The Parliamentary Under-Secretary of State for the Home Department (Sarah Newton)
I beg to move,
That this House has considered drugs policy.
I am pleased to have the opportunity to open this debate on drugs policy because, as many Members will know, the Government have just published an ambitious new drug strategy, which sets out a range of new actions to prevent the harms caused by drug misuse. The Government’s previous drug strategy, launched in 2010, balanced action against three strands: reducing the demand for drugs; restricting the supply of drugs; and supporting individuals to recover from drug and alcohol dependence. Since the 2010 strategy was published, local communities have been placed at the heart of public health, giving local government the freedom, responsibility and funding to develop its own ways of improving public health in local populations, including action to reduce drug and alcohol use and to support those recovering from dependence.
We have already taken concerted action to tackle new threats, such as the supply of so-called legal highs, through the Psychoactive Substances Act 2016, and there are positive signs that the Government’s approach is working. Compared with a decade ago, drug misuse among adults and young people in England and Wales has reduced from 10.5% in 2005 to 8.4% in 2015-16.
Mr Jim Cunningham (Coventry South) (Lab)
Drug and alcohol abuse is a difficult issue to address. What consultations has the Minister had with the various groups and communities that are rightly concerned about the mental health problems related to such abuse? Has she had any discussions?
Sarah Newton
We have consulted widely with a range of experts and academics, and we are well served by the Advisory Council on the Misuse of Drugs, but we have also consulted communities, users and people with frontline experience of addressing these issues. I totally agree that we have to consider the complexity of the challenges facing individuals who are drawn into substance misuse, and we must ensure that we have tailor-made recovery solutions, which will often include support on underlying vulnerabilities or mental health issues. The strategy, as I will outline in some detail, seeks to take a multifaceted, joined-up approach so that people right at the heart of it can make a sustained recovery, which is what we all want to see.
Norman Lamb (North Norfolk) (LD)
The Minister says there are signs that the policy is working, but does she ever pause for thought when she sees the significant increase in the number of people dying from drug misuse in the past three years? That picture is not mirrored in other European countries that take a more enlightened approach.
Sarah Newton
There is no complacency in my approach, or in the Government’s approach. In setting out the context of the new strategy, it is worth reflecting on some of our past successes—we have a good evidence base upon which to build for the future. Like the right hon. Gentleman, I am concerned by that increase in the number of deaths, often of people with long-term substance misuse problems. If he stays for the debate, I hope he will hear about our approach to prevent those deaths, which is a key part of our new strategy. I will welcome further interventions at that point. A speech from the right hon. Gentleman, who served so well as a Health Minister in the coalition and who played such an important role in some of the Department’s successes, would be carefully listened to and taken into consideration in our work in the years ahead.
Diana Johnson (Kingston upon Hull North) (Lab)
The rate of drug mortality started to rise in 2013, when the ring fence was removed and local authorities became responsible for drug and alcohol treatment. Does the Minister regret her Government’s decision to remove that ring fence?
Sarah Newton
I will address how more people with long-term substance misuse problems are dying, but I remind the hon. Lady that the public health grant remains ring-fenced. It is for local authorities, working with partners in their communities, to come up with the best ways of tackling people’s serious and long-term substance misuse problems.
We have seen a phenomenal improvement in our understanding of the overlap between mental health problems and substance abuse problems. Councils not only have the public health grant and their partnerships in local communities; they also have the significant additional funding that the Government have made available for mental health services and community mental health services, as well as the homelessness prevention and troubled families funding. As I will hopefully have an opportunity to say, what is different about the strategy, in part, is the partnership working that we see as being at the heart of driving further improvements.
Mims Davies (Eastleigh) (Con)
Parents will welcome the Government’s focus on an updated and joined-up strategy. The mental health impacts associated with cannabis use, particularly by teenagers and young people, are one of the most upsetting issues raised in my constituency surgeries. Does she agree that this joined-up approach to local access is vital to the affected families?
Sarah Newton
My hon. Friend makes an important point. I doubt there is a single Member who has not had either a family member or a constituent come to speak to them about their huge concern about the harrowing effect on young family members who get involved in drugs. There is a growing evidence base and deep concern about the impact of cannabis on the development of young minds. A lot of concern is being raised about how psychosis can be brought on by even modest exposure to cannabis. It is essential that we consider mental health and substance misuse together. I assure her that that is at the heart of what we will be doing.
Although we have all far too frequently come across these heart-breaking cases of young people who have faced the terrible consequences of taking drugs, including losing their life, it is worth noting that, overall, fewer young people are taking drugs. Reliable data show that drug use among 11 to 15-year-olds peaked in 2013, and there has since been a continual decline. Again, we are not at all complacent, and we will be doing more work to educate young people about those harms.
Not only are fewer people taking drugs in the first place, but those who enter treatment services are having a good experience. The average waiting time to access treatment remains three days, and within two days for under-18s. Some 80% of young people who enter treatment leave successfully, so we have good foundations on which to work.
Richard Graham (Gloucester) (Con)
The Minister is making good points about the seriousness of this issue. Does she agree that, although total drug use figures may be coming down, we all see a small number of high-profile incidents in our communities—often murders—involving drugs and drug dealing? That unsettles our communities. Does she have any hints on what we can all do to try to improve the situation? On the business of curing people, has she had a chance to look at the programmes introduced in Gloucestershire by the Nelson Trust, which takes a tough-love approach that seems to be working well?
Sarah Newton
I have not visited the Nelson Trust in my hon. Friend’s constituency, but perhaps in a subsequent intervention he will invite me to come along. It is important that we continue to build the evidence base on what works. We have an open mind on innovation and on new ways of helping people give up their addiction.
My hon. Friend raises a good point on the overlap between crime and substance misuse, and of course there is a strong correlation. The modern crime prevention strategy identifies substance misuse—both alcohol and drug misuse—as a key driver of crime, so law enforcement has a critical role to play in our drug strategy’s joined-up solution.
We want to ensure that law enforcement has all the tools it needs. The Psychoactive Substances Act 2016 has had a positive impact, and hundreds of retailers across the United Kingdom have closed down or are no longer selling psychoactive substances. The police have arrested suppliers, and action by the National Crime Agency has resulted in the removal of psychoactive substances from sale by UK-based websites. The first offenders have been jailed, and we are seeing the police use their new powers, with more people going through the criminal justice system.
Richard Graham
I would be delighted if the Minister cared to visit Gloucester to see the county council’s Families First troubled families programme, to look at the Nelson Trust’s drug rehabilitation programme and to meet the Hollie Gazzard Trust, which is doing a lot to educate people in schools about the dangers—Hollie Gazzard herself was murdered.
Sarah Newton
My hon. Friend illustrates well that in a local community what is needed is a joining up of services, whereby everything from prevention in schools right the way through to the criminal justice system and recovery services is working well. Of course I will be delighted to visit his constituency to see how those different services are joining up so well in Gloucestershire.
Mims Davies
Police and law enforcement issues have also been raised in my constituency. Will the Minister be prepared to consider legislation to deal with situations where prolonged cannabis use is having an impact on neighbours, with long-term users having an impact on the daily lives of children and babies next door?
Sarah Newton
My hon. Friend makes an important point. What I would be prepared to do is write to her setting out the range of powers that already exist. I know from my constituency that the police are not always aware of all the civil powers they have, in addition to the criminal powers, to tackle some of the antisocial behaviour associated with persistent drug use. I understand and recognise the challenge she is portraying. The troubled families programme is designed in part to help those families where a drug user has substance misuse problems and, in so doing, help the children living in those households.
John Mann (Bassetlaw) (Lab)
We have already had more mentions in the first 10 minutes of the police than we have police officers in Bassetlaw. Will the Minister confirm that we remain the only country in the world, other than the United States, where the Government lead for drugs is in criminal justice, as opposed to health? If the approach is evidence-based, why is that the case?
Sarah Newton
I am sure there are many more police officers in Bassetlaw than there are Members in this Chamber this afternoon. I am proud that our drugs strategy is world-leading, and is recognised to be so, because we take this cross-government approach. This is not a simple issue. Tackling substance abuse and preventing people from taking drugs is not a simple thing to do, which is why we take this whole-government, joined-up approach. Our colleagues from the Department of Health are firmly involved in our activity, as is almost every Department.
Several hon. Members rose—
Sarah Newton
If colleagues do not mind, I am going to make a bit more progress as I think I will then be able to answer some of the questions.
Several hon. Members rose—
Jeff Smith (Manchester, Withington) (Lab)
Greater Manchester police would argue that since the Psychoactive Substances Act 2016 supply has shifted to the streets, and the product was more consistent in the headshops, whereas now it is constantly changing. Does the Minister agree that that shift is part of the reason for the epidemic of Spice use in Manchester, which is causing huge problems?
Sarah Newton
I welcome the hon. Gentleman’s comment. We were all really concerned when we saw those images of people on this kind of new zombie Spice in Manchester, but I was pleased that the 2016 Act proved itself in the case of Spice, because as soon as we saw those dangers emerging we were able to take action to ban it through that Act. As we did the testing to understand the chemical components and how serious they were, we were then able to shift them into the Misuse of Drugs Act 1971, which gave them a proper classification. Just this Friday I was pleased to see that in Manchester the whole community got together with other cities—there were people there from Nottingham and Wrexham. Law enforcement, the mayor, civil society and local authorities all came together to do exactly what we are proposing in the drugs strategy, which is to take a multi-agency approach, so that the issues that brought about those awful scenes we saw, where vulnerable homeless people in Manchester were so wickedly targeted with that type of Spice by drug dealers, are now being properly managed. This allows homeless people to get the support they need so that they do not fall prey to that activity. The more stringent measures and sentencing available under the Misuse of Drugs Act mean that the police in Manchester have the full range of tools they need to take action there.
Paul Flynn (Newport West) (Lab)
The Netherlands has had a pragmatic, intelligent policy of drug decriminalisation for 50 years. It now has a serious prison problem, because there are not enough prisoners to fill its prisons. Is that not a problem we would like to have here?
Sarah Newton
I accept that some Members and some people in our country think that we should decriminalise drugs. I do not agree, because we are evidence-based policy makers and all the evidence shows the awful harms caused by the drugs that we ban and restrict. Our primary job is to keep people safe, and the way to do that is to prevent them from taking drugs in the first place.
Norman Lamb
I note the point about this being “evidence-based”, but the evidence clearly shows that the most dangerous drug in terms of harm is alcohol. So will the Minister explain the different approaches the Government take to alcohol, the most dangerous drug, and to cannabis?
Sarah Newton
I would not agree that alcohol is the most dangerous drug, as we can see if we look at the substances we are restricting. There are people who take alcohol to such a harmful degree that it is devastating for them, and for their family members and the wider community. I fully accept, as the Government do in the modern crime prevention strategy, that the misuse of alcohol has dramatically harmful effects and contributes to crime, but alcohol taken in moderation is not a harmful drug. The Department of Health constantly keeps this under review and is doing research all the time to understand the health impact of alcohol, and it revisits what it considers to be safe drinking guidance. Public Health England has only recently updated the guidance, which suggests that people should be consuming less alcohol.
Andrew Selous (South West Bedfordshire) (Con)
Last week, I visited Path 2 Recovery, which does the drug recovery work in my constituency. It expressed concern about the effectiveness of the drug rehabilitation requirements, feeling that they did not have enough teeth, took up a lot of staff time and were not very effective. I note that page 23 of the strategy says that the Government are evaluating the framework pilots. Will the Minister say something about her thinking on the current effectiveness of drug rehabilitation requirements, and whether we can do anything differently and better?
Sarah Newton
I am grateful to my hon. Friend for that question. He takes a deep and sustained interest in this policy area. We are very much hoping that when we have the recovery champion up and running, they will take a key role in looking at best practice and developing our evidence base as to what works. We have set out clearly in the strategy that we see sustained abstinence over a 12-month period, getting back into work and playing a full part in society as key outcomes of recovery. That will address some of my hon. Friend’s concerns about how in the past too many drug recovery programmes have really just been a revolving door, where people came in and were there for too short a time, and although they may have got clean, what they needed was support on housing, jobs or education so that they could sustain their recovery. Those programmes were not incentivised to enable that. So we are looking at outcome frameworks over a longer period which make sure people have the best possible chance of recovery, with mental health services and recovery services involved in this.
Ronnie Cowan (Inverclyde) (SNP)
I wish to refer back to the point about alcohol abuse, with which I agree. Alcohol is consumed throughout this House; we have 15 bars and restaurants in this place, all selling us alcohol. Some 90% of recreational drug users are not a problem—they consume their drugs and get on with their life—and only about 10% are a problem, so I cannot see why the Minister wants to take alcohol as one problem and drugs as another.
Sarah Newton
Our published drugs strategy definitely recognises the relationship between those who take drugs and those who drink alcohol, and understanding that relationship will be a key part of our recovery programmes. In our modern crime prevention strategy, we have a whole series of actions around alcohol. Public Health England and the NHS do a lot of work in that area as well. We are very understanding of the hon. Gentleman’s point, and it will form part of our joined-up integrated approach. Is there a further question I can take before making some progress?
Ruth George (High Peak) (Lab)
An enormous part of the harm that is done by drugs is when people, particularly young people, do not know what it is that they are taking. If we are considering a harm prevention strategy, should we not be trying to ensure that we can protect people and help them to know what they are taking? Does that not include making drugs available legally so that we can test them and properly protect people?
Sarah Newton
I thank the hon. Lady for her question. We need to be really clear here: we do not ban substances without an evidence base that shows that they are harmful to people’s health. The reason why we put in those protections—whether it is through the Psychoactive Substances Act 2016, or the Misuse of Drugs Act 1971—is that the evidence base clearly shows that these substances are harmful. There is no safe way that people can take these products. It would be terrible to confuse young people by saying that they can, somehow, safely take a legal high. I know how difficult it is to have these conversations with young people; I have three children in their 20s. I understand the world in which they live and the temptations with which they are faced, but that is why it is so important that we have very clear messages and effective education tools for teachers, which we are investing in now. We will be legislating to make personal, social, health and economic education statutory in schools so that every young person understands the risks of taking alcohol and drugs, which will make them more resilient and more able to resist the temptations. I have said to my own children, “If you can’t go into Boots or any other reputable pharmacist and buy something, then it will not be good for you.” It is really important that we have very simple and clear messages for young people.
Thangam Debbonaire (Bristol West) (Lab)
I thank the Minister for generously giving way so many times, but I must challenge her. She said a moment ago that there is such a thing as a safe level of consumption of alcohol, but that is not what the National Institute for Health and Care Excellence guidelines say. The NICE guidelines are clear and accurate: there is no safe level of consumption of alcohol. We allow it to be consumed legally and we provide information, treatment and recovery, but we do not criminalise people who are consuming alcohol. Why will she not consider the graph that I can show her—[Interruption.] No, I am not supposed to do that. Evidence is available that shows just how much more harmful alcohol is than any other drug.
Sarah Newton
This debate today is about the drugs strategy. I have been very generous in answering questions. We understand that there is a relationship between drugs and alcohol, but I will not be drawn into a wider debate about the current legal framework around alcohol, because we are here today to talk about our drugs policy. [Interruption.] May I just finish my point? Look, our policy is based on independent evidence, and is informed by the Advisory Council on the Misuse of Drugs. The vast majority of academic and medical research backs up our position.
Several hon. Members rose—
Sarah Newton
No, I will not give way as I wish to make some progress. I will answer some more questions later.
Let me remind everyone that we are not at all complacent about this. We definitely recognise the scale of the threat that drugs continue to pose to our society. They do destroy lives and have very serious impacts on families and communities. The cost to society is about £10 billion a year, half of which is related to theft and criminal activity around drug usage.
I wish to go back to this very serious point about drug-related deaths and how they have increased by 10% in the past year. Again, using the best available evidence, we understand that there is a cohort of people—and of older people—who have been taking heroin and crack cocaine for some time, which has had a very significant impact not only on their mental health, but their physical health. That is a driving factor in our strategy. Using the evidence base, we are able to segment better the treatment and the recovery programmes. We will be doing that with the firm hope that, by tailor-making the support that they need, we will see fewer people die and more people—even if they have been taking drugs for some time—being able to get off drugs and have the independent and fulfilled life that we want everyone to enjoy.
We are also very concerned about the way that synthetic cannabinoids—commonly known as Spice—have been so ruthlessly targeted at the homeless population. We are working on that, alongside our homelessness reduction programmes, with mental health services. In particular, we are looking at young people who might be vulnerable to these types of substances. We want to ensure that everybody has access to the best possible recovery programme.
The strategy builds on the three strands of the previous strategy—reducing demand, restricting supply and building recovery—by embracing a smarter, partnership-based approach, both locally and nationally, and recognising the links between different Government Departments and different Government ambitions. Clearly, we want to reduce crime, improve people’s life chances, promote better health, tackle homelessness and protect the most vulnerable people in our society. The strategy sets out key actions covering the wide range of partners critical to tackling drug misuse successfully, including those in education, health, safeguarding, criminal justice, housing and employment.
The strategy also introduces a new fourth strand on global action to bring out the critical importance of international co-operation. We want to reduce the demand for drugs by acting early to prevent people, especially young people, from taking drugs in the first place and then preventing escalation to more harmful use. This starts with universal action to give all young people the resilience and confidence they need to make positive choices about their health and well-being, including resisting drugs. For example, we will be legislating to make PSHE statutory in schools and expanding the Alcohol and Drug Education and Prevention Information Service for young people. That will be complemented with more targeted action to prevent drug misuse among vulnerable groups, including young people who are not in education, employment or training, looked-after children, offenders and the homeless. There will also be a targeted approach for emerging and evolving threats such as performance-enhancing drugs, so-called chemsex drugs and, sadly, the misuse of prescription drugs.
Tough enforcement is also a fundamental part of our drug strategy and we will continue to bear down on those who seek to benefit from the misery caused to others. We will take a smarter approach to restricting the supply of drugs, adapting our approach to reflect changes in criminal activity. For example, we have taken action to close down the mobile phone lines being used for drug dealing and other dreadful exploitation such as the trafficking of young people to sell drugs. Those mobile phone lines will be closed down. We will also use innovative data and technology to disrupt supply over the darknet. Our Serious Organised Crime Agency and the National Crime Agency have a very important role to play.
Diana Johnson
Let me take the Minister back to investment and the idea that if this matter was treated as a health issue, there would be more investment in drug treatment services. Is it not the case that in France, where this is treated as a health issue, the investment is less than it is here where we have treated it as a criminal justice issue and a health issue combined?
Sarah Newton
I just do not accept the premise of what the hon. Lady is saying. We do not take it in the way that she describes. We see this very much as a partnership or a joined-up whole Government approach. Of course health and recovery is at the centre of our strategy. It is not a fair interpretation to say that this is led by justice. It is about a joined-up whole system approach. Recovery remains a vital part of the Government’s approach.
Sarah Newton
I will make a bit more progress. We are absolutely determined to improve support for those dependent on drugs by raising the quality of treatment, and to improve outcomes by ensuring that people get the right interventions for their needs. That means ensuring that they can access the full range of services to help them rebuild their life, which may include mental health, housing, employment and training services, and a lot of support for a stable family life, free from crime. I am pleased that we will appoint a national recovery champion, who will drive progress by visiting different parts of the country to identify good practice and ensure local collaboration. We will also encourage partnership working and transparency by developing a new set of outcome measures to give local areas further support through Public Health England.
For the first time, we are setting out global action. We are already taking a global lead on our psychoactive substance work, encouraging data exchange to give us a richer picture of international trends, and bringing in global bans on the most harmful new psychoactive substances. We will continue our work through the United Nations. We have a balanced, evidence-based approach to drugs. Collaborating with partners around the world will help to give us a better intelligence base and enable us to take better action.
I hope that Members will see that this is a truly cross-Government strategy that requires the commitment and coming together of many Departments. The Home Secretary will establish a new drugs strategy board, of which I will be a member. It will include people from all the key Government Departments, Public Health England, and national police leads. Then we can all plan together to implement the strategy and hold each other to account. I am confident that the strategy is grounded in the best available evidence. We consulted extensively with key partners working in the drugs field, and I am sure that the strategy will make a lasting difference, but we know that there is no easy way to tackle drugs and the harms that they cause, and we need to do much more. Our strategy is flexible enough to enable us to respond to emerging threats.
Finally, by working together across government, locally and nationally, we can genuinely deliver the safer, healthier Britain, free from the harm of drugs, that we all want.
John Mann
Mr Deputy Speaker, you are ever wise, ever accurate and ever factual. Bassetlaw saw a 400% reduction in acquisitive crime. Why? Because it was the drug addicts committing most of the crime.
For 11 years people could go through the front door of their GP’s surgery. Not everyone was happy. I have read the medical advice—not all of it, but hundreds and thousands of papers—and basically there is a two-thirds success rate for chronic relapsing illness, meaning that two thirds will be sorted, wherever the illness is, and a third never will be. There is a cohort of people who will always have problems, and they tend to go in and out of prison regardless, but there are far fewer of them because we have reduced the number by two thirds, leading to huge savings.
That does not totally solve the problem, but it allows the rest of the community to get on with their lives without being plagued. Pensioners were not having their windows smashed every five minutes by people who stole a fiver—the normal heroin theft is to break a pensioner’s window and grab the first thing in sight. The fear and the cost of repairing the window is far bigger. Frankly, I think that if most pensioners knew they would just leave the fiver outside. That is what life was like.
What do the Government do? Two things. First—this is a big improvement in this new drugs strategy—they say, “Recovery, recovery, recovery. We are not going to bother maintaining anybody.” That change is vital. That is what they did in the Netherlands, France, Sweden, Australia and New Zealand—in fact, in every country I went to. They all left it to the doctors.
In 2002 only three countries did not have health authorities in charge of drugs policy: the United States—obviously—us and Iran. When I went to Iran to talk about drugs policy, I found that they had just changed it. They had done that—this is my assessment, not what people there said—because, basically, all the drug addicts had been sent to be looked after by the religious leaders, who would put them in recovery. But it did not work, which was undermining the religious leaders. So those at the top in Iran sent people over to Australia to study the medical system there, and they came back and introduced it in Iran, which therefore now has a medicalised system—and there are big improvements. You see, doctors are rather good at treating people because they know what they are doing. Yes, they sometimes use methadone or buprenorphine treatments, and sometimes they bring in mental health therapies, but the system worked well through the NHS.
What have we done? In 2010, we threw all that out the window and gave it to the local councils, and all of them—including Labour councils—in their great stupidity privatised it. What do those Labour councillors say? “We know better than the GPs and the NHS. It’s got to be joined up. It’s got to be more than the NHS.” So they took it away from the NHS and, since 2013 in my constituency, people have not been able to walk through the front door of their GP practices.
Guess what has happened? I had a meeting on Saturday, in Retford. There have been hardly any burglaries in Retford in the last 100 years, but there are record numbers this year. Who is committing them? The druggies—people who are drug addicted but cannot go through the front door of their GP practice as they could before. I cannot get them in. I used to guarantee to every family: “I’ll get you an appointment within a couple of days.” And I did, and it was easy. They went in and saw their GP. They engaged with their GP, and it was hugely successful.
My recommendation to the Government and to my own party—perhaps my right hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott) will pass this on to my leader—is to put this portfolio in health. That is what the Labour party policy review that I chaired in 2009 recommended, and it had 4,000 submissions. The leader at the time and the one after him ignored it. Third time lucky. Put the portfolio in health and say that a critical part of the policy is that the NHS—primary care GPs—will manage the patients. Say that people in this country have the right to be treated by their GP. Yes, more is needed from other services—absolutely: getting people into jobs, keeping control of crime and getting people into stable housing, but the NHS is at the heart of the issue.
By the way, why on earth have the Scottish Government moved away from their successes a few years ago in places like Glasgow towards this nonsense of people coming out of the recovery system after six months? The Government said, “Six months and that’s it—out you come.” That appears to have changed.
John Mann
If it has, that is brilliant, but we should never have gone back to that nonsense in the first place; I am sure the Minister will blame the Liberals. That is what we had in 2002: the revolving door. “Oh, you’re out—you’re clean.” “Who says I’m clean?” “Well it’s six months. You have to be.” It was a bit like how it is in the prisons: strangely, someone has some Naltrexone and “Oops! You’re clean!” That is the stats fiddled. Frankly, I could fiddle those stats. It is the system that does it. Totally meaningless.
Let us have a bit of honesty. We would still have a problem. We would not get rid of it all. Dealing with Spice is not as straightforward as dealing with heroin, and the GPs do not have all the answers. But if someone with an addiction goes to a GP, the GP pulls in mental health services, and that does work. Across the world, people have found that. So let us not misquote what happened in Portugal, where I have been, because what I am talking about is the key to that system. Let us not misquote what happens in the Netherlands, where they have kicked out most of the coffee houses and they specifically demonise heroin—very sensibly at the time, in my view. The position for quite a while was, “Our problem is heroin. Do what you want, but you’re not doing heroin”, and they got on top of it. We are not in that situation, so we do not need that kind of overly crude approach. We can look at what the Swedes do and what the French do. In France, the GPs will not do it. With single-practice GPs working from their own home, it is easy—go to the local chemist and get the prescription, and do not even bother supervising it. Do not complicate it, that is my advice, and then we will get better results.
I can only give it as I see it. I have got the documents—the research is there. To new colleagues in all parts of the House, I say, “Read the assessments of what has happened, because there is a plethora of materials that demonstrate this.” We will not get rid of the problem, but we can significantly be on top of the problem. There are some improvements, but frankly not enough. Yet again, the Home Office is the wrong Department. Of course the police advisers all want to decriminalise drugs, because it gets crime down. I have heard this for 15 years: “If we decriminalised and didn’t arrest, crime would come down and the problem would be solved.” No, that is not the answer. Lots of good stuff could be done in terms of how we police and do not police. There are lessons we could learn from abroad.
The starting point is to shift the portfolio to health. We should be bold enough to say, “It doesn’t fit in with how this place works, but we’re doing it anyway. When we’re in power the portfolio will be in health.” That in itself would transform the situation in this country because then we would have to make sure that primary care is funded and would be able to stop wasting money elsewhere. Local councils: love them or loathe them, they haven’t got a clue—big error. We should tell our Labour councils, “Stop privatising and give it back to the NHS.”
Graham Jones (Hyndburn) (Lab)
Lancashire constabulary, due to cuts, has taken the mental health worker out of its police response unit.
Mr Deputy Speaker (Mr Lindsay Hoyle)
Order. I reassure the Minister that that is not the case. It is for the Chair to decide. Thanks for your help, but you are wrong.
Sarah Newton
Before I respond to the substantial questions and items in today’s debate, I wish to pay tribute to the excellent maiden speeches we have heard. I shall start with the excellent speech from the hon. Member for Slough (Mr Dhesi) about Slough’s bright future as the silicon valley of the UK. I am sure he also has a very bright future in this House, and not just because of the bright colours of his turbans. This is a very proud day for our democracy as a glass ceiling has been shattered. He spoke so powerfully about belonging, and everyone, from all parts of the House, wants to welcome him so that he feels that he truly belongs in this mother of all Parliaments.
It was also a great pleasure to listen to my hon. Friend the Member for Stoke-on-Trent South (Jack Brereton), whose great maiden speech described the history and the potential of Stoke, and the role it is playing in global Britain. I am sure he will represent Stoke-on-Trent as a powerful advocate for innovation and all those growing businesses there that he so well described. I am also sure we are all going to be lifting up mugs, plates and any other items we buy to look for the words “Made in Stoke-on-Trent” on them. I share with him a strong link to his constituency, because the china clay that is mined in Cornwall is taken to the potteries and has helped to create those iconic brands such as Wedgwood that he mentions. I am very much looking forward to working with him in the weeks, months and years ahead.
We also heard from the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy), who spoke so powerfully about the importance of making a sacrifice so that we can make the powerful difference we want to see in our country and the sacrifice that our families make to enable us to do that. I am sure her daughters will be so proud of her. Having heard her speech today, I am sure nobody will ever underestimate her or Hull again.
The hon. Member for Wolverhampton South West (Eleanor Smith) also spoke powerfully about the scourge of drug use, and the need to look at the root cause of why people take drugs and then to support them on the road to recovery. She is obviously very proud of her constituency, its history, its people and its culture. My sister is a nurse, and I know what powerful advocates nurses are for their patients. I am sure she will be a great advocate for all her constituents.
We also heard from the hon. Member for Ipswich (Sandy Martin), who spoke of his passion to help marginalised people in Ipswich choose a life free of drugs, and I look forward to working with him in that vital task. It is good to hear that he wants to build on the work of Ben Gummer, his predecessor, in improving the local economy and the opportunities there, particularly the rail links, and I wish him well during his time in Parliament.
I will try to cover in as much detail as I can in the remaining time the issues, questions and challenges that have been posed about the strategy. I welcome the fact that the right hon. Member for Hackney North and Stoke Newington (Ms Abbott) welcomed the strategy and recognised some of the achievements of the 2010 strategy. In doing that, she rightly wanted to know what more we are doing in prisons and rightly pointed out the real problem we have with drug use in prisons. I want to reassure her about the actions that are going on now to support prison officers in tackling this dreadful problem. We are enhancing the drug-testing regime, supporting governors by recruiting new officers to our prison estate, looking at how prisons can co-commission drug services with the NHS locally, ensuring that the parameters of prisons are more secure and maintained and improving the searching capability of dedicated teams. It is really important that I have this chance to point out that we are taking a comprehensive series of actions to prevent prisons from being a place where people can readily access drugs.
My hon. Friend the Member for Reigate (Crispin Blunt) made a really important contribution to this debate. The fact that we have allowed this debate in Government time—we have had a really good debate with a wide-ranging discussion—demonstrates our commitment to getting this policy area right. We have published a lot of data, which my hon. Friend mentioned. We have worked with a wide range of stakeholders to inform our evidence-based strategy, and we will continue to do so.
My hon. Friend and others have asked whether we will be evaluating the Psychoactive Substances Act 2016. We are already doing so. We have published the framework for that evaluation so people can contribute, and we will be publishing the findings in 2018. We are determined to be an open, evidence-based policy team. We do look very closely at the work of the Advisory Council on the Misuse of Drugs, as it is the key Government adviser. It is simply not true to say that we have not taken on board all the recommendations that it has made. It has made a really important contribution to this strategy, and will continue to do so going forward.
My hon. Friend the Member for Reigate also talked very movingly—as did a number of hon. Friends—about the stigma around this issue. He was absolutely right. I have met many parents of families myself. I went along to a very moving service in Westminster Abbey only a month or so ago organised by Adfam. I encourage everyone who has a family member struggling with substance misuse to seek that help, to go to their GP, and to pick up the phone to the helplines that are available because they will receive support on how to manage their issues and their substance abuse problems.
Fiona Bruce
Does the Minister agree that effective treatment means helping those who are suffering addiction to come off the substance to which they are addicted? It is not just about managing their situation, which might mean being dependent on a different substance.
Sarah Newton
We have a broad range of strategies, and I will come on to talk about harm reduction, because, clearly, it has a role to play. The ultimate goal is to enable people to have a drug-free life in which they have a job and are playing a full part in society, but there is a role for harm reduction.
Sarah Newton
I am sorry, but I have very little time. If I can make some progress, I will give way.
Many Members talked about how concerned they were that the police and the criminal justice system were criminalising a whole generation of young people. I can absolutely assure Members that, having spent a lot of time with police officers, that is simply not the case. The police are very, very sensitive to the need not to do that. We have a wide range of options available to police officers and the courts, so that young people in the criminal justice system can be referred straight to health solutions, diversion services and treatment. It is only as a last resort, often with persistent offending, that the criminal justice solution is sought.
The hon. Member for Linlithgow and East Falkirk (Martyn Day) talked about the need for class A drugs, such as heroin, to be used in treatment and recovery programmes. I can assure him that that is absolutely what happens. That was the recommendation that ACMD made and the drugs are available. However, that is quite different from just making a space available for people to take drugs. Having heard the evidence of the hon. Member for Bassetlaw (John Mann), it is really important that if people are to be taking heroin it must be part of a treatment programme with recovery as the end point. I have been to the facilities and seen for myself how people are given clean needles and support and advice, but it is medically led by a doctor. That was a point that the right hon. Member for North Norfolk (Norman Lamb) made, and it was reflected in the advice that we took from the ACMD.
My hon. Friend the Member for Congleton (Fiona Bruce) talked powerfully about the issue being a matter of social justice, and she is absolutely right. The strategy addresses the problems that she articulated so well of children living in homes with parents who have substance abuse problems, whether we are talking about alcohol or drugs. It is important that we take a joined-up approach to make sure that those families are really supported. She also mentioned the important issue of cheap alcohol and white cider. I very much supported the action that the Treasury is taking in consulting on increasing taxation; that consultation is under way, and I am sure that we will hear the results in due course.
My hon. Friend the Member for Louth and Horncastle (Victoria Atkins) spoke powerfully, drawing on her experience of the serious organised criminals who bring the most harmful drugs into our country. She is absolutely right to highlight the human trafficking and appalling abuse of children that happens in bringing the drugs into our country. The same gangs exploit vulnerable people in our country in order to traffic these drugs around the country. She is right to draw on her experience, and on the view shared by many in the criminal justice system that we need to work globally, through the United Nations and our partners, and share data to prevent these drugs from arriving on our shores.
The hon. Member for Manchester, Withington (Jeff Smith) spoke about the difficulties of families. I really hope that Martha’s mum, who is here, sees how seriously we take the loss of any child. As a mother of three children, I just cannot imagine the horror of getting that phone call to say that I had lost one of my children. I want to reassure her; I hope that she sees, from the nature of this debate, how seriously the Government and everyone in the House take the issue. We want to work against the stigma that families face, so that they can speak out and get the help that they need. I hope that she is somewhat reassured by the strategy’s emphasis on the good advice and information that should be readily available to young people, so that they understand the risks of all drugs, including alcohol, tobacco, and other substances that they might be tempted to take. A lot of progress has been made in the four years since Martha’s tragic death.
The hon. Member for Wrexham (Ian C. Lucas) made a point that he also raised at Home Office questions last week. Winging its way to him is a detailed written response to that question. I recognise the picture that he describes in his community. It is something that I faced in Truro last year. What I saw there is that, as he has discovered, not everybody—not all police officers or people in local authorities—has all the information about the powers that they have to work as a team to tackle these issues. In my letter to him, I describe what I think he can do, and the advocacy and agency that he can bring to bear in getting all the partners together in Wrexham to work on the issue.
I can reassure the hon. Gentleman on the funding for the testing that police officers need to do of substances that they find on people in order to get convictions. That testing regime is well supported by and funded by the Home Office, but as I say, I will write to him in a lot more detail.
The hon. Member for Newport West (Paul Flynn) spoke passionately about the work of Elizabeth Brice and her campaign for the medicinal use of cannabis. I want to assure him and all Members in the House that there is access to medicinal cannabis. It can be used for a wide range of ailments and can be very beneficial. Sativex, for example, is licensed for use. It has been raised with me before that our regime for enabling pharmaceutical companies or medical researchers to use licensed drugs is letting people down, so I have asked the Department of Health and the ACMD to look at this. We have not seen any evidence that the current regime is a barrier to people using banned drugs in medical research, but if the hon. Gentleman has that evidence and wants to send it to me, of course we will review that.
The term “war on drugs” was used repeatedly in the debate, most passionately by the right hon. Member for North Norfolk, who spoke with customary eloquence, but also by the hon. Member for Inverclyde (Ronnie Cowan). I just want to say that I have never used that term, and it appears nowhere in the strategy. It is simply not the Government’s policy to have a “war on drugs,” so I hope that we can sort that out once and for all. We have a far-reaching, cross-Government policy focused on the health harms of drugs, the underlying social reasons why people take drugs, and trying to prevent them, right through to the criminal justice system. We are taking a balanced, full-Government, integrated approach. I can assure hon. Members that we always look at evidence from around the world, so the evidence from Portugal has been considered.
The hon. Member for Bassetlaw quite rightly said that if we are absolutely serious about reducing the number of deaths from heroin, especially among those who have been taking it for some time—and we certainly are; no Minister wants the number of deaths to increase on their watch—we must have an evidence-based approach. I honestly think that the strategy will tackle that. We do recognise that naloxone can play a vital role in saving lives, as he said, and that there is a good evidence base for that. The strategy that was published commits us to the wider use of that in saving lives.
The hon. Member for Bassetlaw also described the excellent work that was done in Bassetlaw up until 2013. That is just the sort of local response that we want to see, with all the agencies working together. The drug champion will of course have a vital role, travelling across the country, finding best practice and sharing it with those communities that perhaps do not have as good an understanding of how to tackle the issue. The strategy board, which will be chaired by the Home Secretary, will include representation from NHS England, Public Health England and the police—a whole range of expertise. They will work together to develop measurable outcome frameworks, which of course we will share over time as they are developed, and we can hold each other to account for their delivery.
The hon. Member for Bristol West (Thangam Debbonaire) claimed that the Government are ignoring the recommendations of the Advisory Council on the Misuse of Drugs with regard to deaths from heroin. That is simply not the case. We have taken all of its recommendations into consideration in forming the strategy. We have a good, constructive, ongoing relationship —I meet the chairman regularly. I am sure that the work of the board, led by the Home Secretary, will be informed by the ACMD’s really excellent work.
The Home Office and Public Health England jointly set up some heroin and crack cocaine action areas. The piloting we did in Middlesbrough gave some good ideas about how to move in the right direction, and that is referenced in the strategy. Despite the claims made by some colleagues on the Opposition Benches, there has been a lot of innovation in recent years, and we very much want to build on that. We need only look at the excellent clinical advice that has been developed by Public Health England to help clinicians have a much more nuanced and effective approach to understanding the different types of people who suffer from drug misuse and the different types of drugs they use, and therefore to have a more tailored approach to helping them on the road to recovery.
Norman Lamb
I am grateful to the Minister, who has responded to all the challenges in a tolerant and civilised way. The hon. Member for Reigate (Crispin Blunt) proposed that we have a royal commission in order to take the heat and the politics out of this matter and look dispassionately at all the arguments. Will the Minister at least consider that?
Sarah Newton
I just do not agree that politics is driving the issue. Our approach is totally evidence-based. If we were worried and felt unable to talk about the problem, as some have characterised us this afternoon, the Government would not have given a whole afternoon of debate to it. I accept the sincerely held views of hon. Members who do not agree with the Government, but that does not mean that our policy is not based on evidence. We are happy to debate the issue; there will be other opportunities and I will welcome those.
The pivotal role of Parliament is to scrutinise the work of the Executive and take on some of the difficult issues in our society. I am proud of our work together in the last Parliament on destigmatising mental health issues. A lot of people in this place were prepared to talk about those issues from personal experience and also with a huge amount of evidence. It is fair to say that there has been a huge culture change in our country. By talking about drug addiction and substance abuse problems, as we have today, we will contribute to a destigmatisation. As a result, more people will come forward. Families will be saved appalling loss and communities will be saved the blight of the criminal activity that goes along with this issue.
Crispin Blunt
If a royal commission looked into this matter, I hope that it would consider not only what is happening in the United Kingdom. This is a global problem that needs a global policy to address it. The sand is shifting under our feet as other nations begin to change their policies. If there were a royal commission, the United Kingdom could do some thought leadership about what is happening around the world.
Sarah Newton
I thoroughly agree that we must approach this matter from a global point of view. That is the fourth strand of the policy—the global strand. It is about working thoroughly and consistently with colleagues at the United Nations and globally, and looking at the evidence base. Actually, some other countries look to us as leaders in this area, especially on psychoactive substances. We are global Britain. We are always out looking and working in partnership with other countries and we will look at the evidence base from them.
Sarah Newton
I am going to make a little more progress if the hon. Gentleman does not mind.
The hon. Member for High Peak (Ruth George) touched on the issue of resources. Having a good, well implemented strategy requires resources, of course. There was a lot of misunderstanding about funding this afternoon. The Public Health England budget is ring-fenced. Yes, it is given to local authorities, which need to make decisions, based on consultation with and the health needs of their communities, about the allocation of resources. If some local authorities are disinvesting, that is sad to hear, because we put the evidence out there and the benefits of investment in good recovery services are clear—not just to the individuals concerned, but to the whole community.
I expect local authorities to use their ring-fenced budgets for public health for those services. But there is not just that budget. The Government have made record sums available for mental health services, and the national health budget is growing. The homelessness prevention funding has been ring-fenced and there is investment in innovative ways of working on homelessness prevention. There has also been the troubled families funding. The issue is about joining up those funds so that we can use the money in a smart way and tailor it to the needs of each family and person—they are all different—so that we can be really effective.
Ruth George
All the funds that the Minister mentioned are stretched beyond compare, especially the mental health funding. Yes, public health funding is ring-fenced, but it has been cut by £85 million. Drug treatment services are being cut, I am afraid, even though there is increased need.
Sarah Newton
What I see when I go around the country is a great deal of innovation where people are learning to use their resources more effectively.
One of the very important jobs of the champion is to look at what is happening well in parts of the country where people are not disinvesting in services and have excellent examples of partnership working. I praise the work that the hon. Member for Bristol West (Thangam Debbonaire) is doing in really getting into the weeds in her community and understanding this issue. In doing so, she knows that it is only by joining up all the services in the community and involving employers that we are going to make the step change that we need to see. I am very clear—
Sarah Newton
I only have a few minutes left.
I am very clear that this is a very ambitious policy. It has been based on evidence. It has been some time in the coming because we have looked at reports and research that has been done, particularly by the ACMD, to inform what we are doing. I absolutely want to put it beyond doubt that we see this strategy as joining up health, social and crime areas. It is a completely joined-up approach to government. We are trying to help people into recovery. The health interventions that people have so rightly spoken about are absolutely critical to the success of this strategy.
The strategy board will meet when we get back in the autumn. I am sure that Members will see that we have many opportunities to debate the outcomes framework that we will be putting forward, and we will hear about the really good work that the recovery champion is going to do. I hope that Members in all parts of the House will engage with the recovery champion, share the good work that is going on in their constituencies, and share their concern where things are not working, because let us be in no doubt—this is a complex issue that is going to require a huge amount of effort in every community in every part of our country. Despite our views on whether we should criminalise or not criminalise, we are all united in wanting to end the pain and suffering that is caused to too many people and too many communities by the use of drugs.
Paul Flynn
I would like to make a brief contribution, Madam Deputy Speaker, because there are four minutes to go.