Policing and Crime Bill

Charles Walker Excerpts

Monday 7th March 2016 Commons Chamber

[Mrs May]

The hon. Lady raises an interesting point. However, it is possible that the age of the individual can be used as an aggravating factor in relation to dealing with the offence, so it can be taken into account in the case of somebody who is 16 or 17.

Before coming specifically to the issue of mental health, I will deal with the bail proposals. To address the legitimate concerns that have been raised about the current arrangements, the Bill introduces a number of safeguards. First, it creates a presumption that a suspect will be released without bail conditions attached. Secondly, where it is necessary and proportionate to release on bail, this would normally last no longer than 28 days. Thirdly, if this initial period needs to be extended, it can be extended only up to three months on the authority of a superintendent, and any subsequent extension, for a maximum of three months at a time, must be authorised by a magistrates court. The Bill provides for a special procedure in complex cases, such as those investigated by the Serious Fraud Office, but the requirement that prolonged periods of pre-charge bail, and any conditions attached to that bail, are subject to judicial approval is clearly established in primary legislation.

The Government are committed to ensuring better outcomes for people with mental health problems. Those experiencing a mental health crisis and who present a danger to themselves or to others need rapid support and care from mental health professionals. They do not need locking up in a police cell for up to 72 hours.

Over the past couple of years, significant strides have been made in reducing the instances where police cells are used as places of safety, but we must do more. The amendments to the Mental Health Act 1983 will ensure that police cells can never be used as a place of safety for children and young people under 18, and that they are used only in genuinely exceptional circumstances in the case of adults.

[Mr Charles Walker (Broxbourne) (Con)]

I thank my right hon. Friend for all the work she has done with Black Mental Health UK in previous years. Will she meet Black Mental Health UK, Rethink Mental Illness, Mind and other interested parties to discuss their continuing concerns about sections 135 and 136 of the Mental Health Act? They all accept that the Home Secretary has made some fantastic strides in the Bill.

[Mrs May]

My hon. Friend, who has a fine record of campaigning on these issues, is right to raise that point. The organisations he mentions meet Ministers regularly through the crisis care concordat, but I am happy to look at their concerns. I hope that the Bill will go some way to dealing with some of the continuing concerns, notwithstanding the work we have done over the past few years in improving the police response to people who are at a point of mental health crisis.

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[Mr Charles Walker (Broxbourne) (Con)]

I am aware that some Bills are driven by the civil service and some are driven by No. 10, but this Bill is driven by the Home Secretary, and I congratulate her on that. I have worked closely with her over the past few years in many of the areas covered by the Bill, and I know that she has held meetings at the Home Office with a variety of interested parties who, in the past, may not have had access to the Home Office. I also know that she has hosted conferences, including, in 2013, a conference with Black Mental Health UK at the QEII Centre to discuss policing in respect of, in particular, African-Caribbean people with mental health problems. Once again—and I am not ashamed to say it—I congratulate the Home Secretary on bringing the Bill to the House.

I also congratulate my hon. Friend the Member for Halesowen and Rowley Regis (James Morris). He is the unsung hero of the debate on mental health, both in the context of the Bill and when the Secretary of State for Health is addressing the House. He is chairman of the all-party parliamentary group on mental health, a job he has done for more than two years, and he has been dogged and determined in pursuit of many of the reforms that are contained in the Bill. He is a great man, and we are all lucky to have him here today.

We need to be clear that we cannot simply will places of safety into being. I know that the Home Secretary understands that. We cannot just shut our eyes and think really hard and hope that it is all going to be all right. There is a need for the political drive and determination to provide them, so that people can be looked after and treated with respect during their time of crisis.

The Home Secretary is absolutely right to say that a police cell is no place for an ill person. Being ill is not a criminal offence. Being ill and black is not a criminal offence, but we know that people of African Caribbean descent who are suffering a mental health crisis are more likely to be subjected to force, to be detained or to be subjected to a community treatment order. That is not right. We need to address these unfairnesses in the system, because they are ensuring that a large number of people who need our help are frightened to engage with those who are able to offer it, because their experience up to this point has been so unsatisfactory. That is one of my pleas today.

We cannot make demands on the police to change the way they do things in providing places of safety unless we actually provide places of safety. My experience of the police is that, in most cases, they want to do the right and proper thing by the people they are protecting and looking after. Most police officers are left distraught at the idea of having to take an ill person or a young person to a police cell as opposed to putting them into the care of healthcare professionals in a hospital or a place of safety that has a bed to offer them.

This is not in the Home Secretary’s gift, but the truth is that there are not enough beds in this country for mentally ill people who are suffering a real crisis. There is nothing more boring than Members of Parliament standing up in this place and saying, “Well, I’ve been warning about this for years”, but I am going to be boring because I and others have been warning about this for the past 10 years. My right hon. Friend the Member for New Forest East (Dr Lewis) and I were warning about it before being joined by my hon. Friend the Member for Halesowen and Rowley Regis in this place six years ago. We need more beds, and I hope that the Home Secretary will be uncompromising in her discussions with colleagues in the Department of Health to ensure that they are in a position to support our police officers in doing the right thing and the best thing.

[Bob Stewart (Beckenham) (Con)]

My hon. Friend is making a great speech. Would he advocate the introduction of interim places of safety in some police stations, so that people can be put somewhere that is not a cell while they are on their way to hospital?

[Mr Walker]

My hon. Friend is genuinely trying to be constructive and to find a way forward, but I just do not think that police stations are the right place to take ill people. It might be unavoidable in some circumstances, but we need to minimise those circumstances. All too often a police cell is used as a place of safety, but that is not right. However, I entirely accept the spirit in which he made his intervention.

[Mr Kevan Jones]

Does the hon. Gentleman agree that someone having a heart attack is in crisis and in a life-threatening situation, and that, likewise, someone who is in severe mental torture is experiencing a crisis and in a potentially life-threatening situation as well? Why does he think the two should be treated differently?

[Mr Walker]

My hon. Friend—for that is what I call him—knows that I do not think that the two should be treated differently, which is why he and I have joined forces on so many occasions in the past and will do so in the future to make sure that the reality changes. There is slow progress, but it is progress none the less. My hon. Friend the Member for Halesowen and Rowley Regis is helping us to make progress, but I do not disagree with my hon. Friend the Member for North Durham (Mr Jones).

As well as a lack of acute beds, the choice of health-based places of safety for an assessment in many places is incredibly limited. I will now draw on the excellent and concise briefing provided by the Royal College of Psychiatrists. According to the Care Quality Commission map, there are no health-based places of safety for under-16-year-olds in many local authority areas, including Devon, Norfolk, Lincolnshire, Bristol or Bath. That is not good and it is not sustainable.

It is not all doom and gloom. There is clear evidence that, where local areas have emphasised long-term preventive measures and put in place crisis outreach and triage teams, they have already improved their services, so they would easily be able to provide the care set out in the Bill. We have heard from the Home Secretary —it is worth repeating—that the crisis care concordat has been a great driver. She also knows that most Department of Health-funded schemes have managed to reduce significantly the number of people being detained under section 136 of the Mental Health Act 1983. For example, in areas where street triage is operating—this is not in the whole force area, but specific parts of a force’s area—pilots have delivered massive reductions in the use of section 136. I recall my hon. Friend the Member for Halesowen and Rowley Regis having an Adjournment debate on that very subject a year ago.

[Andy Burnham]

I have huge respect for the hon. Gentleman and for his campaigning on these issues over many years. I am listening to his speech carefully. Does he agree with the point that I made that £15 million is not enough, as there is a huge shortage of crisis beds across the country? Does he think that there may be risks in enacting these proposals before major investment is put into mental health crisis services?

[Mr Walker]

I do agree that we need more beds. It cannot be right that children and adults at a point of crisis are sometimes driven hundreds of miles from their homes to receive treatment. The right hon. Gentleman may recall that one of his predecessors, the right hon. Member for Kingston upon Hull West and Hessle (Alan Johnson), had an Adjournment debate a few months ago on how we treat children who are in mental health crisis, and he pointed out that one of his constituents was being treated 200 miles from his family home. That is not acceptable. The right hon. Member for Leigh (Andy Burnham) did say that, outside the cut and thrust of this place, he had a good working relationship with the Home Secretary. It would be fantastic if, on this matter, the two Front-Bench teams could work closely together, along with the Secretary of State for Health, to make sure we get this right.

Let me look briefly at the successes of triage, of which my hon. Friend the Member for Halesowen and Rowley Regis will be aware. There has been a 20% reduction in Derbyshire; 13% in Devon and Cornwall; 39% in Thames Valley; 31% in Sussex; 27% in the west midlands; and 26% in West Yorkshire. The reductions in the number of people being put under police custody under section 136 in these areas were greater still. For example, there was a 50% reduction in Derbyshire; 85% in Thames Valley; 11% in Devon and Cornwall; and 44% in West Yorkshire. Those are real numbers that have real meaning and that are making a real difference to many people’s lives.

The Royal College of Psychiatrists and other interested parties are calling for the Bill to be amended so that the Secretary of State for Health is obliged to report back to Parliament on the range of crisis responses in each area. That could include street triage teams, availability of acute psychiatric care beds, and health-based places of safety. That sort of information would help the Home Secretary and her team to deliver on their worthwhile pledge, and that pledge needs the support of the Department of Health.

I have spoken for longer than I wanted to, but, in conclusion, I point out that a mental health event is not a criminal event. It is a health crisis. We need to look after people with care and compassion and commitment. It is no good just talking about things. It is no good looking good, as some woman once said to me—it is important that we spend more time being good. We need to be good, not to look good.

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[Mr Jones]

I agree, and as has been mentioned, there is good practice in co-locating police officers and other emergency services with mental health professionals.

My other problem is with who takes such a decision. Clearly, if someone is in crisis and faced with a choice of being taken to a police cell or being allowed to stay at home, most people will stay at home even if that is not the safest place for them. Likewise, their relatives or carers may feel that they have no choice but to take the default position of keeping somebody at home. Perhaps when the Bill goes to Committee we should examine exactly how the measure would work in practice, because it could also lead to the problem being masked. Like the hon. Member for Broxbourne (Mr Walker), I think that we need a place of safety. That does not necessarily have to be a bed—I will come to that issue in a minute—but we need places where people can be taken and properly assessed. These statistics may suddenly disappear, and people might not be placed in that position—the local health commissioners might suddenly say that we do not need a place of safety, but that is not currently the case. We need clarification on what is deemed a place of safety.

Clause 59(5) states that the police must consult a health professional before using section 136 of the 1983 Act. It requires a police officer, where practicable, to consult a doctor, nurse, approved medical professional or another person as specified in the regulations—we have not seen those yet—before using their section powers. Again, I have some problem with that provision. I can see it working in practice in a situation such as those outlined where there is good triaging work, but it is a big call on a police officer in a difficult situation when somebody is in crisis—especially if they are threatening to take their own life—if practical steps have to been taken to consult a mental health professional. The thrust of the provision is right, but I am not sure how it would work in practice without a clear indication that local police forces have ready access to mental health professionals. I accept, however, that in some places great work is being done on that with joint working.

Clause 60 refers to the place of safety and police cells. Should a police cell be a place of safety for somebody with a mental health issue? It certainly should not. Subsection (6) prohibits the use of cells for those under 18, and I completely agree with that. The only problem is that if there are alternatives to the police cell, what will be the default position? People say that more beds are needed, and in some areas that is a problem. In other areas, however, we need places of safety to take people to. We cannot separate the crisis that faces housing in London, for example, and mental health issues. If we have proper supported housing and other projects for people to go to, that is the alternative. A bed is not always the answer to these problems. The Crisp report demonstrated that 500 people had to travel 50 km to access a mental health bed. However, because such statistics are not kept nationally, how will we know whether the targets are being met? At the moment, statistics are kept sporadically, and perhaps in Committee we should insert some provision for them to be kept nationally.

The thrust of the Bill is right, and clause 60 provides regulatory powers to the Secretary of State on the use of police cells as a place of safety for those aged 18 or over. The regulations will set out the circumstances in which a police cell may be appropriate for someone waiting for an assessment. I do not question for one minute the Government’s direction of travel in not wanting to place people with mental health issues in police cells, but some examination of what those regulations would mean is important. Clearly, if beds or places of safety are not available locally, people will wait a long time. I have spoken to police officers in my area and a police cell is the last place they want such people to be in.

Measures to reduce the maximum detention time from 72 hours to 24 hours are welcome. However, I would even question the 24-hour limit, which I think is linked to Police and Criminal Evidence Act 1984 regulations. These people are not criminals, so why do we have to use the same time limit? Guidance for commissioners from the Royal College of Psychiatrists on section 136 says an assessment should be made within three hours. In Committee, we should try to reduce the time limit down to a maximum of three hours. I am not criticising civil servants for drafting the provisions thinking they would fit in with the PACE regulations, but the inference of criminality stigmatises people who are clearly not criminals.

The chair of the Health Committee, the hon. Member for Totnes (Dr Wollaston) raised the issue of when the 24-hour period starts. Does it start from when the person is detained in a police van or police car, or does it start when they arrive at the place of safety? This could make a big difference if people are being transported long distances to a place of safety. These issues need to be considered.

The issue of health service advocacy is completely missing in the Bill and needs to be addressed. Under the Mental Health Act 1983, there is provision for independent advocates for people with mental health issues. There are some exceptions, however, one of which happens to be the place of safety under sections 135 and 136 of the 1983 Act. People need advocacy and I would like some provision in the Bill to allow access to it. People in crisis will not be in a position to argue for their rights or to ensure they make the right decisions. The idea that advocacy is an exception rather than mandatory under the Act again puts pressure on statutory services to take it seriously.

I do not want to be churlish. I recognise that the Government are trying to move forward and I welcome what is being proposed, but the practical implications perhaps need to be considered in Committee. Alongside that consideration, we need a debate about what is a place of safety. In some cases it will be a bed, but the hon. Member for Broxbourne has other examples of places of safety run by charities and others. Unless the provisions in the Bill are implemented alongside changes to the health service and the voluntary sector, the issue, which is perceived to be a problem, will be placed unfairly back on to the police. We need to ensure the two are linked up. I hear what the Government say about £15 million being made available, but that is a drop in the ocean compared with the problems we face. We need to ensure that local commissioners work with the emergency services and others when commissioning local services. This is not just about beds. I am coming around to what the hon. Member for Broxbourne said as perhaps more appropriate.

[Mr Charles Walker]

The hon. Gentleman is talking about short-term crisis houses, which tend to be run by the third sector. They are community based and people can go to them for between three and five days at that moment of crisis to be sorted out before they go back home or back into the community to stay with friends or relatives.

[Mr Jones]

Yes. It is time to consider that proposal irrespective of whether such houses are provided by the voluntary sector or the statutory sector. A network of that type of provision across the country would get away from the use of police cells. As the hon. Gentleman knows, they could be commissioned at a local level, and third sector development could provide very good value for money. I welcome the proposed changes, but they need to be amended in Committee.

I broadly welcome the Bill, but my right hon. Friend the Member for Leigh (Andy Burnham) is right to say that we cannot consider it in isolation away from the funding of our police forces or of our fire and rescue services. The hon. Member for Cannock Chase gave the impression that this is all about driving through efficiency locally, forgetting that more than £2 billion has been taken out of policing by her Government in the past six years. In addition, money has been taken out of local fire and rescue services. Before she claims that I am arguing for inefficiency, I stand proud to be the Member of Parliament for the most efficient police force in the UK—Durham. However, efficiency has been achieved at a cost. The central Government grant has been cut and 350 officers have had to go. She talks about precepts and making local government accountable. That is fine, but the system needs to change. An increase in the precept in Durham, on both the fire service and the police, will not fill the gap created by central Government cuts. In a perverse way, the Government seem to be moving money away from more deprived areas to the more affluent areas of the south.

On the relationship between the fire services and the police, I am not opposed to efficiencies relating to the back office or anything else, but the hon. Lady did say she did not want the police fighting fires and firefighters catching criminals. I agree. We need to be clear that there will be no merging of the frontline. I will support anything that can make the service better for people and more efficient. The firefighters and police officers that I know want that, too.