Nutt’s article on medical cannabis outlines a number of potential reasons behind the limited impact of the UK legal reform. He alerts us to a number of important issues, such as unmet educational needs and problems with the supply chain. I question though, how much difference resolving these will make unless there is also a significant change to the system in which doctors operate.
We need to adopt a more balanced initial position, endorsed by the Colleges, that supports doctors to make reasoned decisions with a minority of patients for whom our conventional approaches have failed.
We must evolve our position by benefiting from the other models such as in the Netherlands and in Israel. By producing our own supply, becoming self-sufficient as a country, making our limited resources stretch, and properly supporting doctors, we may begin to meet the needs of our patients.