Mental Capacity (Amendment) Bill [Lords]

Debate between Steve McCabe and Fiona Bruce

3rd reading: House of Commons & Report stage: House of Commons
Tuesday 12th February 2019 Commons Chamber

[Fiona Bruce (Congleton) (Con)]

I rise to support the Bill and, in particular, to speak in favour of Government amendments 24 and 33.

Before I do so, let me respond to some of the points that have already been made. First, with regard to the timescale in which the Bill is being taken forward, there has been plenty of opportunity for colleagues to look at its details. I draw Members’ attention to the fact that there have been not just one but two detailed reports on this issue by the Joint Committee on Human Rights, one in June 2018—our seventh report of this Session—and then, in October 2018, our 12th report, in which we considered the draft Bill in some considerable detail. At that point, we welcomed the recommendations of the Law Commission. Of course, the Law Commission had itself been some three years in preparing its recommendations, so the Bill can hardly be described as rushed.

[Steve McCabe]

Does the hon. Lady recognise that the Law Commission objects to the fact that its recommendations were not taken up by the Government when they constructed the Bill?

[Fiona Bruce]

I was about to say that the Joint Committee welcomed the Law Commission’s recommendations because they clearly highlighted the need for changes to be made.

As we pointed out in our seventh report, as far back as last June, the Cheshire West case that the Minister mentioned had resulted in a 10-fold increase in the number of DoLS applications. That is why there has been such a backlog. That case placed extreme pressure on local authority resources. Some 70% of the almost 220,000 applications for DoLS authorisations in the year up to our report were not authorised within the statutory timeframe. Consequently, many incapacitated people continued to be deprived of their liberty unlawfully. Those responsible for their care, or for obtaining authorisations, were having to work out how best to break the law. That is completely unacceptable, and it is why this Bill needs to brought forward in a timely way.

There also needs to be, as the Committee recommended in our 12th report, a definition in the Bill. I hear colleagues’ reservations about that definition, but, as we said—I am glad that the Government took up our recommendation—that it is important to give cared-for people and their families, and professionals, greater certainty about the parameters of any scheme so that we can ensure that scrutiny and necessary resources are directed where needed. We said:

“It is undeniable that any definition in statute may be refined by future case law”.

That remains that case. None the less, not to have endeavoured to provide a definition would, we believe, have been wrong.

Having made those preliminary comments, I will speak in more detail about amendment 24 and expand on the remarks made about the importance of family engagement and keeping the family informed. Information for the family and those who care deeply about the welfare of the person is the cared-for person’s greatest safeguard against exploitation and bad care. It is paramount that families have a role to play in their relatives’ care planning, wherever that is desired by the cared-for person, not least by giving them the option to stay fully informed and to object to proposed plans if they are not satisfied.

Families can play an important role in monitoring care if they are given sufficient information. The care itself is important. The quality of care will vary between and within care homes, but monitoring the care plan is essential to ensure that the cared-for person’s dignity is maintained. The cared-for person’s quality of life depends on how they are treated day in, day out and whether they receive care in a way that enhances their personal dignity or whether, sadly, they are treated less well.

Families are well equipped to monitor care, but only if they are kept informed. That is why I support amendment 24, which improves access to information for the cared-for person and their appropriate carers and supporters, which may well include their family. The requirement for information to be

“accessible to, and appropriate to the needs of, cared-for persons and appropriate persons”,

means that the cared-for person is placed at the heart of the liberty protection safeguards authorisation process. Not only that, but now that relatives can be informed about their loved one’s care plan, they will notice if the plan states something that is not happening and question why.

I am pleased to see that the amendment requires the publication of information on the cared-for person’s rights and the circumstances in which it might be appropriate to request a review or make an application to the court. People must know what their rights are and the legal procedures. This will not be costly. It will certainly be far less costly than the court cases that are likely to come if the requirement to provide information about all aspects of the process and the plan are not on the face of the Bill. It will save costs in the long term and ensure that the approved mental capacity professionals act always as they should.

The code of practice will play an important role. It would be helpful to see examples of family members working with the responsible bodies and the care teams to ensure that care plans are being delivered appropriately and are in the best interests of cared-for individuals. I am sure we all want to see that.

I turn to amendment 33. In the JCHR’s 12th report, we indicated that there has been concern as to

“whether care home managers have the necessary skills and knowledge to arrange or undertake the assessments and whether they are sufficiently independent to do so”

and whether care home managers are

“trained and resourced to take on these additional responsibilities.”

It is heartening to hear that the Government have listened and are clearly stating that care home managers and staff should not, and under these proposals will not, complete assessments. It is equally heartening that the Government, having listened to concerns expressed in Committee, are saying that all those doing such assessments must have the necessary skills, knowledge and qualifications—for example, as physicians, nurses or social workers—and that that will be specified in regulations. I want Ministers to put in place appropriate arrangements to assess whether implementation of this element of the Bill is working well—for example, to ensure that specifications of required qualifications and the experience of assessors are kept updated and that the revised system is working well and without difficulty in practice.

Ministers might consider taking up the recommendation in the JCHR’s 12th report that particular vigilance should be exercised by local authorities where care homes are rated by the CQC through an inspection as inadequate or requiring improvement, to ensure that those who are making referrals are properly competent to do so.

UK Nationals Imprisoned Abroad

Debate between Steve McCabe and Fiona Bruce

Tuesday 20th December 2016 Westminster Hall

[Fiona Bruce]

It is now often the case that aid is not paid bilaterally to many countries. None the less, UK aid money is being spent in Ethiopia, as has been indicated by my hon. Friend the Member for Twickenham (Dr Mathias).

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

While the hon. Lady is on the subject of aid, I wonder whether she had an opportunity on her visit to look at the MSc in security sector management. I understand it was initially funded through a Department for International Development programme and it appears that some of the people who were responsible for Mr Tsege’s detention had taken part.

Relationships and Children’s Well-being

Debate between Steve McCabe and Fiona Bruce

Tuesday 21st October 2014 Westminster Hall

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

Good morning, Mr Hollobone. I begin by congratulating the hon. Member for Congleton (Fiona Bruce) on securing this debate. It is right that we should consider the impact of relationships on the well-being of our children, and we should take into account how Government policy can assist in this area.

I do not start with a wholly pessimistic view of relationships. It is true that marriage rates are declining, that less than 50% of British households are now headed by a married couple and that half of those marriages may end in divorce, but the divorce rate is also declining.

[Fiona Bruce]

I realise I am intervening early, but is not one reason for the declining divorce rate that young people are not getting married at all?

[Steve McCabe]

That may be one explanation, but we are seeing a downward trend in divorce—I simply make that point.

I was going on to say that I was struck by a bit of research done by the counselling organisation Relate, in 2012. It highlighted the fact that 93% of people said that they still regarded their relationship and family network as the most important thing in getting them through hard and difficult times. If we listen to the media or other people, it is at times tempting to think that we are living in a society where family relationships have completely broken down, but that is not quite our experience. Families—albeit sometimes new or reconstituted families—still form the backbone of our support system. In the era of same-sex marriage—which it is difficult for some people to acknowledge—we are not talking about a single model of marriage. We could be talking about cohabiting, heterosexual, homosexual and lesbian, gay, bisexual, and transgender people. It varies in the world we now live in.

Relate also suggests that one of the things that puts the greatest pressure on families is the state of our economy. Relate says that couple relationships are eight times more likely to break down as a result of economic pressures. In the era of austerity Britain, we need to take that into account.

[Fiona Bruce]

Does the hon. Gentleman agree—particularly in the light of all that we have heard, even in this debate—that the lack of secure, stable and nurturing relationships in a child’s life is a fundamental driver and a cause of inequality and poverty, that tackling it is progressive and that it needs to be a priority, whatever party is in power, over very many years to come?

[Steve McCabe]

I certainly agree that, as the hon. Lady’s colleagues have also said, we should be putting a high priority on what is happening to our children, the quality of the relationships they are growing up with, and what we can do to assist and facilitate the best possible outcomes for children in those circumstances. However, we have to be conscious that what happens to couples is not divorced from economic policy either. We need to take that into account when considering some of our spending cuts. I was struck by the assertion by the Secretary of State for Work and Pensions that an increase in working credits could be related to a 160% rise in the divorce rate. I would like to know a lot more about how he arrived at those figures.

--- Later in debate ---

[Steve McCabe]

The hon. Gentleman is right: contact centres do not receive state funding. Sure Start centres did, but there are 628 fewer of them since the Government came to power, and I suggest that they have in the past been used as a source of support for a number of parents and families.

Likewise, there is an issue about the availability of child care. That is why, to be fair, both parties are putting quite a stress on child care availability at present. We disagree about the best way to provide it. Obviously, I am much more attached to Labour’s model of providing between 15 and 25 hours for three and four-year-olds. We have to recognise the cost of child care.

I noticed that the hon. Member for Enfield, Southgate (Mr Burrowes), in what was a very thoughtful speech in a number of areas—I certainly agree with him on the question of kinship and grandparents—mentioned the married couple’s tax allowance. It is worth pointing out, if that is an instrument of policy to help families and children, that it is available only to one third of married couples. It applies to only 4 million of the 12.3 million married couples, and only about one third of them have children, so when it comes to targeting a policy to help children, it would be possible to do a bit better.

[Fiona Bruce]

I entirely agree. It would be possible to do better, and many Government Members hope that there will be an increase in the allowance over the years to come, but the importance of the allowance is that for the first time for many years, and because of this Government, it has sent a clear message that this country recognises and values the commitment that people make to each other through marriage. Does the hon. Gentleman agree that that commitment is worth applauding?

[Steve McCabe]

I simply make the point that if one third goes to pensioners who do not have children, it is a question of targeting. I can see what attracts the hon. Lady. I am not saying whether a married couple’s tax allowance is a good or bad idea; I am saying that if we are talking about targeting the policy, it is reasonable to say that it would be possible to do that a bit better. We could have a disagreement about that.

The hon. Member for Enfield, Southgate has mentioned that there are many factors besides economics. That is borne out in the briefing that the Relationships Alliance provided for this debate. It talks about a host of other factors that can affect people, including gender, age and marital status. I am not suggesting that there is one single thing. I think it would be interesting to spend some time looking at the factors involved. I noticed that the general focus of the remarks from the hon. Member for Congleton was on child well-being. I am also grateful to the Relationships Alliance for the things it had to say in that respect. It points out that children growing up with parents who have good-quality relationships or ones in which there is a lower level of conflict, even if the parents have separated, tend to enjoy better mental health and do better in a variety of other ways.

I thought that the point made by the hon. Member for South Antrim (Dr McCrea) was that we should be careful not to think that this area is something that Government or agents of the Government can always address. Parents have their own responsibilities; they have to decide what the impact will be if they separate. I am not suggesting that people who reach that conclusion should not be allowed to do so, but it does seem—if I can take the example cited at the outset—that very little thought can have gone into the operation if people are capable of separating before the end of the wedding reception. It strikes me that people perhaps need to adopt a bit more responsibility. When people decide that they must go their separate ways, they have a responsibility to consider the impact on their children and to shield them from the anger and bitterness that may be part of their separation but should not be part of their children’s lives. That is a very strong argument for encouraging mediation for couples contemplating divorce or separation.

The hon. Member for Enfield, Southgate talked about some of the mental health implications. It comes as no surprise to discover that children who are regularly exposed to intense and poorly resolved conflicts involving their separating parents often suffer more as a result of that than from the separation itself. The hon. Member for Congleton talked about the value of the return on relationship counselling. She talked about the return on every pound spent. There could be an argument for saying that there should also be counselling for children who are exposed to this situation. I do not know whether that is where the hon. Member for Salisbury (John Glen) was going with his comments about family centre models, but it seems to me that this is not just about the two individuals who are separating. I am happy to see money spent on providing relationship support for couples and help for couples who are going to separate, but just as much needs to be spent on the children.

Then, of course, we have to think about some of the broader things. We need better sex and relationships teaching for children in our schools and youth clubs. I know that the hon. Member for Congleton is a great fan of teaching children how to budget and manage their own affairs and how to start a business, but we also need to help them on issues of health, including sexual health, and sexual relationships. The recent Children’s Commissioner report on child sexual exploitation in teenage gangs is frightening, particularly the degree to which children who do not have sufficient support are in danger of thinking that what they see in porn movies is a reasonable model for how they should behave in relationships.

Of course, the issue of fathers is crucial. Like other hon. Members, I am kind of tired of the number of cases that I see at my advice centre of fathers who have really done nothing wrong. Their relationship has simply come to an end. Where there is no question of abuse or violence and no question that the father has done anything other than be part of a relationship that has come to an end, it seems to me that no court and no parent has a right to deprive that father—or that child—of that relationship. In that context, I am particularly impressed by the work of the charity Families Need Fathers, which does quite a lot to try to bring people together in these circumstances.

A key policy ask of the Relationships Alliance is that the Cabinet Office expand its What Works network to include a What Works centre for families and relationships. Will the Minister say whether he has any plans to take up that suggestion?

It is tempting to say a lot more, but I am conscious of what you said about the time, Mr Hollobone. I want to conclude by congratulating the hon. Member for Congleton on securing the debate. She is absolutely right to say that this is an area to which we must give the utmost consideration.

Finance (No. 2) Bill

Debate between Steve McCabe and Fiona Bruce

Wednesday 9th April 2014 Commons Chamber

[Fiona Bruce]

The measure sends out a clear marker from the Government that marriage works. That is why it is important. I absolutely agree that it will not be an incentive, but I hope it will be an encouragement. I hope it is a start that will be built upon.

On old age, 90% of all care beds in hospitals and care homes are occupied by unmarried men and women. Couples who separate and who have never been married are less likely to support each other in old age and, apparently, their children are less likely to support their elderly parents.

On the positive side, the commitment that marriage requires in terms of the emotional, economic and social investment in the relationship in turn generates security, health and longevity. As we have heard, even the poorest 20% of married couples are more stable than all but the richest 20% of cohabiting couples. The health gain from marriage could be as large as the benefit from giving up smoking, leading some researchers to suggest that, if marriage were a drug, it would be hailed as a miracle cure. I could continue, but the evidence is legion.

None of that is to suggest that all married families enjoy better outcomes than any single-parent family or cohabiting couple. Clearly, there are dysfunctional married families and successful single parents and cohabiting couples. However, the weight of evidence is firmly in favour of stable, publicly committed married families being the most beneficial structure.

[Steve McCabe]

I am interested in what the hon. Lady is saying. I am not exactly sure what the source of the evidence she quotes is, but does the evidence draw any distinction between the impact on married couples of whom both partners work and the impact on married couples of whom only one partner works? Has that distinction influenced this tax policy?

[Fiona Bruce]

This tax policy increases the opportunity for choice. Many mothers and fathers want to stay at home and do not want to go have to go out to work. I appreciate that the financial implications of the policy are small but, none the less, the policy says, “We value you and your role in society if you want to stay at home.”

If we are serious about finding effective solutions to community breakdown and to the poverty that blights parts of Britain characterised by family breakdown, educational failure, economic dependence, indebtedness and addictions, supporting marriage is one way to do so. The public support that, contrary to the view of the hon. Member for Plymouth, Moor View (Alison Seabeck), who is no longer in her place—[Interruption.] I apologise. She is in the Chamber, but in a different place. I endeavoured to intervene on her because, according to a YouGov poll, 85% of people support giving financial recognition to married couples through the tax system, and 83% of the public think that tackling family breakdown is important. Even more starkly, according to the Centre for Social Justice, half of lone mothers think it is important that children grow up with a father.

Yes, the proposal will cost the Exchequer—I believe the shadow Minister said it will cost some £550 million—but that is dwarfed by the cost of family breakdown which, in 2012, had risen to some £44 billion. It is estimated by the Relationships Foundation to have an equivalent cost to the UK taxpayer of £1,470 a year each. Of course, that figure is still rising—currently £46 billion and increasing.

Support for marriage, therefore, simply cannot be dismissed as giving money to those who are already comfortable. As we have heard, this proposal will disproportionately benefit those on the lower half of the income scale, but it is much more than that. It is a matter of social justice. Supporting marriage is progressive. It is the right thing to do, not only for individuals but for the beneficial public consequences it promotes. If arrangements have beneficial public consequences, such as good environmental conduct or saving for one’s pension, it is established practice that such public benefits are recognised by the tax system. So it should be with marriage.