Justification Decision (Scientific Age Imaging) Regulations 2023

Lord Scriven Excerpts

Monday 27th November 2023 Lords Chamber

[The Lord Bishop of London]

My Lords, I promise that I will be brief. I thank the noble Baroness, Lady Brinton, for moving this regret amendment and thank all those who have spoken so far and so well. I thank the noble Lord, Lord Winston, for pointing out that this is not science; it is the use of scientific instruments. My two concerns relate to consent, as many have spoken about, and to the workforce.

We have spent a long time in the health service over the last couple of decades to improve the way we consent and how people are able to give informed consent. Most of us going for tests and operations will have pages of documents that we will be taken through and then sign. I have concerns around whether people will truly consent. The Royal College of Paediatrics and Child Health has said that

“informed consent is fundamental to all medical practice, and by definition must be free from duress … This directly opposes both the principles of informed consent and the recommendations set out by the independent body commissioned to look at the policy—the Age Estimation Scientific Advisory Committee”.

Questions of capacity have also been raised here. Who will make the decision on behalf of a child if they have no legal guardian present? I am concerned about not only the issue of the X-rays but the impact of being asked to do this psychologically, emotionally and mentally. Could the Minister tell us what consideration has been given to safeguarding and support during and after medical examinations, especially in relation to consent and capacity?

My final point relates to capacity. The House does not need to be reminded that the health service at present—both the estate and workforce—is under pressure. The question is: who will take the X-rays? Will it be radiographers or other trained professionals? Where will the kit be that will be used? I also have a concern around those professionals undertaking this. Has the department consulted with professional bodies, such as those for radiographers? Has the Home Office developed plans for capacity? If so, has this been done in partnership with the NHS and professional bodies?

[Lord Scriven (LD)]

My Lords—

[Noble Lords]

Minister!

--- Later in debate ---

[Noble Lords]

Front Bench.

[Lord Scriven (LD)]

I will raise one point which has not been raised. This Chamber should not be legislating when legislation is not required, and the Government have not set out what the problem is and what the statutory instrument will solve. The Minister was very clear in describing the number of unaccompanied children seeking asylum, and he was also very aware of the numbers where there was a dispute over age. He then went on to say that by using the Merton assessment, nearly 49% were deemed to be adults and 51% children. That does not seem to be a system in disarray, but a system that weeds out those who deliberately try to deceive regarding their age.

The key question to determine the problem which the Minister has not answered, and which I would like him to answer, is: of that 51% since 2016 who have been deemed to be children by the Merton assessment, how many have then been found to be adults? That is a key question because if that figure is minimal, there is no need for the statutory instrument because there is not an age assessment problem to be solved.

[Lord German (LD)]

My Lords, some things have been spoken of in this debate, but what is absolutely clear is that in every element the Government have provided more and more uncertainty. We have before us a set of regulations which are clearly down to a Government seeing themselves in a hurry to get things done in a way which might satisfy certain elements of its own party, but which is nothing to do with the case in question, which is about age assessment.

I just want to ask the Government four questions arising from the United Nations Convention on the Rights of the Child, which the Government have signed up to and to which we are party. First:

“An age assessment should only be conducted if it is in the best interests of the child”.


Perhaps the Minister in replying can explain to us why this is in the best interests of a child.