Road Traffic — House of Commons, 2015-03-16
Topic: Law and Crime
Robert Goodwill (Conservative, Centre-right): I beg to move, That the draft Drug Driving (Specified Limits) (England and Wales) (Amendment) Regulations 2015, which were laid before this House on 5 February, be approved The instrument will include amphetamine, with a limit of 250 micrograms per litre of blood, in the new drug-driving offence of driving with a specified drug in the body above a specified limit. The new offence was provided for in the Crime and Courts Act 2013, which inserted new section 5A into the Road Traffic Act 1988. The Drug Driving (Specified Limits) (England and Wales) Regulations 2014, made on 24 October 2014, specified 16 other drugs and their limits, and the new offence came into force in England and Wales on 2 March. Indeed, the first arrest was made on that very day. I recognise the positive engagement and support of the Opposition in introducing the new regulations As hon. Members are aware, the review of drink and drug-driving law by Sir Peter North concluded that there was "a significant drug driving problem" and recommended the new offence. It also recommended the inclusion of amphetamine. The expert panel on drug-driving, in its report of March 2013, also recommended the inclusion of amphetamine in the new drug-driving offence. It quoted the European driving under the influence of drugs, alcohol and medicines project—the so-called DRUID project—which suggested that amphetamine caused a medium to high risk of a traffic accident. The DRUID researchers did not find an impairment effect at therapeutic doses, but a negative driving performance could be detected at high doses As hon. Members are probably aware, the Government have considered carefully what the appropriate level should be for amphetamine. The expert panel recommended a limit of 600 micrograms per litre of blood if our approach was to look at when the risk of a road traffic collision was most likely to occur. However, although there is significant medicinal use of amphetamine, the Government were concerned about the amount of illegal use. The expert panel described it as "an illicit substance" and "a long standing member of the drug scene" The approach to setting a limit for the drug was therefore not as clear-cut as for the other drugs, because a zero tolerance approach was taken to illegal drugs such as cannabis and cocaine, whereas a road safety risk approach was taken to drugs that were more associated with medicinal use The Government used the consultation in summer 2013 to seek further views and evidence on what a suitable limit might be. Many of the responses proposed a limit that was much closer to the zero tolerance approach, so we re-consulted on a limit of 50 micrograms per litre from December 2013 to the end of January 2014. However, we received several objections from the medical profession to the proposed limit Specialists in attention deficit hyperactivity disorder, or ADHD, for which amphetamine is a recognised treatment, argued that the condition affects the ability to concentrate and that, although patients represent an increased road safety risk when unmedicated, they are just as safe as the general population when taking their medication. Those respondents backed up their arguments with research. Their concern was that prescribers and ADHD patients must not be discouraged from prescribing medication or taking it. We recognise that adult ADHD often goes undiagnosed and that treatment is often stopped after people have had it as a child. That presents road safety risks that need to be addressed through treatment. We concluded that the limit of 50 micrograms that we initially proposed might discourage those with ADHD from seeking or continuing with treatment To be clear, the amphetamine treatment for ADHD that we are talking about is not Ritalin, which is often associated with ADHD. Although similar to amphetamine, Ritalin is a methylphenidate. Amphetamine drugs, including lisdexamfetamine, which is produced by Shire pharmaceuticals, tend to be used as a second-line treatment when methylphenidate is not successful It is therefore appropriate to set a limit that is above the therapeutic range that ADHD sufferers are most likely to be prescribed and below the level that is most likely to be the result of people abusing the medication. After holding extensive informal discussions with specialists in ADHD and the Secretary of State’s honorary medical advisory panel on alcohol, drugs and substance misuse and driving, we have agreed that 250 micrograms per litre of blood is the most appropriate limit. The advisory panel quoted the analysis of 2,995 blood samples that were taken between 2008 and 2012 across the UK in suspected drug-driving cases, which showed an average concentration of amphetamine of 456 micrograms per litre of blood. The Government concluded from their consultation with the ADHD specialists and the advisory panel that the level of 250 micrograms would successfully balance the legitimate use of amphetamine for medicinal purposes against its abuse by those who represent a risk on the road as a result of taking it The House may recall that in September last year, during the debate on the regulations that specified the 16 other drugs and their limits, the Government indicated that they intended to re-consult on a limit for amphetamine. Given the extensive discussions that we have held with medical stakeholders, we take the view that we have had sufficient opportunity to consider the views of all the relevant parties and that conducting a third formal consultation on a limit for amphetamine is no longer appropriate or necessary The new drug-driving offence commenced on 2 March, and the Government believe it important that amphetamine is added to the list of drugs as soon as possible, so that those who abuse amphetamine and continue to drive and put lives at risk can expect to be caught and prosecuted for the new offence. I acknowledge that there is no roadside screening device for amphetamine—currently only cannabis and cocaine have an approved device that tests saliva—but should there be any suspicion of the consumption of that drug or any other specified drug, a blood test can be carried out, and a blood concentration level above the specified limit will result in prosecution Specifying amphetamine will create certainty in the market and enable manufacturers to consider the research and development of roadside screeners for that drug, which is one of the most significant in drug-driving cases. I urge right hon. and hon. Members to support extending the regulations to include amphetamine at the limit proposed, to send a strong message that the House, Parliament and wider society will not tolerate those who persist in drug-driving and the threat they pose to other road users. I recommend that the House approve these regulations.