Lord Hanson of Flint (Lab)

I am grateful to the noble Lord, Lord Marks of Henley-on-Thames, for setting out his amendment on the issue of controlling or coercive behaviour by psychotherapists and counsellors. I fully understand the comments made by the noble Baroness, Lady Finlay of Llandaff, in support of it. I am pleased in some ways—and in other ways I am not—that the noble Lord has managed to persuade the noble Lord, Lord Pannick, to back his cause. However, while I accept that there are concerns in this area, I am sort of with the noble Lord, Lord Cameron of Lochiel, on this one. The amendment seeks to create an offence of controlling or coercive behaviour for psychotherapists and counsellors providing services to clients, mimicking a similar offence in the domestic abuse context. I understand the need for that, as explained by the noble Lord, and I fully recognise that those who seek psychotherapy and counselling services may be vulnerable. As the noble Lord knows, psychotherapists and counsellors are not statutorily regulated professions in the UK. However, there are other safeguards in place for the public to acquire such services with confidence. As my noble friend Lord Hunt of King’s Heath said in Committee, this is a complex area where there is an overlap of roles and titles. It is difficult to differentiate between and reach agreement on defining what these specific roles are, be it psychotherapist, counsellor, therapist, well-being coach, talking therapist, mental health practitioner, lifestyle mentor, family coach or spiritual healer—the list could go on. As the noble Lord, Lord Pannick, touched on, regulation is not always the answer. Quack and unscrupulous practitioners can, as has been described today and during previous debates, easily refer to themselves as something slightly different to avoid any proposed new offence, and regulation does not define the scope of practice. In Committee, I heard the request for the noble Lord and supporters of the amendment to meet the relevant Minister at the Department of Health. I was pleased to facilitate that discussion, which I know took place on Monday—though there still appears to be a gap between the noble Lord, Lord Marks, and my colleague Karin Smyth MP. The amendment as it stands is intended to protect vulnerable people from rogue practitioners who call themselves psychotherapists or counsellors, but it does not include a legal definition of counselling or psychotherapy services. I respectfully submit that the amendment is not the right route to take, in the light of that issue. As I and my honourable friend the Health Minister in the Commons have said, the Government are focused on managing the underlying risks. We are ready to work with sector partners to commission a formal assessment of the oversight of such therapies in order to understand current risks as well as the effectiveness of existing safeguards and whether they need to be strengthened to protect the public better. As I mentioned in Committee—I will repeat it again for the noble Lord—if the Government are satisfied that the conditions for the regulation of a profession are met then they can take action through secondary legislation under existing powers in the Health Act 1999 to make changes and to bring into effect criminal offences relating to a person’s registration with a professional regulator. I openly and honestly say to the noble Lord that we cannot accept the amendment, but I hope that there is some comfort from both the meeting and the direction of travel that I have set out on behalf of my colleagues in the Department of Health and Social Care. I hope that the noble Lord will be content to withdraw his amendment.