Showing posts with label ACPO. Show all posts
Showing posts with label ACPO. Show all posts

Tuesday, November 20, 2007

ACPO's baffling u-turn on cannabis classification


Scroll down for the main blog post.....

Transform blog CANNABIS links:

In many ways a distraction from more pressing drug policy issues but, particularly with the whole sorry reclassification saga unfolding over the last few years, it has obsessed the media and correspondingly provided a rich vein of bad reporting, bad science and political idiocy that is hard for a critical drug policy blog to ignore. The Daily Mail and Independent on Sunday in particular have distinguished themselves, but they have been far from alone.

Daily Mail, Bad Science Drugs Deaths and Reclassification
Aug 06. The first blog to really critique bad science and misreporting of drug statistics. On this occasion linking cannabis reclassification with a rise in opiate deaths (that took place before cannabis was reclassified - Doh!). More Daily Mail silliness here and here.

How the Independent on Sunday got it horribly wrong on Cannabis
March 07. A masterpiece in poor journalism is forensically taken to pieces. The biggest hit count of any blog post to date. Follow ups part 1, part 2

More shoddy reefer madness reporting of cannabis risks
July 07. The Lancet fails to discourage poor reporting of statistics.

Brown on cannabis - it gets worse
Sept 07. The cannabis reclassification saga comes to a head, the new PM makes a fool of himself, and any vague pretense of evidence based policy making goes out the window once and for all

More Independent on Sunday reefer madness exposed
Oct 07. A case of grotesquely misrepresented research and shock headline-mongering. The authors of the research question thanked us for this one, the IOS have failed to apologize or print a correction (also belongs under bad science)

Smoking stuff bad for lungs shock
Jan 08. Another one of those reheated drugs bad for you-shock stories.

Millions quit cannabis following reclassification
May 08. Satire – pulled in tonnes of hits after 'going viral' on social networking sites




ACPO's baffling u-turn on cannabis classification


The BBC reports today that The Association of Chief Police Officers (ACPO) has moved its position from supporting 2004's reclassification of cannabis to now supporting its re-reclassification back to B, but their stated motives for this change of position simply don't add up.

From the BBC report (there is no ACPO press release available at the time of writing) we learn the following regards ACPO's justification for its apparent change of position:

Tim Hollis, chairman of ACPO's drugs committee, said downgrading cannabis had sent out the wrong signals.

ACPO is also concerned about the number of cannabis "factories" that have sprung up across the country.

Mr Hollis said organised criminals now viewed the UK as a potential place to produce cannabis.

He said: "Some people are targeting the UK because they see it's financially worthwhile.

"We've got to increase the risk of being raided by the police and send a clear message out that cannabis is a drug, we do take it seriously, and we will tackle those people who try to trade in drugs."

Police say any reclassification would not necessarily change the way that they currently police possession of cannabis, although that may be reviewed in the light of any reclassification.

Mr Hollis said the emphasis should be on targeting dealers, rather than criminalising people who use cannabis recreationally.
Now the baffling part about this is that when the classification of cannabis was changed from B to C in 2004 there was also a change made to the status of all class C drugs, such that penalties for supply offenses were increased to parity with class B - incurring a maximum sentence of a hefty 14 years, and on that basis there is no reason why making cannabis B again should make the slightest difference in terms of deterrence to producers or dealers; penalties will be unchanged.

Indeed ACPO have been very specific in their January 2007 guidance on use of cannabis warnings where they state, underlined to emphasize the point:
Dealing in any amount of Cannabis is a serious offence that can result in up to 14 years imprisonment. A Cannabis Warning should not be considered where there is evidence of dealing or possession with intent to supply the cannabis to others.
Moreover, when the reclassification change was made, the police also insisted that possession of class C drugs be made an arrestable offense (it previously wasn't). From a policing perspective exactly the same enforcement options were available for possession (warning, caution, arrest, prosecution) after reclassification as before. Hollis specifically says that 'the emphasis should be on targeting dealers, rather than criminalising people who use cannabis recreationally.' Yet the change would not target dealers and will, in practical terms, serve only to increase penalties for 'people who use cannabis recreationally'. Its all a bit confusing.



A cannabis factory (BBC)

It is the decision of the individual police forces how they deploy their resources, and ACPO gave no indication that they were going to ease off cannabis dealing or production post reclassification even if their was a change regard small scale personal possession (something Hollis claims would not change anyway if there is a move back to B). So if they want to go in harder or put more enforcement resources into busting dealers and searching out and closing down 'cannabis factories' then that is their choice. Transform would argue it is a waste of time and valuable resources that is only likely to have negative consequences, but it certainly does not require reclassification if that's what they want to do.

There can, therefore, be no sensible justification for reclassification on policing grounds.

There is also no evidence, (literally none produced by the Home Office, ACPO or anybody else for that matter) that changes to a drugs classification have any impact on drug using decisions, or on the decision of any given criminal to enter the market or not. The evidence for classification changes 'Sending out the wrong message' (or any messages) is non-existent. To repeat: There is absolutely no evidence to show that the changes in the cannabis market toward domestic production (trends underway long before 2004) have anything to do with classification and everything to suggest classification is largely if not entirely irrelevant. The same can be said for levels of use - which have (according to the BSC and DoH surveys) been falling slowly but steadily for a number of years un-bothered by the classification changes.

The cannabis classification debate is almost entirely a symbolic and political one. It allows political point scoring in parliament and some moral grandstanding by self righteous newspaper columnists, but on the ground, in practical terms for the police its basically an irrelevance. It may save some time, but that is about it.

So you have to suspect that this ACPO announcement is similarly political rather than practical in nature. Maybe they are under pressure from Number 10 - as happened with support for the unfortunate Drugs Bill/Act of 2005. This wouldn't be much of a surprise given Prime Minister Brown has already declared that he plans to reclassify regardless of advice he receives. Or maybe they have just been swept up in the current spate of reefer madness, and its tabloid cheerleaders at the Daily Mail and Independent on Sunday? Who knows. It certainly isn't about shutting down cannabis factories.

Luckily, following the scrutiny of the Science and Technology Committee and the Lancet publication from key members of Advisory Council on the Misuse of Drugs Technical Committee (tasked to rank drugs according to relative harms) classification decision making has recently become a lot more transparent. It is, at least in theory, scientifically determined according to a 'harms matrix', and isn't decided by the police, by public consultation, by hysterical tabloid reporting, or by knee jerk politics.

If you are not yet bored witless by the cannabis reclassification debate, please see:

Cannabis reclassification revisited (Transform briefing to the ACMD 2005)

Cannabis reclassification (Transform briefing to the ACMD 2004)

Drug Classification Transform's submission to the 2006 Science and Technology Select Committee Inquiry into the drug classification system

Monday, March 26, 2007

Annual celebration of limited supply-side success

The Home Office’s ‘Annual Tackling Drug Supply Awards 2007’ were distributed to a number of hard working and relatively successful police forces recently. These units had managed to break up a few criminal drug gangs and seize millions of pounds (sterling) of illegal drugs, which in the world of prohibition is a measure of success.

By the sound of things they will have the drugs ‘problem’ sorted out by teatime. However, this is not the case. As we have documented in our Fact Research Guide drug seizure statistics are often misunderstood and misused:

Defenders of the drug war status quo frequently use increases in seizures as evidence of a successful enforcement policy or, conversely, that a decrease in seizures is evidence that drugs markets are reducing. Neither represents a correct interpretation of the statistics, and in reality drug seizure data are of little use for policy makers – aside from achieving arbitrary and equally un-useful seizure targets.

Drug seizures primarily reflect activity of the enforcement authorities and do not provide any useful indication of the scale of actual drug markets, as they can rise or fall entirely independently from drug availability or usage levels. A single large drug-bust can dramatically shape annual year on year stats. It is entirely inappropriate for seizures statistics to be used (as they are in the UK national strategy) as a measure of drug availability, as there is quite simply no correlation whatsoever.

Trumpeting seizures as a success on availability targets has been one of the more shameless and wilfully dishonest activities of Government in recent years
[1]; they know full well that drug availability is increasing and drug prices are falling and have acknowledged as much on the Home Office website and in other reports.[2]

The awards ceremony did uncover one real cause for celebration. It is important and encouraging to note that both Vernon Coaker (Home Office Minister) and Chief Constable Tim Hollis (Association of Chief Police Officers Chair of Drugs) emphasised the necessity of reducing harm and providing treatment. This is a very welcome step on the path towards a rational evidence-based drugs policy.

Sunday, March 04, 2007

Interview with Eddie Ellison, former head of the Met drugs squad

Below is a complete and unedited version of an interview with Eddie Ellison, long serving drug law enforcer, Transform friend and Patron, who died in January this year. You can read Transform's tribute to Eddie here . This interview is from the early days of Transform in 1999 and was printed in the member's newsletter 'the Transformer' which has now been replaced by a monthly email newsletter.

It is interesting looking back at this interview just how ahead of his time Eddie was, and his comments seem even more pertinent today as the criminal justice crisis has continued to worsen. His influence on the evolution of Transform's message and our growing confindence in the intervening years in clear to see. One of my favorite quotes is this one:

"thoughts of legalisation are not radical. To publish them is not radical. To discuss alternatives, with the general benefit of all of the population as an aim, is not radical - its being an active part of the community. To demand that government consider the effects of their legislation is not radical - its called democracy. To look for a reduction in crime through a change in policy is not radical - its logical. To look for a supportive and educational structure as opposed to condemnation and prosecution is not radical - its compassionate."




An interview with Eddie Ellison. the Transformer March 1999.

Eddie Ellison retired in 1993 as a Detective Chief Superintendent having served thirty years with the Metropolitan Police. He held senior CID posts at many London police stations including Paddington Green, Harrow Road and Brixton. He served mainly in Specialist Operations with two years at Heathrow Airport on drug smuggling, two years detecting drug importation and distribution in London and was the operational head of Scotland Yard's Drug Squad for the years 1982 to 1986. He concluded his career as head of Specialist Operations Department Crime Policy Unit and was on the ACPO Crime Committee Working Group that re-deployed the Regional Crime Squads and Drugs Wings, later the National Crime Squad, and gave birth to the National Criminal Intelligence Service. He has had a series of articles published in the national press advocating legalisation and has featured in a number of television and radio debates critically examining the government's drug policy. He is now a freelance writer.


When did you decide that legalisation was the way forward?

Transform have been good enough to give me a list of questions to answer and I'll grab this first opportunity to clarify that my 'legalisation' does not mean support or approval for drug use or abuse. I, and probably the majority of the public, want the lowest possible level of drug use and the least detrimental effect on all our lives by any policy aiming to achieve this. I find that a policy of prohibition fails to deliver reductions in drug use or supply, provides incentives for increased crime, profits for criminal endeavour and an environment of mistrust and ignorance that is socially and educationally counter productive. Legalisation provides a better policy to support, educate and reduce harm, eliminate the motive for over half society’s crime, reduce the profits, power and danger of the criminal supply chain, quality control the product and exchange condemnation and persecution for compassion and understanding.

My personal view started early. I went on the Drug Squad in 1971, replacing officers who were suspended on allegations of re-cycling and perjury. I had no previous drug work experience. It was a specialised field and a personal friend used her contacts to gain me access to Release, Phoenix House and a number of re-hab agencies who gave me a wider view. This research is not unusual when entering a specialism. It was done at different times in extradition, illegal immigration and even computerisation. From the outset I found it difficult to identify cannabis users (this was the early seventies) as criminals. Indeed many arrested distributors were at that time, astonishingly, almost philanthropic.

Much later, attempting to make plans to reduce crime within my areas, it was clear that there was evidence of growing crime rates motivated by drug costs. We know that illegality and enforcement are responsible for continuing price maintenance and criminal profit. It would be unethical not to consider any alternative that offered a better chance of success. My views were strongly held, and widely known, before I was invited to the operational command of the Central Drug Squad.

How did you cope with holding the views you do when you served?

There was no difficulty at all. The Squad is targeted at the higher level of importation and major distribution. Whether it be drugs, antiques, taxation, banking or any other aspect of legislation, there will always be individuals who see prohibition as a profit opportunity. Whatever your views on possession and use and ineffective policy, the reality today is that the majority of high level drug supply is dirty, dangerous, profitable, competitive and generally casual about quality control. The motives are anything but an approval of benign use or compassion. The motive is profit. I have never lacked motivation to curtail such activities.

Holding the position ensured more discussion of alternative policies, of co-operation with other agencies and refined targeting to those who clearly justified it. Support and training towards wider knowledge, more understanding, more integrity and better professional ability do have a direct effect on internal policy and squad behaviour. I hope somebody noticed a reduction in high profile but ineffective targets, pop stars, sportsmen, media personalities; a reduction in enthusiastic morning searches for possession charges; a reduction in complaints of overzealousness on the squad; a concentration on supply prevention; closer co-operation with Customs and an increase in admissions at Crown Court due to more professional presentation and evidence gathering. Personal views can support developments, they don't hinder.

During my later years I was delighted to be on the group that formally documented the guidelines of the 'possession' cautioning procedures, although cautioning was already growing as an alternative to prosecution.

What do you think the police's view of drug policy is now?

A heavy question deserves a heavy answer. If I use trite terms it's because I know none better. It is the job of government to bring in legislation and the job of policing to enforce that. Police do have flexibility to enforce or ignore legislation according to priorities but generally they reflect government and public opinion. There has always been a 'feedback loop' in the chain and police can, and do, feed back through the Home Office their difficulties in enforcement and their practical experiences. Breathalyser law, dangerous dogs law and even controls on football travellers have all been subject to feedback and appropriate changes. The dilemma this time is that it is simply not a matter of feeding back difficulties. The suggestion is that the legislation, and the background policy, is totally wrong in approach.

This presents a major difficulty. I, and probably most of you, don't wish to live in a country where the police decide on legislation. I rather prefer that police are seen as the servants of public and government. Most senior police officers also believe that this should be the balance and we have no precedent for a police service actually suggesting to the legislature that it got it wrong. The feedback loop carries discussion and opinion back through the Home Office. It requires little imagination to conclude that those discussions must be private. The appointment of a Drug Czar should allow more open discussion and more points of view to be heard.

What influence do the police have on policy review?

I think I've pretty well covered that. There is another way police actually influence the speed of policy change. An informed, responsive police service can bend to changing public opinion before any change in legislation. The growth of cautioning in respect of any particular crime reflects a number of factors, one being public opinion. When cautioning becomes the norm for any offence then the individual policeman takes the next step by verbally warning and finally by ignoring offences. Examples of this have been abortion, street betting, unlawful sexual intercourse and begging. In the field of drug possession, particularly cannabis, we are already travelling that road.

What do you think of the job that Hellawell has done so far?

I'm very biased. A senior police manager has many differing priorities and many factors influence the decisions. Drugs policing guarantees potential corruption, more and more resource demand and more perceived worries for the local population through media reports. Can you wonder that most managers fight shy of getting involved and minimise commitment. Hellawell chose to get fully involved, even at the top of his career tree and long before the government considered having a Czar. He inaugurated an ACPO national drug conference where the alternatives were nationally discussed, unheard of a decade earlier. He spoke in revolutionary terms to the media. The man has bottle and he a good head on his shoulders. I won't bore you with the work he did at previous constabularies but he has no reputation for avoiding confrontation, he achieves an end product.

The job description was not that of drug dictator. He was given no powers other than research, co-ordination and persuasion. He, and Mike Chance, have done all the expected liaisons, all the right press releases and all the responses to questions. They have done one action that defines their integrity in my eyes. They have set a series of performance measurements and indicators, more will come. To achieve consideration of any alternative you have to prove current failings. If you have any intention of totally retaining the status quo then you do not put measures into place that could indicate failings. Then again - I may totally have misjudged him!

John Grieve said, "If the drug problem continues advancing as it is at the moment, we're going to be faced with some frightening options. Either you have a massive reduction in civil rights or you have to look at some radical solutions. The issue has to be - can a criminal justice system solve this particular problem?"

I do not misjudge John. I know of nobody in policing more ethical, more able and more committed. For many years we debated the relative effects of prohibition and legalisation. When he made his presentation at the ACPO Drug Conference he placed a note on his office door, "I did not say legalise cannabis". He presented an imaginative and coherent debate about all the alternatives. Legalisation is an alternative. The police service can and does consider it, the media can and does consider it, the public can and does consider it - it appears a matter of shame that our elected representatives cannot. The party machines, of both major parties, are so afraid of it.

The basis of policing in this country is 'policing by consent'. If government and police do not have the consent of the majority of the public then the public cannot be policed and a law cannot be enforced. I can find no underlying reason other than this for the government's avoidance of debate. If the public were fully informed about the legalisation alternative then they would not continue to support prohibition with its damaging side effects. As for John's outstanding issue - no, a criminal justice system can only exacerbate this particular problem. UK policing is common sense and simple. The level of enforcement required to buttress the current policy into effectiveness is no style of policing recognised in this country.

Why don't more serving officers voice a radical view of drug policy?

Can you hear the laughter when I say "It's not proper!" If a policeman addressed the press and demanded the return of hanging, demanded tribunals instead of juries or the abolition of PACE then, as the noise of dissent died down, the refrain would be "It's not proper". Senior policemen, astonishingly, do actually care that the balance is kept between the legislature and the enforcement role. Private lobbying, changes of priorities and closer liaison with other remedial agencies are all proper routes to gentle changes of direction and are 'proper' within the constitution. My views were known and strongly held for about twenty years but unheard beyond internal debate and at the Police Staff College. Most policemen do think, they do care, they do have opinions, but most people would rather they stayed within their defined, and proper, role in society.

The Metropolitan Police and ACPO Crime Committee both formed working groups to identify the best policy in the field. Because views were strongly held supporting both major alternatives the debate proved inconclusive. In London the Commissioner lost patience and decided, properly, to lead and came down on the side of the status quo. Policing, by its very nature, is conservative.

Do you know many serving officers who hold radical views but don’t speak out?

I know an officer who believes he was abducted by aliens, one who is sure he is psychic, one who has been a foster parent to many serving prisoners' children, many radicals there. What's radical about legalisation? If your sole worry is a lack of policemen openly debating legalisation it probably reflects the few actually experienced in this field rather than any conspiracy of silence.

Do you think prohibition creates more problems for black people?

Ouch! This on top of being 'institutionally racist' if someone thinks I am. George Orwell thought it would be policemen who would be the 'thought police' but it transpires that they are the first group ever to be automatically convicted by subjective perception. This is John Grieve's current specialism and I'm five years out. Honesty demands recognition that records of 'stop and search' - the source of many arrest for possession charges - show that black youths are more likely to be stopped relative to their actual resident numbers than white. The equation is far from simple as many other factors come into play. We can all be sure, however, that prohibition does create more problems for all youth. The clearly identified antidote to drug use and abuse is to survive to the age of twenty-five. Prohibition is a friction between youth and police, more so between black youth and police. Its currently a friction between young and mature people and sometimes between individual rights and the rights of the community. My overseas experience is limited but I know in Barbados its a cause of friction between black youth and black policemen. Like so much in life, it isn't a choice of black or white as opposites, its a choice of the most comfortable grey bit.

Why is police corruption so regularly linked with drug work?

That's true the world over. Can you blame senior officers for doing less in this field than demanded by some virtuous sections of society? It's too obvious to identify all the money rocking around the drug supply route but it plays a part. I have a personal favourite reason. In all other crimes there are three interested parties. In theft, robbery, rape, fraud, etc., there are victim, police and baddie. If any two get together for whatever reason to bend the law the other interested party has a good chance of spotting it. If baddie and police agree a less active pursuit of justice the victim feels betrayed and complains. If baddie and complainant agree financial terms the police get uptight and look for conspiracy charges. But in drug work there are only two agencies. If money motivates baddie and policemen to agree on terms there is no third party to notice. It benefits a baddie to pay for non-prosecution and, if finance is the motivation for the policemen, then few outside observers would notice a lack of arrest or prosecution. The third party role has to be assumed by police management. A variety of leadership tactics can combat corruption potential but history has taught us that in drug policing, it is only a matter of time. Having briefed, questioned and selected appropriate officers for the drug squad their first training session was from me, on corruption and its personal and professional effects.

I'm sure that you would want me to touch on the corruption of planting, fitting up and such. In the sixties such activity motivated the birth of Release and trained many of today's best defence counsel. The world of policing, its professionalism and ethics, have changed over my career years. So has the social and legal awareness and expectation of the public. For any policemen wishing to produce arrest figures, and such officers do exist, I think we can all agree that finding someone actually in possession of a controlled drug requires very few grey cells. I personally don’t know of any corner of the UK where proper arrests would be difficult, indeed that proliferation is part of the argument for legalisation. Even at the top level of distribution I have to tell you that operational units are awash with intelligence and selection of targets is often done on a weighting factor system. You have to limit the numbers of police deployed in the field or nobody will be looking at other crimes. I can tell you that I view allegations of planting in today’s environment in a similar vein as suggestions that each and every unlucky E victim was dropping their very first tab. Its comforting to those who wish to believe it, but logically and statistically unlikely.

Should we have an amnesty on arrests for drug law offenders?

What do you think the process of change should be?

Sorry, I cheated and put two questions together. Remember my objective - ‘The least possible level of drug use with the least detrimental policy effect on the community’. Arguing for legalisation is easy, its logical, the data supports it, anyone giving more than a token thought to it would concur. I’m deliberately not repeating the arguments since Transform, and others, have documented them clearly. It’s getting widely heard and considered that’s the problem. The argument holds good across the board for all drugs up and until you actually consider implementing legalisation. At that stage you have to consider the individual drugs separately. To abandon current legislation, through amnesty, without providing the transfer of resources to support, harm reduction and education is a recipe for chaos.

There are two key provisos. Change must be multilateral, the UK cannot go without Europe. Resources moved from enforcement to prevention and education may be sufficient within the UK but would be a free handout to all the continent if we went alone. Change must be structured and monitored, drug by drug. This does not mean that the UK cannot lead the debate, cannot contribute to knowledge, cannot show integrity, tolerance and compassion.

Each drug requires a different means of legalisation. It’s a well rehearsed answer to say, cannabis - as alcohol, heroin and cocaine - treatment centres with mandatory education and testing, speed and E - age controls, etc.. Let me surprise you. Yes I would legalise cannabis without hesitation but my first priority would be heroin. Its a smaller target group, more measurable, less costs involved, more returns in relation to reductions in crime, more easy to portray as health education and prevention and less likely to be adversely portrayed as rampant liberalisation and support for drug use. It has the added benefit of less likelihood of dramatic increases in users after legalisation and we have the benefit of much research into effects, appropriate levels of purity and a ready alternative drug. It would be much easier to argue legalise heroin as a first policy change than cannabis. Success in that field would be more likely to presage other changes than the traditional ‘soft’ option of cannabis.

What would you do if you had the Czar’s job?

Figure out how to spend over four times my current income? I do strongly believe in legalisation as a better policy and cannot understand why the government and the public cannot tie together the crime rate directly attributed to the current policy and the failings of that policy.

As Czar I would initially document and publish the resources currently deployed in order to cost current and future options; document and publish the strands and aims of current policy; ensure that government openly agreed, supported and stood for the published strategy; identify, document and publish performance measures against the current aims; protect the integrity of the results and, if they indicate a measured failure of current acknowledged government policy, suggest costed logical alternatives that could be progressively implemented against the performance measures. I wonder if anybody has thought about doing that.

What do you think we should be doing to bring about positive change?

Change has been happening for over a decade. Change is not the initial objective now. There is a respectability in the legalisation argument. I’ve answered the questions as you set them out but they indicate a lack of confidence in what has been, and is being, achieved. Policemen think and have come to different conclusions than you imagined. The thoughts of legalisation are not radical. To publish them is not radical. To discuss alternatives, with the general benefit of all of the population as an aim, is not radical - its being an active part of the community. To demand that government consider the effects of their legislation is not radical - its called democracy. To look for a reduction in crime through a change in policy is not radical - its logical. To look for a supportive and educational structure as opposed to condemnation and prosecution is not radical - its compassionate.

Twenty years ago the only groups that voiced legalisation were the music industry and a 'drop out' libertarian clique. Today the arguments are supported by academics, by judges, by physicians, by 'heavy' newspapers, by organisations as diverse as the BMA and the WI, by the majority of the visual media (TV and the net), by the changing practices of the police service, by the sentencing changes of the courts and, not least, by your good selves. Please don’t object if I describe you as respectable but the argument is totally respectable. The objective is not continuing change, that’s already in hand. The two current objectives are the spread of accurate knowledge across the wider social spectrum and the build up of public opinion until government sees it as beneficial to emerge from the protective 'status quo' argument. We have no need to demand a change of law. If we achieve a change of public opinion does anyone doubt governments immediate ability to respond?

Any last thoughts?

Yes. Each Transformer carries an interview with the rolling title 'On Drugs' but today looks more like 'On Policing'. Only a tenth of police time is anything to do with crime, most is in service activities, from traffic to crowd control and from accidents to reassurance patrolling. Within that small crime activity hardly any is specifically devoted to drugs policing. The majority of officers see it as a total waste of time, as an invitation to the problems of complaints and an invitation to excessive paperwork on process and exhibits. Most managers see it as corruption potential and a bottomless bucket into which manpower can be sucked. The normal response is specifically to use a limited, trained manpower resource called a drug squad. This is not to give greater priority to drug work but to make sure that such work is limited to those few officers with tight supervision, control and leadership. That leadership generally targets supplies rather than possessors. Most police / drug activity is now organised with other co-ordinated agencies, referral, education and support are the key words. Don't get paranoid, most policemen do think and are very happy to avoid making drug arrests.

Monday, February 19, 2007

Has the heroin prescribing debate reached a tipping point?

The Independent today reports that the president of ACPO (the Association of Chief Police Officers), Ken Jones, has joined the long list of senior police and public figures calling for heroin (diamorphine) to be prescribed to 'addicts'.


Before considering this potentially significant development it is worth commenting on the Independent's front page which is, in the pursuit of an attention grabbing headline, both misleading and factually incorrect. Firstly, what's with the spoon and powder? Prescribed heroin is provided in liquid form in little glass ampoules, like these:


There is no spoon. And secondly - Heroin is already available on the NHS. It is already given to addicts in the UK (although only about 3-400) , by the NHS, and actually has been since the first world war. It is also given to women during child birth, and extensively used in palliative care and other pain control, including once for me when I had my appendix out. So an interesting 'scoop' for the Independent but slap on the wrist for the stupid sensationalist tabloid front page. I am just about willing to forgive them, however, because today they have also run another in a line of excellent op-eds from Johann Hari on the futility of prohibition which is available on his own website so you can actually read it here - which I strongly recommend you do.

Now back to the actual news.

Unfortunately the Independent isn't available on line after the day of publication (boo-hiss) so here's a link to the same story in the Telegraph. Jones is quoted saying (to the Independent) :

“I was a drugs officer and we have to be realistic. There is a hardcore minority who are not in any way, shape or form anxious to come off drugs. They think 'I am going to go out there and steal, rob burgle and get the money to buy it. We are we going to do - say 'Ok, we are going to try an contain this by normal criminal justice methods’ and fail, or are we going to look at doing something different? Start being a bit more innovative. It is about looking at things in a different way without turning away completely from the current position.”

All good solid thinking, albeit nothing new (slightly oddly, whilst calling for the legal supply of a currently illegal drug for non-medical use he also says "I am not in any shape or form a legaliser" but we will let that semantic conundrum pass). Ken Jones follows a string of senior police who have said the same thing, including Howard Roberts (Chief Constable of Nottinghamshire), Richard Brunstrom (Chief Constable of North Wales), Tom Lloyd (former Chief Constable of Cambridgeshire), Francis Wilkinson (former Chief Constable of Gwent) and ofcourse the late Eddie Ellison (former head of the Met drugs squad). There are many more, some on the record, most still choosing to remain shtum.

We should listen to them. They have been courageous to risk public opproborium by speaking their minds on what remains a highly contentious issue. They undoubtedly know what they are talking about having seen - first hand - the abject failure of using the criminal justice system to try and address a serious and growing public health problem amongst the most vulnerable and marginalised in society. Since heroin prescribing was restricted to few specialist doctors needing a Home Office license in 1967 (since when GP's cannot prescribe heroin as the Telegraph coverage mistakenly claims) the number of heroin users has risen from around 15,000 to around 300,000. Hardly a triumph for a policy aiming to reduce use and ultimately create a drug free society.

Moreover, as the Prime Minsiters own report from the No.10 strategy unit shows in gratuitous detail, the inflated costs of illegal street heroin (due to its non-availability through legal channels) combined with its generally low income problem-user base has led to over 50% of property crime being committed to raise cash to feed an illegal habit.

As discussed on the blog last month the idea of expanding heroin prescribing has been on the table in Government circles for years with very little movement. Everyone in Government knows it's a good idea because they have mountains of evidence from Holland, Germany, Switzerland, Canada, Australia and even the UK telling them so. But since when has evidence of effectiveness had much to do with UK drug policy? Maybe Ken Jones will be the tipping point. Even if they are incapable of doing rational cost benefit analysis in cash terms maybe they can do one with politics. As the crisis in the criminal justice system and prisons continues to spiral out of control, you have to wonder whether the fear of any political costs of expanding heroin prescribing will soon be outweighed by the fear of the political costs of inaction,

On the cash front, one of the hurdles to more heroin prescribing (and the preference for methadone) is that it is widely seen as prohibitively expensive. The figure of £12,000 a year is the one usually quoted, and is roughly correct at today's UK prices, although it will vary from client to client. The Daily Mail covering the Ken Jones story today has somehow turned this into £15,000 a year in the print edition, but then uses the £12,000 figure in its online coverage. Indeed the print edition is full of all manner of classic Daily Mail drug-stat silliness, calculating, for example, that 'making heroin available free to all the country's 200,000 addicts would cost £3 billion.' In the online version the number of addicts is up to 320,000, which is the Home office estimate and probably more realistic. Either way they really don't like the idea of spending money on 'junkies' - apparently oblivious of the far greater cost to every one of leaving them in hands of the illegal market (£16 billion a year in crime costs) or putting them in prison (35K a year each).

In reality heroin prescribing is not going to be the answer for all of the UK problem users, it being just one potential option from a range of possible interventions, decisions that should rightly be being made by agreement between doctor and patient, rather than know-nothing politicians. In the short to medium term at least prescribing is likely to be most useful for the hard core of around 20-30,000 long term relapsing users, who are responsible for the vast majority of drug related offending, and who have failed on other programs. These are the High Harm Causing Users (HHCUs) identified in the Prime Minister's strategy unit report and it is similar criteria to these that have been applied with great success in prescribing regimes in Switzerland and Holland.

Furthermore the cost of diamorphine in the UK is artificially inflated by a huge margin due to the monopoly control of the UK opiates market by Macfarland Smith ltd, investigated as far back as 1989 by the Monopolies and Mergers Commission. This monopoly over-pricing recently led to an investigation by the Office of Fair Trading and then a rather lame report from the DTI which concluded that there was a problem, that they would keep an eye on, but not much else. The upshot of this rarely mentioned scandal is that diamorphine is a whopping six times as expensive in the UK as it is in Holland. Yes, that's a 600% difference - for the exact same pharmaceutical product.

So in true Daily Mail style here's a quick back of the matchbox calculation with the revised 'real world' costs. 20,000 users at £2000 each a year = £40 million. That's without subtracting the cost of prescribing methadone to many of them as we already do. So not quite £3 billion then. But if this £40million made a dent, even a smallish one, in the £16 billion a year in crime that the Home Office estimates is the crime costs to society from fundraising-to-buy-heroin, then it would still be a veritable bargain.

For those who aren't simply hard nosed politicians totting up the pounds or political pros and cons, evidence of heroin prescribing from the 'real world' also shows that:

  • numerous lives would be saved from avoiding dirty street drugs, overdoses and blood borne diseases (The UK consistently has the highest level of drug deaths in Europe)
  • users lives would be stabilised and they would be far more likely to get into treatment and rehabilitation (because they are in more regular contact with services)
  • the number of new young recruits into problematic use would fall dramatically (in Holland the average age of problem heroin users is 40 and rsing, in the UK it is mid-20's and falling)
  • street dealing, drug litter and social nuisance would all fall (re: Zurich, Vancouver)
  • some degree of pressure on the ballooning prison population would be removed (thanks to the massive resulting fall in offending)

Anyway you look at it, its a winner. Small wonder increasing numbers of big names in criminal justice are coming out in favour. Now, what about those big hitters over at the BMA... or even the NTA.....?

Postscript: I had an interesting clash with George Galloway on his TalkSport radio show on this issue on Monday night. You can listen to it here (click on the link and it should open in windows media player - or similar. im afraid theres about 10 minutes of guff before the action starts). I found it odd that Galloway, someone who you would assume to be anti-war generally, and specifically anti US imperialism, aswell as a defender of the marginalised peoples of the world, was an enthusiastic cheerleader for the war on drugs, unable to see beyond his rigid moral view that drugs were bad and therefore should be banned. He had no understanding of harm reduction, the economic realities of illicit production or the long term failure of drug interdiction. Still I gave him a good run for his money, and hopefully some food for thought.