HC Deb 24 October 2000 vol 355 c119W
26. Mr. Clifton-Brown

To ask the Secretary of State for Health how many registered drug-user patients are being supplied diamorphine (heroin) on the NHS; and what is the total cost. [131878]

Mr. Denham

Diamorphine, in the treatment of drug addiction, is used as part of a maintenance regime in a very small minority of patients, who are generally the most difficult cases. The Misuse of Drugs (Supply to Addicts) Regulations 1997 require that only medical practitioners who hold a special licence issued by the Home Secretary may prescribe, administer or supply diamorphine in the treatment of drug addiction; other practitioners must refer any addict who requires these drugs to a treatment centre.

Diamorphine is also used for analgesia in palliative care. General practitioners and other doctors may prescribe diamorphine for patients (including addicts) for relief of pain without a special licence.

The total cost of diamorphine treatment for drug addiction cannot be calculated accurately as data are not collected centrally which link prescription to diagnosis.