I am very grateful to the right reverend Prelate the Bishop of Gloucester, who sends her apologies that she cannot be here, but who asked me to underline her strong support. I am grateful to the noble Baroness, Lady Gohir, for her support for both amendments, and the noble Baroness, Lady Sugg, and my noble friend Lady Chakrabarti for each signing one of them. I am grateful to Women for Refugee Women and Medical Justice for their briefings on the amendments, but I feel we really cannot do them justice at this hour.
Amendment 68 does no more than restore the status quo ante, restricting the detention of pregnant women to 72 hours, extendable up to a week with ministerial authorisation. This restriction was introduced by the Immigration Act 2016 thanks to the strong opposition in your Lordships’ House to the detention of pregnant women.
Prior to that, there was no time limit and, although policy stated that pregnant women should be detained only in exceptional circumstances, in practice they were all too often detained in far from exceptional circumstances, and often for long periods. The Bill would return us to those dark days.
Midnight
The government-commissioned review of the welfare of vulnerable people in detention by Stephen Shaw, a former Prisons and Probation Ombudsman, recommended the absolute exclusion of pregnant women from detention. That formed the basis of an amendment that I tabled in your Lordships’ House, which received strong support right through to ping-pong. Eventually, we accepted the 72-hour limit compromise proposed by the Government. In her Statement explaining it, the then Home Secretary Theresa May stated that
“the Government are clear that pregnant women should be detained only in exceptional circumstances”,
and that to achieve a balance
“with the need to maintain a robust and workable immigration system … This new safeguard will ensure that detention for pregnant women will be used as a last resort and for very short periods”.—[Official Report, Commons, 18/4/16; col. 12WS.]
In his review, Stephen Shaw cited evidence from the Royal College of Midwives and others but explained that he had
“not sought further evidence that detention has an incontrovertibly deleterious effect on the health of pregnant women and their unborn children. I take this to be a statement of the obvious”.
At the risk of stating the obvious, it is worth recalling that, during the 2016 debate, a number of noble Lords with medical experience voiced serious concerns about the impact of detention, not just on pregnant women but on their unborn babies. In particular, my noble friend Lord Winston drew attention to the science in which he himself was involved, which
“tells us clearly that the foetus at certain stages during pregnancy is extremely vulnerable to the environment of the mother”.
He warned that if a pregnant woman’s
“stress hormones … are raised, the effect on the foetus may be profound”,
and that
“the Government need to recognise”
their potential responsibility
“for a heritable effect on that child and possibly even on the grandchildren”.—[Official Report, 10/5/16; col. 1667.]
Today, the Royal College of Obstetricians and Gynaecologists, the Royal College of Midwives, the BMA and a range of maternity and refugee organisations have warned of the serious risk of harm that indefinite detention could create for pregnant women and their babies. The Children’s Commissioner has expressed support for this amendment.
The Independent Advisory Panel on Deaths in Custody, which I mentioned earlier, wrote to the Home Secretary on 17 March. Having expressed general concern about the increased risk of suicidality as a result of the extension of indefinite detention, it asked whether the Home Office had carried out a full assessment of the risks linked to the indefinite detention of pregnant women as well as children, and whether it would publish that assessment. More than two months on, no reply has been received. No doubt it will be sent in due course, so perhaps the Minister can provide an answer now and remind the Home Secretary that a proper reply is due to the panel.
In his follow-up review, Shaw noted that the introduction of the time limit had led to a welcome reduction in the number of pregnant women detained, a trend that official figures show has continued; we are now talking about single figures, compared with 99 in 2014. Why are the Government going back on their own policy?
At Second Reading, in response to concerns raised from around the House, the Minister stated that
“to date, there have been very few pregnant women in the small boats”,
yet to exclude them from the detention powers
“would only serve to incentivise the people smugglers to”
put more
“pregnant women … into flimsy boats”.—[Official Report, 10/5/23; col. 1924.]
Similarly, in a Commons Written Answer, the Immigration Minister warned against creating
“perverse incentives for evil people smuggling gangs to target particularly venerable groups”.
Echoing the ECHR memorandum, he further justified the move with reference to “appropriate accommodation” and “healthcare provisions”. That ignores not only the evidence on the inherent stress for pregnant women of being detained, which even the highest-quality healthcare would struggle to mitigate, but the evidence from organisations on the ground that antenatal and other healthcare in immigration detention is often very poor.
The Doctors of the World advisory group of people with lived experience of the asylum system raised particular concerns about standards of nutrition in detention centres for pregnant women and their unborn babies. The equality impact assessment bizarrely argued that because pregnant women could be considered
more vulnerable, the removal of restrictions over their detention advances equality of opportunity, because it reduces the risk of their exploitation by people smugglers. This is Alice Through the Looking Glass thinking. Moreover, there is no evidence—that word again—that the 2016 legislation incentivised pregnant women to seek asylum, and the Minister himself acknowledged that there had been very few in the small boats drawn by the prospect of limits on their detention. Are the Government really willing to risk the health of pregnant women and their unborn babies on the basis of a theoretical fear of incentives, or “gaming the system”, as the Minister put it, for which there is no supporting evidence?
I turn to Amendment 70, which would protect children as well as pregnant women against the use of force, be it through the laying of hands on a child or pregnant woman or the use of restraint equipment to effect detention or removal. Again, the rationale for this amendment is the harm that the use of force can do to particularly vulnerable groups, the numbers of whom are likely to increase as the Bill’s removal of detention restrictions becomes law. According to Medical Justice, citing the Royal College of Midwives, pregnant women are at particular risk of developing serious conditions if subjected to the use of force, with implications for their unborn babies. It also cites the Home Office’s own use of force guidance, which acknowledges the serious physical and emotional harm that the use of force might do to children.
Current Home Office guidance does in fact place clear restrictions on the use of force on pregnant women and children. However, this policy was withdrawn for a period and was reinstated only following legal action. In practice, Medical Justice still sees disturbing evidence of the misuse of force in both detention and removals. It also quotes His Majesty’s Chief Inspector of Prisons’ recent report on short-term holding facilities, which gave examples of what it described as disproportionate, unacceptable and inappropriate use of restraint, including handcuffs on children. In his report published yesterday, he noted, depressingly, that:
“Across all three sites we saw no evidence of scrutiny or governance of the use of force or of lessons learned from poor practice”.
Home Office policy states that force should be used on children and young people only where it is necessary to prevent harm to the child or any individual present. Can the Minister give a commitment that this will continue to be policy? I ask because the fact sheet on the Bill and children suggests that force might be used on children if completely necessary, rather than only to prevent harm. Moreover, the fact sheet goes on to state:
“Using force on children in family groups may unfortunately be necessary if a family is resisting removal”.
But the use of force on a child to effect removal is not currently allowed. Will the Minister please explain why it will now be deemed acceptable to use force against children in circumstances where it has not previously been allowed under Home Office policy? This amendment simply puts into the law what is already supposed to be part of government policy, thereby creating a more
robust statutory protection for two particularly vulnerable groups. I hope, therefore, that the Government will accept it.
Returning to Amendment 68, I fear that the Government’s obsession with deterrence, such that they intend to make life as grim as possible for all those who seek asylum in the UK through irregular means—not just small boats—regardless of vulnerability, means that they have lost all sight of humanity. I implore the Minister to think again and accept what is really a very small amendment but one that could make all the difference to the lives of pregnant women and their unborn children. I beg to move.