Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will undertake a review of her strategy on alcohol use through a harm reduction approach.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government takes a wide-ranging approach to reducing alcohol related harms. Several aspects of the Department's work to address alcohol related harms already follows a harm reduction approach. These include the UK Chief Medical Officers’ low-risk drinking guidelines, which recommend that people moderate their drinking to 14 units a week, and guidance from England’s Chief Medical Officer for healthcare professionals, on the consumption of alcohol by young people. The National Health Service’s Better Heath campaign aims to motivate people to take steps to improve their health, including in relation to alcohol use, and the NHS Health Check provides an opportunity for general practitioners to offer advice to reduce alcohol use, if appropriate.
In relation to treatment, the Department is committed to promoting access to alcohol services through our drug strategy. The upcoming UK clinical guidelines for alcohol treatment will include a chapter on taking a harm reduction approach within alcohol treatment, which outlines a flexible service approach. The Department, in partnership with the devolved administrations, will publish these guidelines later this year.
Asked by: Siobhain McDonagh (Labour - Mitcham and Morden)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, how many offenders breached the terms of their community order in each of the last five years.
Answered by Edward Argar - Minister of State (Ministry of Justice)
We are investing £155 million in funding each year into the Service and recruited over 4000 new probation officers since reunification of the Probation Service in 2021 to deliver better and more consistent supervision of offenders in the community.
Delivering public protection and cutting crime is not just about custody. There is persuasive evidence that suspended and community sentences are more effective than short custodial sentences in reducing reoffending and promoting rehabilitation. These sentences can include a range of robust requirements to punish the offender, protect the public and deliver rehabilitation. Electronic monitoring of curfews, exclusion zones, attendance at appointments, location monitoring and alcohol bans are all available requirements which the courts can use. To make sure that offenders are visibly and publicly making reparations for their crimes, courts can impose up to 300 hours of unpaid work.
Any breach of these requirements could see them returned to court and face immediate custody.
Please note that where there is a significant risk of harm to an individual or where the offender has breached an order of the court, the courts will retain full discretion to impose a sentence of immediate custody.
Please see attachment for the information requested.
Data sources and quality
The figures in this table have been drawn from the Delius case management system which, as with any large-scale recording system, are subject to possible errors with data entry and processing.
Source: Offender Mangement Statistics Quarterly Bulletin: October to December 2023
Asked by: Stephen Crabb (Conservative - Preseli Pembrokeshire)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, what steps his Department is taking to help reduce the number of drug-related deaths in prisons in Wales.
Answered by Edward Argar - Minister of State (Ministry of Justice)
We have a zero-tolerance approach to drugs in all our prisons.
We have an ambitious 10-year Drug Strategy, which sets out our cross-government plan to address illegal drug use. It is underpinned by a record level of additional investment, as part of which the Ministry of Justice is rolling out a range of interventions, including in prisons in Wales, to get offenders off drugs and into recovery. These include:
Alongside the physical deterrents, prisons in Wales have a drug and alcohol intervention service which aims to address the causes of drug and alcohol-related usage and reduce the risk of harm. This is achieved through various means including opiate replacement treatments, psychosocial groups, and counselling.
Following the most recent deaths, HMPPS in Wales has taken further steps, including:
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what criteria she uses to assess the success of Government policy on (a) alcohol use and (b) alcohol harm.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
We have a range of metrics which we monitor to assess the success of our work to reduce alcohol harm, including the Health Survey for England. The Government takes a wide-ranging approach to addressing alcohol-related harms, including promoting the United Kingdom’s Chief Medical Officer’s low risk drinking guidance. Approximately 80% of adults drink within the guidelines of 14 units of alcohol a week.
Population level alcohol consumption has remained stable over recent years. Among children aged 11 to 15 years old, alcohol consumption has decreased significantly in the last 20 years. However, while we are seeing an increasing number of people drinking at lower levels or abstaining, we have also seen more people drinking at higher-risk levels. As a result, some indicators of harm have increased, and we are committed to addressing these, including through the establishment of alcohol care teams in the 25% acute hospitals in England with the greatest need, through the NHS Long Term Plan.
Community treatment for alcohol dependence is highly effective. In 2020/21, 62% of people in alcohol-only treatment completed treatment free of dependence, the highest completion rate for any substance misuse group. We have committed to making further improvements to the alcohol and drug treatment system through the 10-year Drug Strategy.
Asked by: Baroness Finlay of Llandaff (Crossbench - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of new data from the Office for National Statistics showing that alcohol-specific deaths are now 32.8 per cent higher than in 2019 and at an all-time high; and what steps they plan to take to tackle rising alcohol harm.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government keeps all official health data related to alcohol consumption and alcohol related harms under regular review. The 2021 Public Health England publication, Monitoring alcohol consumption and harm during the COVID-19 pandemic, found that increases in alcohol consumption since the beginning of the pandemic tended to be among people who were already heavy drinkers before this period, which may be a factor in the increase.
The most effective way to prevent alcohol specific deaths, is drinking within the United Kingdom Chief Medical Officers’ low-risk drinking guidelines, namely under 14 units per week. The Government is supporting people who drink above low-risk levels to reduce their alcohol consumption. As part of the NHS Health Check, questions are asked about alcohol consumption, and appropriate advice given to support people to make healthier choices. Those identified to be drinking at higher-risk levels are referred for liver investigation. The Department is also supporting people with alcohol dependency through the Drug Strategy and NHS Long Term Plan, by facilitating more people in need of treatment into local authority commissioned alcohol treatment services.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment has she made of the potential implications for her policies of public health approaches to alcohol from other countries; and whether she has made an assessment of which country provides the best practice model.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department maintains an interest in the effectiveness of policies implemented by other countries, to reduce alcohol harms. The 2016 Public Health England publication, The public health burden of alcohol: evidence review, reviewed effective policies for reducing alcohol harms in countries who are members of the Organisation for Economic Co-operation and Development. Officials in the Department frequently engage with international colleagues, and those in the devolved administrations, to exchange ideas, experience, and evidence when developing new policies.
The Government was involved in the work by the World Health Organization (WHO) to develop an action plan to strengthen the implementation of the Global Strategy to Reduce the Harmful Use of Alcohol. We were pleased that the action plan was adopted at the 75th World Health Assembly in May 2022. The United Kingdom will continue to work with the WHO and member states on alcohol harm reduction.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to help educate children on alcohol harm.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department for Education’s statutory guidance, Relationships education, relationships and sex education and health education, became mandatory in September 2020. Through this, education on drugs, alcohol, and tobacco became compulsory at state-funded primary and secondary schools, teaching children and young people how to manage influences and pressure, and keep themselves healthy and safe.
The Government also has an information and advice service called Talk to FRANK, which aims to reduce the use of substances and their harms, by providing awareness to young people, parents, and concerned others. Further information is available at the following link:
Guidance from England’s Chief Medical Officer for healthcare professionals is clear, that an alcohol-free childhood is the healthiest and best option. The Department promotes these through online platforms such as NHS.UK website, the Talk to FRANK online resource, and the GOV.UK website. Local authorities promote these guidelines as part of their public health duties.
Asked by: Simon Jupp (Conservative - East Devon)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what steps he is taking the help reduce the number of drug offences in (a) East Devon constituency and (b) Devon.
Answered by Chris Philp - Minister of State (Home Office)
Reducing drug-related crime is a key priority of the Government’s 10-year Drugs Strategy. We are making good progress. Since April 2022, we have closed over 2,500 county lines nationally.
Through the County Lines Programme, our exporter force taskforces (Metropolitain Police Service, Merseyside, West Midlands and Greater Manchester Police) work in collaboration with importer forces, including Devon & Cornwall Police, to tackle the drug supply and exploitation associated with County Lines.
Through our County Lines Programme, we also fund the National County Lines Co-ordination Centre (NCLCC), to monitor the intelligence picture and co-ordinate the national law enforcement response. We have also established a dedicated Surge Fund to help forces tackle county lines, from which Devon and Cornwall Police have received investment.
Through the Drugs Strategy, we are also investing £532m into high quality drug treatment which reduces crime and reoffending. There are now 24,500 more people in treatment across England, including Devon.
The Government has asked every area in England to form a Combating Drugs Partnership (CDP) to work together to reduce drug-related harm and crime. East Devon is covered by the Devon CDP. The Police and Crime Commissioner (PCC) for Devon and Cornwall has established a Strategic Peninsular Drugs & Alcohol Partnership which meets 4 times a year and serves as a forum for the 4 CDPs (including Devon CDP) to come together at a Police Force Area level.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will meet charities representing people affected by alcohol harm to inform her Department’s work on health prevention.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department meets regularly with alcohol charity representatives, at a ministerial and official level, and is content to continue to do so, to support and inform our work in tackling alcohol related health harms.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether her Department has made a recent assessment of the potential merits of developing a cross-departmental strategy to tackle alcohol harm.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government takes a wide-ranging approach to addressing alcohol-related harms, including through taking forward the commitments set out in Advancing our health: prevention in the 2020s, to increase the availability of no- and low-alcohol alternatives, establish alcohol care teams in the 25% of acute hospitals in England with the greatest need as part of the NHS Long Term Plan, and improve the alcohol and drug treatment system through the 10-year Drug Strategy.