UK Drugs Policy

Sarah Wollaston Excerpts

Thursday 30th October 2014 Commons Chamber

[Dr Sarah Wollaston (Totnes) (Con)]

It is a pleasure to follow the thoughtful contribution of the hon. Member for Brighton, Pavilion (Caroline Lucas). I welcome her bringing this debate to the House.

I will speak about a harm-reduction approach to drugs policy. I do not hold a moralistic view on the taking of drugs, other than my objection to people supporting one of the most evil worldwide businesses or cartels. It always surprises me that people who object to buying coffee in Starbucks and who refuse to support Amazon are quite happy to support cartels that cause untold misery to hundreds of thousands of people around the world. Until such time as we have a change in drugs policy, I hope that people who support the drugs industry will reflect on the wider harms that they, personally, are causing.

Talking of harm reduction, I welcome an approach that says, “Let’s look at the evidence and be driven by the evidence in what we do.” However, there is one piece of evidence on which we should reflect, which is that drug use is falling in this country. According to surveys from the Office for National Statistics, the level of class A drug use among young people—16 to 24-year-olds—has fallen from 9.2% in 1996 to 4.8% in 2012-13. That is a significant drop.

[Caroline Lucas]

I am grateful to the hon. Lady for the approach that she is taking. However, we need to be really clear about the evidence that drug use is going down. The only real model that we can see over time is that there was a 32% increase in respect of some of the most serious drugs, heroin and morphine, last year. Cannabis use has been coming down, but that has happened irrespective of the policy context and of whether it has been class B, class C or anything else.

[Dr Wollaston]

I thank the hon. Lady for that point. Cannabis use among 16 to 24-year-olds is now at its lowest level since records began, at around 13.5%. I think the view we sometimes hear that we are losing the war on drugs is factually incorrect, and there are many markers.

[Ian Swales (Redcar) (LD)]

I have great respect for the hon. Lady’s experience in this matter. Does she see a connection between the falling use of illegal drugs that she is highlighting, and the rising use of legal highs?

[Dr Wollaston]

Legal highs are a rather separate issue. I agree we must consider that they may have unintended consequences, but I would not follow that as a direct cause or link. I do not agree with that.

[Paul Flynn (Newport West) (Lab)]

Will the hon. Lady give way?

[Dr Wollaston]

May I make a little progress and then I will come back to the hon. Gentleman?

I would like to focus on cannabis for a moment—that is the issue I have most correspondence about—and on its harms. Cannabis is often presented as somehow a harmless product, and if we compare it with alcohol and consider the numbers of deaths and injuries, alcohol undoubtedly currently causes far greater harm in our society. However, before we assume that it must therefore be acceptable to legalise cannabis, I want to focus a little on its harms. In the short term, there is double the risk of a car crash for people driving under the influence of cannabis, and in the longer term, one in six young users will become dependent. It simply not true to say that cannabis is not a drug of dependence—it is.

For me, this is about the impact of cannabis on young users and teenagers, because they will double their risk of a psychotic illness. In my career I have met many families and young people whose lives have been completely devastated as a result of psychosis—I come to this debate from that viewpoint and my real concern about what psychosis does to people, because many of them did not recover. That is particularly important for those who have a family history of psychotic illness. For example, if someone has a first degree relative with a history of schizophrenia and they start using cannabis as a teenager, they will double their risk of a psychotic illness from 10% to 20%—a significant increase.

[Dr Huppert]

It is always interesting to listen to the hon. Lady, and I do not think anybody is trying to make the case that drugs, legal or illegal, are harmless. Does she accept, however, that because we make it an illegal system, we cannot do what has been done in California, for example, where medicinal marijuana has allowed the breeding of strains of marijuana that are less psycho-harmful?

[Dr Wollaston]

That is why I want to see the longer term results from Colorado and Washington state, and whether as a result of that system the harm to young people from cannabis is reduced. Personally, I think it is too early to say what the effects will be, but I will be following the results closely. If I see clear evidence of harm reduction, I will completely change my approach to this issue.

People often write to me and say, “Well look at Portugal where there has been a reduction in drug use”, but the Czech Republic, which has the same approach in not prosecuting people for personal use, has one of the highest levels of cannabis use across Europe. We must be careful about how selectively we quote from the evidence.

[Mike Thornton]

I have great respect for the hon. Lady’s skill and knowledge, which is probably greater than mine. In Portugal they take a great deal of care to look after the people brought to their attention who have problems with drugs, and they treat them properly, which works. Perhaps in the Czech Republic they do not use the same approach. It could be that that is the case.

[Dr Wollaston]

There is certainly a strong case for a much better medical approach to drug use—certainly for hard drug use. My point is about relative uses. People often write to me and say that we would cut cannabis use if we took a different approach to decriminalisation. As I say, I am not dogmatic about the issue, and I would like to see the longer term outcomes from legalisation in Washington state and Colorado.

[Stephen Phillips (Sleaford and North Hykeham) (Con)]

Will my hon. Friend give way?

[Dr Wollaston]

May I finish a few points about the medical aspects of this issue? There is also the issue of educational achievement for long-term, regular cannabis users in adolescence, because we know there is a reduction in their school performance, and it is more likely that they will end up with cognitive impairment later on. Whatever we do, we must be mindful of the effect of our policies on young people. The harms are greatest for young people who start using cannabis heavily at an early age. I hope the Minister will assure the House that when we review drugs policy he will particularly focus on its effects on young people, so that we do not head down a route that could lead to greater harm to young people as a result of policy changes.

--- Later in debate ---

[Mr Peter Lilley (Hitchin and Harpenden) (Con)]

It is a great privilege to take part in the debate. I congratulate the hon. Member for Brighton, Pavilion (Caroline Lucas). I am not sure whether it will cause her or me more embarrassment among our supporters that we find ourselves sharing company and the same side of the argument.

Some years ago, when the debate about drugs erupted, as it does from time to time, the media went round more or less every Front Bencher and asked whether they had ever smoked pot. I was one of the very few who never had, and I have no intention ever of doing so. That gave me a clear enough head to look at this issue on the basis of evidence, which is what the hon. Lady’s motion urges us to do.

I focused on the important distinction between soft and hard drugs, and on whether cannabis should be treated differently from hard drugs. I concluded that it should be, and that we should move to the legalisation of cannabis. We could have a small number of legal outlets while banning the active marketing and promotion of cannabis, its sale to minors and its consumption in public places.

I concluded that a move to legalisation would have a number of advantages. First, about 80% of the effort in the so-called war on drugs goes on trying to prohibit cannabis. Much less effort and resources go into the prohibition of hard drugs, which cause the greatest harm and the greatest danger. Therefore, if we could provide some legal outlets for cannabis, we would be able to focus more of the effort on the drugs that do the greatest harm.

Secondly, I concluded that the effort of trying to prohibit cannabis was ineffective. Until recently, we had a higher prevalence and usage of cannabis in this country than in Holland, where there are legal outlets. Prohibition was therefore ineffective.

Thirdly, I concluded that we were undermining respect for the law by having a law that was widely disregarded, and one that was harder to justify in a country which, after all, legalises the sale of alcohol, which can do at least as much damage as cannabis, and legalises the sale of nicotine and cigarettes, which can have more lethal consequences in the long term.

One key argument often used by those who advocate keeping cannabis on a par with hard drugs, and criminalising and prohibiting its sale in this country, is that it is supposedly a gateway drug, meaning that it leads people ineluctably to sample cocaine, and then tempts them to go on to heroin. They say that, therefore, its sale should be prohibited. I believe that the reverse is true: because the sale of cannabis is illegal, we drive soft drugs users into the arms of hard drugs pushers. They can obtain cannabis only from criminal gangs, who will want them to upgrade to drugs that are more addictive and more profitable.

[Dr Wollaston]

Does my right hon. Friend agree that the real gateway is tobacco use? Most people smoke cannabis with tobacco, and that poses the greatest risk of long-term harm.

[Mr Lilley]

I will, for the sake of argument, agree with my hon. Friend, but I think that is a rather different argument from the one I am addressing.

The most important single reason for legalising the sale of cannabis is to break the link between the sale of hard drugs and the sale of soft drugs. There are only two coherent and rational policies as far as soft drugs are concerned. The Swedish approach is one of toughly enforced prohibition. I looked briefly at the report and thought it was a bit weak on analysis of the Swedish situation, but I will look at it more deeply. The other is a version of the Dutch approach, which is now the approach of a number of countries, where legal outlets are available. The worst option is falling between two stools and decriminalising use while leaving the supply in the hands of drug gangs. That leaves us open to driving soft drugs users into the arms of hard drugs pushers.

I say these things not as someone who is soft on drugs believes there is nothing is wrong with taking drugs. I believe that even if there were no health disadvantages from using drugs, there is a moral case against using them. However, just as I want to decriminalise and legalise, I do not want to de-moralise drugs. Ultimately, wherever possible moral choices should be left to individuals. In so far as we are going to be no worse off—the Dutch experience shows not a higher number of users, but fewer people pushed into harder and worse drugs—let us look at the evidence closely, and be willing to accept that although drug use may be wrong it does not automatically have to be criminal.

Lots of things are wrong. Adultery is wrong, but we do not make it a criminal offence. Lots of other things are against the moral law in which I believe, but we do not make them a criminal offence. Let us look at drugs without going to the opposite extreme of saying that any use of drugs is desirable and entirely value-free. Let us look at the evidence and see whether the policies we have been pursuing in this country have been ineffectual, have focused the effort where it is least needed and not where it is most needed, have undermined respect for the law, and have driven soft drugs users into the arms of hard drugs pushers. I hope the House will support the motion.