Drug-related Deaths

Debate between Anneliese Dodds and Charlotte Nichols

Wednesday 5th November 2025 Commons Chamber

[Charlotte Nichols]

I absolutely agree. Later, I will try to develop my argument for that kind of approach, which we could take here but do not.

As a Parliament and as a society, we may have inadvertently come to accept the yearly statistics, and have perhaps not given them the necessary thought, but I stress that there are cost-effective solutions that could save the taxpayer money and save the lives of our constituents, while taking money out of the pockets of exploitative, organised criminal gangs.

I am afraid to say that the problem may be far worse than is recognised. A recent report by King’s College London indicates that there has been a severe under-reporting of drug-related deaths over the past 15 years. The researchers found that drug-related deaths have been under-reported by 30%, and opioid-related deaths between 2011 and 2022 were found to be 55% higher than recorded, putting the estimated number of opioid-related deaths in that period north of 39,000.

[Anneliese Dodds (Oxford East) (Lab/Co-op)]

I am grateful to my hon. Friend for securing this debate. She will be aware that many of those who have died from complications and overdoses related to opioids died on their own. That reflects the social isolation that so many experience when they become addicted to drugs. Does she agree that it is incredibly important that the social isolation of those seeking to move beyond addiction is broken through, and will she join me in thanking organisations like Jungle in my constituency, which seek to provide companionship and support for those who are trying to move beyond addiction?

[Charlotte Nichols]

My right hon. Friend is exactly right. The clearest way to recovery is with companionship and support—there is no path to recovery without that—and I of course give credit to the organisation she mentioned that is doing such fantastic work in this space, as we were discussing earlier today.

The implications of the under-reporting of drug-related deaths are that the problem is far worse than previously thought and the decision to cut funding to services under the previous Government was based on flawed figures. The National Audit Office reported that between 2014 and 2022 there was a 40% reduction in real-terms spending on adult drug and alcohol services, so I do not think it is a coincidence that the Office for National Statistics has reported a near doubling in drug-related deaths since 2014, and that the number of deaths only rises every year.

It is clear that the problem has been made substantively worse by under-investment by the previous Government. We can all acknowledge that, but acknowledgment without reform is meaningless. Persisting with failed, punitive policies will only deepen a crisis that already ranks among Europe’s worst. Now is the time to show the difference a Labour Government can make by putting in place harm-reduction policies that will start to undo this extensive damage.

As I mentioned previously, and I will repeat again because it is important, near half of all drug-related deaths registered in 2024 were confirmed to involve an opioid. In addition, this year’s ONS report found that the number of deaths involving nitazenes—a group of highly potent synthetic opioids—almost quadrupled from the year before. This marks the beginning of a new stage in the drug-related deaths crisis. As we have seen across the Atlantic, once those synthetic opioids take hold, it becomes all the more difficult to limit their devastation.

I welcome this Government’s changes to the human medicines regulation that further expanded access to naloxone, the lifesaving opioid antidote administered in the event of an overdose. Indeed, naloxone plays a vital role in the fight against drug-related deaths. However, further change is necessary and naloxone should be available rapidly and reliably in every community pharmacy in the UK, so that it can be quickly accessed in the event of an overdose.

It is important to note that naloxone cannot be administered by the person overdosing and must instead be administered by someone else. That necessitates further education on the existence of naloxone, and how and when to use it, with people who may come into contact with people who use opioids, including frontline service workers, such as police officers and transport workers, and the loved ones of those struggling with addiction.

The period immediately after release from prison or discharge from hospital is when risk peaks. Opt-out pathways for naloxone distribution should be the norm. Take-home naloxone on release or discharge, same-day linkage to community treatment and a clear pathway for handover care are essential for people struggling with substance use disorders.

As of December 2021, the Government estimated the annual cost of illegal drug use in England to be £20 billion. Around 48% of that was attributed to drug-related crime, while harms linked to drug-related deaths and homicide accounted for a further 33%. Notably, the majority of those costs are associated with the estimated 300,000 people who use opiates and crack cocaine in England.

Dame Carol Black’s landmark 2021 review of UK drug policy found that for every for every £1 spent on treatment, £4 are saved through reduced demand on the health and justice systems. In the face of rising fatalities and a cost of living crisis, failing to scale treatment and harm-reduction measures is both morally indefensible and financially illiterate. If we want to realise that four-to-one return, we must provide long-term funding for organisations delivering services. Drug treatment services can only deliver if they are able to retain staff, train consistently and scale according to demand.

Pride Month

Debate between Anneliese Dodds and Charlotte Nichols

Thursday 15th June 2023 Commons Chamber

[Anneliese Dodds]

I am grateful for that intervention. I believe the hon. Member will be well aware of where Labour has stood on these matters, as we always stand on these matters: we believe it is incredibly important that LGBT+ people are not used as a political football in any circumstances. We have long called for a resolution to that issue and for the Scottish and UK Governments to work with each other, but I am afraid that they did not do that. We should have seen that, and above all we should have seen trans people treated fairly during this period. I am afraid it is they who have been let down.

I know that some on the Government side—not the Minister, I am sure—may say that the rise in hate crime is down to better recording of hate crime rather than an increase in crime itself. Although we welcome, of course, improvements in police-recorded hate crime, that does not explain the huge soaring of the levels of hate crime against LGBT+ people and other groups. My party will follow the recommendation made by the Law Commission five years ago to strengthen and equalise the law so that every category of hate crime is treated as an aggravated offence. This is not about redefining what hate crime is, as some have wrongly claimed; it is about fixing a basic inequality in the law so that everyone who falls victim to hate crime is treated equally. I thank my hon. Friend the Member for Warrington North (Charlotte Nichols) for her powerful words on that subject. The Government should have made that change years ago, and I hope that the Minister will commit to doing so today.

Labour will also seek to build consensus around modernising the Gender Recognition Act to remove indignities for trans people while upholding the Equality Act, its protected characteristics and its provision for single-sex spaces. We will also appoint an international LGBT+ rights envoy to raise awareness and improve rights across the world—rights on which many countries are, unfortunately, going backwards, as Members have reflected. The hon. Member for Carshalton and Wallington rightly spoke about Britain’s influence in that matter. We can do more, however, and I praise the Kaleidoscope Trust for all its work in that area.

We have heard again, perhaps understandably, the claim that this is the gayest Parliament in the world. I know that there are gay, lesbian, bi and trans people in Parliaments right across the world, but sadly they are far too often unable to be public about who they are because of the appalling reprisals that they would suffer.

[Charlotte Nichols]

During a recent visit to Kenya with STOPAIDS, charities over there that support people in the LGBT community—they live in a country where that community is illegal—were really impressed and excited about our being allegedly the gayest Parliament in the world. One thing they said to me that I found quite moving was that, even in the gayest Parliament in the world, we are still going backwards in many places on LGBT rights, so it is important that, while we recognise that achievement, we acknowledge that being the gayest Parliament in the world does not mean that we are putting through the best policies for LGBT people here or globally.

[Anneliese Dodds]

I am grateful to my hon. Friend for that strong warning against any form of complacency. Many speakers have referred to that during the debate. Sadly, there are areas in which we are going backwards. I have just mentioned the unfortunate increased levels of abuse, including physical abuse, that many LGBT+ people have been experiencing. Sadly, that often also takes place in the workplace. Labour is committed to taking action against that. We will bring in a new deal for working people that will require employers to create and maintain workplaces free from LGBT+ harassment, including by third parties—it often comes from customers and service users.

We need to tackle the issues around LGBT+ healthcare as well. We will ensure that we have one of the biggest expansions of the NHS workforce in history so that everyone, including LGBT+ people, can access the treatment that they need on time. We will heed the advice of experts from the British Medical Association and Mind that conversion practices constitute abuse. We need an inclusive ban of such practices in all their forms for all LGBT people, and of course, we can do that while protecting the provision of legitimate counselling and talking therapies. We need a ban that is laser-targeted at coercive conversion practices, not one that can be assailed by strawman arguments about what does and does not constitute conversion therapy. International best practice shows that that is perfectly possible via well-drafted and precise legislation. Of course, the ban must close loopholes allowing anyone to “consent” to conversion practices, as no one can consent to abuse. I was encouraged by the comments made from the Government Benches on that subject. I would appreciate it if the Minister could give us an update on this issue. It is urgent, and I know that many of the campaigners who have worked on it for many years really want to see progress.

We will always seek to bring people together around these issues, discuss them using evidence and make sure that we respect each other in those debates, rather than ramping up rhetoric and using LGBT+ people as political footballs. Pride Month reminds us that division will get us nowhere and that there is power in coming together to demand action and change. I hope the Minister will agree that we cannot continue to see progress stall on LGBT+ rights in Britain.

I hope we can stand here in Pride Months to come and celebrate LGBT+ people walking safely through our streets, freely going about their lives without fear of harassment, hate crime, conversion practices or other forms of unequal and prejudiced treatment. For too long, progress has been blocked by division and delay, but the British people are fair-minded; they want to see LGBT+ people treated with dignity, equality and respect. As my hon. Friend the Member for Wallasey said in her powerful speech, a diverse society is a strong society.