Coroners (Determination of Suicide) Bill [HL]

Lord Bishop of St Albans Excerpts

1st reading
Tuesday 7th June 2022 Lords Chamber

A Bill to require the coroner, following an inquest, to record an opinion as to the relevant factors in a case of death by suicide; and for connected purposes.

[The Lord Bishop of St Albans]

My Lords, in moving the Bill, I declare my interest in the register as a vice-president of Peers for Gambling Reform.

The Bill was introduced by the Lord Bishop of St Albans, read a first time and ordered to be printed.

Coroners (Determination of Suicide) Bill [HL]

Lord Bishop of St Albans Excerpts

2nd reading
Friday 28th October 2022 Lords Chamber

Moved by

[The Lord Bishop of St Albans]

That the Bill be now read a second time.

[The Lord Bishop of St Albans]

My Lords, I declare my interest as a vice-chair of Peers for Gambling Reform.

I am glad to bring before the House the Coroners (Determination of Suicide) Bill, now in its third iteration. This latest version is significantly different from the previous two; it has taken on board many of His Majesty’s Government’s criticisms and attempted to resolve them. Indeed, the Minister who dealt with the Bill in the previous Session, the noble Lord, Lord Wolfson of Tredegar, had hoped to speak today from the Back Benches but has to be in court. He has, however, given his permission to say that he supports the aims of the Bill. Because we have tried to respond to the points made by the Government, I will listen attentively to the Minister as he outlines their response, given that I believe their concerns have largely been dealt with.

The genesis of the Bill is the frustration that many of us in your Lordships’ House have felt when we have tried to bring in sensible reforms to the Wild West of online gambling, which is causing untold suffering in communities across our nation. More than a third of a million adults in our country are now diagnosed with a gambling addiction. More than 62,000 teenagers, who in law are not even allowed to gamble, have been diagnosed with a gambling problem. With an estimated more than 400,000 suicides every year due to problem gambling, we need to address this problem in a sensible way. On a number of occasions when I and other noble Lords have raised the issue in the House, the Government have resisted our attempts to bring some order to this sector, simply claiming, “We don’t understand the size of the problem.” The Bill is a proposal for one way of obtaining more data.

Although the first two versions of the Bill included explicit references to gambling, those have now been removed and replaced with a means to record a wide range of causative factors in suicides. Previously there were concerns that the recording of such factors would interfere with the traditional remit of the coroner and the inquest process. Noble Lords will be aware that for centuries coroners have been given the task of answering the questions “Who?”, “What?”, “When?” and “How?” but not “Why?”. That is a criticism that I have taken seriously. I have endeavoured to ensure that the recording of causative factors explicitly occurs following the conclusion of an inquest and will therefore have no impact on the official death certificate or, indeed, the inquest process.

I point out in passing that many coroners, either informally or through the use of a prevention of future deaths report, already comment on the causes of many suicides. For example, Mr Andrew Walker, a senior coroner from north London, has spoken publicly on many occasions recently following the death of Molly Russell, who took her life by suicide. I quote from his statement:

“Molly subscribed to a number of online sites … some of these sites were not safe as they allowed access to adult content that should not have been available for a 14-year-old child to see … Molly had access to images, video clips and text concerning … self-harm, suicide or that were otherwise negative or depressing”.


Even on the train this morning I read another comment by a coroner talking about the question of “Why?” This is something which is happening, and coroners seem to be doing it fairly regularly.

The Bill requires the Secretary of State to draw up guidance on what factors the coroner must consider and the form in which these factors should be recorded. Furthermore, citing fears from coroners that the Bill would oblige them to record a factor or factors in instances where they feel insufficiently able to make that determination, provisions are included to require an option of “no discernible factor” to be included in the guidance.

Obviously, I would expect and hope that gambling-related harm is included as a factor in the Secretary of State’s guidance. Still, the purpose of having the guidance and collection method drawn up by the Secretary of State is to enable a system of generalised data collection which could be streamlined across different coronial jurisdictions. This is crucial, as under Clause 1(6) of the Bill the Office for National Statistics will be required to collect the opinions recorded on the factors causative to suicides in the UK in order to publish them on an annual basis. This information will prove crucial in informing the Government’s suicide prevention programme, alongside the research and work performed by charities and other organisations.

Additionally, new provisions are outlined in Clause 1(7) which prevent information relating to risk factors being released in any way that could lead to the identification of the deceased. Clause 1(8) prevents risk factors collected being used as evidence in any court proceedings. These provisions, though unusual, stem from concerns that the Government had about whether the recording of risk could later be used to attribute civil liability to either individuals or businesses. By preventing the disclosures of identities or the use of risk factors as evidence, this concern would be clearly mitigated.

On the technical aspects of the Bill, these updated provisions create a strong framework to enable the recording of factors causative in a death by suicide without interfering with the coronial process, placing undue responsibilities on the coroner or creating judicial difficulties. I hope that this updated version of the Coroners (Determination of Suicide) Bill will commend itself to His Majesty’s Government and that they too will recognise the importance of collecting information on the risk factors that cause suicide in the UK.

Suicide prevention cannot simply be about interventions to prevent suicide, though I do not discount the importance of this. People rarely commit suicide without reason. In fact, there is nearly always a reason, known in coronial circles as the “causative factor”. It is only by addressing these causative factors that we can have an effective suicide prevention strategy. This necessarily requires accurate knowledge of the main, leading factors driving suicides in the UK today.

A number of Members of your Lordships’ House who are part of Peers for Gambling Reform have argued that one cannot reduce the estimated 409 annual gambling-related suicides—that estimate is by Public Health England—without a comprehensive package of better treatment for those suffering and better regulations to curb the excessive harms caused by online gambling.

In 2020 there were 5,224 suicides in the UK. Aside from age, gender, location and method, we know virtually nothing about the causes, which limits our capability to devise strategies to reduce the number of suicides—something which His Majesty’s Government have committed to doing. This Bill, in a modest way, would enable the accurate recording of risk factors across various coronal jurisdictions in a safe and secure manner, without compromising the identity of the individual or the inquest process.

I recognise that the ability of the coroner to not record anything might limit the accuracy of the data but I am hesitant to place an unfair burden on coroners, and recognise the importance of taking this forward with their support rather than against their will. Nevertheless, the perfect should not be the enemy of the good, and I believe the framework presented in this Bill will provide a good framework for the collection of this information. I beg to move.

--- Later in debate ---

[The Lord Bishop of St Albans]

I thank noble Lords for their speeches. I will not go into them in detail, because we hope to come back to this at a later stage, when we can explore them further. I shall just respond to the Minister though, because it seems to me that there is a potential inconsistency in the reasons he has given.

For example, the Minister said that it is very difficult for the coroner to determine “why”. Yet, he conceded in his third point that they are already able to issue the precise reasons why under the prevention of future deaths report, which could not be made unless some sort of view was taken on what had caused the deaths. I totally take the point a number of noble Lords have made, that this is a very inexact way forward; it is certainly not perfect. The Bill has got to its third iteration because at every stage, when people have told me, “I wouldn’t do it like that”, I have asked them how they would do it. I can see all the problems, but I hope that with the help of noble Lords, not least those noble and learned Lords who have brought their considerable legal expertise—I am delighted to have such eminent judges, people who really understand the law, commenting on this—we can improve it.

Our system of taking Bills through Parliament is one of improving them together. I say to the noble and learned Lord, Lord Thomas: let us look at the issue. Is it the Secretary of State or is it the Chief Coroner? Perhaps he could bring us an amendment on that. Let us sort out these problems. These are areas where I have no experience at all; I am just a jobbing Bishop from the sticks. We have these legal experts here who can help us, so I thank them very much and hope they will enable us to improve the Bill as we bring it back.

I want to go back to the basic facts. There are more than 400 suicides a year. We heard stories in the Select Committee of families who have been rent apart and will never be the same. Take the story of Jack Ritchie. His parents have been in this place several times and are now campaigners. Their whole lives have been destroyed, as they watched their son get destroyed. They could see that it was going to happen but felt powerless to do anything. We have to do something. The Bill may not be perfect but, please, let us see what we can do to improve it so that we can get the data to allow us to inform His Majesty’s Government’s suicide prevention strategy—not just on problem gambling but on other forms of addiction and other areas. This could be a significant way forward if your Lordships could help me forge it into something better. I beg to move.

Bill read a second time and committed to a Committee of the Whole House.

Coroners (Determination of Suicide) Bill [HL]

Lord Bishop of St Albans Excerpts

Order of Commitment discharged
Tuesday 31st January 2023 Lords Chamber

Moved by

[The Lord Bishop of St Albans]

That the order of commitment be discharged.

[The Lord Bishop of St Albans]

My Lords, I understand that no amendments have been set down to this Bill and that no noble Lord has indicated a wish to move a manuscript amendment or to speak in Committee. Unless, therefore, any noble Lord objects, I beg to move that the order of commitment be discharged.

Motion agreed.

Coroners (Determination of Suicide) Bill [HL]

Lord Bishop of St Albans Excerpts

3rd reading
Friday 16th June 2023 Lords Chamber

Moved by

[The Lord Bishop of St Albans]

That the Bill do now pass.

[The Lord Bishop of St Albans]

I hope noble Lords will grant me the indulgence of saying a few words about this Bill. In so doing, I declare my interest as a vice-chairman of Peers for Gambling Reform and a vice-president of the Local Government Association. I express my appreciation for those Members of the House who have been so helpful. This is the third iteration of this Bill that I have brought before your Lordships’ House, and I believe it has been radically improved. I thank my parliamentary researchers past and present, Sam Parker and Chris Grozdoski, and in particular the noble and learned Lord, Lord Brown of Eaton-under-Heywood, and the noble Lord, Lord Wolfson of Tredegar, for their advice and valuable suggestions. I also thank members of Peers for Gambling Reform for their steadfast support as we have taken this Private Member’s Bill through your Lordships’ House.

This Bill follows nearly a decade’s work on gambling reform and is part of a much wider move to protect the many people whose lives are being adversely affected, particularly by online gambling. The campaign for gambling reform is massive. The most up-to-date statistics indicate that there are more than 400 gambling-related suicides each year. That means that, at least once a day, a family loses a son, daughter, husband, wife or someone else to gambling. The campaign to highlight what is going on and work out how to prevent suicides has been hindered because we have so little evidence and so few statistics to inform what we are doing.

This Bill was an attempt to try and get some better stats. I have received many approaches from people and campaigners who see the value of collecting data—not just for those who are campaigning, as I am, for better regulation of online gambling, but other agencies that feel they are hindered because they do not have the data to inform their suicide prevention strategies.

I thank the Minister for his letter to me in which he explained to me why His Majesty’s Government are unable to support my Private Member’s Bill and how they believe that the use of the prevention of future death reports are the way forward. I will continue to ponder the points he has made and to talk to coroners and other people deeply involved in this complex area. However, I have been deeply encouraged by many people in this House urging me to keep going on this. Therefore, I am delighted that there is a Member of the other place who has been persuaded of the merits of this Bill and will sponsor it through the other place. I know it is not going to become law, but I hope that, having made the arguments, we might find a way to address the fundamental issues—perhaps in amendments to other legislation which will come through Parliament—so we can really try to protect those whose lives are being lost and reduce the devastating consequences on families across our nation. I beg to move.

[Lord Ponsonby of Shulbrede (Lab)]

My 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.

[The Parliamentary Under-Secretary of State, Ministry of Justice (Lord Bellamy) (Con)]

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.

[The Lord Bishop of St Albans]

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.

Bill passed.