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1136423

registered interest
date	02/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have, if any, to extend the availability of medicinal cannabis to people with diseases that cause chronic pain.
tabling member printed	Lord Jones of Cheltenham
uin	HL16873
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The law was changed on 1 November 2018 to allow clinicians on the General Medical Council’s Specialist Register to prescribe cannabis-based products for medicinal use (CBPM), where it is clinically appropriate and in the best interest of patients. Whilst the law allows clinicians to prescribe these products for the management of chronic pain, interim guidance jointly produced by the Royal College of Physicians and the Royal College of Radiologists, in liaison with the Faculty of Pain Medicine of the Royal College of Anaesthetists, concludes that there is not yet robust evidence for the use of CBPM in chronic pain, and their use is currently not recommended.</p><p>The National Institute for Health and Care Excellence (NICE) has been commissioned to develop updated clinical guidance on the prescribing of CBPM, including for the management of chronic pain, which will be published by October 2019. It will be based on the best available international evidence and will have been produced using NICE’s world-renowned process for identifying and assessing relevant studies and delivering such guidance. NICE is expected to consult on the draft guidance between 23 July – 20 August 2019.</p><p>An initial impact assessment <em>Rescheduling of cannabis-based products for medicinal use under the Misuse of Drugs Regulations 2001 </em>was published alongside The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018. A copy of this impact assessment is attached. This set out the approach that the Government proposed to take in assessing the costs and benefits of the change in the law at a population level, with regard to the rescheduling of CBPM. This framework included an analysis of cost and benefits for the use of cannabis for the management of chronic pain.</p><p>To further the evidence-base, the National Institute for Health Research has issued two calls for research in this area, and is working with the industry and researchers to ensure that the evidence is developed in a way that will inform decisions on public funding. This research will be open to all good quality proposals covering any indication, including multiple sclerosis, pain and other disorders unresponsive to existing treatments.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16874 HL16875 question first answered 10/07/2019 15:30:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Impact_Assessment.pdf title Impact_Assessment
tabling member	248 label Biography information for Lord Jones of Cheltenham

1136424

registered interest
date	02/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of (1) the advantages, and (2) the disadvantages, of allowing medical professionals to prescribe medicinal cannabis to people suffering from chronic pain.
tabling member printed	Lord Jones of Cheltenham
uin	HL16874
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The law was changed on 1 November 2018 to allow clinicians on the General Medical Council’s Specialist Register to prescribe cannabis-based products for medicinal use (CBPM), where it is clinically appropriate and in the best interest of patients. Whilst the law allows clinicians to prescribe these products for the management of chronic pain, interim guidance jointly produced by the Royal College of Physicians and the Royal College of Radiologists, in liaison with the Faculty of Pain Medicine of the Royal College of Anaesthetists, concludes that there is not yet robust evidence for the use of CBPM in chronic pain, and their use is currently not recommended.</p><p>The National Institute for Health and Care Excellence (NICE) has been commissioned to develop updated clinical guidance on the prescribing of CBPM, including for the management of chronic pain, which will be published by October 2019. It will be based on the best available international evidence and will have been produced using NICE’s world-renowned process for identifying and assessing relevant studies and delivering such guidance. NICE is expected to consult on the draft guidance between 23 July – 20 August 2019.</p><p>An initial impact assessment <em>Rescheduling of cannabis-based products for medicinal use under the Misuse of Drugs Regulations 2001 </em>was published alongside The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018. A copy of this impact assessment is attached. This set out the approach that the Government proposed to take in assessing the costs and benefits of the change in the law at a population level, with regard to the rescheduling of CBPM. This framework included an analysis of cost and benefits for the use of cannabis for the management of chronic pain.</p><p>To further the evidence-base, the National Institute for Health Research has issued two calls for research in this area, and is working with the industry and researchers to ensure that the evidence is developed in a way that will inform decisions on public funding. This research will be open to all good quality proposals covering any indication, including multiple sclerosis, pain and other disorders unresponsive to existing treatments.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16873 HL16875 question first answered 10/07/2019 15:30:09 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Impact_Assessment.pdf title Impact_Assessment
tabling member	248 label Biography information for Lord Jones of Cheltenham

1136425

registered interest
date	02/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what studies (1) have been carried out, and (2) are proposed, to investigate the pain relief impacts of medicinal cannabis on people who have multiple sclerosis.
tabling member printed	Lord Jones of Cheltenham
uin	HL16875
answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>The law was changed on 1 November 2018 to allow clinicians on the General Medical Council’s Specialist Register to prescribe cannabis-based products for medicinal use (CBPM), where it is clinically appropriate and in the best interest of patients. Whilst the law allows clinicians to prescribe these products for the management of chronic pain, interim guidance jointly produced by the Royal College of Physicians and the Royal College of Radiologists, in liaison with the Faculty of Pain Medicine of the Royal College of Anaesthetists, concludes that there is not yet robust evidence for the use of CBPM in chronic pain, and their use is currently not recommended.</p><p>The National Institute for Health and Care Excellence (NICE) has been commissioned to develop updated clinical guidance on the prescribing of CBPM, including for the management of chronic pain, which will be published by October 2019. It will be based on the best available international evidence and will have been produced using NICE’s world-renowned process for identifying and assessing relevant studies and delivering such guidance. NICE is expected to consult on the draft guidance between 23 July – 20 August 2019.</p><p>An initial impact assessment <em>Rescheduling of cannabis-based products for medicinal use under the Misuse of Drugs Regulations 2001 </em>was published alongside The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018. A copy of this impact assessment is attached. This set out the approach that the Government proposed to take in assessing the costs and benefits of the change in the law at a population level, with regard to the rescheduling of CBPM. This framework included an analysis of cost and benefits for the use of cannabis for the management of chronic pain.</p><p>To further the evidence-base, the National Institute for Health Research has issued two calls for research in this area, and is working with the industry and researchers to ensure that the evidence is developed in a way that will inform decisions on public funding. This research will be open to all good quality proposals covering any indication, including multiple sclerosis, pain and other disorders unresponsive to existing treatments.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16873 HL16874 question first answered 10/07/2019 15:30:09 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Impact_Assessment.pdf title Impact_Assessment
tabling member	248 label Biography information for Lord Jones of Cheltenham

1052543

registered interest
date	01/02/2019
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many applications for licences to cultivate cannabis for medicinal purposes in the UK they have received since 1 January 2016.
tabling member printed	Lord Wasserman
uin	HL13376
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>No licences have been issued to cultivate cannabis for medicinal purposes. Licences are issued to cultivate High THC cannabis for research and/or the extraction of cannabinoids.</p> answering member printed Baroness Williams of Trafford grouped question UIN HL13377 HL13378 question first answered 14/02/2019 17:27:41 answering member 4311 label Biography information for Baroness Williams of Trafford
tabling member	4207 label Biography information for Lord Wasserman

1052544

registered interest
date	01/02/2019
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many licences for the cultivation of cannabis for medicinal purposes they have (1) granted, and (2) refused since 1 January 2016.
tabling member printed	Lord Wasserman
uin	HL13377
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>No licences have been issued to cultivate cannabis for medicinal purposes. Licences are issued to cultivate High THC cannabis for research and/or the extraction of cannabinoids.</p> answering member printed Baroness Williams of Trafford grouped question UIN HL13376 HL13378 question first answered 14/02/2019 17:27:41 answering member 4311 label Biography information for Baroness Williams of Trafford
tabling member	4207 label Biography information for Lord Wasserman

1052545

registered interest
date	01/02/2019
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government which applicants have been granted a licence to cultivate cannabis for medicinal purposes in the UK since 1 January 2016.
tabling member printed	Lord Wasserman
uin	HL13378
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>No licences have been issued to cultivate cannabis for medicinal purposes. Licences are issued to cultivate High THC cannabis for research and/or the extraction of cannabinoids.</p> answering member printed Baroness Williams of Trafford grouped question UIN HL13376 HL13377 question first answered 14/02/2019 17:27:41 answering member 4311 label Biography information for Baroness Williams of Trafford
tabling member	4207 label Biography information for Lord Wasserman

942019

registered interest
date	16/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have carried out any research into the number of potential beneficiaries of a relaxation of the current restrictions on the use of medicinal cannabis.
tabling member printed	Lord Bassam of Brighton
uin	HL9533
answer	answer is ministerial correction date of answer 25/07/2018 answer text <p>The Government has not commissioned research into the number of patients that might benefit from use of cannabis-based medicinal products.</p><p>The Government values the strong collaborative partnerships that we have across the European Union in the areas of science, research and innovation, and as part of exit negotiations is working to ensure that we have the best possible environment in which to support clinical trials and new medicines after we leave the EU. The Government will continue to monitor and share the emerging evidence on the therapeutic use of cannabis-based medicinal products.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9534 question first answered 25/07/2018 11:46:44 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3504 label Biography information for Lord Bassam of Brighton

942020

registered interest
date	16/07/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to ensure that research into the use of medicinal cannabis as a potential treatment will be shared following the UK exiting the EU.
tabling member printed	Lord Bassam of Brighton
uin	HL9534
answer	answer is ministerial correction date of answer 25/07/2018 answer text <p>The Government has not commissioned research into the number of patients that might benefit from use of cannabis-based medicinal products.</p><p>The Government values the strong collaborative partnerships that we have across the European Union in the areas of science, research and innovation, and as part of exit negotiations is working to ensure that we have the best possible environment in which to support clinical trials and new medicines after we leave the EU. The Government will continue to monitor and share the emerging evidence on the therapeutic use of cannabis-based medicinal products.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9533 question first answered 25/07/2018 11:46:44 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3504 label Biography information for Lord Bassam of Brighton

924194

registered interest
date	14/06/2018
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Cannabis: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to the prescription of medicinal cannabis by registered medical practitioners for the use of NHS patients in England; and whether such medication may be brought into the UK if it has been prescribed abroad with the approval of a patient's UK registered medical practitioner.
tabling member printed	Lord Warner
uin	HL8673
answer	answer is ministerial correction date of answer 28/06/2018 answer text <p>Cannabis is currently a drug listed under Schedule 1 of the Misuse of Drugs Regulations 2001 and as such, it cannot legally be possessed, supplied or imported without a Home Office Licence.</p><p>On 19th June 2018, the Home Secretary announced a review of the scheduling of cannabis. As part of the review, the Advisory Council on the Misuse of Drugs will provide an assessment, based on the balance of harms and public health needs, of what, if anything, should be rescheduled.</p> answering member printed Baroness Williams of Trafford question first answered 28/06/2018 14:12:20 answering member 4311 label Biography information for Baroness Williams of Trafford
tabling member	1732 label Biography information for Lord Warner