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Five years after medical cannabis was legalised, the government still hasn’t funded clinical trials that could see it being used on the NHS, Sky News has been told.

The Home Office reclassified the drug in 2018 to allow specialist doctors to prescribe the drug under tight controls.

But a year later the NHS watchdog NICE warned doctors that they shouldn’t prescribe the drug to the eight million patients with chronic pain, because it said there weren’t enough good quality clinical trials.

Despite the evidence gap, the National Institute for Health Research has now revealed that it hasn’t funded any studies on the safety and efficacy of cannabis since the law was changed.

It means legalisation has made little difference to patients who can’t afford a private prescription.

Chad Martin pays a clinic around £300 a month for a supply of medical-grade cannabis to ease the pain from arthritis in his hands.

He told Sky News: “I am fortunate to be able to afford the drug. Others can’t.”

He had been offered opioid painkillers by his GP, but rejected treatment because they can be addictive and have serious side effects.

Since he started using cannabis in a dose-regulated inhaler, the pain and inflammation in his hands have reduced and he has returned to work.

“It’s been really great actually,” he said.

“When the weather changes, arthritis can affect you regardless, but cannabis has worked way better than anything else I’ve taken in the past.”

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Science correspondent Thomas Moore explains how medical cannabis is made

He said having it prescribed gave him greater confidence in what he was taking than buying it illegally on the street.

Not all patients respond so well to the drug. And the Home Office warns regular use of cannabis can lead to dependence and mental health problems.

To try and provide more robust evidence on the use of the drug, Celadon Pharmaceuticals is now starting the first clinical trial of its kind in 5,000 patients with chronic pain.

It grows cannabis plants in special chambers, where light, humidity, temperature and nutrients can be precisely controlled to produce flower buds containing predictable amounts of active compounds.

Unlike other cannabis medicines, Celadon’s plants contain the psycho-active chemical THC, though at levels too low to cause a high.

James Short, the company’s co-founder, said of all the businesses he had set up in his career, Celadon had been the hardest.

“We are a pharma company, not a cannabis company,” he said.

“We’ve got to try and get away from the stigma. When I first got involved in the business I was nervous to even talk about it with friends.

“But our job is not to get people high. It’s to give them a better quality of life.”

Medical cannabis is still controlled by the Home Office as a narcotic.

ADHD patients are self-medicating with cannabis

But for it to be prescribed, it also has to be regulated as a medicine.

“It’s been hard to get them to work together because the regulation wasn’t really baked in correctly,” said Mr Short.

As part of the trial, patients are given ground cannabis buds in a special inhaler that only dispenses the prescribed dose.

The trial has been approved by the Medicines and Healthcare products Regulatory Agency (MHRA) and the NHS Research Ethics Committee.

Approval followed a preliminary study on 500 patients, which showed that cannabis reduced the need for opioid painkillers and improved sleep.

Read more:
Medicinal cannabis ‘safe and effective’ pain relief method for cancer patients
Families urge government to fund medical cannabis research

But it’s far from clear whether even the larger trial will convince medical authorities.

Dr Alan Fayaz, an NHS consultant and a spokesperson for the British Pain Society, said there’s plenty of real-world evidence from patients that cannabis works, but doctors are right to be cautious.

“In the aftermath of what happened with opioids the medical community is understandably a little bit sceptical about introducing a new drug without really robust evidence,” he said.

“The opioid epidemic has perhaps done cannabis a bit of a disservice because it’s tainted ground.”

He said changing the law before there was good clinical evidence of benefit and safety had been detrimental.

“It creates this bizarre two-tiered system which actually doesn’t advantage the patients on the NHS and it doesn’t really advantage the patients in the private sector either.

“I think what we need is the research to be able to identify the role cannabis will play.”

The Home Office said it had asked its expert advisers to assess whether there are any barriers to conducting research on the medical effects of cannabis.

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Scale of billion-dollar money laundering network revealed – as British drug takers warned

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Scale of billion-dollar money laundering network revealed - as British drug takers warned

Britons buying cocaine on a Friday night could be inadvertently funding Russia’s war in Ukraine.

The National Crime Agency has revealed a billion-dollar money laundering network is operating in 28 towns and cities across the UK.

Couriers collect “dirty” cash generated from drugs, firearms and immigration gangs, which is then converted into cryptocurrency.

Officials say these illicit transactions have a direct link to “geopolitical events causing suffering around the world”.

This network was first exposed because of Operation Destabilise – and to date, 128 arrests have been made, with more than £25m in cash and digital assets seized.

A poster put up in motorway service station toilets by the NCA. Pic: PA
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A poster put up in motorway service station toilets by the NCA. Pic: PA

According to the NCA, the enterprise is so prolific that it purchased a bank to facilitate payments that supported Russia’s military efforts and helped sidestep sanctions.

Posters have been put up in motorway service stations to target couriers, which warn it is “just a matter of time” before they will be arrested.

The NCA’s deputy director for economic crime, Sal Melki, has warned the threat posed by this money laundering network is significant.

He added: “Cash couriers play an intrinsic role in this global scheme. They are in our communities and making the criminal ecosystem function – because if you cannot profit from your crimes, why bother.

“They are paid very little for the risks they take and face years in prison, while those they work for enjoy huge profits.”

Mr Melki went on to warn that “easy money leads to hard time” – and earning just a few hundred pounds through laundering could lead to years behind bars.

Sal Melki
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Sal Melki

The NCA says Operation Destabilise has already had an impact in criminal circles, with some members of the network now reluctant to operate in London.

Those involved in the money laundering effort have also started to charge higher fees – reflecting the difficulty of cleaning ill-gotten gains.

Cryptocurrencies are often regarded as a haven for criminals because they are perceived to be anonymous, but it is possible to trace these transactions.

Chainalysis is a company that monitors suspicious activity on blockchains, a type of database that keeps records of who sends and receives digital assets – as well as how much.

Its vice president of communications Madeleine Kennedy told Sky News: “Public blockchains are transparent by design, which makes cryptocurrencies a poor vehicle for money laundering.

“With the right tools, law enforcement can trace illicit funds – whether they’re connected to drug trafficking, sanctions evasion, or cybercrime – and use those insights to disrupt networks and recover assets.”

Read more:
Sky News joins police raid on Turkish barber shop
Crypto scammer jailed after UK’s biggest Bitcoin bust

Ekatarina Zhdanova. Pic: NCA
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Ekatarina Zhdanova. Pic: NCA

Last December, a global investigation led by the NCA smashed two networks whose money laundering activities were prevalent in 30 countries.

Bundles of cash were seized during raids, with detectives describing Smart and TGR as the invisible link between “Russian elites, crypto-rich cybercriminals and drug gangs in the UK”.

One of the network’s ringleaders, a Russian national called Ekatarina Zhdanova, is currently in custody in France and awaiting trial for separate financial offences.

Security minister Dan Jarvis added: “This complex operation has exposed the corrupt tactics Russia used to avoid sanctions and fund its illegal war in Ukraine.

“We are working tirelessly to detect, disrupt and prosecute anyone engaging in activity for a hostile foreign state. It will never be tolerated on our streets.”

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Energy minister says ‘there’s no shortcut’ to bringing down bills – as Ofgem set to announce new price cap

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Energy minister says 'there's no shortcut' to bringing down bills - as Ofgem set to announce new price cap

Households and businesses will have to wait for energy bills to fall significantly because “there’s no shortcut” to bringing down prices, the energy minister has told Sky News.

Speaking as Chancellor Rachel Reeves considers ways of easing the pressure on households in next week’s budget, energy minister Michael Shanks conceded that Labour’s election pledge to cut bills by £300 by converting the UK to clean power has not been delivered.

It comes as the energy regulator Ofgem is set to announce its latest price cap this morning. Analysts expect the cap, which currently sits at £1,755 per year, to fall by 1% for a typical household – leaving energy bills still 35% higher than pre-Ukraine war levels.

The UK has the second-highest domestic and the highest industrial electricity prices among developed nations, despite renewable sources providing more than 50% of UK electricity last year.

“The truth is, we do have to build that infrastructure in order to remove the volatility of fossil fuels from people’s bills,” Mr Shanks said.

“We obviously hope that that will happen as quickly as possible, but there’s no shortcut to this, and there’s not an easy solution to building the clean power system that brings down bills.”

His comments come amid growing scepticism about the compatibility of cutting bills as well as carbon emissions, and growing evidence that the government’s pursuit of a clean power grid by 2030 is contributing to higher bills.

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While wholesale gas prices have fallen from their peak following the Russian invasion of Ukraine in 2022, energy bills remain around 35% higher than before the war, inflated by the rising cost of reducing reliance on fossil fuels.

The price of subsidising offshore wind and building and managing the grid has increased sharply, driven by supply chain inflation and the rising cost of financing major capital projects.

In response, the government has had to increase the maximum price it will pay for offshore wind by more than 10% in the latest renewables auction, and extend price guarantees from 15 years to 20.

The auction concludes early next year, but it’s possible it could see the price of new wind power set higher than the current average wholesale cost of electricity, primarily set by gas.

Renewable subsidies and network costs make up more than a third of bills and are set to grow. The cost of new nuclear power generation will be added to bills from January.

The government has also increased so-called social costs funded through bills, including the warm home discount, a £150 payment made to around six million of the least-affluent households.

Gas remains central to the UK’s power network, with around 50 active gas-fired power stations underpinning an increasingly renewable grid, and is also crucial to pricing.

Because of the way the energy market works, wholesale gas sets the price for all sources of electricity, the majority of the time.

At Connah’s Quay, a gas-fired power station run by the German state-owned energy company Uniper on the Dee estuary in north Wales, four giant turbines, each capable of powering 300,000 homes, are fired up on demand when the grid needs them.

Energy boss: Remove policy costs from bills

Because renewables are intermittent, the UK will need to maintain and pay for a full gas network, even when renewables make up the majority of generation, and we use it a fraction of the time.

“The fundamental problem is we cannot store electricity in very large volumes, and so we have to have these plants ready to generate when customers need it,” says Michael Lewis, chief executive of Uniper.

“You’re paying for hundreds of hours when they are not used, but they’re still there and they’re ready to go at a moment’s notice.”

Michael Lewis, chief executive of Uniper
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Michael Lewis, chief executive of Uniper

He agrees that shifting away from gas will ultimately reduce costs, but there are measures the government can take in the short term.

“We have quite a lot of policy costs on our energy bills in the UK, for instance, renewables incentives, a warm home discount and other taxes. If we remove those from energy bills and put them into general taxation, that will have a big dampening effect on energy prices, but fundamentally it is about gas.”

The chancellor is understood to be considering a range of options to cut bills in the short term, including shifting some policy costs and green levies from bills into general taxation, as well as cutting VAT.

Read more from Sky News:
What deleted post reveals about ‘secret’ plan to end Ukraine war
Starmer preparing for China trip in new year

Tories and Reform against green energy

Stubbornly high energy bills have already fractured the political consensus on net zero among the major parties.

Under Kemi Badenoch, the Conservatives have reversed a policy introduced by Theresa May. Shadow energy secretary Claire Coutinho, who held the post in the last Conservative government, explained why: “Net zero is now forcing people to make decisions which are making people poorer. And that’s not what people signed up to.

“So when it comes to energy bills, we know that they’re going up over the next five years to pay for green levies.

“We are losing jobs to other countries, industry is going, and that not only is a bad thing for our country, but it also is a bad thing for climate change.”

Claire Coutinho tells Sky News net zero is 'making people poorer'
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Claire Coutinho tells Sky News net zero is ‘making people poorer’

Reform UK, meanwhile, have made opposition to net zero a central theme.

“No more renewables,” says Reform’s deputy leader Richard Tice. “They’ve been a catastrophe… that’s the reason why we’ve got the highest electricity prices in the developed world because of the scandal and the lies told about renewables.

“They haven’t made our energy cheaper, they haven’t brought down the bills.”

Mr Shanks says his opponents are wrong and insists renewables remain the only long-term choice: “The cost of subsidy is increasing because of the global cost of building things, but it’s still significantly cheaper than it would be to build gas.

“And look, there’s a bigger argument here, that we’re all still paying the price of the volatility of fossil fuels. And in the past 50 years, more than half of the economic shocks this country’s faced have been the direct result of fossil fuel crises across the world.”

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Britain’s immigration system changes explained amid ‘biggest shake-up’ in 50 years

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Britain's immigration system changes explained amid 'biggest shake-up' in 50 years

They’ve been billed as the “most sweeping asylum reforms in modern times” and the “biggest shake-up of the legal migration system” in nearly 50 years, but how are the UK’s rules actually changing?

One of the biggest changes will impact almost two million migrants already living in the UK while other proposals will affect people who come here in the future.

Here’s how…

How is ‘settled status’ changing?

Until now, migrants who live in the UK have needed to wait five years before they can apply to settle permanently but this qualifying period will double to 10 years – and some people could have to wait even longer.

Almost two million migrants will be affected by the changes.

Those “making a strong contribution to British life” will benefit from a reduced timeframe.

More on Asylum

That means doctors and nurses working in the NHS will be able to settle after five years, while high earners and entrepreneurs may able to stay after just three years.

Migrants who speak English to a high standard and volunteer could also have a faster route to settlement.

NHS doctors and nurses will be eligible for settled status in five years still. Pic: iStock
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NHS doctors and nurses will be eligible for settled status in five years still. Pic: iStock

At the other end of the scale, low-paid workers will be subject to a 15-year wait.

With this, the government is explicitly targeting the 616,000 people and their dependents who came to the UK on health and social care visas between 2022 and 2024 – the so-called “Boriswave”.

The government is going further still in targeting migrants who rely on benefits, quadrupling the current wait to 20 years.

There are also plans to limit benefits and social housing to British citizens only.

And though recognised refugees who came to the UK legally will still be eligible for public funding, they too will be subject to the 20-year timeframe.

How will asylum rules change?

Inspired by immigration policy in Denmark, refugee status will become temporary, lasting only until it’s safe for the person in question to return home.

This means that asylum seekers will be granted leave to remain for 30 months, instead of the current five years, with the period only extendable if they still face danger in their homeland.

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Home secretary sets out migration rules

However, refugees will be eligible to settle sooner if they get a job or enter education “at an appropriate level” under a new “work and study” visa route, and pay a fee.

The government also plans to revoke its legal duty to support asylum seekers who would otherwise be destitute, a measure it says was introduced to comply with EU laws which Britain is no longer bound by.

Instead, support will be discretionary, and some people will be excluded – such as criminals, those who refuse to relocate, those who can work but won’t, those who are disruptive in their accommodation, and those who deliberately make themselves destitute.

Additionally, asylum seekers who have assets or income will be required to contribute to the cost of supporting themselves.

What about illegal migrants?

Meanwhile, illegal migrants and those who overstay their visas face a wait of up to 30 years before qualifying for permanent settlement.

But plans to bar criminals from settlement are still being figured out, with the government saying “work will take place to consider the precise threshold” at which someone is ineligible.

“The reforms will make Britain’s settlement system by far the most controlled and selective in Europe,” according to the government.

Alongside the new measures, plans are afoot to boost the number of migrants being removed from the UK.

People thought to be migrants onboard a small boat in Gravelines, France. Pic: PA
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People thought to be migrants onboard a small boat in Gravelines, France. Pic: PA

What about illegal migrants who are already here?

A “one in, one out” agreement is already in place with France, under which those who cross the channel illegally are to be sent back, with Britain accepting instead a “security-checked migrant… via a safe and legal route”.

“This pilot is under way, and the government is working in partnership with French on expansion,” according to the government.

Furthermore, refugees will not have automatic family reunion rights, and the removal of families of failed asylum seekers is to be stepped up.

Read more:
Countries facing Trump-style visa ban under asylum reforms
Why Labour MPs are uncomfortable with the new asylum approach

Perhaps controversial are plans to offer financial support to those who agree to go voluntary.

The government argues this is “the most cost-effective approach for UK taxpayers and we will encourage people to take up these opportunities”.

Sanctions will also be imposed on nations that fail to cooperate on the return of their citizens, including suspending visas for that country.

And for those who are refused refugee status, the appeals process is to be streamlined, with one route of appeal, judged by one body, requiring applicants to make all their arguments in one go, instead of making multiple claims.

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Inside Britain’s asylum seeker capital

Human rights legislation will be reformed too, in a bid to reduce legal challenges to deportations.

Finally, the number of arrivals accepted through “safe and legal routes” will be capped, “based on local capacity to support refugees”.

The reforms will not apply to people with settled status, and there will be a consultation on “transitional arrangements” in some cases.

The five-year wait for immediate family members of UK citizens remains unchanged, as it does for Hong Kongers with British national (overseas) visas.

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