My Lords, I join other noble Lords in welcoming the noble Lord, Lord Sandhurst, following his maiden speech. I propose to speak briefly about three different areas in the Bill: the requirement for doctors to disclose confidential medical information about their patients; serious domestic violence, stalking and coercive control; and, finally, the proposals that will affect the Gypsy, Roma and Traveller community.
Part 2 Chapter 1 of the Bill requires disclosures of information that will breach health professionals’ obligations of confidence. Clinical commissioning groups in England, and health boards in Wales, as well as other bodies, will be required to share information requested by the police, and refusals to comply can be overridden by the Secretary of State. Even worse, there are no independent safeguards, such as court orders or use of the courts to stop and limit the sharing or use of such personal information.
The General Medical Council rightly points out that this undermines the trust that lies at the heart of the doctor-patient relationship. If patients believe their information could be more routinely shared with policing, youth, education and prison bodies, as is proposed, it could impact on their decision on whether to access healthcare services, and undermine the trust that is fundamental to health relationships.
Other countries, including America, Australia and New Zealand, and the rest of Europe continue to strongly defend the principle of a confidential health service and confidential clinician-patient relationships as a cornerstone of ethical practice. It is just plain wrong that the Government are proposing this, and I will return with amendments in Committee.
I turn now to the issues of domestic violence, stalking and coercive control, on which a number of us brought forward amendments during the passage of the Domestic Abuse Bill. The noble Baroness, Lady Williams, told us during the passage of the Bill that the guidance to MAPPA would be extended to specifically include stalking. I thank the Minister for writing to those of us who were involved with a draft of the guidance but, as she knows, there are other issues that we believe are still outstanding. In particular, we still believe that there is a need for a stalking register.
Since the passage of the Domestic Abuse Bill, more women have been murdered by their stalkers, and cases have emerged involving histories of stalking, coercive control and/or domestic violence which were not managed even when police and other bodies knew about them.
In May, a domestic homicide review found that the response to Natalie Saunders’ concerns about her boyfriend meant that the authorities did not properly protect her. The approach of the police and other services to escalating risks lacked urgency and co-ordination. In the four months before her murder, seven instances of domestic violence were reported. Despite court orders relating to other women, information was not shared or acted on. The result: he murdered her.
In June, young model Gracie Spinks was murdered by an obsessed colleague. She had reported him to the police, but they did nothing. The result: he murdered her.
Finally, in May, Theodore Johnson was convicted of strangling Angela Best. He already had two manslaughter convictions relating to former partners, yet the system did not pick this up and monitor him. The result: he killed his third partner.
So I join the noble Baroness, Lady Bertin, the noble Lords, Lord Russell and Lord Polak, and many others in backing the Domestic Abuse Commissioner’s recommendations for stronger definitions of domestic homicide and a recognition that the escalation of domestic violence into serious violence must be dealt with by all the agencies involved—and, as I have said before, we need a stalking register too.
Turning now to Part 4 of the Bill, I wish to join the many others who have spoken on the parts that will essentially criminalise our Gypsy, Roma and Traveller community. The noble Baronesses, Lady Whitaker, Lady Chakrabarti and Lady Bakewell of Hardington Mandeville, and many others have all set out the case eloquently. The proposals in the Bill are nothing less than dog whistles of the worst kind, which deliberately misrepresent an already severely marginalised community.
Liberty’s excellent briefing sets out how the wording in the Bill is too loose and woolly and will give people in authority powers to push GRT people away, or worse. I want to focus on just one claim by the Government, which is that this is not discriminatory.
Gypsies and Travellers have for centuries had a right to a nomadic life. Some 20 years ago there was a requirement on local authorities to provide authorised encampments. Most did not—a failure of planning responsibilities, as the noble Baroness, Lady Massey of Darwen, has pointed out. Others have closed those that were available, such as when the Conservatives took control of Somerset, as the noble Baroness, Lady Bakewell, pointed out. The Conservatives are now proposing powers that are disproportionate, discriminatory and frankly unjustified. Allowing police to impound a person’s home is astonishing and criminalises their way of life. I will join many others in bringing amendments to the Bill in Committee.
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