(1 year, 2 months ago)
Commons ChamberHow that legislation is dealt with is a matter for other colleagues, but I can reassure the hon. Gentleman that, if treating drug taking as a health issue is working as he suggests it is, we will learn from that and discuss it with our colleagues in the NHS. The broad principle of it being a health issue is being dealt with by the NHS and the Health Secretary. In terms of legislation, that is a matter for Cabinet colleagues.
We are building 20,000 modern prison places to help rehabilitate prisoners, cut crime and protect the public, and we continue to invest in prison maintenance, so that existing places remain in use and safe.
The Minister’s answer is very interesting because, let’s face it, our prisons have been run down for 13 years. Many are so old that they were built before RAAC—reinforced autoclaved aerated concrete—was even a twinkle in somebody’s bank account. If we read the inspection reports, as I have, it is a list of woes. They are draughty, damp, infested, terribly overcrowded and woefully understaffed—hardly likely to enable rehabilitation. It is our communities that endure the consequences, with at least 37% of prison leavers reoffending within 18 months. It is simply not good enough, is it?
We continue to upgrade the prison estate. As I say, we are investing in 20,000 new places—the biggest expansion in the secure estate since the Victorian era. At the same time, we have been taking out some of our most overcrowded and unsuitable prisons. In the last financial year, we took out 1,900 places, and we are investing £168 million in custodial maintenance for 2023-24 and 2024-25.
The hon. Lady mentioned reoffending. There is no good level of reoffending but zero, but I am pleased to be able to report good progress on reoffending, which has been coming down as a result of more ex-offenders getting into employment, fewer of them being homeless and more being able to get suitable, good treatment for addiction.
(2 years, 5 months ago)
Commons ChamberI will take one more intervention, from the hon. Member for West Ham (Ms Brown).
I am pleased to confirm to the hon. Lady, because it comes back to the speech of the hon. Member for Luton North (Sarah Owen), who said that we were somehow legalising rape, that the average sentence for adult rape in this country was around 10 years in 2021. I can confirm that that amount has increased by 15% since 2010—not decreased; increased. Those are very tough sentences for what is a very serious crime. I think that when we speak in this House, we should send a message that deters people from carrying out these horrific crimes, instead of sending messages that somehow people are going to get away with it. That does not help anyone. It does not help my daughter and it does not help anyone in this House or any one of our constituents.
Turning to the contributions in this important debate, the hon. Member for West Ham made a very good point about the impact of community payback on women. She talked particularly about the effects of alcohol and drugs. When we talk about community sentencing, the rehabilitative part is important, as my hon. Friend the Member for Warrington South (Andy Carter) mentioned. As the hon. Lady knows, we are piloting residential women’s centres, and we announced in May that the first one will open in Swansea. I hope that she will support that.
I am glad to hear that.
My hon. Friend the Member for Aylesbury (Rob Butler) speaks with great expertise. He made the important point that the motion criticises us for what happened to unpaid work, but it ignores the reality of the pandemic. He also made the crucial point that the Opposition would have kept us in lockdown for longer. Last December, they wanted us to have a lockdown because of omicron, but we resisted, which was the right thing to do for the country. If they had done that, it would have taken even longer for us to deal with the backlog in the courts, the backlog of unpaid work and everything else.
I pay tribute to the hon. Member for Easington (Grahame Morris) for being persistent on the subject of persistent offenders. He had a Westminster Hall debate on it last week, to which I enjoyed responding. As a constituency MP, he continually raises the case that he has written to me about—I promise that I will respond to him—and he is a champion of his constituents. We obviously disagree on some of the matters that he raised, but he is right to pay tribute to prison officers. We certainly cherish the huge role they play and appreciate all their efforts.
My hon. Friend the Member for Ashfield (Lee Anderson) was typically robust and forthright in telling it like it is. He said that prisoners should go to work, and in the spirit of that point, I say that it is crucial to ensure that there is every chance for people to get a job when they leave prison. That is why I am proud to confirm that the number of persons released from custody who were employed six months after release is up by 66%. That is testament to the strength of the economy and to the Government’s commitment to reducing reoffending.
The hon. Member for Blaydon (Liz Twist), who is no longer in her place, made a very good speech. She made an important point that the evidence shows that, in many ways, if someone has a short prison sentence, it has less of an impact on reducing reoffending than community sentences can have. Hon. Members on both sides of the House agree with that, and it is certainly what the evidence suggests.
Finally, my hon. Friend the Member for North West Norfolk (James Wild) made some good points. He encouraged his constituents to get involved in schemes and nominate where work can happen. If there is a problem with fly-tipping in a constituency, people should go to their parish councils, which should in turn go to the police and crime commissioner and say, “What about getting some of that unpaid work resource into our constituency?” He also made an excellent point about alcohol and the increasing use of sobriety tags; all hon. Members on both sides of the House surely know the impact of alcohol on crime. The Minister for Crime and Policing is committed to making more of that.
The Government have a clear plan to increase the number of community payback hours delivered via robust outdoor placements. We have made significant investments to bolster staffing levels and we continue to strengthen our engagement and collaboration with key local stakeholders to ensure that placements visibly improve the communities in which they are served. In that way, as the most timeless common law principle says, justice can be seen to be done.
Question put and agreed to.
Resolved,
That this House notes that the number of community sentences handed down fell by one quarter in the last three years; further notes that completed hours of unpaid work carried out by offenders has fallen by three quarters in the last three years; notes with concern that despite the end of lockdown restrictions in 2021, the number of offenders permitted to complete unpaid work from home has continued to rise; and calls on the Government to create community and victim payback boards to place communities and victims in control of the type of community projects that offenders complete to restore public faith in community payback.
(2 years, 9 months ago)
Commons ChamberIs the hon. Gentleman concerned that the closure of some police stations might make it quite a long journey to take somebody from an incident to the police station for the processing, taking too much time out of their shift, and we are perhaps getting to a point where there are not as many arrests as we would expect for the types of crimes that our constituents are seeing on the streets and would like to have tackled? Does he share my concern that the closure of police stations is not allowing us to deal with that antisocial behaviour on our streets?
The hon. Lady is right; time spent taking offenders to custody suites is time when those officers cannot be on the streets doing their job. However, we cannot spend the same pound twice. I would like to see a 24/7 first responder response, and there are ways we can do that. We have a large public estate, and I think we need to be a bit more imaginative about how and where we base our police officers, because the primary focus is on having officers on the beat in our large centres of population 24/7.
On the police funding formula review, I have been asking every Policing Minister about this since I was elected in 2001, and I was pleased to have confirmation from the Prime Minister recently that we are moving forward and are going to deliver on this. I also received a letter from the Minister himself, in which he said that the consultation on the police funding formula review would take place this summer—so I have it in writing in an official letter from the Home Office. I was very pleased indeed to read that. It sounds as if the train has left the station. This is about being fair to Bedfordshire and those other forces that have been left out, and I look forward to swift implementation. The Minister talked about effective transition arrangements for that review. I want it to be effective but I do not want it to take too long, and I hope he will bear that in mind.
(3 years ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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I am very grateful to our SNP colleagues, and to you, Sir Charles. It is an absolute pleasure to see you and to serve under your chairmanship. The view from the front line is absolutely clear; prison officers and governors have told me exactly the same thing: they simply do not believe that they or their colleagues can be safely running around floors in their mid-60s.
From the conversations that I have had, most of those nearing retirement age have decades of service in prisons behind them. Imagine it: decades of rigorous physical effort—bending through doorways and wrestling with violent prisoners on the floor—the repeated mental strain of conflict and constantly being in flight or fight mode at work. It must be exhausting to witness and deal with terrible circumstances, day in, day out. Worst of all is dealing with the trauma caused by brutal assaults at work.
I am sure the Minister understands the physical toll all of that takes, because we all know that being a prison officer means dealing with very damaged people. It means stepping into danger to protect colleagues or prisoners or to stop a situation that is escalating out of control. It means someone being on their feet for long hours, walking the halls, never knowing when the next crisis will emerge. The Minister will note that, thankfully, violence against prison officers fell during the pandemic. However, in the most recent stats, the rate of assaults on staff was still 177% higher than in 2010, and the level of violence is now rising fast: up 14% in the last quarter.
I have HMP Liverpool and Altcourse prison in my constituency, and I am pleased to work with the Professional Trades Union for Prison, Correctional and Secure Psychiatric Workers and prison officers. Would my hon. Friend agree with a prison officer who has written to me, saying:
“We are the police behind these walls! Yet police in the community can retire at 60”?
Is this not simply about decency and fairness for our prison officers?
I certainly agree with that. It is about decency and treating people fairly, and we are simply not seeing that. Whether or not a job becomes more dangerous depends in large part on what happens with recruitment and retention, and that is affected by the Government’s decisions on pension age.
It cannot be said often enough that the safety of our prisons and prison officers depends on staff experience. It depends on the extent to which prison officers and staff have the jailcraft to maintain good relationships with prisoners, understand the real dynamics going on in a wing, and de-escalate, by using many different mechanisms, dangerous situations before they become violent and out of control. That depth of experience has been stripped away over the past 10 years as more and more long-serving officers have left the service. In prisons today, 25% or more of staff have no experience at all of the pre-pandemic regime—that is frightening. I hope the Minister will tell us what plans she has to stop the service being hollowed out even further.
We rightly have a system where even senior managers walk the wings and respond to incidents alongside colleagues. They must also maintain the ability to restrain big and dangerous adult men if the escalation fails, and be kept safe doing so. Much upward progression still requires operational fitness, and moving to a non-frontline role will often involve a demotion and pay cut. Faced with those options and with retirement still years away, many will not remain in the service and their enormously valuable experience will be lost. Does the Minister agree that it is just too difficult for a prison officer in their mid-60s to be rolling around on the floor with a violent prisoner? Does she accept that we have a retention crisis in our prisons, which affects the all-important link between retention and safer working conditions?
Over the past year, this Government have rightly called our prison officers hidden heroes, so surely it is time to put those warm words into action. We will not solve the problems in our prison system until people know that their skills and experience will be valued and developed, and their hard work rewarded. The whole of this debate has simply involved asking the Minister to negotiate in good faith and understand the true value and nature of the work, the dedication shown and the importance of retaining experienced prison staff.
I do not want to waste time by repeating myself, but I will meet the POA. I cannot agree on the Floor of the Chamber to negotiate, but I hope that the POA, having met me, understands that I make that offer of a meeting in good faith.
I want to emphasise the point about fitness tests. The right hon. Member for Dwyfor Meirionnydd (Liz Saville Roberts) made an interesting point about menopause in particular. Since 2001, officers have had to pass an annual fitness test that is based on the requirements of the role, and which tests strength, muscular endurance, speed and agility. No specific adjustments have been made in relation to menopause because we must apply those tests equally. However, the test is based on the specific needs of the individual. It is intended to be both age and gender neutral, and I am sure colleagues will understand that we must be careful not to discriminate on the basis of age in such circumstances. I am conscious of the huge contribution that older and more experienced officers make. They can often de-escalate situations and they can help newer recruits to learn to do the job as well as they can.
On the important issue of security, we are investing £100 million in a prison security package that includes X-ray scanners, body-worn cameras and PAVA spray, which we want to roll out alongside rigid bar handcuffs to give officers the support of those items.
I will sit down now, Sir Charles, but I look forward to discussing this further with hon. Members.
(3 years, 6 months ago)
Commons ChamberI am grateful to the hon. Lady for rightly paying tribute to our prison officers. Let us just pause to reflect for a moment. At the beginning of this pandemic, Public Health England estimated that, on a reasonable worst-case scenario, more than 2,500 prisoners could die in prison. Because of the excellent work of our prison officers, that figure—although each one is a tragedy—is closer to 119. It was prison officers who delivered that. I am pleased to say that, even in this difficult financial situation, our prison officers received between 2.5% and 7.5% increases last year. We are also investing heavily in the security equipment needed, including PAVA spray, SPEAR—spontaneous protection enabling accelerated response—training, and body-worn video cameras, that make prisons a better and more conducive environment not only for prisoners but for prison staff.
The Minister must surely recognise that there are consequences to 86,000 years of staff experience being lost since 2010, because what happens when there are not enough experienced staff can be summed up in one word: violence. In 2019, violence was 134% higher than in 2010. Even last year, with prisoners locked up alone, violence was 38% higher. Self-harm has doubled, and assaults on staff have tripled. Experience matters. With further cuts coming, thanks to the Minister’s friends in the Treasury, will he recognise this? How is he going to make our prisons safer?
I agreed with the first half of that but not the second half. It is absolutely right that we have retention. May I reassure the hon. Lady that there are an additional 3,600 prison officers? In fact, I am sorry to say that what she said about the data on violence is wrong. The violence in terms of assaults on prison officers has gone down by 20%. I hope she will also be reassured to know that the leaving rate is down by nearly 3% as well. We are getting behind our prison officers. We are investing in our prisons. We are providing the security, providing the investment and making sure that their brilliant work can continue long into the future.
(3 years, 8 months ago)
Commons ChamberAs ever, I am grateful for my hon. Friend’s continued commitment to this issue. We are expanding the use of electronic monitoring to support robust and responsive community supervision. Following its well-received launch in Wales, as I mentioned, courts in England will shortly be able to impose the alcohol abstinence and monitoring requirement—the sobriety tag—to help tackle offending. We will shortly lay legislation to impose GPS tracking on offenders released from custody who have committed burglary and theft offences. The Bill will extend the maximum length of a curfew from 12 months to two years, making the use of those powers more flexible, and we will use those powers to test the house detention order concept outlined in the White Paper to see how that can contribute to reducing reoffending.
The Secretary of State’s own strategy says that short prison sentences for women do not work because they fail to tackle the reasons women are there, which is often due to the abuse and trauma caused by the men in their lives. His own strategy says that. When the Government’s neglect of crimes against women is under the spotlight, why is he still insisting on spending another £150 million on ineffective prison places when that money could be spent on action to break the cycle of abuse and reoffending?
The hon. Lady is absolutely right to refer to the female offender strategy, which is at the heart of our approach to women offenders—the trauma-informed approach that she knows is so important. I can reassure her that the prison places that we are building will improve and enhance the existing female estate, some of which, frankly, is not fit for purpose. This will replace and revivify the estate and allow women to be in a secure environment where they can do purposeful activity, support each other and, indeed, benefit—[Interruption.] I do not know why Labour Front Benchers think it is so funny, Mr Speaker. I have certainly supported the female offender strategy, and I will repeat the point that what we are doing is improving and enhancing the custodial experience while delivering the strategy and, of course, residential centres such as the one in Wales that will be opening very shortly indeed. [Interruption.] I really fail to see why women offenders are so funny, Mr Speaker.
(3 years, 9 months ago)
Commons ChamberTo repeat, I recognise the very difficult work that prison officers are doing up and down the country at this time. The pay proposals that we have accepted deliver an increase in pay, and as I mentioned, we took into account factors including affordability and value for money at this time.
Violence in our prisons has increased massively over the past decade, and skilled staff are essential to keep prisons safe. The Minister knows that the pay review body recommended a one-off increase to wages in band 3 as a job retention package, to ensure that our prisons keep the staff they need. She knows that staff and vulnerable prisoners will be at greater risk if yet more skilled officers leave the profession, so let me give her another chance to answer the question: she chose to ignore that recommendation—why?
I would like to address the point that the hon. Lady raised about violence in our prisons. I am pleased that violence in the adult male estate has gone down over recent months. Of course we accept that it is too high, and we must continue to do more to protect our prison officers. That is why we are rolling out body-worn cameras, and why we have 24/7 counselling and trauma support, as well as other things to support prison officers. Of course pay is a critical factor in the way that people value their job, and we are introducing a package of measures to ensure that prison officers continue well in their roles.
(3 years, 11 months ago)
Commons ChamberThe hon. Member makes a very important point: we need to ensure that we support women not only in custody, but outside it. He will have heard me mention that we are in the midst of a £2.5 million funding exercise, in which some of the money will go to community centres. However, we are doing other things as well, such as improving pre-sentence reports to ensure that women get the right order and go into the community, not into custody, where that is appropriate. He will also have heard me announce recently our first residential women’s centre, which will be in Wales and which we are progressing with. It is for those women who are on the cusp of custody, but whom we do not want to put in custody where we can avoid that, so that they can instead be ordered by the court to go into a residential women’s centre, which will better look after their needs.
The female offenders strategy published in 2018 by the then Justice Secretary and Prime Minister got it right. One woman in every three in prison self-harms. They are twice as likely as men to have mental health needs and more likely to have drug problems. According to those Ministers, short-term prison sentences
“do more harm than good”,
but last year, half of all women’s sentences were of less than three months, and the plan is to increase the women’s population by 40%. Why have these Ministers so quickly abandoned the promises made by their predecessors?
I refute the claim that we are changing our policy in any way. As the police are funded to search out and investigate further crime with our 20,000 additional officers on the beat, it is inevitable that some further women will go to prison as a result, and it is our obligation to ensure that there is a safe place for them to go. We, too, are concerned about women coming through short sentences, but the judiciary makes those independent decisions on short sentences, and we are ensuring that when people do come through on short sentences, they will have specific probation officers looking after them in the new, reformed probation system to ensure that those women, and men, get the support that they need.
(3 years, 11 months ago)
Public Bill CommitteesIt is a pleasure to serve under your chairmanship, Ms Ghani, and to introduce this Bill on behalf of my right hon. Friend the Member for Chesham and Amersham (Dame Cheryl Gillan), who cannot be here today. I thank Lorraine O’Shea from my right hon. Friend’s office, who has been invaluable in bringing this private Member’s Bill together.
Clause 1 allows Her Majesty’s Prison and Probation Service to test prisoners for all psychoactive substances, including any new compounds that emerge. It also allows prisoners to be tested for any controlled drug, pharmacy medicine and prescription-only medicine. It achieves that by using the definitions for those substances and medicines already set out in legislation, including the Psychoactive Substances Act 2016 and the Human Medicines Regulations 2012.
It is a feature of psychoactive substances that new substances appear regularly, with slight alterations to the chemical mixture. When that occurs, Her Majesty’s Prison and Probation Service has not been able to test for these new compounds until they have been added to the Prison Rules 1999 and the Young Offender Institution Rules 2000. The most recent example was scopolamine, a psychoactive substance added to the rules in October.
This clause will allow the drug-testing framework to respond quickly to test for new psychoactive substances, or any prescription-only or pharmacy medicines, without first having to amend the rules. Prisons and young offender institutions will be able to better plan for treatment services, identify those who should use them and, where appropriate, impose sanctions.
Amendments may still be made to the rules through statutory instruments to allow testing for substances that are regarded as harmful and which fall outside existing statutory definitions of controlled drugs, pharmacy medicines, prescription-only medicines and psychoactive substances. These are defined as “specified substances” in clause 1. Clause 2 amends the Prison Act 1952 to ensure that a substance cannot be listed as a “specified substance” in rules if it already falls within the statutory definitions of controlled drug, pharmacy medicine, prescription only medicine or psychoactive substance.
Clause 1(4) makes provision for the anonymised prevalence testing for medicinal products as well as controlled drugs, psychoactive substances and specified substances. “Medicinal products” is a wider category of substances than “prescription only medicines” and “pharmacy medicines” and is defined by reference to regulation 2 of the Human Medicines Act 2012. Having an express statutory basis for prevalence testing will provide a useful insight into trends in drug use and support healthcare providers in planning their services and tailoring their treatment programs in prisons and young offender institutions over time.
Clause 2 also sets out consequential amendments following the changes in clause 1. Clause 2 will allow the Secretary of State to make any necessary changes to the Prison Act 1952 in the event of any future changes in the Human Medicines Regulations 2012 or other legislation relating to human medicines. For example, if a substance definition that our Bill refers to were to be revoked in future, we could amend the Prison Act 1952 to include the definition or refer to alternative legislation and avoid any impact to Her Majesty’s Prison and Probation Service’s drug testing framework.
As we have discussed, the Bill adopts a general definition of psychoactive substances. That allows HM Prison and Probation Service to test for any psychoactive substances. In the past, substances considered psychoactive have been listed in the rules as specified drugs, in order to allow for testing. That is no longer required. It is therefore necessary for the Bill to remove the existing lists added to the Prison Rules 1999 and the Young Offender Rules 2000, as per our amendment. It is better for the statute book explicitly to remove statutory instruments that would otherwise have no effect. That is why we tabled the amendment, which is a minor and technical amendment, specifically in reference to scopolamine.
Scopolamine was added to the prescribed drugs list by statutory instrument in February, so that HM Prison and Probation Service could test prisoners for a psychoactive substance that had come into recent illicit use in our prisons. Were the Bill to become part of the statute book, scopolamine would be covered by the new definition of psychoactive substances inserted into the Prison Act 1952 by clause 1 of the Bill. The SI laid in October would therefore become redundant, so the amendment removes it from the statute book.
Clause 3 confirms the short title of the Bill and makes provision for its coming into force. The clause also provides that the Bill extends to England and Wales only, as prisons are devolved in both Scotland and Northern Ireland.
It is an absolute pleasure to serve under your chairmanship, Ms Ghani. What an honour to be considering a private Member’s Bill this morning. It is a shame that the right hon. Member for Chesham and Amersham is not with us, but I know that the hon. Member for North West Durham will continue to take the Bill through the House most ably. He demonstrated his skill on Second Reading. The right hon. Member for Chesham and Amersham chose wisely.
The Bill is an important one, and Labour supports its core goal to improve the testing regime for harmful substances in prisons. Substance misuse in prisons is rife, and we are told that it fuels violence and health problems and remains a real barrier to rehabilitation. The physical and mental impact on prison staff, including those who work to provide healthcare and education, can be truly awful.
As the hon. Member for North West Durham said, the current system for enabling substances to be tested within our prisons is just not responsive enough. The drugs that are being produced change rapidly, as do the methods of smuggling them into our prisons. Removing the necessity to introduce secondary legislation every single time a new substance needs to be added to the testing regime is a necessary and proportionate change, which is of a piece with the broader changes made several years ago by the Psychoactive Substances Act 2016.
I served on the Committee for the 2016 Act. If we are being frank, we probably should have provided for this issue in that measure. However, it is very welcome to have a statutory basis for anonymous prevalence testing, so that prisons and healthcare staff, prison leaders and the Government can deliver a faster, more precise and more accurate understanding of what the problems with drugs are, and where they are within the prison system.
I have two brief questions about the drafting of the Bill, which I assume the Minister will be able to answer. I raised them quickly on Second Reading, but understandably at that point I did not receive a full response. As hon. Members will know, there are occasionally issues with the interpretation of the core definition of a psychoactive substance in the 2016 Act. This Bill would copy that definition into the Prison Act 1952. Are the Government confident that the definition is robust enough? Is there a risk that the general power to specify substances to be tested for in clause 47 (3A) of the Prison Act 1952 will still need to be used if these definitions fail? I have noticed that the consequential amendment 1 opts for amending the general power that I just mentioned, so that all controlled drugs—pharmacy medicine, prescription-only medicine, and psychoactive substances—are excluded.
An alternative step would be to repeal subsection (3A) entirely. It might be that the decision to amend it, rather than repeal it, reflects a judgement that the definition of a psychoactive substance could turn out to be inadequate, and that a power to set out specific substances to be tested will still be needed. However, if that amended power in subsection (3A) were ever used in the future, it would still have to make use of an amendment to the prison rules through secondary legislation. That process would be no faster than the one that currently exists. I do not say so to oppose a general power to specify substances remaining in legislation after this Bill hopefully becomes law. However, I would welcome further explanation. Is the general power simply there in case the other definitions drawn from the 2016 Act and the Human Medicines Regulations 2012 fail, or is it there for another purpose? Is another purpose envisaged? I am quite happy to take a note on this, electronically or otherwise, after the sitting. I have no intention of causing any difficulties, but these are issues that have been flagged to us, and we would be grateful for an explanation.
Two of the largest issues where we need greater clarity about the Government’s approach in response to this Bill are addressed by the new clauses that I will come on to introduce. I can see that I am likely to have a majority when I press them to a vote. Before we come on to those new clauses, I want to raise a few other questions and issues which it would be helpful for the Minister to address. The most important question for the Government in relation to this Bill is what are they going to use it for? Once the Bill has provided the power to rectify the problems with the testing regime for Spice and other novel psychoactive substances—as it is very early in the morning and I am a bit tired, I hope Members will accept that I will say “NPS” from now on—how are the Government going to use that power to create a healthier, more therapeutic, and more rehabilitative environment in our prisons?
Something that could result from more accurate testing is more widespread use of punishment for people found to have misused drugs in custody. As I said on Second Reading, this is a difficult issue, because sometimes the punishments that are used could make it harder for people to stop using drugs, rather than easier. Would the Minister tell us more about Government’s understanding of this? Has there been, or could there be, a review of the impact that different types of disciplinary intervention have had on people who are found to be misusing drugs in custody?
The Minister—rightly, in my view— has been looking keenly at the different ways that our courts can respond to offending in the community in a way that solves problems and does not make problems that clearly exist worse. I hear that next year we are going to be considering some of those welcome changes in the sentencing White Paper. In my view, it should be no different when people break the rules in prison. People in prison have had their liberty taken away as a punishment appropriate to their crime and, given the added challenges of living in prison and all that that brings, it is more, not less, important that the disciplinary actions taken solve problems and create the conditions for rehabilitation, not reoffending. The punishments announced in 2015 by the then Justice Secretary included bans on family visits, 21 days confined to cells, removal of TV access and more. We know that the use of drugs in prison can be, or is often thought to be, caused by inactivity, loss of hope and complete and utter desperation.
I worry that greater use of at least some of those punishments might inadvertently lead to people wanting to take more drugs to get themselves mentally out of the situation—even temporarily—that they find themselves in. I cannot imagine what it would be like to be locked up. I cannot imagine what it would be like to be locked in a cell—I am completely claustrophobic and antisocial—with someone I did not like for 23 hours a day. I could imagine in those circumstances, if I were a little bit different, wanting to get out of there in my head, at least temporarily.
Can I just finish this, because it is not written down and otherwise I will lose my train of thought? This is something where some of us use alcohol. If we have had a rubbish day—not that it ever happens in this place, obviously—we go home for a very large gin and tonic. That in and of itself is almost a way of trying to come down from the stresses we have had and cope with them. Some people use alcohol in much worse ways than that and do not have it under control. All I am trying to say is that we should try and walk for a few minutes in the moccasins of those who find themselves imprisoned and are struggling mentally with all that being in prison means—being separated from their families and children and having their liberty constrained.
Out of an abundance of caution, I declare that prior to my election I was a non-executive director of Her Majesty’s Prison and Probation Service. Notwithstanding what the hon. Lady has just said, does she accept that there is a real scourge of drugs in our prisons and that we must clamp down on them and not do anything to encourage their use? I entirely agree that rehabilitation is the right way to proceed but, equally, nothing must be done to encourage those who seek to bring drugs into prison, create an illicit economy and make the problem much worse.
I absolutely agree and I am very grateful to the hon. Gentleman, especially with the knowledge that he has, for giving me the opportunity of making myself abundantly clear. Those who bring the trade into prisons, who put at risk the lives and wellbeing of our prison staff and prisoners should feel the full penalty of the law. I have no doubt about that at all.
What I was trying and obviously failing to do was to get us to put ourselves in the mind of the prisoner who is taking this stuff and understand that in many ways it is logical to want to free oneself mentally, even just for a few hours, from some of the stresses that people have to endure when there are in prison. The hon. Member for Aylesbury is absolutely right that the full weight of the law should be felt by those who are peddling this insidious, evil stuff in our prisons and taking advantage of those who are most vulnerable. They are completely and utterly despicable. I do not think I could make myself clearer.
I would be really grateful if the Minister might say something about the Government’s understanding of the efficacy of the forms of discipline that are currently used for those who misuse drugs in prison. Is any work going on that might improve them? Obviously another way of intervening in the lives of those who are misusing NPSs in our prisons is to ensure that they get into effective treatment. There is often a medical problem at the heart of the difficulties that requires a therapeutic solution.
I had the pleasure of visiting HMP Cardiff a couple of years ago with the Welsh Affairs Committee and the Justice Committee. That prison was getting prisoners from Bristol visiting them who were under different regimes—under a different nation’s schemes. That had an impact on the prisoners from Bristol and other areas. Does my hon. Friend agree that there needs to be a more joined-up approach in dealing with this?
I absolutely do. It is quite clear that once someone is on a treatment programme it needs to continue seamlessly, because we all want people, when they leave prison and go back into our communities, to be able to do so free from drugs and addiction, and to start a fresh life. My hon. Friend is right, and I am grateful to him for bringing that to our attention.
I gently suggest that the statistics, and Government policy more broadly, might be improved if we stop pretending that prisoners do not start taking drugs while in prison, rather than always going into prison with an addiction. That is the truth of it. The whole system at the moment seems to be geared to discovering who has a pre-existing dependence on drugs and ensuring that they are in treatment, which is good. Do not get me wrong, that is essential, but for drugs such as spice, which has been very common in prisons, it is not the whole story.
There is a third pathway to treatment that we need to ensure is available: a pathway for those people who did not have a drug problem when they entered prison but who, tragically and unacceptably, acquired one while inside. They are the people the system is failing most—the people for whom the boredom and difficulties of prison life are alleviated by short oblivion through illicit drugs obtained inside. I am genuinely hopeful that the Bill will enable treatment for those people. If it does, that will be a massive benefit to communities and families.
I will quickly explore one other issue. The transition between custody and community is often a revolving door, especially for those with drug abuse problems. It may be especially important for spice users. It is very evident that spice is disproportionately used by two populations: prisoners and rough sleepers. We know from last week’s Public Health England substance misuse statistics that in 2019 almost half of those entering treatment for misuse of an NPS had a housing problem—the highest proportion for any category of substances. I suspect that if we accounted for those who use spice but who are not in treatment as well as for those who are, the proportion with a housing problem would be even higher. It is incredibly difficult to hold down a job, maintain positive relationships and a family life, and to keep the mind and body healthy while living on the street. That contributes to higher levels of imprisonment among those who sleep rough.
Homelessness for prison leavers, and what the charity Nacro calls cell, street, repeat, is a priority for us, and I am led to believe that it will be a priority for the Government to reduce reoffending rates in coming years. However, we need to understand how these issues are connected; how many people come into prison with a history of rough sleeping and associated use of spice in a year; how many receive treatment for substance misuse while inside; how many are still accessing spice or other harmful substances while they are inside; how many of these people, when released, go straight back to rough sleeping; and how many are going straight back to spice use if they managed to get clean inside. I hope the Minister will offer to take this issue away and consider whether there is a need for further research, which the Ministry could commission, and how it might best be achieved.
The other important transition is when people leave prison. We need to ensure that leaving prison means starting a new, changed life. It is good for the whole of our community that prisoners, when released, do not come out and reoffend. It is also important for the prisoner that they get a true second chance. Substance misuse treatment is a massive part of ensuring that that can happen. We need to ensure that information about people’s needs travels with them as they leave prison and that treatment is immediate and consistent when they arrive in the community.
There is, unfortunately, little point in people getting clean or stable inside prison if they immediately relapse when they are out, without enough support, in the chaos and confusion of the outside world again. In fact, as we know, after release is the most dangerous time for those using illicit drugs, with appalling proportions of overdose deaths occurring in the first few days after leaving prison, just when we are wanting people to have a sense of hope and rebirth. A Norwegian study found that 85% of all deaths in prison leavers in the first week after release were due to overdoses. A US study found that the risk of an overdose death was 12.7 times higher for a prison leaver in the first two weeks after release from the general population.
Most of these deaths after leaving prison are the result of opiate use—heroin, or even more, drugs such as fentanyl—rather than an NPS. People in prison with an opiate dependence are generally on a regulated dose of a replacement drug as a medication, but when they come out, if they do not have immediate access to continue that treatment, they turn to the black market. At that point, much higher and less reliable doses are sold, which can quickly overwhelm the body, and people die. So getting transitions from custody to community right is a matter of life and death for some, and an essential part of treatment.
A few weeks ago, I met with some amazing NHS staff who work with armed services veterans in custody at HMP Wandsworth. I was delighted to hear that the staff in the substance misuse team leave the prison when those in their care are released, and go with them to their first appointment for community treatment. That is exactly the kind of integrated working that we need, but we all know that it is far from universal.
Can the Minister tell us more about what the Government are doing to improve treatment through the gate, following the recommendations in the report from the Advisory Council for the Misuse of Drugs on custody to community transitions last year? I fully appreciate that she is unlikely to have detailed answers to all my questions at her fingertips, but I think that we, as parliamentarians, could do with them to help to design and monitor effective policy on issues that mean enough to us that we are sat here this morning.
This is an excellent Bill, whose purpose we support, but if it is not accompanied by effective, well-resourced Government policy its benefits will be limited. I am fairly certain that the right hon. Member for Chesham and Amersham would not be impressed by that at all. I will say more when we come to the new clauses.
It is such a pleasure to serve under your chairmanship, Ms Ghani. I will not detain the Committee long on the main points, but I will respond to the points that the hon. Member for West Ham raised. I, like others, give my wholehearted support to my right hon. Friend the Member for Chesham and Amersham for introducing this very important Bill, and to my hon. Friend the Member for North West Durham for acting as its sponsor on her behalf. I commend the excellent work that my right hon. Friend has done in preparation for the Bill, notwithstanding that she has been unable to participate in these proceedings.
Having the privilege of being the Minister responsible for prisons, probation and rehabilitation, I am acutely aware of how necessary the Bill’s provisions are. As the hon. Member for West Ham said, drugs fuel crime both in and outside prison. Moreover, new drugs are constantly emerging on to the market in prison, and criminals are tweaking the chemical compounds of existing psychoactive substances to avoid detection. The Bill ensures that drug tests are responsive to the latest challenges in prisons and young offenders institutions.
The Bill will future-proof the drug-testing framework by adopting the broader definition of psychoactive substances, prescription-only medicines and pharmacy medicines, and it will enable our prisons to start testing more immediately for new drugs substances. More than that, it will enable us to identify new and emerging trends and therefore react quickly to changes in drug use by adjusting the relevant security measures to find specific drug types or the appropriate medical response during an emergency.
There is also the issue of identifying prisoners or young offenders with ongoing drug problems. The provisions in the Bill will enable Her Majesty’s inspectorate of prisons to have a better understanding of which individuals are misusing drugs and therefore to ensure that they get the appropriate treatment, as well as providing evidence of what is possible in terms of prevention.
We have a multifaceted approach to tackling drugs, and the Bill will enable us to continue to enhance our ability to tackle the scourge of drugs in prisons. I am grateful to my hon. Friend the Member for North West Durham for taking the Bill through the House, and to my right hon. Friend the Member for Chesham and Amersham for introducing it.
I will deal with a few of the points that the hon. Member for West Ham raised. She put forward a range of issues, and I will deal with the largest ones. She asked whether we were satisfied with the definition of psychoactive substances. I would like to assure her that we are content that the Psychoactive Substances Act provides HMPPS with a sufficiently broad definition to allow for testing of any new or existing psychoactive substances that may be used in prisons now or in the future. Of course, it is theoretically possible that a substance will fall outwith the definition in the future, so the Bill is drafted to future-proof drug testing in the case of any such eventually. However, that is not an eventuality that we anticipate at this time.
I thank hon. Members who have taken part today, and I pay tribute to my hon. Friend the Member for Hitchin and Harpenden, who tried to introduce the measure in a previous Session as a ten-minute rule Bill. It did not quite reach Committee stage, but we are rocking on. I hope we can keep it going today. I thank the hon. Members for West Ham and for Enfield, Southgate.
I will wait until later to heap praise on the hon. Lady.
Some important points have been raised by Members of different parties, particularly my hon. Friend the Member for Aylesbury, who has brought his expertise to bear today. I know he does not often speak outside Prime Minister’s questions, but I am glad he could grace us with his presence.
Question put and agreed to.
Clause 1 accordingly ordered to stand part of the Bill.
Clause 2
Consequential amendments
Amendment made: 1, in clause 2, page 3, line 35, at end insert—
“(7) In the Prison and Young Offender Institution (Coronavirus, etc) (Amendment) (No. 3) Rules 2020 (S.I. 2020/1077)—
(a) omit rule 2(3), and
(b) omit rule 3(3).”—(Mr Richard Holden.)
S.I. 2020/1077 added a new substance to the list of “specified drugs” in the Prison and YOI Rules. That list is no longer needed because of the changes made by the Bill and so this amendment revokes the S.I.
Clause 2, as amended, ordered to stand part of the Bill.
Clause 3 ordered to stand part of the Bill.
New Clause 1
Assessment of the effects and value for money of this Act
“(1) The Secretary of State must prepare an assessment of the value for money of the provisions of this Act in achieving their objectives.
(2) That assessment must consider—
(a) the extent to which the Act is achieving its objectives;
(b) the number of tests conducted;
(c) the number of positive results;
(d) the number of novel psychoactive substances found;
(e) the number of prescription-only substances found;
(f) the timeliness of updates to the testing regime when new substances are introduced into prisons;
(g) the amount spent on testing;
(h) the net effects on expenditure on the treatment of substance misuse;
(i) the effects of this Act on value for money in substance testing in prisons.
(3) A report on the assessment must be laid before Parliament no later than one year after the Act comes into force.”—(Ms Brown.)
Brought up, and read the First time.
With this it will be convenient to discuss new clause 2—Reports by the Advisory Council on the Misuse of Drugs—
“(1) The Advisory Council on the Misuse of Drugs must make biannual reports to Parliament on substance testing in prisons.
(2) Each report under this section must include assessments of—
(a) the number of substances that have been tested for;
(b) which substances have newly appeared in prisons, and in what quantities;
(c) the speed at which novel substances are being accounted for by the testing regime;
(d) the effects of the provisions of this Act on the health of prisoners, including any effects on numbers of suicides or serious self-harm events in prisons.
(3) Any report under this section may contain recommendations for action they might have for healthcare providers in prisons, HM Prisons Service or any other public body relating to substance testing in prisons.”
New clause 1 would require the Government to publish an assessment of the impact and value for money of the Bill within a year of its coming into force. I hope the Bill will increase the speed at which new psychoactive substances are identified in the prison system, and I hope the system will be able to identify quickly where medicines are being misused before that leads to harm. I hope that more people who need treatment for their drug problems will be identified, and that access to treatment will therefore improve. I hope the performance and value for money of the testing provider will improve, because it has a new, clearer mission and renewed scrutiny from the Ministry and Parliament.
We all hope there are results, but whether the benefits of the Bill are realised will depend on policy decisions and their implementation by both the Prison Service and the outsourced testing provider. I hope the Minister will say something about that, particularly about the value for money of the existing contract and what is happening to ensure that the testing service provided will be fit for purpose by the time the Bill comes into force. For me, the most important aspect of this is ensuring that treatment improves, because we know there are currently failures in the system.
The most recent data show that 11% of people receiving substance misuse treatment in prison said they had a problem with NPSs. For many, they will not be the only substances they are misusing. That proportion has been rising; it was just 5% in 2015-16, but, given the very high estimates for use in some prisons, it is probably reasonable to expect that the numbers of NPS users in treatment will need to increase further.
Those figures suggest that currently, spice users may be disproportionately unlikely to be in treatment; as we know, some evidence suggests that around one third of those misusing drugs in prison last year were NPS users. Given that the tests have been inaccurate, the true proportion could be even higher. All that suggests that treatment rates for NPS in prisons are significantly lower than they need to be. In the community at large, just 8% of those known to the national drug treatment monitoring system had an NPS problem last year.
I absolutely join my hon. Friend in that. He makes an important point: at HMPPS, the governors, prison officers and all the staff in the service have done such a remarkable job through extremely challenging times. The statistics show that we were looking at a significant number of deaths—2,500 to 3,500 deaths—and in the first wave, the death count was in the mid-20s. Although all those deaths are, of course, very sad, that figure is a credit to the joined-up working at every level, including with the POA. Again, I put on the record my thanks to them for the constructive way that they have engaged; I know that they are tired and that it is difficult.
I am very pleased with this morning’s news about the vaccine, because we can see some light at the end of the tunnel of this very difficult period. While many people will be celebrating Christmas, many of our prison officers will still be on the wings doing their work. I pay tribute to them for all the work that they have already done and for the work that I know that they will do, unrelentingly, over the next three months. May I say that I do not find that my hon. Friend the Member for Aylesbury only does PMQs? He is a regular participant in all justice matters, and it is a pleasure to see him serving on the Committee.
I make one last point to the hon. Member for West Ham. She made some important points about who we will give the information to and how it will be used. Like her, I agree that once we collect information, we should use it to our best advantage. We will look very closely at her suggestion that the information be widely shared and see what we can do to share that data within prisons.
My understanding is that we do currently share some of the prevalence data with the POA for substances that have already been tested for. Of course, we need to ensure that we respect security and that we do the right thing in terms of policy making, but that is something that I am very happy to look at further. She also mentioned sharing data with the NHS. We will, of course, be sharing our insights with healthcare providers so that they can quicker adapt their services.
I am always happy to engage with the hon. Lady, as she knows, on these and any other matters, but I ask her to withdraw the new clause.
Committee rose.
(3 years, 11 months ago)
Public Bill CommitteesIt is a pleasure to serve under your chairmanship, Ms Ghani, and to introduce this Bill on behalf of my right hon. Friend the Member for Chesham and Amersham (Dame Cheryl Gillan), who cannot be here today. I thank Lorraine O’Shea from my right hon. Friend’s office, who has been invaluable in bringing this private Member’s Bill together.
Clause 1 allows Her Majesty’s Prison and Probation Service to test prisoners for all psychoactive substances, including any new compounds that emerge. It also allows prisoners to be tested for any controlled drug, pharmacy medicine and prescription-only medicine. It achieves that by using the definitions for those substances and medicines already set out in legislation, including the Psychoactive Substances Act 2016 and the Human Medicines Regulations 2012.
It is a feature of psychoactive substances that new substances appear regularly, with slight alterations to the chemical mixture. When that occurs, Her Majesty’s Prison and Probation Service has not been able to test for these new compounds until they have been added to the Prison Rules 1999 and the Young Offender Institution Rules 2000. The most recent example was scopolamine, a psychoactive substance added to the rules in October.
This clause will allow the drug-testing framework to respond quickly to test for new psychoactive substances, or any prescription-only or pharmacy medicines, without first having to amend the rules. Prisons and young offender institutions will be able to better plan for treatment services, identify those who should use them and, where appropriate, impose sanctions.
Amendments may still be made to the rules through statutory instruments to allow testing for substances that are regarded as harmful and which fall outside existing statutory definitions of controlled drugs, pharmacy medicines, prescription-only medicines and psychoactive substances. These are defined as “specified substances” in clause 1. Clause 2 amends the Prison Act 1952 to ensure that a substance cannot be listed as a “specified substance” in rules if it already falls within the statutory definitions of controlled drug, pharmacy medicine, prescription only medicine or psychoactive substance.
Clause 1(4) makes provision for the anonymised prevalence testing for medicinal products as well as controlled drugs, psychoactive substances and specified substances. “Medicinal products” is a wider category of substances than “prescription only medicines” and “pharmacy medicines” and is defined by reference to regulation 2 of the Human Medicines Act 2012. Having an express statutory basis for prevalence testing will provide a useful insight into trends in drug use and support healthcare providers in planning their services and tailoring their treatment programs in prisons and young offender institutions over time.
Clause 2 also sets out consequential amendments following the changes in clause 1. Clause 2 will allow the Secretary of State to make any necessary changes to the Prison Act 1952 in the event of any future changes in the Human Medicines Regulations 2012 or other legislation relating to human medicines. For example, if a substance definition that our Bill refers to were to be revoked in future, we could amend the Prison Act 1952 to include the definition or refer to alternative legislation and avoid any impact to Her Majesty’s Prison and Probation Service’s drug testing framework.
As we have discussed, the Bill adopts a general definition of psychoactive substances. That allows HM Prison and Probation Service to test for any psychoactive substances. In the past, substances considered psychoactive have been listed in the rules as specified drugs, in order to allow for testing. That is no longer required. It is therefore necessary for the Bill to remove the existing lists added to the Prison Rules 1999 and the Young Offender Rules 2000, as per our amendment. It is better for the statute book explicitly to remove statutory instruments that would otherwise have no effect. That is why we tabled the amendment, which is a minor and technical amendment, specifically in reference to scopolamine.
Scopolamine was added to the prescribed drugs list by statutory instrument in February, so that HM Prison and Probation Service could test prisoners for a psychoactive substance that had come into recent illicit use in our prisons. Were the Bill to become part of the statute book, scopolamine would be covered by the new definition of psychoactive substances inserted into the Prison Act 1952 by clause 1 of the Bill. The SI laid in October would therefore become redundant, so the amendment removes it from the statute book.
Clause 3 confirms the short title of the Bill and makes provision for its coming into force. The clause also provides that the Bill extends to England and Wales only, as prisons are devolved in both Scotland and Northern Ireland.
It is an absolute pleasure to serve under your chairmanship, Ms Ghani. What an honour to be considering a private Member’s Bill this morning. It is a shame that the right hon. Member for Chesham and Amersham is not with us, but I know that the hon. Member for North West Durham will continue to take the Bill through the House most ably. He demonstrated his skill on Second Reading. The right hon. Member for Chesham and Amersham chose wisely.
The Bill is an important one, and Labour supports its core goal to improve the testing regime for harmful substances in prisons. Substance misuse in prisons is rife, and we are told that it fuels violence and health problems and remains a real barrier to rehabilitation. The physical and mental impact on prison staff, including those who work to provide healthcare and education, can be truly awful.
As the hon. Member for North West Durham said, the current system for enabling substances to be tested within our prisons is just not responsive enough. The drugs that are being produced change rapidly, as do the methods of smuggling them into our prisons. Removing the necessity to introduce secondary legislation every single time a new substance needs to be added to the testing regime is a necessary and proportionate change, which is of a piece with the broader changes made several years ago by the Psychoactive Substances Act 2016.
I served on the Committee for the 2016 Act. If we are being frank, we probably should have provided for this issue in that measure. However, it is very welcome to have a statutory basis for anonymous prevalence testing, so that prisons and healthcare staff, prison leaders and the Government can deliver a faster, more precise and more accurate understanding of what the problems with drugs are, and where they are within the prison system.
I have two brief questions about the drafting of the Bill, which I assume the Minister will be able to answer. I raised them quickly on Second Reading, but understandably at that point I did not receive a full response. As hon. Members will know, there are occasionally issues with the interpretation of the core definition of a psychoactive substance in the 2016 Act. This Bill would copy that definition into the Prison Act 1952. Are the Government confident that the definition is robust enough? Is there a risk that the general power to specify substances to be tested for in clause 47 (3A) of the Prison Act 1952 will still need to be used if these definitions fail? I have noticed that the consequential amendment 1 opts for amending the general power that I just mentioned, so that all controlled drugs—pharmacy medicine, prescription-only medicine, and psychoactive substances—are excluded.
An alternative step would be to repeal subsection (3A) entirely. It might be that the decision to amend it, rather than repeal it, reflects a judgement that the definition of a psychoactive substance could turn out to be inadequate, and that a power to set out specific substances to be tested will still be needed. However, if that amended power in subsection (3A) were ever used in the future, it would still have to make use of an amendment to the prison rules through secondary legislation. That process would be no faster than the one that currently exists. I do not say so to oppose a general power to specify substances remaining in legislation after this Bill hopefully becomes law. However, I would welcome further explanation. Is the general power simply there in case the other definitions drawn from the 2016 Act and the Human Medicines Regulations 2012 fail, or is it there for another purpose? Is another purpose envisaged? I am quite happy to take a note on this, electronically or otherwise, after the sitting. I have no intention of causing any difficulties, but these are issues that have been flagged to us, and we would be grateful for an explanation.
Two of the largest issues where we need greater clarity about the Government’s approach in response to this Bill are addressed by the new clauses that I will come on to introduce. I can see that I am likely to have a majority when I press them to a vote. Before we come on to those new clauses, I want to raise a few other questions and issues which it would be helpful for the Minister to address. The most important question for the Government in relation to this Bill is what are they going to use it for? Once the Bill has provided the power to rectify the problems with the testing regime for Spice and other novel psychoactive substances—as it is very early in the morning and I am a bit tired, I hope Members will accept that I will say “NPS” from now on—how are the Government going to use that power to create a healthier, more therapeutic, and more rehabilitative environment in our prisons?
Something that could result from more accurate testing is more widespread use of punishment for people found to have misused drugs in custody. As I said on Second Reading, this is a difficult issue, because sometimes the punishments that are used could make it harder for people to stop using drugs, rather than easier. Would the Minister tell us more about Government’s understanding of this? Has there been, or could there be, a review of the impact that different types of disciplinary intervention have had on people who are found to be misusing drugs in custody?
The Minister—rightly, in my view— has been looking keenly at the different ways that our courts can respond to offending in the community in a way that solves problems and does not make problems that clearly exist worse. I hear that next year we are going to be considering some of those welcome changes in the sentencing White Paper. In my view, it should be no different when people break the rules in prison. People in prison have had their liberty taken away as a punishment appropriate to their crime and, given the added challenges of living in prison and all that that brings, it is more, not less, important that the disciplinary actions taken solve problems and create the conditions for rehabilitation, not reoffending. The punishments announced in 2015 by the then Justice Secretary included bans on family visits, 21 days confined to cells, removal of TV access and more. We know that the use of drugs in prison can be, or is often thought to be, caused by inactivity, loss of hope and complete and utter desperation.
I worry that greater use of at least some of those punishments might inadvertently lead to people wanting to take more drugs to get themselves mentally out of the situation—even temporarily—that they find themselves in. I cannot imagine what it would be like to be locked up. I cannot imagine what it would be like to be locked in a cell—I am completely claustrophobic and antisocial—with someone I did not like for 23 hours a day. I could imagine in those circumstances, if I were a little bit different, wanting to get out of there in my head, at least temporarily.
Can I just finish this, because it is not written down and otherwise I will lose my train of thought? This is something where some of us use alcohol. If we have had a rubbish day—not that it ever happens in this place, obviously—we go home for a very large gin and tonic. That in and of itself is almost a way of trying to come down from the stresses we have had and cope with them. Some people use alcohol in much worse ways than that and do not have it under control. All I am trying to say is that we should try and walk for a few minutes in the moccasins of those who find themselves imprisoned and are struggling mentally with all that being in prison means—being separated from their families and children and having their liberty constrained.
Out of an abundance of caution, I declare that prior to my election I was a non-executive director of Her Majesty’s Prison and Probation Service. Notwithstanding what the hon. Lady has just said, does she accept that there is a real scourge of drugs in our prisons and that we must clamp down on them and not do anything to encourage their use? I entirely agree that rehabilitation is the right way to proceed but, equally, nothing must be done to encourage those who seek to bring drugs into prison, create an illicit economy and make the problem much worse.
I absolutely agree and I am very grateful to the hon. Gentleman, especially with the knowledge that he has, for giving me the opportunity of making myself abundantly clear. Those who bring the trade into prisons, who put at risk the lives and wellbeing of our prison staff and prisoners should feel the full penalty of the law. I have no doubt about that at all.
What I was trying and obviously failing to do was to get us to put ourselves in the mind of the prisoner who is taking this stuff and understand that in many ways it is logical to want to free oneself mentally, even just for a few hours, from some of the stresses that people have to endure when there are in prison. The hon. Member for Aylesbury is absolutely right that the full weight of the law should be felt by those who are peddling this insidious, evil stuff in our prisons and taking advantage of those who are most vulnerable. They are completely and utterly despicable. I do not think I could make myself clearer.
I had the pleasure of visiting HMP Cardiff a couple of years ago with the Welsh Affairs Committee and the Justice Committee. That prison was getting prisoners from Bristol visiting them who were under different regimes—under a different nation’s schemes. That had an impact on the prisoners from Bristol and other areas. Does my hon. Friend agree that there needs to be a more joined-up approach in dealing with this?
I absolutely do. It is quite clear that once someone is on a treatment programme it needs to continue seamlessly, because we all want people, when they leave prison and go back into our communities, to be able to do so free from drugs and addiction, and to start a fresh life. My hon. Friend is right, and I am grateful to him for bringing that to our attention.
I gently suggest that the statistics, and Government policy more broadly, might be improved if we stop pretending that prisoners do not start taking drugs while in prison, rather than always going into prison with an addiction. That is the truth of it. The whole system at the moment seems to be geared to discovering who has a pre-existing dependence on drugs and ensuring that they are in treatment, which is good. Do not get me wrong, that is essential, but for drugs such as spice, which has been very common in prisons, it is not the whole story.
There is a third pathway to treatment that we need to ensure is available: a pathway for those people who did not have a drug problem when they entered prison but who, tragically and unacceptably, acquired one while inside. They are the people the system is failing most—the people for whom the boredom and difficulties of prison life are alleviated by short oblivion through illicit drugs obtained inside. I am genuinely hopeful that the Bill will enable treatment for those people. If it does, that will be a massive benefit to communities and families.
I will quickly explore one other issue. The transition between custody and community is often a revolving door, especially for those with drug abuse problems. It may be especially important for spice users. It is very evident that spice is disproportionately used by two populations: prisoners and rough sleepers. We know from last week’s Public Health England substance misuse statistics that in 2019 almost half of those entering treatment for misuse of an NPS had a housing problem—the highest proportion for any category of substances. I suspect that if we accounted for those who use spice but who are not in treatment as well as for those who are, the proportion with a housing problem would be even higher. It is incredibly difficult to hold down a job, maintain positive relationships and a family life, and to keep the mind and body healthy while living on the street. That contributes to higher levels of imprisonment among those who sleep rough.
Homelessness for prison leavers, and what the charity Nacro calls cell, street, repeat, is a priority for us, and I am led to believe that it will be a priority for the Government to reduce reoffending rates in coming years. However, we need to understand how these issues are connected; how many people come into prison with a history of rough sleeping and associated use of spice in a year; how many receive treatment for substance misuse while inside; how many are still accessing spice or other harmful substances while they are inside; how many of these people, when released, go straight back to rough sleeping; and how many are going straight back to spice use if they managed to get clean inside. I hope the Minister will offer to take this issue away and consider whether there is a need for further research, which the Ministry could commission, and how it might best be achieved.
The other important transition is when people leave prison. We need to ensure that leaving prison means starting a new, changed life. It is good for the whole of our community that prisoners, when released, do not come out and reoffend. It is also important for the prisoner that they get a true second chance. Substance misuse treatment is a massive part of ensuring that that can happen. We need to ensure that information about people’s needs travels with them as they leave prison and that treatment is immediate and consistent when they arrive in the community.
There is, unfortunately, little point in people getting clean or stable inside prison if they immediately relapse when they are out, without enough support, in the chaos and confusion of the outside world again. In fact, as we know, after release is the most dangerous time for those using illicit drugs, with appalling proportions of overdose deaths occurring in the first few days after leaving prison, just when we are wanting people to have a sense of hope and rebirth. A Norwegian study found that 85% of all deaths in prison leavers in the first week after release were due to overdoses. A US study found that the risk of an overdose death was 12.7 times higher for a prison leaver in the first two weeks after release from the general population.
Most of these deaths after leaving prison are the result of opiate use—heroin, or even more, drugs such as fentanyl—rather than an NPS. People in prison with an opiate dependence are generally on a regulated dose of a replacement drug as a medication, but when they come out, if they do not have immediate access to continue that treatment, they turn to the black market. At that point, much higher and less reliable doses are sold, which can quickly overwhelm the body, and people die. So getting transitions from custody to community right is a matter of life and death for some, and an essential part of treatment.
A few weeks ago, I met with some amazing NHS staff who work with armed services veterans in custody at HMP Wandsworth. I was delighted to hear that the staff in the substance misuse team leave the prison when those in their care are released, and go with them to their first appointment for community treatment. That is exactly the kind of integrated working that we need, but we all know that it is far from universal.
Can the Minister tell us more about what the Government are doing to improve treatment through the gate, following the recommendations in the report from the Advisory Council for the Misuse of Drugs on custody to community transitions last year? I fully appreciate that she is unlikely to have detailed answers to all my questions at her fingertips, but I think that we, as parliamentarians, could do with them to help to design and monitor effective policy on issues that mean enough to us that we are sat here this morning.
This is an excellent Bill, whose purpose we support, but if it is not accompanied by effective, well-resourced Government policy its benefits will be limited. I am fairly certain that the right hon. Member for Chesham and Amersham would not be impressed by that at all. I will say more when we come to the new clauses.
It is such a pleasure to serve under your chairmanship, Ms Ghani. I will not detain the Committee long on the main points, but I will respond to the points that the hon. Member for West Ham raised. I, like others, give my wholehearted support to my right hon. Friend the Member for Chesham and Amersham for introducing this very important Bill, and to my hon. Friend the Member for North West Durham for acting as its sponsor on her behalf. I commend the excellent work that my right hon. Friend has done in preparation for the Bill, notwithstanding that she has been unable to participate in these proceedings.
Having the privilege of being the Minister responsible for prisons, probation and rehabilitation, I am acutely aware of how necessary the Bill’s provisions are. As the hon. Member for West Ham said, drugs fuel crime both in and outside prison. Moreover, new drugs are constantly emerging on to the market in prison, and criminals are tweaking the chemical compounds of existing psychoactive substances to avoid detection. The Bill ensures that drug tests are responsive to the latest challenges in prisons and young offenders institutions.
The Bill will future-proof the drug-testing framework by adopting the broader definition of psychoactive substances, prescription-only medicines and pharmacy medicines, and it will enable our prisons to start testing more immediately for new drugs substances. More than that, it will enable us to identify new and emerging trends and therefore react quickly to changes in drug use by adjusting the relevant security measures to find specific drug types or the appropriate medical response during an emergency.
There is also the issue of identifying prisoners or young offenders with ongoing drug problems. The provisions in the Bill will enable Her Majesty’s inspectorate of prisons to have a better understanding of which individuals are misusing drugs and therefore to ensure that they get the appropriate treatment, as well as providing evidence of what is possible in terms of prevention.
We have a multifaceted approach to tackling drugs, and the Bill will enable us to continue to enhance our ability to tackle the scourge of drugs in prisons. I am grateful to my hon. Friend the Member for North West Durham for taking the Bill through the House, and to my right hon. Friend the Member for Chesham and Amersham for introducing it.
I will deal with a few of the points that the hon. Member for West Ham raised. She put forward a range of issues, and I will deal with the largest ones. She asked whether we were satisfied with the definition of psychoactive substances. I would like to assure her that we are content that the Psychoactive Substances Act provides HMPPS with a sufficiently broad definition to allow for testing of any new or existing psychoactive substances that may be used in prisons now or in the future. Of course, it is theoretically possible that a substance will fall outwith the definition in the future, so the Bill is drafted to future-proof drug testing in the case of any such eventually. However, that is not an eventuality that we anticipate at this time.
I thank hon. Members who have taken part today, and I pay tribute to my hon. Friend the Member for Hitchin and Harpenden, who tried to introduce the measure in a previous Session as a ten-minute rule Bill. It did not quite reach Committee stage, but we are rocking on. I hope we can keep it going today. I thank the hon. Members for West Ham and for Enfield, Southgate.
I will wait until later to heap praise on the hon. Lady.
Some important points have been raised by Members of different parties, particularly my hon. Friend the Member for Aylesbury, who has brought his expertise to bear today. I know he does not often speak outside Prime Minister’s questions, but I am glad he could grace us with his presence.
Question put and agreed to.
Clause 1 accordingly ordered to stand part of the Bill.
Clause 2
Consequential amendments
Amendment made: 1, in clause 2, page 3, line 35, at end insert—
“(7) In the Prison and Young Offender Institution (Coronavirus, etc) (Amendment) (No. 3) Rules 2020 (S.I. 2020/1077)—
(a) omit rule 2(3), and
(b) omit rule 3(3).”—(Mr Richard Holden.)
S.I. 2020/1077 added a new substance to the list of “specified drugs” in the Prison and YOI Rules. That list is no longer needed because of the changes made by the Bill and so this amendment revokes the S.I.
Clause 2, as amended, ordered to stand part of the Bill.
Clause 3 ordered to stand part of the Bill.
New Clause 1
Assessment of the effects and value for money of this Act
“(1) The Secretary of State must prepare an assessment of the value for money of the provisions of this Act in achieving their objectives.
(2) That assessment must consider—
(a) the extent to which the Act is achieving its objectives;
(b) the number of tests conducted;
(c) the number of positive results;
(d) the number of novel psychoactive substances found;
(e) the number of prescription-only substances found;
(f) the timeliness of updates to the testing regime when new substances are introduced into prisons;
(g) the amount spent on testing;
(h) the net effects on expenditure on the treatment of substance misuse;
(i) the effects of this Act on value for money in substance testing in prisons.
(3) A report on the assessment must be laid before Parliament no later than one year after the Act comes into force.”—(Ms Brown.)
Brought up, and read the First time.
With this it will be convenient to discuss new clause 2—Reports by the Advisory Council on the Misuse of Drugs—
“(1) The Advisory Council on the Misuse of Drugs must make biannual reports to Parliament on substance testing in prisons.
(2) Each report under this section must include assessments of—
(a) the number of substances that have been tested for;
(b) which substances have newly appeared in prisons, and in what quantities;
(c) the speed at which novel substances are being accounted for by the testing regime;
(d) the effects of the provisions of this Act on the health of prisoners, including any effects on numbers of suicides or serious self-harm events in prisons.
(3) Any report under this section may contain recommendations for action they might have for healthcare providers in prisons, HM Prisons Service or any other public body relating to substance testing in prisons.”
New clause 1 would require the Government to publish an assessment of the impact and value for money of the Bill within a year of its coming into force. I hope the Bill will increase the speed at which new psychoactive substances are identified in the prison system, and I hope the system will be able to identify quickly where medicines are being misused before that leads to harm. I hope that more people who need treatment for their drug problems will be identified, and that access to treatment will therefore improve. I hope the performance and value for money of the testing provider will improve, because it has a new, clearer mission and renewed scrutiny from the Ministry and Parliament.
We all hope there are results, but whether the benefits of the Bill are realised will depend on policy decisions and their implementation by both the Prison Service and the outsourced testing provider. I hope the Minister will say something about that, particularly about the value for money of the existing contract and what is happening to ensure that the testing service provided will be fit for purpose by the time the Bill comes into force. For me, the most important aspect of this is ensuring that treatment improves, because we know there are currently failures in the system.
The most recent data show that 11% of people receiving substance misuse treatment in prison said they had a problem with NPSs. For many, they will not be the only substances they are misusing. That proportion has been rising; it was just 5% in 2015-16, but, given the very high estimates for use in some prisons, it is probably reasonable to expect that the numbers of NPS users in treatment will need to increase further.
I absolutely join my hon. Friend in that. He makes an important point: at HMPPS, the governors, prison officers and all the staff in the service have done such a remarkable job through extremely challenging times. The statistics show that we were looking at a significant number of deaths—2,500 to 3,500 deaths—and in the first wave, the death count was in the mid-20s. Although all those deaths are, of course, very sad, that figure is a credit to the joined-up working at every level, including with the POA. Again, I put on the record my thanks to them for the constructive way that they have engaged; I know that they are tired and that it is difficult.
I am very pleased with this morning’s news about the vaccine, because we can see some light at the end of the tunnel of this very difficult period. While many people will be celebrating Christmas, many of our prison officers will still be on the wings doing their work. I pay tribute to them for all the work that they have already done and for the work that I know that they will do, unrelentingly, over the next three months. May I say that I do not find that my hon. Friend the Member for Aylesbury only does PMQs? He is a regular participant in all justice matters, and it is a pleasure to see him serving on the Committee.
I make one last point to the hon. Member for West Ham. She made some important points about who we will give the information to and how it will be used. Like her, I agree that once we collect information, we should use it to our best advantage. We will look very closely at her suggestion that the information be widely shared and see what we can do to share that data within prisons.
My understanding is that we do currently share some of the prevalence data with the POA for substances that have already been tested for. Of course, we need to ensure that we respect security and that we do the right thing in terms of policy making, but that is something that I am very happy to look at further. She also mentioned sharing data with the NHS. We will, of course, be sharing our insights with healthcare providers so that they can quicker adapt their services.
I am always happy to engage with the hon. Lady, as she knows, on these and any other matters, but I ask her to withdraw the new clause.