rosser. I have some experience of the police and their responses to mental health as chair of the commission on the Met’s response to mental health policing in London which—I hesitate to claim credit—led to the concordat mentioned by the noble Baroness, Lady Hamwee and the noble Lord, Lord Rosser. It is important that mental health is included in reference to collaboration because those people are at the sharp end of the inverse care law when it is not. I am concerned and would like to know more about the Government’s intentions in this regard. I support the amendment.

[Baroness Chisholm of Owlpen (Con)]

My Lords, I am grateful to the noble Lord, Lord Rosser, for explaining the rationale for this amendment. I feel sure he would agree with me that we are already seeing how much of a difference the concordat is making in developing and improving the response to people who experience a mental health crisis. This includes improving the accessibility of local preventive mental health services and reducing the number of times a police cell is used as a place of safety for a person detained under the Mental Health Act. As the noble Lord, Lord Rosser, stated, we shall have an opportunity to debate that issue further when we reach Chapter 4 of Part 4 of the Bill.

These are important developments that should be supported and encouraged, and I recognise the noble Lord’s intentions in proposing such a requirement. However, we must also recognise that the strength of the concordat is the flexibility that comes from it being—here is the nub—a local voluntary agreement. This means that all local partners who can make a difference can be involved, which will vary from area to area, and enables every local concordat partnership to agree actions that make sense in its area.

I will give some examples of how it is working. In Greater Manchester, local concordat partners have worked with the charity Self Help to create three places of calm where people with mental health concerns can go at unsociable hours and receive the support that will hopefully avert a crisis. In Sussex, which sees the emergency services respond to a particularly high volume of crisis incidents, the partners are working directly together in street triage schemes in most of the main towns. The triage approach has saved lives, notably at Beachy Head, where, as we know, a lot of suicides have been recorded. In the West Midlands, the police, ambulance and mental health trust share details of people who frequently call them in distress and jointly review the care being offered to them. In many cases these people are now following a constructive care plan instead of phoning in at least four times a day.

As the concordat is a voluntary agreement and does not, as such, impose specific duties on its signatories, we believe that this amendment is misconceived in suggesting otherwise. I would also question the appropriateness of singling out mental health crisis care in the Bill to the exclusion of other areas where collaboration agreements could lead to improved efficiency and effectiveness in the delivery of front-line services.

Our local emergency services are acutely aware of the need to appropriately and compassionately respond to those in mental health crisis. I have already pointed to a number of excellent examples of collaboration between emergency services. The provisions in the Bill will encourage and support further such collaboration, and although the noble Lord is right to flag this as an important area where local agencies need to work better together, I am not persuaded that adding this amendment to the Bill helps to secure such an outcome.

--- Later in debate ---

[Baroness Chisholm of Owlpen]

I cannot answer that. We have to give these agreements time to work; a lot of them are quite newly put together, and it may well be that it has not been worked out where they need specific people to deal with the problems that are happening. On the whole, where they are working, they are working well. They have led to collaboration between the police and all the emergency services, such as the health service, to come together to find where they need extra help in the areas where they have problems.

[Lord Adebowale]

I understand the point that the Minister is making but I wonder whether she might comment on this question: in areas where such concordats do not exist, are the Government willing to accept that those with mental health challenges will receive a poorer service? Do they accept that if you happen to live in an area where the voluntary agreements have not come together, you get a poor service? If the concordat is doing as well as she states, why should it not be in the Bill so that everyone can benefit?

[Baroness Chisholm of Owlpen]

I am not suggesting that where there is no concordat, people are not receiving good help. The whole point is that you do not have to have a concordat; it is voluntary. That is the strength of it. It is not always necessary to intervene in everything. People should be allowed the flexibility to organise their arrangements as they feel fit for their area.