Healthcare
Drug-related Deaths
“I absolutely agree that more can be done without the need for a change in legislation, but it is concerning that the Home Office does not look at legislation. Despite everything that was said in the Home Affairs Committee’s inquiry on drugs in the last Parliament, for example, which made very clear how outdated our current legislative framework is, there does not seem to be curiosity about fixing this. I completely agree with what my hon. Friend said about treatment and testing, particularly at large-scale events and festivals, because that can be a lifesaving intervention. It is both bizarre and frustrating that the Home Office actively chooses not to take some of the measures it could take on safer drug consumption facilities and safer inhalation equipment. That is something that is very much within its gift. We cannot continue to hide behind a 1970s statue, periodically tightened but rarely reviewed, that has too often exacerbated harm. If the House wishes to take money out of criminal markets, I ask the Minister to work across Departments to expand diamorphine-assisted treatment, which is proven to be effective and cost-saving both here and abroad, to provide dignified, supervised care for those with the most entrenched opioid dependence. After all, it was in this country that that type of world-class treatment originated, with the publication of the Rolleston report in 1926. I have focused much of my remarks on opioids, but in the short time remaining I will touch on some other substances. The first substance is cocaine, with 1,279 deaths involving cocaine registered in 2024, which was 14.4% higher than in the previous year and 11 times higher than in 2011. That is perhaps not surprising, given that the UK is the largest consumer of cocaine per capita in Europe and the second-largest consumer of it in the world, according to the OECD. The National Crime Agency estimates that in 2023, England, Scotland and Wales consumed 117 tonnes of the drug. It is worth mentioning that around 52% of homicides are drug-related, and there is evidence that cocaine use is fuelling domestic violence. In 2023, a pilot scheme found that 59% of domestic abuse offenders arrested in seven police force areas tested positive for cocaine and/or opiates. The status quo is not working. The second substance is ketamine. While ketamine deaths are relatively low, with 60 deaths, the stats are again trending the wrong way, as is the prevalence of the drug in our communities. I refer Members to the rate of past-year ketamine use among 16 to 24-year-olds, which has doubled since the drug was reclassified from class C to class B in 2014. We need a fit-for-purpose national drug policy, not a platform for point scoring or performative “tough on crime” posturing while harms continue to mount. There is much talk at the moment about the reclassification of ketamine to a class A drug, as if that is some sort of panacea, despite the fact that deaths from heroin and cocaine—both class A substances—have been increasing year on year. It is as though the Home Office thinks that making something that is already illegal more illegal is somehow worthwhile. In the light of that, I have tabled a number of questions recently on the effectiveness of the reclassification. I am genuinely concerned that no analysis of that move has been made, and the intention is clearly to ramp it up further. Other policy levers are available. In particular, an emphasis should be placed on tackling the mental health crisis among our young people, which can make the dissociative effects of ketamine an appealing proposition. Throughout this debate, I have sought to lay out the extent of the problem and to offer realistic, cost-effective and constructive measures that could save this country billions of pounds, not to mention thousands of lives. There are solutions to these issues, and the UK has both the expertise and the capacity to lead in this area. We must simply find the political expediency and courage to take bold action and do what is right. We cannot govern as the careful custodians of a failed Conservative settlement; we must replace it. This is a solvable problem, and it is clear what works. With clear guidance, consistent commissioning and the courage to back frontline services, we can save lives, support families and ease pressure on our NHS. We will not solve this problem overnight, but I hope to come back next year with the figures at least trending in the right direction. No amount of warm words or hand-wringing in this place will absolve us of our collective responsibility if we do not take the steps necessary to do that now. We promised the country change, and it is now time to see it.”
