Alcohol Harm

Maggie Throup Excerpts

Thursday 25th November 2021 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Maggie Throup)]

I thank my hon. Friend the Member for St Ives (Derek Thomas) for leading on this important debate. There may not have been too many contributions, but those we have had have been really, really valuable. I am very sorry to hear that the hon. Member for Liverpool, Walton (Dan Carden) cannot be here for this important debate. I send my best wishes to him and his family at this very difficult time.

The majority of people drink alcohol responsibly, but we know that there are people who drink at levels which lead to significant harms. Alcohol misuse can have devastating impacts on individuals, families, communities and society. Over the course of the pandemic, we have seen an increase in those drinking at higher risk levels, and, sadly, an increase in alcohol-specific deaths. I would like to take this moment to commend our frontline workers. They have been tirelessly working and supporting people in need in the most difficult circumstances.

Throughout the pandemic, drug and alcohol treatment providers have continued to support and treat people. To ensure treatment services continue supporting people to the highest standards, we have made the largest increase to treatment funding for substance misuse in 15 years. We have provided £80 million of new investment in 2021-22. Some £9.8 million of that uplift has been allocated specifically to increase the availability of in-patient places for medically assisted withdrawal. That is of critical importance for people heavily dependent on alcohol, where rapid withdrawal can be extremely dangerous. The funding is in addition to the money that local authorities already spend on substance misuse from the public health grant.

The Government have agreed to carry forward the recommendations of part two of Dame Carol Black’s independent review of drugs—my hon. Friend the Member for St Ives talked about Dame Carol Black’s report in his speech—and to publish a new drugs strategy later this year. Although the subject of the review was drugs, the implementation of many of its recommendations will also benefit people seeking treatment for alcohol dependency, for example through the introduction of mechanisms such as an improved commissioning standard and a strong focus on building back the workforce. To further improve alcohol treatment, the Office for Health Improvement and Disparities is developing comprehensive UK guidelines for the clinical management of harmful drinking and alcohol dependence. The guidelines should develop a clear consensus on good practice and improve the quality of service provision.

There is clear evidence that growing up in a family affected by parental alcohol dependency can cause significant harm to a child’s wellbeing and damage their long-term outcomes. Thanks to the personal testimony and campaigning from Members here today—I will respond further to the right hon. Member for Birmingham, Hodge Hill (Liam Byrne) later in my speech—we have invested £7.2 million on a package of measures, over four years, to improve outcomes and support for children whose parents are alcohol dependent. Some £5.7 million of that has funded nine local areas to implement innovative and evidence-informed interventions, and will make system-wide improvements to working holistically with these families. Early findings of the programme indicate positive results, for example in the local areas receiving programme funding, and we have seen improved identification of children in need, and more parents starting alcohol treatment. We are actively considering how we share lessons from the programme nationally, and the implications for future policy and practice. To aid that, we have commissioned an independent national evaluation of the programme, expected to be published in spring 2022.

Alcohol harms are not experienced equally across groups. Despite reporting lower or similar levels of drinking, those of lower socioeconomic status experience disproportionate alcohol-related harm. There are also significant geographical disparities, with the highest rates of mortality from alcohol-specific causes seen in the northern regions.

As part of the long-term plan, we have provided national funding to support the implementation of specialist alcohol care teams in the 25% of hospitals with the highest rates of alcohol dependence-related admissions. It is estimated that the programme will prevent 50,000 admissions over five years.

We are also committed to supporting the most vulnerable in our society. This year, we are delivering up to £52 million for substance misuse treatment services for people sleeping rough, building on the £23 million in 2020-21. That will fund evidence-based drug and alcohol treatment and wraparound support to improve access, including for those with co-occurring mental health needs.

The Government believe that people have a right to accurate information and clear advice about alcohol and its health risks, enabling people to make informed choices about their drinking. As a result, we continue to educate the public, ensuring that people are aware of the health risks of alcohol through local and national programmes, such as the Better Health campaign and the Drink Free Days app.

An alcohol risk assessment is a mandatory component in the NHS health check so that people are given advice on cutting down if their drinking is putting their health at risk. To ensure that people have all the information they need at the point of purchase, we will shortly consult on whether mandatory calorie labelling should be introduced on pre-packed alcohol and alcohol sold in the out-of-home sector. The consultation will also seek views on mandatory provision of the UK chief medical officer’s low-risk drinking guidelines and a drink-drive warning. The hon. Member for Nottingham North (Alex Norris) talked about the impact that drink-driving can have on families. Respondents to that consultation will have the opportunity to provide suggestions for further labelling requirements that they would like the Government to consider.

I will take the opportunity now to address the issues raised during the debate. My hon. Friend the Member for St Ives talked about foetal alcohol spectrum disorder, and I reassure him that we take that very seriously. We have asked NICE to produce a quality standard in England for FASD to help the health and care system to improve the diagnosis and care of those affected, based around the Scottish intercollegiate guidelines network—SIGN 156—standard. To help improve support for those living with its consequences, we have funded five voluntary organisations in 2020-21, and we are analysing the evaluations to be taken into account for further policies on FASD.

The right hon. Member for Birmingham, Hodge Hill shared his moving and personal experiences of being a child and a grandchild of an alcoholic. I thank him for his openness. He talked about stigma and the importance of sharing experiences. I am sure that, by sharing his experience today, he will have made a difference to so many people, and I thank him for that.

The right hon. Gentleman asked about a number of other issues, including the strategy, as the hon. Member for Nottingham North and the hon. Member for Linlithgow and East Falkirk (Martyn Day) did. The Government have committed to publishing a new UK-wide cross-Government addiction strategy, which will focus on creating further opportunities to tackle and address addictions, such as alcohol and drugs as well as gambling-related harms, in a comprehensive and joined-up way. As I said, alcohol and drug addiction are far too often intrinsically linked, and we are committed to tackling that.

[Liam Byrne]

I wonder whether the Minister could share with the House her forecast timeframe for that addiction strategy and, in so doing, perhaps recognise that there are significant differences between addiction to drugs and alcohol, not least because one is legal and the other is illegal.

[Maggie Throup]

I thank the right hon. Gentleman for that intervention. I am sure he will appreciate that Dame Carol Black’s report acknowledged that there are differences, but they are intrinsically linked as well. I fully take his point that one is illegal and the other is illegal, and that will be taken into consideration.

My hon. Friend the Member for St Ives, the right hon. Member for Birmingham, Hodge Hill and the Scottish National party spokesman, the hon. Member for Linlithgow and East Falkirk, talked about the minimum unit price. The Government continue to monitor the impact of the minimum unit price as evidence emerges from Scotland and Wales. Although some evidence has been published by Public Health Scotland relating to the impact of MUP, further important components of the evaluation are not scheduled for release until 2023, including the impact on alcohol-related admissions and deaths.

Another important issue raised in the debate was the relationship between domestic abuse and alcohol addiction. The Domestic Abuse Act 2021 will mean better protections for victims and more effective measures for going after perpetrators. We are reflecting the importance of joined-up domestic abuse, mental health and substance misuse services in supporting statutory guidelines.

Let me briefly address the issue that the hon. Members for Linlithgow and East Falkirk and for Nottingham North raised about amendments that were not made to the Health and Care Bill. Alcohol has not been included in the advertising restrictions in the Bill, mainly because the Government have existing measures in place to protect children and young people from alcohol advertisements. The 2019 and 2020 consultations on advertising restrictions on less healthy food and drink did not consult on including alcohol in the restrictions, either online or on TV. Finally, alcohol products are not available for children to purchase, so they do not have the same level of exposure to them.

In closing, I reiterate the Government’s commitment to supporting those who are most vulnerable to and at risk of alcohol misuse. I am confident that our strong programme of work under way to address alcohol-related harms, the increased funding for treatment providers and the recommendations in Dame Carol Black’s review that we are taking forward will all further support people who are experiencing alcohol dependency and alcohol-related harms, as well as those on whom they have an impact.