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Drug News: (updated 26.9.06)

This area contains news and developments on drugs. It will include legislation, policy, strategy and other drugs news. As well as reporting on what is going on this section will also provide some analysis and commentary, looking at the real implications of these developments.

The articles are arranged with the most recent at the start, and older material at the bottom. Use the "quick finder" section below to jump to specific areas.

Material dating to before 10/04 has been archived; please go to the Drug News Archives to view this material.

All information relating to SECTION 8 has been moved to a new section HERE.

Drug News

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Young People and Drug Testing - an Unstoppable Force?

article coming soon... watch this space!

Cannabis Drought - and a new War on Weed - 26.9.06

Cannabis users in the UK have been aware for at least the last two months that there was a serious shortage of cannabis in the UK. Discussions on the drug strand of the Urban 75 website had been discussing the shortage in early August, and it was raised as a concern by harm reductionists at UKHRA in early September.

What had initially appeared to be a localised problem - which seemed to be affecting Liverpool , Cheshire, and some parts of Scotland, rapidly escalated and most parts of the UK were reporting shortages of cannabis within a few weeks.

At this point, various theories were being posited for this shortage, which was mainly having an impact on herbal cannabis. Some London-based commentators suggested (in August) that supplies were being held in reserve for the Notting Hill Carnival, and other sources suggested that growers had somehow formed a cartel, and were sitting on stockpiles to force costs up.

In practice, it seems more likely that a series of police actions across various parts of the UK had impacted on availability of home-grown herbal cannabis in the UK.

In May, Kent police raided a large production site. On August 10th, the BBC reported further raids in Faversham, Kent. The Guardian (August 29 2006) reported that police in Hertfordshire had closed 24 'factories' in the preceding four months and made a number of arrests.

Raids have also been reported in Wiltshire (July 2006) Catford, South London (August 2006), Swindon (July 2006), Lewes Sussex - september 2006, Clitheroe (July 2006), L.B. Barnet (July 2006), Ealing (August 2006), and a number of other areas.

Now at this stage, no 'formal' or coordinated action had been declared either by the Home Office or the Police. So in theory, this action was all uncoordinated, local activity.

But it seems that the net result of this has put a huge amount of pressure on other areas, forcing people to travel to secure cannabis in other cities, and in turn causing the shortage to increase.

The net result so far has been to force the prices up, and also to drive people towards the use of less safe substances.

For some cannabis users this has meant smoking imported, low grade cannabis resin, such as Soap. But with increased port and airport security, displaced demand and a domestic reliance on home-grown cannabis, shortage of resin is also being reported.

Drugs workers are concerned that the shortage of homegrown cannabis is increasing the risk of lapse amongst former opiate users. Several drugs workers have spoken to KFx highlighting clients who had previously been abstinent from opiates, but had kept themselves calm through their use of cannabis. The drought has resulted in a number of these clients returning to opiate use.

Any hope that the drought would come to an end will have been dashed by the announcement on the 25th September 2006 that the Police intended to launch a concerted campaign, involving 19 police forces and to run for the next two weeks (at least). The initiative, dubbed Operation Keymer, will include police forces in Cambridgeshire, Essex, Greater Manchester, Hampshire, Hertfordshire, Humberside, Kent, Merseyside, Metropolitan, Norfolk, Northumbria, North Yorkshire, Nottinghamshire, South Wales, South Yorkshire, Surrey, Sussex, West Yorkshire and Wiltshire.

Vernon Coaker, speaking for the Home Office, endorsed this campaign the same day. The Minister, who has declared he has sampled the drug in the past, said ""We fully support this crackdown, which sends out a powerful message that growing and dealing in cannabis will not be tolerated." [BBC].

What is not clear from the Police announcement or the Home Office comment is what inititiated this action, and this announcement at this time. It is fairly obvious that concerted (if not coordinated) action against cannabis cultivation has been taking place since at least July, and that this action has at least in part contributed to the current drought.

So the present announcement does not seem to be a "new" drive - more a formal announcement and extension of the current police action. But a credulous media happily reprinted the news story, provided by ACPO, complete with the helpful "How to Spot a Cannabis Farm" lists supplied by the Police.

Only the truly cynical would link the current drive, and the timing of the announcement, with any sort of Home Office involvement. It is of course impossible that the Home office would have initiated such a drive, using the closure of cannabis farms as a way to achieve 'rapid gains' on the back of recent criticism of the UK drug strategy by the ACMD, increased levels of young suppliers and the ongoing criticism by the right-wing press of cannabis reclassification.

And only the truly paranoid would look for the hand of Dr John Reid, who certainly has no interest in pitching for being Labour leader, overseeing such a campaign during the Labour Party Conference.

Either way, at the end of this 'Operation,' a number of producers will undoubtedly be removed from the production cycle. But the risk is that the end product will be production consolidated in the hands of a smaller number of more ruthless producers, moving in to replace the smaller local producers removed by this operation.

Sources:

ACPO Press Release:
http://www.acpo.police.uk/pressrelease.asp?PR_GUID={8ADB07A1-0FB9-41EA-8C52-75DBC865708A}

Media Reporting:
http://news.bbc.co.uk/2/hi/uk_news/england/kent/4778895.stm
http://www.guardian.co.uk/drugs/Story/0,,1860305,00.html
http://news.bbc.co.uk/1/hi/england/wiltshire/5222248.stm
http://www.kent.police.uk/News/Latest_News/Archived%20news/Cannabis%20farm%20archive.html
http://www.lse.co.uk/ShowStory.asp?story=US1528092N&news_headline=police_raid_south_london_cannabis_factory
http://news.bbc.co.uk/1/hi/england/wiltshire/5219490.stm
http://www.lewestoday.co.uk/ViewArticle2.aspx?SectionID=511&ArticleID=1218014
http://www.ealing-life.co.uk/modules/news/article.php?storyid=187
http://news.bbc.co.uk/2/hi/uk_news/5376698.stm

Additional Source Material:
http://www.ukcultivator.biz/showthread.php?t=3943
www.urban75.com

 

KFx September 2006

The Ice Age is Coming

By 'Delia Venus Wynn'

Over the last few months, the media has become increasingly rabid about a 'new' drug arriving on our shores. As always it has been demonized as the beginnings of the worst drug epidemic in history. Methamphetamine (ice) is becoming the new drug bogey man.

Much has been written about methamphetamine, a great deal of it inaccurate, some just total fantasy but some is all too true.

So what is really going on? With access to major manufacturers, dealers and users I will try to delve below the media froth, and explore the real UK position. This in turn highlights how enforcement and Government Agencies can minimize the risks posed by this new challenge.

The United States' Experience of Meth Production:

The majority of the US market is supplied by large-scale labs, principally in Mexico, California and, to a lesser extent Texas, but a significant proportion comes from what the DEA term 'Mom & Pop' laboratories. Mom & Pop manufacturers use their garden shed, garage or kitchen to make relatively small batches (between 10 & 50 grams) on a 3-4 day cycle. They won't get rich, but to some it looks like an easier life than getting a McJob!

Methamphetamine is not primarily derived from a plant source so unlike heroin or cocaine, it doesn't necessarily require long supply routes. This has in turn made it especially popular in less accessible markets, such as New Zealand, where home grown methamphetamine production is an easier undertaking than importation of, for example cocaine.

Unlike many other forms of drug synthesis, methamphetamine is, in reality, relatively straightforward. Critically, precursor chemicals are more readily available than is the case with most street drugs. Your local pharmacist sells over-the-counter cold medication that contains a healthy amount of the precursor (a £3.50 box of tablets is enough to make about ¾ of a gram of pure methamphetamine which could be sold for £50-£80.

That isn't to say that production from plant precursors isn't also feasible. South East Asian suppliers obtain Ephedrine from Ephedra Sinica, a hardy shrub which has been used in Chinese herbal medicine for 5000 years. These traditional growers extract the ephedrine which can be easily converted to methamphetamine using very basic chemicals.

The relative ease with which precursors can be obtained has been exacerbated by the growth of the Internet, which makes both recipes and sources of precursors easy to find. Key chemicals used in common production processes are available cheaply on-line, although some of these may, in turn, be sting operations run by enforcement agencies.

As the chemicals in question are not on watch-lists for precursor chemicals, such companies will be able to act with impunity unless the licensing laws relating to these compounds is changed or it is possible to prove that they are being supplied with the intention of manufacturing a controlled drug.

UK methamphetamine is currently imported either from the Far East (Yaba, made from ephedrine extracted from the Ephedra Viridis shrub) or from former Ecstasy manufacturers (mainly based in The Netherlands or Belgium) who have switched from MDMA production to the more profitable methamphetamine.

The simple replacement of PMK (piperonyl methyl ketone) for BMK (benzyl methyl ketone) is all that the chemist has to do. The reaction is identical in all other respects, so they are ideally placed to make the switch.

It is interesting to note that within The Netherlands the black market price for BMK is now higher than that of PMK.

The effects of methamphetamine are similar to amphetamine (speed) but four times stronger weight for weight and with a significantly longer duration of action. In addition, methamphetamine can be smoked like crack and has a similar rush. The difference is that while a crack high lasts for ten minutes or so, the methamphetamine high lasts for eight hours and is qualitatively very similar.

This makes it a more economical drug for those looking for a powerful stimulant high.

Methamphetamine can be smoked, snorted, swallowed or injected. This makes it a very versatile drug. Whatever method of ingestion a user is familiar with, they can take methamphetamine in the same way. This makes it relatively easy to market. The downside is a much bigger crash, so heavy users seek to repeat dosing to avoid this event, often for days and weeks at a time. The crash from a single dose begins at the 8 hour mark and lasts for a further 8 to 16 hours. With chronic usage, the crash can last a week or more.

Meth Trends:

Recent reports from the US have shown that methamphetamine is not the national epidemic that the media suggests, but is very prevalent in certain urban areas. For example, in these areas, the proportion of males testing positive for methamphetamine on arrest, according to the DEA newsletter 'Microgram' are as follows:

Phoenix 38.3%
Los Angeles, 28.7%
Portland, Oregon 25.4%
San Diego 36.2%
San Jose, California 36.9%.

Nationally, however, just 5 percent of men who had been arrested were found to have methamphetamine in their systems. By contrast, 30 percent tested positive for cocaine and 44 percent for marijuana (although it should be noted that cannaboids will show up in modern drug tests for weeks).

These figures seem to indicate that methamphetamine is nowhere as popular as say, crack, probably because of its long duration and horrible crash. Also, as users become tolerant, users are likely to take larger and larger doses to obtain the same high so methamphetamine looks increasingly less like a "cheap" drug.

Lessons Learned and Early Interventions:

The experience of the US, Australia and elsewhere is certainly that methamphetamine can and does have a massively damaging physical and psychological effect on users, and causes huge collateral damage to users.

However, the US experience has not been that the drug became a widespread 'foundation' drug in the same way that heroin has. Instead, it springs up in concentrated, but highly damaging pockets.

Indeed, evidence suggests a significant decrease in methamphetamine use in the States with estimates that use has diminished 30% since 2001.

Some factors that may have contributed to this include:

1) Heavy ongoing use of methamphetamine is less feasible than with most other drugs due to the serious physical and mental health problems that are likely to stem from it and the increase in tolerance. So use tends to be sporadic and bingeing (similar to a crack 'mission') rather than ongoing for sustained periods of time.
2) Many areas of the US are only supplied irregularly (mom & pop producers are frequently caught) so finding a steady supply remains difficult.
3) With a longer time-frame of problematic use, education and awareness messages in the US and elsewhere are more widespread. With families and friends of users having direct experience of the effects of the drug, and in turn with these being translated in to education, there is a higher level of awareness, and in turn resistance, than in the UK. The extent to which mainstream US TV shows such as CSI and ER routinely feature methamphetamine story-lines highlights the extent to which awareness of the drug (but in turn the 'glamour' too) has been absorbed by the media.
4) Efforts to clamp down on precursor chemicals, including decongestants, have had significant impact on areas where supply was reliant on local production rather than imports.

Of course, only the heavy users come to light via law enforcement agencies and drug support agencies. There is, no doubt, a large number of users (students, truck drivers and so on) using it to allow them to keep working, rather than for recreational purposes. These users take far less and so decrease risk of detection. It is also worth pointing out that a great many US employers and educational establishments have introduced a mandatory random drug test policy which may have a deterrent effect on many potential users.

View from the UK Street:

Currently, the market in Manchester, UK, is just starting to see the drug being sold in two specific markets. Firstly, the Gay scene (centered on Canal Street) has a small but expanding market of recreational users who love the energy giving, inhibition losing effects which also boost sexual drive (initially at least). It allows people to make use of the whole weekend from Friday evening until Sunday morning. As with heavy use of other stimulants, afternoons and evenings are for comedowns, typically aided with alcohol or increasingly anxiolytics such as un-prescribed benzodiazepines. The main risk to these users is unprotected sex due to the lack of inhibitions and increased sex drive. If the U.S. experience is any kind of indicator, the rate of STDs amongst these users will increase quite drastically.

The second group of users is likely to form the bulk of drug workers' caseload. We are beginning to see a marketing campaign strongly reminiscent of the introduction of crack. Dealers are offering 2 points of brown and 1 of methamphetamine for £20. Now crack is established, with some crack users not using much, if any heroin, the dealers are hoping to use methamphetamine for several reasons.

· Methamphetamine is highly addictive, requiring increasingly larger doses to get the same high, resulting in larger sales.
· The over stimulation caused by methamphetamine over long periods mean that instead of needing 1 point of heroin to balance 1 point of crack, a user is likely to find that they need two or three points of brown to balance 1 point of methamphetamine.
· Users who have not taken heroin may also be tempted to indulge to offset the comedown.
· Dealers are also likely to sell increasingly large amounts of tranquillizers. With Valium & Xanax available on the internet for pence rather pounds per pill and currently being imported from Eastern Europe in large quantities, the dealers are able to sell them at increasingly high prices to 'tweaked' users desperate for something to help them unwind.

On a personal note, having tried the drug, it does seem like only hardened drug users would contemplate imbibing this compound regularly. Its extreme physical and mental effects mean that only people who find extremely potent stimulant use pleasurable would enjoy the effects. It is also interesting that within the US, there are still clandestine laboratories producing plain amphetamine, so it seems reasonable to assume that some people, at least, prefer the weaker (safer) compound.

The next steps:

Uniquely, the UK is in a good position to respond proactively to methamphetamine as we have had fair warning that the drug is likely to start entering the UK in significant quantities or start to be produced here.

The decision to move the methamphetamine from Class B to Class A should provide the required impetus to develop effective responses. Given the rapidity that crack cocaine achieved massive market penetration, it seems likely that methamphetamine would follow the same route and achieve a wide market distribution quickly, following the same supply lines and getting in via the heroin market and sex-worker markets. So developing effective responses now is essential.

This will require responses from law-enforcement and drugs agencies and would ideally include the following:

· Prevention of UK-based production: this will require reformulation and greater control of OTC medicines containing precursor chemicals, and more robust licensing to prevent the sale of additional chemicals used in the production cycle.
· Effective monitoring of importation routes.
· Targeted education messages to high risk populations, especially clubbers, the gay scene, and heroin or crack users being targeted by suppliers.
· Effective training of drugs workers to be aware of methamphetamine and the role of therapies such as CBT in working with methamphetamine users
· Local monitoring of methamphetamine trends to provide early warning of increased use.
· Closer examination of the experience of other countries' models of control and treatment, especially those with extensive experience of responding to methamphetamine.

Conclusions:

Methamphetamine does represent a new and significant risk to drug users and the communities in which they live. Drugs agencies, mental health services and the criminal justice system are likely to see users presenting with a collection of drug and health related needs.

However, if the experience of other countries, especially the U.S. holds true, methamphetamine is unlikely to become as uniformly widespread as heroin or crack due to the deeply unpleasant side-effects. In the short term, the levels of use are likely to expand rapidly. This expansion could be reduced through effective control and education strategies.

Without wishing to be complacent, it may well be that, after reaching a peak within the next five years or so, levels of use will drop off as older users move away from the drug and the next generation reject a drug which perhaps offers too much of a high and too much of a crash.

Last edited 28/6/06

Delia Venus Wynn is a pseudonym; the author is a former manufacturer and user of a large range of compounds. Delia is now working towards a professional career in the other side of the drugs field.

Edited, and additional material added by Kevin Flemen/KFx

A shorter version of this article was published in Drink and Drug News.

Right of Reply/Comment:

KFx was contacted by a senior professional in the Manchester area following publication of the above article. They made the following comment which we wanted to post here as it challenges the content of the above article and we are always keen to maintain balance and debate.:

>>>>"I've been asking around with our sources (very reliable) and as yet there appears to be virtually no methamphetamine available in Greater Manchester. This would apply to both the scene around Canal St. and amongst users at our needle exchanges. There was one arrest earlier this year but as far as we are aware of no evidence of an organised market.." [comment received 28.9.06]

Threshold Quantities - Time to say Enough (again.)

In December last year, the Home Office published lists of proposed "Threshold Quantities." These were the amounts above which a Judge or Jury were required to assume that a person possessed the drug with the intent to supply it, as stated in the Drugs Act 2005.

Section 2 of the Drugs Act 2005 stipulates that in any proceedings for an offence under sectionc5(3) of the Misuse of Drugs Act 1971 (possession of a controlled drug with intent to supply it) if it is proved that the accused had an amount of a controlled drug in his possession which is not less that the prescribed amount, the court or jury must assume that he had the drug in his
possession with the intent to supply it.

When the "Threshold Quantities" list was originally drafted, the levels set were very high - and to an extent (especially in relation to cannabis) probably meaninglessly so. While a small number of heavy users and bulk-buyers would have been caught out by the new levels, on the whole they were legally objectionable but practiclly not a huge issue.

More worrying was the police and media mis-representation of the figures. They were presented by some sections of the media as "dealers charter." There was a wide-spread misaprehension that figures below the "Threshold Levels" would be considered solely as personal possession meaning that dealers would be immune from prosecution.

This of course was not the case. Below threshold levels, users could be charged with possession or supply as the situation and evidence suggested. The change was that once the person exceeded the threshold, it would generally result in a supply charge unless there was evidence to refute such a charge.

Under stinging attack from the police and sections of the media, the Home Office released its new proposed Threshold Levels. With the Home Office under sustained and fierce criticism related to illegal immigrants and prisoner releases, it was never likely that the Home Office would take a considered view. And the new figures exemplify a right wing Home Office drawing up knee-jerk legislation with scant regard for evidence on consultation.

The Guardian reported the following levels: http://www.guardian.co.uk/drugs/Story/0,,1791915,00.html

Cannabis

Ministers propose 5g, or less than 1/5th of ounce - enough for 10-20 joints. This compares with the original proposal of 4ozs or 133g of resin, and 500g or 20 bags of grass. The ACMD has replied that the limit should be set at 28g.

Ecstasy

Ministers propose 1.5g (equal to 5 tablets, costing £15), compared with an original proposal for 10 tablets. The Home Office says it would be more straightforward to do it by weight than number of tablets, as the drug also comes in powder form. The ACMD said the limit should be 2g or 20 tablets, as that was two days' supply.

Amphetamines

Ministers have kept the proposed threshold at 14g but dropped an alternative of 10 x 1g wraps, saying dealers would simply change the size of deals to avoid going above the threshold. The ACMD said the threshold should be 10g, and questioned the rationale for a threshold higher than other drugs.

Heroin, cocaine and crack cocaine

Ministers are "minded to set" a threshold of 2g for possession, compared with the original proposal of 7g. The proposed number of individual wraps - a maximum of 10 in each case - has also been dropped for these class A drugs.

If these figures are true, and we have to await publication of the figures by the Home Office, then they have massive implications for many drugs users, both recreational and dependent.

Obviously, the figures with cannabis are going to attract the most attention; but the figures for other drugs - especially heroin, are in practice worryingly low. Many cannabis users will have been in possession of a quarter of an ounce at some time; such a quantity would tip the balance for a court, and would, if passed, automatically considered a supply matter.

Likewise, a heroin user with a gram a day habit would be on the wrong side of the law if they picked up enough for a weekend on a Friday - and was stopped with three-grammes worth.

Why is this so important?

In part, because by creating this arbitary cut off point, more people will get sent to prison for longer. The penalty for supplying cannabis is a maximum of fourteen years. While small scale supply won't attract such a large penalty, it is likely that those found guilty of supply of even small amounts are going to get custodial sentences. So being in possession of a quarter of an ounce could land you in prison - even if you never intended to supply.

In practice the situation is worse still; found in possession of a quarter ounce near a school - then this would be considered evidence of 'aggravated supply' and so the court would be required to consider a larger sentence.

Such cases would be 'triable either way' so one could elect to go to Crown and plead your case and mitigation. But lose your case at Crown and the risk is a much larger slice of that maximum sentence.

What happens next?

The proposed Threshold Quantities will be put before parliament and voted on. If they are passed, then the new Threshold Quantities will come in to force.

How many people will be affected?

The Home Office's Regulatory Impact Assessment estimated that between 150 and 598 additional people would be convicted of intent to supply under the new Legislation. http://www.homeoffice.gov.uk/documents/ria-drugs-bill-1204?view=Binary

These figures are UTTERLY speculative as, at the time of drafting, the Threshold Limits had not been established. So it is simply not possible to guess how many people would have been affected by the new Thresholds. When MPs vote on the Thresholds, they should know that they do so without a clear model of how many more people will go to prison.

We have asked the Home Office, under the Freedom of Information Act, how many people were arrested in the last year for possession of cannabis and the amounts of cannabis involved in each case. This would give a good estimate of how many people will be affected by the revised legislation. We fear that this information will not be forthcoming.

In 2003 there were 82,060 cannabis offences in the UK recorded. This was prior ro reclassification. 70% of these offenders were dealt with as possession offences. This means that of a total of 82,060 cannabis offences, 57,442 were for possession. If only 5% of these were convicted under the new Threshold Levels, some 2872 people would be convicted - far higher than the Government's lower estimate under the RIA.

Self reporting to the IDMU paints an even more worrying picture. http://www.idmu.co.uk/purchaseprices.htm Using their data as a rough gauge, at least a quarter of people reported purchasing cannabis in quarter-ounce deals. This would put these users above the threshold. Using this 25% figure as a benchmark, and applying it to the 82,060 recorded cannabis offences in 2003, this means that an additional 20,000 people per year would be convicted of supply under the new threshold.

How can this process be challenged?

The process is going to be hard to challenge now; the Home Office consulted on the Threshold Quantities and it is likely that they received a small number of responses, many of which would have pushed for low thresholds. So there are limited ways of challenging the Thresholds.

1) Use the FIA: write to your local police force asking the number of people arrested for possession of cannabis, heroin, or other drugs. Ask for the quantities found.

You could use the following form of words:

"I am requesting the following information under the Freedom of Information Act.

I would like to know:

(a) the total number of people arrested for possession of cannabis in the last year, or the last period for which figures are available.

(b) the number of cases in which the amount of cannabis involved was 5gms or more."

2) Write to your MP. It is essential that your MP is briefed on the problems to do with the Threshold Quantities. They should be asked if they will vote against the Threshold Quantities when they become before Parliament. If you have local figures from requests under the FIA , these can be used to demonstrate how many people would be considered suppliers under the new legislation.

3) Write to the Home Office: they need to be advised of the potential problems with the threshold quantities and encouraged to review the Thresholds. They can be emailed at public.enquiries@homeoffice.gsi.gov.uk

Finally, cut and paste this section, and send it on to everyone else that you think can respond. It is urgent that responses are generated rapidly. If not you, who. If not now, when?

Cannabis Reclassification - Where will Clarke go next?

After months of rumours and posturing, we finally got a decision relating to Cannabis. As the process had taken such a long time, it's worth recapping the sequence of events that led to this decision:

May 2002: the Home Affairs Select Committee recommends moving cannabis from Class B to Class C
July 2002: David Blunkett says he will follow the HASC recommendation relating to cannabis
November 2003: Legislation to reclassify cannabis finally passed
January 2004: Cannabis reclassified
December 2004: Mr. Blunkett leaves the Government
March 2005: Charles Clarke refers the cannabis issue back to the ACMD
January 2006: ACMD comes down against changing cannabis classification again
January 2006: Charles Clarke abides by the ACMD recommendation but proposes review of classification system

It's worth stressing some of the above milestones. The original decision, proposed by the Home Affairs Select Committee, was arrived at following interviews with experts and after a period of research. It was a decision supported at the time by large sections of the drugs field, though greeted with concern by others,including mental health professionals.

But in practice, the reclassification was bodged, with Blunkett coming under serious pressure from media and lobbying bodies. This included the change to the powers of arrest relating to cannabis and the penalties for supplying class C drugs.

Shortly after Blunkett's ignominious departure from the Home Office, Charles Clarke moved in to the recently vacated seat. He, no fan of cannabis reclassification, agreed to requests to review the reclassification and, quite properly, passed the matter to the ACMD. While his own views on the matter have been the subject of record, such decisions should be taken under the advisement of the ACMD, and a decision on Clarke's part to disregard their views would be unprecedented.

While the ACMD deliberated, various interest groups lobbied from the outside; Release, Transform, Turning Point, Rethink, Mind and many others offered thoughts on what should happen next.

The ACMD considered - and according to some sources came under pressure from ministers to reach an acceptable decision. The ACMD were firmly directed to review the reclassification in the light of "new" cannabis research related to the links between cannabis and mental illness.

But the ACMD - after extensive speculation - did not reach the decision Charles Clarke or Tony Blair had wanted. They agreed that while use of cannabis could have a negative impact on mental wellbeing, it was correctly classified in Clause C and that no reclassification was required.

This put Charles Clarke in an awkward position. While clearly personally favouring a move to Class B, this would have meant disregarding a recommendation by the ACMD - and an opinion that the Home Office had specifically sought. This would have been a hugely controversial move - to go against the stated opinion of the ACMD risked antagonising them and the possibility of resignations. According to some media reporting, key figures on the ACMD were prepared to consider their positions if the Home Secretary ignored their opinions.

In the end, Charles Clarke acceded to the wishes of the ACMD, and left cannabis where it was. As a sop to those who had lobbied so hard to see it reclassified to B, Clarke promised an awareness campaign to reinforce messages about cannabis risks and legal status.

But more worryingly Clarke also said that he intended to revise the whole system of classification. In his statement to the Commons he said:

The more that I have considered these matters the more concerned I have become about the limitations of our current system. Decisions on classification often address different or conflicting purposes and too often send strong but confused signals to users and others about the harms and consequences of using a particular drug and there is often disagreement over the meaning of different classifications. For example many people wrongly interpreted the reclassification of cannabis to mean that cannabis was not harmful and that its use was acceptable and even legal.

For these reasons I will in the next few weeks publish a consultation paper with suggestions for a review of the drug classification system, on the basis of which I will in due course make proposals.

Given Clarke's overall views on drugs, this probably does not bode well. It suggests that Clarke will get the outcome that he wants - tougher rules on cannabis - by a new tool: if the ACMD won't agree to moving it within the existing system, why not create a complete new system? Ironically, the point where we came in to all this - the Home Affairs Select Committee - also had worries about the existing classes of his drugs. That was why they wanted cannabis moved to Class C and Ecstasy moved to class B. This, they felt, would more accurately reflect the relative risks of these drugs.

So now Clarke is planning to review the legislation and possible revise the classifications. We must await his proposals with some trepidation.

But there is another way that Clarke, or his successor, will get their way. They can stack the ACMD in their favour. This, perhaps, has already started to happen. While new members can be proposed by existing ones, they are interviewed by Home Office officials before being offered their positions. And each is up for renewal every two years. By careful nomination and selection it becomes relatively easy to stack the ACMD to reflect Government Policy. So it is possible that this will be the last time that the ACMD reaches a decision that diametrically opposes the Home Secretary's own wishes. Both Clarke, and future Home Secretaries, will have noted this and be considering how they can avoid future repetition.

So while, for now, cannabis will remain within Class C, change is still in the pipeline.

From Gillick to Axon - a wake-up call for drugs workers: 7.2.06

In January, the verdict was delivered in the case of Sue Axon, who challenged the legality of Government guidance on contraception advice to under 16s and a parent's "right to know." The case was not widely reported in the drugs field, which was strange as if the case had been found in favour of Ms Axon, it would have had profound implications for drugs work with under 16s, including advice work and needle exchange.

Axon challenged guidance that allowed for contraception to be provided to under 16's without parental consent provided that the child was considered "Gillick competent." This framework for working with under 16s has been an integral aspect of work with under 16s including drugs work, and has been enshrined in a number of strategy documents including the HAS report on work with young people, various Drugscope documents and resources from the NTA.

In the event, the court did not find in Ms Axon's favour, and so did not overturn the framework established in Gillick. Mr Justice Silber said: "Everybody involved in this case is agreed that a young person should be encouraged to involve his or her parents on any decision on sexual matters."

However, he added that there were unfortunate situations in which a young person needed advice when they were not prepared to inform their parents."

While the case upholds the concepts that emerged from Gillick, it does bring in to sharp focus the importance of careful assessment of a young person within the Framework. On the back of regular training sessions with a large number of wokers, it is clear that a number of workers in various agencies are unclear about their obligations to assess against Gillick.

All agencies working with under-16s must ensure that they have good assessment protocols to establish competence and effective procedures in place to assess when and how parents should be involved. The Axon case has reinforced the importance of dilligent assessment; workers must be able to demonstrate that they have made effort to encourage or facillitate disclosure to parents or carers, and they must be able to demonstrate how competence has been established. Failure to do could see future challenges to this important precedent eroded or worse, overturned.

More Water? - News on the Water for Injection situation: 7.2.06

We received a flurry of emails from concerned Needle Exchanges who were confused by apparently contradictory messages from different sources. On the one hand, Exchange Supplies mailed out their new brochure. It included promotional material relating to their 2ml ampoules of water - licensed for injection and conforming to the revised paraphernalia legislation.

But at the same time, the Guardian ran a big story saying that Needle Exchange workers were being threatened with prison for giving out too much water. Worried workers, in the throes of purchasing water, became worried that they were facing a new clampdown. So what's the reality of this situation.

The crux of the Guardian article was a restating the changes to the Paraphernalia laws relating to water (see drug news passim or click HERE. This made it lawful to distribute water to distribute ampoules of water for injection of 2ml or less, without prescription. Greater quantities would continue to fall foul of both the Medicines Act (by virtue of being a POM) and/or the Misuse of Drugs Act (as they would not fall within the revised paraphernalia legislation.)

But, with the greatest deference to Diane Taylor that the article, while technically accurate, is a little strident and liable to cause confusion and increase concern - possibly unecessarily.

The many organisations who have given out 5ml amps without a PGD have always been in breach of the law. They have typically been aware of this, and for most it's been a risk that they have been prepared to take.

Thanks to the industrious lobbying of Dericot, Preston et al the desired legislative change to the water legislation has been achieved, rightly making it lawful to distribute 2ml ampoules. It was unlawful to distribute 5ml ampoules without a PGD or similar; it remains unlawful to do so. In this respect the situation has not changed.

Granted, the non-availability of a licensed 2ml ampoule had been an issue, but as the Exchange Supplies website makes clear, they are now making available 2ml glass ampoule that is licensed and lawful.

So while the Guardian article is technically accurate when it says "But in practice the only plastic ampoules suitable for use by drug users contain 5ml of water," it unhelpfully neglects to mention availability of a glass article. Critics are arguing that the the Medical Regulatory Authority are being overly slow in terms of granting licenses to other products - most notable 1.4ml plastic water ampoules. They are right to stress these concerns. But the way that it has been reported has clearly confused some in the drugs field, which is far from helpful.

So if anything the situation is better now than it was a month ago, which is not clear from the article at all.

Consultation on Shipman Recommendations ends

The proposed changes to the handling and storage of Controlled Drugs has ended, with a short summary of the outcomes being posted on the DoH website. The document is not reassuring that the needs of drug-dependent clients prescribed schedule drugs has been adequately considered. The only reference to Substance Misuse is a line that, along with other concerns raised, says:
" The Controlled Drugs Advisory Group felt that including all of these areas may lead to the guidance being unwieldy, but that references should be considered and made where possible."
But then, as only one charity took the time to respond, one can hardly be suprised if policy and practice comes in to force that we don't like, can we!

The summary document is at:
http://www.dh.gov.uk/Consultations/ResponsesToConsultations/
ResponsesToConsultationsDocumentSummary/fs/en?CONTENT_ID=4125988&chk=WmmUZv

Welcome changes to paraphernalia legislation:

Thanks to the dogged work of Exchange Supplies and other activists, two problematic areas of the paraphernalia legislation have been amended. On the 12th October, Statutory Instrument SI 2005 (2846) - added ascorbic acid (VitC) to the list of items that it is legal for services to supply.

This follows on from the changes to the legislation regarding Water for Injection which we, lamentably, failed to report at the time. This was done under Statutory Instrument: SI 2005 No.1507 The Medicines for Human Use (Prescribing) (Miscellaneous Amendments) Order 2005.

This became law 1st July 2005, and says:

"(2) In the table in Part II of Schedule 5 to the POM Order (Exemptions from the restriction on supply), after paragraph 3, insert the following new paragraph -

"3A Persons employed or engaged in the provision of lawful drug treatment services.

3A Ampoules of sterile water for injection containing not more than 2 mg of sterile water.

3A The supply shall be only in the course of provision of lawful drug treatment services."

Effectively, this makes the distributionof ampoules of water for injection legal, subject to the above size restrictions. Only a churl would point out that at present there are no ampoules of Water for Injection of 2mls or less available in the UK, though Exchange Supplies are endeavouring to get their sterile water thus licensed.

Congratulations are in order to Jon Dericott and Andrew Preston for their dogged determination in achieving these legislative changes, and all those who supported their endeavours.

For more details go to: http://www.exchangesupplies.org/whatsnew.html

 

Home Office in Catch 22 on Maximum Quantities

December 5th 2005

The Home Office quietly launched its list of "prescribed amounts" of controlled drugs on the 30th November. Perhaps they hoped that in the media froth surrounding the pensions paper, no-one would notice this being released. But the media did pick up on it; and it reveals a Home Office boxed in to an unenviable position.

The "prescribed amounts" date back to the passage of the Drugs Act 2005. Under Section 2 of this act, a reverse burden of proof was created.

Section 2 of the Drugs Act 2005 stipulates that in any proceedings for an offence under section
5(3) of the Misuse of Drugs Act 1971 (possession of a controlled drug with intent to supply it) if
it is proved that the accused had an amount of a controlled drug in his possession which is not
less that the prescribed amount, the court or jury must assume that he had the drug in his
possession with the intent to supply it.


In order for this section to come in to force, the Home Office had to draw up a list of prescribed or threshold amounts. This was the list released by the Home Office for consultation.

Heroin:
Bulk quantities – 7 grams
“Wraps” – 10 or more “1 point wraps”
(where a “ 1 point wrap” contains 0.1 grams of heroin.)

Crack Cocaine
Bulk quantities – 7 grams.
Wraps – 10 wraps of 0.1 grams.

Cocaine
Bulk quantities – 7 grams.
Wraps – 10 of 1gm.

Ecstasy
Bulk quantities – 10 tablets

Amphetamine
Bulk quantities – 14grams.
Wraps – 10 times 1gm wraps.

Cannabis
Bulk quantities – Resin – 113 grams or 10 individual pieces/wraps or blocks
- Leaf – 0.5 kilograms or above 20 individual 2” by 2” bags.

The release of the list is for consultation purposes - but it has already caused no small amount of controversy. Many media critics derided the quantities proposed as overly-large, and that it a safeguard to suppliers who would be unlikely to be charged when found in possession of quantities below the threshold.

The quantities and formats are quite frankly bizarre. And based on these, it is hard to see how prosecution and defence would interpret the rules. The bulk quantities are clear enough - provided that we define what is meant by "bulk." Is 7 bags of heroin, each weighing a gram "bulk?"

What does a "wrap" of crack cocaine mean - is this a single rock weighing 0.1gm. If so someone with ten rocks is automatically considered a supplier.

The figures are all so arbitary, and while the weight thresholds are absolute, the packaging thresholds are open to interpretation.

More incredibly, the Home Office has seen fit to only include certain drugs - so no thresholds for LSD or mushrooms for example. While the Home Office indicates it may return to these drugs at a later date, it seems sloppy that this is being rolled out as a "work in progress." Bear in mind that each of these will need to be approved by both Houses before they can come in to force.

But in reality, the Home Office is in a no-win situation with this piece of legislation. If the thresholds are set too low, then the outcry from drugs professionals would be too loud to ignore. So the levels had to be high enough to avoid ensnaring heavy users buying in bulk. But conversely, by setting the levels so high, they become meaningless for the purpose that they were intended.

More worryingly, most commentators seem to have fundamentally misunderstood two key aspects of the legislation. The first is a misconception that people found with quantities below the threshold are "allowed" to be in possession of this smaller quantity for personal use or that they can only be charged with possession.

Neither of these are true. It will still be possible, based on circumstantial or other evidence, to charge with supply or intent even when the amount possessed is below the threshold.

As the Home Office letter states:

" Being in possession of a lower than prescribed amount of a controlled drug will not prevent prosecution for the offence of intent to supply if other evidence demonstrates that the defendant had the
necessary intent, for example the possession of dealing paraphernalia or test purchase evidence."

When the threshold levels have been agreed, where anyone found in possession of larger amounts "the court or jury must assume that he had the drug in his possession with the intent to supply it." It will be possible for this assumption to be challenged, if the defendant can raise reasonable doubt. In this case the prosecution must prove intent to supply beyond reasonable doubt.

This legislation reverses the burden of proof, making it a requirement of the defence to prove that they did NOT intend to supply, rather than assuming innocence.

Herein lies the real problem. And no amount of jigging the thresholds can obscure the erosion of a fundamental legal principal.


The consultation on the key thresholds runs until 3rd March 2006.

The Home Office Letter can be found at:
http://www.drugs.gov.uk/publication-search/reducing-supply/Consultation_letter_to_ACMD1.pdf?view=Binary

Rough Estimates on Rough Sleepers

The accuracy and impartiality of street-counts was called in to question by critics including the Simon Community.

Such allegations are not new, and have dogged the street-counts since the appointment of Homelessness Tsar Louise Casey, and the setting of targets to reduce rough sleeping by two thirds by 2002, and to as near as zero as possible.

Various strategies have allegedly been employed, including the distribution of travel warrants prior to a count, hosing off doorways, running open nights in hostels with food and drink during count times and other such strategies.

However, as the numbers get lower, it becomes less feasible to consistently undercount. The numbers in some areas are now so low that even a cursory inspection reveals that people are being routinely missed. But to what extent?

Annecdotally, people have told KFx that they are aware of larger numbers of rough sleepers than the figures indicate. But these have not been collated on a national basis. So we could like you to tell us locally what you think is the true level of rough sleeping in your catchment area.

We are looking for authoritative information from rough-sleepers, workers and volunteers in the field. If you can tell us with some confidence what you know in terms of numbers of rough sleepers, we will include it in the table below. And if you know about how or why figures were manipulated locally, please tell us. Information will be included on the website, but we will keep all sources confidential.

Street Count Figures : June 2005: Subtotal = 459
Area Official Count What you estimate: Comment
Westminster
133    
Camden 17    
City of London 12    
Kensington and Chelsea 12    
Reading 11    
Sheffield 10    
Brighton and Hove 9    
Exeter 8    
Liverpool 8    
Northampton 8    
Hackney
7    
Birmingham 7    
Weymouth and Portland
7    
Dover
7    
Southwark
7    
Manchester
7    
Bournemouth
7    
Cambridge
7    
Lambeth
7    
Derby
7    
Portsmouth
6    
Coventry 6    
Torbay
6    
Shrewsbury and Atcham
6    
Penwith
6    
Haringey
6    
Nottingham City
6    
Canterbury
5    
Stockport
5    
Oxford
5    
Bristol
4    
Blackpool
4    
Leeds
4    
Peterborough
4    
Bath and North East Somerset
4    
Milton Keynes
4    
Worcester 4    
Islington
4    
Hillingdon
3    
Preston
3    
Norwich
3    
Eastbourne
3    
Kettering
3    
Lewisham
3    
Leicester
3    
Scarborough
3    
Hounslow
3    
Stoke-on-Trent
3    
Wakefield
3    
Colchester
2    
Hammersmith and Fulham 2    
Waltham Forest
2    
Wolverhampton
2    
Ipswich
2    
Thanet
2    
Wigan
2    
North Cornwall
2    
Boston
2    
Macclesfield
2    
Gloucester 2    
Chester 1    
Ellesmere Port and Neston 1    
Isle of Wight 1    
Doncaster 1    
Brent 1    
Swindon 1    
Havering 1    
Restormel 1    
Carrick 1    
Ealing 1    
York 1    
Caradon 1    
Wellingborough 1    
Harrow 1    
Dudley 1    
Warrington 1    
Stockton-on-Tees 1    
Sefton Count 1 1    
Alnwick Count 0 0    
Newham Count 0 0    
Blyth Valley Count 0 0    
Congleton Count 0 0    
Harrogate Count 0 0    
Oldham Count 0 0    
Nuneaton and Bedworth Count 0 0    
Crewe and Nantwich Count 0 0    
Durham Count 0 0    
East Staffordshire Count 0 0    
Halton Count 0 0    
Lincoln Count 0 0    
Hambleton Count 0 0    
Watford Count 0 0    
Hartlepool Count 0 0    
Herefordshire Count 0 0    
North East Derbyshire Count 0 0    
St Helens Count 0 0    
Corby Count 0 0    
Rotherham Count 0 0    
Sedgefield Count 0 0    
Kerrier Count 0 0    
Thurrock Count 0 0    
North Warwickshire Count 0 0    
South Bucks Count 0 0    
Richmondshire Count 0 0    
Southend-on-Sea Count 0 0    
Teignbridge Count 0
     
Vale Royal Count 0      

 

Why is that Farmer jumping up and down?

In October 2005, we wrote to the Home Office regarding Magic Mushrooms, seeking clarification as to what rules would be applied where mushrooms were growing on land. There had been some confusion about this.

The rather sweet response from Tawa Bishi makes all things clear.

Thanks to the wording of "Misuse of Drugs (amendment) (No. 2) Regulations 2005, the prohibition against mushrooms does not apply if the fungus "is growing uncultivated." So if the mushroom is merely growing and the landowner does nothing to promote this process, then the presence of the mushroom is not illegal.

Further, Tawa Bishi assures us that "there is no obligation on landowners to remove psilocybe mushrooms which are growing uncultivated on their land."

We also asked how mushrooms should be destroyed. An ever-helpful Tawa explains:

"There is no set method of destruction...The mushrooms can be burnt, stamped upon and crushed, or allowed to decompose."

You couldn't make it up, really!

DEFRA, Drug Litter and Section 8

15.12.05 Following an intervention from KFx, DEFRA has agreed to reword the relevant section of the report. Remaining copies of the document are to be pupled, and the document henceforth will only be available as a download.

5.12.05

DEFRA produced a generally superb document about Drug Litter, but then messed it up by mis-stating the legal situation regarding Section 8. KFx had contributed to an early draft of the report, but had not seen the final version before it went to print. We welcome lots of the recomendations of the report, especially its rejection of blue lights and support for public sharps bins. But we have taken issue with the Section 8 part. We wrote to DEFRA as follows:

"I recently read a copy of the DEFRA publication; "Tackling Drug Literature - Guidance and Good Practice." I contributed to the preparation of this document and provided some feedback on an early draft in April 2005.

On looking through the final print version (which I wasn' asked to review,) I was suprised and extremely concerned to read the following boxed section on page Seven:

"The Misuse of Drugs Act 1971 and housing services
Section 8(d) of the Misuse of Drugs Act 1971 was amended by Section 38 of the Criminal Justice and Police Act 2001 to extend its scope beyond cannabis and opium to all controlled drugs. However, the amendment was never actually brought into force. During the consultation exercise it was clear that professionals working in the treatment and harm reduction sector felt that the amendment might leave them open to prosecution. The Drugs Act 2005 included a repeal of s.38 . The repeal commenced in the summer of 2005. In effect section 8 (d) has remained unaltered.

Providing sharps boxes or needles for users in itself does not constitute 'knowingly allowing' under section 8 (d). If a hostel or day centre is allowing other behaviour that involves use or supply of controlled drugs, then it is possible that prosecution could result. However, supplying needles alone cannot constitute grounds for charges being brought unless it were accompanied by other behaviour involving actual use or supply. Letting users inject un-prescribed drugs on the premises is likely to be considered as 'knowingly allowing' under the terms of this section of the law. However, there is no risk of prosecution from simply providing users with sharps nor from providing opportunities to return them safely."

The first above paragraph is accurate. The second paragraph is however hugely inaccurate and massively misleading. You say "If a hostel or day centre is allowing other behaviour that involves use or supply of controlled drugs, then it is possible that prosecution could result." Certainly, if an organisation were allowing supply, prosecution would be feasible under Section 8(b). If smoking of cannabis or prepared opium were taking place, then prosecution would be feasible under section 8(d). But as section 8(d) ONLY covers cannabis or prepared opium, allowing the USE of other drugs (e.g. tolerating the injection of heroin) is NOT prohibited by section 8.

Had Section 8 been ammended by Section 38, then it would have been illegal to tolerate use of heroin on site. But as this amendment was never enacted and as it has since been repealed, no offence existsof allowing use on site.

So when you say "Letting users inject un-prescribed drugs on the premises is likely to be considered as 'knowingly allowing' under the terms of this section of the law," this is wholly erroneous. "knowing allowing" injecting of heroin is contrary to which section of Section 8? None.

Part of the reason why this error is so worrying and so frustrating is that numerous housing providers routinely exclude drug users from provision for allowing using on site. They do so because they labour under the erroneous belief that if they fail to do so they risk prosecution. The amendment to Section 8 was repealed precisely because the Home Office recognised the good work of housing providers and harm reduction services that worked with ongoing users.

So it is hugey unhelpful when a Government Department publishes material that misrepresents the legal position and creates further confusion.

Clearly, given the scale of this legal error and the prominence that it has been given in the document, some correction is urgently required. I hope to hear from you soon regarding this matter, and ideally reassuring me that the document will be withdrawn while a corrected version is produced. I am sure that you will need to check this with the Home Office and other departments but I would appreciate a rapid response. Due to the seriousness of this error, and the potential ramifications for thousands of housing providers, I'm hoping for rapid action and trust that a formal complaint to DEFRA will not be required at this stage."

As of 5th December, DEFRA have done no more than acknowledge concerns and we will will update as and when there are further developments.

The DRUG LITTER report is at:

http://www.defra.gov.uk/environment/localenv/litter/pdf/drugrelatedlitter.pdf

No ID - No Methadone? - Proposed changes to Drugs Regulations

The Home Office has launched a public consultation on proposals to make changes to the Misuse of Drugs Regulations. These proposed changes follow on from the Fourth Report of the Shipman Inquiry.

To read the Proposals in full, please go here

The low-key launch of the consultation at the end of July may mean that it escaped the attention of key agencies. We feel that the proposed changes may have some important ramifications for the Drug Treatment and social care field and would urge agencies to respond to the consultation.

The proposed changes are intended to improve the prescribing, audit trail, and safe handling of prescribed controlled drugs. They include proposed changes to the Misuse of Drugs Regulations 2001.

The proposals have been drawn up after consultation with the ACMD and a number of other agencies exclusively drawn from medical disciplines. Unfortunately, this list does not appear to include the National Treatment Agency, Drugscope, Homelesslink nor any other agency primarily concerned with the needs of drug users engaging with treatment providers.

We are concerned that this has meant that some of the proposals could negatively impact on access and adherence to treatment. We are also disappointed that the Home Office has not used this revision as an opportunity to clarify the legal situation relating to the storage of controlled drugs in non-medical settings.

Paragraph 15: Controlled Drug Prescriptions

Proposal:

  • Prescriptions for controlled drugs to carry a unique identification number so prescriber can be identified
  • All prescriptions for controlled drugs to carry a patient identifier number (NHS Number) to identify double scripting

Effectively, this proposal represents a return to a "register" of addicts. Within this proposal, all users prescribed controlled drugs will be recorded and identifiable within a central register.

A key concern must relate to homeless and transient patients who do not currently have, or do not know their NHS numbers. The proposals note a need to consider the "obligations on prescribers and dispensers faced with patients who are unable or unwilling to supply their NHS number."

We would go further than this and propose that given the risk of further excluding people who are dependent on drugs from treatment, those engaged in the treatment of drug dependency should be exempted from this requirement.
We would suggest that this exemption should be time-limited as follows:

"Prescribers treating people for dependency on controlled drugs will need to ensure reasonable efforts are taken to ascertain an NHS number. However, in order to ensure access and continuity of treatment, obtaining such a number need not happen prior to commencing treatment but should take place within the first three months of treatment."

Paragraph 22: Dispensing controlled drugs:

Proposal: requirement for dispenser to ask for the name, address and some form of personal identification of people collecting Schedule 2 controlled drugs.

This proposal is mediated by a proposal to ensure that Pharmacists still have discretion to dispense where a person has no form of identification.

We are concerned that this proposal needs more careful attention to ensure that people being treated for drug dependency, especially those who are homeless or transient, are not unfairly treated by this proposal. Many such patients will have no formal documentation to prove identity, and those who are homeless or in temporary accommodation may struggle to prove their address.

In order to facilitate dispensing to such patients, we would propose the following:

Patients attending agencies for drug treatment to be issued with an ID card which includes patient ID number and photograph, which will be an agreed form of identification at local pharmacists. This will be made available at no cost to people attending treatment. Such a system would be extended to patients receiving treatment from GPs within a shared-care scheme.

Paragraph 27: Controlled Drugs in the Community

We have contacted the Home Office on previous occasions requesting clarification of the regulations relating to the storage of prescribed controlled drugs in non-medical settings. It has been our ongoing concern that the storage of prescribed controlled drugs by hostels, day centres and other allied professionals is not robustly legal. We have brought these concerns to the attention of successive Home Secretaries and have been assured that the issue would be addressed when parliamentary time allowed.

We have documented our concerns relating to the current legal position in detail in the KFx guidance document "On Storage." We have appended this to our submission to the Home Office.

In order to enhance the safe handling of controlled drugs in the community we would like to make the following proposals:

" That hostels and day centres be given the authority under the Misuse of Drugs Regulations to store prescribed controlled drugs on behalf of Service Users, and return such drugs to the named patient.
" That while such services should be given this authority, they would not be obliged to store such prescribed drugs for service users or residents.
" Organisations who wish to store controlled drugs would be required to demonstrate that they can operate to agreed standards including:

  • Storage facilities
  • Record keeping
  • Staff references
  • Joint working with prescribers

The provision would be audited by the Pharmacy Inspectorate who would furnish a Certificate of Compliance, authorising the storage of such controlled drugs.

Conclusion:

Whilst it is essential that there are effective strategies in place to monitor the use of prescribed controlled drugs, it is essential that such measures do not have a disproportionately negative impact on patient care.

Where the patients in question are receiving their controlled drugs as part of a package of treatment for drug dependency, it is imperative that access and continuity of treatment is not reduced as a consequence of changes to the Misuse of Drugs Regulations.

We hope that this submission highlights these concerns and that they will receive serious consideration as part of the consultation process.


Kevin Flemen
KFx
September 2005

And here's your new Drugs Act

23.4.05

In the dying days of the Parliament, the Drugs Bill, which was being debated in the Lords, was rushed through the last stages of the 'democratic' process and received Royal Assent, passing on to the Statute Book.

The process was a travesty of democratic process. The Drugs Bill had been widely criticised for its inadequacies. It had been castigated on human rights grounds and the Joint Parliamentary Human Rights Committee was particularly scathing in their criticism. http://www.publications.parliament.uk/pa/jt200405/jtselect/jtrights/47/4702.htm

The Conservatives were broadly supportive of the legislation. Predictably the primary changes they wanted to see made were tougher sanctions and penalties, and so, given Conservative support and Labour backing, it seemed likely that the Bill would be passed.

As time ran short, the Bill could well have foundered before the dissolution of Parliament, especially if the Lords had done their job and given the bill the scrutiny it deserved.

However, with the sort of backroom deals that typify contemporary politics, the Bill was passed in the so-called 'wash-up' period. The Tories had been keen to see the Drugs Bill ammended to include moving cannabis from Class C back to B. This is something that Charles Clarke is privately keen to see, but publicly would be tantamount to a labour party policy U-turn. In order to stall such a U-turn whilst pacifying the Tories and securing the passage of the Drugs Bill, Clarke agreed to refer the reclassfication of cannabis back to the ACMD and seek their advice on the subject.

This face-saving formula placated the Tories, secured the passage of the Drugs Bill and, possibly, leaves the way forward for Clarke to reclassify cannabis if the ACMD makes such a recomendation.

Much of the Drugs Act 2005 cannot come in to force straight away, as it requires subsequent legislation, guidance or changes to regulations. The following sections will not be instantly available:

Mushrooms containing psilocin: these will all become Class A drugs, whether prepared or not. However, additional guidance or wording is required to ensure that landowners who merely have mushrooms growing on their land are not committing an offence. This clause will not come in to force until such a wording is agreed.

Initial assessments and follow-up assessments: this new power means that the police can require any arrestee who tests positive for Class A drugs to attend an initial assesment and, where required, a follow-up assessment. However, these new developments cannot take place until funding is released to pay for the assessors and these will need to be recruited.

It seems likely that this development will curtail, if not spell the end of arrest referal schemes as they are supplanted by these mandatory assessments.

Given their vocal opposition to the Drugs Bill, we assume that Turning Point will refuse to bid for any of the new contracts to undertake assessment and would not be so hypocritical as to condemn the Bill whilst actually receiving funds to deliver aspects of it.

Presumption of intent to supply: This section will mean that people found in possession of quantities of drugs exceeding the "proscribed amount" will automatically be considered to be intending to supply those drugs. These quantities have yet to be decided and need to be approved by parliament. This section cannot come in to force until then.

The only shiny jewel in all this sewage is that the amendment to Section 8 by Section 38 of the Police and Criminal Justice Act is repealed by the Drugs Act 2005. So a piece of legislation that Charles Clarke saw fit to pass to garner votes in the last election is repealed by a piece of legislation to garner votes in this one...plus ca change.

 

When Crackdown goes OTT

Amidst much fanfare and column inches, the Home Office launched Crackdown on 12th January 2005. The Home Office press release said

"Operation Crackdown is being co-ordinated by ACPO and the Home Office. It will involve 32 police forces in England and Wales, focusing on closing drug dens, disrupting local drug markets, seizing illegal firearms and bringing dealers to justice. A key part of the campaign will be working closely with communities."

The Home Office appeared to hope that such a high profile campaign, on the run up to a general election, would provide much needed media coverage and reinforce the impression of a Home Office tough on crime and tough on drugs.

However, we have been hearing worrying tales of excess, especially in the closure of so called "drug dens." The word from the Home Office has clearly been that they expect the Police to use the new powers provided by the Antisocial Behaviour Act to close premises. But in some areas, where crack houses are few and far between, the Police appear to have struggled to find proper drug dens. So increasingly any drug user is finding themselves at risk of a closure order - even if they are not "drug dens." So squats are being emptied using these powers and people who are drug dependent and living with their families are being warned that they may be summarily removed from their properties.

We have received independent information from Wiltshire and from Hackney of such misuse of these powers, and it seems likely that such occurrences are taking place else where.

Drugs and housing advisors concerned about misuse of the powers should advise concerned service users of the following:

  • the property in question must be associated with Class A drug use AND nuisance or disorder; there must be evidence of both. If the property is not associated with nuisance or disorder it should be possible to challenge an application for a Closure order.
  • The property MUST be the subject of a properly-issued Closure Notice. If a closure notice has not been served properly, a closure order cannot be issued. Increasingly the police will want to serve a closure notice on an individual; otherwise it will be posted to the house and affixed to a door.
  • The Closure Notice will specify the Date, Time and Place of the Court Hearing that will determine if a Closure Notice will be issued. You will have to act very quickly.
  • If the occupier or tenant wished to challenge a closure order they will need to attend court and should get legal representation as soon as possible. It is essential that this is done very rapidly as from the point of Closure Notice, a Closure Order will be sought and issued within 24 hours.
  • With legal representation, the occupier or tenant should attend court and apply for an adjournment; this should be allow for proper submissions to be prepared and submitted. The court can grant a period of adjournment for up to 14 days.
  • The occupier and legal team should return to court and provide grounds to challenge the application for a closure order. This could include:
      • demonstration that the property is not associated with Class A drug use. This could be supported by evidence of drugs workers, housing support workers, evidence from drug treatment projects etc
      • evidence that the property is not associated with disorder or nuisance: this could come from supporting evidence from other neighbours, evidence from Housing Support workers, diary to demonstrate that nuisance is caused by others, etc
      • proposals that other approaches will resolve the nuisance or disorder: this include a willingness to attend treatment, agreement to exclude visitors who cause nuisance, or willingness to change behaviour that is causing nuisance.
      • other submissions that support the contention that the issuing of a closure order is not an appropriate response.
  • If a Property is closed, the person will be homeless. It is ESSENTIAL at this point that they do NOT surrender their tenancy at this point as they may be considered intentionally homeless. They should continue to seek legal advice, and make a decision as to whether they wish to take further action.
  • They can apply to the court for the Closure Order to be discharged, but would have to demonstrate to the court's satisfaction that the nuisance or disorder would not recur.
  • Given sufficient legal back-up and a strong case, there may be scope to mount a legal challenge to a closure order, but this will require extensive legal support and resources.
  • If you are squatting remember, these powers were intended to close properties associated with Class A drug use and serious nuisance. Squatters who are using drugs recreationally and are not causing disorder or serious nuisance should NOT be on the receiving end of such closure orders. It is important that efforts are made to challenge misuse of such powers in the courts.
  • Remember: ACT QUICKLY: GET LEGAL ADVICE: GET AN ADJOURNMENT: PREPARE A CASE.

FOR A PDF Document on this subject click HERE

 


 

Drugs Bill - Committee Stage: 9.2.05

Despite much discussion in its passage through the committee stage, few ammendments were made of signifigance.

The Government came in for much criticism at Committee for bringing a Bill so weak on detail, and so reliant on details to be decided elsewhere which could not be examined by the Committee. For example, there was unhappiness that the scale of amounts that would be considered as evidence of supply could not be explored, nor that the Regulations that would prevent Landowners with Magic Mushrooms on their properties from being prosecuted were available.

The Committee rejected proposals to return Cannabis to Class B, and to add Khat to the list of controlled drugs. There was also a rejection of extending the testing on arrest proposals to cover Class B drugs.

However the Committee did vote to extend the Aggravated Supply clause to make it an offence to supply near a school even if the person was unaware that it was a school.

As one Committee Member pointed out, this would mean that two people in an alley beside the back of a school would be guilty of aggravated supply if they passed a spliff. The other concern about this clause is that all examples of school supply - two sixteen year olds sharing a spliff on the playing fields for example - will be treated more harshly than to adults doing same in a public place.

We'll be following the Bills ongoing progress and updating information here.

Full text of debate at: http://www.commonsleader.gov.uk/output/page777.asp


 

Charles Clarke on drugs: Abstinence, no tolerance, no decriminalisation and don't expect civil rights for drug users:

Second reading of the Drugs Bill: some worthy contributions but some ominous feathers in the wind.

The Second reading of the Drugs Bill took place on 18th January 2005. Before a less-than-packed commons, the dogged, the rabid, and the woefully ill-informed took turns not to listen to each other, and failed to discuss the Drugs Bill.

Sterling efforts were made by Paul Flynn (Newport, West) (Lab), Dr Brian Iddon (Bolton, South East) (Lab), John Mann (Bassetlaw) (Lab) and Jon Owen Jones (Cardiff, Central) (Lab/Co-op).

Mann highlighted, repeatedly, that analysis of hundreds of allegations of drugs supply outside school had been investigated in Bassetlaw and had been found to be baseless. Yet despite this, various speakers disregarded his evidence and continued to maintain the belief that this was a routine event.

Iddon made sterling efforts to explain the need to expand the range of pharmacotherpaies, including the need to look at LAAM and the issue of racemic methadone. But before a house that included Stephen Pound (Ealing, North) Lab who admitted "I know little of magic mushrooms. To be honest I thought they were a cartoon invention" such interventions as Dr. Iddon's were unfortunately pearls before swine.

Paul Flynn made sterling efforts as ever to prevent an evidence base to challenge prohibition. But Charles Clarke and others made it clear that they had made decisions and were not interested in pursuing this route.

Indeed, if anything Charles Clarke seemed to be even less open to discussion then his predecessor. Little was to sway him, not even a shaky grasp of economic theory:

Of the price of drugs he said "it is true that the price is too low in some cases, which is to do with the balance between supply and demand. I shall say something about that in a moment."

Unfortunately he didn't, or he may have turned economic theory on its head and proved that low prices were an indicator of high demand rather than the traditionally-held view that the opposite was usually the case.

However, no such confusion when it came to "drug abusers" who he said "threaten the civil liberties of the law-abiding citizen," hence he argued, the state taking on more powers to prevent drug use.
So what does Clarke's tenure at the Home Office hold? Well if the tone of his contributions to the debate are anything top go by, little that we'd cheer:

Education: agreed that the move should be away from "provision of information and harm reduction to drug prevention."

Decriminalisation: not on the cards, given that Clarke considers it "the exact opposite of the right approach." And in case the point was lost on any voters he stressed "I am wholly against, without qualification, legalising drugs." So not much scope for an informed debate there then.

Abstinence: Clarke really showed his hand here, with worrying implications for harm reduction. He said "Abstinence is obviously the way to proceed…I do not think that the various regimes should be based on tolerance."

Recreational and non-problematic use "there have been…interventions [in the debate]…that suggest tolerance and understanding of people who use drugs for their own pleasure, or whatever they do. I do not share that view in any respect whatsoever."

Drug Testing in Schools: Clarke abandoned the careful position of the DfES on drug testing in schools and said he viewed it as a "necessary weapon…we positively enourage it."

As the Bill heads to committee stage, there are a number of worrying changes that might be in the pipeline. A number of MPs were keen to see Khat become a controlled drug.

Several MPs were arguing vociferously for cannabis to be reclassified back to B and it seems likely that there will be pressure to see this happen at committee stage.

It was a debate typified by half-facts and dodgy assertions; one can only hope that some sense prevails at committee stage. It seems we can't expect it from Charles Clarke.

The full debate during the Second Reading can be found at this link: http://www.publications.parliament.uk/pa/cm200405/cmhansrd/cm050118/debtext/50118-05.htm#50118-05_head1


 

Drugs Bill
A Response from KFx

In December 2004, the Government published their Drugs Bill. The bill was drafted prior to Mr. Blunkett's departure from the Home Office. While his successor, Charles Clarke, has publicly stated that he will take forward his predecessor's agenda, we will have to wait and see just how much he will stick with this Bill as presented.

What the Bill Proposes:

Part 1: Supply of controlled drugs

Clause 1: Aggravated supply of controlled drug

This clause inserts a new section 4A into the Misuse of Drugs Act 1971 and stipulates the circumstances which a court must treat as aggravating factors in respect of the offence of supply of a controlled drug. It also covers the supply of drugs near a school.

Critique:
This is a headline-grabber, little more. At present, courts can look at mitigating or aggravating factors prior to sentencing. The present clause does not create a new offence of "aggravated supply" but requires a court to consider supply near a school (which is in use) as an aggravating factor, and use of under 18s as couriers in the same way. So the only change is that courts now have a statutory obligation to consider such factors.

In the Regulatory Impact Assessment (RIA) the Home Office asserts that around 1% of offences could be construed as "aggravated." This is based solely on anecdotal evidence, and the Home Office offers no analysis of police or court reports to support this assertion.

The Home Office goes on to suggest that "aggravated supply" will apply in maybe 63 cases per year and will result in an average increase in sentence of two months!

The aggravating factor of supply near a school requires the prosecution to demonstrate that the supplier was aware (or could reasonably be aware) that the premises in question was a school.

However, there is no clear definition of "vicinity" and so it creates a grey area as to what distance from a school constitutes "vicinity."

No requirement as to knowledge applies in the case of alleged use of couriers under the age of 18. It is therefore foreseeable that a person could be considered to be guilty of aggravated supply were the courier to be 17, even if the supplier believed the person to be 18 or older.

KFx Response:
We do not believe that the proposed legislation adds substantially to the judicial process. We believe that a correctly conducted trial would, in the normal course of things, take account of aggravating and mitigating circumstances.

If the Government insists on proceeding with this legislation we recommend that the following safeguards be introduced:
· That the term "vicinity" be defined
· That a requirement to demonstrate that an alleged supplier "knew" or "could reasonably have known" that a courier was under 18 be introduced
· That the Government adhere to the recommendations of the Home Affairs select committee and produce a similar category of "peer supply" which the courts would be obliged to consider as a mitigating factor.

Clause 2: Proof of intention to supply a controlled drug

It is an offence under the Misuse of Drugs Act 1971 to possess a controlled drug with intent to supply it to another. This clause in amends section 5 to create a presumption of intent to supply where the defendant is found to be in possession of a particular amount of controlled drugs.

Critique:
The proposal here is that the Home Secretary will draw up a list of "prescribed amounts" which will be added to the Misuse of Drugs Regulations. Possession of quantities greater than the "prescribed amount" will automatically be considered proof of intent to supply a controlled drug, unless evidence to the contrary is provided.

The quantities in question will be drawn up in consultation with the ACMD but Parliament will be required to endorse the final regulation.

The Government has long avoided drawing up such a list of prescribed amounts. In the past, drug legislation reformers have argued that such a measure should be drawn up to define what constitutes "personal possession." The Government refused to do so on the grounds that defining such amounts would provide a "cut off," meaning that as long as people possessed below the "prescribed amount" they would only be prosecuted for possession. The fear on the part of Government was that suppliers would therefore, routinely carry the "prescribed" amount, reducing the risks of being charged with supply.

It is hard to see how the above proposals do not create the same risk; if a court must consider that an amount above the "prescribed" amount is proof of intention to supply, then logically possession of an amount below this will be the amount considered to be for personal possession.

Unless the thresholds for "prescribed use" are set to am adequately high level, some people will be erroneously convicted for intent to supply. Both recreational and dependent users do by drugs in bulk to reduce costs and ensure stability of availability. For a dependent heroin user, a month's supply could exceed 30gms of heroin and so a threshold below this would leave such users at risk of wrongful prosecution.

KFx response:
We would suggest that there be a proscribed amount which would equate with personal possession. We believe that it is for the courts to establish if a person's intent was to supply a drug using available evidence and as such the establishment of set quantities that equal proof of intention are not helpful.

Part 2: Police powers relating to drugs

Clause 3: Drug offence searches

This clause amends section 55 of the Police and Criminal Evidence Act 1984, which provides for an intimate search of a person where it is suspected that the person may have a Class A drug concealed on him.

Clause 4: Drug offence searches: Northern Ireland

Clause 4 makes provision equivalent to clause 3 for Northern Ireland.

Clause 5: X-rays and ultrasound scans: England and Wales
This clause enables a police officer to authorise an x-ray or ultrasound scan (or both) of a person suspected of swallowing a
Class A drug, where the person has been arrested for an offence and is in police detention.

Clause 6: X-rays and ultrasounds scans: Northern Ireland

Clause 6 makes provision equivalent to Clause 5 for Northern Ireland.

Critique:
We welcome the restraints that apply to the use of X-ray and Ultrasound; we assume that this would mean that the use of "portable" x-ray equipment as used in Lewisham in October 2004 would not be lawful and that the future use of such equipment to search for drugs will become unlawful.

We are concerned that a number of "new" techniques have been developed and implemented by the police which are of dubious legality under PACE. This includes the assertive use of sniffer dogs against people to provide grounds for a search, and the increasing use of vapour-trace machines, especially in pub and club settings.

KFx Response:
We would like to see greater clarity in these situations, including:
· Guidance on the use of sniffer dogs in public settings, and the establishment that the use of a sniffer dog on a person without consent is unlawful. We consider that the use of a sniffer dog, as with the use of any other vapour or other detecting equipment requires the suspect's informed consent.

· Guidance on the use of vapour-trace machinery: failure to submit to a vapour or swab test in a public place should not be considered, in its own right, grounds for a search. We want to see this written in to PACE alongside other revisions to police powers to search.

Clause 7: Testing for presence of class A drugs

This clause makes a number of amendments to the Police and Criminal Evidence Act 1984 (PACE) to allow for the introduction of drug testing of persons after arrest. The existing provisions for testing after charge remain. The new provision will apply to persons aged 18 and over.

Critique:

This power is linked to the subsequent requirement for those who test positive for heroin or cocaine to attend a mandatory initial assessment. See below for further details.

Clause 8: extended detention of suspected drug offenders
This clause will allow a court to remand a prisoner to the custody of a police officer where it is suspected that the prisoner has swallowed drugs to conceal evidence and avoid prosecution. Currently the police may detain a person in police detention under the Police and Criminal Evidence Act 1984 for a maximum of 96 hours prior to charge. This is not necessarily a sufficient period of time for swallowed evidence to be recovered.

Critique:

Under this clause, a person could be detained for up to 192 hours ( 8 days) to wait for drugs to pass through after they have been swallowed. However, in the RIA assessment, the Home Office acknowledges that only limited numbers of people could be held due to the restricted nature of such detention facilities and estimates that 100 people per year would be thus held.

The RIA takes in to account court costs but makes no assessment of the financial costs to the police of the additional 9,000 hours of detention time this could accrue.

We are also concerned that such a measure would allow a more extended period to interview the suspect: we would want protection written in to the legislation to ensure that such extended detention is solely used for drugs to be excreted and is not used as an opportunity for prolonged interviews.

Part 3: Assessment of misuse of drugs

Clause 9: Initial assessment following testing for the presence of class A drugs

This clause introduces a new discretionary power for the police to require persons who have tested positive for a specified class A drug under to attend an initial assessment of their drug misuse.

Clause 10: Follow-up assessment
This clause provides that a police officer must, when imposing a requirement to attend an initial assessment under clause 9, also require the person to attend a follow-up assessment and must inform the person that this second requirement will cease to have effect if he is informed at the initial assessment that he is no longer required to attend the follow-up assessment.

Clause 11: Requirements under sections 9 and 10: supplemental
This clause imposes a number of obligations on police officers where they require a person to attend an initial assessment under clause 9, or both an initial assessment and a follow-up assessment under clause 10.

Clause 12: Attendance at initial assessment
This clause places a duty on the person conducting the initial assessment to inform the police if the person concerned fails to attend or remain for the duration of that assessment.

Clause 13: Arrangements for follow-up assessment

This clause sets out the arrangements for a follow-up assessment.

Clause 14: Attendance at follow-up assessment
This clause places a duty on the person conducting the follow-up assessment to inform the police if the person concerned fails to attend or remain for the duration of that assessment.

Clause 15: Disclosure of information about assessments
This clause provides that information obtained as a result of the initial assessment or follow-up assessment may not be disclosed without the written consent of the person concerned except in the case of information sharing with those involved in the conduct of the initial assessment and follow-up assessment.

Clause 16: Samples submitted for further analysis
This clause provides that a person will no longer be required to attend an initial or follow-up assessment if, before he attends that assessment, a further analysis of the sample taken reveals that it was negative.

Clause 17: Relationship with the Bail Act 1976 etc.
This clause provides that a requirement to attend either an initial assessment or a follow-up assessment ceases to have effect if, before he has complied with the requirement in question, the person is charged with the offence in respect of which the drug test was taken and is granted bail by a court on the condition that he undergo a relevant assessment and/or participate in follow-up under the Bail Act 1976.

Clause 18: Orders under this Part and guidance
This clause provides that an order made by the secretary of state amending the age at which persons may be required to attend an initial assessment and a follow-up assessment may make provision where appropriate in respect of persons under the age of eighteen, may make different provision for different police areas and must be approved in draft by both Houses of Parliament.

Clause 19: Interpretation
This clause defines a number of terms that are used in Part 3 of the Bill.

Critique:
This is one of the most substantial shifts in policy and practice within the bill, and the one with the most substantial ramifications for both users and the field.

Essentially, everyone who is suspected of a trigger offence or where there are suspicions of drug use will be tested for the presence of drugs on arrest.

Where this test proves positive, a person will be obliged to attend an "initial assessment" with an "initial assessor."

Unlike traditional arrest referral scheme, attendance for an initial assessment is mandatory and failure to attend and complete an initial assessment is an imprisonable offence.

Should the initial assessment indicate that it is appropriate; the person will then be obliged to attend a "follow-up assessment." Again, failure to attend a follow up is an imprisonable offence.

The outcome from the follow-up assessment should be the development of a care-plan.

We welcome the idea that all offenders who have an identified drug related issue should be able to access support and treatment services rapidly. However, we cannot endorse the coercive nature of the model proposed.

We believe that existing arrest referral processes - offering support and input from an independent worker at the point of arrest - has been productive. We believe that a coercive process is less likely to result in an honest and therapeutic engagement between drugs worker and user.

The RIA is flawed, working on the basis that only 5% of people required to attend an initial assessment will fail to attend this appointment. We would anticipate that the DNA rate will be significantly higher than 5%, and there will be a drop-out rate before the initial assessment and again before the follow-up assessment.

The maximum sentence for failure to attend an initial or follow-up assessment would be initially 3 months but would go up to 51 weeks when changes to penalties within the Criminal Justice Act 2003 come in to force.

The implementation of this strategy will require a substantial increase in spaces for assessment workers attached to drug projects or other agencies.

Part 4: Miscellaneous and General

Clause 20: Intervention Order
This clause amends the Crime and Disorder Act 1998 (the "CDA") in relation to Anti-social Behaviour Orders (ASBOs) and provides for a new order which can be made alongside an ASBO when drug misuse has been a cause of the behaviour that led to the ASBO being made.

Critique:

An Intervention Order can be made where "antisocial behaviour" is considered to be related to drug use. The court can attach an Intervention Order to the antisocial behaviour order which will then require the person to attend activities designated by the court.
The Intervention Order will reflect the opinions of a "suitably qualified assessor" such as a drugs worker. Failure to attend and fulfil the requirements of the order would be an offence carrying a £1000 fine.

The RIA guesstimates that 100 such orders will be made each year and that there will be only 10 breaches.

We welcome any process that improves and increases access to treatment interventions. However, we are concerned that the coercive nature of the Intervention Order has a negative impact on the therapeutic relationship between drugs worker and client. It seems perverse that, on the one hand a client may finally have the chance to engage with a counsellor but that the counsellor will be obliged to report the client if they fail to attend an appointment.

However, we remain more concerned by the imposition of ASBOs on people with a substance misuse problem and in comparison to this, the development of Intervention orders seems comparatively benign.

Clause 21:

Inclusion of mushrooms containing Psilocin etc. as Class A drugs

This clause inserts into Part 1 of Schedule 2 to the Misuse of Drugs Act 1971 a fungus of any kind that contains the drug Psilocin or an ester of that drug.

Critique:

It is no surprise that the Government has decided to change this legislation, but it is disappointing that rather than pursue a licensed scheme or look at reclassifying and rescheduling mushrooms, they should remain a class A drug.

If the Government proceeds with this piece of legislation, land-owners who know that hallucinogenic mushrooms are growing on their land may be committing an offence if they fail to remove them.

According to Transform, the Government intends to create space within the Regulations to cover this situation but no reference is made to this in the Bill.

Bizarrely, the RIA does not foresee any additional court costs - even though anyone found in possession of fresh magic mushrooms will become liable to prosecution. The Home Office appears to believe that once this comes in to force people will simply cease to possess magic mushrooms.

Response from KFx

We appreciate that hallucinogenic mushrooms can have a negative impact on mental well-being, especially amongst people prone to poor mental health. However, we consider such mushrooms to be consider mushrooms considerably less hazardous than either LSD, Ecstasy or amphetamines. As such it would seem more appropriate to reclassify mushrooms to class C, and, as with anabolic steroids, remove the penalties for personal possession.

We believe that a better response would be:
· To reclassify and reschedule whole magic mushrooms to Class C, schedule 4(ii)
· To classify extracted psilocin and psilocybin as class B schedule 1 drugs.
· To agree a retailers code of conduct including maximum quantities for single sales, age restrictions, and warning wordings or packaging.


Prior to the bill's publication, the Home Office had made reference to a collection of proposals which, fortunately, did not make it in to the final bill. This included a proposal to make it an offence to have controlled drugs in the blood-stream.

However, there are more than enough half-baked, ill-conceived, inadequately costed measures as the bill stands. In a functional democracy, a series of well-conducted debates in Parliament would reveal the failures of the this bill. However, given the current failures of our parliamentary democracy, it seems unlikely that such a debate will take place. Consequently our already-flawed drugs legislation will be augmented by further clauses.

The Government appears keen to take this legislation forward prior to the General Election. By appearing to pass tough, anti-drug legislation, the Government is once again seeking to garner votes. But a close examination of much of the proposed bill reveals attention-grabbing measures for popular consumption, and a missed opportunity to revise outdated and obsolete legislation.

Amendments and Repeals:

Notably, the legislation Bill includes the following amendments and repeals:

Schedule 2(6) Repeals Section 38 of the Criminal Justice and Police Act 2001.

Critique:

We welcome this repeal, but would note that the Home Office introduced this piece of legislation in haste, without consultation, on the run up to a general election in a cynical attempt to garner votes. An entire election later, the Government decides to scrap this piece if legislation.

Responses from KFx

We also think that this repeal does not go far enough and would recommend:
· Repeal of Sections 8(c) and 8(d) of the Misuse of Drugs Act 1971
The Government created a ludicrous inequality by creating a situation where the penalty for possession of cannabis was reduced, and a presumption against arrest for personal possession was created. However, housing providers were left in the unenviable position of being obliged to prevent cannabis use on site. While some regions have pursued an approach of negotiating "Cannabis Protocols" with the police, this is not an ideal response. It would have been preferable to remove section 8(d) of the MDA altogether. Given the Government proposes to repeal Section 38 of the Police and Criminal Justice Act 2001 it would have seemed sensible and fair to repeal section 8(d) at the same time.

Schedule 2(7) relates to the Antisocial Behaviour Act (Power to close premises) and empowers a constable to enter any premises to issue a closure notice, using force if necessary.

The reality is that, given the attendant risks of entering such a property it would be foolhardy for a single constable to enter such a property and so this power would require a sufficiently large number of policy enter to issue the notice.

Effectively what this means is that the service of a closure notice could now be accompanied by several police officers putting the door through and entering the property "solely" for the purpose of affixing a notice to a prominent site.

Given some Police forces' misuse of these powers, it seems highly unlikely that, once in, the police would restrict their actions solely to serving the closure notice.

We would expect to see some additional safeguards attached to this power and so recommend:

· The legislation be amended to ensure that any other police actions beyond serving the notice be considered unlawful and any evidence thus garnered or charges brought shall be considered inadmissible.

A missed opportunity:
A drugs bill was a golden opportunity to address some of the long-overdue revisions to the Misuse of Drugs Act 1971 and related legislation.

Amongst other changes we would have advocated for the following:
· Changes to the legislation on Storage of Controlled Drugs
The Home Office has been aware for over five years of the need to revise the MDA to allow the legitimate storage of prescribed controlled drugs in care settings. Charles Clarke was amongst those who agreed that such a measure was required.
· Further revision to paraphernalia legislation
We would have welcomed further changes to the Paraphernalia legislation to make it lawful to distribute a wider range of harm-reduction resources including the distribution of foil, crack smoking equipment and other equipment.

Additional Comments

Whatever happened to consultation?

The Government has ceased to consult properly and honestly with stakeholders when developing drugs policy and legislation. Little in the current bill reflects the opinions or views of the Home Affairs Select Committee, or seems to reflect recent considerations by the ACMD. Instead it seems to be an agenda led by the Home Office, driven by its obsession with the folk-devil of antisocial behaviour. This is twinned with some of the ideas secretly generated by the Forward Strategy Unit and the "blue sky thinking" on drugs led by John Birt. In January 2004, proposals from the FSU leaked to the media included the following: a greater emphasis on enforced treatment, and looking at a regime that orders imprisonment or treatment for anyone testing positive for heroin.

Looking at who was consulted prior to drafting the bill is indicative of how much the Government is drafting legislation in isolation, and failing in its social and professional obligations to consult:

The Explanatory notes and the RIA make repeated reference to "experts" or "anecdotal information" and all too frequently there is no evidence base to support the assertions.

There is the anecdotal assertion that suppliers are targeting school children - whereas the DoH's own research says that more than 70% of school-children first obtain drugs from their peers.

There is also the assertion by unnamed "experts" that the Magic Mushroom market cannot be expected to self-regulate: indeed experience to date (and internationally) would suggest the opposite.

Given the importance of effective and planned drugs legislation, we strongly urge the Government to resume effective and informed consultation with the all sectors of the drugs field -recreational and dependent users, youth workers, drugs workers so that effective and balanced legislation can be developed.

Watch the money go round?

Colossal sums of money have been spent over the past few years on "enforced" treatment. A number of existing agencies have increased massively in size on the back of winning contracts o deliver this enforced treatment. They have expanded in terms of staff and in terms of money. To put it bluntly, they have profited handsomely from the new orthodoxy of drugs and crime.

Increasingly, these organisations have become dependent on Government money. Beholden to the Home Office or the NTA , they are increasingly required to toe the party line, not challenge, not contradict.

This has led to the dominant paradigm - the inextricable link between drugs and crime, and that treatment (including enforced treatment) works.

In a field which was once typified by diverse opinions and a willingness to challenge, there are now few truly independent voices. Most have agreed to take the Home Office silver in order to survive. New organisations have sprung up solely to deliver the Government agenda.

Now, in the face of the Drugs Bill, a small number of these bodies have started to express their concern about the further increase on the "criminal" aspect of drugs rather than the care and health aspects. They are starting to question the direction and slant of the Government Agenda.

The real acid test, though, will come at tendering time. Will these same agencies be unwilling to take on the role of Initial Assessors and undertake intital and follow-up assessments? Will they refuse to report people who fail to comply with an Intervention Order? Will they continue to provide tacit (or active) support to the "War on Drugs" through their unwillingness to speak out loudly, publicly and unequivocally to challenge this slide to the right?

Conclusion:
The Government has produced a rushed, thin bill which fails to address some of the real needs of the field whilst pandering towards the drugs and crime agenda. Whilst it will undoubtedly serve the Government well at the ballot box, we are not convinced that it will improve the quality of interventions or reduce drug use or drug related harm in the UK.
KFx: December 2004

To download this document as a PDF click HERE

To view the Drugs Bill go HERE

To view the Explanatory notes go HERE

To view the Regulatory Impact Assessment (RIA) go here

To see what Drugscope and Turning Point have said go HERE

For the Transform website and their response (forthcoming) go HERE

The Decline and Fall of David Blunkett

We had been in the process of writing a piece about David Blunkett and the vendetta against perceived antisocial behaviour.

However, overtaken by events, his removal from power has come, not from pursuing a series of draconian and punitive measures against refugees, asylum seekers, economic migrants, people suspected of terrorism, drug users and young people.

Instead it came from the hubris of believing that, while the state had every right to stick its nose in to the private lives of its citizens, he was entitled to privacy while he conducted illicit trysts.

Mr Blunkett has overseen a Home Office that has eroded civil liberties to a greater extent than any other peace-time Government. Traditional rights - including property rights, right to free assembly, freedom of speech and freedom of movement have all been stripped away. Not because of someone's offending behaviour - but because of unproven allegations that behaviour could be considered "antisocial."

Other rights, including Habeas Corpus have been ignored and as his last act before resigning, he has introduced the prospect of ID cards on spurious , anti-terrorist grounds.

While we do not hold out massive hope that any successor will adopt a more even handed approach, we are not in the least saddened to see the back of Mr Blunkett, one of the few people to make Michael Howard look relatively liberal!

Image from Banksy: http://www.banksy.co.uk/

 

Spinning Wheel Blues

Inconsistent policies on drugs and gambling demonstrate Government confusion on both habits.

Amidst all the sound and fury regarding the Government's plans to reform gambling, few commentators have spotted the obvious comparison between Government's approach to gambling and to drugs.

Simon Jenkins, writing in the Evening Standard, was one of the few. He noted "If any law is in urgent need of reform, it is the thus ineffective 1971 Misuse of Drugs Act. It does far more harm to minors than do fruit machines. Yet Ms Jowell and her colleagues will touch it."

Looking at the arguments put forward by the Government in support of it's reforms of gambling, one would be hard put to fault exactly the same arguments if put forward for drugs reform.

In an article, again in the Standard, Tessa jowell defended her bill thus:

"if adults nake the rational informed decision to gamble, they should be allowed to do so. They should be encouraged to do it in places tha are crime free and properly regulated. Above all else, children should be protected from the temptation to gamble."

A key thrust of the Govenment's thinking is that a lack of control has created greater risk to young people. The arrival of high-prize gaming machines in venues used by young people exposes them, the argument goes, to temptation and risk. A licensed and regulated market would remove these machies from these arenas, and limit them to venues where only adults would access them.

If one substitutes "use drugs" for "gambling" in Jowell's argument, the argument is all but identical to the arguments put forward by drug policy reformers.

Fear has been expressed, both in terms of drugs and in terms of gambling that proposals to change the law will result in an increase in problem gambling and gambling addiction.

Here, Jowell offers a different analysis, and again one that is wholly appliable to the drugs field. She argues:
"to judge an entire industry by the people who can be addicted by its product is similar to closing down every pub in the country because of the lif story of an alcoholic. It is not possible to close down an industry and prohibit people from what they consider a pleasure because of the tragedy of a few."

Again, these are sentiments that most drug reformers would recognise and applaud.

After this, however, the Government's approach to gambling and the vision of the drugs reform lobby go in sharply different directions. While the current spin put on the Gmablig reform is one of "protection through regulation," the other is one of "profit through expansion." The licensing and development of larger casinos, the facillitation of local authority licensing and the projected profits for local and state profits are aspects which demand an increase in the number of gamblers and, by association the number of problem gamblers.

This is where the approach to gamblig and to drugs part company. Drug reform proposes control and safety through license and regulations. A key model is distribution through medical routes for some drugs and controlled and regulated markets for others, notably cannabis. Most drug reformers would abhor an approach which saw big corporations take over this market and actively recruit new users.

The Government is, on the one hand, right to think that regulation is safer than a absence of safeguards. This applies to drugs as much as gambling. But to then actively promote and expand such a market would be indefensible to both too.

The Met ain't so pretty either:

The new metropolitan Police campaign that uses the images of drug-dependent women to highlight the dangers of drug use is grotesque.

The images themselves are disturbing and distressing, but they are not new. They have been circulating on the internet, and the Nimby-wesbsite "Crack Cocaine in Camden" has had a link to the images for a couple of years.

Pictures of three women are used; Roseanne Holland, Melissa Collara and Penny Wood. Holland is believed to be dead, Collara was not contactable and Wood is in treatment.

So the Met are exploiting the images of three tragic women. Depersonalised and exposed to the shocked looks of public they disintegrate before our eyes. UK arrest pictures could not have been used as it would breach confideniality. But the Met have no such qualms about scooping images off the net and using them. They are exploitative, breach decency and ultimately they are ineffective.

The images are as much a condemnation of the US war on drugs, and the failure of the US penal and treatment system as they are of the drugs themselves. Collara was arrested 18 times in three years. Where were the interventions, the opportuities to engage with both harm reduction and with treatment. Holland was arrested at least five times in eight years.

Collara had (according to the Daily Mirror) been sexually abused and had lost her mother at an early age. She was engaged in drug use and prostitution. But despite repeated arrests, the help she so badly needed was clearly slow in coming. Ultimately it was not that the "system" got it right for her but one police officer who viewed her as a person needing help rather than a criminal.

The failure of the war on drugs is manifest. The failure of the criminal justice system that failed these women is written across each face. And the failure of a policy that makes needle exchange illegal and fails to offer adequate education past "just say no" is etched across these billboards.

In the good old days of drugs education, the police used to use the gore fest "Better off dead" to scare would-be users away with footage of autopsy - again of a dead female user. Thirty years later they are using the same approach - but with new images. But where do they go next? More shocking images? More gore? As any body with any media-awareness knows, this process is ultimately self-defeating. We become inured to horror, harder to shock. We cease to care or even notice and the images cannot touch us.

The effects of crack can be extremely damaging; but ill-considered advertising can damage us too. And this damage is so much less obvious.

KFx November 2004

Click on poster for full size image!