Policing and Crime Bill — House of Lords, 2016-07-18
Topic: Health
Elspeth Howe (Crossbench, Unknown): My Lords, like other noble Lords, the very size of the Bill and its accompanying documents made me realise the huge range of issues that it covers, many of which we have heard mentioned today. At least by the autumn, when we reach Committee stage, there will have been a little more time to think through a wider range of the issues that may need further probing. For today’s Second Reading debate, I shall concentrate on those areas of the Bill dealing with mental health issues. I shall, however, end on a different aspect The Bill makes important changes to the Mental Health Act 1983. This is one of the few pieces of legislation that allows people to be deprived of their liberty when they have not committed or are not suspected of having committed a crime. The Bill makes much reference to the relationship between the police and mental health crisis care. While this is a policing Bill and makes many changes to policing practices and conduct, I will focus on the mental health elements, as supporting people with mental health problems is part of a police officer’s role. In a mental health crisis, as the charity Mind tells us, one’s mind is at melting point. One may experience extreme anxiety, have suicidal thoughts or even a psychotic episode. In a crisis we need compassion, understanding and health-based support The Mental Health Act provides a legal framework for the detention of individuals with mental health problems. It is important to remember that being detained under the Mental Health Act, which is used to assess and treat a person’s mental health problems without their consent if it is deemed to be in the interests of their health and safety or for the protection of others, is often traumatic for the person concerned. We must do all that we can to improve the support we provide to people at this critical time. I am sure other noble Lords will welcome the Bill’s measures to reduce the maximum length of time for which the person may be detained to 24 hours, down from as many as 72, and certainly the banning of police cells for children. I would like to see us further improve the mental health support that we provide and the Bill gives us the opportunity to raise some important points I will focus my speech on the places of safety to which people are taken to wait for a mental health assessment and the support they receive at that critical time. People experiencing a mental health crisis who are detained under the Mental Health Act need to be taken to a supportive and holistic health-based place of safety. However, we know that, all too often, police cells continue to be used. A health-based place of safety has clear and specific qualities that make it safe for people experiencing a mental health crisis, such as being staffed by health professionals and being physically more appropriate. The mental health charity Mind has said that there is no scenario where a health-based place of safety would ever not be the best place to take someone who has been detained under Section 136 of the Mental Health Act. To ensure that we are able to do this, health-based places of safety need to be available and able to manage a person’s health and behaviour. I do not believe that a police cell or even a person’s home is ever appropriate for someone experiencing a mental health crisis. It sounds almost ridiculous that we are still discussing the use of police cells when using one would be absolutely unthinkable for someone experiencing a physical health crisis. We need to question some of the assumptions and truly think about what is best for people with mental health problems I would like to raise two further points which are essential if we are to change the way we support people in mental health crisis. The first is to provide independent advice when a person is detained under an emergency section. This is vital because people are often very confused. They might think that they are being arrested for committing a crime and are often in a state of considerable distress. It is astonishing that people detained under Sections 135 and 136 of the Mental Health Act do not receive independent advice about what is happening to them at a time of real need. Along with other noble Lords, I will be calling for better support in the form of an appropriate adult scheme for people during those 24 hours when they are detained My final point concerns making sure that people are detained only for up to 24 hours, which the Government have certainly shown their commitment to achieving through the Bill. However, we know that people are often kept waiting for what can be hours to travel to a place of safety, or are held outside until a place becomes available. That time does not count towards the maximum length of time. To make sure that people do not have their liberty taken away for longer than the maximum time, it is crucial that the clock should start when the decision is made to detain someone, not at the point when someone arrives at the place of safety Many of the changes I have spoken about will require the health service to step up and provide appropriate support for those experiencing a mental health crisis. However, these are crucial changes to improve how we treat people with mental health problems and bring us closer to achieving parity of esteem I turn now to my second issue. Given my work on online safety, it would be remiss of me not to warmly welcome Clause 144, which amends Section 51 of the Sexual Offences Act 2003 to make it clear that the definition of sexual exploitation includes situations where indecent images of children are streamed via the internet or transmitted by other technological means. It is only right that this House should make it plain that there is no place in our society for any form of child sexual exploitation. To that end, I will be looking to the Government to provide reassurance that this law can be applied to all situations where an offender views streamed images and video of child abuse, including where the abuse is streamed in real time Staying with broader issues of child protection but in the offline world, I was concerned to see that child abduction warning notices—CAWNs—are currently defined in such a way that they can be applied to only around 5% of 16 and 17 year-olds. An amendment was moved in the other place to apply CAWNs to all 16 and 17 year-olds. The Minister there opposed the amendment but said that she would look at the issue. I hope the Government have now looked closely at the scope for the application of CAWNs. I would be interested to know whether they are now ready to extend the scope of CAWNs, and if not, why not? I look forward to hearing the Minister’s response on this matter.