Psychoactive Substances Bill [Lords]

Andrew Gwynne Excerpts

Wednesday 20th January 2016 Commons Chamber

[Lyn Brown]

I thank my hon. Friend for making that point. Wales has a very impressive education programme, and I will come to that later in my contribution.

New clause 1 seeks to amend the Education Act 2002 to make personal, social, health and economic education include a focus on drugs and new psychoactive substances. It should be a foundation subject in any national curriculum. The Government’s drug education strategy contains some warm words about providing good quality education and advice so that young people and their parents are provided with credible information on actively resisting substance misuse, but these warm words are not, and were not, acted upon. The coalition Government reversed Labour’s plans to make PSHE a statutory requirement, despite that being recommended in the review carried out by Sir Alasdair Macdonald. They closed the drugs education forum, a source of expertise on drugs education in England which disseminated information to teachers across the country. The forum was closed as part of a drastic cut in drugs education spending. According to the Department of Health, drugs education spending was reduced from £3.9 million in 2009-10 to around £500,000 in 2010-11.

[Andrew Gwynne (Denton and Reddish) (Lab)]

My hon. Friend is making an important point about the need for PSHE to include these measures. Given that Five Year Forward view set out by Simon Stevens for the national health service assumes £5 billion-worth of savings coming from prevention, is this not exactly the kind of prevention we should be promoting in our schools?

[Lyn Brown]

My hon. Friend is absolutely right. If I remember my facts rightly, the Government estimated that having a comprehensive drugs education would cost approximately £500 for every pupil in England and Wales. If we offset that against the average of nearly £1 million that would be spent on a person misusing substances over the course of their lifetime, we can see it can be cost-effective to provide decent, comprehensive drugs education and so stop us spending at the other end, on people misusing and abusing substances.

Statistics provided by Mentor UK, the drug and alcohol charity, demonstrate that this was a disastrous set of decisions by the Government. Some 60% of schools now teach drugs education for one hour or less per year, and 59% of pupils say they cannot remember having a drugs education lesson in the last year. Paul Tuohy, former chief executive of Mentor, has told a national newspaper:

“We are probably in the worst situation for drug education for decades.”

Where there is drugs education in our schools, the quality is questioned. Ofsted found that 40% of PSHE teaching was not good and needed to improve. A 2013 survey of teachers by the PSHE Association reported that 81% of respondents would like more classroom resources for drugs and alcohol education.

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[Andrew Gwynne]

I agree with my hon. Friend’s approach to this matter, as it makes a lot of sense. The Government’s approach could create uncertainty and send out mixed messages not just to the gay community, but to the population at large.

[Lyn Brown]

My hon. Friend is absolutely right. Let us look at the context and the evidence. Poppers have been used recreationally in Britain for more than 30 years, and, in all that time, no Government—not one—have sought to ban them. The word “poppers” is used to describe a group of different chemical compounds, some of which carry more potential harms than others. They are a popular substance in some sections of the gay community because, I am told, they enhance sexual experience. The National AIDS Trust argues that amyl nitrite and butyl nitrite are relatively rare in Britain because they are regulated by the Medicines Act 1968 and by EU law. As a result of that regulatory regime, the most common compound of poppers in the UK is isopropyl nitrite, which is weaker and does not pose a significant health risk.

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[Lyn Brown]

I agree that if we do not place poppers on the exempt list today, we are likely to replace a regulated market with a criminal market, which is in no one’s interest.

[Andrew Gwynne]

The situation is worse than that set out by my hon. Friend the Member for Newport West (Paul Flynn). What is likely to happen if we make poppers illegal is that a gay man who uses poppers to enhance sexual pleasure may well be tempted to go on the black market and use a Class A or Class B drug, which would increase the risk of unprotected sex and, as a consequence, sexually transmitted infections.

[Lyn Brown]

I totally agree. My hon. Friend probably puts it better than I could.

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[Keith Vaz]

The hon. Gentleman is absolutely right and he brings me on to the issue of alkyl nitrites. The shadow Minister, my hon. Friend the Member for West Ham (Lyn Brown), has said—this was a bit of shock for me after 28 years in this House—that Ministers have stood at the Dispatch Box having had poppers. I think that is what she said and it was a great surprise to the House. She obviously knows more than I do about such issues, even though she claims that she knew nothing about drugs until she became the shadow Minister with responsibility for drugs.

[Andrew Gwynne]

Having served on the Bill Committee alongside my hon. Friend the Member for West Ham (Lyn Brown), my recollection is that Ernest Bevin of the post-war Labour Government had a bit of a heart murmur and was prescribed amyl nitrate by his doctor. It is alleged that he sniffed poppers around the Cabinet table.

[Keith Vaz]

I thank my hon. Friend for that information. I wonder whether they are still in use around the Cabinet table.

The Minister has moved some way since the Home Affairs Committee report’s recommendation 45:

“We accept the evidence given by Professor Iversen, the National Aids Trust, and the Gay Men’s Health Collective on alkyl nitrites”.

Professor Iversen said that they were

“not seen to be capable of having harmful effects sufficient to constitute a societal problem”,

and therefore we recommended, unanimously, that they should not be banned. We said that if the Government were to present evidence that changed that position and our view, they should, of course, be added to the list of banned substances. Indeed, the report states:

“If in the future there is any evidence produced to the contrary, then ‘poppers’ should be removed from the exempted list or controlled under the Misuse of Drugs Act.”

As a result of the immensely able work of the hon. Member for Finchley and Golders Green (Mike Freer), the Minister wrote to me last night proposing that a review should begin. He felt that there should still be a case for putting poppers on the banned list, but that if the evidence changed he would come back to the House, or by some other order, and put them on the exempted list. I think that that approach is the wrong way around.

The shadow Minister has asked me for my view and I have listened to the hon. Member for Winchester (Steve Brine), who I know also has constituents who are very concerned about drugs issues. The Committee, which also addressed the banning of laughing gas, does not believe that this particular case has been made. This is my personal view and other Committee members can, of course, say what they want, but when we considered the issue and voted unanimously on it, we did not consider poppers to be harmful.

The Minister wrote back to us and told us that poppers are beneficial, as if in some cases they may well be mandatory. He wrote that

“the Government recognises that representations have been made to the effect that ‘poppers’ have a beneficial health and relationship effect in enabling anal sex for some men who have sex with men, amid concern about the impact of the ban on these men. In consultation with the Department of Health and the Medicines and Healthcare products Regulatory Agency (MHRA), the Home Office will now consider whether there is evidence to support these claims and, if so, whether it is sufficient to justify exempting the alkyl nitrites group (or individual substances in the group).”

Although I welcome that approach—it is a really positive step forward—it is actually the wrong way around. A better course of action would be to put alkyl nitrites on the exempted list, conduct the review and then come back to the House or by order and change the position. It is what we like to call evidence-based decision making. That is what we have said consistently over the eight years I have chaired the Home Affairs Committee.

There is a lot of emotion out there about drugs, and a lot of people have great concerns. Some, such as my hon. Friend the Member for Newport West (Paul Flynn), are passionately in favour of liberalisation, while others have a different position, but why take a position of banning and then unbanning? That affects the huge authority that the Government have in respect of this very important Bill. The Minister has the whole House with him on it. I doubt we are going to divide on many issues, which is pretty rare for Home Office Bills. I am trying to think of another Bill where that has happened. There is always a division of some kind, but why divide the House on this issue when there is no reason to do so?

I call on the Minister to accept amendment 5, or to not oppose it, and to let us move forward constructively. He could have his review, come back and then everyone in this House will accept what the experts say. Without equivocation, I give him a guarantee that if the review decides that poppers are harmful, I will be the first in the Division Lobby with him, supporting that view. But to ban and then unban sends a powerful message to a section of our community that they are not being listened to, and to experts who have given evidence to us that they are wrong.

I urge the Minister, even at this late stage—as I have said, he is a Minister who listens to the House, the Home Affairs Committee and individual views—to look at the issue again and ensure that alkyl nitrites are put on the exempted list until his review is concluded.

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[Mr Burrowes]

I am not convinced by the hon. Gentleman’s premise. We consistently disagree on drugs policy. The evidence from Ireland is clear. Its blanket ban has been a success, with the closure of head shops and less accessibility to new psychoactive substances.

Everyone agrees that this is the most significant change in drugs legislation since 1971. This is a huge step-change and represents progress in tackling the new drugs on the market. It is not matched, however, with the same commitment to provide funding for education and information. The Department for Transport spent £1.952 million on developing, delivering and evaluating its communications campaign to ensure people became aware of enhanced police powers in relation to drug-driving—I know the Minister was very much in favour of putting that in the statute book—and in particular driving under the influence of cannabis. We do not see that same matched funding commitment to such a significant Bill. We need to see where that will come from to ensure that the good words expressed in the strategic communication plan have a real effect. We need the public to be informed. We need a strategy that covers social media. We need to involve the Angelus Foundation. For the foundation not to be linked to FRANK is frankly ridiculous. That needs to change. FRANK needs to talk better with Angelus and learn from it, in particular from its film awareness campaign. It is so important to have the common goal of alerting young people to the harms presented by NPSs. I look forward to hearing some reassurance on that from the Minister.

I would like to touch very briefly on two other aspects of the Bill. There are amendments on cannabis. I want to link them to new clause 6, which seeks to suggest that arrests and detention for class A drugs should trigger assessment and treatment. I want to highlight the fact that the big issue for young people, along with NPSs, is their use and misuse of cannabis. Cannabis is having a profound effect on them. I visited Highbury Corner magistrates court with the Justice Secretary, the Lord Chancellor. He heard that cannabis has an impact on many young people, but only Islington has a drug treatment facility or the ability to deal with that treatment. Justices have at least one hand tied behind their back when it comes to getting young people the treatment they need. We need to tackle that, along with treatment facilities for NPSs. We need to get up to speed with where the market is going. It is going away from substitute treatment for addiction to the old opiate substances and towards needing an holistic approach to treatment and education. We must get up to speed and the review needs to convince us it is doing that.

Finally, I come to poppers. In Committee I raised concerns about the ban on behalf of many people, including the gay community. I am very pleased that the Government have, belatedly, reached a point where they are going to look seriously at the evidence and at exempting alkyl nitrate. I agree with the Government that there are some complications, however. I raised in an intervention the fact there are already controls around the supply of alkyl nitrates. Under-18s are caught by the Intoxicating Substances (Supply) Act 1985. All of these areas need to be looked at, because there is commonality. The problem with poppers-alkyl nitrates is that they can be tweaked and abused so that the substance becomes harmful. Historically, that has been the case.

The reference to the Home Office about this is somewhat historical. It is not new, and it should not have led to an 11th-hour conversion to consider putting it on the exemption list. The Bill has been around for months—this issue was raised in the other place—so it is encouraging, if also disappointing, that we are still, at this late stage, considering exemptions. I am willing to go with the evidence, however, because it is complicated and we do not want the blanket ban diluted. We need to ensure that this is done properly, with evidence, so that, as the Home Affairs Committee said, there is eventually an exemption.

There are many other issues to talk about, but I want to give others the opportunity to speak. I broadly welcome the fact that, at long last, we will have a blanket ban on the statute book. It will be a force for good, particularly in protecting young people.

[Andrew Gwynne]

I support the Bill and its aims. Indeed, I wound up the Second Reading debate in the Chamber because Labour felt it was important to view it not just as a Home Office Bill—although that is where it is placed—but in terms of its public health aspects. As Labour’s shadow public health Minister, therefore, I have been keen to promote some of the public health issues. I also commend the work of my hon. Friend the Member for West Ham (Lyn Brown), who led the Opposition in Committee and in the House today in an exemplary fashion.

I support the Bill and want to make it as good as it can be. There are several areas where it is not as strong as it ought to be, and that is why I am proud to support my hon. Friend in tabling several amendments. In particular, I want to talk about new clause 1, on PSHE, and amendment 5, on poppers, because both have an important public health aspect to them.

On new clause 1, I mentioned in an intervention that Simon Stevens, in his Five Year Forward View for the NHS, had identified £5 billion of savings that could be reinvested into the NHS as a consequence of prevention. The Government were unwise to cut £200 million from the public health budget, because that is the very kind of prevention that will not now bear fruit in year five of the Five Year Forward View, but they could redeem themselves by adopting the new clause. I have always viewed it as a weakness that we do not have statutory PSHE in this country. Many schools do it, but it is a “something else” added on to the curriculum; it is not given the focus it ought to be given.

If we are serious about tackling the whole range of health inequalities, we could start providing statutory PSHE for children from a very young age. If we are to talk about the dangers of tobacco, alcohol and drugs, and about sex and relationships, we must do it in the context of a statutory framework in all our schools. There are huge public health benefits to doing so. When the Minister comes to consider the views expressed today, he could do nothing better than read in Hansard—I know he was listening—the contribution from my hon. Friend the Member for Kingston upon Hull North (Diana Johnson), because she got it spot on. The real benefits of having statutory PSHE in schools are clear. It would really strengthen the Bill’s aims and ambitions.

Our amendment 5 relates to poppers. In the short time I have been Labour’s shadow public health Minister, I have met lots of charities and organisations in the public health world, and many of them, including drug abuse charities, have raised many issues with me. Not one has raised poppers as an issue.

I will tell the Minister who has raised the issue of poppers with me, and that is a large number of LGBT charities and organisations. There is a public health role here. The hon. Member for Finchley and Golders Green (Mike Freer) made some very important points, not just on the health and wellbeing of gay and lesbian people, but on some of the mental health and relationship issues surrounding what we are discussing today.