Synthetic Cannabinoids: Reclassification Debate

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Department: Home Office

Synthetic Cannabinoids: Reclassification

Kevin Foster Excerpts
Tuesday 6th November 2018

(5 years, 4 months ago)

Westminster Hall
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Ben Bradley Portrait Ben Bradley
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I thank my hon. Friend for her intervention and I absolutely agree. We have seen the impact of these drugs and not only on users; there have been cases of prison officers having to go home sick, having inhaled fumes exhaled by people taking these drugs. The impact is not only on users themselves but on the broader community, which—absolutely—is another reason why this matter needs to be taken more seriously.

It is not yet necessarily recognised in the literature on this subject, but there can be problems for users as bad as bleeding from the eyes and bleeding from orifices. Similarly, teeth falling out has been described by long-term users as a side effect of these drugs, and such things are not comparable with the outcomes and side effects of other class B drugs. It is ridiculous that these symptoms do not warrant a higher classification for these drugs.

Unlike natural cannabis, synthetic cannabinoid receptor agonists, or SCRAs, do not contain cannabidiol, or CBD, a chemical that is sometimes sold in our high-street shops, and which appears to possess antipsychotic properties. The psychotic symptoms that occur relatively frequently following SCRA consumption might be linked to the high potency of the drugs and the absence of CBD. In many cases, however, we do not know what is actually in these drugs. That is partly why it is so difficult to have a clear national treatment plan for users; the drugs are manufactured locally and ingredients vary across different regions. Sometimes, the main ingredient is nail varnish remover, but at other times it is not, and the impact on health and symptoms can vary greatly.

Cases have been reported where users choose to take heroin instead of Mamba, as there is more treatment available for heroin. There is no substitute for Mamba in the way that methadone can be used to help heroin addicts to come off heroin. I have been told by service providers off the record that they would prefer to treat people who take heroin, as their understanding is greater and the pathways to support and help are clearer. The fact that drugs workers say, “Actually, I would rather you take this class A drug than a class B drug”, suggests that we have not got classification right.

I have been told anecdotally that these drugs are far more addictive than heroin or cocaine. An article in The Economist emphasised the difficulty faced by outreach workers as they try to help users. Although heroin addicts often have four or five hours of lucidity a day, Mamba is often chain-smoked continuously by users throughout the day. As Members can imagine, that makes having a coherent conversation with a Mamba user a nearly impossible task.

Last weekend, The Sunday Times contained a very interesting article by Rosamund Irwin, which included an account from a user about how much worse the outcomes of taking Spice are compared with those of taking any other drug. In the article, Karen from Blackpool said:

“I’ve been on heroin for over 30 years, I’ve tried every drug, and Spice is by far the most horrible. You can function on heroin, but on Spice I thought I was coming off the world.”

In the same article, Karina, who is from the Salvation Army, says that these drugs

“rob people of their personality, it’s very different to heroin in that you can still have a conversation with a heroin user, but when people are on Spice their body is there, but they are not.”

The impact of these drugs is immense and affects towns across the whole of the UK. Not only is the impact on individuals worse than that of many class A drugs, but the impact on others and on public safety is arguably the worst aspect of all.

I want to see heavier penalties for manufacturers and dealers; I want to see work being done to shut down supply chains for the ingredients used in these drugs; and I want to see that increased risk and difficulty make life harder for manufacturers. In the meantime, I want the police to act, in order to keep people safe on our streets.

I have spoken to the staff of many local services in Mansfield and Nottinghamshire who have seen at first hand the impact of these drugs on our town centres. It is clear that the low price of Mamba and Spice is a key problem. At the cost of as little as £5 for four or five hits, synthetic cannabis is one of the cheapest drugs on the market, but it is also one of the strongest. The effects of these drugs can leave users resembling zombies, slumped in a state of semi-consciousness, sometimes foaming at the mouth and sometimes passed out in the street.

It is uncomfortable enough seeing such things as an adult; it is devastating having to explain to your four-year-old child why there are people passed out on the ground in the market square in Mansfield town centre. That situation has clearly had a negative impact on town centres and local economies. It causes anxiety among shoppers and business owners, reduces footfall and discourages families from spending the day in the town centre.

These drugs have put an extra strain on ambulance services around the country. Figures from South Western Ambulance Service NHS Foundation Trust showed that between August 2016 and July 2017 there were 157 calls related to synthetic cannabis. That jumped up to 960 calls in the following year. Most of the time, the users hop back up after 20 minutes or so; they are absolutely fine and do not need an ambulance, but that time and money has been wasted. This issue not only affects my constituents in Mansfield and Warsop; it impacts on constituencies around the UK and it is getting worse. The Government need to act now to stop things from worsening further.

Kevin Foster Portrait Kevin Foster (Torbay) (Con)
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I thank my hon. Friend for giving way and congratulate him on securing the debate. Having made those points about ambulance services, he might be interested to know that last year in Torquay some users of these drugs were getting two or even three ambulance visits a day because of the very situation that he is describing, namely that most users recover quickly after an incident. Again, that reinforces the fact that these are not class B drugs. They look like class A drugs, they work like class A drugs, and they should be class A drugs.

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Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I congratulate the hon. Member for Mansfield (Ben Bradley) on securing this debate on a subject very close to our hearts. Many others who would love to be here also support the aims of the hon. Gentleman and other speakers. I will talk about a specific case that the Minister is aware of. It is a success story in that Government policy has helped very much.

Members will know that I am a most sincere advocate for my young constituent, Sophia Gibson, who was prescribed medicinal cannabis. I watched the struggle of my constituents as they fought with every breath to legally get the help that their child needed, and today young Sophia is a different child. I want to put on the record my thanks to the Minister for his endeavours to make sure that that happened. He had the opportunity to meet Sophia Gibson, my parliamentary aide and me to talk about this matter. I know that he industriously, personally and sincerely pushed the matter for Sophia and I thank him for that. I also thank the Government for their help to make that happen. Without that help and intervention, we would not have the Sophia we have today. Like me and everyone who helped, the Minister has a photograph of that young girl who has now come on greatly.

Sophia needed medicinal cannabis to have any semblance of a life. Her courageous mummy and daddy refused to stop pushing, and refused to give in and accept drugs that had horrific side effects and did not address the severe medical issues that their daughter had. I cannot speak highly enough of Danielle and Darren, the mum and dad who put it all out there to get their daughter the help that she so desperately needed. They did it in the right way. They followed the legal procedure and paved the way for others who need an opportunity to get that help. The path is still not smooth, and the Government are honing the procedure, but because of Alfie Dingley’s mother Hannah and because of the Gibsons, it is now a possibility.

I recently saw a picture of Sophia dressed as Princess Anna for her school Hallowe’en party. That might not be noteworthy for everyone, but it was noteworthy for Sophia’s family because it was the first party that she had been able to attend at school. That says it all about what medicinal cannabis has done for that young girl and for her mum and dad.

A post on the social media page Help for Sophia’s Seizures, which updates people on Sophia’s progress, encapsulates why I stood with Danielle and Darren in their battle for help for their child, as the Minister and many in the community did. It reads:

“Nearly 14 weeks on from when Sophia was prescribed medicinal cannabis with THC on the NHS and she has NOT been hospitalised from 10th July, seizure length and frequency are reducing and Sophia is so much brighter, has a lot more energy and her ‘wee rascal’ personality is shining through. Sophia recently had a cold that lasted 5 weeks and any other year day 2 of a cold and she was hospitalised with back to back seizures but this year it has been so much different and at last for the better. Our little princess is getting bigger, stronger and better each day and we hope this continues looking into the future. This was never to cure Sophia as her syndrome is genetic but about Sophia having a better quality of childhood and that is what she is doing.”

I am undoubtedly in the corner of those in the medical profession who know that nothing else is working, but I must say clearly that that is where I draw the line. I believe that honing the process means educating doctors to know the situations that call for the prescription of whole plant cannabis, which has no additional substances added to it. I am not a doctor—far from it—and I am not medically trained, but the fact that whole plant cannabis has been proven to make such a substantial difference to young Sophia’s quality of life tells me that more research is needed into whole plant medicine. That will enable medical professionals to have the information that they so need to prescribe whole plant cannabis to others in Sophia’s situation, in which the currently available drugs are not working and are even damaging her in the long term.

We must remember the impact that every seizure has, physically and mentally, on a child’s capacity. There are people whose lives would massively benefit from whole plant cannabis. Information must be available for medical professionals to understand the medication so that they can prescribe it.

Kevin Foster Portrait Kevin Foster
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I am listening to the hon. Gentleman’s speech with great interest. As always, he is a doughty advocate for his constituents. Does he agree that there is no contradiction in believing that Spice, as a synthetic cannabinoid for recreation use, should be made a class A drug, but that cannabis-based medicine should be allowed for specific purposes? The medicinal use of a drug is a different concept from its abuse for recreational purposes.

Jim Shannon Portrait Jim Shannon
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I wholeheartedly agree. I want to make sure that we understand the side effects, but the thrust of the hon. Gentleman’s intervention brings me back to a point that I have made clear throughout the debate: reclassifying cannabis to allow recreational use is something that I cannot support. Just as we use morphine under very select circumstances and in a controlled manner, but have rightly outlawed the use of heroin, it is right that we have classified cannabis products for medicinal use in select circumstances and in a controlled manner. That is the way I believe it must be.

I do not believe that we should allow recreational use of Spice or Mamba, or that we should advocate such use of any cannabis-derived product. Nor do I believe that legislating for medicinal cannabis means logically that we should legislate to allow recreational use, or to allow for those who believe that they can self-medicate.

We need to ensure that doctors understand the limitations of the change in legislation and can prescribe to someone whose case they know well and who is not responding to other conventional drugs. We need to ensure that people understand that the change in legislation does not give them carte blanche to grow their own plants. Finally, we need to ensure that children like Sophia Gibson who had no quality of life before medicinal cannabis was available can access medication that will enhance their life, as it has clearly done for Sophia, so that they can have a birthday party without ending up in hospital, attend school without having to drop out because they are not well, and have a semblance of normality. That is what I support and will continue to support, and there is a very clear difference between the two.

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Nick Hurd Portrait Mr Hurd
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I thank the hon. Gentleman for that, and I send my best to the family, who showed enormous patience and dignity throughout a very difficult situation.

This has been a good debate, and I congratulate my hon. Friend the Member for Mansfield (Ben Bradley) on bringing the issue back before the House with persistence and tenacity. He is entirely right to do so. He described this as a serious national problem, and I do not think he is wrong about that. Statistics can be misleading. One might be lulled into thinking that synthetic cannabinoids are not a significant national problem by the statistic that less than 0.5% of 16 to 59-year-olds in England and Wales reported using a new psychoactive substance in the past year, which is broadly the same as the year before; it might seem a small number. However, as the hon. Member for Swansea East (Carolyn Harris) pointed out, there is another number. There were 24 deaths related to synthetics in England and Wales in 2017. That is a terrible number to put alongside the evidence that has come, loud and clear, from Stoke, Chesterfield, Mansfield, Torbay and Wales, that the issue we are discussing causes real anxiety across the country. It confronts people with the terrible reality of its impact on some of the most vulnerable individuals in our communities, for whom, as my hon. Friend the Member for Stoke-on-Trent South (Jack Brereton) and the hon. Member for Stoke-on-Trent North (Ruth Smeeth) pointed out, £2 buys oblivion and a dehumanised state. We do not yet have that problem in Ruislip, Northwood or Pinner, but I have seen it with my own eyes on the streets of Newcastle, and it is a shocking and unsettling sight, which we do not want in our town centres, for all the reasons that Members of Parliament have powerfully articulated here today. As Members have said, the evolution of generations of such drugs is fast-moving and a major challenge.

I would like to assure the House that we are prioritising the issue, and I will set out some evidence for that. However, I remind the hon. Member for Stoke-on-Trent North in particular that I get the urgency of the issue, and I will close with some remarks taking us forward a bit. We are prioritising the problem—the groundbreaking Psychoactive Substances Act 2016 was a substantial piece of legislation. I confirm, in response to my hon. Friend the Member for Mansfield, that we shall publish our review of it before the end of November. However, as I have said in previous debates, there is evidence that the Act has had a powerful effect in removing new psychoactive substances from open sale and ending the game of cat and mouse between Government and backstreet chemists. Significantly, 300 retailers across the UK have closed down and are no longer selling the substances. Suppliers have been arrested, there has been action by the National Crime Agency to remove psychoactive substances and, in 2016, there were 28 convictions in England and Wales, with seven people jailed under the new powers. That rose to 152 convictions in 2017, with 62 people immediately sent to custody. In parallel with that legislation, three separate sets of controls on the progressive generations of synthetic cannabinoids have been introduced, in 2009, 2012 and 2016.

Kevin Foster Portrait Kevin Foster
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The Minister referred to the 2016 Act. I can reassure him that there used to be two head shops in Torquay town centre, but both have closed following that legislation.

Nick Hurd Portrait Mr Hurd
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I thank my hon. Friend for that helpful contribution. I think that we can be clear, subject to what is in the review at the end of the month, that that groundbreaking legislation has had an effect. I can also point out targeted action by the Government, concentrated on areas where we know usage is especially high.