Draft Misuse of Drugs Act 1971 (Amendment) Order 2021

Sarah Jones Excerpts

Wednesday 16th June 2021 General Committees

[Sarah Jones (Croydon Central) (Lab)]

It is a pleasure to serve under your chairship, Dr Huq. I thank the Minister for his remarks. The Opposition support the proposals of this instrument, which brings three benzodiazepines—the compounds known as flualprazolam, flunitrazolam and norfludiazepam, under control as class C drugs under the Misuse of Drugs Act 1971. We are committed to working with the Government, the police and other public bodies to tackle drug misuse, strengthen controls on dangerous substances and widen the availability of treatments to prevent overdose deaths and get drug users clean. Clearly, where drugs cause harm, they must be classified and enforcement action must be taken.

On the three benzodiazepines covered by this order, the Advisory Council on the Misuse of Drugs provides some statistics, some of which the Minister highlighted, and background information. On flualprazolam, the report states:

“In the UK, several identifications of the compound have been reported from seizures and samples analysed by National Crime Agency…as well as anecdotal reports of use from clients in receipt of treatment from Postscript360, a Bristol-based charity”—

the Minister referred to it—

“providing treatment solutions and referral pathways for people with benzodiazepine dependence. This indicates significant availability of this compound in UK markets…As of March 2020, there have been 12 flualprazolam-associated deaths in the UK recorded by regional statistical agencies...In October 2019, an unknown number of deaths were reported in Stockton-on-Tees where flualprazolam was the only psychoactive substance present.”

The report goes on:

“Norfludiazepam has been notified in the UK from a police seizure of 14 pale-blue tablets in March 2017 and one sample analysis by TICTAC”,

which the Minister referred to,

“in December 2017. Small-scale seizures of a mixture of tablets and powders have also been”

identified in several other European countries. However, no deaths related to norfludiazepam have been reported in the UK as of March 2020.

On flunitrazolam, the report goes on,

“there is limited information about doses, effects, safety and tolerability available. However, based on its structural similarity to other triazolo-benzodiazepines, it is likely that the potency of flunitrazolam is greater than of the already highly potent flunitrazepam”,

which is Rohypnol.

“As of March 2020, no deaths or other harms associated with flunitrazolam have been reported in the UK. However, the specialist benzodiazepine charity, Postscript360, have reported that clients in receipt of treatment for benzodiazepine dependency had anecdotally reported either the use or purchase of flunitrazolam.”

Adding these drugs to the class C list is important, but it must come alongside a robust preventive approach to drugs misuse.

While the three benzodiazepines relevant to this SI are of no medicinal use, it is important to mention the issue of prescribed drug dependence in the UK, as general benzodiazepines are prescribed in the UK. The Advisory Council on the Misuse of Drugs 2020 report states:

“Prescribing of benzodiazepines by General Practitioners in the UK has been discouraged and has fallen progressively in recent years. Prescription items issued in primary care in England fell from 16.3 million in 2015-16 to 14.9 million in 2018-19”.

Despite the numbers falling, that is still a very large amount. The report says that

“deaths where a benzodiazepine was implicated have increased over the past decade across the UK...consistent with an increased role of illicitly manufactured benzodiazepines. There is evidence of this in Scotland”—

which the Minister referred to—

“where ‘street’ or unlicensed benzodiazepines were involved in 85% of the 792 deaths in 2018 where a benzodiazepine was implicated, while medicinal ‘prescribed’ benzodiazepines were reported in only 30%”.

It is important that the Government strengthen withdrawal services so that those with addictions to prescribed drugs can get the support they need to manage it. The Government’s explanatory note states:

“A full impact assessment has not been produced for this instrument as no, or no significant, impact on the private, voluntary or public sectors is foreseen.”

However, making these benzodiazepines controlled drugs should prompt the Government to consider the private, voluntary and public sectors, and to take preventive action to tackle the use of these drugs through advertising, educational campaigns about the dangers of drugs misuse, support for voluntary support services and investment in drug treatment services.

Since David Cameron’s Government took drug treatment services out of ring-fenced NHS funding, they are now a postcode lottery and have faced successive cuts by Government. A lack of proper drug treatment services risks driving up acquisitive crime and drug lines. The Government have introduced Project ADDER—addiction, diversion, disruption, enforcement and recovery—which we welcome, but this kind of investment is needed across the country, not just in five areas.

We welcome this statutory instrument, but I want to take this opportunity to remind the Minister of his Government’s record on tackling the problem of illegal drug use. Illegal drugs are a huge issue in this country, and the Government must do more to tackle the problem. A Home Office review concluded that drugs were

“a major driver of the national increases in serious violence over recent years”,

mainly as the crack and heroin markets were taken over by county lines gangs. Part 1 of Dame Carol Black's 2020 drugs review provided detailed analysis of the challenges around drug supply and demand, and noted:

“The illicit drugs market is big business, worth an estimated £9.4 billion a year. Around 3 million people took drugs in England and Wales last year, with around 300,000 in England taking the most harmful drugs (opiates and/or crack cocaine).

Drug deaths have reached an all-time high and the market has become much more violent”,

with the total costs of drugs to society estimated at

“over £19 billion, which is more than twice the value of the market itself.”

Most illegal drugs consumed in the UK

“are produced abroad. The supply of drugs has been shaped mostly by international forces, the activities of Organised Crime Groups and advances in technology.”

The report continues:

“The heroin and crack cocaine retail market has been overtaken by the county lines model, which is driving increased violence in the drugs market and the exploitation of young people and vulnerable drug users.”

The Government’s failure to dismantle organised criminal gangs and the supply of drugs has led to a rampant rise in illegal drug use. The National Crime Agency’s latest annual plan, for 2020-21, revealed that more than 3,000 deal lines were identified in 2019, of which 800 to 1,000 lines are estimated to be active during a given month. The Children’s Commissioner for England has estimated that 27,000 children are gang members, and modelling done by Crest identified 213,000 vulnerable children. The strongest and most dangerous drugs are becoming more accessible, and the drug networks are driving violence and child criminal exploitation.

The Government are failing to get a grip on the misuse of the most serious drugs, including class As. Class A drug use was on a downward trend between 1996 and 2011. Since then, class A drug use has increased every year, and the Home Office’s own research admitted that it was slow to notice rising levels of crack use beginning in 2013-14.

Despite drug use and violence increasing, the Government have drastically cut spending on treatment by underfunding local government budgets as well as central Government funding. The Government have not provided the necessary resources for drug treatment and recovery, which has meant that they have been unable to break the cycle of drug misuse and offending. In May this year, we passed the 50th anniversary of the Misuse of Drugs Act 1971. Research by the Transform Drug Policy Foundation has pointed out that when that Act was first introduced by Prime Minister Heath, there were under 100 drug-related deaths a year in England and Wales; now, there are 2,883. Our country is in the middle of a drugs crisis. Legislation that says, “Using or selling these harmful drugs is a criminal offence” is really important, but we must also have a health approach from this Government, so that people understand the risks and can get the help they need to deal with addiction problems.

We all know the terrible impact that drugs can have on individuals, families and communities. Increasing enforcement of drug misuse and stamping out the organised criminal drugs gangs that drive and profit from it is incredibly important, but it is only one part of the solution. The other must be drug treatment and preventive services to properly break the cycle of drug misuse.

[The Chair]

I imagine that the Minister will want to respond.