(13 years, 4 months ago)
Lords ChamberMy Lords, I support all of the amendments of the noble Baroness, Lady Finlay, and I shall speak particularly to those in my name.
In response to the noble Viscount, Lord Astor, without doubt there is a frequent link between drug taking, drinking, nicotine and a range of other addictions, including gambling. However, alcohol is on a quite different scale to drug taking. Even though drug taking is a big problem, we are talking about a scourge which afflicts many city centres throughout the whole of the country. I shall not repeat all the points that I made at Second Reading but, in addition to London, there are significant problems elsewhere. London is probably the worst of the lot but, in Brighton, in the order of 70 per cent of all admissions to A&E on Friday and Saturday nights are alcohol related. Some cases relate to substances, too, but primarily they are alcohol related. The chief medical officer down there, to whom I spoke last week, said that they were spending in the order of £100 million a year in the Brighton area in dealing with the problems which arise. We have to give careful consideration to the views put before us in these amendments.
Alcohol leads to problems with public disorder, drinking and driving—on which there will be amendments later—and, in particular, domestic violence. I recall particularly the Home Secretary’s statement last summer when she made it clear in a speech to the Women’s Aid conference that the Government’s ambition is nothing less than ending all forms of violence against women and girls. I see an opportunity in the amendment to address issues involving other related topics, particularly violence against women.
I declare an interest as a patron of the Everyman Trust, which endeavours to provide counselling for men—it is mainly men but there are one or two women—who are involved with violence within their families. They come to us because they want to stop being violent. They have a self-awareness of their problem but they do not how to resolve it. In debates in the House, the noble Baroness, Lady Verma, has been involved in encouraging us to try to expand the activities of the organisation.
If we can get these amendments through I can see a further opportunity arising. If the Government were to cast their eyes over wider fronts they would see chances—particularly given their concept of the big society—to pull in a range of people to assist with those going through this monitoring scheme.
I am sorry that the noble Lord, Lord Bradshaw, is not with us today, and I hope we can all wish him a speedy recovery so that he is back with us quickly. He knows a lot about the police work undertaken in the Thames Valley and I want to mention a model developed there, which started in High Wycombe, where there was co-operation between the police, NOMS itself, which was running the scheme, and Alcoholics Anonymous. Under the scheme, offenders who had either been sentenced, were facing imprisonment but had their imprisonment stayed or alternatively had been given community sentences were obliged, provided they were willing to participate, to attend AA meetings. They went to these meetings under guidance from NOMS and got chitties that confirmed they had attended the meeting and that they were endeavouring to work the 12-step programme, which is used in many places to secure recovery from both alcohol and drug addictions, and, indeed, other related addictions. This worked extraordinarily successfully. It was started in 2007 and the intention was that this was going to be rolled out throughout the rest of that area, and in turn perhaps used in locations in other parts of the country. Indeed, I believe there has been some experimentation with it in the London area.
AA, for those who do not know anything about it, has existed for over 60 years. It has a very strong record in helping people to recover from alcoholism and other related addictions. It has 2.5 million members in 160 countries and a reasonably high level of sobriety achieved among the participants. Most importantly, it is an organisation that provides a free service. It is entirely self-supporting and does not take a penny from any Government in any country in the world. However, along with many other voluntary organisations that I can name—like the Everyman Trust, which I just mentioned, Respect, which assists women who have problems with violence within their families and which also assists the males in those families, and also MARAC, a very well known organisation assisting women with violence—it can be linked in to these kinds of experiments if they are set up within the London area. There is a very significant opportunity here for the Government to think on a broader frame rather than simply seeing it in criminal terms.
The experiment in the Thames Valley, regrettably, has ground to a halt and has not been rolled out in other parts of NOMS or in other parts of the country. It managed to secure an award for one of the best new initiatives taken to deal with people with criminal offences linked to alcohol, but, for funding reasons, it has not been taken any further forward. I can understand in the present circumstances why there is a disinclination to start embracing other changes that may incur additional expenditure, but, balanced against that, we have to look at the costs that are incurred through abuse of alcohol over such a wide front and see whether we cannot perhaps utilise the willingness of volunteers in other organisations to help us to try to find the solution.
I suggest to the Minister, and in turn to the Home Secretary, that they give some very favourable consideration to the proposals that have been laid before the House today and that they look at some of the other activities that have been undertaken by NOMS—starting in High Wycombe and then partially rolled out—to see whether we cannot bring a number of these initiatives together. Perhaps by the time we come to Report, if the Government are willing to give favourable consideration to it, we might even look for one or two additional amendments that would pull in voluntary organisations to ensure that people embarking on sobriety stay with it and avoid the kind of problems we have had in the past.
One thing that any of us who have been involved with drink and drugs knows is that to maintain recovery and sobriety, there has to be an ongoing process. If you put people in prison, get them sober in prison and then let them out through the door, the next thing is they are back on the circuit again if they are on their own. They need support and assistance on an ongoing basis. This provides an opportunity to get different solutions to the problem on the statute book and then in turn to link in to various elements within the third sector which would jump at the chance to be working with Government in providing long-term solutions for people with these problems.
Among the reasons why the High Wycombe model did not work was that it was run entirely voluntarily within that area but such a model is not in the Bill. Getting this into the Bill is very important not just for London but for those other areas that might want to pick up and run with it. It might set a model that the Government can then utilise—a new initiative for the rest of the country.
My Lords, in welcoming this initiative, both as tabled by the noble Baroness, Lady Finlay, and as supported and encouraged by the Mayor of London, I look forward, if this is successful, to the Boris bins where people will go for their regular breathalyser. The initiative could be one that runs. I particularly support this initiative because, as my noble friend Lord Brooke has mentioned, of its recognition of the role that alcohol plays in crime and, especially, in domestic violence.
As an Alcohol Concern report has shown, there is already clear evidence of the link between alcohol and domestic abuse and, indeed, with child protection issues. Alcohol Concern has documented how often the criminal behaviour is repeated if the alcohol abuse is not tackled. It has many examples of its clients saying, “He only hits me when he's been drinking”—and I am afraid it is mostly a he. The response of advisers such as the alcohol support workers is, “If you knew you were going to hit the person you most loved once you have drunk, do you think you'd have that first drink?”. That is the problem—the fact that so many men continue to take that first drink shows how valuable an intervention aimed at offenders could be. The sobriety scheme could play an important role in this, although it is not enough on its own.
As my noble friend has just mentioned, alcohol referral schemes need to work alongside the sobriety scheme because people who have failed to tackle their misuse of alcohol are likely to need some assistance to work in parallel with this breath-testing. This may involve just a fairly brief intervention by experienced staff but I hope that the scheme would be allied to the provision of such help. Such help will depend on the provision of resources both by the Greater London Authority, if it happens there, and by the Government. It is deeply discouraging that the Department of Health has just cut by 100 per cent the funding of Alcohol Concern, the national agency on alcohol misuse which not only does the bulk of preventive work in this area but helps to set up and support local voluntary agencies that provide front-line services such as the Camden alcohol service agency, in which I declare an interest as a trustee.
Without Alcohol Concern and other national agencies working to ensure that help is available across London and elsewhere for such people who would enter this scheme, we risk this excellent initiative being undermined by dealing only with short-term sobriety rather than longer-term drinking problems. Nevertheless, I warmly welcome this initiative and congratulate the noble Baroness, Lady Finlay, on introducing it. I look forward to seeing such a pilot, albeit one that I hope is supported with treatment for those who have failed to manage their alcohol abuse.