John McDonnell
Main Page: John McDonnell (Independent - Hayes and Harlington)Department Debates - View all John McDonnell's debates with the Ministry of Justice
(9 years, 7 months ago)
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Thank you, Mr Brady. May I apologise to other Members? I was happily working away elsewhere, thinking that large numbers of people would be debating the green deal—in fact, I thought that that debate might overrun—and I was advised that this debate would start at about 3 o’clock. I am grateful for your flexibility.
I came to the Committee during the last stages of its consideration of the report, and I was available for only the last couple of sessions, so I congratulate those Members who were involved in preparing the report. As I have said before, certainly in the Committee, this is the first such Committee I have served on in the 17 years I have been in the House—I cannot think why—and it has been a real challenge. It has been interesting to see not just how a Select Committee works, but how this whole area is examined by Parliament and opened to democratic accountability. The report is a good example of what a Select Committee can do and how it can create an agenda that the Government then have to address.
I want to deal with two issues, which are raised in the sections of the report on access to mental health treatment and access to drug and alcohol misuse treatment. I want to do that in the context of the figures we now have on deaths in custody, which are extremely worrying. In other debates, I have been more than angry about the various reform proposals the Government have implemented and the way they have impacted on staff in the system—in the judicial system and in prison. I do not want to go over those issues again; I have put my views on the record with real anger, because I felt that the impact of the reforms was detrimental to all those operating in the system.
Let me turn, however, to the two issues I want to raise. In the press this morning, we seem to have the latest figures—I believe the Government will announce them next week—for deaths in prison. The figures, which come from the Howard League for Penal Reform, confirm that last year saw 82 prison suicides—the highest number in our prison system for seven years. Ministers, including the Secretary of State, have expressed concern about that, but we now need to put emergency measures in place to address the problem.
Of the 82 prisoners who took their lives last year, 14 were young people between the ages of 18 and 24. It looks from the figures that the highest numbers of deaths occurred at the biggest prisons. Four people took their lives at Wandsworth prison, in south London. The jail holds 1,633 prisoners, but it was designed for 943. Four people took their lives at Elmley, in Kent, which holds 1,231 prisoners, but which was built for 943. There were 235 deaths in prisons in 2014, with more than 120 people dying from natural causes, and a further 24 deaths yet to be classified. There were also two alleged murders, one in Cardiff and another in Altcourse prison.
I am concerned about the suicides, because they might well relate to the concerns in the report about access to mental health treatment and supervision, and we have to examine that area with some concern. However, I am also concerned about the non-self-inflicted deaths. Obviously, some people will naturally come to the end of their lives, but I am anxious that those numbers have also increased.
There seems to be a steady increase in non-self-inflicted deaths; that may just reflect the increase in the overall prison population, but it is nevertheless significant. The number of deaths has gone from 52 in 2001 to 109 in 2014. That is a doubling, and there has also been a doubling in the prison population, so the figures may well simply be a reflection of the increase in the prison population. However, my concern in 2001 was that the number was too high, and we should address these issues to reduce the number of non-self-inflicted deaths.
I fully agree with what the hon. Gentleman says about suicides, but perhaps I can offer an explanation, and I mean to be helpful. The number of non-self-inflicted deaths could reflect the fact that the largest increase in the prison population is in the over-65 cohort, because of historical sex abuse and so on.
I understand that as it applies to recent years, but there has been a steady increase from 2007 onwards, although the numbers peaked at 123 in 2013. That might be because of the ageing prison population, but I would like more information.
This is such an important point—and we have plenty of time, so I do not necessarily apologise for interrupting. Long before I took my present job, I visited my local prison regularly—and I have visited many others since getting this job. The one thing that prison officers tell me week in, week out, is that the age of the prison population is rising. I have asked for some analysis. It is something that we need to look at seriously.
If the age of the prison population is going up, the way we look after prisoners who have the medical conditions that people get later in life is very important. For example, the incidence of Alzheimer’s and dementia has gone up in the general population, and that is replicated in prisons.
That brings me to the Select Committee’s consideration of the need for a strategy for older people in prison. The Government need to have a greater sense of urgency about developing that and addressing the present issues. If we can expect such a level of problems, we must make sure a strategy for older prisoners is developed. The Government seem to have resisted that, almost semantically, in some respects—it seems that we have policies, but the Government refuse to accept that that is a strategy. I have never been completely sure why.
The Howard League for Penal Reform has made its views clear, and they largely reflect my own. Frances Crook says:
“Hard-pressed prison staff have to save lives by cutting people down almost every day and without this the death toll would be even higher”.
She continues:
“It is evident that people are dying as a direct result of the cuts to the number of staff, particularly more experienced staff, in every prison. The government has chosen to allow the prison population to increase whilst it cuts staff, and that has led to an increase in people dying by suicide”.
That is the view of the Howard League, and the Prison Officers Association expressed the same view to the Committee. Its concern is that with the reduction in staff numbers, many experienced staff were lost. I understand that the Government are now wisely recruiting staff in significant numbers and, in addition, are putting some of the staff who have gone into a reserve army. That needs to be increased, drawing back in some of the expertise lost as a result of the incoherent policy of laying off so many experienced staff in recent years.
The Secretary of State has said that there is no evidence directly linking staff levels to suicides, but sometimes there is a blindingly obvious issue: when people are locked in their cells for long periods, as is now happening, and there is a lack of staff who could take them towards purposeful and creative activity, they can dwell on their problems and that can exacerbate mental health problems. Unfortunately that sometimes leads to suicide.
Drug services were covered in the report. The news this week told us that the Ministry of Justice has announced that in the year up to March 2011 there were 3,700 drug seizures, and in 2013-14 the number increased to 4,500. That might be a celebration of the increased efforts being made in prison to police drugs, but it also reflects the prison drugs problem, and the need for greater investment in treatment as well as detection.
I am a member of the drugs and alcohol group formed under Lord Ramsbotham’s chairmanship. We met yesterday to consider some recent figures and statistics on drugs, in prison and elsewhere, and investment in treatment. We concur largely with the views of Her Majesty’s chief inspector of prisons, who said:
“Prisons continued to focus on recovery working, which was appropriate, usually with active peer support and service user engagement.”
However, a quarter of inspected prisons
“were not focused enough on the needs of prisoners with alcohol problems”.
Furthermore, in relation to drugs in particular:
“In a minority of services, recovery working was undermined by enforced reduction or inflexible prescribing”.
The report stated:
“Prison substance misuse services offered psychosocial support to prisoners and clinical management of opiate substitution therapy. However, full psychosocial support was not available in a quarter of services and prisoners’ needs were not met.”
Also:
“Clinical management in most prisons was flexible and catered to individual need. However, some options were limited by the refusal of the prison or SMS provider to prescribe buprenorphine, which was contrary to national guidance.”
There is thus still inconsistency in services, and the statistics are pretty stark. Sixty-four per cent. of prisoners have reported using drugs, and 22% alcohol, and
“90% of adult prisoners had at least one of the following five mental health or behavioural disorders (personality disorder; psychosis, neurosis, and alcohol misuse and drug dependence).”
Fourteen per cent. of prisoners in England and Wales said that they developed a substance misuse problem in prison, and 31% said that
“illegal drugs are easy or very easy to access in their prison”.
It just goes on and on.
A particular concern raised in recent evidence to the Committee related to what are described as legal highs. Specifically, “Spice” and “Black Mamba” were cited as cause for concern; 37% of the adult male establishments inspected, and particularly local prisons and category D jails, had a specific problem with those drugs. Detection of drugs in prison has increased, as I mentioned, and the figures this week are significantly improved, but the overall issue continues. As to alcohol, 17% of prisoners in England and Wales say that it is very easy to obtain in prison, and there has been an 84% increase in the number of prisoners who have been returned to closed prisons in the past three years because of drugs or alcohol. One in four absconders from prison who were still unlawfully at large had been convicted for a drug offence.
The issue is what is happening to prevent people from entering the prison system as a result of drug or mental health problems, and what support there is for them if they do enter it. The cross-party drug and alcohol group has been working with DrugScope. In a recent report, it identified the problem of the increased purity of some drugs now available, and the price drop, which has increased the crisis on the streets.
We face the possibility, as a result, of a significant increase in the number of people coming into the criminal justice system and prison with drugs problems. Some of the reforms in drug service provision inside and outside prison have contributed to that. DrugScope has conducted a survey, to be published in a few weeks, on funding changes. It surveyed organisations that it works with, and 60% of them reported a decrease in funding. Even in the residential sector the figure was 11%. As to workers in the field, supporting people who want to come off drugs, 53% of the organisations reported a significant increase in the caseload per worker.
I worry that if services are not provided in the community now, more and more people who come into the criminal justice system will have drug problems. Already we are struggling to cope with drugs in prison. The latest statistics show that in the past year, in the overall drug-using population, there has been a 32% increase in deaths. Is that because of cuts in services or the increased purity of the drugs, which are more dangerous?
A balanced view might suggest a combination of the two. That is extremely worrying, because that increased purity of drugs on the streets will eventually seep into prisons. If the number of prisoners in the system who are dependent on drugs or have drug problems worsens, and the drugs coming into prisons are of a kind that reflects what is happening on the streets, and if we do not plan to deal with that issue, the deaths in custody statistics will significantly increase.
I should welcome a dialogue between Select Committee members and the Minister about how the issue is to be tackled. In addition to the Government’s response to the report, I would welcome a response to the Committee regarding the latest suicide figures, the death figures and the DrugScope report, which will be available in the next few weeks, about the increasing problem of drugs on the streets, which will inevitably impact on those within the criminal justice system.
I am worried about what is happening in our prisons. When we raised the number of suicides previously with the Minister, naturally the response was that any death in our prisons is a matter of concern. I understand what was said in paragraph 63 about politicians’ language—it is important that we ensure that we use appropriate language and moderate our language when dealing with something so sensitive—but on this scale it is no exaggeration to say that we have a crisis on our hands with regard to the number of suicides.
Emergency action is needed, and if that means a significant increase in staff in certain prisons, a review of our mental health services, and a review of and greater investment in our drug support services, we need to do it whatever the cost at the moment. The number of lives being lost is unacceptable in what we seek to portray as our civilised system of criminal justice.