Lord Rosser
Main Page: Lord Rosser (Labour - Life peer)Department Debates - View all Lord Rosser's debates with the Home Office
(3 years, 9 months ago)
Lords ChamberMy Lords, unlike the noble Baroness, Lady Stroud, and other noble Lords who have spoken so knowledgeably, as probably became apparent in Committee, children and babies are not my area of expertise, apart from being a mother and a grandmother myself—so that is one small qualification greater than the noble Lord, Lord Russell. In Committee, I learned a lot of shocking facts about the damage that babies can suffer even before birth as a result of domestic abuse. I was shocked to learn that nearly a quarter of domestic abuse begins during pregnancy, and the noble Baroness, Lady Finlay, spoke about the role of foetal alcohol disorder: another issue that can just make the situation even more terrible.
Pregnancy can bring a great strain into a relationship for many reasons—financial strain for one and impending change for another. The noble Baroness, Lady Meyer, gave several examples of such strains. Much attention is, deservedly, given to the mother during and after pregnancy, but, until recently, the father had been regarded as more peripheral, less involved, a bit of a spare part. This has changed in recent years, I know, but there is still plenty of opportunity for resentment to develop.
However, as the noble Baroness, Lady Stroud, said, new fatherhood can be a great motivator for change. That is why this time would be an ideal opportunity to lavish some attention on the father and big up his role and importance. It is an ideal time for perpetrator strategies to be put in place. Can the Minister update the House on how this opportunity to implement perpetrator strategies could be exploited within the existing remit of the health service?
I am not sure we need to change the law for that—and for the other good practice mentioned in this suite of amendments—to happen, although the noble Lord, Lord McColl, believes that a baby in utero does not qualify as a victim. Can the Minister confirm exactly what the Government’s view is?
Amendment 78 requires the Secretary of State to supply the funding for trauma-informed and attachment-focused therapeutic work for the parents of all little victims. The noble Baroness, Lady Watkins, emphasised the importance of early intervention.
Amendments 8 and 9 seek to ensure that babies in utero will be covered in the Bill’s provisions. The amendments’ supporters made a strong case for that in Committee, citing harrowing examples of the potentially lifelong damage which can be done before a child is even born. I would welcome the Minister’s assurances that these victims—in utero as well as post birth—will be covered by the Bill’s provisions. Several noble Lords, including the noble Baroness, Lady Newlove, talked about the baby blind spot. We must consider the baby’s needs, and I hope that the baby blind spot does not apply to this Government.
My Lords, when, initiated by the noble Baroness, Lady Stroud, and my noble friend Lady Armstrong of Hill Top, these issues were debated in Committee, the Government argued that the need for statutory agencies to recognise and respond to the impact of domestic abuse on children of all ages is already embedded in the Bill and the associated statutory guidance. The Government said that they recognised that pregnancy can be a trigger for domestic abuse and that existing abuse may get worse during pregnancy or after giving birth.
The Government went on to say in Committee that the statutory guidance made clear that local authorities, with their partners, had a responsibility to develop clear local protocols for assessment, and that these protocols should reflect where assessments require particular care and include unborn children where there are concerns. Further, the Government said that if there are concerns relating to an unborn child, consideration should be given to whether to hold a child protection conference prior to that child’s birth, with decisions regarding the child’s future safety, health and development made at that conference.
The Government concluded their response in Committee by saying they were committed to protecting all children, including the very youngest, from the heinous crime of domestic abuse. There have since been further discussions. We agree that pregnant women, unborn children and young children need access to support and protection. I look forward to the Government, in their response, giving further meaningful assurances that this will be the case.
My Lords, I thank my noble friend Lady Stroud for affording us the further opportunity to debate the impact of domestic abuse on very young children and unborn babies. The noble Baroness, Lady Finlay, made an important point about alcohol as a trigger for domestic abuse and the effect of alcohol on an unborn child, which is part and parcel of this. The noble Baroness, Lady Armstrong of Hill Top, made a point about preventive measures being so important in our aim of protecting victims or potential victims of domestic abuse.
Amendment 7 to Clause 3 seeks to recognise unborn babies exposed to domestic abuse in utero as victims of domestic abuse. Amendments 8 and 9 to Clause 7 seek to explicitly provide for the domestic abuse commissioner to encourage good practice and provide protection and support to children under the age of two, including unborn babies, affected by domestic abuse. Amendment 78 seeks to make provision for publicly funded therapeutic services for expectant parents and parents of children under the age of two who are victims of domestic abuse. Finally, Amendment 90 seeks to make explicit reference to unborn babies and children under two in the statutory guidance to be issued under Clause 73.
Under Clause 3, children of all ages, from birth to the day that they turn 18, are considered victims of domestic abuse in their own right if they see, hear or experience the effects of domestic abuse and are related either to the targeted victim of the abuse or to the perpetrator. As such, all children will benefit from the provisions in the Bill. For example, Part 2 expressly recognises the impact of domestic abuse on children in the statutory functions of the domestic abuse commissioner. Part 4 of the Bill places a new duty on tier 1 local authorities to provide support to victims of domestic abuse and their children within safe accommodation. This would include the kind of support referred to in Amendment 78. In addition, Clause 73(2) provides that the Secretary of State must issue guidance on the
“kinds of behaviour that amount to domestic abuse”
and on the effect of domestic abuse on all children.
Separate to the provisions in the Bill, there are important existing measures in the Children Act 1989 to protect children at risk of harm. These include Section 8 of that Act, which makes provisions for child arrangement orders regulating arrangements relating to when a child is to live, spend time with or otherwise have contact with any other person, and whom. Section 17 sets out the provision of services for children in need, their families and others. Part V sets out measures for the protection of children, including in Section 43 on child assessment orders; Section 44 on orders for the emergency protection of children; and Section 47, which sets out the local authority’s duty to investigate when it suspects that a child is suffering or likely to suffer significant harm.
As my noble friend Lady Hamwee has outlined, this is a modest amendment which gives the commissioner a bit more leeway when it comes to appointments to the advisory board. More than this, it reflects the autonomy that we feel she should have. That is why we have picked this particular amendment as something that represents that.
Circumstances will change, as will the person who inhabits the role of commissioner. New disciplines and new ways of tackling the scourge of domestic abuse will emerge. In the Bill, the commissioner has some discretion on whom she appoints to her advisory board, which must have
“not fewer than six and not more than ten members”.
But what if she—or, in the future he—discovers someone else who could make an invaluable contribution but she already has the maximum number of 10 specified in the Bill? Does she take them on in different ways or co-opt them? Are they representatives? As several noble Lords have said, it is not necessarily a representative role that she needs; it is advice. She is there to advise, so why would we hamper her in that way?
I hope the Minister can explain the logic behind what seems to many noble Lords to be an arbitrary figure. If he cannot, can he please accede to this modest amendment.
Amendment 11 would remove the upper limit of “not more than ten” for members of the domestic abuse commissioner’s advisory board. In Committee, the noble Baroness, Lady Hamwee, asked
“why put an upper limit in legislation?”—[Official Report, 27/1/21; col. 1706.]
This question was supported by my noble friend Lord Hunt of Kings Heath, who clearly also felt that a domestic abuse commissioner should be sufficiently trusted to decide for her or himself how many people they need on their own advisory board over the lower limit of six provided for in the Bill.
Although it was a straightforward question, reading in Hansard the Government’s response in Committee still leaves one unclear as to the answer. We were told by the Government that no more than 10 members would
“ensure that the board remains focused and provides clear advice to the commissioner.”
What is the Government’s evidence that 11 or 12 members, for example, would lead to an advisory board that is unfocused and provides confusing advice to the commissioner? No evidence at all was provided.
The Government then told us that a maximum membership of 10 was
“appropriate to ensure that the board can operate effectively and efficiently.”
Once again, not one piece of evidence was advanced as to why 11 or 12 would result in an advisory board that did not operate effectively or efficiently.
Unless it is a government desire to control as much as possible from the centre, what is the reason for the Government pulling the purely arbitrary figure of a maximum of 10 out of the hat, with the consequence that the limit on the size of the domestic abuse commissioner’s advisory board is a fixed, rigid and permanent number, laid down in law with not even an iota of flexibility?
Later on in their response, the Government said that they could
“leave it to the good judgement of the commissioner to appoint suitably qualified individuals”.
So the Government have confidence in the commissioner appointing suitably qualified individuals to her own advisory board, but not the confidence to let the commissioner decide how many such suitably qualified individuals she needs on her advisory board, over and above the minimum of six.
The Government also told us that they needed to
“avoid creating an unwieldy board which cannot then provide effective support to the commissioner.”
So the Government have so little confidence in the domestic abuse commissioner that they think that she, or a successor, would otherwise create an unwieldy advisory board unable to provide them with effective support.
However, the Government’s argument in Committee then did a complete U-turn. Having told us that there must be a rigid and fixed maximum number on the advisory board laid down by law, they then told us that the maximum membership of 10
“does not preclude the commissioner from also seeking advice from other sources”,
that
“the commissioner will be required to establish a victims and survivors advisory group to ensure that it engages directly with victims and survivors in its work”,
and, finally, that the commissioner
“may also establish any other groups as she sees fit.”—[Official Report, 27/1/21; col. 1711.]
So while the Government cannot trust the commissioner not to overdo it on the maximum membership of her own advisory board, they presumably trust the commissioner not to overdo seeking advice from other sources, not to overdo establishing a victims and survivors advisory group, and not to overdo establishing however many other groups she sees fit. The necessity for a fixed, rigid, permanent, statutory, government-determined maximum number, to be imposed on the commissioner for her and her successors’ own advisory board, just does not add up. That is why the Government could give no coherent, credible, evidence-backed explanation in Committee of the need for a statutory maximum, or why that maximum should be 10. The Government really ought to have a rethink on this issue.
My Lords, I thank my noble friend Lady Burt and the noble Baronesses, Lady Newlove, Lady Meacher and Lady Watkins, for their careful and thoughtful introduction to, and support for, both the amendments. I also thank the Minister for his comments at the end of Committee on the Bill, but, as others have said, it is certainly easier for the Government to work with Amendment 13, because the responsibility falls on the commissioner to work with the NHS—whether it is CCGs or hospital trusts.
The key point for me is that there is already the ability to choose your hospital, which we do through NHS e-referral services. For these children, fleeing domestic abuse and probably being moved on at extremely short notice, the real crisis is that they will plummet to the bottom of a long waiting list at exactly the crisis moment when they will need support.
I urge the Minister to consider that particular problem. I appreciate all the arrangements that the Government have made. We shall see what is in the NHS Bill, as and when this is published, but this very small, particular group of children need very particular support. This is absolutely the case for children applying to child and adolescent mental health services, where we know that there is already an extreme shortage of access to these services. The one thing that is true about children fleeing domestic abuse is that they are likely to be traumatised. Delaying their treatment further will give them very serious problems.
On the schools issue, I think it is an excellent notion to use the same duties as for looked-after children. I also want to make the point that I made about NHS services in Committee. Military children should also be prioritised for school places when they move. This should apply also to children fleeing domestic abuse.
In certain areas where schools are full, a six to eight-month gap to find a school place is not uncommon. This exacerbates the problem of the children not getting any part of their lives back to normal. I appreciate that processes and protocols take time, but there must be some interim measures to help these children. There is no doubt that this Government understand the importance of getting children back into school. As the noble Baroness, Lady Meacher, has said, the impact of Covid and the pressure on schools to reopen as quickly as is safe is completely understandable. These children’s lives are being traumatised by the pandemic—although perhaps not as severely as those of elderly adults. They need a transformation. They need access to school and medical services.
So I urge the Minister to agree to these amendments and ensure that the processes which need to be set up behind the scenes between the commissioner, NHS services and the DfE can happen.
My Lords, Amendment 13, moved by the noble Baroness, Lady Burt of Solihull, would require NHS bodies to co-operate to allow children who have had to move due to domestic abuse to receive any NHS treatment for which they had been referred no later than if they had not moved. Amendment 76 would extend the duty on local authorities to provide school places for looked-after children to children who are forced to change schools as a result of domestic abuse.
In Committee, the Government’s response to Amendment 13 was the same as it had been in the Commons: namely, that access to the NHS is based on clinical priority and that a child’s need to access and receive health services is assessed and services provided according to clinical need. The response overlooked the point that, in the case of children forced to relocate because of domestic abuse, if the forced move is from an area where the wait following referral could be 18 months to two years to another area where the wait is for a similar period, a clinician might not see that vulnerable child for a lengthy period—literally years—and that any decisions would not be being made by clinicians.
Nor was there any response to another point made in the debate in Committee: namely, that, since the Armed Forces covenant protects service people’s waiting list position if they are redeployed and the family moves home to a new area, why could a similar principle not be applied to children who have to move home to another area due to domestic abuse?
In Committee in this House the Government said:
“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 … 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.”—[Official Report, 27/1/21; cols. 1727-28.]
In Committee, the Government made no attempt to say whether they either agreed or disagreed that there was a problem of extended delays in waiting times, or whether vulnerable children who had to be relocated due to domestic abuse do or do not receive NHS treatment for which they have been referred no later than if they had not moved.
Could the Minister, in his response today, give us the figures setting out the extent to which children having to relocate due to domestic abuse do or do not receive NHS treatment for which they have been referred no later than if they had not moved? Presumably the Government would not have rejected this amendment in Committee without knowing what the figures were, and thus the extent of the problem and its consequences for the vulnerable children concerned.
Likewise, on the issue of the provision of school places for children who are forced to move location and change their school as a result of domestic abuse, can the Government, if they are not prepared to act on this amendment, provide figures showing the extent to which they consider that there is or is not a problem in respect of the provision of school place for these vulnerable children who need all the support they can get? Like other noble Lords who have spoken in this debate, I look forward to the Government’s response and hope that it will be a positive one.