Proscribed Psychedelic Drugs

Debate between Crispin Blunt and Charlotte Nichols

Tuesday 14th March 2023 Commons Chamber

[Crispin Blunt (Reigate) (Con)]

This is the first occasion that the Minister for Crime, Policing and Fire, my right hon. Friend the Member for Croydon South (Chris Philp) and I have had to debate an element of his new portfolio in public, a subject to which I have devoted much of my time over the past five years. I want to put him at his ease. I of all people know he has one of the toughest jobs in Government—I suspect his willingness to go out and bat for the Government on the most difficult of wickets is one reason he was chosen for these responsibilities—and I do not want to draw him on to ground where he has to defend the indefensible. Instead, I will use most of this brief debate to make the case as best I can for his positive intervention in a narrow but profoundly important and potentially positive part of his responsibilities.

I do not want or expect an answer this evening; these matters demand careful consideration. There will shortly be an application to the Backbench Business Committee, supported by more than a score of colleagues from across the House, for time for a fuller consideration. I hope by the time that debate is secured we can enjoy the news that this Minister is taking the available opportunities of his very tough policy inheritance.

Since the United States—directed by the FBI of Harry Anslinger under J. Edgar Hoover—corralled the world into agreeing a 1961 UN convention on comprehensive narcotic prohibition, global drug policy has a decent claim to being the greatest public policy failure since 1945. The casualties and costs, certainly, are cumulatively much greater than those of any conflict of the period.

In the future, historians will look back on the policy in stunned wonderment that the US, having had a decade and a half of prohibition of alcohol in its own country, thought it sensible, less than 30 years later, to press the rest of the world to prohibit everything but alcohol and tobacco, and expect a different outcome. This time, the scale was truly epic, affecting the entire world and everything that humans had come to use to make themselves feel better, driven by the same moral certainty that underpinned the temperance movement decades earlier. The scale of the cost and the toll of the casualties should have been entirely predictable. So great have been the investment in that policy around the world, the moral high ground of the political class, and the blood price paid by state security forces around the world, that it seems that only retired leaders engage properly in this first-order debate, and, based on their experience, now challenge the assumptions upon which they governed.

Today’s leaders face the particular problem of explaining to their electorates why the certainties on which self-evidently failing policies are based are in fact a mirage. The black-and-white simplicities that lend themselves to ease of political communication do not exist. They must also begin to put in place an alternative and more effective answer to reduce the harm done to humanity by narcotics than the simplicity of blanket prohibition. That will be complex and difficult, and will require communication skills and moral courage of an exceptional order. That global reordering will be for the future. The sooner we get there, the sooner the carnage can stop and the cost and benefits of our policy can be measured properly with a degree of disinterested academic rigour so absent over the past half century.

What policymakers can do immediately is to address the most obvious and damaging consequences of prohibition: access to medicine being lost and denied. Forgone medical treatment is just one element of the cost of blanket narcotic prohibition, but it is very great once we understand the treatments that we have denied ourselves amid the moral panic underpinning prohibition. For no class of drugs is that urgent repair more needed than for the psychedelics.

First, the opportunity for a major step change in mental health treatment is real. We are not talking here about simply improving the treatment of symptoms of mental ill health. We have the opportunity, with the psychedelic class of compounds, to make a step change in mental health treatment and, with a proper regard for the actual risks involved, drive access to medicines while facilitating the collection of data for their efficacy in the real world.

As Ministers around the world are now becoming aware, psychedelics, including psilocybin, are being investigated and found to have promising application as facilitators of psychotherapy for the treatment of the most debilitating and devastating mental health conditions suffered by people around the world. Unlike the treatment options that are currently available to patients, psilocybin-assisted psychotherapy does not foster dependence. It treats the underlying causes of mental ill health rather than simply covering the symptoms through emotional blunting, unlike selective serotonin reuptake inhibitors—antidepressants—on which patients can come to rely for decades, and to which they currently have no real alternative.

My hon. Friend the Member for Devizes (Danny Kruger) is properly concerned about freeing people from the overuse and dependence on those treatments. When I sought his support for my application to the Backbench Business Committee, he cautioned me to stay my enthusiasm until we had solved that problem as the first priority. But that misses the point that assisted psychotherapy can give patients back their lives, allowing them to escape antidepressants in the first place by helping them to form and enjoy satisfying relationships with other people; to return to and thrive at work or study; to contribute fully to society; or even better, to help them to confront their fear of death and cope with end of life. It really is revolutionary and has the potential to dramatically improve the lives of millions of our fellow citizens. We must do both.

Addressing the missed opportunity of treatment over half a century will help address the miserable dependence of too many on SSRIs. It would be untenable for the Government to keep barriers to cancer research, for example. That should also be the case for psychedelics given their promise for mental health.

[Charlotte Nichols (Warrington North) (Lab)]

I thank the hon. Gentleman for securing this important debate. Does he have any estimate of the number of people living with treatment-resistant depression in the UK and what the cost could be to the economy of not rescheduling psilocybin as he proposes?