Terminally Ill Adults (End of Life) Bill

Baroness Watkins of Tavistock Excerpts

Committee stage
Friday 9th January 2026 Lords Chamber

[Baroness Fox of Buckley (Non-Afl)]

I had thought I was implying that. I was not trying to imply some conspiratorial holding back; it is just that the noble Lord, Lord Stevens, said this was

“a dangerous reversal of the timetable we require”.—[Official Report, 8/1/26; col. 1416.]

That is the point I was really getting to. That is shocking: not because anyone is malignly behaving in this way but because the Government therefore need to commit to bringing forward that report, so it is available before we reach Report. I urge the Minister to reassure us that that is the case.

I will finish off by saying that the noble Baroness, Lady Brown of Silvertown, explained excellently that, for all of the importance of palliative care, hospices and so on, not everyone has equal access to them, which is well documented. I want to see that framework, because this is one of the chilling aspects of the Bill. For those of us who campaign to raise money for hospices, and who are desperately keen that palliative care is well resourced, to hear, as we heard earlier today, from the noble Lord, Lord Carlile, who stated baldly and perfectly reasonably that whichever choice we had in the previous group would cost a lot of money, makes me think, “Oh, spend the money somewhere else”.

[Baroness Watkins of Tavistock (CB)]

My Lords, I had not intended to speak on this group but, as the only nurse present, I want to say that nobody could deny the principles of the amendments that are being discussed today. They are right and proper in respect of good health care for the nation.

I have two concerns, however. One is that we have talked considerably about my medical colleagues, who are absolutely essential, but the vast majority of palliative care is delivered by specialist nurse practitioners. I feel that it is essential I draw the Committee’s attention to that. I want to read from the ICN Code of Ethics for Nurses, which says that nurses—and, I believe, other healthcare professionals—have four fundamental responsibilities, including

“to promote health, to prevent illness, to restore health and to alleviate suffering”.

What we are talking about today is alleviating suffering.

Adult Prison Estate: Support for Young People

Baroness Watkins of Tavistock Excerpts

Monday 3rd November 2025 Lords Chamber

[Lord Timpson (Lab)]

The noble and learned Lord is right to raise the transition point, because complex case panels work on where the best place for that individual to go is, but, when they arrive in the adult estate, it is also about who looks after them to ensure that the transition is successful. We have some young adults in prison who have been there from the age of 14; they have very long sentences, and to move to an adult prison can be traumatic and could lead to a big deterioration in their behaviour. That is where it comes down to training and making sure, through the Enable programme, that we pilot and push through how we teach and train staff to manage that transition carefully, because there is more work to be done. We also need to learn from all the academic research that is coming through, while working with organisations such as Switchback and the Transition to Adulthood alliance, which do fantastic work, because we need to keep learning from their expertise.

[Baroness Watkins of Tavistock (CB)]

My Lords, I am delighted that this issue is being taken so seriously and that the developments are so positive, but can the noble Lord comment on whether there is a small proportion of people who should go from youth services to special hospitals, because of mental health issues, rather than straight to an adult prison?

[Lord Timpson (Lab)]

Let me take the example of the female prison population. Young adult women aged 18 to 25 make up 12% of the female prison population, but they account for just under 50% of all instances of self-harm. For me, that is a very distressing figure. What was clear from going round women’s prisons, as I have done recently, is that I saw a lot of young women there who I believe are very ill, and it is about how we support them. It may be that prison is the right place for them, but it may be that we need to support them in a secure hospital environment that will help them manage their issues as well.

Prison Capacity

Baroness Watkins of Tavistock Excerpts

Wednesday 24th July 2024 Lords Chamber

[Lord Timpson (Lab)]

I am well aware of the issues around indeterminate sentences for public protection. I know that matter is of great interest to noble Lords. It would not be appropriate to make changes in relation to IPP prisoners, because they are a different order of public protection risk. I am determined to make more progress on IPP prisoners. As I say, we will build on the work done by the previous Government. We worked constructively with the previous Administration on sensible changes that could be made in the safest possible way for the public. Those changes were on the licence period and the action plan, and we will crack on with that as a new Government. Any changes that we make to the regime for that type of sentence, which has rightly been abolished, must be done while balancing the public protection risk, which we would never take lightly.

[Baroness Watkins of Tavistock (CB)]

My Lords, I welcome the Minister to his new role. I want to bring up the issue of Dartmoor prison; I live six miles from it and have been very involved with it for over 30 years. The significance is that 175 people will be moved within the next two weeks. Does that mean there will be only 525 male places available in England? How long will it take to reopen Dartmoor, if at all? If it is not to be reopened, what are we to do to ensure that the skills and expertise there are used elsewhere in the prison service? Because of the potential challenges to the local economy, can we seriously consider a new prison somewhere nearby?

[Lord Timpson (Lab)]

I thank the noble Baroness, Lady Watkins, for her question. Interestingly, this week I have heard of Members of Parliament in the other place complaining about people wanting to build a new prison in their area, and then people also complaining that we are closing prisons in their area.

The circumstances at Dartmoor are exceptional and it is a very unfortunate situation that we are in. We spoke to the Prison Officers’ Association, which I met last week to discuss our plans to support the workforce there. It has been a very successful prison, as I am sure the noble Baroness is aware; it has been very well run and has had very good outcomes. We need to make sure that we retain the talented staff who are there. I have also spoken to the local MP to assure him that we will inform him of everything we know as soon as it happens, and that we will maintain the prison while it is temporarily closed so it will be ready to be reopened if we can.