Lord Parkinson of Whitley Bay
Main Page: Lord Parkinson of Whitley Bay (Conservative - Life peer)Department Debates - View all Lord Parkinson of Whitley Bay's debates with the Home Office
(3 years, 9 months ago)
Lords ChamberMy Lords, first, I draw the attention of the Committee to my relevant registered interest as a vice-president of the Local Government Association. These Benches welcome and support all the amendments in this group.
Amendment 22, moved by the noble Lord, Lord Ramsbotham, seeks to put a clear statement in the Bill that, in encouraging good practice as required by Clause 7, the domestic abuse commissioner must include identification of and response to any speech and communication needs that people have. The noble Lord, Lord Ramsbotham, using his extensive experience of work in the criminal justice system, as Chief Inspector of Prisons, gave us a clear example of why this is so important. My noble friend Lady Andrews made a point about how important it is to be able to use language to express and defend yourself. My noble friend also made the point that children witnessing abuse of a parent by another parent or partner is a horrific form of abuse. We have heard from other noble Lords that lifelong damage can be caused to a child who witnesses that form of abuse.
The noble Lord, Lord Shinkwin, in an important and thoughtful contribution, explained to us the difficulties that he suffered 25 years ago and the effect that they had on his speech at the time. His contributions are always valued and respected in the House, and I am very sorry to learn that he feels that that is not the case.
I cannot see who would not agree with any of the amendments in this group. The first, Amendment 22, seeks to ensure that support is available and generally accessible to every victim. We may be told in a moment by the noble Lord, Lord Parkinson of Whitley Bay, that this amendment or these amendments are not needed, and that support is implied anyway. That may be so, and I am sure the noble Lord will set out his case shortly, but I think he needs to go further and that the Government have to provide every reassurance necessary. It may be that the noble Lord thinks that the provisions are adequately covered under Clause 7(2)(a) and (b), along with the powers set out in Clause 9. If that is the case, can the noble Lord make that expressly clear in his reply to this debate?
Amendment 92 seeks again to put a commitment in the Bill that a local authority will identify and respond to speech, language and communication needs when preparing its strategy for the support of domestic abuse victims—something that I and many other noble Lords fully support. Again, when responding to the debate, if the noble Lord thinks that this amendment is unnecessary and is going to rely on the powers set out in Clause 55(8) and (9)(b), and/or the powers contained under guidance in Clause 58, can he confirm than the Secretary of State will address the issue specifically through one of these routes?
Amendment 110 seeks to address the same issue as the previous amendments, this time in respect of providing proper support for victims during court proceedings. Again, if we are to be told by the noble Lord, Lord Parkinson of Whitley Bay, that this amendment is also not necessary, it would be helpful to have reassurances on the record that these important issues will be fully addressed by the rules of the court or other provisions.
Finally, Amendment 187 seeks to put points in the section related to guidance in the Bill that have been raised in previous amendments, along with the important issue of children witnessing domestic abuse and the effect that has on speech, language and communication needs, which many noble Lords raised in this short debate, including my noble friend Lady Andrews and the noble Baroness, Lady Finlay of Llandaff. I look forward to the noble Lord’s response to this short debate.
I start by paying tribute to the noble Lord, Lord Ramsbotham, for his work as co-chairman of the All-Party Parliamentary Group on Speech and Language Difficulties, as he set out in opening this debate. The ability to communicate is a crucial life skill, so I welcome all the work that he and my noble friend Lord Shinkwin do in this area. He brought passion and personal insight to his contribution to the debate today. We are all extremely glad to have his voice, and the benefits of his experience and extensive work, in your Lordships’ House.
We all know that domestic abuse has a devastating impact on all its victims, and recognising the specific needs of individual victims is essential. Those facing communication barriers are, arguably, some of the most vulnerable victims of domestic abuse, given the added difficulties that they have when it comes to speaking out or asking for support. The noble Lord, Lord Ramsbotham, gave two powerful examples in his speech from his experience as Her Majesty’s Chief Inspector of Prisons.
I thank noble Lords for their brevity on this short but important group, particularly the noble Lord, Lord Rooker, for his commendable example. All the amendments in this group are to Clause 7(2), which I am happy to confirm to the noble Baroness, Lady Hamwee, is a non-exhaustive list of the things that the commissioner may do in pursuance of her general duty under subsection (1). To be clear, subsection (1) sets out the parameters of the commissioner’s functions, not subsection (2).
Among the commissioner’s functions is encouraging good practice in relation to the prevention of domestic abuse and
“the identification of … people who carry out domestic abuse”.
That being the case, I have no doubt that monitoring and assessing perpetrator behaviours falls within the sphere of the activities that the commissioner could undertake in her pursuance of a general duty. As the noble Lord, Lord Hunt of Kings Heath, said, that is a relevant and important facet to consider.
As the noble Lord, Lord Kennedy of Southwark, said, we will debate later an amendment in the name of my noble friend Lady Bertin relating to the need for a perpetrator strategy, so I will not dwell on that issue now. The question is whether the indicative list of activities in subsection (2) is the right one. It is the nature of an indicative list that it is illustrative, as it is here, so I reassure the noble Baroness, Lady Hamwee, that there is sufficient latitude in the commissioner’s general duty to enable her to undertake work in relation to addressing the behaviour of perpetrators.
On Amendments 25 and 26, I again make the point that subsection (2) is an indicative list of activities. It does not preclude the commissioner making recommendations to voluntary bodies if she wishes to do so. However, Clause 7(2)(b) needs to be read alongside Clause 16, which requires Ministers and public bodies specified in Clause 15 to respond to the commissioner’s recommendation within 56 days. We believe it is appropriate to limit this duty to respond to certain public bodies, given that it clearly puts demands and expectations on them.
Clause 7 does not preclude the commissioner making recommendations to voluntary organisations and others, but as there is no corresponding duty on them to respond to such recommendations the focus of Clause 7(2)(b) is properly on public authorities alone. I hope that assures the noble Baroness that Clause 7 already allows for the matters she wanted to explore with her amendment, and that on that basis she will be willing to withdraw it.
My Lords, I am grateful to the noble Baronesses, Lady Burt of Solihull and Lady Hamwee, and the noble Lord, Lord Rosser, for setting out these amendments so clearly.
Clauses 8 and 14 of the Bill provide for the domestic abuse commissioner to report to the Home Secretary on any matters relating to domestic abuse and for the preparation and publication of an annual report. These reports could cover a range of different issues about domestic abuse. While it will be for the commissioner to determine what aspects of domestic abuse to examine and report on, it is likely that reports published under Clauses 8 and 14 will emerge from the commissioner’s strategic plan, which we will be debating later in Committee.
We think it is entirely proper for the domestic abuse commissioner to report to the Home Secretary. That is the case with other public bodies and officeholders who report to Ministers rather than Parliament. The domestic abuse commissioner will have day-to-day operational independence from Ministers, with responsibility for setting her own work plans and reaching her own conclusions. A number of noble Lords, understandably, wanted to probe this point and talk about the role of Parliament.
Although the commissioner will not be directly accountable to Parliament under the Bill, she will need to develop an effective relationship with Members in another place and your Lordships’ House. As my noble friend Lord Cormack said, she is therefore very likely to be asked to give evidence to the Home Affairs Select Committee in another place and to other committees of both Houses. To reinforce the commissioner’s direct link to Parliament, the commissioner must arrange to lay her reports and strategic plans before Parliament—as my noble friends Lady McIntosh of Pickering and Lord Randall of Uxbridge both noted—rather for this to be done via the Home Secretary. It is therefore open to Parliament to debate those reports, if it so wishes. The noble Lord, Lord Hunt of Kings Heath, rather proved the point about the vigilance of your Lordships’ House by noting and listing the large number of reports which it is open to Parliament to examine and debate, if it so wishes.
The fact that the commissioner is accountable to the Home Secretary in no way compromises her independence. The independence of a statutory officeholder is assured by both the terms of the legislative framework under which they operate and the way that they conduct themselves in office. I am sure noble Lords would agree that the noble Lord, Lord Anderson of Ipswich, was no less independent when he was the reviewer of terrorism legislation by virtue of his being accountable to the Home Office; nor was the independence of my noble friend Lady Newlove compromised by being accountable to the Secretary of State for Justice when she held the office of Victims’ Commissioner; and nor was that of the noble Lord, Lord McNally, when he was chairman of the Youth Justice Board. Happily, there are many such examples in your Lordships’ House that one could cite.
More pertinently, I refer noble Lords to the comments made by Nicole Jacobs when she gave evidence to the Public Bill Committee in another place. She was asked about this issue by the honourable friend of the noble Lord, Lord Rosser, the Member for Kingston upon Hull North. Nicole Jacobs said:
“I feel confident about the hosting at the Home Office … I fully intend to be independent … I do not feel hindered in any way in the process to date, in terms of my independence.”––[Official Report, Commons, Domestic Abuse Bill Committee, 29/10/19; col. 9.]
Given that commitment from the commissioner herself, we expect the thematic reports produced by her to provide robust, challenging advice and recommendations. These reports will form a fundamental part of her work and play a central role in discharging her functions under Clause 7. These include encouraging good practice in the prevention of domestic abuse, and protecting and supporting victims and their children. As well as identifying and publicising good practice, the reports will, importantly, be a means for her to highlight areas where improvement is needed.
Clause 8 requires that the commissioner’s reports made under this section must be published and that, before publication, the commissioner, under subsection (3), must send a draft to the Home Secretary. To answer the noble Baroness, Lady Burt of Solihull, the reason for sending these drafts is so that the Home Secretary can consider whether she needs to exercise her very limited power to direct the removal of material that could risk someone’s safety or which might prejudice any investigation or prosecution of an offence.
Clauses 9 and 14 contain similar provisions about redacting sensitive material from any advice published under that clause. There are only very restricted circumstances under which the Home Secretary can direct that material be omitted from a report. The power is both limited and very narrowly focused. It is not right to say, as my noble friend Lord Cormack characterised it, that the Home Secretary would have the power to censor reports. The Home Secretary can require information to be omitted only where its publication could jeopardise the safety of any person or where the information might prejudice an ongoing criminal or civil investigation or prosecution.
We have also included further safeguards in the draft framework document, which we have agreed with the commissioner and published alongside the Bill. This sets out, at paragraphs 4.8 to 4.11, a clear process and timelines for resolving any disputes about the need to redact material from a report. To answer the question from the noble Lord, Lord Rooker, about legal advice, Home Office legal advisers could not provide advice to the commissioner, because that would be a conflict of interest as they also advise the Home Office. So, yes, it would be for the commissioner to use her budget to pay for her legal advice.
In addition, following recommendations by the Joint Committee to protect the commissioner’s independence —and I agree with the noble Lord, Lord Hunt, that that area has rightly been given a lot of attention in Committee so far—we have also placed a duty on the Home Secretary to consult the commissioner before directing her to remove any information from a report. I hope that answers the question from the noble Lord, Lord Rosser, about what would happen if there was a difference of views. Certainly in my experience as an adviser in Government, if independent commissioners disagree with the Government, they find a way to make sure that that is publicly known. As my noble friend Lord Randall of Uxbridge says, the calibre of candidates whom we attract assures this. But we would be happy to take a fresh look at the relevant provisions of the framework document to see if they could be further tightened. I hope noble Lords will welcome that commitment.
I should stress that, apart from this narrow provision, the content of any report, including the judgments contained therein, is entirely a matter for the commissioner, however challenging her findings and recommendations may be for the Government. We want these reports to be hard-hitting where they need to be, as well as celebrating and sharing good practice wherever that is to be found. In short, these narrow provisions do not in any sense compromise the independence of the commissioner.
Amendment 35, in the name of the noble Baronesses, Lady Hamwee and Lady Burt of Solihull, would require that any advice given by the commissioner to the Secretary of State be published, in the same way that the commissioner is required to publish advice given to any other person following a request made under Clause 9(2).
To answer the question posed by the noble Baroness, Lady Hamwee, Clause 9(4) is drafted as it is for a reason. In the interests of transparency and spreading good practice, we think it is right that any advice from the commissioner to a person other than the Secretary of State should be published. The commissioner would, of course, have to frame that advice accordingly, knowing that it was to be published.
However, the relationship between the commissioner and the Secretary of State is of a different kind. The Home Office, as the sponsoring department, will be in regular contact with the commissioner and her office, and there is likely to be a steady and regular flow of what could be taken as requests for advice; for instance, in relation to things such as staffing and budgetary matters, as well as policy questions. We do not believe that it is necessary or appropriate for all the responses to requests such as those to be published.
For example, the noble Baroness, Lady Burt of Solihull, has amendments on the Order Paper which relate to the duty to co-operate with the commissioner. I understand that those have been proposed by the commissioner. To help us understand the case for these amendments, officials have asked for further information about them. I hope the noble Baroness will agree that that is a sensible exchange for the Government to have, but regular exchanges of advice such as this, between the Home Office and the commissioner’s office, are of a different kind from the advice that might be requested by a third party under Clause 9(2).
There will, of course, be occasions where the commissioner is providing set-piece advice—if I might call it that—to the Secretary of State. In such cases, she can set that out in a Clause 8 report, which must be published, so that discretion lies with the commissioner if she judges it important.
We believe that the Bill strikes the right balance between transparency and the efficient conduct of business between the commissioner’s office and the government departments that she needs to interact with. I hope that, in the light of that explanation and the commitment to look again at the terms of the framework document, the noble Baroness will be content to withdraw her amendment.
I have received a request to speak after the Minister from the noble Baroness, Lady Hamwee.
I am glad to have answered the initial question from the noble Baroness. On her second, I think the semantics are probably best considered between now and Report. It is a role of the commissioner to publicise and share best practice, which is why the advice that she gives under these clauses should rightly be made public, and why her criticisms should also be aired publicly. I am sure it will be at her discretion not to include any information which could be harmful, and not to publish a report if she thought that that was the case. As the noble Baroness said, the semantic difference between “advice” and “assistance” can be pondered between now and Report.
I am grateful to all noble Lords who have taken part in this debate. It never ceases to amaze me, when I read an amendment which sounds like a simple matter, that other noble Lords come at it from different angles, with different issues and perspectives. All of a sudden, we are in a whole different ball game, so I am grateful to everyone who has managed to confuse me this evening.
I am grateful to the noble Lord, Lord Rosser, who emphasised the independence of the commissioner from the Home Office. On the whole issue of reports to the Secretary of State and reports and advice to other individuals, I agree with my noble friend Lady Hamwee that we should take that away and, in conjunction with the Minister, think about exactly how that should be written into the Bill to the best effect for everyone.
Other noble Lords have raised too many issues to go into this evening, so I will finish with the wise words of the noble Lord, Lord Cormack: we should listen to what the Minister has said, digest it and take it away, because at Report, we will be in a better position and will have rehearsed and discussed the arguments. We may well reserve the right to come forward with an amendment at that stage. In the meantime, I beg leave to withdraw the amendment.
My Lords, in the debate on the last group of amendments, I referred to the draft framework document, which, with regard to the advisory board, says more or less what is in the Bill. The draft document does not in fact cover a great deal beyond what is in the Bill, although it uses more informal language. But one thing it does say is this. At paragraph 5.19, it refers to the strategic plan and the commissioner’s duty to consult the Home Secretary, among others, stating that:
“Although not prescribed by the Act, the Home Office will provide a response to the Commissioner’s consultation on the strategic plan within 28 calendar days of receipt.”
It is not prescribed by the Act, but we think that it could be. I wonder why this is one of the very few items in the draft framework document that is not in the Bill. Are the Government concerned that, over time, this might slip? I hope not.
My Lords, we agree in principle with the spirit of this amendment. As the noble Baroness, Lady Hamwee, has indicated, the draft framework document already requires the Home Secretary to respond within 28 days. We agree that such a response needs to be provided promptly, so that the commissioner can finalise and publish her strategic plan. Where we disagree with the noble Baronesses, Lady Hamwee and Lady Burt of Solihull, is on whether this level of detail is appropriate to put on the face of the Bill.
We submit that it is more properly a matter for the framework document, which must be agreed with the commissioner. The noble Baroness, Lady Hamwee, quoted from paragraph 5.19 of that document, which says that the Home Office will provide a response within 28 calendar days of receipt.
I do not intend to be flippant, but sometimes things take longer than expected. In debating this amendment, we have only now reached the target that we set for the first day of Committee. If things are to be done thoroughly, as they always and rightly are in your Lordships’ House, they sometimes take longer than anticipated. I am happy to give an assurance from the Dispatch Box to the same effect as that set out in paragraph 5.19 of the framework document: the Home Office will provide a response within 28 calendar days of receipt. I hope that, with that assurance, the noble Baroness will be willing to withdraw her amendment.
My Lords, I and, I am sure, my noble friend Lady Hamwee are very grateful for the Minister’s response and assurances. Obviously we will take that back, and I assume there is nothing to come back on. Certainly, for the time being, we are very happy with that, and I beg leave to withdraw the amendment.
Amendment 52, moved by the noble Baroness, Lady Burt of Solihull, would provide that NHS trusts must co-operate and work with the domestic abuse commissioner to ensure that when a child has to relocate due to being affected by domestic abuse, they can still
“receive any NHS treatment they had been referred for no later than if they had not moved.”
This issue was raised in an amendment by the shadow Minister in the Commons debates on the Bill, and we agree with its objectives. Children who are forced to relocate because of domestic abuse ought to be prioritised to the extent set out in this amendment because, as the evidence shows, they are vulnerable victims in need of urgent support.
However, in order to receive support from health professionals, children need a diagnosis, and the reality is that, at the moment, people can wait for considerable periods of time—up to 18 months or more—between referral and the start of an assessment. If a child is forced to move to a different NHS trust or clinical commissioning group, they may have to repeat that wait all over again. The cost of the long-term effects of exposure to severe domestic abuse is estimated at between £500 million and £1.4 billion per year, including on education and health services. Providing resources to children in the way and in the circumstances proposed in this amendment could help to reduce that figure.
The Government’s response in the Commons was that access to the NHS is based on clinical priority and that a child’s need to access and receive health services will be assessed and services provided according to clinical need. However, the difficulty is that, in the case of children forced to relocate because of domestic abuse, if the forced move is from one area where the wait following referral can be 18 months to two years to another area where the wait following referral is for a similar period, a clinician might not see that child for a lengthy period of time, literally years, and any decisions made are not being made by clinicians. There should be a way to prioritise the needs of a child who has been relocated because of domestic abuse and has already been on a waiting list somewhere, and that is what this amendment seeks to do.
As the noble Baroness, Lady Burt of Solihull, has set out, the amendment would ensure that when a victim of domestic abuse was compelled to move to a different area with their children, the children would receive NHS care or treatment no later than they would have done if they had not moved. I certainly agree that it is important to recognise the impact of domestic abuse, and the trauma it can cause, on the health and well-being of children. As the noble Baroness, Lady Brinton, pointed out with some powerful examples, the impact can be both physical and mental. I appreciate her recognition of the approach that we are taking in the Bill to children as victims of domestic abuse.
It is a key principle that access to NHS care is in on the basis of clinical need. When patients move home and change hospitals, the NHS should take previous waiting time into account and ensure, wherever possible, that these patients are not put at a disadvantage as a result. As noble Lords will be aware, waiting times may vary across the country and between services. Different services experience different challenges in terms of local demand, which can affect waiting times in those areas, and it is important that there is local flexibility to manage this.
Decisions about clinical prioritisation must consider a patient’s needs in the context of all the other patients who are in need of the same service. Patients with urgent conditions should of course be seen and receive treatment more quickly. Regardless of circumstance, clinical commissioning groups and providers have a duty to provide services within the maximum waiting times set out in the NHS constitution.
To summarise, all patients should receive high-quality care without any unnecessary delay. Patients can expect to be treated at the right time and according to their clinical priority.
The noble Lord, Lord Rooker, was right to point out the challenges posed by devolution and the fact that we have a number of national health services. The noble Baroness, Lady Brinton, was also right that people fleeing domestic abuse might be doing so internationally, both to and from the United Kingdom. In England, under the NHS constitution, patients
“have the right to access certain services commissioned by NHS bodies within maximum waiting times, or for the NHS to take all reasonable steps to offer … a range of suitable alternative providers if this is not possible.”
All bodies commissioning healthcare services must assess the health requirements of the populations they serve, take account of inequalities in access to and outcomes from healthcare services, and commission the services they consider necessary to meet the population’s need. Where the systems or processes of the NHS are an impediment to equitable treatment for this group, it will be important for the NHS to work to ensure that such impediments are removed, and we will support and encourage that.
As noble Lords may know, the NHS Long Term Plan sets out a number of measures to improve access to services—for example, creating an extra 50 million general practice appointments a year within the next five years as part of the 2020-21 GP contract. In children and young people’s mental health services, we have committed, through the long-term plan, that by 2023-24 at least an additional 345,000 children and young people aged from birth to 25 will be able to access support via NHS-funded mental health services and school or college-based mental health support teams.
We have introduced two waiting time standards for children and young people: one regarding treatment for eating disorders and one for those experiencing a first episode of psychosis. We were on track to meet both those standards before the Covid-19 pandemic hit. The recent spending review included £1 billion to address backlogs and tackle long waiting lists by facilitating up to 1 million extra checks, scans and additional operations. Those are just some of the actions that the Government are already taking in this area.
To conclude, I reassure the noble Baroness that a child’s need to access and receive health services will be assessed and services provided according to clinical need, which will consider the individual needs of the child. It is right that we trust clinicians to take decisions about a patient’s treatment, and the NHS long-term plan, as I have set out, includes a number of measures to improve access to services. I hope, in light of all that, the noble Baroness will be content to withdraw her amendment.
I thank all noble Lords who have taken part in the deliberations today.