So could drug consumption rooms – where illegal substances are allowed to be taken under supervision – be the answer?
In Sandwell, West Midlands, Dave (not his real name) takes drugs in a disused storage unit at the back of a car park – and calls it “the cage”.
“There’s nowhere else,” he says.
He cleans the area behind the high street and locks the metal gate to prevent children getting inside, mindful of the risk of any used needles being left lying around.
Image: Dave says he takes drugs in a space he calls ‘the cage’
“It just makes me think… what if my daughter trod on one?” he says.
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He doesn’t reveal which illegal drugs he takes but says his use spiralled when he became homeless after a break-up.
He no longer sees his daughter or ex-partner.
Dave’s “cage” is one of many areas used as public injection sites across the UK – including underground car parks, stairwells and bin alleys.
Image: A discarded syringe in a public area in Sandwell
Syringes and makeshift tourniquets lie among the fallen leaves, rubbish and debris near a bypass in Sandwell.
“It’s not difficult to understand… why people develop infections and become ill,” says Sue McCutcheon, an advanced nurse practitioner.
Image: Drug paraphernalia is left on the floor
Drug deaths at record high
A total of 3,127 drug misuse deaths were recorded in England and Wales in 2022 – that’s an average of eight people a day.
To put this into context, it’s about the same number of people who died from stomach cancer (3,230 deaths in 2022). But the difference is drug misuse deaths are preventable.
Some 1,051 people in Scotland died from drug misuse in 2022 – its lowest number since 2017 but it remains the highest rate of any country in Europe.
These figures are also underestimates, the Office for National Statistics says, as the specific drugs involved in a death is not always known.
Drug misuse deaths are recorded as those where the underlying cause is drug abuse or drug dependence, or where any of the substances involved are controlled under the Misuse of Drugs Act 1971.
In a bid to reduce the harm around injecting drugs, some countries have introduced overdose prevention centres (OPCs) – also known as drug consumption rooms.
“Most people think inside the drug consumption room it’s fun, everybody’s coming here and doing drugs and high,” says Elisabeth Avril, a GP and director of Espace Gaia, a government-funded centre in Paris.
Most of the 150 people who visit at least once a day are people like Peter Bancelin, who is suffering from withdrawal.
“We often say we come for treatment,” he says.
Before the centre opened, Peter describes “unbearable conditions” with discarded syringes on the floor of public areas and users taking drugs “between cars (with) people passing by to bring their children to school”.
Image: Peter Bancelin uses the drug consumption room in Paris
Inside a drug consumption room
Users enter one by one to register, pick up clean equipment and use drugs with a nurse on hand in a room with stainless steel desks, plastic chairs and needle bins.
Staff do not handle the drugs at any point. Users then have access to a “rest room” before they leave.
The centre – which is open seven days a week between 9.30am to 8.30pm – has allowed Peter to do official paperwork, find company and get off the streets.
“Little by little, it’s allowed me to get back on track,” he says.
Image: Drug users can pick up clean equipment
A study led by Queen’s University Belfast released last month – believed to be the largest evidence review of OPCs worldwide – found they could prevent thousands of deaths and reduce the spread of serious disease.
But the UK government does not support their use and they won’t be allowed in England and Wales over concerns they risk condoning and encouraging the use of illegal drugs.
And not everyone is on board with drug consumption rooms in Paris. There were protests from some residents after the city’s mayor, Anne Hidalgo, signalled she would open four more drug consumption rooms in the French capital.
“Drug policy is not based on evidence – it’s more based on people’s moral preferences,” says Dr Alex Stevens, a criminal justice professor at Kent University, who used to be on the government’s drug advisory committee.
“There’s nobody claiming that an overdose prevention centre is going to solve all the problems we have with drugs.
“But for the people who are most vulnerable to dying, that’s something that can help them continue to stay alive so they can get their lives together.”
In Sandwell, Dave says he would be worried about the police if a drug consumption room was to open near him.
“Where are you going if you’re looking for a shoplifter?” he asks.
What we know about UK’s first drug consumption room
Scotland is set to be home to the UK’s first drug consumption room.
Plans have been approved for a £2.3m facility at Hunter Street Health Centre in Glasgow – despite opposition from Westminster.
However the UK government has said it will not intervene to stop the pilot scheme.
The drug consumption room in Glasgow is due to open this year – although a date is yet to be set.
It would allow those struggling with addiction to take drugs under supervision from medical professionals, who could intervene in the event of an overdose.
Scotland’s top law officer Lord Advocate Dorothy Bain KC has said it would “not be in the public interest” to prosecute people in a drug consumption room with possession of illegal substances.
Drones deliver overdose treatment
Image: An innovation aimed at reducing drug deaths
One innovation that has been trialled in the UK with the aim of reducing drug deaths is the use of drones to deliver naloxone, a life-saving medicine which acts quickly to reverse an overdose of opioid drugs such as heroin.
“If somebody is having an overdose, we need to get it to them within at least seven minutes and quicker if possible,” says Dr Paul Royall, a senior lecturer at Kings College London, whose researchers have teamed up with HeroTech8.
When someone calls 999, the call operator activates an emergency response along with the drone, which is expected to beat the ambulance to the scene, allowing the caller to administer the naloxone nasal spray before paramedics arrive.
Image: Life-saving nasal spray is delivered by drone
“So the idea is this reaches the patient first and gives them a bit of extra time so the ambulance can get there and actually really save them,” says Dr Royall.
The team is currently working with drug users in Gosport, on the south coast of Hampshire, before conducting a real-life trial later this year, with a plan to develop the next phase in areas with the most need in the UK.
It estimates delivery costs would be similar to a small Amazon drone delivery – expected to be between £25 and £75 – but says a large-scale roll-out could further bring prices down.
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A government spokesperson said: “We are determined to provide those caught in the clutches of addiction with the right support to turn their lives around.
“Our 10-year drug strategy, backed by a record £3bn funding, is tackling both supply and demand for illegal drugs by building a world-class treatment system, alongside relentlessly pursuing and dismantling criminal networks.
“We have already increased the number of people in drug and alcohol treatment by over 17,000, recruited 1,255 drug and alcohol workers and are expanding the availability of life-saving naloxone to prevent more tragic deaths.”
Counter-terrorism police are investigating after an incident involving a crossbow and a firearm left two women injured in Leeds.
Police were called to Otley Road at 2.47pm on Saturday to reports of a “serious incident involving a man seen with weapons”, West Yorkshire Police said.
Officers arrived at the scene to find two women injured – and a 38-year-old man with a self-inflicted injury. All three were taken to hospital, with the man held under arrest, but their injuries are not believed to be life-threatening.
“Two weapons have been recovered from the scene, which were a crossbow and a firearm,” Counter Terrorism Policing North East said in a statement.
The incident happened on the ‘Otley Run’ pub crawl, with one venue saying it was closed for the evening due to “unforeseen circumstances”.
Image: Officers guard one of the crime scenes
Image: Officers inside the cordon in Leeds
Counter Terrorism Policing’s statement added: “Due to the circumstances surrounding the incident, Counter Terrorism Policing North East have taken responsibility for leading the investigation with the support of West Yorkshire Police.
“Extensive enquiries continue to establish the full circumstances and explore any potential motivation.”
Home Secretary Yvette Cooper described it as a “serious violent incident” and said she was being kept updated by police.
“Thank you to the police and emergency services for their swift response,” she said. “My thoughts are with the victims and all those affected by this attack.”
This breaking news story is being updated and more details will be published shortly.
Wrexham AFC have been promoted for the third season in a row.
The North Wales-based side has gone from the National League to the Championship in just three seasons, under its Hollywood owners Ryan Reynolds and Rob McElhenney.
Wrexham were second in the table and had a run of eight games unbeaten ahead of their match against Charlton Athletic on Saturday, which they won 3-0.
Image: Wrexham’s James McClean lifts the League One trophy. Pic: PA
Image: Wrexham’s Dan Scarr celebrates with the fans on the pitch after Wrexham won promotion to the Championship. Pic: PA
It is the first time any club has been promoted for three consecutive seasons within the top five tiers of English football.
The third oldest association football club in the world, Wrexham AFC was bought by Reynolds and McElhenney in 2020, and has since been the subject of a Disney+ documentary, Welcome To Wrexham.
Reynolds, wearing a Wrexham sweatshirt, and McElhenney were pictured celebrating each goal, and after the game, as the fans came onto the pitch at the SToK Cae Ras (Racecourse Ground) to celebrate the victory with the players.
Image: Wrexham co-owners Rob McElhenney (L) and Ryan Reynolds and Ryan’s wife Blake Lively, before the match. Pic: PA
Both stars came onto the pitch after the supporters returned to the stands.
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Speaking to Sky Sports, McElhenney praised those behind the scenes, referring to “so many that don’t get the credit they deserve, people who aren’t talked about”.
Reynolds said bringing success back to the club “seemed like an impossible dream” when they arrived in North Wales in 2020.
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Image: Wrexham’s Sam Smith celebrates in front of the fans after Wrexham won promotion to the Championship. Pic: PA
He put the three promotions down to “the coaching staff, the greatest dressing room” and an “all for one, one for all” attitude throughout the club, adding he was “speechless with their commitment and their emotion”.
As for the mouth-watering prospect of another promotion to the promised land of the Premier League, the pair agreed it was “for tomorrow”, before ending the interview with a joint mic-drop.
Veteran striker Steven Fletcher said, “as soon as I came to this club, I knew it was something special. We want to go again. We’ll reset in the summer, take a break and go again”.
Just Stop Oil (JSO) insists it’s been “successful” – as its members ceremoniously hang up their orange high-vis vests during a march in central London.
Since the group formed three years ago, it’s drawn attention and criticism for its colourful, controversial protests, which ranged from disrupting sporting events to throwing soup on Vincent van Gogh’s Sunflowers, and climbing on gantries over the M25. It sprayed orange paint over Stonehenge, and cost police forces tens of millions of pounds.
Those days are now behind it; to the relief of many.
As a few hundred activists marched through London on Saturday, blocking roads as they went; taxi drivers blared their horns and football fans shouted abuse from the pavement.
The PA News Agency filmed the moment a white minivan seemed to drive towards a group of protesters blocking the road.
Protesters shouted “I’m being pushed back!” to police, while the driver could be heard shouting “What about my right to get home?” to the officers gathered.
But JSO never set out to be popular. And it believes its tactics – though hated – have been successful; thanks to the new Labour government’s commitment to not issue new oil or gas exploration licences.
That’s why, it says, its ceasing direct action.
Image: JSO hangs up its high-vis jackets in central London on Saturday
Image: A washing line of high-vis jackets signifies JSO’s disbanding
“This moment marks the success of the JSO campaign – our demand was to end new oil and gas licences and that is now government policy.
“As a result of which four billion barrels of oil are being kept under the North Sea. The campaign has reached a natural end.”
Dr Oscar Berglund, senior lecturer in international public and social policy, disagrees that JSO is disappearing because it’s been “successful”.
He told Sky News policing strength and public perception might have more to do with it.
“They have very low levels of popularity. About 17% of the British population are kind of broadly supportive of what Just Stop Oil do. And that’s too low to recruit.
“It’s difficult to recruit members to something that is that unpopular, and then that a lot of people for good reason I think have kind of stopped believing in that kind of disruption as a means to achieve meaningful change.”
Group triggers specific new protest laws
One thing it did change is the law.
Policing commentator Graham Wettone tells us: “Obstruction of the highway, obstruction of rail networks for example, these are specific offences now.
“It’s given the police more tactics, more methods, more offences they can consider, even stopping and searching somebody who may have something to either lock themselves on or glue themselves to something.”
Image: A JSO activist holds a picture of an imprisoned colleague
Emma Smart was held in prison for her activism with both Insulate Britain and Just Stop Oil.
“The high-vis might be going away,” she tells me, “but we aren’t.”
“These people aren’t going anywhere, we are still committed, dedicated, terrified by the failings of this government and governments around the world.”
Image: JSO activists throw orange paint at van Gogh’s sunflowers
Image: Orange smoke set off by JSO protesters at Stonehenge
She hopes for a time of reflection before it returns in a new form but says the need for climate activism is stronger than ever.
She also believes that while most people dislike JSO tactics, it still raises awareness of the cause and might even push people to more moderate campaign groups.
Just Stop Oil came behind other, similarly controversial climate campaign groups like Insulate Britain and Extinction Rebellion, and as it says goodbye, its disruptive methods have been seized upon by other organisations like the Pro-Palestinian Youth Justice.
The infamous Just Stop Oil orange vests might be going away, but the individual activists, their cause and campaign tactics feel here to stay.