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Coroners (Determination of Suicide) Bill [HL] Debate
Full Debate: Read Full DebateLord Bellamy
Main Page: Lord Bellamy (Conservative - Life peer)Department Debates - View all Lord Bellamy's debates with the Ministry of Justice
(2 years ago)
Lords ChamberMy Lords, may I also congratulate and thank the right reverend Prelate the Bishop of St Albans for again providing the opportunity to debate this important and sensitive issue and for his strenuous and tenacious efforts to improve the Bill to meet the points made in previous debates? In fact, the Bill is now wider than it was before in that it extends to all suicides, instead of just those related to gambling. This is an extremely important area and the Government very much share the thoughts expressed this morning on the importance of gathering quality information on the circumstances that can lead to a suicide.
There were a number of extremely moving contributions this morning. I make particular mention of the need for better data on assisted suicides, the point made by the noble Baroness, Lady Berridge. I also mention her points about gambling addiction, and those made by the noble and learned Lord, Lord Brown. However, despite these efforts, the Government are not yet in a position to support the Bill, essentially for three reasons which I will briefly set out. The central question is the one raised just now by the noble Baroness, Lady Merron, which is whether the coronal system is the right way forward for this exercise. The Government do not support the Bill for three reasons.
First, the Bill is not an appropriate extension of the coroner’s jurisdiction. The coroner is there to decide when, where and how somebody died: whether it is accidental death, suicide, natural causes, unlawful killing, open verdict or whatever. To go further and ask why somebody died is to move from the objective to the difficult, subjective, extremely complex, often speculative and very often deeply mysterious question of why somebody chose to take their own life. That would be a major and obligatory extension of the scope of the investigation. It is not a complete answer to say that it would be separate from the verdict and after the verdict, because they still have to do the investigation.
We cannot rely on the information available to different coroners’ courts or different inquests being complete; we cannot rely on it being consistent; and it is likely to be fraught with emotion and subjective feelings. To investigate these things may well cause extra distress to the families involved and to the privacy of the family, and may in that sense be counterproductive. It would certainly require considerable extra resources and extra time for a system that is already resource-stretched. It is difficult enough, especially post pandemic, for the coronal system to do its existing job, let alone have this extremely extensive and potentially very difficult new burden imposed on it. In the Government’s view there are significant downsides to the Bill, however laudable the objective. We entirely agree that the objective is laudable, and the right reverend Prelate is to be congratulated on putting the Bill forward, but the question is whether it is the right way forward. The main argument being relied on, it seems to us, is that it is essential to have better data about suicides.
The second reason for the Government’s position is that our view is that this, as a system, is most unlikely to be able to produce statistical information that is significantly complete, comprehensive or consistent across jurisdictions to be useful for the purposes of setting policy or for the purposes of the ONS to publish reliable, objective information where we are necessarily dealing with subjective, sometimes speculative and sometimes completely unknown reasons as to why somebody killed themself. However laudable it is, we do not accept that the coronal system is the best way forward for collecting more data on the reasons for suicide.
The third reason, which has been mentioned indirectly several times this morning, is that we already have, in effect, a system for publicising and drawing attention to difficult cases, through the establishment of the system for prevention of future death reports: it is already there, essentially. Particular mention has been made of the PFD report into the sad death of Molly Russell, who died from an act of self-harm due to the negative effect of online content. Mention has also been made of the tragic death of Jack Ritchie, a young man who took his life following problems with gambling. In those cases, through the existing system, the coroner could draw attention to the circumstances. We already have a working system, so is it really justified to impose the further obligation, in all cases, to go in sufficient detail into the question of why? The Government’s position is that the prevention of future death report system is working well, that it produces the information, and that it would be disproportionate and potentially counterproductive to take the Bill further.
More generally, the Government are committed to expanding and transforming mental health services in England. As the noble Baroness, Lady Merron, mentioned, we have already had a call for evidence on the longer-term priorities for mental health, well-being and suicide prevention. That call for evidence closed on 7 July. I was asked when we are planning to publish our plan, and she raised two other points in reference to the comments of Minister Keegan and what progress we have made in real-time suicide monitoring in various contexts. I am not able to give detailed information this morning, but I will write as soon as I can, because this is an important question that the Government take extremely seriously.
For those three principal reasons—the extreme difficulty of investigating the why in every case under the compulsory requirements in the Bill; the difficulty, even if we did investigate it, of knowing whether the information is reliable for statistical purposes; and the existing prevention of future death reports, which fill that gap—the Government oppose the Bill. Finally, I support the comment made by the noble and learned Lord, Lord Thomas, to the effect that it would be constitutionally inappropriate for the Secretary of State to give directions to independent judicial officers such as coroners. That point, in my respectful submission, is entirely right and is a further but subsidiary reason for opposing the Bill.
Coroners (Determination of Suicide) Bill [HL] Debate
Full Debate: Read Full DebateLord Bellamy
Main Page: Lord Bellamy (Conservative - Life peer)Department Debates - View all Lord Bellamy's debates with the Ministry of Justice
(1 year, 5 months ago)
Lords ChamberMy Lords, I congratulate the right reverend Prelate the Bishop of St Albans for his persistence on this matter. As he said, it is the third iteration of this Bill. I think it has been improved and has, if nothing else, it has prompted the full engagement of the Government on this matter. As we will hear from the Minister, and as far as I am aware, the Government are taking on board the points that the right reverend Prelate is making, but maybe not in the form of this Bill. Nevertheless, that is progress. In a sense, it shows the power of Private Members’ Bills, even when they do not ultimately succeed in themselves, because they are part of a process.
I also urge the right reverend Prelate the Bishop of St Albans to continue his campaign. Gambling is a source of addiction. He has mentioned the 400 suicides each year related to gambling, particularly among young men, and I remember him making that point in previous debates. This is a very important area. The coronial system may be one part of the solution, but I hope to hear from the Minister that there is a wider consideration of how to reduce gambling-related suicides, which are a scourge on our society.
My Lords, I, too, thank the right reverend Prelate the Bishop of St Albans for, again, providing a valuable opportunity for the House to debate this deeply sensitive issue. I also respectfully commend his tireless commitment to highlighting the need for a better understanding of the factors that may contribute to a person’s tragic decision to take their own life and to, in his words, collect “better stats” on this issue in the gambling context. The Government fully recognise the importance of gathering better information on these factors. I thank the right reverend Prelate for the changes that have been brought forward to the Bill, and all noble Lords who have spoken on this hugely important issue.
However, the Government believe that this measure is not quite the right way to tackle these important issues, and I shall briefly explain why. This Bill would require a coroner to record an opinion as to the relevant factors in the case of a death by suicide. That would radically change the nature of the coronial investigation and the nature of an inquest. The scope of a coroner’s inquest is to determine who has died and how, when and where they died. The key issue is how—the issue is not why. It is focused on the physical means of death and whether the verdict should be suicide, accidental death, unlawful killing and so forth. The legislation is quite clear that it does not extend to determining the much deeper issue of why somebody died, which may well be a very mysterious and complicated issue, and could date back to some childhood trauma. For that reason, the Government do not feel it is right to extend the coroner’s jurisdiction in this way. The Bill, as presently drafted, would extend to all inquests, whether gambling-related or not.
We already have, as the right reverend Prelate pointed out, a mechanism within the coronial system where, if they think fit, coroners can draw attention to particular circumstances in particular cases—the system known as the “prevention of future death” report. That is an option the coroner can pursue; it is entirely up to them, if they feel there are particular circumstances that they wish to make more widely known so that preventive action can be taken in other cases. It is perfectly clear from past case law, and a recent case in the High Court—Dillon against the assistant coroner for Rutland in north Leicestershire—that this is entirely a matter for the coroner, and their principal duty is to determine who has died and how, when and where they died. It is also true that the investigation of relevant factors could be a very difficult job in an inquest, and possibly quite distressing for family members. For those reasons, the Government are not able to support this Bill.
However, there are a range of initiatives that are being put in place to deliver on the Government’s commitment to understand better the circumstances that lead to self-harm and suicide and to support effective interventions. In relation to gambling addiction, which is of particular significance to the right reverend Prelate, the Government have recently published a comprehensive package of measures and the gambling White Paper, including a statutory levy to fund enhanced research, education and treatment. More generally, the Government have committed, through the NHS, to a long-term plan to expanding and transforming mental health services in England to support local suicide prevention plans and develop suicide bereavement services. The 2021 fifth progress report on the national suicide prevention strategy is now being supplemented by a new national suicide prevention strategy to be announced by the Department of Health and Social Care later this week. There is more I could say about our commitment to taking forward and improving effective surveillance and prevention, but I hope that I have given the House at least some indication of the important the Government attach to this vital issue.
This House is in the course of debating the Online Safety Bill, which was referred to in the debate we have just had and, in that context, there will be a further opportunity to revisit the issues that have been canvassed today in a general sense. I reiterate the Government’s gratitude to the right reverend Prelate for this debate today. I thank all noble Lords for their contributions on this difficult matter.
I give my thanks to the noble Lord, Lord Ponsonby of Shulbrede and the Minister. Protocol prevents me from engaging with any of the points the Minister made, but I thank him for the careful consideration he has given. Our discussions will go on as we look to the future. Meanwhile, I beg to move that this Bill do now pass.