Music Festivals: Drug Safety Testing

Debate between Thangam Debbonaire and Jeff Smith

Friday 6th July 2018 Commons Chamber

[Thangam Debbonaire]

My hon. Friend makes exactly the point that I am coming on to. The contrast between Love Saves The Day and another festival that weekend was that nobody died in Bristol while at the other festival there was no drug safety testing, and sadly—tragically—two people did die and 15 others were hospitalised.

The Loop operates a model called MAST—multi-agency safety testing—that was developed by Dr Fiona Measham, professor of criminology at Durham University and co-director of the Loop. I pay tribute to her and to all the people who work with her, and to others who help to make this possible—as well as to Love Saves The Day, of course.

[Jeff Smith (Manchester, Withington) (Lab)]

I am delighted to join my hon. Friend in paying tribute to Fiona Measham, who is my constituent, and her organisation the Loop. I spoke at its training day recently and was struck by the professionalism, hard work and dedication, and the high level of training, of the scientists and medical practitioners who do that job on a voluntary basis because they believe it keeps people safe.

[Thangam Debbonaire]

Absolutely. My hon. Friend makes an excellent point. This is about safety, and the work is done with skill and care.

The Loop introduced multi-agency safety testing—MAST—to the UK in the summer of 2016. From 2010 onwards, Professor Measham had shadowed academics, police and Home Office scientists who tested drugs on site at festivals primarily for evidential and intelligence purposes. She saw the value of extending that forensic testing to reduce drug-related harm on site through the provision of front-of-house testing or drug checking, as has happened for decades in other European countries. In 2013, the Loop conducted halfway-house testing, whereby samples of concern were obtained from agencies on site at festivals and nightclubs, and test results were then reported back to all agencies in order to inform service provision and better monitor local drug markets, which is so important if we are going to protect people.

That went further in 2016 with the introduction of MAST at the Secret Garden Party and Kendal Calling—for hon. Members who are not aware, those are festivals—by adding the general public to this information exchange. Although that was the first time that a drug safety testing service was available at a festival in the UK, it was built on evidence from similar services that have been running successfully in the Netherlands, Spain, Switzerland and Austria for a number of years.

MAST is a multi-agency collaboration. Samples of substances of concern are provided by on-site agencies such as security, the festival organisers, the police or individuals who are intending to consume those substances. They are given a unique identifier number and return about half an hour later to get the test results. Those substances are tested by PhD chemists who are highly qualified and trained, as my hon. Friend the Member for Manchester, Withington (Jeff Smith) said, using four types of forensic analyses and linked to a computer database containing a regularly updated reference standard library of all known legal and illegal substances, including new psychoactive substances, also known as legal highs.

People return with their unique identifier number and are given the test results as part of a 15-minute individually tailored brief intervention by an experienced healthcare worker. Harm reduction information is contextualised with people’s medical and drug-using history, as well as the test results. No drugs are returned to service users. I want to emphasise this: service users do not receive drugs back from the Loop. Almost all samples are destroyed during testing and any leftover particles are disposed of by the police at regular intervals throughout the festival. I have seen the complicated bits of kits they use to ensure that absolutely no one gets their hands on something.

A police presence is welcomed in the Loop lab throughout the day. That allows the Loop to share information and intelligence onsite, which can help to spread messages about dangerous substances in circulation. For that to work, the police and local authorities such as Bristol City Council agree to a tolerance zone of non-enforcement in and around the testing venue.

--- Later in debate ---

[Thangam Debbonaire]

My hon. Friend is absolutely right, and I would dearly love there to be provision for drug safety testing in the centres of Bristol, Swansea or Manchester so that people who are intending to take substances—they are going to do that anyway—can have safety information and make safer choices. As I said, such testing often takes dangerous substances out of circulation and disrupts drug dealers’ business models, which is something I am very keen on doing.

The Loop usually finds that one in 10 tested substances are not what the user thought they were—unfortunately, those drugs can turn out to include concrete, boric acid and various other unpleasant substances. One in two service users, after hearing about the strength of their sample and its dosage, state that they will take a smaller quantity of the drug in future. One in five people dispose of further substances in their possession—that is important as it takes out of circulation something dangerous that otherwise would not only have remained in circulation but would have been consumed.

[Jeff Smith]

Does my hon. Friend share my concern that although drug use in this country is relatively static, drug deaths are actually rising? That can only be attributed to an increase in the toxicity of those drugs, and we need young people to have that information. If they are going to take drugs, we need them to be aware that the drugs they take might be toxic.

[Thangam Debbonaire]

I agree with my hon. Friend. Drug use is not increasing, but drug-related deaths are—they are the highest they have ever been, according to campaigning organisations. I find it troubling that young people are taking things when they do not know what is in them, and the message “just say no” is clearly not working. We need to think again about how we keep young people safe.

I will not go into detail about the various aspects of the Misuse of Drugs Act 1971 that I would like to see changed—that is for another day. Clearly, however, some police forces, local authorities and festival organisers are finding ways to have a formal agreement and memorandum of understanding about the Loop providing drug safety information. Other authorities are not so clear, which means that people are dying—these are not just young people; some who have died at festivals of drug-related causes have been nearer my age, but such deaths are tragic at whatever age they occur.

According to data provided to me by the Loop, one in three people at clubs and festivals take illegal drugs—as my hon. Friend the Member for Gower (Tonia Antoniazzi) said, this is also about clubs and city centres. One in 20 16 to 24-year-olds have used MDMA, sometimes known as ecstasy, in the past year. MDMA makes up the majority of drugs that need testing at festivals—55% of all drugs tested at Love Saves the Day in Bristol were MDMA. However, the strength of that MDMA and the potential risks of death and serious harm are rising alarmingly. That was confirmed by Bristol City Council’s drugs lead, Jody Clark, and I thank Jody for his pioneering work, his bravery and his commitment to the safety of young people.

As has been said, drug use is not increasing yet drug-related deaths are. However, let me reiterate that at Love Save the Day, nobody died. That same month, at another festival where there was no drug safety testing, there were 15 hospital admissions due to drugs and two young people died. That has happened at other festivals as well. In a Bristol nightclub earlier this year, where there is currently no drug safety testing, there was a death from a Tesla MDMA tablet, and there have been deaths at other clubs across the country. Tesla pills are high-potency, and contain 240 mg of MDMA, compared with the current average of 120 mg. That in turn compares with the 1990s dosage, when 50 to 80 mg was the average.

Would it not be better if we could prevent that harm, and if the parents of those young people—they were mostly young people—never had to hear the words of every parent’s nightmare? Is it enough just to say “just say no”? Preaching abstinence in sexual activity as a means of preventing pregnancy demonstrably fails. Preaching abstinence in drug use is also not working, and neither is the advice that I heard a Minister give in this Chamber last July, which was that one should never take anything that cannot be bought in a high-street chemist. For a start, heroin can be prescribed, and indeed is consumed in high street chemists under certain circumstances. Other very strong, very addictive and very dangerous drugs, such as Tramadol and Fentanyl, are also prescribed in high street chemists. Therefore, just saying that what is provided and prescribed in a high street chemist is safe and everything else is not is not helpful information for young people. They can work this stuff out.

Alcohol, entirely legal, is provided in this very place, yet it is deadly for many. It is a leading cause of breast and bowel cancer—cause, not correlation—and a contributing factor to violence and depression. But at least with alcohol there is information and regulation. For consumers of illegal substances this does not exist. I believe people would prefer to know what they were consuming. Ironically, drug safety testing, such as that by the Loop, means that people intending to consume illegal drugs at festivals are given much more safety information and options for referral to treatment than those consuming the legal drug of alcohol at festivals. I would like that to be corrected as well, but that is for another day.

Drug safety testing takes dangerous substances out of circulation, reduces risk, prevents harm and makes festivals and clubs safer and nicer places to be. All drugs, legal or otherwise, have risks, but people still use them. When they know what is in a substance they are intending to take, this gives them information. Again, this applies whether they are legal or illegal. When an illegal substance is tested by trained scientists via a project like the Loop, people cannot get that sample back. Instead, they get accurate information about the drug’s content and safety.

Giving everyone clear information about the substances they intend to consume does not make it easier to take illicit substances and nor does it eliminate all risk—alcohol licensing and labelling still do not prevent all alcohol-related harms—but the Bristol experience has shown that providing information about illegal drugs can be done within our current laws. Other police forces, councils and festivals are not clear on how to do this, however, and here the Government can help. There is no need to change or review the law, just a need to provide clarity on the grey areas that some police forces find difficult and to provide formal recognition of the status quo and ensure that all relevant parties—police forces, festival organisers, local councillors and licensing bodies—know it.

Clubs could be asked to contribute to the drug safety testing in city centres that my colleagues and I wish to see. It could be a part of their licences that they should contribute to funding and work with the police, the council, public health and drug projects to help save lives and take dangerous substances out of circulation. In an ideal world, what I would like, and what I would like the Minister to consider, is that all licences for such festivals, and if possible for all clubs, are made conditional on the availability of drug safety testing, and for licence holders to work with police, public health, the night time economy, drug treatment and safety organisations to fund and ensure this. The Government need to get behind this and not stand on the side lines. Drug safety testing deserves Government clarity and support. Young people deserve clarity and support. The parents of young people deserve clarity and support.

I will conclude by asking what I hope are two simple questions of the Minister. I hope he is able to answer them today, but if not I would be very willing to meet him to discuss them further. Will he commit to supporting formal recognition that drug safety testing is a matter for local police forces, and that the current system of local memorandums of understanding between the police, the testing organisation, the event management and other stakeholders is an appropriate and adequate mechanism for service delivery? Will he issue guidance to that effect? Secondly, will he consider exploring how this model could be more widely extended, particularly to nightclubs at weekends, as my hon. Friends have mentioned, but perhaps elsewhere as well? I know that the legislation may require clarification. It is not my intention today to be prescriptive on how that might be done, but my understanding is that existing legislation is sufficient but that there needs to be clarity.

Drugs, legal or otherwise, cost lives and information helps to save lives. Why would we not provide life-saving information? I say it is time to test.