Recreational use Cannabis is illegal to possess, grow, distribute or sell in the UK. It is a Class B drug, with penalties for unlicenced dealing, unlicenced production and unlicenced trafficking of up to 14 years in prison, an unlimited fine, or both. The 2004 reclassification (originally announced in 2001) removed the threat of arrest for possession of small amounts, for the purpose of allowing police to focus on harder drugs and violent crime. In May 2008, under the leadership of Prime Minister
Gordon Brown, it was announced that cannabis would be moved back to Schedule B, against the recommendations of the
Advisory Council on the Misuse of Drugs.
Enforcement In the survey for the year ending March 2014, possession of cannabis offences accounted for 67% of all police recorded drug offences in the UK. In 2015,
County Durham police commissioner Ron Hogg announced that they would no longer be targeting people who grow cannabis for personal consumption, unless they are being "blatant". Derbyshire, Dorset and Surrey police announced that they would also be implementing similar schemes. The move was in response to significant budget cuts, which meant that police forces were having to prioritise more pressing areas. The presence of
Teesside Cannabis Club is tolerated by police in
Stockton-On-Tees. According to figures obtained through a
Freedom of Information request, there are large differences by county regarding how many cases actually result in an offender being charged. In 2016,
Hampshire police had the most charges at 65%, while
Cambridge had the lowest proportion of charges at only 14%.
Medical use Medical use of cannabis under certain conditions was legalised in the UK on 1 November 2018, after the cases of two
epileptic children who benefited from using cannabis brought increased public attention to the issue. The children (Billy Caldwell, 12, and Alfie Dingley, 6) both experienced significant improvement in their conditions after they began using cannabis, but were initially not allowed to continue their treatment under UK law. This led to increased public outcry, particularly in the case of Billy Caldwell who was hospitalised with life-threatening seizures after his medication was confiscated by authorities. On 20 June 2018, then Health Secretary
Jeremy Hunt announced his support for the medical use of cannabis and that a review would be undertaken to study changes to the law. On 26 July 2018, Home Secretary
Sajid Javid announced that cannabis products would be made legal for patients with an "exceptional clinical need", and that cannabis would be moved from a Schedule I classification to Schedule II. On 11 October, the new provisions were officially presented and accepted in the House and the policy came into effect on 1 November 2018. A licence is available from the home office to import prescribed medicinal cannabis. The first private, stand-alone
Care Quality Commission (CQC) registered cannabis clinic was opened by Sapphire Medical in December 2019, since then a number of private clinics have opened across the UK. The UK's first medical cannabis registry set up and run by Drug Science charity was launched in August 2020. It is the biggest observational medical cannabis study in the UK with over 3,500 patients. The first UK medical cannabis study to receive approval from the MHRA ethics committee (REC) was titled
CANPAIN feasibility study (evaluating the feasibility of undertaking a pragmatic real-world trial investigating CBMP in chronic pain patients). It was approved under IRAS project ID 304548 and will be conducted in the UK by LVL Health. Treatment must be initiated by a specialist consultant and may be continued under a shared care agreement by a GP or non-medical prescriber. NHS guidance states that medical cannabis should only be prescribed when there is clear published evidence of its benefit and other treatment options have been exhausted.
Sativex is an approved cannabis-derived medicine and is indicated for the treatment of spasticity caused by
multiple sclerosis.
Nabilone is another cannabinoid drug that has been approved by the
Medicines and Healthcare products Regulatory Agency (MHRA) to treat nausea and vomiting caused by chemotherapy. Nabilone is a synthetic form of
THC and not naturally derived from the plant.
Cannabidiol (CBD) oil is legal for use and sale in the UK without a prescription, as long as when it is sold to the public it is not sold as medicine. The CBD drug
Epidiolex is approved for use in the EU and can be prescribed on the NHS for children and adults with rare forms of epilepsy such as Lennox-Gastaut syndrome, Dravet syndrome and tuberous sclerosis complex (TSC). On 31 October 2020, it was reported that the NHS has been repeatedly refusing to fund medical cannabis for children with severe epilepsy. It was reported that at least twenty families are paying for private prescriptions after not being provided by the NHS. One family reported paying £2,000 a month for their 11-year-old daughter, who had been having up to 300 seizures a day. Doctors put her into an induced coma and transported her to intensive care. After an anonymous donation was given to one of the child's parents of £2,500, the parent bought cannabis oil for their child, who after taking it was allowed home within two days. The
Department of Health and Social Care said more research is needed before it can routinely prescribe cannabis-based medicines. Peter Carroll of the campaign group End Our Pain said there are dozens more families in a similar position or unable to pay for the drugs at all.
Overseas territories Medical use of cannabis was legalised following a ruling by the Supreme Court of
Bermuda in 2016. In 2016, the governor of the British Overseas Territory of the
Cayman Islands approved a change to the Misuse of Drugs Law to allow the importation and use of CBD oil for medical purposes. ==Advocacy for law reform==