Synthetic Cannabinoids: Reclassification

Vicky Ford Excerpts

Tuesday 6th November 2018 Westminster Hall

[Ben Bradley]

I thank the hon. Gentleman for his intervention: he is absolutely right. In the wake of an Adjournment debate that I held in July, 20 police and crime commissioners wrote to this Minister about the issue, stressing exactly what I am saying this morning: unless these drugs are taken seriously and prioritised by police forces in the way class A drugs are, the police will continue to struggle to deal with them at local level.

The point of reclassification is not to criminalise vulnerable users, but to prevent those users from being exploited by drug dealers and to get them the help that they need. The health Green Paper, announced only yesterday in an initial policy paper entitled “Prevention is better than cure”, is a welcome development. As my right hon. Friend the Secretary of State for Health and Social Care said, focusing on the responsibilities of patients is not about penalising people, but about helping them to make better choices.

[Vicky Ford (Chelmsford) (Con)]

Before my hon. Friend gets too much into the issue of patients, may I bring him back to the issue of policing? My local police have been doing a phenomenal bit of work cracking down on drug activity, and they made a number of arrests last week. They are concerned that there is not strong enough sentencing for the drug barons at the top, who too often are let off, basically scot-free. Does my hon. Friend agree that reclassification should be coupled with stronger sentencing for those peddling these drugs?

[Ben Bradley]

I thank my hon. Friend for that intervention: she is right. The challenge in many cases is that there do not seem to be significant repercussions for dealing in and manufacturing these products. Later I will touch on local examples of people who have gone round and round the judicial system, with a weak sentence for this and eight weeks for that. Not only are the drugs often more available in prison than they are on the streets, but there is no long-term repercussion for continuing to flout the laws, and people just go round and round the system.

[Vicky Ford]

I visited my local prison last Friday. It, too, is doing great work dealing with the drugs there, but the prison governor asked for stronger sentences for the people who commit crimes, especially violent crimes, in prison and said that those should be additional, not concurrent, sentences. Does my hon. Friend agree?

[Ben Bradley]

I think that that is a fair point, so I thank my hon. Friend for her intervention. I for one would like to see drug dealers and manufacturers removed from our streets for as long as possible, so I absolutely concur.

As part of my constituency work, I have focused heavily in the last year or so on homelessness in Mansfield and Warsop. To return to the health funding aspect, I think that we can use this week’s announcement by the Health Secretary and the funding that will be available for our NHS in the coming years to explore ways in which we can put in place community and primary care services for homeless and other vulnerable people and, for these drugs, preventive services. The preventive aspect is exactly what is needed from that funding and what could make a big impact. As I said at the outset, reclassification is not a silver bullet—it is not the only answer. It comes with a need for preventive services in our communities. They are two sides of the same coin when it comes to delivering for my constituents on this issue.

Mansfield District Council and the local police have done everything they can under the current framework to help users, and I commend them for their hard work and dedication. Alongside a local charity called Framework, the council and the police have launched a joint operation to tackle antisocial behaviour relating to the use of Mamba. In the town centre alone, one sergeant, six constables and six police community support officers are working closely with the council’s neighbourhood wardens and antisocial behaviour officers to deal with the problem; that is in addition to CCTV. That demonstrates the enormity of the issue. There are more police officers working in the town centre than perhaps ever before, but the police are still being stretched by this problem. Some kind of drug-related episode, whether it is someone passing out or causing another kind of issue for residents, is still a daily occurrence.

We should not automatically assume that all homeless people are taking these drugs. Of course they are not, but because of the incredibly low cost, there is a high correlation. To some extent, this has become the drug of choice. A dedicated taskforce is focusing on the root causes of homelessness by giving individuals the support that they need to end the cycle of dependency on drugs and alcohol and helping them to turn their lives around. Three outreach workers, who specialise in homelessness, mental health and substance misuse, are supporting the community in Mansfield and trying to build relationships with users, even when their help is rejected, as it often is.

Mansfield is learning from projects in other areas in order to work on its own best practice when dealing with this issue. More than 50 people shared their experience at a recent Mamba seminar, which will provide further guidance for the local authority. I have met people from the Nottingham Mamba clinic to explore new approaches, hear their experience and try to share their work in my constituency. Interestingly, even the drugs workers on the ground in the Nottingham Mamba clinic agree that reclassification would be an important aspect of managing the problem locally. A police inspector in my constituency, Nick Butler, says that the College of Policing has acknowledged that Mansfield is leading the way in dealing with Mamba users and tackling antisocial behaviour and rough sleeping. That is commendable.

We must accept that, in some cases, it gets to the point where enough is enough. Although we can offer individuals help until we are blue in the face, the fact is that people can refuse help or sometimes, for a variety of complex reasons, are not able to accept help. Instead, they end up in an endless cycle of reoffending. We have reached the point where existing powers to deal with repeat offenders no longer have an impact, and local police are calling for further support, as we saw in the example of the police and crime commissioners writing to Government.

Following my debate in July about the societal impact of these drugs, I asked the Government for two things. First, I asked for a national strategy to share best practice, seek medical intervention and support local areas in combating the issue and, secondly, I asked the Government to consider reclassifying these drugs from class B, comparable to cannabis, to class A, in line with heroin.

--- Later in debate ---

[Vicky Ford]

I thank my hon. Friend for giving way again, yet again he is making a really important point. I heard a tragic story when I visited my local prison recently. Three prisoners died after taking drugs. All three were also taking epilepsy drugs and there may be an issue there. With these synthetic drugs, we simply do not know what they do or how they interact with common medicines. Is that not another reason for treating this matter more seriously?

[Ben Bradley]

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.