My Lords, I support Amendments 7, 12 and 13 in this group, but today I am speaking to moving Amendment 11 as my noble friend Lady Grey-Thompson is, unfortunately, not able to be in her place.
As someone who is supported by personal care assistants 24/7, I have a deep understanding of this territory, and I was sorry not to have been able to participate at Second Reading. Amendment 11 is a probing amendment, and it raises challenging issues which need tackling. The amendment is similar to Amendment 12 proposed by the noble Baroness, Lady Wilcox of Newport. It has been tabled in response to disabled peoples’ express plea that the Bill should address the covert abuse that some individuals experience from a carer, whether paid or unpaid. Carers often have a close connection to the person they are supporting, through their personal care or day-to-day activities.
While most who care for disabled people do so with great kindness, respect and the best intentions, there are a significant number who do not, and who go on to abuse those who rely on them. Society finds it hard to believe that somebody would abuse a disabled person who cannot fight back—somebody like me. However, the 2018-19 Crime Survey for England and Wales found that people with long-term illnesses or disability were more likely to experience domestic abuse than those without. The abuse that they experience is often directly linked to their impairments and is perpetrated by the individuals that they are most dependent on for care.
In the absence of any close family or friends, carers are considered as welcome substitutes by some disabled people who are isolated and feel lonely and anxious. In the main, this is a mutually kind and equitable relationship. However, evidence shows that, on occasions, the situation is sometimes exploited by the carer, leading to an abuse of power and pervasive means of coercive control. As stated by the noble Baroness, Lady Wilcox of Newport, examples of stealing, physical harm and bullying are more common than anyone would care to acknowledge.
Such victims need to be able to confidentially access justice and independent support services, when faced with a carer abuser. This is very challenging when the disabled person requires help to carry out the simplest of tasks and has no one to ask to help them to contact
these people. This amendment could ensure that disabled people who require paid or unpaid people to support their day-to-day existence are adequately protected from domestic abuse. Currently, there is no clear route which carries out this function adequately.
The Government are not yet convinced of the necessity to include disabled people. They say that if the carer is a family member or a partner they will be covered by the Bill, because that is a significant personal relationship. In other cases, abuse of a disabled person by their carer is already covered by existing legislation. However, not all carers are necessarily regulated by existing legislation, yet the relationship they have with disabled people can be just as significant. Such carers often support the individual in very intimate ways. Strong, particularly close, personal attachments can occur, very similar to that to a partner or relative. It also takes place in a domestic setting.
Further, the existing protection is clearly not working. If the treatment of a disabled person amounts to behaviour that is “abusive” under Clause 1(3)—if it is controlling, coercive or threatening, or it involves physical, sexual, economic or psychological abuse—it seems wholly wrong to exclude it. Of course, this will not be the first time that disabled people’s concerns have been left out of mainstream public rights. Let us not do it again here.
I appreciate that Section 42 of the Care Act 2014 places a duty on local authorities to carry out safeguarding inquiries if they suspect abuse, but there is plenty of evidence to show that they are failing to identify victims, even those at highest risk. This Bill, with this amendment, could respond to the need for added protection. Many personal assistants who are employed by disabled people—I have that ability through my own personal health budget—are not regulated. We do not come under safeguarding measures. We are alone, to manage and control our PAs ourselves; it is something that we choose to do. I would want to know that this legislation covered me if I ever found myself in a situation where my PA was abusing me.
I will give just one harrowing example of why the relationship of carers and disabled people needs to be covered by this Bill:
“A neighbour befriended a woman with learning disabilities, became her carer and provided her with support. He then demanded sex and verbally abused her because she would not have sex with him.”
This woman experienced abuse by a neighbour whom she trusted, who had, in effect, become a close family friend and carer; someone with whom she felt a personal connection; somebody who had access to her house at any time of the day.
Disabled people face huge barriers in getting support from the services that are available today. We are all acutely aware of the crisis that exists within social care and the inadequate capacity to respond to such cases. In addition, it is extremely difficult to access domestic abuse services if you are a disabled person. We have to find a way to ensure that, if a disabled person experiences abuse by a carer, they have the same rights as any other victims who fall within Clause 2(1). This amendment will make the Bill as inclusive as possible, to protect all those who are abused in a domestic setting and afford them the same access to justice.