Attacks on NHS Staff

Debate between Philippa Whitford and Sam Gyimah

Monday 27th February 2017 Westminster Hall

[Mr Gyimah]

My hon. Friend makes a forceful point. That is precisely what the engagement with the Director of Public Prosecutions is meant to achieve, and I would like to involve my hon. Friend the Member for Hertsmere in those discussions.

Prevention and effective law enforcement, through collaboration between the NHS, the police and the CPS, are the best solutions to the problem of attacks on NHS staff. This debate is about a specific criminal offence. As has been mentioned, there are already comprehensive provisions in criminal law for dealing with a wide range of attacks and assaults. The relevant offences include common assault; assault occasioning actual bodily harm, where the injuries are more than superficial; wounding or inflicting grievous bodily harm; and wounding or causing GBH with intent. All those offences cover every victim, whatever their occupation. Depending on the particular offence and the seriousness of the criminal conduct, the penalties available to the courts range from a maximum of six months’ imprisonment, a fine or both for common assault, through a maximum of five years for ABH or GBH, to a maximum of life imprisonment for wounding or causing GBH with intent.

Given the current offences framework and sentencing guidance, which make provision for an increase in sentence to be considered where an assault victim is a public sector worker, I am not persuaded that there is a need to create a specific offence for this group of workers. Of course, as my hon. Friend the Member for Hertsmere pointed out, some specific offences of assault apply to particular occupation groups, such as police officers. As the Minister responsible for prisons, I am aware of the specific offence of assault against prison officers.

[Dr Philippa Whitford]

Can the Minister clarify why prison officers and immigration officers warrant that extra protection, but healthcare workers looking after patients do not?

[Mr Gyimah]

That is a very good question. The first point I would make is that even in the case of prison officers, where there is a specific offence, the most important thing is better law enforcement. The fact that a specific offence exists does not on its own lead to an increase in prosecutions. What is needed is the better law enforcement that I have outlined. There is also a wider point. It is recognised that, by the very nature of the roles that have been mentioned, the individuals working in them are likely to be assaulted in the course of their duties. That is why the law provides specific protection. The law currently makes a distinction between those occupations and others serving the public, although, as I have said, if there is an attack against someone serving the public, that is treated, and should be treated, as an aggravating factor in law.

[Dr Whitford]

I thank the Minister for giving way again. Does he not accept that 70,500 attacks on NHS staff means that they, too, face the likelihood of being assaulted at work?

[Mr Gyimah]

The evidence clearly suggests so, but let me come on to my other point and the point about Scotland, which the hon. Lady mentioned. All the occupation-specific offences have the same maximum sentence—six months’ imprisonment, a fine or both—as common assault. As I have already said, where the offending behaviour is more serious, more serious offences and penalties are available. Having the specific offence does not change the sentence that someone can receive.

--- Later in debate ---

[Dr Whitford]

rose—

[Mr Gyimah]

I will give way to the hon. Gentleman.

[Mr Gyimah]

As I said earlier in my speech, a piece of work does need to be done on who is doing the assaulting and what has happened. I gave the simple example of a grandparent suffering from dementia who wakes up confused and lashes out. It is not as simple as saying that they have assaulted a member of staff in the NHS and therefore they should go to court, be convicted and get a long sentence. The key point, when people make this argument, is the belief that the creation of a new offence of assaults on health workers would deter such attacks and so offer better protection for NHS workers or result in more prosecutions than occur under current legislation.

[Dr Philippa Whitford]

rose—

[Mr Gyimah]

I would like to develop my point. I am aware that in Scotland there is a specific offence of assaulting health workers on hospital premises. Sadly, however, the number of assaults on NHS staff in Scotland has continued to grow since the legislation was introduced. In 2010, the Scottish Government stated:

“There is no clear evidence that the 2005 Act has been a success in acting as a deterrent.”

[Dr Whitford]

rose—

[Mr Gyimah]

I need to develop my argument. The Scottish legislation raises a number of other points, some of which I have touched on. Would the offence, as in Scotland, apply only to attacks on NHS staff on hospital premises? There are many other NHS locations. Would it apply to attacks by patients or also to attacks by visitors and family members? How would “NHS staff” be defined? Many people work in the NHS without being employed by it. Would the offence apply only when staff were on duty, or when they had left the premises and were at a bus stop outside the hospital? However those questions were resolved, every specific circumstance applying to a new offence would be an additional element for the prosecution to prove, over and above a charge of common assault.

[Dr Whitford]

I thank the Minister for giving way again. I wanted to intervene again to point out that in 2008, the maximum sentence for the offence in Scotland was changed to 12 months’ imprisonment and/or a £10,000 fine, so it is not exactly the same as for other common assaults. The protection is not just for staff in hospitals. The 2005 Act already covered blue-light workers, their assistants and particular classes of people, and in the 2008 renewal of the Act, it was extended to all, including volunteers and assistants, so it is not just about hospital staff. As I said in my speech, it includes lifeboat, coastguard, ambulance and fire service workers—all emergency workers.

[Mr Gyimah]

The hon. Lady’s question points to precisely that definitional issue. As we have gone through the debate, the definition of “NHS worker” has expanded with each speech we have heard.

I will bring my comments to a close where I began. Any attack on NHS workers is unacceptable. It is right that the House is debating this issue today, and right that LBC raised it. I would like to pursue, with my hon. Friend the Member for Hertsmere, a way of ensuring that the joint working agreement actually works; that we have the right evidence to understand what precisely is happening; and that, where what we are discussing should be treated as an aggravating factor by the CPS and the courts, that is indeed happening. I strongly believe that, as my hon. Friend the Member for Cheltenham said, we need to act urgently to ensure that the law, as it stands, is implemented properly, so that NHS staff are protected. That is the best way to ensure that they can go to work and not have to suffer some of the violence that they have suffered.