Prevention of Drug Deaths

I beg to move,

That this House has considered the prevention of drug deaths.

I thank all Members for being here at this well-subscribed debate. With that in mind, I will try to work to a certain timescale to ensure that everyone gets in, as I understand that there are nine speakers. Preventing drug-related deaths is an issue that touches communities across all four nations of this United Kingdom.

It is a pleasure to see the Under-Secretary of State for Health and Social Care, the hon. Member for West Lancashire (Ashley Dalton) in her place, and I look forward to her response. I said to her beforehand that there is another debate in the main Chamber, but even I cannot be in two places at the one time; it is impossible. This is the priority, and that is why I am here.

Over the last decade, drug deaths have increased by 85% in England and Wales, 122% in Scotland and 42% in Northern Ireland. It is an unacceptable situation by any measure. Northern Ireland has the second highest drug-related death rate in the UK, nearly five times the European average. Each one of those deaths represents a profound tragedy. The tragedy is not just the person who dies; it is also the families who are affected.

I stress that each and every one of those deaths is preventable, and the situation demands urgent action. Recent data from the Northern Ireland Statistics and Research Agency paints a deeply concerning picture. Drug-related deaths in Northern Ireland have risen again, albeit after a slight decrease in previous years. Behind the numbers are human beings—fathers, sons, mothers, sisters, daughters. Those are the people affected. Most alarmingly, young adults aged between 25 and 34 are dying at the highest rate. Even more stark is the fact that people in our most deprived communities are five and a half times more likely to die from drug-related causes than those in our least deprived areas.

My constituency of Strangford has not been immune to this crisis, but we have managed to stay resilient in the face of it by maintaining lower drug-related death rates compared with any other area in Northern Ireland. That is no accident; it reflects the dedication and compassion of local drug treatment service providers who, despite limited resources, tirelessly support our most vulnerable citizens. I put on the record my sincere thanks to them for their perseverance and expertise. Without their dedicated efforts, countless more lives would have been lost.

Frontline drug treatment providers in Strangford speak passionately about the daily challenges they face, and there are three key areas I wish to highlight as priorities for action. First, drug treatment service workers in Strangford stress the urgent need to integrate mental health support with drug treatment services. Drug misuse often masks deeper issues of trauma, anxiety or depression. In Northern Ireland, with our 30-year conflict, history has left a lasting impact on the current generation.

The problem is pervasive across the United Kingdom, however. Research indicates that 70% of people in community drug treatment have reoccurring and co-occurring mental health needs. An investigation into coroners’ records of people who died from drug poisoning found that a mental health condition was noted in at least two thirds of those cases, yet only 14% of the individuals were in contact with mental health services. A quarter had a history of suicide attempts, rising to 50% among those whose deaths were classified as suicide. Mental health is the No. 1 issue when it comes to drug deaths across this great United Kingdom.

The healthcare system and local authorities share a clear responsibility to provide comprehensive support. Far too many who suffer from both mental health issues and substance misuse are excluded from vital services. It is deeply concerning that mental health services often turn away individuals because of their substance use— I put it on the record that I think that is wrong—while drug and alcohol treatment services cannot accommodate those who are deemed to have mental health conditions that are considered too severe.

The cycle of exclusion disproportionately impacts people with serious mental illnesses, leaving some of the most vulnerable trapped between providers and unable to access the care they desperately need. The hon. Member for Liverpool Walton (Dan Carden) made a similar point three years ago in a Westminster Hall debate that I attended. I am pleased to see the Minister in her place, and I understand it is her third Westminster Hall debate as responding Minister. What progress has been made since that debate was held three years ago?

The other critical barrier is stigma. Stigma surrounding drug use isolates people, silences their cries for help and deters them from engaging with essential services and reintegrating into society. That compounds mental health struggles and prolongs their suffering. Let us not stigmatise drug users; let us help them—that is my big request. It is crucial that we challenge harmful attitudes in our communities, in our health services and, indeed, in the Houses of Parliament, among hon. Members and the Government, who have a responsibility. Addressing stigma means recognising that addiction is a health issue and not, as some people might think, a moral failing. I am not being disrespectful to anyone, but that is how I look at it and I hope that others will too.

I am grateful to the hon. Member for securing the debate. The last Government published a paper on this subject, “From harm to hope”, but it fell short of the vision set out by Dame Carol Black for how we get on top of the significant harm that people experience. Does he agree that alongside a public health approach to substance misuse, we need harm reduction units so that people who are drug users can access the care and support that they need to make their first contact with professional services?

I suspect that the hon. Lady and I agree on many things, and on this point we are also on the same page. I will come to Carol Black’s report and some of its recommendations. The hon. Lady has pre-empted me, but I thank her for setting the scene.

A 2022 YouGov poll found that two thirds of Britons believe that Government do too little to address addiction in our society. I respectfully believe that the Minister and the Government have an obligation to do something about this, because 66% of the nation want something to happen. Perhaps more tellingly, 49% of Britons—almost half—see addiction as a mental health issue that calls for compassionate, health-centred responses. That is very clear. In contrast, only 19% think that addiction should be treated as a criminal matter. That is something to think about. Without addressing the stigma underlying mental health conditions, we cannot hope to tackle drug dependency and its harms effectively. We must end harmful practices; we must ensure that integrated support is available to everyone who requires it; and we must ensure that our mental health care and drug treatment service systems are properly equipped and working with a joined-up approach.

That brings me to my second point, which will be quick, because I am conscious of time. Current practice is ineffective. It prevents services from planning ahead, denies them the security necessary to retain their staff and undermines the long-term progress of their clients. I am not being disrespectful to anyone—that is never my way of doing things—but before this Government came into power, the previous Government took an approach that involved short-term stop-gap budgets. We need something long term, with the continuity necessary to recruit and plan strategically. That is what we should focus on.

An National Audit Office report notes that short-term funding causes

“delays in commissioning services and recruiting new staff”,

Order. There is a lot of interest in this debate. I will not set a firm limit on speeches, but I suggest that an indicative three minutes should get most people in, but probably not all. I remind Members that if they want to speak, they have to indicate that they wish to do so.

It is a pleasure to serve under your chairmanship, Dr Murrison. I congratulate my good and honourable friend, the hon. Member for Strangford (Jim Shannon), on securing this really important debate. Not for the first time, I find myself agreeing with what he said.

Drug deaths are at a record high. They are mainly from opioids, but deaths from cocaine have risen by almost a third. As the hon. Gentleman said, synthetic opioids such as Fentanyl and the nitazenes present an increasing and alarming threat, which has not been properly quantified. We have seen the growth in the number of deaths across the Atlantic, and I suspect the problem is much bigger here than we think.

There is no doubt that this is a public health crisis. Sadly, the north-east of England has the highest rate of drug deaths in England—three times higher than London. In the latest stats, released in October 2024, the north-east recorded 174 deaths per million, compared with an England average of 90. Too often, in the communities I represent, I have seen people turn to drugs because of deprivation and despair. Once addiction takes hold, it often leads to crime. It is no coincidence that drug deaths are highest in the areas of greatest deprivation. The data is clear: communities struggling with poverty and inequality are those hit hardest by addiction.

This is not a new problem—certainly, it is complex—but it is being exacerbated by disinvestment in harm reduction and drug treatment programmes. If we are serious about tackling this problem, we need to do something different. To some, a tougher crackdown may seem the obvious response, but we have more than 50 years of evidence showing that punitive drug policies do not work. The war on drugs has failed, not just in the UK but globally. We cannot simply arrest our way out of this crisis. That is why today I want to offer a different perspective, which moves beyond outdated, one-size-fits-all approaches.

Short speeches mean that more colleagues get in.

It is a pleasure to serve under your chairmanship, Dr Murrison. I am grateful for the opportunity to address the important issue that the hon. Member for Strangford (Jim Shannon) has brought before us today. The UK’s outdated drug laws, intended to protect citizens, have deepened harm and opened the door to criminal gangs. That has led to a state in which in 2023 there were nearly 7,000 deaths from illegal drug use—a tragic failure to shield vulnerable people from the dangerous reach of the illegal market.

The so-called war on drugs, championed by successive Governments, has not halted the supply of harmful substances. It has neither reduced addiction nor prevented disastrous impacts on families and communities. The emphasis on enforcement has allowed underground networks to thrive, and ultimately neglected the fundamental public health challenges at hand.

We have clear evidence that we need to switch to a new approach, under which compassion and an understanding of addiction as a medical issue guide decision making. I have seen at first hand the impact that that switch can make, having recently visited the safe consumption facility in Scotland and two that are well established in Norway. That allowed me to see how such facilities not only save lives but help communities. They allow addicts to access services and get the care and support that they need. By offering a clean and monitored environment for those who are dependent on drugs, those centres have reduced open-air drug use in surrounding areas, helped more people to step on to the pathway to treatment and support, and saved the lives of users.

So, it is with the lives of users and our communities in mind that I urge the Government to focus attention on three vital reforms. First, transfer the policy lead from the Home Office to the Department of Health and Social Care, ensuring that addiction is tackled as a health condition and not merely as a criminal matter. Secondly, invest in robust, evidence-based addiction services that make help readily available and eliminate waiting times. Thirdly, replace criminal penalties for simple possession with civil penalties where appropriate, empowering treatment options over punishment.

It is a pleasure, Dr Murrison, to serve under your chairship. I thank and congratulate the hon. Member for Strangford (Jim Shannon) for securing this vital Westminster Hall debate.

With your leave, Dr Murrison, I will begin by paying tribute to Christina McKelvie, MSP and Scottish Government Minister, who sadly died earlier today. Christina was taking leave for cancer treatment. She was the Scottish Government Minister for Drugs and Alcohol Policy in the Scottish Parliament. Our thoughts are with her partner, Keith Brown MSP, and her family.

In my West Dunbartonshire constituency, drug-related deaths increased this year. Figures released in August 2024 from National Records of Scotland showed that in Scotland 1,172 people died due to drug misuse, which was an increase of 121 deaths on the previous period. In the West Dunbartonshire local authority area, which is a very small one, the rise was from 20 to 26, comprising the deaths of nine females and 17 males. Opioids, including heroin, morphine and methadone, were implicated in 80% of those deaths. I pay tribute to Alternatives, a West Dunbartonshire community drug service. Its staff and volunteers do incredible work to tackle drug addiction, offering support across my constituency, as does the West Dunbartonshire Drug and Alcohol Partnership. Of course, as the hon. Member for Strangford said in his opening remarks, there are a person, a family and a story behind every statistic, and it is very important to remember that.

People in the most deprived areas of Scotland are more than 15 times as likely to die from drug misuse as people in less deprived areas, and I suspect that the same is true for Northern Ireland and the rest of the United Kingdom. The Scottish Government and the UK Government need to do more.

The “Evaluation of the National Mission on Drug Deaths” report, which was released last month, found that only one in three alcohol and drug partnership co-ordinators believed that Scottish Government leadership was effective. The report makes it clear that those who understand the drug deaths crisis best do not have faith in the SNP Scottish Government’s leadership. So, the SNP must listen to frontline workers and work with them to deliver the funding that this essential mission needs, properly fund local government, and reverse the cuts to our local health and social care partnerships, which fund and support the frontline organisations across West Dunbartonshire, such as Alternatives, and across our country.

It is a pleasure to serve under your chairmanship, Dr Murrison. I thank the hon. Member for Strangford (Jim Shannon) for securing this debate.

This issue is of great concern to me and my constituents in Brighton Pavilion. Between July 2023 and June 2024, more than 160 people attended A&E at the Royal Sussex County hospital in Brighton because of drug-related overdoses. There were 46 drug poisoning deaths in my constituency in 2023.

Every drug death is a preventable, devastating tragedy. The organisation Anyone’s Child: Families for Safer Drug Control amplifies the voices of those who have been directly impacted by drug policy failures, and it is now calling for the legal control and regulation of the drug market. For the past 12 years, drug deaths have increased each year in the UK, while the supply and trade have only become more violent, toxic and exploitative, especially for children. We should declare a public health emergency. Policing, stigma and criminal records cannot adequately address this crisis, but compassionate care, stability in housing and employment, and access to treatment can.

Preventive treatment is patchy across the country. Funding is inconsistent, and there have been inappropriate targets and cuts to public health budgets. When a person is defined as a criminal for using drugs, they will be deterred from seeking drug-related services and support. The reality is that people are using and supplying drugs, and instead of keeping them safe, Government policy stigmatises and criminalises them. The Government’s punitive law and order approach is having terrible consequences for marginalised communities that experience violent over-policing—especially black people, who are four times more likely than white people to be stopped and searched, mainly for drugs, despite this being completely disproportionate to drug-use patterns.

Like others, I urge the Minister to outline positive steps to take drugs out of the hands of organised crime and put them into the hands of health professionals through legal regulation. I want the Minister to outline steps towards significant and sustained increases in funding for drug treatment services, and towards removing legal barriers to harm reduction interventions, including drug consumption facilities like the one in Glasgow mentioned by the hon. Member for West Dunbartonshire (Douglas McAllister). I want to see steps towards the evidence-based decriminalisation of drug consumption and a longer-term road map towards legal regulation.

It is a pleasure to serve under your chairship, Dr Murrison. I thank the hon. Member for Strangford (Jim Shannon) for securing a debate on this serious and important topic.

Across England and Wales, there has been a 113% increase in drug-related fatalities in the last decade, and the impact of illegal drugs costs the Government around £20 billion a year. The number of deaths has been rising steadily since 2012, in line with the austerity measures introduced by the previous Government that resulted in a reduction in funding for treatment services. The National Audit Office reports that, between 2014 and 2022, real-terms funding for drug and alcohol treatment in England fell by 40%.

Deprivation leads to more drug deaths, but even in Wolverhampton West, which is not as deprived as some areas in the north-east of England, the number of drug- related deaths has risen sharply since 2021 to reach levels above the national average. What funding will be made available to deal with drug addiction? Public Health England recently found that 50% of those dying from opioid use had not been in contact with any support services in the previous five years.

We need a holistic approach to the problem of drug misuse that invests in our mental health services, reduces levels of deprivation and encourages those who use drugs to engage with services. Reducing the number of drug deaths would be incredibly cost-effective, resulting in a reduction in drug addiction and crime associated with drug usage. Dame Carol Black, who has already been mentioned this afternoon, found that every £1 invested in harm reduction and treatment services produces a £4 return to the health and justice systems.

We must continue to support and fund the amazing work of organisations that focus on the issue of drug abuse. Wolverhampton Voluntary and Community Action provides a service user involvement team in my constituency and throughout Wolverhampton. The SUIT is a peer-led service, led by people with first-hand experience of drug and alcohol abuse. It supports not only addiction recovery, but mental and physical health, wellbeing, homelessness, employment, welfare and housing, and tackling the stigma and discrimination around drug use. We need to invest in and support such organisations.

I thank the hon. Member for Strangford (Jim Shannon) for securing this crucial debate.

The statistics are harrowing, as other Members have said, but how have we got here? A decade-long disinvestment in drug treatment services, approaches more fit for scoring political points than actually solving a problem, a complete disregard for the expert guidance provided by the Advisory Council on the Misuse of Drugs, and an utter lack of expediency. Given those factors, it is little wonder that we have ended up in this position.

My work as the unremunerated chair of the Centre for Evidence Based Drug Policy has shown me that there are practical measures that can make a real difference. Diamorphine-assisted therapy, or DAT, has a robust evidence base for helping people who have not responded to other treatment modalities reduce their illicit drug use.

A DAT clinic in Middlesbrough demonstrated extraordinary outcomes: a 97% attendance rate, an 80% reduction in street heroin use, and a drastic drop in criminal activity—from 541 offences before treatment to just three in the same period following treatment. Those outcomes translated into an estimated £2.1 million saving across the health and criminal justice sectors, in addition to the lives saved.

Tragically, the clinic was closed due to fragmented, unsustainable funding—yet another example of short-term thinking undermining long-term gains. The enhanced drug treatment service in Glasgow, which offers a similar model, has estimated that its services have resulted in a 50% to 70% reduction in health service costs.

We are not alone in calling for these changes. A 2023 report by the Home Affairs Committee made it clear that harm reduction must play a far greater role in UK drugs policy. Its recommendations offer a pragmatic road map, and the Government must act on them if they are serious about reducing drug-related deaths. Most of the interventions require only minor amendments to the Misuse of Drugs Act 1971, which, after more than 50 years, appears increasingly unfit for purpose.