Coroners and Justice Bill


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The Parliamentary Under-Secretary of State for Justice (Maria Eagle): Is it the position of the hon. Gentleman’s party that the mandatory life sentence should be abolished?
David Howarth: My position is the same as the Law Commission’s, that what we should do is to say where the mandatory life sentence should apply, which is in a narrow range of cases—although in some instances, the Law Commission pointed out that there are some anomalies where it should, but does not, apply now. We start with what we want to define as murder, which gives us the scope of the mandatory life sentence. I would be happy then to have very narrow defences, as under the Bill, because if we have a mandatory life sentence, we should not allow pathways out of it—we have decided that it is mandatory—but then the rest should consist of optional sentences for murder two and manslaughter. I prefer to do that through definitions of offences rather than using slippery defences, as under the Bill.
Returning to the point that I was making, juries will have their way with such defences anyway. If the Government went too far in trying to narrow the defences, all that would happen is that in reality—though not in the world of law—we would have something like the French system; in France, there is a general rule that extenuating circumstances, as found by the jury, remove the mandatory life sentence. Returning to the Minister’s comments, it might well be, after a number of years of trying to renew a set of definitions, that we come to the conclusion that the best thing that we can do is keep up with reality itself and move to something like the French system.
Maria Eagle: It is a pleasure to be back in Committee this morning—as the hon. Member for Cambridge has said, we may be here for some time. Given that the clause stand part debate is included in the group of amendments, I shall begin by talking about clauses 39 and 40, which we are debating the stand part of, before moving on to deal with the amendments and some of the points that have been made by the hon. and learned Member for Harborough in moving his amendment.
Clause 39, as Members have mentioned, reforms the law on diminished responsibility, which is a partial defence to murder. The hon. Member for Cambridge gave a brief exposition about the Law Commission’s report and his views on it, which has been helpful to the Committee in setting out the wider context of the offence generally, some of the developments that have taken place over the past few years and attempts to look at how to best reform the law—I think everybody admits that the law could do with some reforms.
The partial defence was examined along with other matters in the 2006 report by the Law Commission, called “Murder, Manslaughter and Infanticide”. It concluded that
“The definition of ‘diminished responsibility’ should be modernised, so that it is both clearer and better able to accommodate developments in expert diagnostic practice.”
The Government agree with that view, and the clause is designed to try to do that. It replaces, as the hon. Member for Cambridge has alluded to, the existing definition of the partial defence to murder of diminished responsibility with a new one is based on the concept of an abnormality of the mental functioning arising from a “recognised medical condition” by amending section 2 of the Homicide Act 1957. The existing partial defence defines diminished responsibility, which the hon. Gentleman has made reference to, as:
“such abnormality of mind (whether arising from a condition of arrested or retarded development of mind or any inherent causes or induced by disease or injury) as substantially impaired [the defendant’s] mental responsibility for [his or her] acts or omissions in doing or being party to the killing.”
The many lawyers in Committee, I think, will remember fondly learning those things at law school—in some cases, rather longer ago than in others. The Law Commission has two main criticisms—[Interruption.] Enough has been said about how long ago it was in my case. The Law Commission has two main criticisms of the partial defence. First, that the defence was not drafted with the needs and practices of medical experts in mind, and secondly that it does not explain what is involved in the substantial impairment of the defendant’s mental responsibility, which is required for it to succeed. Subsection (1) deals with the first criticism; namely, that the definition of diminished responsibility in the Homicide Act 1957 is not consistent with medical practice. The phrase “abnormality of mind” is not a psychiatric term, and the permissible causes as set out in the current definition do not represent current thinking on all causes that could give rise to mental impairment. Its meaning has had to be developed by the courts.
The hon. Member for Cambridge is a big fan of the common law. Common law has enormous advantages but also some disadvantages in the way that it develops. The changes that take regard of the concept of a recognised medical condition are to ensure that we replace the existing definition with one that will not have to be developed through time by common law, but that will keep up with developments in medical practice and understanding of the way in which diseases work.
David Howarth: This is an important point, because precisely the same point can be made about the law of murder, which is a common-law offence. As the Law Commission has said, it is such a common-law offence that it is difficult to state what it means with any precision. Why do the Government take that view about the defence of diminished responsibility, but do not hold the same view of the offence of murder in the first place?
Maria Eagle: I explained at the time that we responded to the Law Commission’s report and came forward with some of the proposals, which were, of course, consulted on before the production of the Bill. The Law Commission’s proposals were somewhat radical, and they did not command total agreement between all stakeholders and users of the system, whom we must get on board to ensure that the system works and is credible. We were therefore not able to reach agreement that led us to believe that we should go forward with the full panoply of restructuring the offence as well as splitting it up—as set out by the hon. Member for Cambridge—at this time. However, we believed that it was important to proceed with some of the valuable reforms of the partial defences that are in the Bill. There will be a second stage to our considerations about whether to go forward with some of the other proposals in the Law Commission’s report.
All the lawyers, and perhaps others on the Committee, accept that the law sometimes moves in a glacial fashion and does not always speed ahead as fast as the intellectual thought of the Law Commission. We must ensure a general consensus that we are going in the right direction, which was explained at the time of the consultation. We made it clear that we did not intend to go ahead at this stage with the entire proposal for reform, but that reforming the partial defences in this way was a valuable contribution to developments. We undertook to look further at whether the other proposals should be taken forward, in view of experiences arising from the changes, and we are still in that position.
The hon. Gentleman talked about classificatory systems. There are a number of accepted systems that encompass recognised physical, psychiatric and psychological conditions. Foremost among those is the World Health Organisation’s international classification of diseases, ICD10, as well as, as has been said, DSM4, which is the American Psychiatric Association’s diagnostic and statistical manual of mental disorders—please do not test me on that one.
The Government envisage that such accepted classification systems will be used later. If a qualified medical expert gives evidence that, at the time of the killing, a defendant was suffering from a condition included in one of these lists, and the jury accepts that, that part of the test will be met. There is also scope for conditions that are not included in such a list to be deemed recognised medical conditions for the purposes of the test, which addresses one of the concerns alluded to by the hon. Gentleman. Flexibility is important, as it caters for emerging conditions that, while they have not been recognised and put on the classificatory lists, are part way through being recognised and medical people out there are expert at dealing with them. The defence could therefore call a recognised specialist who has had their work peer-reviewed, although it has not quite got on the list. It would then be for the jury to decide whether that met the partial defence requirement.
11 am
Subsection (1) provides that a person who kills or who is a party to a killing is not to be convicted of murder if he or she was suffering from an abnormality of mental functioning that arose from a recognised medical condition, which substantially impaired his or her ability to do certain things that are set out under subsection (1)(1A), and which provides an explanation for their acts or omissions in doing things or being a party to the killing. The hon. Member for Cambridge referred to causation. The meaning of the “explanation” is expanded in subsection (1)(1B), which I shall cover when dealing with the amendments.
The Law Commission’s second main criticism of the law is that it refers to the defendant
“suffering from such an abnormality of mind...as substantially impaired his mental responsibility for his acts or omissions in doing or being a party to the killing”.
However, it does not explain what is involved in such a substantial impairment. Subsection (1)(1A) deals with the issue, following the Law Commission’s recommendation, by specifying that the abnormality of mental functioning that has arisen from the recognised medical condition must have substantially impaired the defendant’s ability to do at least one of the following actions: to understand the nature of his or her conduct; to form a rational judgment or to exercise self-control. If that test is not met, the partial defence cannot succeed.
The Government agree with the Law Commission that it is necessary for there to be some causal connection between the abnormality of mental functioning and the killing in order for the partial defence to succeed. It is right for there to be some connection between the condition and the killing, otherwise the partial defence could succeed in cases when the defendant’s mental condition made no difference to their behaviour, and they would have killed regardless of the medical condition. For that reason, subsection (1)(1B) provides that, for the partial defence to succeed, any such abnormality of mental functioning must have been at least a significant contributory factor in causing the defendant to do as he did. It need not have been the only cause, the main cause or the most important factor, but it must be more than merely trivial. The partial defence cannot succeed when the truth is that the recognised medical condition and the impairment were randomly present by coincidence and made absolutely no difference to the behaviour that ensued.
David Howarth: I do not want to go into the technicalities of causation and the law because that would take me and the whole Committee back to my previous life. I just want to draw attention to the practical problem caused when psychiatrists are called to give evidence but they say that they do not deal with such categories, contributory factors or cause, and deal only with people’s minds. There is a lack of connection between the way in which lawyers think and how psychiatrists think.
Maria Eagle: There certainly will be other evidence of what went on in the individual circumstances of the case before the court, as well as the medical evidence. While we would not necessarily expect the medical expert to be an expert on causation, it would be for the jury in respect of all the evidence it has before it to decide whether it was merely coincidence or whether a cause contributed more or was of some significance and related the behaviour to the medical condition. We would expect the expert to at least be able to say whether the kind of behaviour that was exhibited was the sort that often related to the medical condition that was being discussed. I am sure that the 12 good men, women and true would be able to use their sense in respect of the medical and other evidence before them. Clause 40 extends the provision that we are discussing under clause 39 to Northern Ireland.
Amendments 17 to 20 tabled by the hon. and learned Member for Harborough would extend the partial defence of diminished responsibility in murder cases significantly beyond the scope of current legislation. It would mean, recalling the hon. and learned Gentleman’s speech at our previous sitting, that the defence could be used not when the defendant was suffering an abnormality of mental functioning arising from a recognised mental condition, but when the deceased had been suffering in that way—in other words, the victim, the person who had been killed. The defence would need to show that the defendant’s ability, not that of the dead person, to understand the nature of his conduct, to form a rational judgment or to exercise self-control—or any combination of the three—had been substantially impaired by the deceased’s abnormality of mental functioning, and that the deceased’s abnormality provided an explanation for the killing.
The hon. and learned Gentleman’s remarks set out what he was reaching for, and he accepted that there might be some confusion in the amendment. He was setting out that the abnormality of mind was that of the deceased, rather than that of the person doing the killing. Those present understood what he was getting at. However, his amendments would lead to some bizarre and undesirable effects if we were to accept them.
The partial defence of diminished responsibility has never been designed to provide for such circumstances, but has always operated to make allowance for defendants who at the time of the killing were mentally impaired. We agree that that is the best basis for the continuation of the partial defence and wish to retain that limited scope. The partial defence should be limited to those whose own ability to exercise self-control, make a rational judgment or understand the nature of their conduct has been substantially impaired by their own abnormality of mental functioning. For the defence to succeed, they would need to show that the abnormality of mental functioning provided an explanation of the killing—we have just been discussing that—so there would have to be an element of causation, although not a heavy one. We do not believe, therefore, that the amendments of the hon. and learned Gentleman work conceptually.
It is a bit unusual to suggest that one person’s abnormality of mental functioning arising from a recognised medical condition would have the effect of substantially impairing a different person’s ability to understand the nature of their conduct, to form a rational judgment or to exercise control. The amendments would not serve the interests of justice, although we all understood the narrow ambit of the cases that he was talking about. However, explicitly providing the opportunity for the defence to inquire into the state of mind or general health of the deceased would be a worry. We would not want such things to become commonplace in cases where the deceased had been suffering from an illness of one kind or another, or to create a specific defence for the killing of people who are mentally impaired. The signal that sends to society and the public would be difficult to defend, and we cannot support the amendments of the hon. and learned Gentleman.
There has been a bit of discussion about the concept of “mercy killings” and a person who kills out of some feeling to relieve the suffering of the deceased. The current law of diminished responsibility requires the defendant to have been suffering from an abnormality of mind arising from one of a number of specified sources. Our proposal introduces the concept of a recognised medical condition. Conditions currently amounting to an abnormality of mind fall within the definition of a recognised medical condition in the new test. Our change of wording for the partial defence is designed to make the law clearer, easier, more modern and better able to move into the future. The definition should be easily understood rather than left behind by medical developments, as the current one arguably has been. Amendments 17 to 20 seek to address a perceived problem that we do not believe exists. Even if the problem existed as the hon. and learned Gentleman set out, we do not believe that his amendments would work in a desirable way to deal with what he had to say.
Amendments 164 and 165 of the hon. Member for Cambridge would undermine our efforts to modernise the partial defence. The effect of amendment 164 would be to remove the requirement that the defendant’s abnormality of mental functioning arose from a recognised medical condition, and he explained why he put that forward.
However, we believe that the inclusion in clause 39 of the requirement for a recognised medical condition to have given rise to the abnormality of mental functioning follows the Law Commission’s recommendations in its report “Murder, Manslaughter and Infanticide”. It is designed to bring the existing terminology of the partial defence up to date in a way that encourages defences to be grounded in valid medical diagnosis, linked to accepted classificatory systems, with the flexibility to allow for future developments in diagnostic practice.
We believe that “recognised medical condition”, despite the concerns that have been expressed in the Committee, is a substantial improvement on the current law. It is supported by organisations such as the Bar Council, the Law Society and the Royal College of Paediatrics and Child Health. We believe that it will bed down quickly and it will be easier for the courts and medical practitioners to use than is currently the case.
Amendment 165 would remove the requirement that the defendant’s abnormality of mental functioning must have been at least a significant contributory factor in causing him to act as he did. We have rehearsed some of the arguments about causation. We do not believe that the partial defence should succeed where random coincidence has brought together the activity of the person and the recognised medical condition. We want to be more explicit about the extent of the required connection than the Law Commission was. We recognise that the Law Commission was not engaged in legislative drafting, and that is why we say that there must have been at least a significant contributory factor in causing the defendant to act as he did. We do not require the defence to prove that it was the only cause or the main cause or the most important factor, but there must be something that is more than a merely trivial factor. There needs to be a link and we believe that the current wording gets that link right.
Amendment 165 removes all the detail and relies on the requirement that the abnormality of mental functioning must provide an explanation. Although the hon. Gentleman would no doubt argue that that does not remove a need for causation altogether, we do not consider that it is sufficiently precise. It is not clear how it would be interpreted by the courts and the defence.
 
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