Police, Crime, Sentencing and Courts Bill

Baroness Butler-Sloss Excerpts

Lords Hansard - part two & Committee stage
Wednesday 17th November 2021 Lords Chamber

[Baroness Jones of Moulsecoomb (GP)]

My Lords, I absolutely love this amendment—that is probably the kiss of death for it, so I am sorry about that. The noble Lord, Lord Marks of Henley-on-Thames, has a superb idea in seeking to establishing a women’s justice board. Importantly, it would not just look at prisons, courts and policing but would advise on the steps that should be taken to prevent offending by women in the first place. That is crucial. Obviously, the women’s prison population is very different from the men’s: far fewer are convicted of violence, sex offences and drugs offences, with the majority being sentenced for low-level offences such as theft, and trivial things such as non-payment of the TV licence or council tax debt. As has been said, women in prison are also very likely to be victims as well as offenders, with more than half of women reporting suffering domestic violence and more than half reporting childhood trauma.

I know the Government have a whole thing about being tough on crime, but actually, you have to be fair as well. At the moment, the Government are being totally unfair to all kinds of groups and populations within our society: this would be a good way to start rebalancing.

[Baroness Butler-Sloss (CB)]

My Lords, although we have equality—quite rightly—there is no doubt that women need to be dealt with differently from men in their situations of going to prison and in prisons. There is no reason not to be tough on crime, but there is every reason to follow these two admirable amendments from the noble Lord, Lord Marks of Henley-on-Thames. It is time that women’s very special situations were recognised, partly as the mothers of children—we have had some appalling stories of women in prison who are pregnant—but partly, as the noble Baroness, Lady Jones, just said, to stop them offending and to find the best way to deal with them. It may well be that prison is necessary for some of them, but it may well not be necessary for some of those who actually do go to prison if this new board were in place and could provide some of the services that are so admirable in the youth justice system. So I strongly support these two amendments.

[Lord Pannick (CB)]

My Lords, I add my support to these amendments. Will the Minister, when he comes to reply, agree that the application of the justice system to women poses especial challenges for everyone involved in the justice system, from the Secretary of State downwards? Does he agree that, at the moment, regrettably, there is a crisis of confidence as to how the criminal justice system in particular, but also the civil justice system, addresses the needs of women? Does he therefore accept, as has been suggested by previous speakers, that the creation of a women’s justice board would focus much-needed attention on these important topics?

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Moved by

[Baroness Butler-Sloss]

242: After Clause 164, insert the following new Clause—
“Rehabilitation of offenders who are addicted to drugs or alcohol
(1) Offenders who commit offences other than murder, manslaughter, terrorism or sexual offences, and who are addicted to drugs or alcohol, must be given a sentence with a requirement to attend a residential rehabilitation unit.(2) An offender who refuses to attend or fails to remain at the unit must serve the remainder of their sentence in prison.”

[Baroness Butler-Sloss (CB)]

My Lords, picking up on what the Minister said about rehabilitation, this is a probing amendment; I have no intention of taking it further. However, there are a very considerable number of people who arrived in prison with drink and drug addiction. All too many of them pick up addiction—perhaps not drink but drug addiction—in prison. The trouble is that, when they leave prison, they almost certainly will not have had very much, if any, help. There are a few systems—but very few—and they are almost certain to reoffend because, once you are addicted to drugs or to drink, you are going to reoffend because you need the money.

There is a cycle of offences by vulnerable people who have taken up drink and drugs who may be committing drug offences but are equally likely to be committing offences of burglary, theft and other similar crimes. So I am suggesting that the Government put in place at least one residential unit as a pilot project. I know Governments like pilot projects; the great problem is to get them beyond the pilot. In this case, I would like them to get to first base, to a pilot project where a drug or drink addict—generally a repeat offender—should be sent to that residential unit as a probation order, with a requirement to stay there. If they do not want to go or do not stay the course, of course they have a sentence of imprisonment and go back to prison.

It really might help a considerable number of people. With any luck, it might reduce some of the prison population. So, although the up-front cost of such a residential unit would no doubt be expensive, I suspect it would become cost-effective in the long term. I am not certain that this is really appropriate for primary legislation, but I have put it here to nudge the Government into trying to do something. I beg to move.

[Baroness Brinton (LD) [V]]

My Lords, I support the probing Amendment 242 from the noble and learned Baroness, Lady Butler-Sloss. As the Minister referred to “juvenile” earlier, I remind the Committee of his views on heavy drinking: that it can be either a civilising force or the bane of civilisation. In society today, particularly in those who offend, it might be the latter.

The Liberal Democrats have long believed that the best treatment for drug and alcohol addiction is to treat it as a health emergency for the individual and society. As the noble and learned Baroness, Lady Butler-Sloss, outlined, there are already interventions in prison for those with addictions, whether drug or alcohol. But many are talking therapies, many of which, as a result of the pandemic, remain on the phone or on Zoom, and it is certainly true that we are hearing that offenders are finding that less effective.

The noble and learned Baroness, Lady Butler-Sloss, is right: a custodial sentence is the right time to think about dedicating time and energy to a residential rehabilitation course, where there are no distractions or problems of cancellation or changes of prison where you cannot continue with the same course. The NHS Integrated Substance Misuse Treatment Service in Prisons in England report, published in 2018, says:

“The purpose of health care in prison, including care for drug and alcohol problems, is to provide an excellent, safe and effective service to all prisoners equivalent to that of the community—whether the aim is stabilisation, crisis intervention or recovery from dependence.”


The guiding principles are “Recovery”, “Reducing harm”, “Reducing deaths in custody” and “Reducing reoffending”.

Recovery is key, but the reality is that the numbers are not good. The last report from the Ministry of Justice Alcohol and Drug Treatment in Secure Settings: 2018 to 2019, shows that the current arrangements have mixed results. It reports that of 53,000

“adults in alcohol and drug treatment in prisons and secure settings”

in that year, around 65% started treatment and just under 60%

“left treatment in secure settings.”

The report says that only just over a quarter of those who were discharged after completing their sentence were free of dependence. The figures for young people receiving treatment, principally for alcohol and cannabis problems, are not dissimilar. Of those young people who left secure settings in 2018, under 30% completed their treatment successfully.

Continuity of care between treatment services is absolutely vital, and the proportion of adults successfully starting community treatment within three weeks of release was only a third. The intensity and focus of residential courses for people addicted to drugs and alcohol already has a higher success rate, and if attended near the start of their sentence could well mean that they have a real opportunity to learn to live with recovery.

Public Health England’s evidence review of drug treatment, published in 2015, says:

“The costs to society are significant. Latest estimates by the Home Office”,


in 2013,

“suggest that the cost of illicit drug use in the UK is £10.7bn”.

Of those costs, NHS costs are 1%, enforcement costs 10% and drug-related crime costs 54%. Public Health England’s review notes that, in all, around 50,000 people received drug treatment in prison in 2015-16. Nearly one-third had also received drug treatment in the community. The numbers are stuck. They are not improving.

The review makes two key points: waiting times to access a course and active steps taken to prevent a drop-out are significant in achieving a good outcome. This amendment proposes a mechanism that would not only prove beneficial to the offenders attending it, with a higher rate of success than the range of other interventions currently used, but would serve society and significantly reduce the costs of drug-fuelled crime.

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I hope that I have set out a response to the noble and learned Baroness’s amendment. My noble friend Lord Attlee started off by asking how he could most easily obtain drugs; in response, I have to say that there are some limits to the assistance that Ministers can provide to Members of the House. However, so far as drugs in prison are concerned—I will not take too much time on this—while there are urine tests for people going into prison and we have scanners, searches and increasingly sophisticated chemical tests, I recognise that there is still a problem. With respect, though, that is a separate point, and therefore I will not say any more about it now. I hope that I have addressed the noble and learned Baroness’s amendment, which I invite her to withdraw.

[Baroness Butler-Sloss (CB)]

My Lords, I thank those who have spoken in this short debate. I say to the Minister and the noble Lord, Lord Ponsonby, that I deliberately pitched this too high because I recognise that consent is an absolutely crucial part of any treatment. The nub is that I would like the Government to set up their own residential unit and make it an extremely important part of the sentence, so that the judge or the magistrate can say, “If you are prepared to agree to go to the government residential unit, where you will have to stay until you are told that you can leave, you will not go to prison, but if you do not agree then the sentence will be” whatever it may be. That is what I am looking for from the Government. At the moment, the Government are using everybody else’s residential units. They are expensive, infrequent and insufficient. If we are to crack what is going on, even to a small extent, with rehabilitation for those who are constantly in and out of prison suffering from drink and drug addiction, the Government must put some money up front, produce a residential unit and then say, “That should be a pilot project to see what the success rate is.” Having said that, I beg leave to withdraw my amendment.

Amendment 242 withdrawn.