UK Drugs Policy

Debate between Stephen Phillips and Eric Ollerenshaw

Thursday 30th October 2014 Commons Chamber

[Eric Ollerenshaw (Lancaster and Fleetwood) (Con)]

I shall take a somewhat different tack from other Members, but first I congratulate the hon. Members for Brighton, Pavilion (Caroline Lucas) and for Cambridge (Dr Huppert) and others on their contributions to the debate. I want to pick up on what was said by the Chair of the Home Affairs Select Committee about legalised prescription drugs and how they relate to drug-related harms and their costs to society. I would argue that the cost of prescription drugs is massive, as are the related harms.

I would like to pay tribute to the late Jim Dobbin, with whom I worked closely on the all-party group on involuntary tranquilliser addiction. Jim set it up and worked on it year in, year out, because of his concerns, perhaps arising from his background, and because of the people he came into contact with. I pay particular tribute to Mick Behan, who worked out of his office. He had gone through involuntary tranquilliser addiction and worked hard with Jim to bring this to the notice of Government after Government.

Ironically, I was the Conservative candidate in Heywood and Middleton in 1990 when the Conservative Government were in power. Like all good candidates, I could not attack the Government, but I could attack the local Rochdale council, and who was a senior member of Rochdale council in 1990? Jim Dobbin. I then came to this place. My constituent John Perrott, who is the secretary of the all-party group, contacted Jim and got involved in work with him over the last four years, trying to bring to the notice not just of this House but of the system, the situation with tranquillisers and prescriptions.

The motion talks about costs. It is estimated that 1.5 million people have a long-term addiction to tranquillisers in this country. In 2012, 67.3 million prescriptions for tranquillisers were issued; in 2013, it went up to 70.2 million. Those are legal drugs that are being issued. There is a lot of evidence, particularly relating to the benzodiazepines—benzos—and the Z drugs, to demonstrate people’s addiction. As early as 1988, apparently, GPs were instructed that people should not be on these drugs for longer than four weeks. Yet 1.5 million people are addicted to them.

As a member of the all-party group, I used to visit various parts of the NHS with Jim to talk to doctors. We also spoke to the British Medical Association. There was a worry about their professionalism, as I remember one doctor saying, “If I refuse to give another prescription, I know full well that patient will go to another doctor and get the same prescription.” There is a great hole in the system. What the real cost is, I do not know. It must run to millions, if not billions, just for prescribing those drugs. Clearly, the profits for various companies are quite high.

The human cost is different again, when we think about the problems people face through no fault of their own. Who better to quote than the Prime Minister himself on this? Jim put a question to him in October last year, in response to which the Prime Minister said that

“these people are not drug addicts but they have become hooked on repeat prescriptions of tranquillisers.”—[Official Report, 23 October 2013; Vol. 569, c. 296.]

They went to their doctors in all good faith. They did not read the small print about possible side-effects and nobody spelled them out. Now we are left with of 1.5 million people who cannot get off these drugs, and there seems to be no place in the system for them to go. The only place they are sent is to a drug rehabilitation centre, but the majority of the people sent there have usually been on illegal drugs. I am not talking about a class difference, but there is a psychological difference between one and the other. What generally happens is that people who have suddenly realised that they are addicted to a substance that they took as a medicine stop going to such centres. One clinic that Jim and the all-party group supported, and which we hope will continue, is a voluntary clinic in Oldham, which followed the recommendations in a manual produced by Professor Heather Ashton about ways of getting people off benzo drugs and curing the addiction that they cause, but that is just one clinic. There was another in Liverpool, but its grant has gone.

My constituent John Perrott has—I hope—got himself off prescription drugs by means of that system. He sent a number of freedom of information requests around the country asking how many people had been taken off such drugs. As I said earlier, it has been estimated that 1.5 million people are addicted to them. A total of 180 people all over the country responded by saying that they had undergone some kind of rehabilitation to get them off prescription drugs.

As I have said, I do not know the total financial cost involved, but the mental and physical costs are clear to anyone who meets people who have ended up taking prescription drugs. Members can imagine the mental stress that they experience. They took those drugs because a doctor had told them that they would be fine. Therein may lie one of the problems that have been identified by Jim and others. The Earl of Sandwich has tried to take up the issue with the British Medical Association. Some doctors have said that, anecdotally, there is indeed an issue. However, they tend to feel that their professional judgment is being challenged, even if what is involved is a historical judgment. They worry about, for instance, possible litigation—and we are, of course, familiar with the American scene. But all that these people are crying out for is some recognition within the national health service.

We have had meetings with Health Minister after Health Minister, and they have all said, “It is fine—it is in the system.” However, drug companies are making millions from prescription drugs. Doctors say, “What can I do? If I tell people that there is a different system which does not involve my giving them tablets, they will not believe me”—and, as I said earlier, those people can easily go to another doctor and get the drugs from him. I understand that some of them can be obtained through the internet in any case. That is a very different scenario from the one that has featured in the debate so far, although it is clearly relevant to the overall issue of drug misuse.

Members have mentioned drugs in prisons. I have tried to obtain factual information from prisons, but have been given only anecdotal evidence. Prison doctors have told me that many prisoners know that the way to get hold of drugs is to say, “I am depressed”—and why would someone who has been sentenced to imprisonment not be depressed? The prisoner need only act out the symptoms, and the drugs will then be prescribed, entirely legally. The anecdotal evidence that I have received from the prisons themselves is “It keeps them quiet.” Other Members have mentioned that already.

[Stephen Phillips]

I wonder whether my hon. Friend has spoken to prison governors, as I have. They have told me, as I am sure they have told him, that if prescription drugs, particularly tranquillisers, are taken out of prisons and no longer prescribed for prisoners—although they are not needed for the majority of prisoners—every custodial facility in the country will be on fire the following day.

[Eric Ollerenshaw]

My hon. and learned Friend has made the point far better than I could. We are told that when we talk to people in the system, but there is no recognition of it. I find it amazing that even Members of Parliament cannot acquire information about the scale of prescriptions inside prisons, but, for some reason, that is not possible.

There is a whole series of questions to be asked. I congratulate the Members who initiated the debate, and I appreciate the points they have raised about illegal drugs. As an ex-teacher, I have seen the damage that drugs cause, on the streets and elsewhere. However, the issue of illegal drugs is part of a much wider issue relating to drugs in 21st-century society.

Let me end by paying another tribute to Jim Dobbin. He stood firm on this issue, and he worked hard on it. I last met Jim on, I think, the Thursday before the weekend he died. He had had a meeting with the Chairmen of the Health and Home Affairs Committees, during which he had been trying once again to find out more about an issue that affects all our constituents.