Misuse of Drugs Act

Adam Holloway Excerpts

Thursday 17th June 2021 Commons Chamber

[Adam Holloway (Gravesham) (Con) [V]]

In my experience, drug addiction is very clearly an illness. Opiate addiction, for example, is a health problem. As we have heard very passionately from three speakers today, we urgently need to move from a criminal justice response to a health response.

A couple of weeks ago, I spent 10 days or so in the US going round homeless shelters on the east coast and looking at what is probably a historic opportunity to stabilise the street homeless population coming out of the pandemic. Of course, the problem of street homelessness in the US is somewhat different from the one we have here, given the benefits that are available to pay for housing here, but they share the common thread that very large numbers of the street homeless are mentally ill or drug addicted.

I spent an extraordinary day with Professor Jim O’Connell, who set up Boston Health Care for the Homeless back in the mid-’80s, when he realised that street homeless people did not have medical records. He now has an enormous operation. One of the things that he does is what the hon. Member for Edinburgh East (Tommy Sheppard) described very movingly as “overdose prevention”; he has a tarmac area, half the size of a tennis court, called the Southampton comfort station, where opiate-addicted people come and shoot themselves up with fentanyl.

I used to be a TV reporter, and I had the same emotional response to seeing those 200 people shooting up, staggering, preparing to inject themselves, as if they were on a picnic or rolling a cigarette. It was an appalling scene. It was—I do not know—like I imagine somehow hell would be. I would not want to live one second of any of those people’s lives. Pam and Sue from Professor O’Connell’s operation wait there to get people breathing again when they have had an inaccurate dose of fentanyl.

As I say, the overwhelming majority of street homeless people here are drug addicted or mentally ill. Whatever someone’s route to addiction, and whatever judgments we want to make about these things, the reality is that these people are addicted. They have a very serious illness. I have taken opiates for pain relief, and I can absolutely see how someone could very quickly become addicted to this stuff.

As my hon. Friend the Member for Reigate (Crispin Blunt) and the hon. Members for Edinburgh East and for Manchester, Withington (Jeff Smith) have said, we have to be pragmatic about this. We have to have a grown-up discussion to find a humane way out of it, not just for the people who are addicted but for wider society. We need to think about all things—at the very least about having overdose prevention places, but also about prescribing, decriminalisation and moving this out of the criminal justice sphere. These people are ill, and, as the hon. Member for Manchester, Withington said, we cannot arrest our way out of this problem.