Showing posts with label drugs. Show all posts
Showing posts with label drugs. Show all posts

Tuesday, 3 February 2009

Doing drugs

Didn't get time to blog on Sunday about my Politics Show appearance - basically about whether we should go down the Swiss route of having 'drugs consumption rooms' and prescribing heroin rather than methadone to addicts.
Advantages: gets addicts into contact with agencies, thus making them more likely to seek treatment; keep addicts and drugs litter off the streets; less risk of overdosing, using dodgy needles, etc; treats drug addiction as an illness rather than a crime; prescribing heroin reduces crime.
Disadvantages: should we be spending tax payers money on this; would it send out wrong signals re acceptability of drug use; is it the most effective use of resources? [And probably lots more, if you're of the Daily Telegraph mindset]. Anyway, here it is, if you want to watch it. The report from Switzerland with Maggie Telfer of Bristol Drugs Project is interesting.

Tuesday, 23 December 2008

Bees on drugs*

Forget my story about Government buildings producing more C02 emissions than Kenya, the real ‘hold the front page’ story in today’s Guardian was the revelation that scientists have discovered that bees on cocaine ‘behave like humans’. Or rather, ‘behave like humans do when they have taken cocaine’, which is marginally less interesting.

According to the Guardian, “Anyone who has spent time with cocaine users will know the symptoms… But few imagined the effects of the drug would be similar in other animals”. Well…. I wouldn’t claim to be an expert in what is undoubtedly a highly important field of scientific research, but if you’d asked me what effect cocaine would have on them I think I could have worked it out.

A while ago there was an EDM about the testing of recreational drugs on animals, calling for it to be stopped. Apparently scientists had discovered that giving rats cannabis caused an increase in appetite (presumably leading to them raiding the 24 hour garage in the early hours of the morning for packets of Monster Munch and four-bar Kit Kats).

*When questioned about his experience afterwards, a bee said, 'It was a buzz!'

Sunday, 17 August 2008

Too much to ask (2)

Really shouldn't still be blogging - it's 1.30am and I have to attend the Bristol's Got Talent event at the Felix Road adventure playground tomorrow - but this caught my eye from tomorrow's (today's) Observer. "Kidney cancer drugs could be produced for about a tenth of their current cost".

I was emailed a couple of days ago from the constituent who'd successfully won his appeal to be prescribed Sutent on the NHS; he's doing really well already, putting on weight, feeling much better (see The drugs don't work - not a statement of opinion on my part, I just couldn't think of another vaguely relevant song title at the time).

Monday, 11 August 2008

Too much to ask

Breaking news from the Guardian... which doesn't particularly surprise me where Bristol is concerned, but it's very useful to have the figures with which to confirm my suspicions. Although it doesn't necessarily mean that the PCTs who turned down appeals are in the wrong; NICE is there for a purpose, and generally I would back its decisions. But I see its role primarily as ensuring that public money doesn't get wasted on virtually useless products being pushed by big pharmaceutical companies. It gets more difficult when there is clear proof that the drug does have some positive effect, but it comes down to a cost-benefit-analysis, which is roughly based on cost of the drug cf. additional years of quality life. How do you decide whether giving someone an average six months extra is worth £30,000?

The PCT exceptional funding appeals panels are meant to look not at whether someone's personal circumstances are exceptional, but whether their potential response to treatment sets them apart from other applicants. So it's not about whether you've got young children, or have led a blameless life, or whatever (which would get you into very difficult territory); it's about whether you're likely to live longer, respond better, etc. (Correct me if I'm wrong on that, someone).

I had one constituent recently who appealed successfully against being refused the kidney cancer drug Sutent - see my The Drugs Don't Work post from July, and no I didn't really mean that the drugs don't work as one email correspondent thought. On Friday however I was visited at my surgery by another constituent whose father has kidney cancer and is being denied Sutent. The family are faced with selling their belongings to try to fund the drug privately. They could also fall foul of the ridiculous NHS co-payment guidelines, which basically mean that if you pay for the drugs privately, you have to pay for everything privately. (We're doing something about that, thank God, although it won't come quickly enough for my constituent's father.)

Although my constituent's father doesn't live in Bristol, I've said I'll do what I can to support his appeal, along with his own MP. I'm not sure we'll succeed this time, given the NICE interim guidelines. But how do you tell someone what price you think should be put on a year of her father's life?

Wednesday, 2 July 2008

The drugs don't work

Or do they?

Not difficult to think of a good news story today. Those of you who saw yesterday's Evening Post will have read about the case of Gary Humphries and his battle to get the PCT to give him the drug he hopes will help him fight kidney cancer. Gary came to see me at my surgery a few weeks ago, and has just emailed to tell me that today's appeal was successful! Great news, and I hope he responds well to treatment.

Also worth reminding people that earlier this week the Government announced a fundamental review of the way NICE works, and an end to the postcode lottery. Would have been too late for Gary, but the PCT's decision today may well have been made with that in mind.

Sunday, 29 June 2008

Speeding up drugs decisions

This announcement might have by-passed a lot of people who aren't directly affected at the moment, but trust me, it's really good news. I'm handling quite a few NICE-related cases at the moment, and there is certainly a perception of a 'postcode lottery', which causes additional anxiety to people who are already having to cope with enough without having to fight NHS bureaucracy too.

Friday, 9 May 2008

Buses, benzos and Bebo

I enjoyed today. Sometimes on Fridays I feel like I'm rushing from one place to another, never quite getting there on time (and sometimes running spectacularly late). Often the day is spent 'being seen' at a local event or 'showing my support' for a local organisation; often it's about being shown around places, which can be interesting and educational, but doesn't always require a great deal of input from me. Today was very productive 'though.

For a start, I was on foot most of the day, as the car is still being fixed. (The gasket has gone, and some other things. The guy at the garage refuses to accept that my failure to appreciate on anything but a conceptual level that a car needs water in its radiator is to blame; he thinks there must be a leak in the water pump. I have tried to confess, but he can't quite bring himself to accept that someone could be that useless).

So I headed off to Colston Parade, caught the bus to my office in St George. Why is it that there are so many 'Sorry - Out of Service' buses in Bristol? There were two parked at the bus stop for at least ten minutes while I waited this morning. Later on 5 buses passed me as I walked the length of Church Road on my way to a meeting in Old Market. 4 were 'out of service', one just said 'First Bus' on the front, but was empty and heading for the depot. Why?

First meeting of the day was with two young(ish) men who are trying to set up a role model/ mentoring programme in Bristol for black youth, sending speakers into schools to motivate and inspire pupils. They're both obviously hugely committed to the project, and I'm convinced it could have a real impact. So that was quite inspiring. Then I did a quick radio interview with Original FM about the 'Keep Casualty in Bristol' campaign, called Cllr Pete Hammond for an update on EPHs, chatted to Cllr Ron Stone who popped into the office....

At 11.30am the police turned up, followed by social services. The purpose of the meeting was to discuss how agencies in Bristol work together on child protection cases and what support they can give parents whose daughters have fallen into abusive relationships with older men (an issue which was brought to my attention by two mothers whose daughters have ended up living with men in Bristol). It's particularly difficult once the girls turn 16, or when they're not willing themselves to co-operate with agencies. We also discussed internet 'grooming' and I was disturbed to learn how easy it is for predatory paedophiles to use sites like Bebo - which doesn't keep a history of usage - to contact children. I'm going to be talking to Luton South Labour MP, Margaret Moran, who I know has been doing a lot of work on this issue, and following up in a number of other ways.

In the afternoon we walked through St George's Park and along the cycle path to my surgery at Easton Community Centre. Only a few cases today but most of them were quite complex and involved trying to get my head round lots of official paperwork - from the Pensions Service, the Tax Credits Office, Housing and Council Tax Benefits, the Asylum and Immigration Tribunal - and asking confused constituents what I could do to help. People often don't know quite what information I need, so we can talk for ages and go off at all sorts of tangents before I finally hit on a piece of paper which tells me exactly what the problem is, and what I can do about it.

One example today was a woman who'd been told she'd been overpaid Pensions Credit as she'd not told the Pensions Service about her private pension; she insisted she'd never applied for Pensions Credit. In fact, what happens now is that pensioners are automatically assessed for their eligibility for Pensions Credit when they turn 60 (or 65 for men). It replaces the old system whereby people had to apply for Pensions Credit or the Minimum Income Guarantee, and take up was far too low. It also removes the stigma which some people, who'd worked all their lives, felt about applying for benefits. But in this case it had caused confusion, as my constituent was adamant she'd not submitted an application.

Back in the office for a telephone conversation with Justin Davies, the new MD of First Bus Bristol, to talk about today's news about some routes being axed. He assured me it's a genuine consultation - which runs till May 25th - and urged me to do all I could to publicise it. We're going to to meet at the Lawrence Hill depot on May 23rd so I can tell him what my constituents are saying. The axing of the no. 48 is a particular concern, although the BEP says there'll be a more frequent service on the no. 49 to compensate. Also told the MD to expect a letter in the post on Monday, asking what the company is doing to make use of new technology (e.g. satellite tracking) to improve performance, and when/ if they're going to introduce smart cards.

After that I met with Una Corbett, who has been doing sterling work on behalf of Battle Against Tranquilisers for a long time now - see http://www.bataid.org/. She raised a lot of what seemed to me to be valid concerns about the way in which people addicted to benzos are treated by GPs, pharmacists and psychiatrists, and I'm going to be tabling some questions on it soon, as well as firing off a few letters.

Then it was a mad rush to sign off on a huge pile of correspondence, discuss key issues with the office staff, chat with the chair of my constituency party, read the press cuttings, etc, etc, before heading off to a meeting at the GMB offices with care home staff and relatives of residents in EPHs. We're expecting revised proposals to be announced by the City Council soon, and came up with a list of criteria we could use to assess whatever is offered.

Arrived home exactly 12 hours after I left, as the sunshine gave way to thunder and lightening. Made it just in time!