North-South divide in opioid and painkiller prescribing with high use in England’s most deprived areas
A North-South divide over the prescription of high dose opioids and other painkillers has been revealed by Sky News research.
The findings are being described as a “time bomb” of potential addiction problems.
In the North East, the amounts prescribed are three times more per head than in London, according to data collated from Open Prescribing.
For example, a practice in Durham with 18,000 patients prescribes over 1.2 million milligrams of opioids a month, (the rough equivalent of 42,000 strong tablets).
An average UK practice of the same size would prescribe about 480,000 milligrams per month (about 16,000 strong tablets).
The region’s lead pharmacist told Sky News: “We’ve all got to re-educate ourselves” about the potential harms of over-prescription.
Opioids are also prescribed to people in the most deprived parts of the country almost twice as much as those in the most well-off areas.
Social workers and other professionals say that GPs are creating the clientele for a growing black market in prescription drugs, and there is a lack of services to help people with their addictions.
While opioid use has fallen slightly in recent years – prescriptions of other painkillers such as pregabalin are on the increase.
‘I don’t know how I’m alive’
Justine Grant beat an additcion to heroin and was clean for 12 years, but says the drug her doctor later prescribed for pain relief was an even greater challenge
Patients have told Sky News that they struggled to beat their addiction and often turned to illegal dealers to top up their medication.
Justine Grant, from Sacriston, near Durham beat an addiction to heroin and was clean for 12 years, but says the drug her doctor later prescribed for pain relief was an even greater challenge.
She said, “I said I need something like ibuprofen but maybe a bit stronger, and that’s when they prescribed us the pregabalin. It’s very, very addictive. More addictive than anything I’ve taken in my lifetime.”
“I immediately got addicted to one of those a day, and then two and then three and then four. Up until I was taking ten a day. I don’t know how I’m alive.”
Justine was topping up her prescriptions using drug dealers, taking 3,000 mg of the drug a day, costing her £25.
She added: “Everybody’s getting them. The doctors think they’re the new wonder drug and they can’t see the problems they’re causing.”
Advice published by NHS England eight years ago warns doctors that this this type of drug “can lead to dependence and may be misused or diverted”.
It also says that the drug is used as a “commodity for trade” in prisons.
‘What will my little girl do if I don’t wake up?’
When Cheryl Parker was addicted to codeine she was being prescribed 100 tablets every three days, and was in constant fear of overdose
Cheryl Parker, also from the Durham area, became addicted to codeine after complications giving birth. Soon she was being prescribed 100 tablets every three days. She was in constant fear of overdose, but was sick if she tried to withdraw.
She said: “God I used to be ill. Spewing, couldn’t walk, constantly on the toilet, mentally just totally drained. I used to have an inhaler down the side of my bed every night. I used to just be panicking. What would I do if I don’t wake up? My little girl’s there, what’s she going to do?'”
Justine and Cheryl are both housed by Positive Directions, which helps accommodate vulnerable people.
Beverly Crooks, one of its support workers, says there’s little help available for those with mental health and addiction problems.
She said: “For the last year there’s been a lot of suicides through drugs and people not getting help. People really depressed, can’t get any help from anywhere, getting told there’s no one that can come out and see them because there’s not enough staff.”
The director of Positive Directions, Gary Crooks, told Sky News: “It’s an absolutely huge problem and a time bomb that’s been simmering under the surface for quite some time now.”
“Being on the frontline, what we’re encountering is an explosion in prescribed drugs from the GPs, and certainly on the black market.
“A lot of people have been accessing drugs from the dark web, and buying prescription drugs that way, at a real big discount, and selling them on the streets.
“They are extremely addictive and quite often the problem is they’re prescribed by medical professionals and so the people who are taking the prescriptions don’t realise how addictive these substances are.”
‘Primary care is overwhelmed’
Ewan Maule, lead pharmacist for the North East and North Cumbria, says there is a link between poverty, especially in declining industrial regions such as the North East, and chronic pain and this in turn leads to greater use of opioids in certain regions.
However, he says that medical understanding about the risk of opioids has evolved and NHS professionals need to take note.
He said: “The conversation is changing and we are starting to talk about non-drug treatments, non-medicines for treatment of chronic pain, because we know the harm that can be done by opioids certainly long-term, outweighs the benefits.
“We all need to re-educate ourselves. People like me, who were educated 20 years ago, need to change the way we think about things.”
Medical academics in the region agree and a programme is being launched in the North East to use GPs’ databases to contact people on high dose opioids offering help.
Professor Julia Newton, from the Newcastle Hospitals NHS Trust, said: “We need to take notice that we’re an outlier in this area and begin to look at why that might be.
“Primary care is overwhelmed at the moment, time is very precious in short GP consultations. And I think sometimes it might just be easier when a patient wants a tablet, for a GP to prescribe or to continue to prescribe a medication.”
Offered heroin at a rehab centre
While getting hooked is easy, finding help to get off is a struggle. Addicts told us that the main rehab centre in Durham, called County Durham Substance Misuse Service – Centre for Change, often has dealers outside and sometimes inside.
One recovering addict said it was a great place to “go for a hit” rather than rehab.
When Sky News paid a visit, a social worker with our team was offered heroin by a client coming out of the premises.
Humankind, which runs the centre, said that it takes any reports of drug use and dealing within its centres “extremely seriously” and it has “strong, well-communicated policies in place prohibiting these acts”.
It added: “Anyone found to be dealing, sharing or using drugs on a Humankind site will be challenged and reported to the police, and any claims of drug dealing are investigated thoroughly.”
When it comes to the government’s levelling-up agenda, clearly this is another area that needs attention. Communities that have seen industrial decline and rising poverty have also added addiction to their list of problems.
Former addict Justine says: “How are they going to break the cycle? There’s no jobs, no help, no future, no dreams.”
And it seems medication is no substitute for investment, jobs and services.
Premier League match tickets at Chelsea have been selling for more than twice the price of a season ticket on an American exchange website with a familiar director and investor to supporters – club chairman Todd Boehly.
Amid growing fan fury, Sky News was able to access the Vivid Seats platform on different devices last week from London – and saw tickets for the visit of Liverpool on 4 May, priced by Chelsea at a maximum of £80, being sold for between £537 and £2,666.
Some tickets were listed as being sold by traders.
Chairman of Chelsea Todd Boehly. Pic: Reuters
Chelsea’s official website appeared to show no availability for this premium fixture, with the Blues battling for Champions League qualification and Liverpool potentially celebrating being crowned Premier League winners.
The most expensive Stamford Bridge season ticket for this campaign was £1,015.
Vivid is listed by the Premier League among “unauthorised ticket websites” with a message: “We would urge fans to exercise extreme caution when dealing with these websites.”
Vivid insisted it adheres to laws and regulations in Britain
The Chelsea Supporters’ Trust has written to the Premier League to ask that Vivid – given its ties with a club’s shareholder – “ceases facilitating the sale of tickets for significantly above face value”.
Mr Boehly – part of the consortium that replaced Roman Abramovich as owner in 2022 – has not addressed accusations of a “conflict of interest” or claims he is undermining efforts to combat ticket touting.
There are anti-touting warnings on signs in the streets approaching the stadium.
Sky News found some tickets for more than £2,000 on Vivid Seats
An official Chelsea Ticket Exchange allows season ticket holders to sell their tickets “at the pro-rata price of season tickets” to a club member “in a safe, secure environment”.
While Chelsea’s website says to only buy tickets in the UK from official sellers, it adds: “Many of the websites that advertise and sell tickets online are not within the jurisdiction of UK law.
“This means, while we report these sites when we see Chelsea tickets on them, there is little we can do to shut down the sites.”
Sign at Stamford Bridge warning against ticket touting
On Vivid, we did see warnings telling visiting users not to buy seats in the home sections and a pop-up eventually appeared after browsing the availability, saying: “Tickets for the EPL matches are not currently available for purchase in your location.”
No attempt was made by us to buy tickets. But should we have been able to see the listings at all?
Sky News first asked for comment from Vivid last Monday and continued to see ticket listings with variable prices in pounds during the week. It took until Friday night for any form of response.
“Vivid Seats respectfully adheres to the laws that are in place in the United Kingdom and is not in violation of any regulations around EPL tickets,” the email read in part. “As such, Vivid Seats’ policy restricts the sale and marketing of EPL tickets in the United Kingdom.”
Pic: Reuters
When Sky News checked the website again on Saturday the listings for Premier League matches were no longer visible as they are from outside of Britain.
Asked if they were no longer visible after our inquiries, Vivid’s official replied: “The conclusions that you are drawing are factually incorrect.
“We understand that people will try to find ways to circumvent technology and as such, we have validation protocols in place in order to restrict the sale and marketing of EPL tickets in the United Kingdom.”
Again, Vivid insisted it adheres to laws and regulations in Britain.
But the same official did not respond to an email detailing how we were able to view the tickets listings from London on separate days, without using VPN software that can make your browser seem as if it’s accessing the internet from another country.
Chelsea’s match against Ipswich at Stamford Bridge. Pic: Reuters
‘It’s the only way I was going to get here’
Ticket exchange websites can be the only way for some fans overseas to come to matches.
When Ipswich played at Stamford Bridge on 13 April, Baz Gillespie was able to watch after 20 years living in Cyprus by paying a vastly-inflated £300 for two tickets on a website other than Vivid.
“The only way I was going to get here was that way,” he said, remembering the days he could just queue up and pay a fiver for a ticket.
The same match was Martin van Dijk’s first-ever game at the Bridge, having come from the Netherlands after paying €150 (£128) on another exchange website after initially trying through Vivid.
“If there’s no other option, and you want to visit, it’s the only way, but I’d rather get it through like the normal way,” he said.
Chelsea fan Martin van Dijk paid €150 for a ticket on a resale website
‘An absolute disgrace’
It is the “normal way” that so many supporters want to protect and are aghast at Mr Boehly’s links to Vivid, predating his purchase of a stake in Chelsea.
“It’s an absolute disgrace,” supporter Ben Grey said. “He shouldn’t be involved in Chelsea and a reselling website. It’s unethical from a basic perspective.
“The club are coming out with communication saying that they’re against ticket reselling and our semi-majority shareholder [has a website] reselling tickets to our games.”
Asked what the Premier League should do, he replied: “I’m a massive Chelsea fan, I don’t want Chelsea to be hit hard by anything.
“But the fact of the matter is they need to sort that out and if they’re allowing there to be an owner of a club who’s reselling tickets, it’s a disgrace.”
Fan Ben Grey said Mr Boehy shouldn’t be involved in Chelsea and a reselling website
‘Not a very good look’
Another fan, Rich Still, called it “21st century greed”.
The issue is resonating with young children.
Rhys Edwards, watching with his father, said: “It doesn’t look too good on Chelsea and their owners to be fair.
“Saying that [the website] is not authorised by the league they’re playing in isn’t a very good look.”
Officials with Chelsea, the Premier League and Mr Boehly declined to comment.
The Vivid statement to Sky News stressed: “It is important to note that Vivid Seats does not set the base price for tickets sold on its marketplace or receive any revenue from that base price; only the seller sets and receives the base ticket price.”
Labour MP Rupa Huq has proposed a law change to improve pricing transparency
‘It’s like the Wild West’
Vivid highlighted to Sky News its “long-standing partnership”, including being a backer of a 2023 summer tour of the United States.
Chelsea’s website featured a quote saying: “We are pleased to join with a company committed to becoming the ultimate partner for connecting fans to the live events, teams and artists they love.”
The government has launched a consultation to prevent people from being ripped off in Britain by the resale of tickets.
Read more:
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The limit could range from the cost of the original ticket to a 30% uplift to stop the public being “fleeced” by professional touts.
Labour MP for Ealing Central and Acton, Rupa Huq, has separately proposed a change to the law to improve pricing transparency on secondary ticketing sites.
“It’s an unregulated market,” she told Sky News. “It’s like the Wild West. It needs getting back into control.”
A murder investigation is under way after a woman was stabbed to death in north London.
Police were called to an address in Ayley Croft, Enfield, around 7pm on Saturday following reports of a stabbing.
Emergency workers treated a 45-year-old woman but she died at the scene, the Metropolitan Police said.
The victim’s next of kin has been informed and is being supported by specialist officers.
Officers at the scene in Enfield
No one has been arrested in connection with her death.
Police have been seen focusing on Gainsborough House, a high-rise block on the estate.
An officer was spotted at the window on the fifth floor. Patrols have also been seen outside.
An officer in Gainsborough House
Detective Chief Inspector Neil John said: “Our thoughts are with the victim’s family at this difficult time.
“As our investigation continues, there will be an increased police presence in the area, and a crime scene remains in place.
“We understand this will be very distressing to the local community and anyone who has concerns can speak to local officers.”
Read more from Sky News:
Husband describes ‘horror’ as wife fatally hit by van
Prince Andrew joins King and Queen at Easter service
Police are appealing for dashcam footage from anyone who was driving through Ayley Croft between 6.30pm and 7.30pm on Saturday.
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