To ask the Scottish Government whether it will provide an update on what its position is on the addition of medicinal cannabis to NHS Scotland formularies.
There are three licensed Cannabis Based Products for Medicinal use (CBPMs) available on the NHS in Scotland to treat specific conditions. These are:
- nabilone, a synthetic cannabinoid, as an add-on treatment for adults with chemotherapy-induced nausea and vomiting;
- Sativex®, a combination of delta-9-tetrahydrocannabinol and cannabidiol for moderate to severe spasticity in adults with multiple sclerosis;
- and Epidyolex®, a cannabidiol for treating seizures associated with Lennox-Gastaut syndrome, Dravet syndrome and tuberous sclerosis complex (TSC)
The decision on whether to make a licensed medicine routinely available on the NHS in Scotland is made by healthcare professionals and other experts who make up the Scottish Medicines Consortium (SMC), following an application by the manufacturer. This is independent of Scottish Ministers. If a medicine is recommended for use,- Health Boards’ local Area Drug and Therapeutic Committees will consider and decide whether to include it in their prescribing formulary.
Clinical guidance does not recommend the prescribing of unlicensed CBPMs, other than in clinical trials. The biggest barrier to the prescribing of other CBPMs on the NHS is that most products remain unlicensed with a limited, or non-existent, peer-reviewed clinical evidence base for their use.