Medicines

Jim Shannon Excerpts

Monday 9th September 2024 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I thank all those who have made maiden speeches and valuable contributions today. As the Democratic Unionist party’s health spokesperson, it is important that I speak on this issue to provide, as I always do, a Northern Ireland perspective for the Minister, the shadow Minister and all others who have spoken. The experience in Northern Ireland mirrors that in the rest of the United Kingdom. I add my support for what the Minister has brought forward—nobody in the Chamber is unable to see the benefits.

As Members will be aware, naloxone is a life-changer. The DUP has consistently supported the administration of naloxone by the Police Service of Northern Ireland and the ambulance service. The legislation before us will extend that remit to further professions and staff, as well as confirm necessary rules around storage and training. I have talked to colleagues and friends back home about this issue. They were clear that we need to address it, and the provisions are a method of doing just that.

The figures around opioid-related death in Northern Ireland are absolutely heartbreaking: 154 drug-related deaths were registered in 2022. Although that represents a reduction of 59 from the 213 drug-related deaths registered in 2021, I think we can all agree that that is simply too many deaths. We must do whatever we can do reduce that number and the impact on all those families who wish something was available to save lives. Since 2012, deaths from drug-related causes have risen by 98% in Northern Ireland, They have gone from 110 to a peak of 218 in 2020, and to 213 in 2021. The 2022 total of 154 represents a 40% increase on the number of drug deaths registered a decade ago. All those figures show a worrying trend.

My constituency gained new territory from South Down in the boundary changes prior to the last election. Drug-related activity there is incredibly worrying, and I am taking up those issues with community representatives and the PSNI. Of the 154 drug-related deaths registered in Northern Ireland in 2022, over two thirds were of men. If we look at the number of deaths by age, the 25-to-34 and 35-to-44 age groups accounted together for 56% of all drug-related deaths in 2022. Each year, over half of drug-related deaths involve an opioid. In the years from 2020 to 2022, the death certificates for an average of 118 drug-related deaths mentioned an opioid.

The Minister mentioned homelessness. The provincial press back home—I think it was a newsletter that I read before I left this morning—mentions an increase in the number of homeless people in Northern Ireland. We have never before experienced such figures in all these years. The Minister is right to underline that issue, because it is not just happening in London, Birmingham, Manchester, Newcastle, Glasgow or Cardiff; it is happening everywhere. It is happening in Northern Ireland. The numbers of people looking for properties and accommodation in my constituency are at some of the highest levels I have ever seen, in all my years as an elected representative—as a councillor, as a Member of the Northern Ireland Assembly and latterly as a Member of Parliament.

The need for the appropriate use and storage of this medication, which can bring people back from the brink and hopefully give them a chance of a normal life, is all too clear. I also ask the Minister to outline whether, within the legislative process, there is any protection for public health staff. That is very important; I say that respectfully, because I know how important it is for the staff I speak to back home that they receive protection from legal liability for the administration of naloxone. We need to ensure that staff do not fear stepping in and that they fully understand that their intentions to do good in the circumstances will come with a cloak of protection. I ask that for the sake of the people I represent; I know that the hon. Member for South Antrim (Robin Swann) will speak shortly, with his vast knowledge of health issues, and will probably reiterate the same point.

It is a terrible thing to understand, but whenever I speak to medical personnel, they say that there must be no hesitancy about stepping forward for fear of repercussions. Many people wait to see whether someone else will step forward—not because they lack confidence in their ability or because of a mentality that they are off the clock and about to go home, but because of a deep fear that if their help is not successful, they will face repercussions. The situation needs to be clarified for the workers allowed to administer the drug, who must always be protected while administering it.

I very much welcome the Minister’s proposals, and I look forward to the House’s endorsement of the draft regulations. There has been magnanimous support for them from the shadow Minister and the hon. Member for Carshalton and Wallington (Bobby Dean), as I am sure there will be from the hon. Member for South Antrim and from other Members who contribute. This is the right thing to do. Let’s do it. I look forward to the Minister’s response.

--- Later in debate ---

[Karin Smyth]

This evening, I am standing in for my hon. Friend the public health Minister, who could not be here. I might offer to stand in again, such has been the rare outbreak of unanimity across this House. I know from my own experience in the sector that that is often the case with public health measures, as so much work is done in the background, and there is broad agreement on the need for prevention and the great work that has been done before. I thank Members, particularly the Opposition spokespeople, for their support this evening and their comments, which are testament to the work done by officials and by the previous Administration to get us to this point. The consultation was very well received.

I support the comments of the Opposition spokesperson, the hon. Member for Runnymede and Weybridge (Dr Spencer), about recognising World Suicide Prevention Day. Suicide, particularly among men, is something that has affected most families—most of us, I think—and it has certainly affected many people in this House, so the hon. Member is right to raise those issues. He asked about training, and I can confirm that training and data reporting requirements will be attached to this measure. That training will be required to meet some broad objectives, including the safe administration of naloxone, safe storage, and how to train someone else to handle and administer it safely. Training on its use is already well established in most parts of the country alongside naloxone provision, and each product has its own established training set out by the manufacturer. I have heard the professional points that the hon. Member has raised, and if he has any further requirements, my hon. Friend the public health Minister would be happy to write to him.

Other excellent points were made about keeping this issue under review, which we absolutely will be doing. The hon. Member for Brighton Pavilion (Siân Berry) made her points well, and they are now on the record. The Government will be looking to work on our prevention strategy across all Departments—including the Ministry of Justice, the Home Office, the Ministry of Housing, Communities and Local Government, the Department for Work and Pensions, and the Department for Education—to ensure that we take a preventive, public health-led approach to this issue. I also thank the hon. Member for South Antrim (Robin Swann), who has brought his expertise in Northern Ireland into this House for this debate. I am sure this issue will come back before the House in the future.

[Jim Shannon]

In my contribution I asked a question—which the hon. Member for South Antrim (Robin Swann) has reminded me of—about ensuring that medical staff who have the expertise to administer naloxone, but do so outside of their job, are covered and that there is no comeback against them. Could the Minister answer that question?

[Karin Smyth]

I understand that there are some concerns about that issue, and we will make sure that the hon. Member receives a full answer from my hon. Friend the public health Minister.

In short, these changes will widen access to life-saving medicine. I am sure hon. Members will agree that any death from an illicit drug is tragic and preventable, so I am pleased that we are taking this step and that we have the support of the House this evening for reducing drug-related deaths. On that basis, I hope hon. Members will join me in supporting these important regulatory changes, which I commend to the House.

Question put and agreed to.

Resolved,

That the draft Human Medicines (Amendments Relating to Naloxone and Transfers of Functions) Regulations 2024, which were laid before this House on 29 July, be approved.