Domestic Abuse Bill — House of Lords, 2021-01-27
Topic: Health
Susan Williams (Conservative, Centre-right): My Lords, I thank all noble Lords who have spoken in this debate on the complexities of alcohol and substance misuse and mental health and the correlation with domestic abuse, from the point of view of both the victim and—as my noble friend Lady Stroud said—the perpetrator. I thank the noble Baroness, Lady Finlay, for tabling these amendments and her work in chairing the Commission on Alcohol Harm I will start with the final comments of the noble Baroness, Lady Wilcox of Newport. She and I are cut from the same cloth in knowing the effectiveness with which multiagency work can help in all sorts of ways. The way that agencies communicate with each other can get to the heart of some of the problems in society I also acknowledge the contributions of the noble Baronesses, Lady Boycott, Lady Hayter, Lady Jenkin and Lady Jolly, and thank the noble Lords, Lord Brooke and Lord Ribeiro, for their expertise and their input into the Alcohol Health Alliance’s report for the Commission on Alcohol Harm, which was published last year. It highlights these complex relationships between alcohol, mental health and domestic abuse. I welcome the report; it makes for important reading As the noble Lord, Lord Marks of Henley-on-Thames, has illustrated, there is a frequent coexistence of domestic abuse, mental health problems and the misuse of drugs and alcohol, with complex interrelationships between them. The relationships are nuanced, and the noble Baroness, Lady Finlay, is right to identify this. It is also clear that there is no excuse for domestic abuse, and it is vital that people affected by domestic abuse get the healthcare they need I reassure noble Lords that we intend to reflect the importance of joining up domestic abuse, mental health and substance misuse services in the statutory guidance to be issued under Clause 73. We have a number of other, parallel measures to ensure that the join-up should be reflected in local health commissioning and the support that people receive. Noble Lords will know that local authorities, clinical commissioning groups and other partners produce an assessment of the local population needs, called the joint strategic needs assessment. This should include consideration of the needs of victims and survivors. The assessment informs a local area’s health and well-being strategy and the commissioning of services, including mental health and substance misuse services I will say something about local authority spending because noble Lords have referred to it. Local authority spending through the public health grant will be maintained in the next financial year. Local authorities can continue to invest in prevention and essential front-line services. This includes drug and alcohol treatment and recovery services. We are working on increasing access to substance misuse services, and we have appointed Professor Dame Carol Black to undertake an independent review of drugs to inform the Government’s work on what more can be done to tackle the harms that drugs cause I also draw noble Lords’ attention to ongoing work in the health system to create new integrated care systems where NHS organisations, in partnership with local councils, voluntary service partners and others, take collective responsibility for managing resources, delivering NHS care and improving the health of the population they serve. The development of a new integrated care system is a real opportunity to improve the join-up between different services and provide truly integrated care. I turn to the specifics of the amendments. On Amendments 21 and 29, which relate to the role of the domestic abuse commissioner, the Bill already confers on the commissioner a wide remit in tackling domestic abuse. She has already started to provide public leadership on domestic abuse issues by raising awareness of key matters and monitoring and overseeing the delivery of services to ensure that they are as effective, evidence-based and safe as they can be The description of the role states that the commissioner must adopt a specific focus on the needs of victims from groups with particular needs, which could include mental ill-health or substance misuse. However, as an independent office holder, it will be for the commissioner to determine her priorities, which will be set out in a strategic plan developed following consultation with her advisory board, the Home Secretary and others As for Amendment 42, which relates to the composition of the advisory board, Clause 12 already provides that at least one member of the board must be a representative of the health care sector, and there is sufficient latitude for the commissioner to appoint other specialists as she sees fit.