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Rising ketamine abuse among young people sparks concern

Experts report a rising trend of youth using the substance, which can have severe consequences for their health.

An article about the dangers of ketamine addiction is being read by Jane.

A treated image of a person holding zip lock bag of ketamine

At Burnley General Hospital's urology department, a 26-year-old patient, known as Ryan, is undergoing a procedure to manage his ketamine bladder condition. The treatment involves inserting a drug solution through a catheter, which will help alleviate his symptoms, although it won't completely reverse the damage caused by his previous ketamine addiction.

Ketamine, a licensed medical drug and powerful anaesthetic, can cause severe and potentially permanent bladder damage when misused. Ryan's medical team is also monitoring him for signs of kidney failure. Despite his health concerns, including frequent urination and blood in his urine, Ryan remains stoic about his situation.

Ryan emphasizes the lethal nature of long-term ketamine addiction, stating that it is impossible to be addicted to the drug for 30 years and survive.

Consultant urologist Haytham Elsakka, who is treating Ryan, reports a rise in young patients suffering from ketamine-related bladder damage. According to Dr Elsakka, most of these patients are between 16 and 24 years old, and approximately half of them require surgery. Other potential risks associated with recreational ketamine use include liver failure, urethral damage, incontinence, and impotence.

Abigail Wilson, lead clinical pharmacist at the charity WithYou, notes that some young people under 25 have experienced complete loss of bladder control, requiring surgical intervention, including bladder removal.

In the Burnley area, Ryan is not an isolated case. Lancashire County Council is providing support to a growing number of families affected by ketamine addiction. The charity WithYou, which operates a ketamine support service for young people aged 11 to 24, has seen a significant increase in the number of individuals seeking help in Lancashire, from 32 in 2018-19 to 123 by the end of 2024.

An image of the town of Burnley
Lancashire County Council says it is supporting a growing number of families affected by ketamine addiction in the Burnley area

Nationally, the number of under-18s entering drug treatment for ketamine-related issues rose from 335 to 917 between 2020-21 and 2023-24, according to the National Drug Treatment Monitoring System.

A 2023 survey of over 13,000 secondary school students in England found that 11% of 15-year-olds had been offered ketamine at some point. The same study, conducted for NHS England, revealed that ketamine use among schoolchildren has more than doubled in the last decade, increasing from 0.4% in 2013 to 0.9% in 2023.

The death of actor Matthew Perry, where ketamine was found to be the primary cause, highlighted the dangers of the drug. Experts have noted that ketamine's popularity has grown among Hollywood celebrities, leading to an increased demand for the substance.

In the UK, ketamine has also become a popular drug among young people, often perceived as a social and relatively safe way to get high. However, the reality is that ketamine is highly dangerous, and its use can have severe consequences.

Following its reclassification from Class C to Class B in 2012, the UK government is now considering further reclassification of ketamine to Class A, which would carry a life sentence for suppliers.

Matthew Perry with his arms up in the air
Ketamine gained attention after the death of Friends actor Matthew Perry, with a coroner ruling it as the primary cause

However, some experts question the effectiveness of reclassification in addressing the issue, as opinions on the matter are divided.

In September 2023, a 16-year-old boy named Preston McNally took ketamine with friends in Burnley, leading to a tragic accident where he fell into a canal and drowned.

The coroner's report concluded that Preston's death was caused by ketamine intoxication. It was also revealed that he had expressed a desire to quit using the drug before his death.

Community leaders, such as Fr Alex Frost from St Matthews Church in Burnley, are well aware of the scale of the problem, with many parents expressing concerns about the widespread availability of ketamine in schools and parks.

Lancashire Police have reported a significant increase in recorded offences related to ketamine possession and supply, with a rise of nearly 70% from 54 in 2023 to 91 in 2024. Insp Matt Plummer notes that the uptick in use, particularly among children, has been observed over the past 12 months, often without parental knowledge.

Initially associated with the club scene, ketamine use has evolved, with evidence suggesting that it is now being used by school-aged children in social settings, such as parks or at home.

A shot of a pile of ketamine powder, with a needle behind it
Once known as a party drug linked to club culture, ketamine use now appears to be shifting

According to a 2024 report, young people often use ketamine to self-medicate for unmet mental health needs, such as anxiety and trauma, rather than solely for recreational purposes.

A mother, who wishes to remain anonymous, shared her experience of discovering her 14-year-old daughter's ketamine addiction after the girl ended up in hospital with severe stomach cramps.

The daughter, known as Lexi, was introduced to ketamine by a friend at secondary school. Despite initial reservations, Lexi began using the drug, which was easily accessible and affordable.

Lexi recalls that she knew ketamine was illegal and a horse tranquiliser but felt pressured to fit in with her peers. She did not fully understand the risks associated with the drug.

The affordability of ketamine, which can be purchased for £15 to £30 per gram, has contributed to its widespread use among young people in Burnley.

Friends often pool their money to buy the drug, which is then shared among them.

An array of drugs
Many young people are turning to ketamine because it is affordable and easy to buy, according to Lexi

To fund her habit, Lexi would ask her mother for small amounts of money or steal from her. Her mother, Claire, was unaware of Lexi's addiction until she ended up in hospital.

Abigail Wilson from the WithYou charity notes that many young people mistakenly perceive ketamine as a lower-risk drug, which can lead to rapid escalation of use.

At lower doses, ketamine can produce effects similar to alcohol, but its effects wear off quickly, often prompting users to take more to maintain the high.

Aaron, a young man from a town near Burnley, began using ketamine at 16 and quickly found himself taking large amounts, spending £200 per month on the drug.

Higher doses of ketamine can cause a state known as a K-hole, characterized by detachment from reality and paralysis.

The psychological impact of ketamine use can be severe, with users often experiencing trauma and engaging in self-harm. Lexi, who is receiving support from the WithYou charity, has experienced both.

When under the influence of ketamine, users are extremely vulnerable, as Lexi discovered when she was a victim of sexual assault while high.

Some families of ketamine addicts advocate for the drug to be reclassified as Class A, but this could lead to increased stigma and reduced willingness to seek help among young users.

The government is currently seeking expert advice on whether to reclassify ketamine. Policing minister Dame Diana Johnson acknowledges the dangers of the drug and the need for evidence-based decision-making.

Families in the Burnley area are calling for increased support and action to address the ketamine epidemic, which they believe requires a comprehensive approach.

Father Alex Frost
Families in Burnley are calling for more support to tackle what Fr Frost describes as a ketamine "epidemic"

Lancashire County Council has stated its commitment to supporting children and young people affected by ketamine use, pledging to continue working to address the challenges posed by the drug.

However, some experts and frontline workers doubt that increased enforcement will be effective in solving the issue.

Insp Matt Plummer notes that arresting individuals for ketamine possession will not address the underlying problems, as it is often a symptom of deeper issues, such as unmet mental health needs.

Experts like Prof Ralphs question the effectiveness of reclassification, citing the lack of impact from the previous change from Class C to Class B and the potential for increased stigma.

As the long-term effects of ketamine use on young people remain unknown, community leaders and families are urging for immediate action to prevent further suffering.

Lexi, who has been working to overcome her addiction, says she is trying to move forward with her life and has not used ketamine since her hospitalization.

Overcoming her dependence on the drug remains a challenge. Although she is determined to avoid ketamine in the future, she acknowledges that the temptation to use it again is a constant presence in her life.

For those who have been impacted by the topics discussed in this article, resources and support are available through the BBC Action Line.

The image at the top of this page is courtesy of Getty Images.

Health

Study Explores if Brain Stimulation Can Reduce Selfish Behavior

Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.

Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

The image shows a brain scan seen from the dront of the head. The lobes of the brain are artifically coloured in bright red and you can see the pink outline of a person's skull around the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.

The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.

According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.

Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.

The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.

Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.

However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.

Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.

This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

A participant receiving non-invasive brain stimulation during an experiment in a laboratory setting. The volunteer sits in the foreground with another person, whose hands can be seen, holding a scanning device over the person's head. A scan of their brain is visible on a screen behind.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.

These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.

When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.

The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.

One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.

The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.

The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.

Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.

Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.

By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.

Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.

The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.

Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.

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Health

NHS Workers to Receive 3.3% Pay Increase

Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.

The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

Nurses on a ward, checking patient notes

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.

Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.

However, several health unions have expressed disappointment with the announced pay award.

Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.

Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."

She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."

Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.

The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".

Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."

Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."

"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.

In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.

A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."

The pay increase is expected to be implemented by the start of April.

However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.

The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.

Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.

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Health

NHS Waiting List Hits Three-Year Low

In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.

England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

A group of surgeons operating on a patient in theatre

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.

However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.

In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.

This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.

According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.

Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.

Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.

Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.

Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.

Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".

Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.

Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.

A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.

Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.

According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.

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