My Lords, it is a pleasure to follow the noble and learned Baroness, Lady Butler-Sloss, who supports this amendment. Like the noble Baroness, Lady Finlay, I acknowledge the helpful letter on this amendment that we received today from my noble friend the Minister.
Accommodation-based support, as proposed in government Amendment 22, is highly relevant because domestic abuse can take place in settings other than the home. Alcohol intoxication increases vulnerability because it makes victims less physically able to get away from an aggressor and more likely to make poor decisions. Likewise, alcohol increases the chances of the aggressor assaulting someone in the home or other accommodation-based settings. We know that the more intoxicated someone is, the greater their chance of sustaining serious injuries.
We should also be concerned about the effects of domestic abuse on children—the hidden victims of domestic abuse, as the noble Baroness, Lady Benjamin,
noted in the debate on the first group of amendments. Witnessing domestic violence and alcohol abuse are major events in childhood and may lead to an anti-social lifestyle of offending, truancy and violent behaviour in the years ahead.
As a surgeon, I treated many patients with injuries sustained following domestic disputes, nearly all of them fuelled by alcohol. Some were horrific injuries to the chest and abdomen; others were less serious but, none the less, led to long-term complications—particularly injuries to the face from the assailant’s fists or a blunt weapon. The consequences lead to long-term disfigurement, and the sight every day in the mirror of a broken nose or missing teeth is a constant reminder of the abuse suffered. Children, too, may suffer injuries as part of the collateral damage. Many choose not to admit to the assault outside the home.
I am grateful to Professor Jonathan Shepherd, a surgeon and professor at Cardiff University’s Crime and Security Research Institute, for providing me with his publications in the journals of both the Royal College of Surgeons and the Royal College of Psychiatrists and his position statements on the management of alcohol abuse and the mental health impacts of violence. My noble friend the Minister may wish to consider these in the formal consultation after Royal Assent.
In conclusion, where alcohol is concerned, it is important not to view physical injuries in isolation. All too often, the two are inextricably linked. I would welcome the opportunity to share these Royal College policies with my noble friend the Minister, in the hope that they may influence national policy in providing alcohol abuse and mental health support, as this amendment proposes.
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