Glasgow Safer Drug Consumption Facility

We now come to the Select Committee statement on behalf of the Scottish Affairs Committee. Patricia Ferguson will speak for up to 10 minutes, during which no interventions may be taken. At the conclusion of her statement, I will call Members to ask questions on the subject of the statement. These should be brief questions, not full speeches. I emphasise that questions should be directed to the Select Committee Chair, not to the relevant Government Minister. Front Benchers may take part in questioning.

I am very grateful to the Backbench Business Committee for affording me the opportunity to make a statement on the publication of the Scottish Affairs Committee’s third report of this Session, on the pilot safer drug consumption facility in Glasgow’s east end. Despite a reduction in deaths this year, Scotland continues to face the highest rate of drug-related deaths in Europe. Without a doubt, that is the most pressing public health issue facing Scotland, and it is in that context that the Committee agreed to undertake a thorough examination of the pilot facility on Hunter Street, called the Thistle.

The Committee’s inquiry follows up on excellent work conducted by our predecessor Committee on problem drug use in Scotland, and I take this opportunity to express our thanks to everyone who contributed to this inquiry, in particular Dr Saket Priyadarshi and the team at the Thistle for their continued engagement with our work. This is a challenging issue, and I express my gratitude to the members of the Scottish Affairs Committee for their thoughtful and collaborative work on this report.

In 2024, some 1,017 people died from drug-related causes—a figure expected to rise in 2025—with the highest concentration of deaths occurring in the Glasgow city area. The problem is not new. High levels of drug deaths have been a concern in the city for over a decade, and other harms, such as the transmission of blood-borne viruses, remain prevalent. Between 2014 and 2020, an outbreak of HIV among people who inject drugs saw 188 new diagnoses reported in the Greater Glasgow area. To address those harms, Glasgow city health and social care partnership, NHS Greater Glasgow and Clyde and other partners launched the Thistle, the UK’s first sanctioned safer drug consumption facility.

The Thistle was opened as a three-year pilot. At the Thistle, visitors can self-administer drugs in safe, hygienic conditions under medical supervision. Staff can reverse overdoses, treat wounds and provide hygienic injecting equipment. Of equal importance to the immediate medical harm reduction is the space the facility provides for expert clinicians to build trusting relationships with people whom it would otherwise be hard for support services to reach. Those relationships can be a pathway to engagement with other health and social services, such as drug treatment, counselling and housing services, which can help address the drivers of problem drug use.

When we visited the facility shortly after it opened, we were particularly impressed by the expertise and dedication of the staff we met. The opening of the Thistle marks a radical change in approach to drug use in the UK, but internationally, safer drug consumption facilities are not uncommon; similar facilities already operate in 60 cities across the world. None of those facilities have ever reported an overdose death on the premises.

As part of our inquiry, we visited Norway and Lisbon. We saw how safer drug consumption facilities have been a core part of Portugal’s strategy to reduce drug harms. We looked carefully at what Portugal has done, given that it has achieved a radical reduction in drug harms; it has achieved an 80% reduction in the number of drug-related deaths over the past 20 years. We also travelled to Oslo and Bergen, where we saw how facilities can be successfully integrated into local communities. Above all else, our report calls on the UK Government to adopt an evidence-based approach, and not to make up their mind about the Thistle before the trial has concluded. To that end, our report also argues that experts in the evidence, rather than those with preconceived ideas, should determine the facility’s future.

For Members who are new to this, Back Benchers may ask questions for 10 minutes following Select Committee statements.

I thank our Select Committee Chair for the statement—I have a brief question. I am sure that she expects me to say this, but I just want to say for the record that although I supported the report as a whole, there are a couple of recommendations that I could not support. The first is the recommendation on the inclusion of an inhalation room, and the second is on the provision of tourniquets. I cannot ever support the facilitation of addiction as a way of helping to treat addictions—I just do not see that as an option. Why, before we know the results of the pilot, does the report conclude that it should be extended?

I hope the hon. Lady does not mind if I call her my hon. Friend. I thank her for her question. I think it fair to say that the issues we looked at challenged us all. Many of us were considering issues that we had never reflected upon before, so it was a challenge, and I perfectly understand that we will have disagreements about how to go forward. The thing about inhalation that was highlighted to us is that for many people, inhalation is safer than injecting, which has all sorts of risks attached—infected wounds and blood-borne viruses, for example. Inhalation does not have those problems, and is becoming increasingly popular as a method of using drugs, so it seemed to the Committee that we could encourage its consideration. We are not suggesting that there should be further injection spaces at this time—we think it is important to see what the evaluation says, and that any decisions should be based on that particular finding—but we are aware that other places in Scotland are looking at the Thistle with interest, and may well make those applications, although that is not the gist of the report.

Scotland has the worst drugs death figures of any nation in Europe, and they have increased again, with 607 suspected drug deaths in the first half of this year. Six years ago, the SNP Scottish Government declared a “drug death emergency”—just another example of soundbite announcements with no actual delivery. They have had two decades to tackle this issue, but the truth is that they have failed. None of them is here tonight. Does my hon. Friend agree that the independent evaluation panel will determine the Thistle’s efficacy and, ultimately, its future beyond the three-year pilot, and that that gold-standard service is not an either/or but must work in tandem with a range of other recovery services?

I hope that my hon. Friend will forgive me, as the impartial Chair of the Committee, for not criticising or commenting on the failings or otherwise of the SNP, whose Members are not, as he points out, here this evening. He is absolutely right that this is not an either/or. It is important that the provision is part of a range of options offered. If any of those options can help to reduce the drug death numbers in Scotland, they must be considered seriously, and that is what we suggest.

I thank the Select Committee Chair very much for the report’s conclusions, particularly the call on the Government to consider a secure legal footing for safer drug consumption facilities. From the discussions that have been had, does she have any sense of the chances of a lesser legal mechanism from the Attorney General to give comfort in relation to the risk of prosecution for people using and running such facilities in England and Wales?

To be perfectly frank, I cannot answer the hon. Member’s question because we did not take evidence on the situation elsewhere in the UK and were particularly focused on Scotland, as one would expect of the Scottish Affairs Committee. It may be that the prosecutorial discretion that the Lord Advocate has offered is something that others wish to look to, but whether or not the law in England and Wales would allow that is not for me to say because I genuinely do not know.

The facility is located in my constituency. The report stresses the importance of engagement with the local community. Drug litter and public injecting very close to the facility are a cause of real concern for my constituents, whose worries are not being properly addressed. There are now suggestions that the facility could open for 24 hours a day—a cause of real worry for my constituents. The community must be properly consulted about material changes to the facility. Does my hon. Friend agree that a robust strategy is essential not only for communicating with but for listening to and addressing the concerns of my constituents?

My hon. Friend is absolutely right to say that public confidence in the facility is paramount if it is to have a future—and even for the duration of the three-year pilot. Committee members who attended the forum were very struck by the fact that although forum members from the community and local businesses were raising questions with the operators of the Thistle and those involved most closely with it, there was no mechanism for a response to be given between meetings. We suggested that the communications strategy needed to be much more responsive so that if a problem is raised, or a good comment made, the Thistle can respond to it rather than wait until the next meeting. That would give the public a lot more confidence and reassurance that their concerns were being addressed.

I thank the Committee Chair for bringing this statement forward. I share the concerns in the questions asked earlier about the recommendations; I would be concerned about the addiction aspect as well. But I recognise that some of the problems in Belfast city, for instance, are the same as those at the Thistle pilot scheme in Glasgow, which the hon. Lady outlined. Ever mindful of my own opinion, I think it would be worth while sharing the information from that pilot scheme with those in Belfast, who may have a similar outlook and point of view.

I thank the hon. Gentleman for his question. Many reports have been done on international facilities, which he might want to bring to the attention of his colleagues in Belfast. He is absolutely right that it is not just Glasgow or Scotland that have these problems, although Scotland seems to be suffering particularly badly. There are other models. In Lisbon, we saw a mobile model that accompanied the fixed facility. That seemed to be popular; a queue of people was waiting to use it when we were there—a small queue, but a queue. There are other ways of addressing the issue, and he may wish to consider those.

As a member of the Scottish Affairs Committee, I thank my hon. Friend for securing time for this statement. The report makes it clear that drug consumption rooms are just one of the tools that can be used to reduce drug-related harms and that one intervention must not come at the cost of another. Scotland sustains the highest number of drug-related deaths in Europe. Does my hon. Friend agree that a lack of recovery beds and facilities undermines a holistic, joined-up approach that those living with addiction deserve?

I thank my hon. Friend for that question. She is absolutely right: it cannot be one thing or another. A holistic attitude must be taken towards eradicating drug misuse. Given Scotland’s particular situation, we have to be open to considering any and all options. But recovery facilities are certainly vital.