Police Reform and Social Responsibility Bill
Baroness Finlay of Llandaff Excerpts(13 years, 5 months ago)
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Lord Brooke of Sutton Mandeville
My Lords, during the passage of the Licensing Act 2003, in a gesture that was helpful to local authorities as licensing authorities, the Government introduced in Section 9(1) a provision that:
“A licensing committee may establish one or more sub-committees consisting of three members of the committee”,
who would then serve as the licensing panel on an application. I do not know if the Government then foresaw the use that local and licensing authorities might make of this provision. A present consequence of Section 9(1) is that, on a particular interpretation, licensing panels can in practice be reduced from three to two. That has the effect of making the chairman, who has a casting vote, decisive, and thus has the effect of single-person decisions. This is habitual in one London borough licensing authority, which I am led to believe is Camden; and I declare an interest as I was once a member of Camden Borough Council. It is used regularly in others and even occasionally in Westminster, where I was a Member of Parliament.
I realise that my amendment to make it “not less than” three members may not be adequate to correct this situation, although I have taken advice. However, I hope that my noble friend the Minister can at least accept the spirit of my amendment. It is a stand-alone amendment, and the others in this group relate to Clause 125. Indeed, my concerns with Clause 125 standing part will follow smoothly on from Amendment 241C of my noble friends Lord Clement-Jones and Lord Astor. I will therefore defer my remarks on Clause 125 to follow on from that amendment, thus now yielding the Floor to the noble Baronesses, Lady Finlay of Llandaff and Lady Hayter of Kentish Town, whose Amendments 241D and 241DA are on a different issue. I beg to move.
Baroness Finlay of Llandaff
My Lords, I wish to speak to Amendment 241A in this group and the subsequent amendment, which is in the name of the noble Baroness, Lady Hayter of Kentish Town, who is also supporting my amendment. I should make it clear that these two amendments have not been tabled because we disagree on this issue; we agree so totally and fundamentally that these two amendments are almost belt-and-braces measures. I would have liked to add my name to the noble Baroness’s amendment. They are very slightly different but in no way less important.
The Bill constitutes a very important opportunity to address drink-driving and the catalogue of deaths and casualties that occur on the roads because of alcohol consumption. We both would like to bring down the legal blood alcohol level from 80 to 50 milligrams per hundred millilitres of blood; that would bring us in line with many other countries in Europe. However, the best way forward seems to be to see whether all the measures to be implemented under the Bill have an effect on alcohol consumption—hence the concept of their being subject to a review—and for the review to look at legal limits specifically.
What is the size of the problem? It is estimated that nearly 12,000 reported casualties—5 per cent of all road casualties—are the result of someone driving when over the legal limit and that the number of such people who were killed in 2009 was 380 or 17 per cent of all road fatalities. It is important to remember that pedestrians are sometimes knocked over in these incidents and have a much higher risk of being killed than the person who is in the car, who is usually the person who is over the limit. The injuries sustained by pedestrians are more likely to be fatal as they suffer head or facial injuries, which tend to be more severe.
The number of hospital admissions due to road accidents in general is enormous. There were 39,000 admissions following road traffic accidents in 2009. Looking just at the drink-driving statistics, an average of 3,000 people are killed or seriously injured each year in drink-driving collisions, and nearly one in six of all deaths on the road involve these drivers, as I said. However, the biggest problem occurs with youngsters. Drink-driving among young men in the 17 to 29 age group is particularly high. Provisional figures from 2004 show that some 590 people were killed in crashes in which a driver was over the legal limit, 2,350 were seriously injured and 14,000 were slightly injured. The key group comprises the 17 to 24 year-olds, of whom 6.3 per cent who were breath tested after an accident failed the test. That compares with an average for all ages of 4.4 per cent. People in this age group seem particularly liable to drive when they have had too much to drink and to have an accident when over the drink-drive limit. Recent data from police checks in England and Wales show that one in 20 of under 25 year-olds who were stopped were over the legal limit. That translates into 1,746 young drivers because more than 27,000 people were stopped by the police in total.
How do we stop this catalogue of deaths and serious injuries, not only of people who are over the limit but among others? How do we stop the carnage of young lives that are wasted because they have been driving while over the limit? They may not even realise that they are over their limit but their ability to drive safely is seriously impaired. Fatalities often result from stupid little things such as not looking properly, having slightly slower reactions and driving a little too fast on a wet road. That is the background to these amendments. We cannot leave a Bill like this, which is trying to tackle a major social problem, without addressing this alcohol-associated carnage on our roads.
Baroness Hayter of Kentish Town
My Lords, I declare my interests as chair of the All-Party Parliamentary Group on Alcohol Misuse, and as a member of CADD, the Campaign Against Drinking and Driving. As I have already said in the House, members of that body have lost a relative through drink-driving.
I am happy to support the amendment moved by the noble Lord, Lord Brooke of Sutton Mandeville. I will take his wise words on how to tackle these matters back to Camden. I also support Amendment 241A, standing in the names of the noble Baroness, Lady Finlay, and myself, and Amendment 241B, standing in my name, which would have the effect of reducing the blood alcohol level for young drivers, should the review show a case for further reform action.
Statistics on death as a result of alcohol impairment are well known, if not acted upon. We tend to concentrate on death but life-shattering and painful injuries are also a major issue. Indeed, it is mostly thanks to medical advances practised by people such as the noble Baroness, Lady Finlay, and others, as well as the speed and expertise of rescue crews and paramedics, that many who would otherwise have died following these accidents have been saved. However, they are not necessarily saved from a life of pain and impairment. As the Select Committee in another place has emphasised,
“drink driving is a preventable activity … On average, … one person dies every day”,
because drivers were over the limit. The Transport Committee also agreed that,
“medical and statistical evidence supports a reduction in the current drink drive limit of 80mg … per 100ml blood”.
However, as we know, the Government do not support such a reduction, at least for the moment, and nor did the committee, despite the wise recommendation of a reduction to 50 milligrams by Sir Peter North, although the Transport Committee would prefer a 20 rather than 50 milligram limit, which is effectively zero.
Despite the lack of action, I do not give up hope. In particular, it is worth looking within the generality of drivers at the susceptibility of the young to the effects of alcohol. This would also help to achieve the Transport Committee's aim that the Government should work to achieve a 20 milligram level by first introducing a lower limit for young drivers. New Zealand has recognised that young bodies are more affected by alcohol. It therefore has lower limits for young drivers. As its data show, young people start with a relatively high crash risk. For drivers under 20, even at 50 milligrams their risk of having a crash is six times the level of a driver over 30 years of age with the same alcohol consumption. That is why the drink-drive limit in New Zealand is 20 milligrams per 100 millilitres for those under 20.
The evidence is clear: drink for drink, young drivers are more likely to have accidents than older drivers, quite apart from their level of experience. New Zealand is planning further action to deter young people from drinking and driving, with policies closer to those of America where the drinking age is 21. The Federal Highway Administration estimates that having a drinking age of 21 saves 1,000 young American lives a year, so New Zealand is going to raise the purchase age for alcohol to 20 years. The House will be delighted to hear that that is not where I want to go, but I want to protect our young drivers—and, as the noble Baroness said, their victims, whether they are on the streets or in the cars of those young drivers—from any temptation to drink before getting behind a wheel.
Police Reform and Social Responsibility Bill
Baroness Finlay of Llandaff Excerpts(13 years, 5 months ago)
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Baroness Coussins
My Lords, this amendment, supported by my noble friend Lady Finlay of Llandaff, would insert a new clause in the section of the Bill that deals with selling alcohol to children. I first place on record my gratitude to the Minister for meeting me to discuss my concerns and for writing to me in detail about them. Nevertheless, I hope still that I might persuade her that my amendment merits further consideration and that she might agree to come back with something on Report.
I should declare various interests. I am a former chief executive of the Portman Group and a former member of the Alcohol Education and Research Council. I currently work as a paid adviser on corporate responsibility to two drinks companies whose names are listed in the register. I emphasise that I provide them with non-parliamentary advice, and I have had no discussion about the Bill with either company.
The Bill already proposes to double the maximum fine for persistently selling alcohol directly to children from £10,000 to £20,000. My amendment applies the same principle to the offence of purchasing alcohol on behalf of children, an offence that is often overlooked but which is regarded by many local police forces and local authorities as the more serious in terms of its prevalence. The offence of purchasing alcohol on behalf of children is commonly known as “proxy purchase” and occurs when someone over 18 agrees to go into licensed premises to buy alcohol in order to hand it over to a child aged under 18 waiting outside. The current maximum fine is £5,000, or level 5 on the standard scale. I suggest that if the Government believe that a strong message needs to be sent out on underage sales by doubling the fine for that offence by licensees, it follows logically and all the more strongly that a clear message needs also to be conveyed that proxy purchase by unscrupulous members of the public is completely socially unacceptable, immoral and illegal, and should attract rigorous enforcement with harsh penalties.
As I said in the debate at Second Reading, the incidence of prosecution and conviction for this offence of proxy purchase may be low but is nevertheless much higher than for illegal sales direct to children. In 2009, the last year for which figures are available, there were only four prosecutions for persistently selling to children, compared to 29 for proxy purchase. It would be a wasted opportunity not to take advantage of the Bill to ramp up the maximum penalty in the same way as is envisaged for direct underage sales.
I know that the Minister is rightly concerned that this legislation should be proportionate and consistent. I agree. I was a member of the Better Regulation Commission when it developed the five principles of better regulation, of which proportionality and consistency are two, and I believe that my amendment ticks exactly those boxes. If the Government think it is right, and therefore proportionate, on the basis of the prosecution figures I have just given, to double the maximum fine for persistent sales to children, then surely it would be consistent, right and proportionate to do the same for proxy purchase when we know that the level of harm and potential harm are at least as great.
We know quite a bit of detail about which children are gaining access to alcohol through proxy purchase. A survey in 2008 of 11 to 15 year-olds for the National Health Service Information Centre revealed that a total of 34 per cent of these young children, some of them not even yet teenagers, got their alcohol from other people buying it for them—in some cases people who were related to them—but 18 per cent of them got it from strangers.
When you look more closely at the figures, you begin to see just how worrying this behaviour is, how potentially vulnerable these children are and how important it is that we do everything we can to deter adults from agreeing to engage in proxy purchase. For example, although 18 per cent of children overall said that they had asked someone else other than a relative to buy alcohol for them, this figure rises to 41 per cent of 15 year-olds. Among the children who are drinking most heavily, defined as over 15 units a week, the figure rises to a staggering 88 per cent who used proxy purchase. When we compare the behaviour of boys and girls there are also significant differences, with 10 per cent of 13 year-old boys relying on proxy purchase but 14 per cent of girls. At age 15, that rises to 38 per cent of boys but 43 per cent of girls.
I am especially concerned about the potential danger in which these very young girls are placing themselves by approaching strangers in the street and asking them to buy alcohol. If an adult is irresponsible enough to agree to do that, what other dangers or risks might these vulnerable girls be exposing themselves to? I emphasise that this survey shows proxy purchasing to be a much more serious issue than under-18s buying alcohol for themselves. Only 6 per cent bought or attempted to buy alcohol from a shop, and only 4 per cent from a pub. The survey shows that the proportion of teenagers who manage to buy for themselves has declined significantly since 1996. I would not want to sweep that problem under the carpet, because it remains a fact that most of those few who do so are successful in achieving their purchase. The fact that some are not and that many more no longer even attempt to buy for themselves shows that the co-operative efforts of licensees, local authorities, the police and dedicated community groups promoting more rigorous use of proof of age at point of sale has been paying some dividends.
Even so, the Government have seen fit to include in the Bill the doubling of the maximum fine for licensees who still sell to the under-aged. Fair enough, but why ignore the more pressing issue of proxy purchase when it would be simple to include a similar amendment along the lines that I have suggested? Another piece of research was published only last month by the Drinkaware Trust, this time concentrating on where slightly older teenagers, aged 15 to 17, get their alcohol. Here, too, we see that those who are drinking in the most risky and potentially vulnerable situations—outdoors, rather than at home, at a party or a friend’s house—are the ones who most rely on proxy purchase, with 19 per cent—almost one in five—saying that they asked a passer-by to get them their alcohol from a shop.
On the basis of all this evidence—and the Government say that they are committed to evidence-based policy—I urge the Minister to agree that my amendment would be a sensible and justified logical extension to this section of the Bill. As I said at Second Reading, the penalties for these offences are relatively meaningless unless the law is rigorously enforced. I hope that the Government will also be doing something to encourage the police, local authorities, trading standards and the licensed trade to do even more to stamp out illegal sales to children and proxy purchase. It might be a little more complicated than underage sales because it involves indentifying and pursuing members of the public rather than slapping an extra fine on licensees. But if this is the offence which is doing most harm to young drinkers, especially those who are most vulnerable because of their age, sex and consumption patterns, surely we must do whatever we can. I beg to move.
Baroness Finlay of Llandaff
My Lords, I have added my name to this amendment in support of my noble friend Lady Coussins. I am grateful to the Minister for all her interest and concern over alcohol as a problem. I know that she has expressed a view that this is not the direction in which the Government wish to go, but I hope that she may be persuaded to think again. When we pass legislation such as this, we need to send a clear social message to the rest of society.
There is some evidence that if you teach children to drink responsibly and socially at home they will be less likely to abuse alcohol. Sadly, that is now tremendously outweighed by the data of children being initiated into binge-drinking by adults proxy purchasing for them. Some of the statistics have already been alluded to, but there are many more. An interesting study from the Portman Group itself showed that one-third of adults have been asked to buy alcohol on behalf of someone under 18 and one-third of those have admitted to buying it. A quarter did not realise that it was an offence; 30 per cent did so because they felt intimidated by the young person; 30 per cent thought that it would not do any harm; and 70 per cent did not realise that they could be prosecuted for doing so. That demonstrates an enormous ignorance both of the criminality involved and of the harm that they are doing to children. It is also a terrible indictment of young people that their behaviour was so intimidating that they pushed someone into buying alcohol for them. As has already been said, the number of prosecutions is horribly light.
What about the impact on these young people in the long term? About 7,600 school-age children are admitted to hospital annually with alcohol-related conditions. These are not just minor conditions; some are admitted in coma with alcohol toxicity, liver failure and vomiting which may be so severe that they become severely dehydrated and need intravenous rehydration. We know that a car is more likely to be involved in an accident when the passengers have had too much to drink—even if the driver is not drunk—as their irresponsible behaviour may result in the driver not being able to concentrate.
These young people also suffer from chronic problems. They have a higher incidence of depression and mental health problems in later life, weight loss and chronic liver damage. It is clear from a study in the British Medical Journal that men who drink more than seven units a week at the age of 16 are one and a half times more likely than light drinkers to binge drink in their 30s and 40s. By not sending out a clear message to society, we are complicit in encouraging youngsters into a binge-drinking habit. We are saying, “It is okay, we will turn a blind eye to it”, but the size of the problem means that it cannot be looked at with Nelson’s eye. I commend the amendment to the Government and hope that they will take it very seriously.
Police Reform and Social Responsibility Bill
Baroness Finlay of Llandaff Excerpts(13 years, 5 months ago)
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“SCHEDULEYouth rehabilitation orders: alcohol monitoring requirement1 The Criminal Justice and Immigration Act 2008 is amended as follows.
2 In section 1 (youth rehabilitation orders), after subsection (1)(n) insert—
“(na) an alcohol monitoring requirement (see paragraph 24A of that Schedule),”.3 (1) Schedule 1 (further provision about youth rehabilitation orders) is amended in accordance with this paragraph.
(2) In paragraph 1 (imposition of requirements), after sub-paragraph (k), insert—
“(ka) paragraph 24A(2) (alcohol monitoring requirement), and”.(3) In paragraph 34(4) (provision of copies of orders), after the entry for “an intoxicating substance treatment requirement”, insert—
“An alcohol monitoring requirement | Any person specified under paragraph 24A(1)”. |
(2) In paragraph 3(1) (duty to give warning), after “youth rehabilitation order”, insert “, other than an order imposing an alcohol monitoring requirement,”.
(3) After paragraph 4, insert—
“Breach of an alcohol monitoring requirement4A If the responsible officer is of the opinion that the offender has failed without reasonable excuse to comply with an alcohol monitoring requirement, the officer may arrest the offender and must cause an information to be laid before a justice of the peace in respect of that failure.”.
(4) In paragraph 21(1) (warrants), after “by virtue of this Schedule” insert “or under paragraph 4A”.”
Baroness Finlay of Llandaff
My Lords, I am most grateful to the Front Benches for allowing a partial degrouping whereby we will debate Amendments 235, 236, 242 and 243 in this group, and in the next group consider Amendment 237A and link with it Amendment 244.
This is a new part of the Bill. The new clause I want to attempt to insert relates to a requirement for alcohol monitoring. This Bill was heralded in the gracious Speech as legislation that would be introduced,
“to make the police service more accountable to local people and to tackle alcohol-related violence”.—[Official Report, 25/5/10; col. 6.]
That is precisely what this amendment seeks to do. It falls within the scope of the Bill as it would give the courts additional powers regarding alcohol-related behaviour and complements police and licensing authorities’ powers. It is consistent with the objectives of the legislation by ensuring that alcohol-related violence is tackled at the point of sale and supply, and by changing behaviour related to alcohol and crime through clearer punishments. The Mayor of London, with whose office these amendments have been prepared, wants to trial a compulsory sobriety scheme in the capital. This amendment would introduce a new clause to allow the introduction of a new sentencing power: the alcohol monitoring requirement. It would amend previous Acts, the Criminal Justice Act 2003 and the Criminal Justice and Immigration Act 2008.
Let me be clear that the amendments would not require the adoption of a scheme, but would simply allow authorities such as courts within the Mayor of London’s region to pilot and evaluate the scheme. The alcohol monitoring requirement would give courts the power to require that an offender should abstain from alcohol and be regularly tested to ensure compliance as part of any community or custodial sentence. If the test is breached, there is a quick and coherent process of possible apprehension, which may mean a night in a police cell and reappearance in the magistrates’ court. That would have to be decided locally. A compulsory sobriety scheme does not criminalise youngsters. It allows the sentencing of those already before the courts to be more appropriate.
I shall try to explain why it is needed, how it will work, and how its introduction in pilots will allow the cost-efficacy models to be tested in practice. Alcohol-related anti-social behaviour and violence plagues our towns and cities, and London has disproportionate levels of these. It threatens the safety and well-being of citizens and is burning a hole in police and NHS budgets. Indeed, the Home Office recently identified that 46 per cent of police authorities find that the night-time economy now accounts for the main cause of overtime payments. In 2008-09, 8.6 crimes per 1,000 population were alcohol related, but in London the figure is 12.4 crimes, which is staggeringly high. Despite under-reporting, last year in London alcohol was flagged against 18,403 crimes of violence against the person, 3,612 incidents of criminal damage and 2,136 theft and handling offences. London has the highest rate of alcohol-related violent crimes and sexual offences in England.
Alcohol also plagues our homes, as much domestic violence is alcohol-linked. In England and Wales, almost half of all violent crime each year—almost 1 million crimes—is alcohol fuelled, costing about £8 billion to £13 billion per year overall. However, the total cost to the nation is nearer to £22 billion when all aspects are considered.
Last year, alcohol misuse cost the NHS £2.7 billion, with 70 per cent of the cost borne by the hospital sector. One in five calls to the London Ambulance Service last year were alcohol related—a total of 60,686 calls, or one every 8.5 minutes. This is a 25 per cent rise since the new licensing laws were introduced. Forty per cent of all A&E attendances are associated with alcohol misuse, but, after 10 o’clock at night, this proportion rises to more than 70 per cent and, in some parts of London, to more than 80 per cent. Many of these attendances involve people who are drunk, abuse staff, are difficult to manage and make disproportionate demands on medical, nursing and security staff at high-cost times, with care of seriously ill patients who are not alcohol fuelled being potentially compromised in the process.
In England and Wales, 319 people were treated in A&E for injuries in violence, of whom 130,000 were intoxicated at the time of injury. That was last year alone. Overall, there were 1 million alcohol-related hospital admissions in England and 54,000 in Wales. If the current trajectory is maintained, there will be 1.5 million such admissions annually by the end of the current Parliament. This is an escalating problem. On top of this, children in homes where alcohol-fuelled violence and aggression occur are at risk of ending up in care and underperform academically. They also learn the behaviours they witness. They are at greater risk of alcohol-related disorders, both medical and social, later in life.
The amendment would allow for the alcohol monitoring requirement as an additional recourse in the courts. The requirement combines rehabilitation for the individual, the potential for reductions in repeat offending and custodial sanctions. More importantly, it will have a wider impact on society by reaffirming that alcohol is not an excuse for criminal behaviour. It also represents a shift in the way we punish offenders by offering clear, immediate consequences if the alcohol monitoring requirement is breached, which is a completely new approach. It is based on the model from South Dakota in the United States, where the benefits include reducing recidivism, reducing the number of people going into prison and therefore the cost of prisons, and allowing offenders to remain with their families and in employment.
A number of key principles are drawn from the original South Dakota scheme. First, the offender must undergo daily testing. Secondly, the offender must pay for their testing in some form, ideally daily or weekly as opposed to a one-off fine. Thirdly, there must be a formal process for apprehension of the offender, or something else if the terms of the programme are breached. Unlike the current system, the new and innovative rules are simple and transparent, and punishment is certain, proportionate and swift. They employ behavioural triage to reserve prison for appropriate offenders, mandate abstinence and offer treatment. In South Dakota over the past six years, 99.6 per cent of tests collected have been negative, showing a remarkable compliance with the scheme.
The three main objectives of the alcohol monitoring requirement are: first, to reduce the number of alcohol-related incidents, particularly those which are violence related, and to improve public safety, perception of safety and public well-being; secondly, to reduce the cost of alcohol-related crime to statutory services; and, thirdly, to support a long-term shift in public attitudes towards the use of alcohol by making a clear statement about the acceptability of behaviour surrounding alcohol consumption supported with clear consequences.
This is how it might work. The person is convicted of an offence that is shown to be alcohol related. In sentencing, the court will have the additional option of the compulsory sobriety scheme. At regular intervals, decided by the court—usually daily or twice daily—the offender goes to a testing point, pays for the test and is breathalysed. If there is doubt, a further test can ensue. If the person is over the limit, the suspended element of their sentence could come into play. The cost of the test could be set at an appropriate level for the individual; it will be substantially less than they would have spent on alcohol anyway and will offset the cost of testing. By each test being paid for, the financial blow to others in the home, such as children, which occurs with a one-off fine is avoided. The offender stays at home with the family and remains sober, remains in work if employed and the children in the family do not bear the cost of the offence.
The punishment can fit the crime. The amendment will allow such a scheme to be piloted in areas that wish to try it. It gives more local levers to alcohol control. I beg to move.
Viscount Astor
My Lords, I am extremely interested in the noble Baroness’s amendment but it addresses only half the issues. In my experience, the crimes that come about from abuse of alcohol start because there has been an abuse of drugs first. That mixture is important; it is quite rare that it is purely alcohol. In the late-night bars and clubs that I used to see, it was a combination of the two. I do not know how my noble friend the Minister is going to reply, but to ignore any treatment on the drug part of the issue would deal with only half the problem. Unless one deals with that, the noble Baroness’s initiative would be bound to fail.
Baroness Finlay of Llandaff
I am most grateful to the Minister, whose sincerity I believe in. I have enjoyed working with her in the past and I hope that we can work on this together. I am also grateful to all noble Lords who spoke in support of the amendment and the other amendments in the group. I completely recognise the need for other strategies in conjunction with this. If we look just at the evidence from South Dakota, it is worth noting that it has an 80 per cent long-term sobriety rate. There is therefore something about using the unique teachable moments, which is what Professor Touquet at St Mary’s has been piloting and developing over the years in his A&E department, whereby you use the fact that the person has presented to get them to address all the problems that underlie alcohol-seeking behaviours.
I also completely agree that the culture change is shocking. I was recently in a student’s room, because she was ill. A bottle of vodka was on her window sill, as was the case in the rooms of all her housemates. The birthday card by her bed from her best friend said, “Looking forward to getting drunk together”. That is a complete change from the days when the Minister and I were students.
I regret that the Minister feels that this amendment cannot be made to the Bill, because I would have dearly loved to have piloted this measure in Wales. Given that I have not discussed the amendment with the Welsh Assembly Government and Ministers, I did not feel that it was appropriate to raise it earlier in the debate, but I hope that we will be able to work on this. I have a glimmer of hope that we may be able to come back to something later during the passage of the Bill. I therefore beg leave to withdraw the amendment at this stage.
Baroness Finlay of Llandaff
My Lords, I shall speak to Amendment 244, which unashamedly originates in Wales. Its aim is to make sure that “Licensed Premises Cumulative Impact (saturation) Policies” for local authorities have teeth and apply to off-licence premises, because at the moment they do not. The problem is the rise in alcohol consumption, in particular in our city centres, to which supermarkets have greatly contributed, with cheap alcohol often being a loss leader with price promotions. Young people buy alcohol to preload before going out, so they get intoxicated even before the beginning of the evening. They then tank up again on more alcohol from these outlets, because it is far cheaper than buying it on licensed premises. The problem is what to do in our city centres. The cumulative impact saturation policies do not have statutory status; they are only guidelines, so they are not enforceable and they are easily overturned by a legal challenge from retailers. I spoke about this at Second Reading and will not go through the argument again. However, the size of the problem in city centres warrants being addressed briefly.
We know that 60 per cent of liver disease is caused by alcohol abuse. Thirty years ago, that was seen in chronic alcoholics. Now it is seen in young drinkers who kill themselves with acute pancreatitis and liver failure. Individual human tragedies are known to everyone in the NHS: the student deformed for life, the student who falls under a train, the child burnt because somebody has got intoxicated and set fire to their home, or the 14 year-old who gets drunk and pregnant at a party. We have seen them all, and there is an increasing catalogue of these disasters. The other problem is the litter and environmental damage caused by alcohol misuse. Let us not forget that Damilola Taylor was killed not with a knife but with a supermarket lager bottle that had been left in the street.
In the UK, average consumption is now a staggering 9.7 litres of neat ethanol for every man aged 45 to 64. Sadly, women are rapidly catching up, with a 30 per cent rise in the incidence of heavy drinking in the past decade. In Cardiff city centre recently, a study asked people to be voluntarily breathalysed. One in three of the men and one in six of the women had damaging blood alcohol levels. The high-risk drinking patterns are concentrated particularly in ex-industrial heartlands such as the north-east, Humber and Yorkshire, and my own home, south Wales. Alcohol misuse accounted for 1,000 deaths in Wales in 2009, and the harm costs £1 billion annually—equivalent to £770 per Welsh household. Our trends in the UK are going in the opposite direction to those of many other countries. We have a rising incidence of liver disease deaths, but in France and Italy it is falling. Consumption by teenagers in England has overtaken that of teenagers in Spain and Italy.
The amendment would introduce a provision that “Licensed Premises Cumulative Impact (saturation) Policies” should include supermarkets and other off-licence premises. It will make it clear that they are included, with the result that managers of supermarkets and other off-licence premises will not be able to argue, as they have to date, that they are not included. It will also remove the current discrimination against licensed premises such as pubs produced by the current lack of clarity. Giving the impact policy statutory status would also allow revision and monitoring of the decisions taken.
The final part of the amendment includes a provision to ban the sale of alcohol in petrol station outlets. I have had representations about this and I recognise that in these outlets, drink is often purchased to consume later, and there is no evidence of a direct link between alcohol bought on those premises and drink-driving—although it appears to give a slightly inconsistent public message in relation to driving and alcohol. However, selling alcohol sometimes makes these outlets viable. I accept that this amendment is not perfect, and it may well be that it warrants refining in relation to that last part.
However, the other parts are important because it will finally allow local authorities to take decisions, empower the voice of people at a local level and make sure that those decisions are not challenged, as happened with Sainsbury’s in Cardiff by very highly paid barristers coming down from London with their managers and effectively driving a coach and horses through the guidance because it could not be enforced as it did not have statutory standing. It would also demonstrate consistency in those areas that are particularly bad hot spots of alcohol consumption, violence and crime, which are known to the local authorities in that area and would avoid inappropriately penalising rural areas where the sale of alcohol has to be managed in a different way. I commend the amendment to the House.
Baroness Hamwee
My Lords, my noble friend will speak to the substance of the amendments, but noble Lords may have noticed a minor flurry on these Benches when I went out to check whether there had been a reissue of the groupings and to see if I could find out just what was happening. We were not aware of the degrouping—that became clear before—nor of the grouping of the amendment to which the noble Baroness has just spoken with this amendment. I simply make a plea that if there are any further changes to the groupings in the list we are working to, noble Lords will use the informal arrangements of the House to make sure that we all end up speaking to the same group. That was in no way directed at the noble Baroness, who may have thought that this had all been sorted.
Baroness Finlay of Llandaff
My Lords, I apologise to the Committee. I was part of the discussions, but I did not double-check that everybody knew. I apologise to the Benches opposite.
Lord Shipley
I shall speak first to Amendment 237A. It is an extremely important amendment because it defines not just the responsibility of a local council—here I declare an interest as a member of Newcastle City Council and as chair of the regional advisory group for public health in the north-east of England. The amendment builds in to the general duty of a licensing authority, which has a quasi-judicial role, the responsibility to protect and, crucially, to improve public health. Through other legislation, local authorities are being given enhanced responsibilities for public health. The responsibilities relate to a range of things around smoking, obesity, road safety and so on, but given some of the evidence we have heard this afternoon, not least the fact that the latest figures seem to show that at the weekends 50 per cent of hospital admissions are alcohol related, the cost to the National Health Service and the economy is very great, and the responsibility for addressing that problem has to lie with some democratic structure. In general terms, it lies with the local authority but critically, because a licensing authority is quasi-judicial, it is important to have a general duty applying to that licensing authority to protect and improve public health. I think this very clear statement will make a difference in the way in which licensing authorities operate in future.
I referred to regional advisory groups on public health. One of the consequences of the abolition of government offices in England is that a range of regional structures are no longer in existence or are about to go out of existence. One of the things we are having to address at the moment is how issues of public health can be discussed and how research evaluation and good practice can be spread in a context bigger than a single local authority.
I hope that the Government might look at ways in which we can develop this general duty to protect and improve public health so that local authorities are required to work together more closely on that agenda. Reducing the consumption of alcohol, reducing the incidence of smoking, improving road safety figures and so on all apply to more than just one local authority in a given part of the country. However, this is a very important amendment and its impact should not be underestimated.
Baroness Finlay of Llandaff
Before the Minister sits down, could he provide me with an assurance that the change that the Government are introducing will cover off-licence as well as on-licence, so that the specific problem of supermarket sales will be covered and barristers from the supermarket chains will no longer be able to say, “But it was only guidance”?
Lord De Mauley
My Lords, I am afraid that I do not have the answer to the noble Baroness’s question but I assure her that I will write to her with it.
Police Reform and Social Responsibility Bill
Baroness Finlay of Llandaff Excerpts(13 years, 7 months ago)
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Baroness Finlay of Llandaff
My Lords, I want to focus on alcohol-related harms, the worst of which was so eloquently described by the noble Baroness, Lady Newlove, in her deeply moving maiden speech.
The Licensing Act 2003 is a spectacular failure in public health terms. This Bill is a missed opportunity. Alcohol misuse abounds, costing £17 billion to £22 billion per annum, around £770 per household. Alcohol costs the NHS £2.7 billion per annum, double the amount of 10 years ago in real terms and rising. Last year, best estimates are that 40 per cent of the 319,000 people injured in violence in England and Wales were intoxicated at the time of injury and 70 per cent of accident and emergency attendances after 10 pm relate to alcohol misuse.
So what are the possible solutions? The first is pricing alcohol to return its relative cost in relation to income to where it was 20 to 30 years ago. Irresponsible off-licence promotions at less than 60 pence per unit of alcohol must end. Alcohol is ludicrously cheap; supermarket cider is commonly less that 50 pence a pint. Indeed, the late night levy that the Bill provides should also cover the NHS costs from the high accident and emergency attendances. The drinks industry profits could underwrite some of the costs that they actually incur.
Secondly, licensed premises’ cumulative impact and saturation policies should be statutory rather than simply constituting the current ambiguous guidance. A decision to deny a licence is easily overturned. A clear example comes from my home city of Cardiff, where the council licensing committee’s sensible decision not to grant permission to extend an off-sales licence in St Mary Street from 6 pm till 11 pm was easily overturned by well paid lawyers of a large supermarket chain, even though the area has seen the highest incidence of violence according to police and accident and emergency attendances of any street in the city over the past 10 years, and there were already other outlets. The Bill needs amendment to really strengthen the local voice in licensing decisions, and to ensure that cumulative impact and saturation policies include consideration of supermarkets and other off-licence outlets.
Thirdly, we can learn from South Dakota’s SCRAM project. Alcohol fuels about half of all violent crime and road deaths, particularly among young new drivers. An alcohol monitoring requirement, estimated to cost about £1 a day and producing an 80 per cent sobriety rate in the programme, is cost-effective and potentially saves many lives. The National Institute for Health and Clinical Excellence, like the North report, estimates that 16,000 injuries and up to 168 deaths caused by car crashes could be avoided in the first year of a reduction in the blood/alcohol limit for drivers from 80 to 50 milligrams per 100 millilitres and to zero for new drivers.
The fiscal reasoning behind the policing changes in the Bill seems illogical. We are asked to endorse changes costing somewhere in the region of £100 million per annum, yet the Government continue to refuse to fund, by their own estimate, £1 million to £2 million for the office of the chief coroner. Just two judicial reviews avoided would fund the chief coroner, whose creation was supported across both Houses to provide leadership and bring justice to the bereaved victims of crime. This is hardly joined-up financial planning.
As for Wales, the amendments in the other place do not respect the spirit of devolution, as they provide the Secretary of State with powers over local authorities in Wales, which needs to be able to defer implementation until the results from England are proven.
As a UK drugs policy commissioner, I will seek to amend the drugs section to improve the proposals, because I fear that they will only be expensive wallpaper as drafted and will fail to reduce the real harms that they are meant to address.
Drug Use and Possession: Royal Commission
Baroness Finlay of Llandaff Excerpts(13 years, 8 months ago)
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Baroness Finlay of Llandaff
My Lords, I am grateful to the noble Lord, Lord Norton of Louth, for introducing this important debate. There are two areas of real concern about our current drug laws: first, their enforceability; and, secondly, whether they are capable of achieving the desired goal.
The Misuse of Drugs Act, 40 years old in May, controls more than 600 substances, with more being added at an alarming frequency. Enforcement is becoming increasingly difficult as the remit of this Act expands. Officers are expected to identify controlled substances from a vast and expanding list. Tests are expensive and time-consuming. As the law becomes harder to enforce in full, it risks being brought into disrepute. Control of different psychoactive substances appears increasingly inconsistent. There is increasing public awareness of the harms associated with alcohol and tobacco, resulting in some action now in law, yet the law currently suggests that they are of less concern than the 600-plus substances already controlled under the Misuse of Drugs Act—a list to which about 40 substances a year will probably be added. The law is sometimes said to give a message but, unfortunately, in this area, even if it does give a message, it does not get to those who are at risk and can have the opposite effect to that intended.
The temporary one-year banning powers proposed in the Police Reform and Social Responsibility Bill will come under pressure in response to all newly emerging substances which are seen to have, or are just believed to have, potential harm. With about 40 new psychoactive substances a year, this will not be cost-free. Police time costs money.
Illicit substances have a perverse appeal to young people and fuel criminal trafficking of active and contaminated substances. When a substance becomes illegal, it is cut and diluted and the concentration of the contents is unknown. For example, despite the ban, mephedrone users are still obtaining the drug but with greater risk of overdose and poisoning from contaminants, adding to the NHS costs. Newer, more harmful substances may be replacing mephedrone, so the impact of bans such as that applied to mephedrone needs evaluating. The evidence has to be looked at.
Annually, more than 41,000 people are sentenced for drug possession, of whom 1,200 enter immediate custody, so alternative civil powers, such as trading standards or medicines regulation, warrant consideration. These may be just as effective at protecting young people, while avoiding some of the harms associated with a ban under the Misuse of Drugs Act, including stigmatisation impeding recovery programmes.
The UK Drug Policy Commission, of which I declare an interest as a commissioner, will shortly publish a report looking at the issues around the control of new substances. This will highlight the need for a more open debate about drug control and a complete review of our approach towards all psychoactive substances. The debate today is a welcome start to such a process.
Immigration: Detention of Children
Baroness Finlay of Llandaff Excerpts(14 years, 5 months ago)
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Baroness Neville-Jones
The noble Lord makes a very important point. I am aware that children who are not in immigration detention and who are unaccompanied are indeed with local authorities. I will take back his point about the inconsistency of treatment and report back to the House.
Baroness Finlay of Llandaff
My Lords, I, too, congratulate the noble Baroness. Is consideration being given in the review to the bereavement needs of children, given that many children who come here as asylum seekers, or indeed for other immigration purposes, have often undergone traumatic bereavements? The incidence of severe bereavement reactions among these children is particularly high, and lack of attention to that in the processes to which they are subjected may make their experiences worse.
Baroness Neville-Jones
The noble Baroness makes an important point. All I can say at the present stage is that in the guidelines that we agree consideration should be given to cases of this kind in which an individual problem needs extra help.