Offensive Weapons Bill (First sitting)

Debate between Sarah Jones and Paul Scully

Committee Debate: 1st sitting: House of Commons
Tuesday 17th July 2018 Public Bill Committees

[Paul Scully]

Thank you.

[Sarah Jones (Croydon Central) (Lab)]

Q I do not think I need to register the fact that I chair the all-party group on knife crime and John is close to the secretariat. This has been a really interesting morning. You are painting an accurate and vivid picture of some of the challenges. I want to ask a couple of questions about education and health, which we have talked about quite a lot. The statistics on people who come to hospital, having been stabbed again and again, and who then have an intervention are incredible: they do not come back. It works. How many major trauma centres have this amazing service and how many have not? What interaction have you had with the Department of Health and Social Care? Does it fund anything? Does it interact or engage in this agenda?

On the education side, everything you said chimes with what I have seen. In Croydon we had 60 serious case reviews of youth violence, and in every single case each of the 60 kids was outside mainstream school, so there is clearly a pattern there. What specifically do we need in terms of resources in schools? We have not touched on policing in schools, which is one aspect that may or may not be worth mentioning. What engagement is there from the Department for Education on this, and indeed from Ofsted? We talked about Ofsted potentially having a greater role. The question is about what traction you are getting from other Government Departments.

John Poynton: Shall I jump in and answer the first part? Redthread hosted a symposium of all of the hospital-based violence intervention programmes in the country—Victoria kindly opened the conference for us last week. That is a conference of only about eight existing hospitals, but there is a growing number of emerging interested hospitals. We had colleagues come from Glasgow and Edinburgh, from across Nottingham and Birmingham, and also from London, who are delivering hospital-based programmes, such as those at Redthread, St Giles and the Royal London.

There are 23 major trauma centres in England and Wales, four of them in London. The four in London have hospital-based violence intervention programmes embedded within them, between Redthread and St Giles. Redthread is working in Nottingham and is launching this month in Birmingham, so there are a number—I will let you do the maths. A number of other major trauma centres are interested, but it comes down to the resource question.

There is brilliant and innovative commissioning from police and crime commissioners, from the Home Office’s tackling crime team and the Mayor’s office for policing and crime in London, where commissioners are recognising, from the policing and criminal justice side, that we cannot arrest or enforce our way out of this problem. They are looking at where they can innovate and spend their money. But there is not match funding coming from other Government Departments—from the Department of Health and Social Care, from NHS England, from Public Health England or from the Department for Education.

The only way for us to be able to have hospital-based violence intervention programmes, where we know that we will be able to wrap around a comprehensive package of support in this teachable and reachable moment for young people, when they are victims of violence and they are most reflective and open to breaking their cycle of violence, is to have a clear cross-Government match-funding approach. We know that the Department for Education needs to be on board with this because, as we have talked about, perpetrators and victims of violence are very likely to have dropped out of mainstream education.

Coming from a family of teachers, I am not saying it is just about putting more responsibility on classroom teachers and headteachers but it is looking at resources. It is looking at how we support these young people outside of the classroom. There needs to be a clear approach from health colleagues in how they support this. There is advocacy and championing of a hospital-based violence intervention programme from clinicians on the shop floor; from Mr Martin Griffiths or Dr Emer Sutherland or Dr Asif Rahman, to name a few clinical champions in London hospitals.

There is funding in kind in ensuring that there is space for youth workers, caseworkers to be embedded in those hospitals, but there is no financial resource coming from the top down. As I have advocated, this needs to be an approach that is not just about knife crime or gangs or just about corrosive substances. This needs to be moving down to looking at a foundational approach to all forms of violence. There is a very clear example model for us to take a closer look at in the way that sexual assault referral centres are commissioned. Those are clearly accepted to be commissioned jointly by criminal justice and NHS England. That is one form of special commissioning from NHS England, where it jointly match-funds with its justice colleagues. That is an example that could be looked at in match funding in order to find the resource that we need to ensure that we can work with the victims.