Suicide

Earl of Sandwich Excerpts

Tuesday 23rd April 2013 Grand Committee

[The Earl of Sandwich]

My Lords, I thank noble Baroness for this opportunity. It seems that we are all supporters of the Samaritans, which is a wonderful organisation.

As the Minister knows, a member of my family has suffered for four years from acute withdrawal from benzodiazepines, especially sleeping pills given to him during periods of overwork and stress. He still suffers from burning sensations, tinnitus, agoraphobia and occasional suicidal tendencies that have confined him to his room—mostly unable to work or help his family.

This group of patients is still beyond the reach of the National Health Service. They are living in a policy “no-man’s land” because there are hardly any statutory services available or even people who are aware of their condition. Friends and family feel helpless and, in fact, are unable to help beyond informal counselling. There are dangerous moments when no one seems to be able to do anything. In this sense, the urban community has failed much more than the rural one.

Those who suffer first addiction and then withdrawal from prescribed iatrogenic drugs cannot look to their GPs or local clinics like other patients, because it was their doctors who prescribed the pills in the first place. The patients may have desperate thoughts of going to A&E as their last resort, until they remember that they will only be referred to a psychiatrist who will put them back where they started. The only slender threads of hope may be online, with the next e-mail from a fellow sufferer, or via a helpline to one of the saintly withdrawal charities such as CITAp in Liverpool, Recovery Road in Cardiff, the Bristol & District Tranquiliser Project or MIND in Camden, which is the only voluntary service available in London, but only to those who live in Camden. Some of these charities take thousands of calls a year, and I have no doubt that the Samaritans take many more similar calls from the same people.

I declare an interest as the vice-chair of the All-Party Parliamentary Group for Involuntary Tranquiliser Addiction. We are a small core group of about 12 active MPs and Peers. With occasional help from the media, we have been able to bring this issue to the attention of successive Ministers. The BMA held a useful seminar recently. I am glad to say that the present Health Ministers are now well aware of the risks, because it is known that 1 million people or more are taking benzodiazepines long term, not short term, and that their doctors are not stopping them. The Minister will remember all the arguments that we put forward during the Health Bill, and they remain valid today. These include the obvious need for greater awareness among doctors and junior doctors of the risks, good practice in the voluntary sector, better NICE and NTA guidelines, more understanding of the general protocol of withdrawal from prescribed drugs, and the need for a stronger national policy backing up the confusing new local health agenda. I went to see Public Health England only this afternoon and was encouraged that the new health and well-being boards and CCTs will have this subject in their list of priorities, but it will need a lot of encouragement.

Equally important is the need for the department to shift its spending priorities and its drugs agenda just a little way away from illegal drugs towards prescribed drugs. It is really the Samson and Goliath story. Almost all the knowledge in the National Treatment Agency is about methadone and alternatives to heroin, and about counselling. There is very little knowledge of the dangerous effects of prescribed benzodiazepines, SSRIs and Z-drugs, unless they coincide because people are using them with heroin. The US has much more experience. Changing the dosage of Prozac, for example, can trigger suicidal tendencies immediately. There is a black box warning of this in the United States.

We have now reached a critical point with all the new NHS changes. The voluntary agencies have high expectations that the Government will take these various points to heart, recognise the good practice that is out there and give it their fullest support. As the noble Baroness, Lady Buscombe, said, co-operation rather than competition is absolutely vital in this field.