There are several inaccuracies in the piece by Owen Dyer.
Firstly the Stapleford Clinic has never prescribed heroin as no Dr
there has a home office license to prescribe diamorphine.
Secondly the case is not about methadone maintenance as the charges
relate to inadequate supervision, inadequate record keeping, inadequate
contact with GPs and others, irresposibly large doses and dangerous
detoxification procedures, with one death being cited.
Thirdly, methadone maintenance is the accepted treatment nodality in
the NHS and is advocated in the national clinical guidelines. There are a
few areas that still do not offer it but they are coming under heavy
pressure from the National Treatment Agency. The recommended doses are
possibly lower than in the Stapleford clinic but they are in line with
Competing interests: No competing interests