Tuesday, 23 July 2019

Questions (1615)

John Brady


1615. Deputy John Brady asked the Minister for Health the options available in cases in which a person with MS is denied access to the medicinal cannabis access programme by their consultant, if there are specific consultants approving access through whom the person may seek access; and if he will make a statement on the matter. [33588/19]

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Written answers (Question to Health)

As the deputy is aware, on 26th June I signed legislation which will allow for the operation of the Medical Cannabis Access Programme (MCAP) on a pilot basis for five years.

This new legislation means that commercial medical cannabis suppliers whose cannabis products meet the specified requirements set out in the legislation and which have been listed in Schedule 1 of the Misuse of Drugs (Prescription and Control of Supply of Cannabis for Medical Use) Regulations will be able to supply these products to the Irish market.

Once suitable medical cannabis products are made available by suppliers, the Access Programme will make it possible for a medical consultant to prescribe, in line with the published clinical guidance, a listed cannabis-based product for a patient under his or her care for the following medical conditions, where the patient has failed to respond to standard treatments:

- spasticity associated with multiple sclerosis;

- intractable nausea and vomiting associated with chemotherapy;

- severe, refractory (treatment-resistant) epilepsy.

It should be noted that currently no medical cannabis products are available for use under the MCAP as it is expected that it will take some time for suppliers to arrange to have their products made available on the Irish market.

Up to date information relating to the Medical Cannabis Access Programme, which includes a FAQ (Frequently Asked Questions) document, is available on the Department's website.  

Pending full operation of the MCAP, and for medical indications not included in the MCAP, doctors may continue to utilise the Ministerial licensing route to prescribe medical cannabis for their patients, should they wish to do so. In line with the Chief Medical Officer's advice, the granting of a licence for cannabis for medical purposes must be premised on an appropriate application being submitted to the Department of Health, which is endorsed by a consultant who is responsible for the management of the patient and who is prepared to monitor the effects of the treatment over time. 

A patient's doctor will provide them with an explanation for their clinical decision, if they are not prepared to prescribe any particular treatment, for example medical cannabis. If the patient is not satisfied it may be possible to seek a second opinion from another medical practitioner, by way of referral from their GP. However, such decisions are clinical in nature and neither the Minister, nor the Department of Health can interfere in such clinical decision making or make the clinical decision that medical cannabis would / would not be appropriate for the treatment of an individual’s medical condition.