| |
Why
discriminate between drugs based on tradition rather
than harm? Home Office
Why
discriminate between drugs based on tradition rather
than harm? ACMD Secretariat
Non-compliance
with science guidance Chief Scientific
Advisers to Government & Home Office
Rationale for magic mushroom
prohibition - Home Office, Jan 2005:
see full text of correspondence, and other
correspondence, here.
Home
Office why discriminate between drugs based on
tradition rather than harm?:
- Bob Ainsworth
(22 January 2003): "The 'drugs of
misuse' controlled under the 1971 Act are
determined under United Nations
Convention".
"Tobacco, unlike cannabis, is not
identified under the UN Conventions and
therefore its usage is not classified as
misuse and is not an offence under the law.
Although tobacco acts as a stimulant and
therefore can be considered a drug it does
not contain the intoxicating properties of
either cannabis or alcohol".
"The Advisory Council on the Misuse of
Drugs Technical Committee has been piloting a
risk assessment framework that should prove
more objective and comprehensive in terms of
assessing the risks to health of drugs of
misuse".
"Smoking [tobacco] is the greatest
single cause of preventable illness and
premature death in the UK, and is responsible
for around 120,000 deaths every year.
However, because the habit has a four
hundred-year history of social acceptance in
the Western world, the Government cannot
simply ban it although it does encourage
people to stop smoking. The Government
believes that adults are entitled to make an
informed choice and therefore ensures that
full information on the dangers of tobacco
are freely available".
- Caroline Flint
(27 Nov 2003): "The Misuse of Drugs Act
1971 (MDA 1971) refers to only controlled
drugs, that is to say any 'substances or
product for the time being specified in Part
I, II or III of schedule 2 to this Act. As
alcohol, tobacco and caffeine are not
controlled drugs, they do not fall under the
remit of the MDA 1971. However, although
alcohol, caffeine and tobacco do fall under
the UN's definition of drugs, the UN has not
advised that these substances be brought
under control".
"I would like to clarify the
responsibility of the Advisory Council on the
Misuse of Drugs (ACMD). The ACMD is an
independent non-departmental public body
established under the MDA 1971 for the
purpose of advising the Government on drug
related issues. It therefore does not have an
obligation to provide advice to the
Government on how to tackle harm brought on
by misuse of alcohol, tobacco or caffeine.
Owing to the wide use of these substances
over a long period of history in modern
society and the general social acceptance
that has resulted, it is not a realistic or
practical option. To criminalise the supply
and use of alcohol, tobacco and caffeine
would inevitably result in widespread
smuggling, law breaking and other associated
criminal activity".
"I would like to confirm that Bob
Ainsworth in his letter of 21 January 2003
was correct to state that the UN has a great
influence as to which drugs are controlled in
the UK. Although this relationship is not
explicitly stated in the MDA 1971, it is a
condition which the UK is party to, due to it
being a signatory to the three UN
Conventions. However, the UK is also free to
act independently outside of this
international legal framework and the ACMD
can advise the Government on drugs that it
feels require control under the MDA 1971.
However for reasons I have already outlined
alcohol, tobacco and caffeine will not
be considered by the ACMD for control".
- PALAD to Flint (28 June 2004):
"I note you end your letter saying
"alcohol, tobacco and caffeine will not
be considered by the ACMD for control".
Ms Ahmed of the ACMD Secretariat replied to
my response to your letter saying
"Albeit independent, the ACMD as an
advisory body has to be aware of the
Governments position, which has not
given any intention to consider the control
of alcohol, tobacco and caffeine". I
take these statements to be admissions on
both sides that the Government interferes
with the independence of Advisory Council on
the Misuse of Drugs and so perhaps interferes
with the implementation of the law". Reply
from ACMD, 12 Aug 2004 below.
ACMD
Secretariat why discriminate between drugs
based on tradition rather than harm?:
- PALAD to ACMD
Secretariat (22 January 2003): "The
Government's reply to the Report of the
Independent [Police Foundation] Inquiry into
the Misuse of Drugs Act 1971 confirms the
responsibility of the ACMD to classify drugs
according to their dangerousness:
"11. The Government agrees with the
Police Foundation's conclusion that the main
classification criteria should continue to be
that of dangerousness..." "...
assessments of the sort that ACMD are
required to make when considering the
harmfulness of drugs ... should clearly state
methodology."
Could you please "clearly state
methodology"? Is there anything
preventing the ACMD from considering the
dangerousness of tobacco or alcohol? Under
the guidelines above it seems that tobacco
should certainly be included within the
Misuse of Drugs Act". No reply.
- PALAD to ACMD
(22 June 2003): "This report [Hidden
Harm] about parental drug use harmful to
children aims to establish "the size and
seriousness of the problem" yet omits
the two greatest causes, alcohol and tobacco,
and so provides a distorted view of the
problem. Anyone reading the front cover or
summary would have no clue that parental use
of legal drugs causes far more harm to
children than use of controlled drugs - a
vital piece of information. We are concerned
that such mistakes leave the ACMD open to
charges of discrimination. The Government
receives £20 billion a year from the legal
drug trade and here is a report claiming to
expose 'hidden harm' that continues to keep
the harm from these legal drugs hidden. Could
you explain the reasoning behind the ACMD's
misleading use of the word 'drug' and give an
assurance that this error will not be
repeated?". No reply.
- ACMD
Secretariat to PALAD (24 Jan 2004):
"Whilst it can be argued that the ACMD
has a remit to consider alcohol, tobacco and
caffeine it has, to date, declined to do so.
The ACMD consider that its resources are best
served by focussing on controlled drugs or
drugs likely to be controlled by the ACMD
1971 [sic]. Albeit independent, the ACMD as
an advisory body has to be aware of the
Government's position, which has not given
any intention to consider the control of
alcohol, tobacco and caffeine".
- PALAD to ACMD
(29 Jan 2004): "Im trying to find
out details about how the ACMD define the
word drugs, how they therefore
determine the scope of their remit and what
role Government plays in these decisions. Are
there any documents relating to these
questions that you could send me?". No
reply.
- ACMD to PALAD (12 Aug 2004) - reply
to Flint letter (28 June 2004): "[The
ACMDs] focus on controlled drugs and
drugs that are likely to be controlled is a
choice that has been made by the ACMD without
any Governmental interference".
- PALAD to ACMD
(20 Aug 2004) : "I am trying to find out
why an independent scientific committee
should focus its inevitably limited resources
"on controlled drugs or drugs likely to
be controlled" - in accordance with the
current governments Drugs Strategy -
rather than on the most harmful drugs
in accordance with objective scientific
evidence and, I believe, with their statutory
duty. The ACMDs focus on "drugs
likely to be controlled" indicates that
the ACMDs advice depends upon
Governments drugs policy but Government
states that their drugs policy depends upon
the ACMDs advice. This creates an
accountability loop where each side follows
the other, a situation unable to adapt to
changes in scientific understanding.
Government policy cannot change if scientific
advice is restricted to advice deemed
acceptable to Government policy.
Scientific understanding of drugs has changed
considerably in recent decades. I am
particularly concerned that the ACMD do not
identify and refer to alcohol and tobacco as
drugs and do not carry out risk and
regulatory assessments in line with
Government guidelines, instead restricting
their methodology to that of the
Governments Drugs Strategy. In contrast
the Department for Education and Skills
teaches children that alcohol and tobacco are
drugs in accordance with the United
Nations definition. The Department of
Healths Dangerousness of Drugs
provides a modern scientific risk assessment
of all the most commonly used potentially
harmful drugs, including tobacco and alcohol.
The Home Office and ACMD have a different
approach, discriminating between traditional
and non-traditional potentially harmful
drugs, referring only to the latter as
drugs. I am trying to find out
details of the reasoning behind that
discrimination. Professor Wiles has assured
me that this discrimination has been made by
the ACMD without Government influence. You
have assured me that limited resources are
not a factor.
The Code of Practise mentions that the
Secretariats role includes providing a
"clear audit trail showing how the
committee reached its decisions". This
is what Im trying to find out with
respect to the ACMDs decision to limit
their advice to "controlled drugs or
drugs likely to be controlled". How did
the ACMD decide that they have the legal
authority to limit their statutory duty in
such a way? Did the ACMD discuss this
decision with the Home Office? Did the ACMD
consider alternatives such as requesting
sufficient resources to advise on all
potentially harmful drugs? Did the ACMD
consider any unintended consequences of their
decision such as their consequent inability
to assess the relative harms of the
intoxicant drugs alcohol and cannabis?".
Reply below, from Home Office
Chief Scientific Adviser Wiles, 3 Sept 2004.
- ACMD Secretary,
Stuart Harwood (22 Feb 2005): "I have
seen some of the correspondence between
yourself, and my colleague Mr Ahmed, and also
some of the correspondence between yourself
and Professors Wiles and King. I fully
support their assertions that the Advisory
Council on the Misuse of Drugs has not failed
in its duty, or failed to comply with its
statutory obligations in anyway. You express
concern in your letter that there is an
accountability issue with the ACMD's focus
and with the Government's Drugs Strategy. I
do not see that there is any incompatibility
in the approach being taken. You also assert
that the ACMD is in breach of the Code of
Practice for Scientific Advisory Commitees. I
refute this assertion".
- PALAD to ACMD
Secretary (7 March 2005): "Could you
tell me why the ACMD does not identify and
refer to alcohol and tobacco as drugs in
their reports? I believe this is a serious
factual error that gives rise to inaccurate
and misleading advice to Government. Could
you also send me a copy of the minutes of the
ACMD meeting in November 2004 and a copy of
the advice the ACMD have given Government ...
concerning magic mushrooms ...? This
information may help me understand the
ACMDs methodology for assessing risk
and evaluating regulatory options".
Governments
Chief Scientific Adviser, Professor Sir David King,
and Home Office Chief Scientific Officer, Professor
Wiles non-compliance with science guidance:
- PALAD to King
(7 June 2004): "I believe that the
Advisory Council on the Misuse of Drugs may
be failing to fulfil their statutory duty,
failing to comply with the Code of Practise
for Scientific Committees and Guidelines 2000
and failing to follow Government guidelines
on risk assessment, risk management, health
policy and good regulation. We have submitted a report to
the Committee on Standards in Public Life about these
concerns, enclosed."
"There appears to be no independent body
responsible for ensuring good practise within
the ACMD. We hope you might be able to
examine these issues".
- King to PALAD
(1 July 2004): "Thank you also for sight
of the report you provided to the Committee
on Standards in Public Life. My officials
have had preliminary discussions with the
Home Office on the matter. I am, therefore,
writing to Professor Paul Wiles, CSA of the
Home Office to ask him to consider further
the issues you have raised".
- Wiles to PALAD
(27 July 2004): "You are right in
identifying that the ACMD have not focused on
alcohol, tobacco or caffeine in their work.
They have chosen to focus on substances which
form the focus of the Government's Drugs
Strategy, these being controlled drugs. The
decision by the ACMD to focus on such
substances does not in any way mean that the
Council is neglecting its statutory
duties"."The Government believes
that the most effective way of tackling the
problems caused by alcohol, tobacco (and
controlled drugs) is by using a full range of
practical measures, based on evidence of what
works. The ACMD keeps an independent watching
brief on the work being done by the
Government in these areas. It is in a
position to be able to instigate pieces of
work or offer advice to Ministers on these
areas if it sees fit. I have no cause to
question the independence of the ACMD".
- PALAD to Wiles
(9 aug 2004): "I accept that the Home
Office does not actively interfere with the
independence of the ACMDs scientific
advice. However I still have concerns about
the ACMDs decision to restrict their
focus to only those drugs that form the focus
of Governments Drugs Strategy. I am
also concerned that the ACMD appears to limit
their risk assessments and regulatory option
assessments to those of the Governments
Drug Strategy and that the Government in turn
limits the drugs it focuses on, its risk
assessments and its regulatory options
assessments to those of the United
Nations"."The Government may not
actively influence the ACMDs
independence but they do seem to influence it
passively through failing to advise them to
assess scientific evidence independently of
Government policy and in line with the Act,
the Code, Guidelines 2000 and Government
guidelines on risk and regulation. Please let
me know if it would be helpful to provide you
with a list of specific problems with the
Code and the Guidelines".
- Wiles to PALAD (3 Sept 2004):
"Thank you for your letter of 9 August
2004. I have also had sight of your recent
correspondence with Saleah Ahmed in the ACMD
Secretariat. In order to expedite our
correspondence, please consider my response
as an answer to both letters. I must refute
the assertion that you make that the Advisory
Council on the Misuse of Drugs only considers
drugs at the centre of the Home Office Drugs
Strategy. Whilst it is true that the ACMD
considers primarily those drugs which are
controlled or likely to be controlled, this
does not automatically correlate to those at
the heart of the Drugs Strategy. As you are
aware, the Government's Drugs Strategy
focuses on Class A drugs, specifically Heroin
and Crack Cocaine. The ACMD consider a far
wider range of substances including, in the
last year, Ketamine, GHB, Methylamphetamine,
Khat and Benzodiazepines. I continue to have
confidence in the independence and
transparency of the ACMD. I hope this brings
to a conclusion our correspondence on this
matter".
- PALAD to King
(27 Sept 2004): "My correspondence with
Professor Wiles has concluded but my concerns
have been reinforced by his replies. I
enclose all relevant correspondence. I
believe, as POST [Parliamentary Office of
Science & Technology] Note 196 warns,
that Government may be "using science
selectively or to: justify predetermined
decisions or positions, erroneously frame
issues as predominantly scientific (e.g. in
substituting for moral or value judgements),
act as a scapegoat when things go wrong,
offer undue certainty and reassurance while
critical uncertainties are downplayed, and
delay making contentious or complex
decisions". I believe the ACMD should
explain: why they do not identify and refer
to alcohol and tobacco as drugs, their
inconsistent use of the principle of
proportionality in respect of controlled
drugs and legal drugs, their implication that
drugs could be harmless and their
justification for any use of the
precautionary principle.
If the ACMDs policy recommendations
take non-scientific factors into account as
part of their risk and regulatory assessments
then that should be made transparent. These
non-scientific factors should be clearly
identified and distinguished from the
scientific advice about drug risks by
both the ACMD and Home Office and the
evidence and rationale behind them made
transparent. Compliance with the Code,
Guidelines 2000 and Government guidelines on
risk assessment and regulatory options
assessments would be adequate in this
respect.
I have formed the opinion that openness and
transparency may be seen by Government as a
risk of threat to current drugs policy".
- King to PALAD
(6 Oct 2004): "I note, of course, your
concerns about transparency and the need to
avoid the selective use of advice. I agree
with you on these points. But in this case it
is for the Committee itself to decide what to
investigate, and to ensure it adheres to the
Guidelines and Code".
- PALAD to
Professor Sir Michael Rawlins, Chair of the
Advisory Council on the Misuse of Drugs (6
Nov 2004): "The Governments Chief
Scientific Adviser, Sir David King, has
suggested I contact you about my concerns
that the Advisory Council on the Misuse of
Drugs may not be complying with the Code of
Practise for Scientific Committees and with
their statutory duty. I have tried, and
failed, to find explanations for ACMD
decisions from Saleah Ahmed of the ACMD
Secretariat and then, on David Kings
recommendation, from Professor Wiles. By law
all children in the UK are taught that
alcohol and tobacco are drugs, based upon the
United Nations definition. The
Government, however, says drugs are harmful,
no-one should take them and they will remain
prohibited, and say this conclusion is based
upon independent scientific advice from the
ACMD. ACMD reports confirm that the ACMD does
not identify and refer to alcohol and tobacco
as drugs or advise Government about them but
does advise that drugs that are
not harmless should be prohibited. The ACMD
does not explain the evidence or reasoning
behind their decision to exclude traditional
drugs from their statutory duty to advise
Government about harmful drugs, nor do they
explain the evidence or reasoning behind
their advice to prohibit non-traditional
drugs - advice apparently inconsistent with,
and disproportionate to, the regulation of
traditional drugs which scientific evidence
shows to be equally harmful to consumers and
society. There is no indication the ACMD
follow any recognised form of risk assessment
or policy options assessment. I believe these
problems underlie the lack of consensus about
the regulation of non-medical social drugs
and the increasing non-compliance of young
people with laws they view as hypocritical. I
believe a standard risk assessment of all
drugs would show that regulations are not
proportionate to risk of drug harm determined
by scientific evidence but instead are
proportionate to public risk tolerance
determined by risk familiarity and tradition.
The Treasurys draft Managing risks
to the public: appraisal guidance at http://www.hm-treasury.gov.uk/consultations_and_legislation/greenbook_consultations/consult_greenbook_index.cfm seems quite adequate
for tackling these problems. "The
document provides guidance for developing and
assessing proposals that affect the risk of
fatalities, injury and other harms to the
public
The guidance also contains a
tool to help structure and make explicit the
evaluation of concerns that may exist about
risks of fatality and harm". I hope the
ACMDs risk and regulatory assessments
will follow these guidelines or provide
transparent explanations why the assessments
do not. I do hope you may be able to shed
some light on the reasoning behind the
decision to exclude traditional drugs from
the ACMDs advice. I feel particularly
strongly that the ACMD must identify and
refer to alcohol and tobacco as drugs and
hope you agree that this is essential".
No reply. Letter later sent to the Home
Office better regulation Minister who sent it
on to the ACMD Secretariat via the HO Drug
Legislation & Enforcement Unit.
|