← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Dan Carden

MP for Liverpool Walton · Labour · United Kingdom

IN THEIR OWN WORDS

It is a pleasure to serve with you in the Chair, Mrs Harris. I once again congratulate the hon. Member for Spelthorne (Lincoln Jopp) on securing the debate. I will not repeat all the points colleagues have made; people know my passion for the sport. I know the Minister enjoys horseracing and is keen to be supportive to the industry.

FUTURE OF BRITISH HORSERACING · 2026-07-07 · READ IN HANSARD

I am delighted to be here to support the hon. Member’s debate on the future of British horseracing. Aintree racecourse is in my constituency. I refer Members to my entry in the Register of Members’ Financial Interests and declare my interest as the chair of the all-party parliamentary group on racing and bloodstock.

FUTURE OF BRITISH HORSERACING · 2026-07-07 · READ IN HANSARD

I would like the Minister to be honest about her Department’s remit over the Gambling Commission, and where authority for this policy lies. Where does authority lie when we want to challenge it because it is not working?

FUTURE OF BRITISH HORSERACING · 2026-07-07 · READ IN HANSARD

I know good things can be done to improve the behaviour of bookmakers, regulation and health support for people who struggle with gambling. Mrs Harris, you have spent many years in this place and I am sure you are watching this debate from the Chair with interest. Let me make a couple of more general points.

FUTURE OF BRITISH HORSERACING · 2026-07-07 · READ IN HANSARD

It is important to all our communities, with 60 racecourses across the United Kingdom. It attracts a remarkable amount of investment, especially flat horseracing, through all the work around breeding racehorses for a global industry.

FUTURE OF BRITISH HORSERACING · 2026-07-07 · READ IN HANSARD

There needs to be a much broader review of the financing of British horseracing that takes account of the money from bookmakers, the levy and so much more. I will finish my contribution with one little fact: breeding is currently a loss-making activity in this country.

FUTURE OF BRITISH HORSERACING · 2026-07-07 · READ IN HANSARD

The complete record

Every one of 600 lines we hold for Dan Carden, in date order, each linked to its source. Free to read, in full, without an account. Page 10 of 12.

  1. Finally, I see providing a decent home for every person as the most important challenge facing our country. The public pays in the region of £20 billion each year in housing support—money that more often than not lines the pockets of property investment companies and landlords. The reason we are not building decent homes for all has nothing to do with constraints on public spending, It is a free-for-all when public spending lines the pockets of profiteers—we see it time and again. It is this Government’s choice not to invest public money in public provision and that is unjustifiable.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  2. In 2020, the Government introduced the national statement of expectations for supported housing, so they have tried to deal with this problem fairly recently. The statement sets out standards for the accommodation element of supported housing. However, it is a reference tool—a polite suggestion at best. It must be developed, toughened up and put on a statutory footing. The standards must be legally enforceable. The statement does not even include minimum quality standards for the support, care and supervision that these companies are being paid inflated rents to deliver. It is so poorly defined that an extra lock on a door would pass the test every time. Local authorities could be given the powers to regulate the sector, but that must go hand-in-hand with proper funding and support.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  3. They are targeted by investment companies from far and wide who buy up cheaper properties in the most deprived areas and lease them to umbrella management companies who moonlight as supported housing providers. The result is that rents are set artificially high to maximise the yield for investors. The net cost to Liverpool after receipt of Government subsidy has risen year on year, to £4 million in 2020. As profits for landlords increase, so do reports of poorly managed, unsafe accommodation that provides threadbare support. There are so many loopholes that allow for that profiteering. Registered providers are not even subject to the most basic licensing requirements that HMOs must legally comply with. That must be unjustifiable.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  4. What is bad for those people living in the properties can quickly escalate to blight the lives of their neighbours and the local community. That experience is all too familiar for my constituents in Anfield and Walton and those further afield. While vulnerable residents and the community around them suffer, rogue landlords and agencies collect rents from the taxpayer far in excess of allowance rates and without proper regulation. They game the system easily and without consequence. It is a lucrative enterprise for some, operated and funded by the state, and it is almost completely unaccountable. Liverpool has seen a recent influx of these properties, because we have many larger properties that are ripe for conversion to HMOs or exempt accommodation.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  5. The difference between substandard housing and a good provider is that the good provider offers a community and support work, including support for mental health, while a bad provider might only give someone a key for a cupboard in a shared kitchen and an extra lock on their door. The difference is so significant, and it either makes or ruins people’s lives. People in my constituency have written to me for help. They live in what they thought was supported housing only to realise that the support package they were promised does not exist and might consist of as little as a CCTV camera in the hallway. The reality of the supported housing racket is vulnerable residents with complex needs living in squalor, isolated, without access to local services, sharing a house with residents who all require specialist support.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  6. Of course, there could be a legitimate reason for that, and there are good providers delivering quality services, but let us be under no illusions: unscrupulous agencies are exploiting the enormous gaps in the regulatory regime to rake in higher rents while providing minimal support and, as is too often the case, substandard housing. In theory, transitional forms of supported housing should be a bridge to independent living. They should be a way for vulnerable people to have a safe place that they can call home where they receive the support that they need to regain their independence. There are shining examples. Damien John Kelly House in Picton in Liverpool—a home for men in recovery from addiction—is one such place. It is a fantastic community that supports, inspires and allows for transformational change.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  7. Exempt accommodation should be a vital function, helping the most marginalised and vulnerable groups in society, but instead all too often it seems to be making up for the chronic shortages of affordable social housing. We see social housing now at its lowest rate in decades, and there is an annual net loss of 24,000 social homes. One outcome is that we are now over-reliant on exempt accommodation, often at extortionate costs. Supported housing commands far higher rents, which is one of the reasons why it is not under the housing benefit cap. Landlords can demand higher rents than for social or privately rented housing.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  8. It is a pleasure to follow my hon. Friend the Member for Birmingham, Perry Barr (Mr Mahmood). I pay tribute to my hon. Friend the Member for Birmingham, Ladywood (Shabana Mahmood), who made a tour-de-force contribution to the debate. The Minister could not do better than getting her into the Department and taking some of her sage advice. It is reassuring to hear us debating exempt accommodation in the House of Commons, because in recent weeks I have visited constituents of mine who are neighbours of some of the rogue providers. It is a dominating issue, because it is about vulnerable people, often with significant challenges, and they are losing out in all of this.

    NON-COMMISSIONED EXEMPT ACCOMMODATION · 2022-02-23 · READ IN HANSARD

  9. That is why I support the campaign for a Hillsborough law, which would include a series of measures to rebalance the scales of justice: first, a statutory duty on public officials, including police officers; secondly, publicly funded legal representation for bereaved families at inquests and an end to limitless legal spending by public bodies, to put those affected by public disaster on a level playing field; thirdly, a public advocate to act for families of the deceased after major incidents, a proposal that my hon. Friend the Member for Garston and Halewood (Maria Eagle) has brought before this House but that has shamefully been repeatedly blocked by this Government; and fourthly, a charter for families bereaved through public disaster that is legally binding on all public bodies.

    LEGAL AID: NORTH-WEST · 2022-02-22 · READ IN HANSARD

  10. Civil legal aid rates, which have not risen for over 20 years and have faced real-terms cuts, must also rise. A Government who were serious about upholding justice and the rule of law would act to ensure that communities such as mine get the access to justice that they deserve. I want to finish on the Hillsborough law. My city of Liverpool knows all about injustice. More than three decades since the Hillsborough disaster, no one has been held to account for the unlawful killing of 97 people. The long fight of the bereaved families and survivors is all the evidence we need to know that the legal system is broken. It is weighted in favour of the powerful and against working people and communities.

    LEGAL AID: NORTH-WEST · 2022-02-22 · READ IN HANSARD

  11. We hope this will be the case.” I want to put on record my thanks to Deborah Tyfield and the wider team at the University of Liverpool Law Clinic, as well as the nearby law centres in Vauxhall and Merseyside that my hon. Friend the Member for Liverpool, Riverside (Kim Johnson) mentioned. Those organisations provide vital advice to my constituents and people across Liverpool, and yet they tell me how difficult it is to survive in the current legal aid environment. The absence of adequate legal aid funding has driven out many providers, leaving remaining services overwhelmed. Therefore, the Government must act on the independent review of criminal legal aid. They must act on its recommendation to increase criminal aid rates by 15% to ensure that advice providers can continue to serve local communities.

    LEGAL AID: NORTH-WEST · 2022-02-22 · READ IN HANSARD

  12. The sessions allow parents to obtain a proper education, health and care needs assessment for their child, or receive assistance to appeal to tribunal on matters including the choice of school. I want to share with the Chamber an email I recently received from a constituent who attended one of the clinics. She said: “When we received the ‘no decision’ letter last year, it was unbelievable how stressful and emotional the situation made us feel for our child and her future secondary school journey. But on attending the advice session you provided, it gave us the hope and positivity we needed to go ahead with the appeal. All we want is for our child to attend school, be happy and thrive, without worry, and for her to now receive an assessment.

    LEGAL AID: NORTH-WEST · 2022-02-22 · READ IN HANSARD

  13. Across Merseyside, there has been a 41% reduction in solicitors firms providing legal aid since 2012-13, and a 20% fall in solicitors providing criminal legal aid within the same period. Yet these figures only paint part of the picture. Every missed opportunity for proper legal advice may be the difference between someone with a disability receiving or being refused the support they are actually legally entitled to; it may be the difference between someone subject to domestic abuse, domestic violence, being able to take action to stop their physical or financial abuse. In my Liverpool, Walton constituency, I am proud to host regular surgeries at my office in Anfield, in partnership with the University of Liverpool Law Clinic, which provides free legal advice to members of the public on special educational needs cases.

    LEGAL AID: NORTH-WEST · 2022-02-22 · READ IN HANSARD

  14. It is a pleasure to serve under your chairmanship, Ms Fovargue. I congratulate my hon. Friend the Member for Salford and Eccles (Rebecca Long Bailey) on securing this important and timely debate. Access to justice is a fundamental and basic right. Justice cannot be said to be just if it is afforded only to those who can afford it. Therefore, without legal aid, there is no access to justice, and the rule of law breaks down for millions of people. That is what we have seen over the past decade because, alongside the Government’s harsh and sustained attack on the welfare system, deep cuts to legal aid have denied people with little in the way of financial means their legal rights.

    LEGAL AID: NORTH-WEST · 2022-02-22 · READ IN HANSARD

  15. The Minister has put a lot of information on the record. I know that the law centres will be following the debate closely. Will he go back to the civil legal aid fees that are paid? They have been frozen for 20 years and eroded by inflation. When do the Government intend to take a decision on them? Will there be a full review of the civil legal aid market and its future financial sustainability?

    LEGAL AID: NORTH-WEST · 2022-02-22 · READ IN HANSARD

  16. On the morning of 8 December, the Attorney General went to Downing Street to advise the Prime Minister after the emergence of the now infamous video of staff in Downing Street joking about parties. That lunch time, the Prime Minister came to this Chamber to say that no parties had taken place in Downing Street and that no covid rules had been broken. Did the Attorney General approve of those comments? If so, was she colluding with the Prime Minister, or did he mislead her?

    RULE OF LAW: GOVERNMENT · 2022-02-10 · READ IN HANSARD

  17. It really is quite remarkable: what the Minister has outlined in her response is what should have happened during the course of the pandemic and what has been proven not to have happened. Instead, the situation has been epitomised by Tory donors receiving billions of pounds in contracts, Ministers losing mobile phones when their Department and the law have tried to find out what has gone on, and decent companies with great experience in this field—I am thinking of Arco up in the north-east—being left with next to nothing. How can the Minister stand there and defend the indefensible?

    GOVERNMENT CONTRACTS: RANDOX LABORATORIES · 2022-02-10 · READ IN HANSARD

  18. What we have learned from the past few months, whether from the Downing Street parties or from the lenient attitude to public money, is that there is a belief in this place that there is one rule for those at the top—they can party and break the rules, and if they have money it usually means access to more money and that the rules can be bent. The importance of all this is that it goes to the heart of the kind of country we are. I think the public know that there is a stink. They deserve much better.

    TACKLING FRAUD AND PREVENTING GOVERNMENT WASTE · 2022-02-01 · READ IN HANSARD

  19. The Chancellor has a very savvy image and the Government’s messaging on keeping the public finances in order is very tight, but the reality is that before the resignation of Lord Agnew, the Government were planning to drop the public register of foreign ownership. They rejected proposals and did not plan to bring them forward in an economic crime Bill. They ignored repeated warnings from the fraud advisory panel on the serious weaknesses in business loan schemes. This is about more than the figures—the billions and millions that have been handed over to Tory friends and donors and lost through fraud. We have had the Panama papers, the Paradise papers and the Pandora papers.

    TACKLING FRAUD AND PREVENTING GOVERNMENT WASTE · 2022-02-01 · READ IN HANSARD

  20. According to Lord Agnew, the Government will lose £29 billion a year to fraud. The schemes that we are talking about had loopholes and openness to fraud built in. I sit on the Public Accounts Committee, and HMRC and others have come before us. Even since becoming aware of the numbers and the scale of the fraud, with £4.3 billion being written off on some schemes, HMRC and Treasury Ministers do not seem to have the appetite to go after it—and that is without even mentioning the billions handed over to Tory friends and donors over PPE contracts or the fast lane that the Government were operating, which was found to be unlawful.

    TACKLING FRAUD AND PREVENTING GOVERNMENT WASTE · 2022-02-01 · READ IN HANSARD

  21. It is a pleasure to follow the hon. Member for Barrow and Furness (Simon Fell). He made a worthy contribution, and I did not disagree with anything that he put forward, but from listening to him and the Paymaster General, one would not think that Lord Agnew, the anti-fraud Minister, had resigned in the past few days, saying that there was “zippo” detail from Treasury Ministers or officials on how they would deal with covid fraud, and that there was “arrogance, indolence and ignorance” when it came to the Government’s fraud agenda. A Minister resigning on principle is a rare thing to see in politics these days. I congratulate Lord Agnew on standing up to “smash some crockery”, as he put it, and make a noise about all this. Thousands of companies that were not even trading were able to get access to bounce back loans.

    TACKLING FRAUD AND PREVENTING GOVERNMENT WASTE · 2022-02-01 · READ IN HANSARD

  22. The only way to resolve those issues is to have a Government with the will to act and to put the interests of the people we in this House are supposed to represent above the interests of big energy companies and their shareholders. Sadly, that seems a long way off.

    OIL AND GAS PRODUCERS: WINDFALL TAX · 2022-02-01 · READ IN HANSARD

  23. I stood for election pledging to take the whole energy supply industry into public ownership, to set up a national energy agency to own and manage the grid and to put the big six energy suppliers, the only ones likely to survive this crisis, under public control. I believe it is the job of Government to fix the energy crisis, not to prop up the failing energy market. To manage security of supply when gas is being used as a geopolitical tool is bigger than an economic issue. To decarbonise energy is also bigger than the forces of supply and demand, and to stop energy bills wiping out the income and savings of families up and down the country is a matter of social justice. The market provides no solutions to those problems.

    OIL AND GAS PRODUCERS: WINDFALL TAX · 2022-02-01 · READ IN HANSARD

  24. They are the result of the anarchy of global energy supply and the total mismanagement of Britain’s energy industry by a Tory party that seems to put any interest above the interests of the British people. I support a windfall tax on oil and gas producers to lower bills this year. I listen to my hon. Friends asking Government for an extra £1 billion here or an extra £1 billion there. Now more than ever, the evidence before us—an industry pleading with Government to lift its cap, families pleading with Government to make the cap tighter, and oil and gas producers boasting that their companies are like cash machines—demands a new settlement.

    OIL AND GAS PRODUCERS: WINDFALL TAX · 2022-02-01 · READ IN HANSARD

  25. We associate energy poverty with the poorest people and the most deprived communities. Liverpool, Walton is home to many people struggling to afford everyday essentials and wishing their streets and neighbourhoods might see some of the prosperity this Government promise in their empty words. For the young mum struggling with the top-up payment card in the local shop, trying to keep the lights on and the heating running in her home, that poverty is humiliating, yet the experience of living hand to mouth for energy, and that humiliation, is now spreading across the UK, because the energy market is broken. It is not even really a market but a racket of monopoly suppliers, capped prices and enormous excess profits. Rising energy bills are not an act of God.

    OIL AND GAS PRODUCERS: WINDFALL TAX · 2022-02-01 · READ IN HANSARD

  26. The Secretary of State has introduced guidance for essential care givers so that family members can visit loved ones in care homes. Is he considering going further to guarantee the right to visit residents in care homes and patients in hospitals?

    TOPICAL QUESTIONS · 2022-01-18 · READ IN HANSARD

  27. If the Government wanted to bring down the nation’s welfare bill, they would focus relentlessly on tackling the causes of the cost of living crisis; by tackling insecure, low-paid work and boosting wages; by controlling extortionate rents; and by ending the scandal of rip-off energy bills that only fuel corporate profits. Instead they choose to waste time playing games and posturing. The people I represent need a social security system that supports and enables them, not one that punishes them and strips away their dignity. In these difficult, uncertain times, the Government are not being serious by continuing with this unworkable, arbitrary cap.

    CHARTER FOR BUDGET RESPONSIBILITY AND WELFARE CAP · 2022-01-10 · READ IN HANSARD

  28. What possible sense can there be in wasting time here and now, putting arbitrary caps on the winter fuel payment, on cold weather payments, on carers allowance, on support for the disabled, on in-work universal credit or on support for people’s housing costs? It is nonsense. Even the Government’s own organisation, the OBR, has questioned the welfare cap’s usefulness. The Government have broken the current cap twice in recent years, so they are left continually raising the cap and changing its scope, for no other reason than it is not prudent, and it does not work.

    CHARTER FOR BUDGET RESPONSIBILITY AND WELFARE CAP · 2022-01-10 · READ IN HANSARD

  29. I will be brief, Madam Deputy Speaker. This debate seems to be the definition of a pointless exercise. While there is total economic uncertainty, we are setting out fiscal rules that, if the Government break them, they will change next year. I am here to put on record and speak in opposition to the welfare cap. I represent some of the most deprived communities in England, and the welfare cap is simply a continuation of a policy that is designed to appease those intent on demonising the least well-off. It is political weaponry of the worst order. People are struggling with day-to-day costs, and there is a cost of living crisis that soaring energy prices and inflation threaten to make much worse—this year, next year and the year after.

    CHARTER FOR BUDGET RESPONSIBILITY AND WELFARE CAP · 2022-01-10 · READ IN HANSARD

  30. I have HMP Liverpool and Altcourse prison in my constituency, and I am pleased to work with the Professional Trades Union for Prison, Correctional and Secure Psychiatric Workers and prison officers. Would my hon. Friend agree with a prison officer who has written to me, saying: “We are the police behind these walls! Yet police in the community can retire at 60”? Is this not simply about decency and fairness for our prison officers?

    PRISON OFFICERS: PENSION AGE · 2021-11-16 · READ IN HANSARD

  31. May I put on record my thanks to everyone at Liverpool Women’s Hospital and everyone involved in the emergency service response? Liverpool is a welcoming city and a city of sanctuary, and the Minister grew up there. However, we are not immune from minority communities feeling vulnerable at times like this, so I invite him to reassure those communities that the Government are working with local leaders to ensure their security and safety in the weeks and months ahead.

    TERRORIST INCIDENT AT LIVERPOOL WOMEN’S HOSPITAL · 2021-11-16 · READ IN HANSARD

  32. Vital services have been cut back, particularly inpatient detoxification, residential rehabilitation, specialist services for young people, and treatment for cannabis and stimulant users.”

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  33. The Department of Health and Social Care swiftly commissioned Dame Carol to produce part two of her independent review, which focused on how to improve the funding, commissioning, quality and accountability of drug prevention, treatment and recovery services in England. Part two of her report, published in July, pulls no punches either. It says: “Funding cuts have left treatment and recovery services on their knees. Commissioning has been fragmented, with little accountability for outcomes. And partnerships between local authorities, health, housing, employment support and criminal justice agencies have deteriorated.” The report goes on: “The workforce is depleted, especially of professionally qualified people, and demoralised.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  34. In 2019 Dame Carol was commissioned by the then Home Secretary, the right hon. Member for Bromsgrove (Sajid Javid), to independently review illicit drugs in England. I thank her for her commitment and dedication over the last few years, and all those who contributed to this groundbreaking report. Most of all, I hope that my contribution today does justice to the absolute clarity that Dame Carol brings to these incredibly complex matters. Part one of her review was published on 27 February, and made for uncomfortable reading. The unflinching analysis detailed the extent of drug-related harm and the challenges posed by drug supply and demand, including the ways in which drugs fuel serious violence.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  35. The recommendations give hope that real change is possible. Addiction is a national crisis. Drug and alcohol-related deaths are the highest on record, at the very moment that treatment services are most ill-equipped to deal with the soaring need. Forward Trust estimates that more than 2 million people are in need of help with alcohol, drugs or gambling, and its recent YouGov poll showed that 64% of people said that they knew someone personally struggling with addiction. Since I talked openly about my personal experience of addiction and recovery, I have been over- whelmed by the thousands of people who have reached out to tell me their personal stories—of the horror of addiction, and the blessings of recovery. The tragedy is that addiction is everywhere, yet remains so hidden.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  36. A whole-system approach is needed…This part of my review offers concrete proposals, deliverable within this Parliament, to achieve this.” Of the review, Dame Carol says: “It calls for significant investment, but the payoff is handsome: currently each £1 spent on treatment will save £4 from reduced demands on health, prison, law enforcement and emergency services. I am hopeful that the recommendations will be welcomed by this government as they strongly support its crime reduction and ‘levelling up’ agendas.” The 32 recommendations are a gift to the Government, and should be a moment for change. It is fitting that the debate falls on Budget day. The economic cost of drug misuse is upwards of £20 billion each year; yet the spending on prevention and treatment stands at just £650 million.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  37. I beg to move, That this House has considered Dame Carol Black’s independent review of drugs report. It is a pleasure to serve under your chairmanship, Ms Fovargue. I refer Members to my entry in the Register of Members’ Financial Interests. The damning conclusion of part two of Dame Carol Black’s review, setting out a way forward on drug treatment and recovery, was that “the public provision we currently have for prevention, treatment and recovery is not fit for purpose, and urgently needs repair.” I have called today’s debate because the report’s recommendations are too important to be left gathering dust on ministerial bookshelves. I want Dame Carol’s words ringing in ministerial ears. She says: “Government faces an unavoidable choice: invest in tackling the problem or keep paying for the consequences.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  38. Absolutely. That is a valuable intervention, and it is good that we have a Health Minister responding to this debate, because it is a health response, joined up across Government, that this issue calls for. Part two of the report goes on: “Areas of the country with the highest rates of drug deaths or the poorest treatment services are the very same areas where the need to level up is greatest. These communities want to see urgent and effective action to tackle the violent drugs market, alongside purposeful efforts to rebuild treatment services and recovery support so that people can get the help they need.”

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  39. There has simply never been the political will to act on prevention, treatment and recovery from drug and alcohol harm, but we have reached a crisis point, with record deaths, rising economic and social harms, and depleted treatment services. Dame Carol’s groundbreaking review, which was commissioned by this Government, is the moment for change, and the Government cannot meet their pledges to level up the deprived communities that they seek to represent, which are often found in the north, unless they recognise that. In the words of Dame Carol herself: “The Government must either invest in tackling the problem or keep paying for the consequences.”

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  40. The Local Government Association has long argued that reductions to the councils’ public health grant, which is used to fund drug and alcohol prevention and treatment services, is a false economy, which will only compound acute pressures for criminal justice and NHS services further down the line. I must stress to the Minister that if the Treasury is unable to find all the funding that the review calls for, the money it does find must not be thinly spread across the country. Instead, it should be targeted at those areas most in need, and efforts must be made at least to pilot the whole-systems approach that Dame Carol has called for. Small amounts of money given to each local authority will not bring about the long-term transformational change that the review demands.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  41. In January 2021, the Government announced £148 million of new money to cut crime and protect people from the harms caused by illegal drugs, which I also welcome, with £80 million of that money to be invested in treatment and recovery. That £148 million must be the first instalment of the £1.78 billion that Dame Carol has called for over the next five years and I hope that the Minister has come with hot-off-the-press Budget commitments. Dame Carol’s spending recommendation would restore addiction treatment to what it was before 2012. Although local authorities are well positioned to oversee services, drastic cuts to public health grants have led to cuts to addiction treatment services over many years.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  42. To achieve those objectives, significant changes need to be made in four areas: radical reform of leadership funding and commissioning; rebuilding of services; increased focus on prevention and early intervention; and improvements to research and how science informs policy, commissioning and practice. And the 32 recommendations cover a wide range of responsibilities. The Government have already begun to set in motion some of the structural changes, which I welcome, and the policy commitments that will help to drive through the review’s recommendations. It is reassuring that Dame Carol herself will continue to act as an independent adviser to Government. However, the remaining recommendations are contingent on Government investment.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  43. Dame Carol’s review has pursued three main objectives: first, to increase the proportion of people misusing drugs who can access treatment and recovery support, including more young people, with earlier interventions to divert offenders away from the criminal justice system; secondly, to ensure that the treatment and recovery package offered is of high quality and includes evidence-based drug treatment, mental health and physical interventions, and employment and housing support; and thirdly, to reduce the demand for drugs and prevent problematic drug use, including use by vulnerable and minority groups and recreational drug users.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  44. There is high turnover in the workforce and a depletion of skills. The number of medics, psychologists, nurses and social workers in the field is falling significantly. It is time to repair that broken system and overhaul addiction treatment, and we have the road map for the future—the 32 recommendations of Dame Carol Black’s independent review of drugs. The scope of the recommendations is far-reaching and the solutions span many Government Departments, local government and other organisations.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  45. I was so frightened, I had to reach crisis point and rock bottom before I was able to be considered for residential treatment.” Jane is now in recovery and leading a happy, healthy life, but she did not receive public funding. In fact, she was denied that. If it had not been for a chance meeting with Action On Addiction, which provided her with a bursary-funded bed, she would not be alive today. It should simply not fall to charities to catch the increasing numbers of people falling through the threadbare safety net. Access to treatment should not be about luck, only available to those who can afford it or those who live in a local authority that prioritises it. Currently, the drugs treatment market operates in a similar way to that of adult social care. Providers are being squeezed and staff poorly paid.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  46. It is simply wrong that mental health services can require patients to reduce their alcohol or drug use, without providing the proper support to do so, before they can receive the treatment they need. Or that drug and alcohol services do not possess the competencies to support someone with significant mental health issues, thereby often leaving sufferers with no support whatsoever. There must be a “no wrong door” policy. One young woman, whom I will call Jane, told me: “It was as if I had to get more ill, drink and use more, until I got the right help and support. For 18 months, my mental health deteriorated. Mental health services couldn’t help me and addiction services struggled to support me because of my poor mental health.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  47. Now to the prevention, treatment and recovery system as it stands: not fit for purpose, in urgent need of repair, after years of austerity, continued disinvestment, fragmentation and a dire lack of accountability throughout. The Health and Social Care Act 2012 shifted addiction treatment out of the NHS mental health services on to local authorities, at the same time as their budgets were being slashed. On that matter, Dame Carol is clear: “We recommend that funding for drug treatment be allocated to local authorities based on a needs assessment and then protected.” We also urgently need to improve the situation for people suffering co-occurring mental ill health and drug or alcohol dependency. Too many people are being bounced between fragmented services and end up falling between the cracks.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  48. Intolerance, shaming, tougher punishments and denial will not rid society of addiction, because addiction is an illness. It is a matter of public health, and Dame Carol puts it best when she says, It must be recognised that addiction is a chronic mental health condition, and like diabetes, hypertension or rheumatoid arthritis, it will require long-term follow-up.” Sadly, as things stand, I cannot think of another illness that causes so much harm to society, that is given so little, and the sufferers of which are treated with such contempt. It is the only illness in which blame is placed on the person suffering. Instead of blaming the individual for making bad choices, we need to ask why so many people are turning to substances in the first place.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  49. I want to quote her at length: “Addiction is not a choice. No one chooses to become an addict. But it can happen to any one of us. None of us are immune. Yet it’s all too rarely discussed as a serious mental health condition. And seldom do we take the time to uncover and fully understand its fundamental root causes. The journey towards addiction is often multi-layered and complex. But, by recognising what lies beneath addiction, we can help remove the taboo and shame that sadly surrounds it. As a society, we need to start from a position of compassion and empathy.” As many as 80% of the public support more treatment and care for people struggling with addiction; less than 10% believe more punishment and condemnation would help.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD

  50. Someone who finds themselves dependent on a substance deserves the evidence-based health treatment and support that works, yet stereotyping and prejudice remain all too common in our approach to addiction. It was disappointing to see the Government’s response to the review referring to addiction as a “scourge on society”. The dehumanisation of people who become drug-dependent feeds into the stigma that we must eradicate, so we must steer the discussion, the policies and the treatment towards a compassionate and person-centred health response. Last week I joined the Forward Trust at the launch of its “Taking action on addiction” campaign, which aims to improve public understanding of addiction as a erious, chronic mental health condition. The Duchess of Cambridge, patron of the Forward Trust, spoke there.

    DAME CAROL BLACK’S INDEPENDENT REVIEW OF DRUGS REPORT · 2021-10-27 · READ IN HANSARD