Tuesday 16 July 2019

New PM could help tackle soaring drugs deaths


From the Daily Record 5th July 2019. A little lengthy but it spells out what  safe drug consumption rooms amount to and how they could be tried in Scotland. 

As the Tory leadership caravan trundles towards Perth tonight, a pack of hounds pursuing the pro-fox baiting Jeremy Hunt, Boris Johnson is nearly home and dry.

By now voting papers are hitting Home Counties door mats and most Conservative members have made up their mind, it has to be Boris for Brexit.

If only the sense of dismay greeting that outcome in Scotland could be matched by Johnson’s own anxiety over his lack of grip on the country of which he has next to no experience.    

There’s precious little understanding of Scotland by the current occupant of Downing Street, let along the next one.

Theresa May gathered Scottish Tory MPs recently, her first group meeting two years after their election. Proceedings started, apparently, with Gavin Barwell, the PM’s chief of staff, telling the room he hadn’t been to Scotland often and outlining what the PM’s speech should say. That heavy rain the other week, it was the weeping frustration of Scottish Tories.

There’s little Boris Johnson can do to change Scotland’s political weather to his advantage.

It’s doubtful his blond appeal can counter the nationalist line that his personality alone is reason enough to stage a second independence vote.

A hard Brexit, Johnson’s epistle to the faithful, his suicide note to the nation, is a clear and present danger to the Union.

On the constitution, and much else, a new PM is going to need every lever at his disposal to wrongfoot Nicola Sturgeon.

One thing Johnson could do is listen to his own libertarian instincts to outpace the SNP in a progressive policy area.

If the Tory leadership contest did us one favour it was to explode the hypocrisy around illegal drugs, taking Michael Gove’s leadership ambitions with it.

The next Prime Minister will almost certainly be a self-confessed drug criminal, possession of a class A drug like cocaine can mean up to seven years in prison, and the prisons are full.

The need for an overhaul of drugs policy across the UK is writ large. In Scotland we are headed for 1100 needless drugs deaths a year.

The rethink on safe consumption facilities that Scottish politicians and this newspaper are campaigning hard for only serves to highlight the drugs crisis across the whole UK.

In England Police chiefs are offering offenders treatment as an alternative to prosecution. 

Unfortunately for the SNP, a demand for anything different is always viewed through the prism of conceding more powers and meets Whitehall resistance.

But this is a UK-wide crisis, the constitution has little to do with it, and, it seems, not much has to change in the law  to allow safe drug consumption rooms that save lives in other countries.

Heroin Assisted Treatment clinics, straight-up medical centres where people are prescribed heroin, rather than methadone, by a doctor for use in the clinic, are on the way. A licence for one to open in Glasgow should be in place for the Autumn.

But supervised drug consumption rooms, where people bring their own street drugs to a safe, sterile space for use under medical supervision, are illegal. 

Health experts avoid calling these places, pardon the media parlance, “shooting galleries” or “injection rooms”. They would look like health centres, and from Portugal to Canada they have proven record in reducing fatalities.

There are just a few legalistic steps to overcome to allow a safer drug consumption facility to operate, because no Health board can put its staff at risk of prosecution for allowing their premises to be used for taking illegal drugs.

There has to be an exemption from specific sections of the Misuse of Drugs Act 1971, the kind of exemption that allows similar facilities to operate in a range of European countries.

In evidence to the Scottish Affairs committee Professor Alex Stevens, a member Advisory Council on Misuse of Drugs, said it would take just a simple statutory instrument to go through the Commons, that is without a vote, to alter the law.

Or, a letter of comfort from the Lord Advocate, Scotland’s chief legal officer, that health staff would not be prosecuted could provide police and medics, and people who use drugs, with the clarity needed. 

The Lord Advocate, James Wolffe, has so far refused to do this pushing the problem back to the Home Office which sticks to the letter of the, highly outdated, 1971 law. 

But in his evidence to Scottish MPs this week, Chief Inspector Jason Kew, of Thames Valley Police, suggested the Lord Advocate could reconsider.

He pointed out that prosecutions can only happen if they first pass the “public interest test”. Given soaring drug deaths would it be in the public interest to prosecute medical staff simply trying to save the lives of vulnerable people?

The roadblock to preventing more deaths is essentially a political one.

The current Home Secretary, Sajid Javid, is irreconcilably against decriminalisation or safe consumption rooms, citing the abhorrence of ordinary people on the streets of Bristol where he grew up to drug trading and its consequences.

Getting drugs and needles off the streets is, of course, one argument for safe consumption rooms.

However, one consequence of a new Prime Minister is a new cabinet, and Javid may be moving on very soon, possibly to become chancellor.

An opportunity arises, for Scotland and for Boris Johnson. 

Another Johnson, Police Scotland’s Steve Johnson, spelled it out in harrowing detail this week. Day on day he is recording deaths through drug abuse of people in their early 20s, people his officers know are in need of a doctor not the dock of a courtroom.  

In one stroke a new Prime Minister could cut through the legalistic buck-passing, and signal that we are ready for a new, grown-up debate on drugs policy.

But scoring a political coup would be incidental and hardly the point. Boris Johnson would be saving lives in Scotland, lots of them.

Tell me, which Prime Minister doesn’t want that headline?

No comments:

Post a Comment