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Sunday, 1 November 2009

Scandalous Sacking of David Nutt


All of you will share my shock and outrage that our colleague Professor David Nutt, has been sacked from his honorary position as Chair of The Advisory Council on the Misuse of Drugs. The principle function of the ACMD has been to examine the body of scientific evidence on the harms that psychopharmaceuticals cause, which in turn informs their status in their legal classification. As a Professor with an international research reputation on the harms that drugs cause, there could be noone better placed to Chair this committee. But you will be aware that the Government has ignored the advice of the ACMD with regard to the downgrading of category of cannabis from B to C, and ignored their call to include alcohol and tobacco in the tables, for reasons that are entirely political. David publicly questioned why the government should appoint a team of experts and then ignore their advice, and for that reason he was sacked. I would not pretend that the legal status of drugs is simple - and acknowledge that public health and behaviour have large political dimensions: it is precisely because the two forces of science and politics apparently conflict that we need to encourage open and honest debate - not attempt to silence it so crudely (and utterly ineffectively). It is ironic that in countries such as Afghanistan, we are trying to promote our notion of democracy: I wonder what they make of our democratically elected government which will sack a man for free speech, and expressing a scientifically based opinion that opposed the stance of political prejudice?

Stop Press - read David Colquoun's excellent commentary in the current BMJ here.

Sunday, 25 October 2009

Trailblazers in the Southwest

Have you checked out the new copy of Network? lots of interesting stuff, much of which has been contributed by you in the South West: there is an excellent piece on Ketamine on the front page from Fergus Law and colleagues in Bristol; an informative article on pain management and addiction in the acute hospital by my colleague and friend Dawn Wintle in Yeovil Hospital (every hospital needs a Dawn Wintle), and an article on Young People's Drug and Alcohol services in Plymouth, By Charlie Lowe and Gerry Woodley.

And a couple of weeks ago I listened in abject admiration to Adam Ellery and Helen Hampton, on how they have set up a Hepatitis C treatment service for their drug using clients in Cornwall. Not (as I assumed) merely a satellite outpost for specialist hepatologists to simply get their medications delivered - but a commissioned, stand alone primary care treatment service for HCV - according to Adam, if you can prescribe methadone then you should be treating your HCV clients at the same time - I am sure this is a most important direction for GP drug misuse services to go in and Adam is showing the rest of the country how to do it well.

Fancy a Job at the SMU?

The RCGP Substance Misuse Unit is looking for a new Lead for the Part 1 Certificate in Drug Misuse - you need to be able to give a notional session a week and develop the course materials which are constantly under review. Even though the academic satisfaction, not to mention the kudos of working with the RCGP (ahem) would be reward enough for anyone, there is half-decent money attached as well - apply to Jo Betterton at the SMU. And we are also looking for Part 2 Tutors.... if you can spare the time. Ask Jo again...

Release Conference 2009


Release's annual conference was convened in Derby this year: for those of you who don't know it, this conference is distinctly different to most as it encourages the delegate to think around subjects that we often ignore. This year there was an excellent presentation from the English Collective of Prostitutes - reminding me for one that "the world's oldest profession" suffers many of the same prejudices and criminal persecution that drug users do, for "crimes" that ultimately only affect themselves. John Strang gave an excellent presentation on naloxone prescribing, and the follies of the legal status of naloxone - something I have banged on about before. We heard about drug consumption rooms and their success in a number of countries around the world (but still not the UK), the upcoming Welfare Reform Bill and many other interesting and important presentations. If you haven't been to a Release Conference then you should - excellent CPD and more mind expanding than most.

Wednesday, 9 September 2009

15TH NATIONAL RCGP CONFERENCE

RCGP SEX, DRUGS AND HIV TASK GROUP PRESENTS

Working with Drug and Alcohol Users in Primary Care

Integrating Practice and Policy: Everyone’s Business

THURSDAY 22 AND FRIDAY 23 APRIL 2010 | SECC GLASGOW


“I look forward to this conference all year because there is genuine debate wth all views being heard and considered and it is full of people who genuinely care’’ USER ADVOCATE APRIL 2009

The largest event in the UK for GPs, shared care workers, drug users, nurses and other primary care staff, specialists, commissioners, and researchers interested in, and involved with, the management of drug and alcohol users in primary care.

Building on the success of past conferences, this long-standing event returns now, for its 15th consecutive year, to examine the critical role primary care plays in working with drug and alcohol users, their families and carers.

The two days focus upon integrating practice and policy, exploring the challenges, benefits and developments in practice today, with a Scottish flavour. Through an ensemble of over 40 factual, interactive and educational presentations, select special interest sessions, presented papers and films delegates will have the opportunity to explore a variety of topics including:

  • Exploring the recovery debate and personalisation of treatment
  • Redefining harm reduction
  • Integration of the whole treatment system
  • Discussing linkage between use of substances, deprivation, social exclusion and poverty


KEYNOTE SPEAKERS INCLUDE

  • Marcus Roberts Director of Policy Drugscope
  • James Egan Head of Policy and Practice Scottish Drugs Forum
  • Roy Robertson GP and Reader University of Edinburgh
  • Anne Whittaker Nurse Facilitator (Drugs/Alcohol/BBV) NHS Lothian


The conference also includes an exhibition and poster display throughout the event and a taste of Scotland reception and evening function on day one - an opportunity to further discussions and share personal knowledge and experiences with fellow attendees and speakers.


This highly popular event is a must save diary date for all professionals and anyone involved or interested in this complex area.


For more information about the event, or to request a conference brochure, please contact Hanisha on 020 8541 1399 or emailhanisha@healthcare-events.co.uk

Saturday, 5 September 2009

What to do with over the counter addiction?

What to do with over the counter addiction?

Thursday 21st January 2010

York Hotel York

A day to discuss OTC addiction:

• What is the size of the problem?

• What is the evidence?

• What are the best treatments?

• What does the updated Clinical Guidelines say?

• How do we best manage OTC addiction in general practice?

If you are concerned about any of the issues that these questions raise, then this day is for you.

Speakers include:

Dr Deborah Noland, GP Brownlow Group Practice Liverpool

Richard Cooper Lecturer in Public Health, University of Sheffield, and community pharmacist

Dr Chris Ford- GP SMMGP Clinical Lead and CPD Lead SMU

Payment information:

  • Past and current certificate candidates: £130.00
  • All other delegates: £150.00
  • Please reserve your place before sending payment
  • Payment is by cheque only and must be in the SMU office by December 18th2009 at the latest
  • Cheques should be made payable to the RCGP and sent to c/o Jo to the address below

Please note:

  • Refunds for cancellations or non attendance are not available unless another delegate fills your place

For further information or to reserve a place please contact:

Jo Betterton (020 7173 6095 jbetterton@rcgp.org.uk) SMU, Suite 314,

32-38 Leman Street, London E1 8EW

Saturday, 1 August 2009


At very long last, the RCGP's much trumpetted Alcohol Certificate is up and running. In a similar way to the Part 1 drugs Certificate, you need to complete some online emodules, but on this occasion these have been created by the DoH - you can have a play with them now by clicking here. There are two upcoming Face to Face events which are likely to fill very quickly, so book early to avoid disappointment. There is one in York on 24.9.09 you can enrol by clicking here, and one in London on 19/2/2010 which you can enrol on by clicking here. We can only hope that PCTs will bow to the mountain of public and media pressure to follow this up with some meaningful Alcohol LES commissions - however with the public purse being drier than a Pharoe's sock, I am not holding my breath.