Misuse of Drugs Act

Nigel Evans Excerpts

Thursday 17th June 2021 Commons Chamber

[Mr Deputy Speaker (Mr Nigel Evans)]

This is a very important debate and we have another important debate following. I will not introduce a time limit at this juncture, but I ask Members making contributions to be mindful of the length of those contributions in order that we can get everybody in.

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[Tommy Sheppard]

I will come on to look at that concept and drug consumption in a minute, but what I am talking about is the fact that people have no ability to come to a health professional and say, “What is this?” They have no ability to ask for clean needles, because these actions are prohibited under the 1971 Act and the schedules to it.

The third thing, which has already been remarked upon, is that the Act stigmatises, big time, those who use drugs and puts them in a position where they are unlikely, because of social opprobrium, to ask for help. We surely need to have a review and a fresh think about a problem that is so manifestly out of control and where the existing legislation is so manifestly unable to provide any assistance.

I always like to try to see the other side of the argument, so I want to ask: why are people resistant to review? Why do they want to hold on to things as they are? I can only conclude that it is because they fear the consequences of decriminalisation or of changing the law. They must somehow think that if we were to do that, we would open the floodgates and unleash supply into communities where there are not already drugs, and that many more millions of people would get caught up in the problem, because we would not have the criminal mechanisms that we have at the minute. I say to any colleagues who think that: wake up and see what is happening on the streets of your constituencies.

Those colleagues should come with me to any medium-sized town in this country, stand in a bar and make their intentions known as to what they would like. Within one hour they will be offered any drug of their choice. If they do not want the personal contact, they could order in advance. If they go on the internet, they will find a mobile phone number on which, through the county lines network, they can order whatever they want and it will be delivered to their door. Sometimes people will even get a customer service message asking for feedback on the supply. That is the extent of what we have at the moment.

It is just fantasy to suggest that there are loads of people out there who are somehow prevented from getting into drugs by the Misuse of Drugs Act 1971. That is not the case, so we surely need to have a grown-up conversation about what we should do given that potentially a third of our citizens could be made criminals by legislation that is so manifestly unfit for purpose.

I hope that the Home Office and Ministers can begin that process of review with an open mind, rather than just defending the status quo. They should be prepared to look at an evidence-based approach, drawing on international comparisons, and to try to work up a better system that is grounded in protecting public health and wellbeing, rather than trying to criminalise behaviour. I and my party would support—I think there would be support in all parts of the House—any bold Minister who wanted to take that initiative and begin that dialogue. I am not saying prescriptively what should be in such a review; I am not saying how it should be done. I simply want to have the dialogue, the discussion and the debate, because too many people are dying for us not to do so.

While we are doing that, there are some things that ought to be done immediately. I want to turn for a moment to the question of drug consumption rooms—probably better called overdose prevention centres. These are medical facilities, and I have been in them and seen them working in Portugal, Germany and Canada. These are medical facilities where someone can use their own drugs under medical supervision. Such places are not going to make the overall problem any better; what they do is drive a focus into the very sharp end of the problem—the point at which people are dying.

At the moment, people do not voluntarily overdose because they are fed up with life and want to commit suicide. That is not the case at all. People are taking substances and they do not even know what is in them. Sometimes these substances contain a lethal concoction which is much, much stronger than they thought it was going to be. Because it is all criminal activity, it has to be done behind closed doors. It is not something that someone does in the open. By the time someone realises they have a problem—by the time they cannot breathe, they have a heart attack or they need medical help—it is too late to call for assistance. For the limited number of people in those circumstances, being able to satisfy their immediate addiction under medical supervision would literally be a lifesaver. That is what happens in other countries.

It is blindingly obvious that we ought to try to consider having such places here, but the law forbids it. Even pending a change in the law, by regulation the Home Office should allow pilot centres to emerge so that we can see for ourselves whether they would work here. After all, what is there to lose? There is nothing to lose and everything to gain—there are lives to gain.

This idea does not stop people using drugs; it does not get rid of the problem; it does not make people get their life back together; it does not get people the medical help or social services help that they might need; it does not get them a job if they have not got one—of course it does not, but it keeps them alive long enough so that those interventions can take place further down the line. We cannot give help to a dead person, and that is why it is so vital that we have a sensible discussion about drug consumption rooms and supervised facilities. The Scottish Government stand ready and have been pressing the Home Office to allow them to go ahead and do that in Glasgow, which brings me to my final point; I know you did not want people to go on too long, Mr Deputy Speaker, so this will be my final point.

We have a bit of a disjuncture in the interrelationship between the devolution of political authority and Administrative action in the United Kingdom and this particular problem, in that the whole criminal framework—the 1971 Act and others—is a reserved matter for Westminster, which sets the problem, if you like, but dealing with the consequences of that, including the health and social care and the economic fall-out from that policy, is a matter for the devolved Administrations. Without getting into the arguments about Scottish independence or whatever, it seems to me a matter of ultimate sense and grown-up policy to have the same part of government responsible for the regulation as is responsible for mopping up the consequences of the problem. That is why, when the time comes, we need to urgently look at devolution of the controls currently in place in the ’71 Act, and whatever replaces it, to the devolved Administrations, and to locate them within a health and social care context, which is already devolved.

In advance of that, I have spoken with the Minister several times on this matter, and I trust that he is thoughtful about it. I think he is prepared to consider other points of view and evidence, but I think he feels himself mightily constrained by tradition, convention and, perhaps, political pressure elsewhere. However, he has now received a letter from the Drugs Policy Minister in Scotland, Angela Constance, asking for a four nations summit to consider, among other things, establishing pilots of these types of medical facilities. I hope very much that he will today confirm that his reaction to that is positive and that, if we cannot change things overnight across the whole UK, he is prepared to let us employ the apparatus of devolution to allow one part of the UK to go beyond where other parts are perhaps willing to go at the minute and to collate the evidence to point a way to the future, which could then lead to best practice being adopted throughout.

We have a responsibility not to continue to stick our heads in the sand on this matter; there has been a collective exercise of ignoring the blindingly obvious for far too long. We are not voting on this today, but I appeal to colleagues to do what they can through the various structures of this place and within their political parties—this matter should not divide us on party grounds—to consider why we need a review after this half-century and why things are so clearly wrong that we must do something. We cannot continue to stick our heads in the sand and pretend that things are okay. Now, 50 years after the passage of the Act, is the time to admit that it is not working and to do better. The citizens of this country deserve that.

[Mr Deputy Speaker (Mr Nigel Evans)]

I ask every Member to focus on not speaking for more than five minutes, if they could. I will not put a time limit on yet, but I may be forced to in order to protect other business.

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[Mr Deputy Speaker (Mr Nigel Evans)]

I am afraid that I am going to have to introduce a time limit of five minutes, which is still fairly generous compared with what a number of Back Benchers are used to. The next speaker is Adam Holloway. Sorry, Adam, but I know that you are a seasoned contributor and will be able to do it within five minutes.

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[Mr Deputy Speaker (Mr Nigel Evans)]

Thank you for your co-operation, Adam; I am really grateful.

[Ronnie Cowan (Inverclyde) (SNP) [V]]

The stated purpose of the Misuse of Drugs Act 1971 is to prevent the misuse of controlled drugs. By any measurement that we wish to employ, the Act has failed. The fact that it has been allowed to fail for 50 years is an abomination. As was stated, we have gone from fewer than 100 deaths in 1971 to more than 5,000 in 2020. The legislation is flawed and the job we are asking the law enforcement agencies to do is impossible. The legislation is flawed and the job we are asking the law enforcement agencies to do is impossible. The fallout is picked up by the NHS and many, many third sector organisations.

A lot has changed since 1971. Asbestos is no longer a popular building material. Women can no longer be fired for being pregnant. In many situations we have moved forward with the times, but on drugs policy we are firmly entrenched in the past. When we changed our drug policy in 1971, we junked the British system in favour of the misguided policy of Richard Nixon’s America. The result has been an increase in crime, an increase in corruption, an increase in harm, and an increase in the number of drug-related deaths. This involves our communities being subjected to violent crime, vicious turf wars, and the corruption of the young and often vulnerable members of society. We cannot and never will be able to arrest our way out of a drugs war. Substances that were once legal are now made by criminals with scant regard for consumer safety. They are often cut with other products and potency cannot be guaranteed. As a result, many young people have died experimenting with drugs. One tablet—one tablet—is all it takes and a life can be lost because drugs are not regulated.

Other countries are not inflicted by this paralysis. They have decriminalised and legalised drugs. They have drug consumption rooms. They have diversion schemes. I visited Portugal and Catalonia to see what they are doing and it works. It saves lives and it rehabilitates. Theirs are humane schemes because they treat drug addiction and harm as a health issue, not a criminal justice issue. They are creating an environment where people are not marginalised and ostracised. As a result, they are not experiencing prejudice because of their health issue. That can only happen when there is a change of mindset that facilitates the provision of services. We need to waken up to the reality that the policies we are pursuing are not doing any good and, in some cases, are actually making the situation worse. Recent evidence from Canada, as quoted in the Scottish Affairs Committee’s drugs and crime report, showed overdose prevention centres in British Columbia alone saved between 160 and 350 lives in 20 months. Yet the UK Government’s attitude is that the establishment of drug consumption rooms would condone drug use.

This lack of empathy and refusal to bow to evidence makes me wonder if the UK Home Office thinks that the life of a drug addict is a life not worth saving. Neither the Home Office nor the Department of Health and Social Care has provided any evidence to contradict the findings of numerous reviews, including by the European Monitoring Centre on Drugs and Drug Addiction and the ACMD, which said that such facilities have not been found to increase injecting drug use or local crime rates. Listen to the United Nations executive board chaired by the UN Secretary-General and representing 31 UN agencies, including the World Health Organisation and the United Nations Office on Drugs and Crime. They have called on member states to promote alternatives to conviction and punishment in appropriate cases, including the decriminalisation of drug possession for personal use.

Minister, please drop the coming-down-hard-on-criminals rhetoric. It may sound good, but it does not work today and it has not worked for 50 years. It is time to end the war on drugs and start the war on the causes of addiction. And please engage with Scotland’s Minister for Drugs Policy, Angela Constance. Help her to remove obstacles, so we can have a more progressive and more effective drugs policy, one that has health at its core.

[Mr Deputy Speaker (Mr Nigel Evans)]

Thank you very much, Ronnie. I am sorry you couldn’t have the timing clock visible, but my goodness me you did finish within the five minutes, so thank you very much.

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[Mr Deputy Speaker (Mr Nigel Evans)]

The timing clock should now be visible on video connections.