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Dáil
‹ Ceisteanna ó Cheannairí - Leaders' Questions

Drug abuse and alcohol measures

Summary

Micheál Martin raised escalating drug abuse, saying existing policies were not working and that two people a day die from addiction. The Taoiseach said the response was increasingly health-led, pointed to increased funding and naloxone, and then answered follow-up questions on health spending and the Public Health (Alcohol) Act, including minimum unit pricing and cross-Border concerns.

We will move now to the two additional questions. In accordance with the provisions of the rota, I first call Deputy Micheál Martin.

Comment on this

He has not gone away, you know.

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It happens once a year and I am not the author of it.

I raise the issue of the prevalence of drug abuse in our society, which is at an all-time high. We all know people in our communities who are addicted or who have lost loved ones through addiction. The latest statistics from the Health Research Board are alarming. Between 2010 and 2017, some 63,000 cases presented for treatment of drug abuse alone. Anecdotally, according to anybody in third level education, access to drugs is now the norm. There is no element of surprise. It is all-pervasive in our society. Cocaine use has risen year after year. Since 2016, in particular, it has risen dramatically. The following figure, on which I ask Deputies to reflect, is staggering. In 2016, the Garda secured 30 million seizures, whereas in 2017, that rose to 70 million seizures. The Garda is working at the limits. It seems that Fine Gael-led Governments, in particular, have dropped the ball in respect of the deeper community-based response that is required.

In the 1990s, the drug task forces were introduced. I pay tribute to the former Ministers and Ministers of State, Mr. Pat Rabbitte, Mr. Noel Ahern, Mr. Eoin Ryan, Mr. Pat Carey, Deputy Curran, Deputy Shortall and others, all of whom understood the importance of the drug task forces and the need to empower and resource communities. It is unacceptable that since 2013, the drug task forces have had no increase in core funding. Communities have been disempowered against those who peddle drugs. Alternative facilities have not been developed. The RAPID programme was additional to the drug task forces initiative, which was impactful and had a significant effect in the early years. Too many people are dying and too many people's lives are being destroyed. Access to addiction services, to counselling, to mental health services and, in particular, to child and adolescent mental health services, CAMHS, is poor. There is considerable anxiety and frustration among parents, for example, in respect of gaining access for adolescents to CAMHS. Overall, there is an absence of a comprehensive strategy for drugs embracing the various Departments. Given that I saw no reference to the matter in yesterday's budget, I ask the Government to reflect carefully and to ensure a significant increase in the core funding of the drug task forces this year and into the future.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

I absolutely agree that the issue of drug abuse is a significant problem in our society. Drugs are ubiquitous and widely available. It is not a rural or urban problem; it is all over the country and is not just about disadvantaged areas. They are ubiquitous and available in all sectors of society, including among the very well-off. Our approach has been led by a few policy considerations, one of which is to move away from a criminal justice-led approach to a more health-led approach. I am sure the Deputy will have read the report of the expert group on the matter, published only a few weeks ago. We want to move away from the idea that if somebody is in possession of illegal drugs, he or she is criminalised. We want to move more towards a health-led approach. We have not gone as far as decriminalisation, which the expert group did not recommend, but we are moving to a more health-led approach where we try to help people who are found to be in possession of illegal drugs, rather than giving them a criminal record, which could destroy their lives, reduce their employment prospects or make it harder for them to migrate-----

Comment on this

That is not the core of the issue.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

-----and one can see where we are going in that regard.

The second policy consideration is improving addiction services, for which there has been increased funding in recent years. The naloxone project has made a big difference to a large number of people who would have overdosed and died five years ago but who now survive because of the availability of naloxone. There has been investment in CAMHS, which the Deputy mentioned. I spoke last night to the Minister of State, Deputy Daly, who told me the waiting list for CAMHS has fallen by 25% over the past few months, which is a considerable improvement but we need to do better again.

There has also been a public health-led approach on areas such as alcohol abuse. We finally got the Public Health (Alcohol) Act through the House, which will be a game changer in respect of alcohol abuse. As the Deputy will be aware, alcohol and drug abuse often go together. As far as I am aware, the drug task forces' funding has been held level for the past couple of years and there have not been reductions for quite a few years. As I mentioned earlier, there was a very considerable increase in the budget for health announced yesterday, namely, an increase of €1.15 billion, which is a pretty huge increase in the health budget. Over the course of the next few weeks, the Minister for Health, the Ministers of State with responsibility for health, and the HSE will determine where that goes. Some of it may well go to addiction services, as I hope it will. I am sure some of it will go to mental health, while some of it will potentially go to the drug task forces.

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I believe that the health expenditure increase is €665 million, based on the Minister for Finance's comments yesterday when he mentioned that the €1.15 billion figure includes €335 million of a supplementary being brought into next year. We will park that for a moment.

There has always been a health-based approach. The whole idea of the drug task forces was a health-based approach. Two people per day now die because of drug addiction. That is a terrible and damning statistic. Existing policies are simply not working. Drug exchanges on our streets are now the norm, as are the selling of drugs and the utilisation of young children and teenagers to sell drugs in communities. It is everywhere but is particularly acute in some communities, where certain gangs use particular communities as the base for the distribution of their drugs. The reality is one of death and destruction. We are at an all-time high. We are not succeeding as a society in dealing with the issue, not least in respect of youth usage of drugs and alcohol. I am surprised the Taoiseach mentioned the Public Health (Alcohol) Act, given that it has not been commenced, particularly in respect of the below-cost selling provision. We had a lot of agonising debate in the Chamber over a year and a half ago. How many sections of the Act have been commenced? It illustrates the sincerity and urgency attached to these issues.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

I do not have the exact figures in front of me but I believe that the increase in the health budget is €669 million on projected outturn but €1.15 billion year on year. Either way, it is an awful lot of money. In the past two years-----

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The outturn is the key.

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It depends on how it is measured.

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Leo Varadkar The Taoiseach Fine Gael

We do not yet know what the outturn-----

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It depends on how it is measured.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

-----will be for 2020 but we will see how it goes.

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Some 500 people are waiting on trolleys in Limerick.

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The Taoiseach should go easy on the €1.15 billion. He is giving false impressions.

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Leo Varadkar The Taoiseach Fine Gael

Either way, it is an awful lot of money and an unprecedented increased investment in our health services over the past two or three years since I have become Taoiseach.

On the Public Health (Alcohol) Act-----

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What about when the Taoiseach was Minister for Health?

Comment on this
Leo Varadkar The Taoiseach Fine Gael

I wish that when I was Minister for Health, I had got the increases that the current Minister for Health, Deputy Harris, is getting, quite frankly-----

Comment on this

The Taoiseach might have stayed longer as Minister for Health if that had been the case.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

-----but we are in different times. I believe I got zero the first year and was delighted to get €350 million the second year. I am pleased to be part of a Government that is able to give the Minister, Deputy Harris, such large increases-----

Comment on this

The Minister, Deputy Harris, is wasting the money on the children's hospital.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

-----in the health budget but that would not have been possible, had it not been for how well the economy has been managed by the Government in recent years.

For the Deputy's information, approximately 1.27% of the health budget next year will go on the children's hospital, with 98% on everything else.

On the Public Health (Alcohol) Act, some sections relating to promotions and advertising have been commenced. I am told that 23 sections have been commenced.

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Will the Taoiseach provide a written note on the matter?

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Leo Varadkar The Taoiseach Fine Gael

I will. We are keen to address minimum unit pricing in 2020 but we have a genuine concern about cross-Border trade. It is a real concern-----

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Was that not the whole purpose of the Act?

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Leo Varadkar The Taoiseach Fine Gael

-----if one lives along the Border or retails along the Border.

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It is a concern.

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Leo Varadkar The Taoiseach Fine Gael

Little is achieved for public health if people just cross the Border and buy cheap alcohol in the North. We want everyone to do it at the same time.

It has been done in Scotland, but it is not capable of being done in Northern Ireland because of the problems there.

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We waited for years until it was done in Scotland and now we are not doing it.

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Leo Varadkar The Taoiseach Fine Gael

It is a real issue.

Comment on this

The Taoiseach did not flag it.

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