(11 years, 2 months ago)
Commons ChamberI thank the right hon. Gentleman for that pertinent and timely question. I cannot guarantee that there will be time for a debate or a statement, but I will ensure that the Foreign Secretary hears his concerns and responds directly to him. He will also have an opportunity to raise the issue directly with the Foreign Secretary during Question Time next Tuesday.
May we have a debate on charging by general practitioners? Vulnerable people in my constituency are being charged up to £130 by their GPs to provide medical information that is needed for Atos assessments. That is money they can sorely afford to spend and this important issue is affecting some of the most vulnerable in society, so may we please debate it?
(14 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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It is true that the right hon. Gentleman was drugs Minister for a number of years, and I understand that the drug problem increased in every one of them.
Earlier, the hon. Gentleman said that all the Transform organisation did was research. Does he feel that there is already sufficient evidence on the effectiveness of abstinence programmes versus substitution programmes, or prohibition versus the licensing scheme that the right hon. Gentleman proposed?
The hon. Gentleman raises an important point. It is true that we do not yet have enough evidence on the success of abstinence-based programmes, which is why I am encouraged that the Minister is going for a pilot project in the drugs strategy. I am evangelical on the benefits that proper rehab in an abstinence-based programme can have, but we need to be able to prove that it works. I accept that. Not only am I confident, but the providers and the clients who have been through these programmes are confident that this is a radical change to the drugs strategy and the way we treat drugs. The simple fact is that I agree with the right hon. Gentleman that we cannot continue along the path on which the Labour Government set us.
Last year we spent £235 million on methadone—that is just on the drug, not the prescription or related services—to treat 154,000 methadone users. That £235 million is the equivalent of spending £500 a minute on methadone. It would pay for 11,000 NHS nurses. That puts into perspective not only the costs to society in crime and anti-social behaviour, but the costs in numbers of a purely maintenance-based programme that is simply failing. I say that it is failing because 95,000 of those 154,000 people who received a methadone script last year were still on the script a year later, and more than 25% of them would have been on methadone for four years. The idea that a maintenance programme is a short-term thing that gets people drug free is not correct. It is clearly not working, which is why we need this fundamental shift in our approach to drugs.
I agree that we have lost the war on drugs to date, but I do not think it is inevitable that we have to raise the white flag and accept that heroin and cocaine will be prescribed or sold in our communities. I say that because those dealing with these things on the ground have warmly welcomed the different approach laid out by the Minister. As I said in my all-party group, a number of very cynical and concerned charities, voluntary groups and organisations involved at the sharp end of dealing with addiction have warmly welcomed the change in approach. They recognise that we cannot continue with the current failed policy.
We win the war on drugs by improving rehab, giving people a recovery-based programme and being optimistic and bold about what we can help them deliver. It is about much more than rehab. It is about helping people deal with the chaotic lives they lead as drug users. It is about ensuring that people have the support of their family, and that their family recognise and understand the process, and that they have access to good health care, a safe home and opportunities. We must ensure that we do not simply expect people to go into the same community, where they had been shooting up for the previous 10 years, after a four-week detox programme, and think that they have their lives back together. It is about ensuing that we give them an opportunity to get back into work, have work experience or work in the community. All those things are very important.
I will draw my contribution to a close, but I wish to say that I do not believe for one moment that the solution to our drug problem is the one advocated by the right hon. Gentleman. I do not want to see prescriptions for heroin or cocaine issued in my constituency, and I know that many hon. Members feel exactly the same. We have a blueprint in the Government’s drugs strategy for fixing the mistakes made by previous Administrations, and many of us are completely behind what the Minister is trying to do.