Drugs Policy

Norman Lamb Excerpts

Tuesday 18th July 2017 Commons Chamber

[Sarah Newton]

We have consulted widely with a range of experts and academics, and we are well served by the Advisory Council on the Misuse of Drugs, but we have also consulted communities, users and people with frontline experience of addressing these issues. I totally agree that we have to consider the complexity of the challenges facing individuals who are drawn into substance misuse, and we must ensure that we have tailor-made recovery solutions, which will often include support on underlying vulnerabilities or mental health issues. The strategy, as I will outline in some detail, seeks to take a multifaceted, joined-up approach so that people right at the heart of it can make a sustained recovery, which is what we all want to see.

[Norman Lamb (North Norfolk) (LD)]

The Minister says there are signs that the policy is working, but does she ever pause for thought when she sees the significant increase in the number of people dying from drug misuse in the past three years? That picture is not mirrored in other European countries that take a more enlightened approach.

[Sarah Newton]

There is no complacency in my approach, or in the Government’s approach. In setting out the context of the new strategy, it is worth reflecting on some of our past successes—we have a good evidence base upon which to build for the future. Like the right hon. Gentleman, I am concerned by that increase in the number of deaths, often of people with long-term substance misuse problems. If he stays for the debate, I hope he will hear about our approach to prevent those deaths, which is a key part of our new strategy. I will welcome further interventions at that point. A speech from the right hon. Gentleman, who served so well as a Health Minister in the coalition and who played such an important role in some of the Department’s successes, would be carefully listened to and taken into consideration in our work in the years ahead.

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[Sarah Newton]

I accept that some Members and some people in our country think that we should decriminalise drugs. I do not agree, because we are evidence-based policy makers and all the evidence shows the awful harms caused by the drugs that we ban and restrict. Our primary job is to keep people safe, and the way to do that is to prevent them from taking drugs in the first place.

[Norman Lamb]

I note the point about this being “evidence-based”, but the evidence clearly shows that the most dangerous drug in terms of harm is alcohol. So will the Minister explain the different approaches the Government take to alcohol, the most dangerous drug, and to cannabis?

[Sarah Newton]

I would not agree that alcohol is the most dangerous drug, as we can see if we look at the substances we are restricting. There are people who take alcohol to such a harmful degree that it is devastating for them, and for their family members and the wider community. I fully accept, as the Government do in the modern crime prevention strategy, that the misuse of alcohol has dramatically harmful effects and contributes to crime, but alcohol taken in moderation is not a harmful drug. The Department of Health constantly keeps this under review and is doing research all the time to understand the health impact of alcohol, and it revisits what it considers to be safe drinking guidance. Public Health England has only recently updated the guidance, which suggests that people should be consuming less alcohol.

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[Ms Abbott]

It is unfortunate that many authorities, including many Labour authorities, privatised these services. Privatising them necessarily makes it harder to achieve the co-ordination and co-operation that was the whole point of having these services sit in the local authorities.

Local councils face unprecedented cuts to their funding—anything from 25% to 40% of their entire budget. Is it any wonder that drug-related deaths are increasing when local authorities do not have the funds necessary for comprehensive treatment programmes?

[Norman Lamb]

The right hon. Lady has talked about the war on drugs, and how it has been undermined by a lack of resources, but does she favour simply increasing the resources in that war, or a more enlightened approach that involves decriminalisation and, potentially, the regulation of cannabis markets so that we take the criminals out of the market altogether?

[Ms Abbott]

I am grateful to the right hon. Gentleman for his intervention. We cannot have a meaningful strategy on drug abuse without looking at the question of resources, but I would be the first to say that it is more complex than simply providing more money.

To give an overview of what local authorities are facing, Barnsley cut its drug and alcohol service by more than a third between 2015-16 and 2016-17. Some services will be unavailable and key drugs practitioners will be made redundant. Staffordshire County Council was forced to make cuts of 45% to its drug and alcohol treatment budget over the past two years, due to its local commissioning group pulling the expected £15 million of NHS funding. Middlesbrough Council, which sadly has one of the highest rates of death from heroin overdoses in the country, cut its budget by £1 million last year.

When the Home Office announced those policies, it correctly said that for every £1 spent on public health, £2.50 is saved. However, instead of helping local authorities to follow that logic, the Government have obliged them to pursue short-term cuts. Some local authorities have tried, and some have been particularly innovative in seeking efficiencies in their public health budgets, but the reality is that too many are looking at significant reductions in services, and some are even privatising services. When it comes to public health, the Government talk a good talk but do not follow through with the resources. I note with dismay that the strategy includes no mention of providing more resources to local authorities, which after all are on the frontline of any strategy against drug use.

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[Crispin Blunt]

I wholly agree. If the evidence of failure is clear in the United Kingdom, the problem is dramatically worse in other countries of the world. However, even in the UK, as page 16 of the strategy makes clear, drugs are

“a significant threat to our national security.”

There is a way of dealing with the problem.

Ever since prohibition or criminalisation of illicit drug use was enshrined in the 1961 UN convention on narcotic drugs, we have been fighting a losing battle to stem the global drugs trade. As is increasingly recognised—especially in Latin America, where many leaders are crying out for their societies to be rescued from the malign fall-out from a multi-billion dollar criminal industry—eradication, interdiction and criminalisation of consumption have failed. We have left the manufacture and supply in the hands of organised criminals and treated their victims—many of whom are vulnerable members of our society and many of whom have mental illnesses—as criminals, and they are unable or unwilling to seek medical help due to the illegality, exclusion and stigma.

I hope that hon. Members will reflect on this simple statistic: between 2006 and 2013, 111,000 people died in the Mexican drug war—as a result not of drug consumption, but of the wars over the control of this vast industry. Building on the work of the Latin American Commission on Drugs and Democracy, convened by former Presidents of Brazil, Colombia and Mexico, the Global Commission on Drug Policy has opened a public discussion about the association between the drug trade, violence and corruption.

[Norman Lamb]

I agree with everything that the hon. Gentleman has said. He has talked about the number of people who have lost their lives through violence in Latin America. Does he agree that the policy engenders violence in our own communities—particularly poor communities—in this country? The only way in which the supply to a particular community can be maintained is through the use of extreme violence. Does that not add to the case for much needed reform?

[Crispin Blunt]

Unsurprisingly, I agree entirely with the right hon. Gentleman.

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[Fiona Bruce (Congleton) (Con)]

I very much welcome the strategy, with its emphasis on effectively treating and, even more importantly, preventing substance misuse problems. I welcome the acknowledgement that national and local government have a clear responsibility to improve public health with regard to addictions. Indeed, because such problems often affect the most vulnerable in society, this is a matter of social justice. I welcome the strategy’s recognition of that, and of the clear and very sad links between substance misuse and a range of other issues: underperformance at school and later exclusion from the job market, domestic abuse, mental ill health, sexual exploitation, homelessness and imprisonment.

I welcome the recognition of the need for a joined-up, partnership approach to address those issues. I implore local government to ensure that, as some local authorities do, individuals receive support from one lead caseworker rather than from a confusing mix of social workers and agencies. I heard of one family who had to cope—yes, cope is the right word—with 26 different local agencies trying to help them.

I particularly welcome the strategy’s focus on helping the most vulnerable young people, such as those in care, those on the streets, those in the criminal justice system or at risk of entering it, those in troubled families and young girls at risk of entering prostitution. We know how pimps use drugs to enslave young girls, particularly those who have been trafficked. I welcome the strategy’s prioritisation of helping those young people, many of whom have never had a first chance in life. The strategy’s approach is designed to give them the chance they need to live a life of self-worth, free of the devastating impact of substance misuse.

I particularly welcome the Minister’s statement that we must look at mental health and substance misuse together, and the recognition of the key role that parents and families can play in the treatment and prevention of substance misuse. Family breakdown—or, if not breakdown, chaotic or dysfunctional family relationships —must surely be one of the key reasons, if not the key reason, for young people seeking comfort in drugs. I welcome the inclusion in the strategy of the need to support families in their own right, with the suggestion:

“Evidence-based psychological interventions which involve family members should be available locally and local areas should ensure that the support needs of families and carers affected by drug misuse are appropriately met.”

That echoes a comment piece that I wrote for this week’s The House magazine about young people’s mental health problems, in which I said that we need to do much more to strengthen family relationships and offer holistic family support, engaging parents, carers or wider family members. If we are to do that, there needs to be substantial growth in the number of people in local authority services trained to provide relationship and family support, and to provide appropriate counselling and help for young people in such difficulties. I am glad, too, that the strategy recognises that the reality of harm experienced by substance abusers’ families is significant, and that families need help as well.

I am chair of the all-party group on alcohol harm. I recognise that the strategy contains recommendations for joined-up action on alcohol and drugs, and that areas of the strategy apply to both. As we have heard this afternoon, however, we need to do more. Statistics illustrate the extent of the harm caused by alcohol. In 2015 there were 2,479 deaths from drug misuse. In the same year, there were 23,000 alcohol-related deaths. Drug deaths equate to only 10% of the number of deaths caused by alcohol. We must rise to the challenge of providing sufficient resources and setting out a clear Government alcohol strategy. The current strategy is more than five years old, and much has changed in that time—yet, sadly, much has stayed the same.

I would particularly like the Government to address the impact of alcoholic parents or carers on children. An estimated 2.5 million children in this country live with problematic drinkers. In a debate on alcohol harm that I secured on 2 February, Members gave deeply moving accounts of living as children with alcoholic parents and carers. Those of us in the Chamber very much welcomed the response of the then Under-Secretary of State for Health, the former Member for Oxford West and Abingdon, who said that she would look into the matter. I ask the Minister to take back to her successor, my hon. Friend the Member for Winchester (Steve Brine), a request for further progress, because the very important and specific issue of children living with problematic drinkers has not been sufficiently addressed.

Evidence shows that spending money on treatment is effective, with every £1 invested generating £2.50 of savings for society. Yet only 6% of dependent drinkers in this country actually access treatment. It is vital that we recognise the need to review the alcohol strategy. The current level of alcohol harm illustrates the need to do so urgently. If Members will bear with me, I want to go into this in a little more detail. The harm caused by alcohol consumption extends not just to the families of the individuals involved but to wider society. It often harms innocent bystanders, such as those injured in road traffic accidents or patients needing treatment for serious illnesses who have to wait because precious NHS resources are being used to tackle the issue. It affects us all as taxpayers through the tax bills we pay, and it affects the emergency services.

Just a few months ago, our all-party group produced a report, “The Frontline Battle”, on the impact of the misuse of alcohol on those who serve us in the emergency services. Some of the stories about emergency services staff being assaulted are heartrending. I therefore welcome the private Member’s Bill, which I understand will be presented by the hon. Member for Rhondda (Chris Bryant) tomorrow, to address assaults on emergency services staff. However, we cannot address that without also looking at the fact that so many of those attacks are caused by alcohol abuse.

There has never been a greater need for robust Government action to tackle the massive problem resulting from alcohol consumption. That has been evidenced by the Public Health England report, which has already been mentioned, that was published in December 2016 at the specific request of the former Prime Minister David Cameron. It paints a bleak picture: 10 million people are currently drinking at levels that are increasing their risk of health harm. Devastatingly, it finds that for those aged 15 to 49 in England—those of working age—alcohol is now the leading risk factor for ill health, early mortality and disability. There are now over 1 million hospital admissions relating to alcohol each year, half of which involve those in the lowest three socioeconomic deciles. Alcohol-related mortality has increased, particularly for liver disease, which has increased by 400% since 1970. We need a strategy because 167,000 years of working life were lost to alcohol in 2015. Alcohol is more likely to kill people during their working lives than many other causes of death—in other words, it causes premature deaths. Alcohol accounts for 10% of the UK’s burden of disease and death, and in the past three decades there has been a threefold rise in alcohol-related deaths.

[Norman Lamb]

I very much share the hon. Lady’s concerns about the danger of alcohol and the damage it causes to society. Does she support the case for a minimum unit price for alcohol? It could act as a deterrent, particularly to prevent young and disadvantaged people from ending up with all the consequences that flow from excess alcohol use.

[Fiona Bruce]

I agree. In fact, the introduction of minimum unit pricing was the very first recommendation in the 2012 strategy. The most recent review states that it

“is a highly targeted measure which ensures tax increases are passed on to the consumer and improves the health of the heaviest drinkers. These people are experiencing the greatest amount of harm.”

Increasing the price of alcohol would save lives, but would not penalise moderate drinkers, so I entirely agree with the right hon. Gentleman. Public Health England very clearly states in its report that affordability is the lead factor in addressing health problems resulting from alcohol harm.

If I may, I will mention the issue, which again relates to cost, of white cider products, such as Frosty Jacks. They are almost exclusively drunk by the vulnerable, the young, the homeless and dependent drinkers—just the kind of people who, as I have said, need help. Just £3.50 buys a large bottle of white cider that is the equivalent of 22 shots of vodka. Time and again, homeless hostels tell us that that is what the people there drink and what, because of its high strength, causes their deaths. One of the most heartrending meetings I have attended in the House was when a mother came to talk to our all-party group about her teenage daughter. This happy, carefree young girl had gone out one night, but when she got back she told her mum that she did not feel very well. Her mum said, “Well, have a drink of water. I’ll put you to bed, and we’ll see how you are in the morning.” When her mum went into her room in the morning, she was dead. She had drunk three bottles of white cider, which means that she had drunk well over 60 shots of vodka in one evening. That is the devastation this drink can cause.

Ciders of 7.5% alcohol by volume attract the lowest duty per unit of any product, at 5p, compared with 18p per unit for beer of equivalent strength. There simply is no reason not to increase the duty on white cider and so save some of these young lives. Some 66% of the public support such a policy. It is a matter of social justice, so I ask the Minister to go back to the Treasury. I know that the former Member for Battersea looked at the issue in the last Parliament, and I ask the Minister to go back to her successor and ask for progress to save these young lives before any more families suffer as the one I have described did.

Another key intervention for an alcohol strategy is to improve the training of GPs and other people working in clinical centres, so that they can give very brief additional advice on how to prevent alcohol harm. For example, just during the few moments when someone is having their blood pressure tested, they can have a short conversation about how much alcohol they are drinking and suggest that a couple of days off a week to rest their liver would not be a bad idea. We need to pursue such improvements to prevent the kind of damage suffered by so many people in the country through excessive alcohol drinking. No one that I am aware of in our group is saying that people should not drink alcohol; this is about drinking alcohol responsibly.

I want to close by borrowing the words of our former Prime Minister in his foreword to the 2012 alcohol strategy:

“We can’t go on like this.”

He was right, but insufficient action has been taken since. Things have not improved—rather the opposite—so I call on the Government to save lives and reduce harm for us all by revising the alcohol strategy. We cannot have a successful long-term approach to substance misuse without looking at both alcohol and drugs.

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[Jeff Smith]

No, I do not agree with the hon. Gentleman, because I do not think that is the evidence and I do not think that is the message. There is a host of evidence through the years that cannabis is far less dangerous than alcohol.

[Norman Lamb]

Is not the problem that when one is buying in the criminal market one has no idea what one is buying? One could be buying a very heavy strain, whereas if we regulate we have control over the potency of the substance that we are trying to control.

[Jeff Smith]

That is absolutely right. We talked earlier about the use of skunk, which has very high THC content. If one were to regulate the cannabis market, one could balance the THC and CBD elements of the product and make it safer for people.

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[Norman Lamb (North Norfolk) (LD)]

I congratulate the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy) on an immensely impressive maiden speech. I confess that I am quite a fan of her predecessor’s—I have not said that until now—but I am now also clearly a fan of the hon. Lady, who, like the other two Members who have made maiden speeches today, spoke incredibly powerfully. The hon. Member for Slough (Mr Dhesi) gave a powerful and moving speech, and I am just glad I was here to witness it. I thank him.

This has been a fascinating debate, in which there have been more voices for reform than I have heard before; I am particularly encouraged by what the hon. Member for Manchester, Withington (Jeff Smith) said. I will come to my thoughts on reform in a moment, but I want to start by acknowledging that there are important things in the Government’s drugs strategy.

I welcome the shift away from an over-emphasis on abstinence, which in many respects was damaging. I also welcome a focus on evidence-based drug treatment programmes and on addressing the underlying causes of addiction, whether poor housing or mental health issues. I acknowledge those good things. I also welcome the references to drug rehabilitation requirements as a sentencing option along with alcohol rehabilitation requirements and mental health treatment requirements. That is a sensible innovation. I note the preparation of a protocol to ensure good access to treatment and the potential for a maximum waiting time, which all make sense.

However, although the mental health treatment requirements, introduced by the last Labour Government, were a very good policy response, they were virtually never used across the country. Organising mental health treatment services alongside the criminal justice system has proved to be beyond most parts of the country, and I do not want the same to happen with drug and alcohol orders. It is really important that the Government focus on making sure that all three of those sentencing options are available everywhere to ensure that when it comes to offences of which the underlying cause is an addiction or mental health problem, the person gets access to treatment and not just punishment. That is incredibly important.

I want to focus on two key objections. The first has been mentioned by other hon. Members: the cut in public health funding. Frankly, that makes no sense at all. If we are to ensure that the NHS as a whole is more sustainable, we have to shift resources to prevention, not cut the funding available, which is completely counter-productive. In a report published just last week, the King’s Fund highlighted the fact that across the country councils have planned expenditure cuts to really important public health programmes: sexual health clinics as well as programmes reducing harm from smoking, alcohol and drugs. A total of £85 million is involved. The spend on tackling drug misuse for adults involves a planned cut of £22 million, or 5.5%. It totally undermines the Government’s strategy, which, in any case, I disagree with, to be cutting funding from the treatment programmes that can help people to recover. Unless the Government seek to address that, they will fail in their objective.

My second objection is far more fundamental: it relates to the philosophy behind the Government’s approach to drug use. Instinctively, I am hostile to drugs. As the father of two boys, now in their 20s, I get really anxious at the thought of my children—our children—taking drugs, or, indeed, engaging in excessive use of alcohol or smoking. Let us remember, in all the talk about harm from drugs, that smoking, which involves a legal product, kills 100,000 people in our country every year. There is no consistency in Government policy at all, and that is simply not good enough. My starting point is not to advocate a free-for-all but to find an effective approach to the use of drugs that seeks to reduce harm. Surely that is what we should all be searching for. However, the Government’s approach and that of successive Governments—indeed, that of much of the western world—amounts to a monumental failure of public policy. We need a fundamentally new approach.

The Royal Society for Public Health, in its response to the Government’s strategy, says that it

“falls far short of the fundamental reorientation of policy towards public health and away from criminal justice needed to tackle rising drug harm. Decriminalisation of drug possession and use is a critical enabler that would enable drug treatment services to reach as many people as possible as effectively as possible. Instead, the Government still continues to lead with unhelpful rhetoric about ‘tough law enforcement’ that contributes to the marginalisation and stigmatisation of vulnerable drug users”.

If the Government are interested in ensuring that they follow the right approach, surely they should be listening very carefully to those experts in public health.

The British Medical Journal editorial from November last year makes an incredibly important point, saying that

“the effectiveness of prohibition laws, colloquially known as the ‘war on drugs’, must be judged on outcomes”—

what is actually achieved. It continues:

“And too often the war on drugs plays out as a war on the millions of people who use drugs, and disproportionately”—

this is a really important point—

“on people who are poor or from ethnic minorities and on women.”

If the effect of the Government’s policy is as it says in the British Medical Journal, then surely the Government need to think again. The editorial also says:

“All wars cause human rights violations, and the war on drugs is no different. Criminally controlled drug supply markets lead to appalling violence—causing an estimated 65 000-80 000 deaths in Mexico in the past decade”.

That is an extraordinary death toll that surely we should not ignore.

I want to focus on the number of people who die through drug misuse. We heard earlier that a third of such deaths in Europe are in the UK. Ten families are bereaved every single day as a result of drug use. That could be a loved one of any of us in this Chamber. If we think that official Government policy is perhaps contributing to that—and I argue that it is—we need to think again. In 2015, the number of deaths was up by more than 10%. The previous year it had risen by more than 14%, and the year before that by nearly 20%. That is a shocking failure of official policy. Deaths from heroin doubled between 2012 and 2015.

[Mr Paul J. Sweeney (Glasgow North East) (Lab/Co-op)]

One interesting way of reducing harm from intravenous drug use—particularly heroin, which the right hon. Gentleman just mentioned—is the use of safe and hygienic facilities for intravenous drug users in a non-stigmatic environment. Glasgow is piloting that solution in the city, and perhaps it is worth noting as an option that we should look at and consider the results of with interest.

[Norman Lamb]

I totally agree with the hon. Gentleman, and I was going to mention that solution in a moment. Let me quote Anne-Marie Cockburn—she has been mentioned in the debate—from the Anyone’s Child project:

“I invite the Prime Minister to come and stand by my daughter’s grave, and tell me her approach to drugs is working.”

That is a parent who lost their daughter as a result of the current approach to drug policy.

The claim in the strategy that the increase in the number of deaths relates to a problem of ageing drug users simply will not wash. The same demographic is replicated across Europe, including in Portugal, but the increase in deaths is not, and we have to ask why. The number of deaths per 100,000 of population in the UK is 10 times that in Portugal. I appreciated the Minister’s statement that she would listen carefully to what I said, and I hold her in high regard as well, but when our death rate is 10 times that of Portugal, which has chosen, incidentally, an approach that commands cross-party support in the country, from left to right, surely she should stop and listen. Surely she should investigate further Portugal’s approach, which has resulted in such a reduction in the number of deaths from drug use.

In 2015, 1,573 people died of a heroin overdose in this country. That is shameful. In the past, those people might have been dismissed as victims of their own stupidity, but we can no longer accept such thinking. These are people. They are citizens of our country, and they are losing their lives. They would not have died if they had had access to the treatment rooms that the hon. Member for Glasgow North East (Mr Sweeney) referred to. So why are the UK Government resistant, as I understand they are, to the project proposed in Glasgow, which has the potential to save lives? Surely that should be part of the strategy, but it does not even mention drug use rooms of that sort. Why on earth not, given that all the evidence points towards significant reductions in the number of deaths? No one dies of an overdose when they take their drugs in such safe rooms. Why are we not moving towards that? It is a disgrace, frankly, that we are not.

[John Mann]

Is not the right hon. Gentleman overstating his case? I have visited quite a number of safe rooms across the world and studied the academic research into them. Is it not an overstatement to suggest that nobody dies there? The question of safe injecting is one of the aspects of death, but, as all the Dutch surveys demonstrate, the fundamental determinant of how long someone with an opiate addiction will live is whether they come off heroin and stop injecting.

[Norman Lamb]

I thank the hon. Gentleman for his intervention. The briefing from Transform states:

“No one has died from an overdose, anywhere in the world, ever, in a supervised drug consumption room”.

If Transform has made a mistake, I apologise.

[Caroline Lucas (Brighton, Pavilion) (Green)]

I am grateful to the right hon. Gentleman for giving way, because he is making such a powerful case about the importance of evidence-based policy. Is it not the case that drug consumption rooms allow us to reach people who would otherwise be very hard to reach and, over time, build up trust and bring them into recovery? The purpose of drug consumption rooms is not simply to go on handing out drugs to people, day after day. It is to reach those hard-to-reach people and bring them into recovery, over time.

[Norman Lamb]

I totally agree, and I applaud the hon. Lady for the work she has done in arguing the case for reform. Trials of this type of approach have shown huge reductions in acquisitive crime resulting from illegal drug use and in the small-time dealing indulged in to pay for the habit, but the Government withdrew the funding for these trials in April 2016. How short-sighted! The strategy stresses the importance of listening to the Advisory Council on the Misuse of Drugs, but it recommends the use of rooms where drugs can be taken safely, heroin prescribing and, in effect, the decriminalisation of the use of drugs, and the Government are doing none of those things. If the Government say they should listen to the council, they should please listen to what it is arguing for.

It seems to me there is a dishonesty to this debate. In the foreword to the strategy, the Home Secretary says:

“By working together, we can achieve a society that works for everyone and in which every individual is supported to live a life free from drugs”.

Incidentally, does that mean “free from drugs” other than the most dangerous drug, alcohol, which we of course allow to be sold and take the tax from? The objective or ambition of a world free from drugs is unachievable, as other hon. Members have pointed out, so let us just get rid of this fantasy at the heart of the so-called war on drugs, which has been a stupid and catastrophic failure. Such an international policy approach has had extra- ordinary consequences. It has massively enriched organised crime, to the tune of billions of pounds every year. It has also criminalised young people in particular, and it has had a disproportionate impact on ethnic minorities.

Illegal drug use is actually lower among black and minority ethnic groups than in the white population in this country, but black people are six times more likely to be stopped and searched for drugs than white people. Our son, who is in the music business, was driving in London in the middle of the night, on his way back from a recording at the BBC, when he was stopped in his car. He happened to have a black artist with him, who said, “This is just a fact of life in London for us. This is what happens to us.” They were all pinned up against a wall as they were searched for illegal drugs. There were no illegal drugs in the car, but this is too often what black people in our inner cities have to cope with week in, week out, and it is not acceptable. Black people in London are five times more likely to be charged for the possession of cannabis than white people. This is extraordinary discrimination.

We criminalise people with mental health problems. We know that there is massive comorbidity: if people are suffering from mental ill health—depression, anxiety or obsessive compulsive disorder—they may well end up taking drugs as an escape from the pain that they are suffering, and then we prosecute them and give them a criminal record. How cruel and stupid! There is hypocrisy in that the former Prime Minister famously took cannabis when he was at Eton and many members of this Government have probably taken drugs in their time, yet they are happy to see the careers of other citizens blighted by criminal convictions for what they did in their younger years. Surely that is intolerable.

The strategy addresses the issue of decriminalisation and refers to the evidence of harm, yet we know that the most dangerous drug for causing harm is alcohol, as I have already said, to which the Government take a completely different approach. They still use the language of having a tough approach to enforcement, yet the Home Office’s own report from a couple of years ago showed that there is no link between the toughness of a regime and the level of drug use in society. The illegal market also causes extreme violence in our communities. To control the market in a particular community, all people can do is resort to extreme violence to protect it; they cannot have resort to the courts, as other capitalists do. It has always been disadvantaged communities that suffer the most.

I recommend to anyone here who is interested in this subject the book by Johann Hari, “Chasing the Scream”, which refers to the extraordinary spikes in violence—particularly in America, where there is ever a legal clampdown on the suppliers of drugs to communities—when new suppliers come into a community and seek to gain control of the market. The only way they do that is by using extreme violence.

As I have said, in Portugal, after initial resistance, there is political unity across the spectrum. In the United States, more and more states are moving towards regulated markets for cannabis. In Canada, a Liberal Government are legislating to introduce a legal regulated market. In the UK, I commissioned an expert panel that included a serving chief constable, Michael Barton from Durham. Its recommendation was that in the interests of public health—not despite public health, which is an important point for the Minister—we should move towards a regulated market where we control potency, who grows it and who sells it. That protects those at risk of psychosis and memory impairment because potency is controlled. If people buy from a criminal, they have no idea what they are buying. The criminal has no interest in people’s welfare; they simply want to make a fast buck from them. If people buy from a regulated seller, there is a chance to avoid the sort of harm that we see so often at the moment.

I make this plea: do not claim that the case for change is irresponsible, but bring about change because it will save lives, it will reduce HIV and hepatitis C infection, it will protect people better, it will end the ludicrous enriching of criminals, it will cut violence in our poorest communities, it will end the self-defeating criminalisation of people who have done exactly the same thing as successful people in government, in business and in all sorts of walks of life, and it will raise vital tax revenues. Follow the evidence. Do not perpetuate the stigma and the fear. End this catastrophic approach to drugs policy.

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[Sarah Newton]

We have a broad range of strategies, and I will come on to talk about harm reduction, because, clearly, it has a role to play. The ultimate goal is to enable people to have a drug-free life in which they have a job and are playing a full part in society, but there is a role for harm reduction.

[Norman Lamb]

rose—

[Sarah Newton]

I am sorry, but I have very little time. If I can make some progress, I will give way.

Many Members talked about how concerned they were that the police and the criminal justice system were criminalising a whole generation of young people. I can absolutely assure Members that, having spent a lot of time with police officers, that is simply not the case. The police are very, very sensitive to the need not to do that. We have a wide range of options available to police officers and the courts, so that young people in the criminal justice system can be referred straight to health solutions, diversion services and treatment. It is only as a last resort, often with persistent offending, that the criminal justice solution is sought.

The hon. Member for Linlithgow and East Falkirk (Martyn Day) talked about the need for class A drugs, such as heroin, to be used in treatment and recovery programmes. I can assure him that that is absolutely what happens. That was the recommendation that ACMD made and the drugs are available. However, that is quite different from just making a space available for people to take drugs. Having heard the evidence of the hon. Member for Bassetlaw (John Mann), it is really important that if people are to be taking heroin it must be part of a treatment programme with recovery as the end point. I have been to the facilities and seen for myself how people are given clean needles and support and advice, but it is medically led by a doctor. That was a point that the right hon. Member for North Norfolk (Norman Lamb) made, and it was reflected in the advice that we took from the ACMD.

My hon. Friend the Member for Congleton (Fiona Bruce) talked powerfully about the issue being a matter of social justice, and she is absolutely right. The strategy addresses the problems that she articulated so well of children living in homes with parents who have substance abuse problems, whether we are talking about alcohol or drugs. It is important that we take a joined-up approach to make sure that those families are really supported. She also mentioned the important issue of cheap alcohol and white cider. I very much supported the action that the Treasury is taking in consulting on increasing taxation; that consultation is under way, and I am sure that we will hear the results in due course.

My hon. Friend the Member for Louth and Horncastle (Victoria Atkins) spoke powerfully, drawing on her experience of the serious organised criminals who bring the most harmful drugs into our country. She is absolutely right to highlight the human trafficking and appalling abuse of children that happens in bringing the drugs into our country. The same gangs exploit vulnerable people in our country in order to traffic these drugs around the country. She is right to draw on her experience, and on the view shared by many in the criminal justice system that we need to work globally, through the United Nations and our partners, and share data to prevent these drugs from arriving on our shores.

The hon. Member for Manchester, Withington (Jeff Smith) spoke about the difficulties of families. I really hope that Martha’s mum, who is here, sees how seriously we take the loss of any child. As a mother of three children, I just cannot imagine the horror of getting that phone call to say that I had lost one of my children. I want to reassure her; I hope that she sees, from the nature of this debate, how seriously the Government and everyone in the House take the issue. We want to work against the stigma that families face, so that they can speak out and get the help that they need. I hope that she is somewhat reassured by the strategy’s emphasis on the good advice and information that should be readily available to young people, so that they understand the risks of all drugs, including alcohol, tobacco, and other substances that they might be tempted to take. A lot of progress has been made in the four years since Martha’s tragic death.

The hon. Member for Wrexham (Ian C. Lucas) made a point that he also raised at Home Office questions last week. Winging its way to him is a detailed written response to that question. I recognise the picture that he describes in his community. It is something that I faced in Truro last year. What I saw there is that, as he has discovered, not everybody—not all police officers or people in local authorities—has all the information about the powers that they have to work as a team to tackle these issues. In my letter to him, I describe what I think he can do, and the advocacy and agency that he can bring to bear in getting all the partners together in Wrexham to work on the issue.

I can reassure the hon. Gentleman on the funding for the testing that police officers need to do of substances that they find on people in order to get convictions. That testing regime is well supported by and funded by the Home Office, but as I say, I will write to him in a lot more detail.

The hon. Member for Newport West (Paul Flynn) spoke passionately about the work of Elizabeth Brice and her campaign for the medicinal use of cannabis. I want to assure him and all Members in the House that there is access to medicinal cannabis. It can be used for a wide range of ailments and can be very beneficial. Sativex, for example, is licensed for use. It has been raised with me before that our regime for enabling pharmaceutical companies or medical researchers to use licensed drugs is letting people down, so I have asked the Department of Health and the ACMD to look at this. We have not seen any evidence that the current regime is a barrier to people using banned drugs in medical research, but if the hon. Gentleman has that evidence and wants to send it to me, of course we will review that.

The term “war on drugs” was used repeatedly in the debate, most passionately by the right hon. Member for North Norfolk, who spoke with customary eloquence, but also by the hon. Member for Inverclyde (Ronnie Cowan). I just want to say that I have never used that term, and it appears nowhere in the strategy. It is simply not the Government’s policy to have a “war on drugs,” so I hope that we can sort that out once and for all. We have a far-reaching, cross-Government policy focused on the health harms of drugs, the underlying social reasons why people take drugs, and trying to prevent them, right through to the criminal justice system. We are taking a balanced, full-Government, integrated approach. I can assure hon. Members that we always look at evidence from around the world, so the evidence from Portugal has been considered.

The hon. Member for Bassetlaw quite rightly said that if we are absolutely serious about reducing the number of deaths from heroin, especially among those who have been taking it for some time—and we certainly are; no Minister wants the number of deaths to increase on their watch—we must have an evidence-based approach. I honestly think that the strategy will tackle that. We do recognise that naloxone can play a vital role in saving lives, as he said, and that there is a good evidence base for that. The strategy that was published commits us to the wider use of that in saving lives.

The hon. Member for Bassetlaw also described the excellent work that was done in Bassetlaw up until 2013. That is just the sort of local response that we want to see, with all the agencies working together. The drug champion will of course have a vital role, travelling across the country, finding best practice and sharing it with those communities that perhaps do not have as good an understanding of how to tackle the issue. The strategy board, which will be chaired by the Home Secretary, will include representation from NHS England, Public Health England and the police—a whole range of expertise. They will work together to develop measurable outcome frameworks, which of course we will share over time as they are developed, and we can hold each other to account for their delivery.

The hon. Member for Bristol West (Thangam Debbonaire) claimed that the Government are ignoring the recommendations of the Advisory Council on the Misuse of Drugs with regard to deaths from heroin. That is simply not the case. We have taken all of its recommendations into consideration in forming the strategy. We have a good, constructive, ongoing relationship —I meet the chairman regularly. I am sure that the work of the board, led by the Home Secretary, will be informed by the ACMD’s really excellent work.

The Home Office and Public Health England jointly set up some heroin and crack cocaine action areas. The piloting we did in Middlesbrough gave some good ideas about how to move in the right direction, and that is referenced in the strategy. Despite the claims made by some colleagues on the Opposition Benches, there has been a lot of innovation in recent years, and we very much want to build on that. We need only look at the excellent clinical advice that has been developed by Public Health England to help clinicians have a much more nuanced and effective approach to understanding the different types of people who suffer from drug misuse and the different types of drugs they use, and therefore to have a more tailored approach to helping them on the road to recovery.

[Norman Lamb]

I am grateful to the Minister, who has responded to all the challenges in a tolerant and civilised way. The hon. Member for Reigate (Crispin Blunt) proposed that we have a royal commission in order to take the heat and the politics out of this matter and look dispassionately at all the arguments. Will the Minister at least consider that?

[Sarah Newton]

I just do not agree that politics is driving the issue. Our approach is totally evidence-based. If we were worried and felt unable to talk about the problem, as some have characterised us this afternoon, the Government would not have given a whole afternoon of debate to it. I accept the sincerely held views of hon. Members who do not agree with the Government, but that does not mean that our policy is not based on evidence. We are happy to debate the issue; there will be other opportunities and I will welcome those.

The pivotal role of Parliament is to scrutinise the work of the Executive and take on some of the difficult issues in our society. I am proud of our work together in the last Parliament on destigmatising mental health issues. A lot of people in this place were prepared to talk about those issues from personal experience and also with a huge amount of evidence. It is fair to say that there has been a huge culture change in our country. By talking about drug addiction and substance abuse problems, as we have today, we will contribute to a destigmatisation. As a result, more people will come forward. Families will be saved appalling loss and communities will be saved the blight of the criminal activity that goes along with this issue.