Firearms Licence Holders: Mandatory Medical Markers

Mike Tapp Excerpts

Wednesday 28th January 2026 Westminster Hall

[The Parliamentary Under-Secretary of State for the Home Department (Mike Tapp)]

It is a pleasure to serve under your chairmanship, Ms McVey. I begin by thanking the hon. Member for Epsom and Ewell (Helen Maguire) for securing this debate, and I thank all the other Members who are here today for their well-argued, compelling, considered and sensible points. I will address those points as best I can in my response, then I will move on to address the shotgun issue near the end.

As we know, firearms licensing controls are crucial to minimise the risk of harm and to keep the public safe. Medical checks and the use of firearms markers are an important part of those controls. Although I understand why there are calls for such markers to be mandatory, the Government do not consider that to be necessary at this point, and I come on to the reasons why. It should be recognised that the decisions in all firearms application cases are taken by the relevant police force. Medical information provided by GPs is very important, but it is just one part of the information that is considered by the police.

Before I address the specific points that have been raised during the debate, I reassure Members and their constituents that work continues to make the firearms licensing system as robust as it can be. Although public safety is and will always be the priority, it is also right to acknowledge that the large majority of firearms licence holders—there are some in the Public Gallery today—do not cause any concern. The challenge is to have an effective system in place to identify individuals who might cause harm.

Of course, the tragedy at Epsom college in February 2023 shocked us all. In discussing these issues today, I know that we all have the victims of that crime—Emma Pattison and her seven-year-old daughter, Lettie—and the victims of other such crimes well and truly at the forefront of our minds. The perpetrator at Epsom college was Emma’s husband; he was a licensed shotgun owner, who then killed himself. He had suffered from anxiety, but his GP and the police were unaware of that because he had sought treatment from an online doctor, as was explained earlier. He did not disclose that information when he applied for his certificate renewal.

The medical checks for firearms licensing have been significantly strengthened in recent years. Medical information for firearms licensing has been a requirement for every firearm and shotgun licence application since November 2021, when the new guidance for chief officers of police on firearms licensing was introduced. An applicant’s doctor must now provide details of any relevant medical conditions, such as depression, dementia, mental health issues or drug or alcohol abuse, that the applicant has experienced. A firearms licence will not be granted without this information.

A digital firearms marker is placed on the GP patient record when a certificate is granted. This means that if a certificate holder has a relevant medical condition during the five years’ validity of the certificate, their GP can alert the police, who will then review whether that individual is still suitable to have a firearms licence, and—if necessary—revoke the licence. Initially, the marker was in the form of a paper marker on a person’s medical record. However, because of concerns that a paper marker could easily be overlooked by a busy GP, work has been done to replace it with a new digital firearms marker.

Use of the digital firearms marker is not a core health requirement for GPs and is not part of the GP contract, nor is it a legal requirement, but the British Medical Association and the Royal College of General Practitioners support its use, and the BMA issues guidance to GPs about it. Therefore, any GP who fails to engage with the process would be going against the advice of their professional associations, as well as taking a significant risk.

The available data indicates that most GPs in England are applying the digital firearms marker as they are expected to. We have received very encouraging data from NHS England about how the marker is being used by doctors, and we continue to work with NHS England and the Department of Health and Social Care to assess whether there are any regional variations that could signpost whether greater engagement between police and doctors at local level is needed in certain areas.

The data provided by NHS England gives figures for the number of active digital firearms markers applied by GP surgeries in each of the last three years, and—

[Helen Maguire]

rose—

[Mike Tapp]

And I will go through the data now, before the hon. Member intervenes and asks for it. If there are any gaps in it, I will welcome an intervention at the end, and I will take note and we can write back.

In 2022-23, 93,700 new digital markers were applied, in 2023-24 that figure was 85,650, and in the latest year for which data is available, 2024-25, 98,690 new digital markers were applied to medical records. Those are broadly the numbers we would expect when compared with the data for the number of firearms licence applications and renewals made each year.

We also have data on the number of cases where a GP has notified the police of a medical concern about a certificate holder following a review prompted by the digital marker. In 2022-23, 1,180 cases were referred by GPs to police forces as a result of the digital marker, in 2023-24 that figure was 1,040, and in 2024-25 it was 1,140. That data is also broadly where we would expect it to be when compared with the annual figures for revocations of licences by police forces, and it gives us confidence that GPs are using the digital firearms marker as it is designed to work.

[Sir Geoffrey Clifton-Brown]

I am sad to hear that the Minister is not following the logic for making the digital marker compulsory. Without compulsion, the system is weak and public safety is undermined, as is demonstrated by the tragic cases that have been mentioned today. A quick google tells me that there are 38,000 to 39,000 fully qualified GPs. I think the Minister said that the number of GPs using the medical marker is around 18,000, which means that 20,000 GPs are not using it, so the system is not anything like as effective as it should be. As I said, if a compulsory system were introduced, there would be a check between the granting and renewal of shotgun and firearm licences.

[Mike Tapp]

I thank the hon. Member for his comments. I cannot comment directly on the data that he provided from his quick google—GPs may be qualified but not practising, and I would not want to jump to any conclusions—but that can certainly be taken away. It is the Government’s position that it is not necessary to make use of the firearms digital marker mandatory. If there was compelling evidence of systemic failure by GPs to engage with the digital marker, the case for mandatory requirement would be stronger, but that is not the picture painted by the available data. In fact, it shows that the digital marker is already being applied and used by most GPs.

[Helen Maguire]

I am listening intently to the Minister, but if he is saying that the number of people who have been referred to their GP with potential conditions and the number of markers are as expected, I cannot understand what difference it would make if the marker were mandatory. It seems as though it is sort of happening already, and if there were no additional cost to making it mandatory, then I struggle to understand why it is difficult for the Government to change their position.

[Mike Tapp]

We need to bear in mind that the governing bodies that oversee GPs are against this, given the potential for liability if a GP failed to disclose something to the police. I assure the hon. Member that the Home Office will keep our approach under review, as we do with all aspects of firearms licensing control, but we believe that the data available at this time shows that mandating is not necessary, and that the digital marker quite simply is being applied and used by most GPs.

[Edward Morello]

Without wishing to labour the point, and accepting that the data may in fact show that we are getting the level of penetration that we would expect, there is undoubtedly an unquantifiable risk of another tragedy happening. Given the level of uptake in a mandatory system, and given the requests of the sector—and, in fact, the BMA—for use of the marker to be made mandatory, it seems to me, purely from the perspective of de-risking it for the Government, that that would be a logical and relatively simple thing to do, so that, when we inevitably return, at some point in the next three to five years, to talk about another tragic death, it is not laid at the feet of this Government for following the mistake of the previous Government and not making it mandatory.

[Mike Tapp]

I thank the hon. Gentleman for his very well-made point. This is of course being kept under review. Today’s debate is important and will of course be listened to by the Home Office, but as it stands our position is that the evidence is showing us that GPs are using the marker as we would expect them to.

I am conscious of time, so I will move on to the points made on shotguns, because I am sure that the hon. Member for Farnham and Bordon (Gregory Stafford) would not want me to miss them. We know that shotguns are used for a range of legitimate purposes, such as target shooting and hunting, and that the vast majority are used safely and responsibly. We also recognise that shooting contributes to the very important rural economy.

However, legally held shotguns have been used in a number of homicides and other serious incidents in recent years, including the fatal shootings in Plymouth in August 2021. That is why we have committed to a public consultation on strengthening the licensing controls on shotguns, to bring them more into line with the stringent controls on other firearms, in the interest of public safety. We will publish the consultation shortly—I do not have the exact date today. We will carefully consider all the views put forward in response to the consultation before taking any decisions on whether—and what—changes may be necessary in the interest of public safety.

[Gregory Stafford]

I do not want to prolong the debate, but I do want to impress something upon the Minister. When he spoke about the uses of shotguns, he talked about target shooting and hunting. I gently say to him that these firearms are needed for far more than sport; they are used for land management and for farming. I encourage him, if he has not already, to meet the organisations that represent rural communities to understand how vital shotguns are for rural land management.

[Mike Tapp]

I thank the hon. Member for his points. I think that was covered in my point about the rural economy—the maintenance of land and pest control, for example, feed into that—but I take the point.

We will also provide an assessment of the impact of any changes that we intend to bring forward, including for policing, certificate holders and rural communities, at the relevant time.

In closing, I thank all Members who have contributed to what has been a thought-provoking debate—I mean that—on an issue that is central to public safety. I am grateful for all contributions. We have strong firearms licensing controls, and we are taking action to improve them further where the evidence shows that that is necessary. As I have said, we do not believe at this point that there is a compelling case for making the digital firearms marker mandatory. However, it is very important that all aspects of firearms controls are as effective and strong as possible, and our controls are kept under constant review.

[Sir Geoffrey Clifton-Brown]

Will the Minister give way?

[Mike Tapp]

I am conscious of time, but I will.

[Sir Geoffrey Clifton-Brown]

I can assure the Minister—and you, Ms McVey—that this will be the last time. What is the equivalence between not making medical markers mandatory, when doing so would not cost anything, and yet going ahead with the consultation to move shotguns from section 2 to section 1, which will cost the industry a significant amount of money? The shooting community is all in favour of medical markers being compulsory, but it is opposed to moving shotguns from section 2 to section 1. These actions seem designed to make the shooting community very discontent.

[Mike Tapp]

This is about evidence, and the evidence that I have presented today suggests that GPs are abiding by the digital marker. The evidence that shotguns have been used in violent crime also exists. But of course, as I laid out, this will go to consultation. The Government are committed to public safety, and we remain open to any steps that could aid us in that effort.