Drugs Policy

Debate between Louise Haigh and Graham P Jones

Tuesday 18th July 2017 Commons Chamber

[Louise Haigh (Sheffield, Heeley) (Lab)]

I would like to thank hon. and right hon. Members for this incredibly wide-ranging, well-informed and thoughtful debate on this important issue. The Government’s strategy was so packed with Home Office jargon and an avoidance of any real commitment that the debate has been helpful in determining what exactly they intend to do. I will come back to that point shortly, but first I want to congratulate those hon. Members who have spoken out so bravely today on an issue that is often toxic and difficult to debate honestly. The hon. Member for Reigate (Crispin Blunt) made that point eloquently, and that is why his idea for a royal commission has been seized on so fervently by Members on both sides of the House. That would allow us the space to develop a truly evidence-based policy and to take the heat out of the debate and shed some light on it instead.

I particularly want to congratulate the five Members who have made their maiden speeches today. It has been an honour and a privilege to sit and listen to them. I cringe when I compare my maiden speech two years ago with those of the warriors for their constituencies who have spoken today. My hon. Friend the Member for Slough (Mr Dhesi) made a particularly inspiring maiden speech as the first turbaned Sikh to represent any constituency in this Parliament. He will be a beacon of hope not only for those who look like him but for all the others who do not see faces that represent them in Parliament at this time. He talked about the glass ceiling that has been shattered by his election, and I look forward to many more glass ceilings being shattered in the months and years to come.

My hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy)—who is not yet back in her place—made an inspiring, witty and entertaining speech. I am confident that she will have no less an impact on her city than did any of her predecessors. As a former primary school teacher, she spoke with a passionate voice about the education system, which is so important and welcome in the House. My hon. Friend the Member for Wolverhampton South West (Eleanor Smith) gave a compassionate speech about the victims of the drug policies of successive Governments and spoke bravely about her experience as an MP. It is so important that others join her in calling out the kind of abuse that she talked about today. I welcome the hon. Member for Stoke-on-Trent South (Jack Brereton) from the Government Benches. He gave us an enjoyable history and, indeed, language lesson, but I am afraid to say that I had absolutely no idea what he was saying when he spoke in his local potteries dialect. Finally, the mark of my hon. Friend the Member for Ipswich (Sandy Martin) has clearly already been felt in his constituency, and I am confident that it will continue to be felt. He made a thoughtful and thorough contribution, which I am sure will be the first of many.

There were too many speeches for me to summarise them all, but I want to touch on the contributions from my hon. Friend the Member for Manchester, Withington (Jeff Smith) and the hon. Member for Oxford West and Abingdon (Layla Moran). Both of them spoke about the case of Martha Fernback and the bravery of her parents—I believe that they are with us today—who came forward after the tragic death of their daughter. They referred to the importance of education about safe dosage and purity levels, issues which we come back to time and time again, and to the case for legal regulations and clear safety information, which would enable full informed choices that could save lives.

I hope that today’s important debate is the start of a wider debate around drugs policy because, as has been said, very little progress has been made under successive Governments over the past few years. Unfortunately, however, the drug strategy that was announced last week does not advance us any further. We should not forget that the Government’s 2010 drug strategy was essentially ripped up in 2013 when they ended the ring-fencing of drug rehabilitation and treatment services and passed the responsibility to local authorities, which were already facing deep cuts. I regret to say that the strategy does not appear to even recognise, let alone respond to, a climate that has utterly changed since the previous publication.

Despite the strategy being so long overdue, the Government undertook no formal consultation in its development. Where are the voices of drug users, law enforcement officers and treatment professionals? Their voices must be heard, and each and every one of them will tell us that the status quo is not working. It is not working for the desperately vulnerable cohort of heroin and opioid users with increasingly complex health needs who are falling between the gaps of reduced drug rehabilitation services and a social care service in crisis. It is not working for the homeless community, where 95% of the population are said to be drug users and who are given scant support. It is not working for the victims of drug-related crime. It is certainly not working for our public services, particularly our police and emergency services, which are being left to pick up the pieces as services of last resort as the substance use that demands their attention soars.

Since the publication of the last strategy, drug-related deaths have risen and the number of drug users has not fallen. In addition, drug-related crime has placed increased pressure on all public services, including the NHS and the police. The figures for drug-related deaths should shame us all. In 2013, there were 2,955 drug- related deaths. In 2015, there were 3,674 deaths—a new record. That is a record of failure from this Government and their immediate predecessor. Worse still, the recommendations of the Government’s own advisory council are being ignored. The report by the Advisory Council on the Misuse of Drugs stated that factors such as

“socio-economic changes (including cuts to health and social care, welfare benefits and local authority services) and changes in treatment services and commissioning practices may also have contributed to these increases.”

It suggested that deaths could be reduced by protecting

“investment in evidence-based drug treatment to promote recovery”,

investing in the

“provision of medically supervised drug consumption clinics in localities with a high concentration of injecting drug use”

and through the roll-out of heroin-assisted treatment for addicts. Finally, it raised concerns that

“drug treatment and prevention services in England are planned to be among those public health services that receive the most substantial funding cuts as a consequence of the government’s decision to cut the public health grant”.

Those warnings and recommendations were completely and utterly ignored in this week’s drugs strategy, which offers no new investment and few new ideas. It is a grim feature of this Government that the experts are ignored when they raise the alarm.

Where do we stand on the Government’s current drugs strategy? Is it evidence-based, bringing in the widest possible array of expert opinion in formulating policy? Is it logical, identifying the necessary steps to achieve the optimal possible outcome? Is it achievable, and have the resources been provided that can make a significant difference? I am afraid it is none of those things.

It is not clear that there has been any meaningful wide-ranging consultation process, or that experts across the field have been heeded. It is not clear, either, that policy has been formulated based on evidence, given the deteriorating drug-related mortality rate and the UK’s uniquely poor performance in that regard. Crucially, have any new resources been provided, or is there any intention to develop new ideas that would make a significant difference to outcomes? It appears not.

To take just one example, the Government’s drugs strategy document blithely states that

“local authority public health teams should take an integrated approach to reducing a range of alcohol related harm, through a combination of universal population level interventions and interventions targeting at risk groups.”

Alcohol is the biggest single killer when it comes to drugs. Alcohol abuse ruins lives, leads to crime, especially violent crime, and is a prevalent factor in domestic abuse. Its treatment is a huge drain on the NHS, but any local councillor or mayor, from whatever party, will be amazed at the Government’s sheer brass neck in demanding that they do more to tackle alcohol and drug abuse when their budgets have been cut to the bone. This is not localism; it is the devolution of austerity and the shifting of responsibility and blame.

[Graham Jones (Hyndburn) (Lab)]

Lancashire constabulary, due to cuts, has taken the mental health worker out of its police response unit.

--- Later in debate ---

[Graham Jones]

Lancashire constabulary, because of budget cuts, has had to remove the mental health workers who were embedded in its police response unit. Is that not an example of the Government asking for something to be done while undermining local authorities, which are unable to deliver these services?

[Louise Haigh]

The vast majority of the drugs strategy is simply about shifting blame on to authorities and agencies that have seen their budgets fall and squeezed over the last seven years.

Although we welcome the creation of the national recovery champion, what good is a national recovery champion while the Government are cutting local authority budgets, ending the ring fence on public health, slashing police resources, cutting back on school funding and reducing the resources available to prevention campaigns, while mental health waiting lists are through the roof? Help is increasingly inaccessible.

It is not even clear that Ministers have a clear picture of the drugs problem overall. Complacently, they point to survey evidence that suggests drug misuse is not increasing, yet both drug-related hospital admissions and deaths are on the increase. Has the Minister considered that the survey evidence may not be fully accurate, especially given that it is confined to 16 to 59-year-olds but drug deaths among 50 to 69-year-olds have risen sharply? Drug deaths in the latter group have doubled in the last eight years in England and Wales, according to the Office for National Statistics. We respectfully suggest that the age categories in the survey should be broadened. Will the Minister today commit to the continuation of the British crime survey, which measures these statistics, so that these data continue to be collected?

There are several other important evidence gaps in the drugs strategy. The Government clearly do not have a firm grip on what is happening to the supply of drugs, on how much and what types of drugs are being imported, on how much and what types of drugs are being produced domestically or on the distribution chains. That important data mapping might be easier if the Government had not cut 1,000 Border Force guards and more than 20,000 police officers over the past seven years. Nevertheless, this remains an important task in the fight against illicit drugs and organised crime. The National Crime Agency should be tasked with providing the data on supply—of course, it also needs to be given the resources to do so.

Here we come to the nub of the entire problem with the Government’s drugs strategy. They have provided no new resources to meet the rising problems related to drugs and drug addiction. As a result, all that is left are warm words about the need for treatment and rehabilitation, and, in some instances, outright contradiction. One such example is the Government pledging to develop Jobcentre Plus offices in communities to support people with drug dependencies, but at the exact same time the Department for Work and Pensions is cutting hundreds of jobcentres across the country. Unfortunately, this adds up to a recipe for failure. It means that addicts will not receive the treatment they need; that we are likely to remain the overdose capital of Europe; that we will have a continuing problem of drug-related crime and drug-related hospital admissions; and that greater numbers of people will drift through the criminal justice system who should not be treated as criminals at all. Without the space for innovative ideas, debate and practices to thrive, we will continue to exacerbate all these issues, and we all will have failed.