All 1 Maria Caulfield contributions to the Conversion Practices (Prohibition) Bill 2023-24

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Fri 1st Mar 2024

Conversion Practices (Prohibition) Bill Debate

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Department: Department for Business and Trade

Conversion Practices (Prohibition) Bill

Maria Caulfield Excerpts
2nd reading
Friday 1st March 2024

(8 months, 3 weeks ago)

Commons Chamber
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Maria Caulfield Portrait The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)
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I congratulate the hon. Member for Brighton, Kemptown (Lloyd Russell-Moyle) on bringing forward this Bill on such an important issue in an area where the Government are keen to make progress.

First and foremost, let me be clear that so-called conversion therapy practices are dangerous and abhorrent and any new legislation in this area must seek to identify those practices as a particular threat to the LGBT community and confirm the illegality of harmful processes intended to change someone’s sexuality. The Government remain committed to an approach that protects everyone from harmful conversion practices, including the transgender community.

LGBT people should be free to live their lives without threat or fear for simply being who they are. Lesbian, gay, bisexual and transgender people are valued and important members of society and harmful conversion practices are inherently wrong and have no place in this country, first because they are abhorrent and, secondly, because they simply do not work. On this, we find strong and welcome agreement across the House and I am pleased that we have been able to have a balanced debate with differing views in all parts of the House. It is important that we lead by example in this place, because there is a wider debate across the country and we have to show that we can debate these sensitive issues in a responsible way.

However, the Government position is that unfortunately this Bill carries a lack of legislative clarity which risks unintended consequences, and the Government are well aware of the complexity of this issue from our own extensive work. I am sure the hon. Member for Brighton, Kemptown will not mind my saying that there have been honest meetings with Ministers and challenges have been discussed, and it is clear that he has wrestled with challenges in his Bill which has gone through various iterations. The Bill as it stands is a genuine attempt to overcome these challenges, but its clauses raise considerable concerns and I will come on to them in detail shortly.

The Government have rightly taken time to carefully consider our own position on these pitfalls and will be publishing a draft Bill on this topic for pre-legislative scrutiny—[Interruption.] I am coming on to that. We expect publication to be after the publication of the Cass review, which will be in the coming weeks.

Elliot Colburn Portrait Elliot Colburn
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As we have heard throughout the debate, Dr Hilary Cass has said that there is no reason to delay a Bill on conversion therapy; she has said multiple times that there is no reason to await the Cass review to move forward. None of the promises made to bring forward a Bill ever mentioned the Cass review previously. It feels like there are more excuses about why we need to delay this. When was a decision made to now wait for the Cass review, because that is news to many of us?

Maria Caulfield Portrait Maria Caulfield
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I welcome that valid intervention. I direct my hon. Friend to the Cass website, which says in frequently asked questions:

“The Cass Review was commissioned as an independent review of NHS gender identity services for children and young people. Its terms of reference do not include consideration of the proposed legislation to ban conversion therapy.”

However—[Interruption.] If I may finish, it also says:

“No LGBTQ+ group should be subjected to conversion therapy. However, through its work with clinical professionals, the Review recognises that the drafting of any legislation will be of paramount importance in building the confidence of clinicians working in this area.”

So the review has found evidence that may influence our conversion practices Bill, which is why we are waiting for the report.

Angela Eagle Portrait Dame Angela Eagle (Wallasey) (Lab)
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Does the Minister accept that if the Bill were to get a Second Reading, any of the Government’s worries about the current wording could be resolved in Committee? Those concerns are not a reason not to give the Bill a Second Reading today.

Maria Caulfield Portrait Maria Caulfield
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The hon. Member for Brighton, Kemptown has made that argument as well, but we feel it is important to get the details right at the start of the legislative process rather than towards the end.

William Cash Portrait Sir William Cash
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Would the Minister be good enough to give some indication of what such a draft pre-legislative Bill would look like? The arguments presented from our side of the equation demonstrate manifestly that it would be impossible for the Bill to overcome its difficulties in relation to criminal law and the like in Committee.

Maria Caulfield Portrait Maria Caulfield
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I take my hon. Friend’s point. That is why the Government propose to publish our Bill and take it through pre-legislative scrutiny in both Houses before it follows the normal processes in Committee. We will be able to shape the legislation in a way that deals with many of the concerns that have been raised today.

As the House is well aware, this policy area is complex and nuanced. It is clear from today’s discussion that colleagues are listening and thinking carefully about the challenges the Government have encountered in preparing legislation in this space, notably ensuring that legislation is clear, balanced and respects freedom of speech, belief and religion, and does not cause unintended consequences for parents, clinicians, teachers or religious groups.

Liam Fox Portrait Sir Liam Fox (North Somerset) (Con)
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Both sides have talked about the harm caused by many of the practices we have discussed, yet there is nothing in the Bill stating that intent to harm should be a prelude to any prosecution. Does my hon. Friend accept that if that were to be put into the Bill, it would remove many of the fears about the net being cast so widely that those who unwittingly cause offence might face such measures?

Maria Caulfield Portrait Maria Caulfield
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My right hon. Friend makes a valid point. Some of the fears are about the unintended consequences of this legislation, and I am sure that amendments to the Bill would allay some of those fears. As it stands, although the hon. Member for Brighton, Kemptown has made tremendous efforts to address some of the issues, the level of care and attention required to legislate responsibly means that we need to look at the subject from a wider perspective.

Peter Gibson Portrait Peter Gibson
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We have had so many promises from the Government about bringing this legislation forward—it has appeared in two Queen’s Speeches. We were promised the legislation in January 2023, but it is now 1 March 2024. If the Government want the House to debate their legislation, will the Minister publish it so that we can discuss it?

Maria Caulfield Portrait Maria Caulfield
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My hon. Friend is right. I have not spoken from the Dispatch Box before about this particular subject, but my colleagues the Minister for Equalities and the Minister for Women and Equalities have been focused on trying to overcome some of the concerns raised today that could stop any legislation, whether it is this Bill or the Government’s Bill, getting through both Houses. Time has been taken to address those concerns so that we can come together to legislate against conversion practices.

Dawn Butler Portrait Dawn Butler
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For clarification, is the Minister implying that every time there is a new Minister we start again from day one? Is she able to give a timeframe for the Government Bill—by May, June or July?

Maria Caulfield Portrait Maria Caulfield
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As a Government we speak together, but I am just expressing my frustration on behalf of colleagues. I acknowledge that this has taken a long time, and I want to explain why. I tried to indicate earlier that we are expecting the Cass review in the coming weeks, and we aim to publish the Bill for pre-legislative scrutiny very soon after that.

Let me come to the Government’s concerns about this Bill and address some of the issues raised. We have concerns about four areas: the proposed definition of conversion practices, the inclusion of the term “suppression”, the proposed parental exemption and the territorial extent of the provisions. I will take those in turn.

First, we are concerned that the definition of conversion practices in clause 1 is simply too broad. A conversion practice is outlined as a

“course of conduct or activity”.

Even with the provisos that an act must be repeated and underpinned by a predetermined outcome in order to be in scope, that remains a very broadly drawn offence that lacks legislative clarity. The hon. Member for Brighton, Kemptown has produced explicit exemptions in clause 1(2) to clarify that certain actions are out of scope, but the Government are concerned that those exemptions are insufficient and there remains a risk that some reasonable behaviour would be caught.

Lloyd Russell-Moyle Portrait Lloyd Russell-Moyle
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I do not want to delay the Minister, because we want to get on with this now. She will acknowledge that I twice presented these clauses to the Government. Twice the Government came to me and said, “We will get amendments to you within a week.” I agreed that I would accept any Government amendment. Twice the Government came back saying, “No, we don’t have any amendments yet for you because we can’t find anything that we’ve signed off.” I worry a bit about bad faith, and I hope that if we accepted the amendments that she is proposing, she would be supportive, rather than produce just another list of questions.

Maria Caulfield Portrait Maria Caulfield
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I take on board the hon. Member’s point, but the final Bill was published only this week. I take on board his point about future amendments should the Bill get to Committee. I appreciate that he intends his Bill to be a framework into which exemptions can be built, but when creating a broad new criminal offence that could be altered in future by powers, we believe that robust protections and scrutiny must come at the beginning of the legislative process, not the end.

Secondly, the risk is further heightened by the inclusion of “suppression” within the scope of the offences under clause 1(2). For example, if a religious leader supports an individual who wants to manage their same-sex attraction in order to align with their individual religious belief, where the individual consensually seeks out religious counselling, this Bill would still criminalise that support. That is just one tiny example of what we mean.

Despite the hon. Gentleman’s best efforts to the contrary, the Bill risks creating a chilling effect on clinicians—we have heard some of those concerns today—by positioning healthcare regulation within the context of criminal law. The impact on healthcare professionals may well be the single biggest challenge within legislation in this area. That is part of the reason why we consider pre-legislative scrutiny from the breadth of medical experience available across Parliament in both Houses to be so critical. As I said in response to my hon. Friend the Member for Carshalton and Wallington (Elliot Colburn), that concern is cited by the independent Cass review, the final report of which is expected in the next few weeks.

Our third concern is about the Bill’s attempt to exempt parental behaviour in clause 1(2). The Government are clear that parents should be able to have exploratory and even challenging conversations with their children, and it would be absolutely wrong to criminalise them.

Nick Fletcher Portrait Nick Fletcher
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I thank the Minister for the help she has given me recently with regard to the issues facing men and boys, which is a subject close to my heart. I am equally supportive of women and girls. Does she agree that this Bill—or any Bill that criminalises free speech—will have a huge effect on women and girls across this country? We will get to a point where parents will be unable to say to their sweet little girl who comes home from school, having seen the abhorrent material in relationships, sex and health education, “No, you’re not a boy; you’re a lovely little girl, and you’re going to grow up to be a lovely little girl.” Does she also agree that the Bill will put biological males in single-sex spaces, which again is abhorrent, and take away podium places from girls?

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Order. Interventions should be short.

Maria Caulfield Portrait Maria Caulfield
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The point I was making is that parents have a right and that we, when legislating in this area, must be careful to ensure that we do not criminalise legitimate conversations in the family setting. Sadly, we have seen cases—for example, those involving female genital mutilation—where a lack of parental responsibility has led to the abuse of children. We are concerned that, by not covering that in this Bill, there is potential for conversion practices, which could be abusive, to continue.

Alicia Kearns Portrait Alicia Kearns
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I am slightly confused, because the Government are saying that this Bill protects parents too much, but those speaking against it are saying that it will criminalise parents. I am not sure where we will go, but I presume that Government lawyers know slightly more than those who are opposing the Bill from the Back Benches.

Maria Caulfield Portrait Maria Caulfield
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That is the point I am making: this is a sensitive area, where there are arguments both for and against on all sides. We absolutely believe in parents’ legitimate right and freedom to bring up their children in any way they see fit, but we have to be careful about that tipping into abuse. We have seen that happen, for example with FGM.

Our final concern is about the territorial extent of the Bill. Clause 5 says that it will apply to the entire United Kingdom, which poses issues because, as the hon. Member for Brighton, Kemptown knows, justice is a devolved matter in Northern Ireland and Scotland. Indeed, as many Members here today will be aware, the Scottish Government are currently consulting on their own legislative approach to banning conversion practices. The requirement for the Director of Public Prosecutions to approve any prosecution is at odds with the Bill’s territorial extent, which I would say wrongly covers Scotland and Northern Ireland. The Crown Prosecution Service operates in England and Wales only, because Scotland and Northern Ireland have their own criminal justice systems, which means that the requirement to have CPS approval would not apply there. A separate provision creates equivalent requirements for the Northern Ireland equivalent of the CPS, but there is no explicit provision for its Scottish counterpart. Those are the four main areas where we have issues with the Bill.

Lloyd Russell-Moyle Portrait Lloyd Russell-Moyle
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First, the Minister has to recognise that the Bill will be brought into force in Scotland or Northern Ireland only if there is the consent of the legislators and Ministers in those two places. Secondly, the argument she has just given is legally incorrect, because in Scotland there is already a requirement for the Crown Office and Procurator Fiscal Service to give authorisation for private prosecutions. That is why it is not needed in the law. I would have thought that Government lawyers had told her that in the briefing. It is disappointing that they do not seem to know the law.

--- Later in debate ---
Maria Caulfield Portrait Maria Caulfield
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I am sorry that the hon. Gentleman feels that way, but we have to be clear about the territorial extent of the Bill. We have concerns about that, because the Bill should relate only to England and Wales, but it does not.

Miriam Cates Portrait Miriam Cates
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The Minister has made an important point about the problems with the requirement for DPP permission, but is there not an even more significant problem with that? Although it seems like a safeguard, in reality—looking at the CPS website—all that means is that a Crown prosecutor has to give permission. Any Crown prosecutor—even an activist Crown prosecutor—could agree to such a prosecution and thus create case law that criminalises parents in future.

Maria Caulfield Portrait Maria Caulfield
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We have set out our four concerns, which include the territorial extent of the Bill.

I have set out why the Government will not support the Bill today. I want the hon. Member for Brighton, Kemptown to know that I am really grateful for the work he has done in this space, and I hope that we can continue to work together on this issue, particularly on the legislation. Today’s debate has further highlighted the need for careful consideration before legislation is passed, so that unintended consequences can be avoided. It has also demonstrated the importance of taking action that is balanced and measured in order to protect those at most risk of harm, but also to protect the freedoms and rights of everyone. That is the kind of balance that can be achieved only with bespoke legislation, and although we absolutely pay tribute to the hon. Gentleman, we will not support this Bill.

None Portrait Several hon. Members rose—
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