(3 years, 1 month ago)
Lords ChamberHowever, on rereading this speech, I was so pleased with the evidence-based arguments that I had advanced—which, as I say, I am not going to repeat this evening—that the more I read it, the more I realised what a shame it was that although the Bill went through this House, and I remind my colleagues here that they voted for it last time around, the Government would not give it time when it went to the Commons for it to be dealt with there.
Since 2015, matters have got worse rather than better, particularly in the last two years. The figures plateaued between 2015 and 2018, but we saw some serious injuries and deaths in 2019—a total of 2,050. A total of 230 people died, up from 200 in 2015, when I last addressed this issue. There was also an increase of 8% in seriously injured casualties compared to 2018. Will the Minister confirm whether the figures I am quoting are correct? If I am not right then I would be pleased to be corrected, but I think I am on the right track.
This country had a very good record in the last century. We led most of Europe. We trailblazed in addressing injuries and deaths on the road and all the aspects of them. However, over the years our leadership has started to diminish. This is in part because we have been unwilling to change. Had we gone back to my 2015 data, I would have been talking about Baroness Castle and the way that she introduced it, and asking how we alighted on the 80-milligram figure. It was plucked out of the air with not a great deal of evidence behind it, and work done subsequently indicated that it was very high indeed and should have been lowered.
We have ended up here, where we see that the rest of Europe is at 50 or below, with some as low as 20, and only two countries—England and Wales and Malta—have retained the figure of 80. The question is: have we done the right thing in persisting with holding to 80? Some of the Scandinavian countries that are doing extraordinarily well in reducing deaths on the road are way down at the 20 milligrams level.
Why do these countries have lower limits? It is because all the evidence shows that 80 milligrams in the blood increases the risk of a driver’s involvement in a collision, by three times for collisions leading to injuries and by about six times for collisions leading to death. Even at the lower BAC level of 50 that I am advancing in my amendment, and I am grateful to my colleagues who are supporting me—the noble Baronesses, Lady Randerson and Lady Finlay, have put their names to this amendment—carries substantial risks for people who are inebriated at that level. It is not an easy ride; it is a risky one. Those levels of risk, if the Government are prepared to accept our figures, would be reduced respectively to about 1.5 and 2.5 times more, by comparison with the figure of 80 milligrams. That is a stark difference.
I ask the Minister to say why the Government declined in 2016 to make the change and whether these academic assessments are right that we are permitting people to legally drive at a limit that is a danger to life and limb and we refuse to change it. Where is the evidence for continuing with what we are doing at the moment?
The Scottish Government, as we are aware, cut the limit to 50 milligrams in December 2014, Northern Ireland has legislated to follow suit, and the Welsh Government would like to do the same if they had permission from us. Initially, Scotland saw a decrease in the number of deaths and injuries, but later reports show that what has been happening there is not quite so encouraging as they first experienced.
I will be very straight about the facts. I am not going to pretend that it produced as good a result in Scotland as we would have liked, but there are some other factors to be taken into account there. They did not run any particularly big advertising campaign to try to drive it home. They did not give any further resources to enforcement. There is a range of things they could have done to make it more effective. Initially, certainly, there was some beneficial change. Lives were saved. If a few lives were saved, I am sure they would argue that it was worth doing. They probably need to do more now. The Minister was nodding. I anticipate that he will quote Scotland and say that they need to keep an eye on it—the Scottish results are not convincing enough for us to change.
I have identified a weakness, and I share the view that enforcement is vitally important. With the help of the noble Earl, Lord Attlee, we have produced a solution on the enforcement front in Amendment 164, to which he will speak at greater length. We always try to be helpful. It is important to cut the number of deaths and the rising number of serious injuries. We must find any possible way to discourage people from drink-driving. Reducing the limit to 50 would be a discouragement. Support for the second amendment, to introduce random breath testing, need not necessarily mean incurring the use of greater resources. We believe that, on balance, it would provide a deterrent which would have a very dramatic effect on the way thatusb people who still continued to drink and drive would respond.
There is evidence from abroad. It has been particularly effective in Australia, where they have followed this practice. Australia had a very bad record on drinking and driving. The introduction of random breath testing has changed it quite dramatically. People no longer drink and drive as they used to do. Lifestyles have changed. We can do the same in this country.
The life of each individual is unique. It behoves us to take every opportunity to end the selfish killing and maiming by drunk driving. There is a particular category of repeat offenders. The reality is that the police often know who these people are, but unless they commit a traffic offence, the police cannot stop and breath-test them. If the second amendment is adopted, along with the first, I believe it would make a quite dramatic change in lifestyles and in respect for each other. Random breath testing would reduce deaths and injuries.
Driving under the influence of drugs is also an important issue to be addressed. We are not endeavouring to do this, or to complicate the issue here. In this context, we are simply dealing with alcohol. We will need to come back and look at people who take drugs. For the moment, this is about alcohol. It is about a relatively modest change with no great requirement for additional resourcing. It is about focusing on the area that really needs addressing. I trust that, this time round, the Government are prepared to support it, rather than to oppose it in the way that they did last time.
My Lords, I have added my name to this amendment. I declare that I chair the Commission on Alcohol Harm.
This amendment would simply bring us in line with other EU and Commonwealth nations. It has been estimated that this amendment alone could save at least 25 lives a year and prevent 95 casualties. This may not sound like a large number, but the majority of those who die on the road are young adults or children in accidents involving drink-driving. Men are far more likely to have been drinking: 78% of male drivers were involved in drink-drive accidents, against 69% of men in other types of accidents. Where casualties are involved, the numbers are also higher for men—67% where alcohol was involved, against 60% for all reported accidents.
Sadly, Wales does particularly badly, with a higher percentage of casualties in drink-drive accidents than in Scotland or England. When we look at the age of people involved, it is quite chilling. Most of the pedestrian casualties are children and young adults, most of the pedal cyclist casualties are children and young adults, and the motorcyclists are young adults. The car occupant casualty rate is higher when alcohol has been involved in the accident. The drink driver does not only kill themselves; the tragedy is that they will kill somebody else’s child or parent. If death is not the outcome, life-changing injuries often are. It has been estimated that around 5%—one in 20—of all casualties in reported road accidents involved alcohol in one way or another; often at least one driver or rider was over the drink-drive limit.
I look back in horror at my childhood, when “Have one for the road” was said as somebody left the house after coming round for dinner. The accident rate then was absolutely appalling; many people of my age can probably remember somebody who died in one of those accidents. However, if we look at 2019, despite Covid looming across Christmas and the festive season, there were 230 verified drink-drive fatalities, with a provisional estimate of 280 fatalities for that year involving drink. That constituted 13% of all casualties on the road, and there were 7,800 drink-drive casualties, accounting for 5% of all casualties on the roads.
In the report from the alcohol harms commission that I chaired we pointed out that in 2017, the Department for Transport estimated that 310 pedestrians and 110 cyclists were casualties in drink-drive accidents, including 60 children aged nought to 15. One police witness, Sergeant Mick Urwin, described the impact of drink driving. Apart from the perpetrators, who lose their licence and often their job and may be imprisoned, the greatest impact is on the family of someone killed or seriously injured by a drunk driver. It is devastating. He explained that
“delivering a death message to a parent, brother, sister, son or daughter to inform them that someone has been killed by a drink driver is not something I ever got used to.”
We had evidence from the ex-wife of an alcoholic about how difficult it was to persuade her children not to get in the car if they thought that daddy had had a drink. Fire officers told us that they now rescue more people from road collisions than house fires, and many of them are due to drunk-driving. A survey by Drink Wise, Age Well of 16,700 people over 50 found that drink-driving was commonplace among high-risk drinkers: 30% reported that they had driven when they thought they were over the legal limit in the preceding year. That is a huge number of people who are aware that they have drunk too much but who think they will get away with it.
If one young parent dies in a drink-drive accident, they are likely to leave orphaned two or three children. Those children’s life chances are seriously damaged, with higher rates of mental health problems and lower school attainment; they are less likely to get into higher education; and they are at a higher risk of suicide later in life—in other words, this year’s drink-driving fatalities leave decades of societal difficulties ahead. The tragedy is that these are avoidable accidents. The simple message: “Do not drink and hold the car keys” is the one to give the public. We all know that simple messages work. We all know that legislation gives messages. That, combined with the simple message that one in eight road deaths involves a driver over the limit, can be enough to bring about the change that we need across society. I do not know of anybody, other than perhaps those in the alcohol retail industry, who objects to lowering the drink-drive limit. We have an NHS that is struggling, a court system with backlogs, and terrible backlogs for psychological support services for young children who are bereaved.
We had a debate earlier about road safety. Nobody will be damaged by lowering the drink-drive limit, but every year hundreds of people will die, and thousands will be damaged, by not acting now. I hope the Government will see it is time to come in line with the rest of the Commonwealth.
(8 years ago)
Lords ChamberMy Lords, in Committee I endeavoured to remove the Government’s redefinition of “alcohol” in the Licensing Act 2003 to cover alcohol “in any state”. I was worried that that covered powdered and vaping alcohol and I sought to remove them from the redefinition. The Minister argued that we really needed to establish the legal status of powdered and vaping alcohol and that if my amendment was accepted, it would have left us still in an unclear position about the legal status of those products, and we needed clarity. I accepted her argument and suggested that the difficulty might be overcome if we decided to class powdered or vaping alcohol as class C substances under the Misuse of Drugs Act 1971 or prohibit their production, supply, import or export by an amendment to the Psychoactive Substances Act 2016. Either course of action would resolve the legal status and leave beyond any doubt where these two substances stood. Accordingly, I asked the Minister to remove Clause 117, which sought to cover alcohol in all forms, but she was not prepared to do that at that stage.
Today I have returned to the subject and have tabled an amendment which would no longer allow powdered or vaping alcohol to be classed under the 2003 Act; instead, they would fall under the Misuse of Drugs Act 1971. I will not repeat all the arguments I made at Second Reading and in Committee, in the light of what has been happening in America, where the number of states that have banned these substances has gone up from the 26 I mentioned when we discussed this subject previously to 32. Of particular interest is that they have now been banned in California. Governor Jerry Brown signed a Bill into law on 28 September. Of course, this is a state which on 8 November voted to legalise recreational marijuana. So California is prepared to legalise marijuana but will not permit powdered alcohol to be sold in the way that our Government will permit, if this clause remains.
How have we got to this position? As I understand it, there was a consultation in the summer in which the Home Office spoke primarily to representatives of the drinks industry, it pondered what it should do with these technological developments as they come along, and it was decided that it was better that they should be legalised for sale. For all the reasons I have advanced previously—you can take powdered alcohol anywhere, you can mix it with existing drinks, you can take it into prisons very easily, and so on—I urge the Government to think again before they move forward in this way. I ask the Minister to consider accepting the solution that the noble Baroness, Lady Finlay, and I are offering. It is straightforward and very much in line with what is happening in the States and elsewhere.
Given all the problems we have with liquid alcohol and with drugs in prison, it is quite wrong to be legalising the sale of these substances. I believe the public would share that view. If they knew what we were debating today, they would be absolutely outraged that we are about to legalise these substances so that in due course people can be vaping alcohol and using the powder. In the hope that I have been as reasonable as I could be in trying to see the Minister’s point of view and have endeavoured to help her as best I can, I beg to move.
My Lords, it might help the House if I explain why the noble Lord, Lord Brooke, and I view this as quite such a dangerous substance and why it is quite different from alcohol in a liquid form, which one drinks. The reason is that powdered alcohol can be snorted, as can vaping alcohol. The problem is that it is then absorbed through the sinuses, directly through the blood-brain barrier, so that you get an immediate hit. You can get a very high hit in the brain with a very low blood-alcohol level because it has a direct route. If you drink a drink, as many of your Lordships probably will this evening, you will absorb it through the gut and it will go through the liver, where an enzyme called alcohol dehydrogenase partly metabolises it—it burns it up. It then goes into your bloodstream and then to your brain, so the amount getting to your brain will be reflected in a peripheral blood sample, which is where blood-alcohol levels are measured for driving and so on.
However, this powdered or vaping mechanism completely bypasses that. The problem is also that it is extremely difficult to detect, but the rapid high is much higher and faster than one would get even with a schnapps-type drink that might be downed quickly. That effect is particularly dangerous. In an important study done in the US, more than 1,800 undergraduate students were interviewed and 23% indicated that they would use the product if available. Of those, 62%—that is, just about two-thirds—also indicated a likelihood of misusing the product; that misuse was higher among Caucasian students and those who were already hazardous drinkers, who were significantly more likely to use it. We have tabled this amendment because we think this formulation is particularly dangerous and acts like a dangerous drug.