Oral Answers to Questions

Lord Mann Excerpts

Tuesday 19th October 2010 Commons Chamber

[Mr Clarke]

I was compelled by my hon. Friend’s first question and I had not thought that there was more to come. As he said, we must move away from the overuse of drugs and methadone maintenance, and aim at detoxification and returning people to a condition in which they might stay out of prison. Methadone maintenance is sometimes necessary when dealing with people who are seriously addicted when they enter prison. If people are serving a very short-term sentence, there is not much more we can do than maintain them on methadone.

However, the Ministry of Justice is looking, with my right hon. Friend the Health Secretary, to see what can be done in the context of his health reforms to deal more constructively with the huge problem of drugs offenders and crime. As I said, more than half the people whom we admit to prison are believed to have a serious drug problem when they arrive, and some who enter drug-free become addicted while there.

[John Mann (Bassetlaw) (Lab)]

Some of us believe that decisions on drug treatment, including in prison, should be taken by doctors, not by politicians. Which Government agency will take the lead on drug treatment in prison under this Government?

[Mr Clarke]

I know that the hon. Gentleman takes a close interest in drug treatment in his constituency, where he has an excellent record on the subject. Responsibility for such treatment in prisons has been transferred to the NHS. I agree with his proposition that clinical judgments must lie at the heart of any drug treatment programme, but it is necessary for Departments to collaborate. My right hon. Friend the Secretary of State for Health and I hope to produce a combined framework on treatment in prison and treatment for convicted drug users in alternative residential accommodation. That might include the transfer of prisoners in suitable cases to community-based mental health care. All those things must be tried, because the current situation is quite appalling. However, in the end, treatment of an individual must be a clinical decision. It is certainly not a decision for politicians.