I got two rather bemusing emails today. The first was the party’s official line on what our reaction to the Science and Technology Select Committee’s report on homeopathy is. The second one was to inform me that, five hours later, it has been rescinded. I can see why.
The line (and this is not a secret – PPCs were expected to parrot this word for word to the public) was as follows:
As you may be aware, a recent report by the House of Commons Science and Technology Committee recommended that the NHS stops paying for the provision of homeopathy. This is a decision which I fundamentally disagree with.
The NHS in England currently spends around £10 million every year on homeopathy, we believe that this should continue.
The Liberal Democrats support a review by NICE into the clinical effectiveness of all Complementary and Alternative (CAMs) therapies. It is important to note that there is extensive evidence on the value to patients of CAMs and extensive support amongst patients for their continued use on the NHS.
While the Science and Technology Committee were right to recognise there are some conditions for which CAMs are wholly inappropriate, the measured introduction of treatment with CAMs therapies at primary care level has the potential to reduce expensive secondary referrals and/or long term expensive drug therapy in a range of conditions. The value of CAMs treatments as secondary treatments also needs to be recognised.
The use of CAMs on the NHS must be subject to the same checks and balances as other NHS services, which is why we support the statutory regulation of CAMs practitioners by the Health Professionals Council. This is a vital step to ensure that standards are maintained and patients are protected from misleading claims by practitioners.
What I find really odd about this response is that the select committee were calling for “CAMs” to be subject to the same checks and balances as established medicine, and did support NICE investigating this – thus far NICE themselves have resisted this. The report notes “we cannot understand why the lack of an evidence base for homeopathy might prevent NICE evaluating it but not prevent the NHS spending money on it”.
Norman Lamb needs to make his mind up. He can’t call for established medicine and its alternative to be treated in the same way, and then protest when it is. If the evidence of the efficacy of “CAMs” (and note how this muddies the water by not talking about homeopathy in isolation – presumably he feels the point becomes stronger the more you dilute the argument) is so “extensive”, then where is it and why were Phil Willis et al unable to uncover it?
It all seems a bit rum. Hopefully they’ll have sorted out the party line by the end of the weekend. But what I really don’t understand is why it was, if Norman Lamb feels so strongly about this, he didn’t put out a press release earlier in the week and argue his case? He’d certainly have got a lot of media attention.
UPDATE: Norman Lamb has finally reissued his position on homeopathy, which can be read here.