Dame Carol Black’s Independent Review of Drugs Report

Rachel Hopkins Excerpts

Wednesday 27th October 2021 Westminster Hall

[Rachel Hopkins (Luton South) (Lab)]

It is a pleasure to serve under your chairship, Ms Fovargue. I congratulate my hon. Friend the Member for Liverpool, Walton (Dan Carden) on securing today’s debate. His campaigning on the issue has been excellent, and I am pleased to support the points he has raised. I refer to my entry in the register of interests, as I speak as a vice president of the Local Government Association.

We know that drug misuse has had a devastating impact on UK society, costing over £19 billion per year. Drug-related deaths have risen by 80% since 2012, and we are still seeing worrying rises in young people reporting early onset addiction. The latest LGA estimates suggest that around 200,000 people are receiving help for substance misuse, and another 100,000 are not receiving support. Addiction must be seen as a chronic health condition. Like other conditions, it requires long-term follow up. Trauma and mental ill health are identified as key drivers and an accompaniment to much addiction. They are comorbidities, rather than separate problems.

Tackling the problem requires a holistic multi-agency approach, with Government Departments working together to invest in and improve treatment, employment, housing support, and the way people with addictions are treated in the criminal justice system. However, access to addiction treatment and recovery is now a postcode lottery. More than half of state-funded residential addiction rehabilitation centres in the UK have closed in the last eight years, and the capacity of prison recovery programmes has reduced by over 60% in the same period. In some local authorities, funding for addiction services has been cut by more than 40%.

Since 2014-15, the Government have presided over a real-terms cut of £700 million to local councils’ public health funding, and single-year settlements and the late allocation of budgets have created unnecessary uncertainty. The LGA has long argued that reductions to councils’ public health grant, which is used to fund drug and alcohol prevention and treatment services, are a false economy that will only compound acute pressures for criminal justice and NHS services further down the line.

The Government are also failing to facilitate early intervention to divert young people away from drugs and crime, which is an issue raised by many of my constituents. Under the Tories, spending on young people’s services has been cut by 73%. Some 900 youth centres have been closed, and 4,500 youth worker jobs have been cut. Although today’s Budget announcements are welcome, it is obvious that the Government have reflected that much of this was a mistake.

For every £1 spent on addiction treatment, the Exchequer saves at least £3 in crime, health and benefit expenditure, and for every £1 spend on family intervention services, the Exchequer can generate £2.76 in savings. The public provision for prevention, treatment and recovery needs urgent repair, with the impact of the pandemic meaning that the problem will almost certainly get worse and act as a major barrier to levelling up.

To build on what my hon. Friend the Member for Liverpool, Walton has already said, I hope the Government will commit to take steps to adopt Dame Carol Black’s recommendations to properly fund and resource addiction recovery services and, importantly, cross-Departmental liaison. I hope the Minister understands why last week I asked when she had spoken to the Local Government Association and the Association of Directors of Public Health to discuss covid, addiction and other important issues, because they are so cross-cutting. I look forward to her response.