Abstract
Rape is controversial and constructing rape policy is complicated. Most victims, men and women, are raped by someone they know. The court case usually hangs on whether or not the complainant consented to the act. The defence feels free to portray the complainant in a negative light making the trial an ordeal. Some complainants decide it is one ordeal too many and withdraw from the process. Sustained criticism of the handling of rape cases over many years led to substantial improvements, with specially trained police officers, prosecutors and judges, and more defendants being convicted. Yet providing justice to rape victims requires more than an effective criminal justice response. It also requires recognition that victims are entitled to the support of the state. They should be treated with respect regardless of whether the case goes to trial or not. The rate of convictions for rape is not the only, or even the most important measure of a good policy.
Once I had become immersed in the subject of rape and sexual assault it became very clear to me how much the two disciplines of medicine and law have to say to each other. It seems to me that rape is a very medico-legal subject, perhaps the most perfect medico-legal subject, because rape brings these two disciplines together and entwines them, and the more entwined they are and the more one informs the other the better our policies and our practices will be.
Coming to this subject as a blank sheet of paper, as I burrowed more deeply into it, it seemed to me that health, by which I mean forensic examinations, care, counselling, recovery and broader public health issues, and then the law, by which I mean investigations, prosecutions, trials, special measures to make the trial less painful to the complainant, convictions (or not), civil actions (or not), are two indispensable parts of the proper response to rape victims. They are sometimes in conflict. They are sometimes out of balance and sometimes both of them get it terribly wrong, but the contribution of the two parts adds up to whether or not there is what people describe as justice for rape victims.
What is justice for rape victims and how we might get it, taking account of the new political landscape, is my theme this evening.
But I hope you will be patient if I begin with some more general remarks to set the context. I suggest that rape is not the same as other violent acts, and I must just add that I am talking here only about adults, because sexual abuse of children is not what I know about and not what I have studied. I want to suggest why it seems to me that rape is so contentious, why pronouncements about rape are very difficult to make without causing an uproar (and you may remember Kenneth Clarke, our Justice Secretary, and his interview about some rapes being more serious than others), and I want to explore a bit why rape is so newsworthy and so political.
Last year I did a placement as a parliamentary volunteer with Voluntary Service Overseas in Kenya with an organisation that combats violence against women, and in the Sexual Violence Recovery Centre in Kenyatta Hospital I met a middle-aged woman (she was a patient) from the Democratic Republic of the Congo, a most presentable, articulate and charming woman. She told us how she ended up in the hospital. The troops of a warlord arrived in her village. They killed her husband and children in front of her. Then she was raped by many of them and they left her because they thought she was dead. She was not dead and she walked to Kenya.
Rape is one of the weapons of war, and has been since time immemorial. It is used as a weapon of war because it is a brutal manifestation of power and a deeply destructive way of harming the enemy. Here we have no war, but a report produced last year on gangs suggested that “Rape has become a weapon of choice, and used against sisters, girlfriends and on occasion mothers (of enemy gang members), as it is the only weapon that cannot be detected during a stop and search”.
So the starting point for talking about rape, it seems to me, is the resonance it always carries of belligerent brutality, hatred and a desire to humiliate. In the literature those subject to it are often called survivors to indicate the extreme nature of the experience. Now, we do not normally call people who have been robbed or burgled or assaulted survivors, but rape victims are often called survivors.
Then there is the fierceness of the gender issue. Of course men are also raped, and it seems that between 8% and 10% of a caseload or a statistical table is made up of men, but the issues surrounding rape of men are different. The profile of that is much lower; the amount of specialised help available for them is much less. Most literature on male rape is about prison, where the war illustration is perhaps the most relevant, because rape in prison is used as a weapon to support the hierarchy of power amongst the prisoners, and you may know or you may not that in the United States they have an Act of Congress called the Prison Rape Elimination Act. So there is no denial there that this is what happens in American prisons. The men who have been raped feel very marginalised, as rape is widely seen and very strongly felt to be a women's issue.
I will now add to the complexities by raising the question of false allegations. There seems to lurk in the discourse about rape, an often unexpressed belief that many women are lying. Indeed, there are cases where rape allegations are proven to have been false, and undoubtedly these allegations cause huge damage to the reputation of an accused person. It is a very serious matter and women are charged, and may receive a heavy prison sentence, for making a false allegation. The Lord Chief Justice feels that two years is “well-measured”, by which he means it is about right.
But how common are false allegations? Some of you may remember not so long ago the case of a woman who made an accusation of rape and then withdrew it. It is suggested (and most likely this was the case), because of pressure from her partner, who was the person accused. She was charged with making a false allegation, because she withdrew her original accusation, and she was given a prison sentence, which was subsequently overturned on appeal and replaced by Community Service. Since that case the Director of Public Prosecutions has required that all prosecutions go through head office before they are taken out, and it seems now that there are very few false allegations. When there are such cases, they usually turn out to be cases of mental illness or extremely disadvantaged and damaged young women, often just leaving care. So when we are talking about rape we are in very complex territory.
Now, if we move from rape as a war crime (and rape can indeed be a war crime, as recognised by the International Criminal Court) to rape as a crime in domestic legislation, we find ourselves in a fast-moving scene, and it is clear that the laws on rape anywhere relate very much to the position of women in society. For example, in Afghanistan a woman has no autonomy but is part of the wealth of a family, used to make a beneficial marriage or to be handed over perhaps to settle a dispute about land, and rape laws will reflect that position. In the middle of the spectrum of women having autonomy are countries where rape is certainly unlawful but nobody would understand the idea that there could be rape in marriage, and there are certainly communities living in this country where the view would be that there could not be rape in marriage. That is not so surprising, because we did not have rape in marriage either until the landmark judgment in R v R in the House of Lords, which was subsequently put into the Criminal Justice and Public Order Act 1994. So it was actually only in 1991 that our courts decided that you could have rape in marriage. The 1994 Act also amended the definition of rape to cover vaginal and anal intercourse against a man or a woman. So male rape only came into statute in 1994, and you will see that our next law revision brought more of the idea of sexual autonomy onto the statute book. The Sexual Offences Act of 2003 brought in a new definition of consent. The new law says that an “honest but unreasonable belief” in consent will not do. If the belief in consent is unreasonable, then that will be rape.
Now, yesterday I was at a meeting of NHS London about sexual health, giving a little talk, and we were shown the award-winning interactive video, aimed at young men, commissioned by a marvellous organisation in London called The Havens. This video won four prizes at the Advertising Awards. It is called “Where is your line?”. It shows two young people, who met at a party, embracing, and that goes on a bit, and then the young woman is sick and it is clear that she is very drunk. It goes on a bit, and then they are on the bed, and then she protests and pushes him off, and then sex takes place. At each point the young men watching this video are supposed to click when they would go no further; that is, when their line has been reached; and if they only click at the end they discover they have gone too far and what they have done is rape. They should have clicked when it became clear she was drunk, and they certainly should have clicked when it became clear that she was pushing him off.
The police in Manchester have another approach; they distribute pens with a pull-out slip (they distribute them in bars) which says, “Rape: Short word, Long sentence”, which is another approach. I also have a poster from another police force with a very nice picture of a young woman and the wording is, “Let your hair down, not your guard”. That one is widely regarded as not acceptable because it is warning women to be careful, rather than telling men not to rape them. I don't think that poster will be coming out again.
So it is a very complicated arena in which to construct policy. Against that background how should rape be dealt with and what is “justice for rape victims”? It would seem, from what I discovered, that it means a lot more than a day in court or a person convicted. You may have seen a comment made by a woman called Gabrielle Brown. She is a rape victim who went on the radio with Kenneth Clarke, the Justice Secretary, when he got himself into trouble for saying some rapes were more serious than others, which is undoubtedly true, but maybe he didn't express it very well. He should have known that talking about rape is full of traps. Gabrielle Brown told Ken Clarke off. She told him: “At the moment, a victim is treated like a piece of evidence in an evidence bag.”
Sara Payne, some of you may remember, was the Victims’ Champion at the Home Office. She did a report for them called Redefining Justice. She said, “We need to reconsider our definition of ‘justice’ so it is not just for punishing a perpetrator and preventing further crimes.” And fundamental to the report that I brought out in 2010 and the point from which all my recommendations flowed was that the balance in dealing with rape between the medical and the legal had become distorted. Pressures were being exerted which led the services that respond to victims to give them the Gabrielle Brown experience; that is, to see them as a piece of evidence in an evidence bag. I am going to do something that I don't think it is very proper to do, which is just give you a little quote from what I said, because I tried to redraft it and I ended up thinking I am never going to do any better than this: “We need to look at rape victims as people who have been harmed, whom society has a positive responsibility to help and to protect, aside from the operations of the criminal law. Whether the rape is reported or not, whether the case goes forward or not, whether there is a conviction or not, victims still have a right to services that will help them to recover and rebuild their lives. Victims and those who work with them told us that the criminal process is important, but getting support and being believed is as important. Processes should be in place that are about ‘honouring the experience’. Victims need to know that the police and prosecution did their best, and victims need to be respected.”
And I went on to say: “The conviction rate has taken over the debate.”
Now, in the policy discussions about rape, the reports, the ministerial statements and in the pressures put on the public authorities in dealing with it, it seemed to me that the legal had taken over and the medico-social had been pushed almost off the stage. The debate was out of balance, and so was the response.
Let me run very quickly through a few factual matters. My report was commissioned as an independent review by the Labour Government in September 2009. It was not about sexual abuse of children and it was not about violence against women as such. It was about rape of men and women aged 13 or over. It was done in a very short time, because an election was looming, and it came out in March 2010 just before the Government had to stop doing everything and the period that is called “purdah” began. The Labour Government had about 24 hours to welcome it and then they disappeared, so to speak. The Coalition Government came in, welcomed it broadly and promised a full response, and in March this year they produced a response accepting 21 out of the 23 recommendations and also, particularly important in my view, accepting the major starting point about the victim's entitlement to help in his or her own right.
So how have matters have moved on since March 2010 when it came out?
First, I need to say a very little bit about figures. When I started doing my work I discovered a view that the rape conviction rate was 6%. This did not bear any relation to the official statistics, but it was very widely believed. It was devised by campaigners who used it to show, quite reasonably, that something was very wrong with the police, with the CPS, with the courts and with the way rape victims were treated. It was a great campaigning tool and very effective. But it had a downside, which was that victims thought there was no point in reporting a rape because 6% suggested that only six out of a hundred would have a successful result. Fortunately, since then there have been a number of quite good pieces of work done, one involved studying all jury trials in England and Wales over a two-and-a-half-year period. This produced a jury conviction rate overall of 55% in rape cases, which is not the lowest for serious violent offences. The Home Office, the Ministry of Justice and the National Statistician accepted my recommendations that these figures were too confusing, were quite unhelpful and did not assist anyone to make public policy. They did another little piece of research and discovered that of all the cases in 2007, 54% were convicted of rape or another sexual or violent offence. So the conviction rate is definitely not 6%, it is in the middle 50s and it has gone up by quite a number of points in the last few years.
But it is important, when looking at that, to understand how peculiarly complicated this crime is. Most people are raped by someone they know. The case usually hangs on the evidence of the complainant insisting that she or he didn't consent to something. I can think of no other crime, apart from attempted murder, where the jury is deciding basically what one person said to another. In our system the job of the defence is to get it across that the sort of person the victim is, is an untruthful sort of person; that must be part of how our system works. They might well want to get it across that the victim has gone through a few episodes of mental illness and therefore is likely to make things up; they might want to point very much to the victim's drinking habits; and the trial for rape has become an extremely complex and difficult arena, where the victim – and the proper word, of course, is the “complainant”, because the victim is only a victim if the case is then proved – finds it very difficult to understand that she was not proved to be a liar when there is no conviction but an acquittal. However, in the eyes of the victim, that is a vindication of the defendant and a condemnation of her.
So the trial has become a very difficult arena, and as a result of all these complications a system for dealing with rape has been developed in the past decade in England and Wales that is extremely specialised. There are specialist police at all levels, and people trained to a basic level. So someone who has been trained will be on duty 24 hours a day in all the bigger areas, and there are higher levels of training for those who investigate and those who see the case through the system. As it happens, tomorrow morning I am at Scotland Yard, where they are giving away commendations to these specially trained sexual offences officers. The prosecution has completely changed and has specialists in every area. Only specially trained judges are now allowed to hear rape cases. This has greatly improved the experience of most, but not all, complainants who go through the system, and the Government accepts that and fully supports this system, which is greatly admired in other jurisdictions.
But regardless of the possibility of conviction, regardless even of whether the complainant decides in the end to go through the system, there will be a need for care and medical help. This is the other vital part of the system, which is not nearly as well publicised as the legal part, and here I must mention, first of all, the Sexual Assault Referral Centres. I mentioned earlier The Havens in London. These Sexual Assault Referral Centres have transformed the way people reporting rape are dealt with medically, and the centres themselves are a statement about what we feel about the victim, that we care about the victim and that the victim should be respected. They show, in the way they operate, a real concern for the dignity of a distressed person at a very traumatic time; the ones I visited certainly do. We have come a long way from what used to be called the police doctor in a dirty custody suite doing examinations in the police station. Now victims should be taken by the police to a state of the art, well equipped, astoundingly clean, reassuring, comforting place where samples are taken, tests are done, counselling offered. There is no obligation to go further, but the samples can be frozen in case the victim changes his or her mind. In England and Wales there are now 35 of these, and they are still being developed. In some of these places you will also find another very important development, the Independent Sexual Violence Advisors. These are the other side of the fulfilment of the requirement that victims are entitled to help in order to recover. These people are employed by the NHS, sometimes by the police or by the voluntary sector, and they attach themselves to the complainant throughout the process. They support, advise, listen, encourage, explain, organise a visit to the court and walk through what will happen, and I recommended that every victim should have access to one. That was a bit of a Utopian idea, but the Home Office is now funding 86 and supporting and training them. It is not enough.
These two elements, the Sexual Assault Referral Centres and the Independent Sexual Violence Advisors, are the basis of a coherent and relevant response to rape victims, and, of course, in them we see the intertwining of the medical and the legal, because those institutions help the victim to stay with the process; it means more cases will get through to court and it may mean more guilty persons are convicted.
Now, public health is also about violence in society and about patterns of victimisation and exploitation. I would have liked to say more about that but the time I had for my report didn't allow me. But it seemed to me obvious that under the surface there must be whole groups of people for whom sexual abuse and rape were predictable and were likely to happen and where they had little redress; people who would not report, because they didn't trust the police and because they assumed no-one would believe them, all because they were in some way in the power of the abuser. I assumed this and it seems that this was right, and I am glad to say that more and more efforts are being made to deal with it.
At a conference in Northumbria I heard about a case where a middle-aged woman with learning difficulties who lived in a home rang her mum and told her something nasty that had happened to her that had been done to her by the care worker that day, and so her mum rang the police. The police came and asked the care worker what this was about, so he said, “Oh, she always makes things up.” But someone at the police station was uneasy, so the next day they sent someone else to talk to the woman with her mother, and gradually a story emerged. They then spent a lot of money on very sophisticated forensics, in various parts of the room and various parts of people's clothes, and came up with some extremely damning evidence and the care worker pleaded guilty. I don't think that is often done, but maybe it should be.
In Liverpool the National Health Service is funding someone who works with street prostitutes getting them to take care of their health, offering them routes out and particularly helping them when they have been raped to report and stay with the case to the end, and there have been a number of convictions for some extremely nasty offences. One of these people had torture implements in his car which he took when he went out to look for prostitutes.
So this is about public health and is also about access to justice for people who don't usually get it. These are very positive developments. I am very pleased to see these developments, but we have to admit there are worrying times ahead and a number of threats on the horizon. I want to say a bit briefly about this, because my title talks about “a new political landscape” and I thought you might send me back and ask for your money back if I didn't do what it says in the title, and there is something to say about the new political landscape.
Huge areas of the public service and of government are being restructured and re-configured. I think the first important development to mention is the elected Police and Crime Commissioners. Next November there will be elections. Politicians mainly will put themselves forward to be elected and one of them will win and take over being in charge of the police, being the boss of the Chief Constable, in an area. The truth is I voted against it, as did many people, including quite a few people in the governing party. We all expressed concern about what would happen to vulnerable people, children and the poor and the powerless when a politician, who needs votes, is going to decide how policing is done. I think that this will make a lot of work for people who are concerned with these areas.
There is the Localism Bill which became law three weeks ago and moves many decisions down to a local level, so many organisations that used to get their money from the centre will need to try and make the case to get their money locally, which is fine, but there are a lot of groups of people who need help who are not going to be very popular when people are trying to get votes.
The Health and Social Care Bill, currently going through the House of Lords, is going to bring about huge changes and relocate the responsibility for public health and for sexual health.
I want to just end with some sort of conclusion, although this is not a subject on which it is easy to reach conclusions that last, because there is so much more to learn.
First: are we doing well in dealing with rape and could we do better? I think, compared with many other countries, we are doing well. If I look at the literature about what goes on in other Commonwealth countries, in other English-speaking countries, in Europe, I think we look quite good and I think people here get a better deal. I know that German television came to hear me talk about Sexual Assault Referral Centres when they discovered them. They couldn't believe that they didn't have such a thing in Germany and we have such a great thing here. So it does seem that we are doing well in that respect. There is a lot of interest in the Independent Sexual Violence Advisors that we have; we have more of those than any other country, as far as we know, and we should fight to preserve all that. We are the only country that specialises to the extent we do with our police, our prosecutors and our judges and we must continue to try and make sure we can afford that as we can afford less and less.
Second: could the conviction rate be higher? Maybe a bit, but not hugely, I would think.
Third: could we do more to protect the vulnerable, the sort of people who are picked up late at night outside a club, chosen because they look a bit fragile, get separated from their friends and end up getting raped and who end up not doing very well in court? I think we could do much more to protect them.
But I think if we really want to reduce the amount of rape and sexual assault it is probably things like The Havens videos on YouTube that we need to do a lot more of to make it clear where the line is. That is what we really need to do more of to try and show how unacceptable it is to do this sort of thing to another human being. It needs to get into people's heads that it is in the end a war crime.
That is all I wanted to say. I am really looking forward to your questions. I could have talked longer but, to be honest, I think that is quite enough. So thank you very much indeed. (Applause.)
Discussion
