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9 min read
Lucy MacKinnon
The global medical cannabis industry is experiencing seismic shifts as countries around the world reevaluate their regulatory frameworks and policies.
The United Kingdom (UK), traditionally known for its stringent drug laws, has also been swept up in this wave of change, legalizing medical cannabis in November 2018. This pivotal decision sparked conversations about the United Kingdom's potential role in the burgeoning medical cannabis market, particularly with regard to exports.
Medical cannabis will be celebrating its sixth birthday in Britain later this year, but did you know that ever since 2016, the UK has persistently ranked as the world's largest cannabis exporter?
Although it was illegal for citizens to possess or cultivate cannabis for any purpose under the 1971 Misuse of Drugs Act, it has been reported that 95 tonnes of cannabis were legally grown and harvested by pharmaceutical companies on British soil to be exported around the world in 2016. Five years later in 20 21, production rates were estimated to have risen to around 59 hectares, or 329 tonnes, over two-thirds of which was internationally exported.
So, how much cannabis does the UK export? Let’s dive into the legal landscape, global cannabis exports, and the important role our small island holds in global medical cannabis markets.
In 1998 GW Pharmaceuticals became the first company to successfully secure a licence from the Home Office and the Medicines and Health Regulatory Agency (MHRA), giving them permission to cultivate cannabis to investigate the plant's potential medicinal value. At the time, cannabis was still strictly illegal in the UK, but by 2003 GW Pharmaceuticals had permission to produce Sativex - a cannabis-based drug designed to treat spasticity in patients with multiple sclerosis.
Despite being pioneers in the UK, GW Pharmaceuticals faced many hurdles on its journey to make Sativex available to patients. Due to the legal status of cannabis in the UK, the biotech company was unable to market in the same country it had been produced, so they turned to international markets, bringing Britain into the cannabis export industry. By 2011, GW Pharmaceuticals were producing around 20 tonnes of cannabis every year. By 2016, Sativex had been approved in 28 different countries, and GW Pharmaceuticals was estimated to be worth over £1.35 billion.
During 2017 and 2018, advocacy groups, politicians, and international experts appealed to the British government to reconsider their stance on medical cannabis, captivating the mass media. In 2018, it was revealed that Theresa May, who at the time was serving as the British Prime Minister, may have financially benefited from the regulation of cannabis as her husband was a major shareholder in GW Pharmaceuticals – now known as Jazz Pharmaceuticals.
Around six months before the legalisation of medical cannabis, Transform’s Senior Policy Analyst Steve Rolles highlighted the hypocrisy in this, saying:
“It is scandalous and untenable for the UK government to maintain that cannabis has no medical uses, at the same time as licensing the world’s biggest government-approved medical cannabis production and export market”.
In June 2018, British Home Secretary Savid Javid announced that the government would review the scheduling of cannabis-related medicines and in November 2018, following recommendations from their Chief Medical Advisor, Dame Sally Davies, the British Government announced the legalisation of medical cannabis.
Each year, the International Narcotics Control Board (INCB) conducts a report detailing the international availability of controlled substances in countries all over the world. According to their data, the United Kingdom was the largest producer of cannabis in the world, producing over 329 tonnes in 2021 alone.
Cultivation and production of cannabis in the United Kingdom from 2017-2021
| 2017 |
37.9 hectares |
258.4 tonnes |
| 2018 |
21 hectares |
217.2 tonnes |
| 2019 |
34.5 hectares |
350.3 tonnes |
| 2020 |
33.8 hectares |
238.6 tonnes |
| 2021 |
58.9 hectares |
329.1 tonnes |
During 2020 it is believed that a total of 650.8 tonnes of medicinal cannabis was grown around the world, of which the largest proportion (36%) was produced in the United Kingdom. Canada secured the second spot, producing around 227.8 tonnes in 2020, whilst the Netherlands is only reported to have produced around 6 tonnes.
In 2021, the UK continued to dominate the market and produced 43% of the cannabis that had been declared to the INCB, followed by Italy and Israel, responsible for 19.7% and 11.7% of all global medicinal cannabis production respectively.
Despite extensive cultivation on British soil, according to The UK Cannabis Report in 2019, all the cannabis-based medicines available to eligible patients in the UK had been imported from abroad. The report explains that this is because the licences approved for cannabis production in the UK ensure that the harvested plant is used in the production of licensed pharmaceuticals such as Sativex, as opposed to unlicensed forms of medical cannabis such as flowers, and so over two-thirds of the cannabis produced in 2021 was exported abroad.
In the 2023 European Cannabis Report, also conducted by Prohibition Partners, it was found that although 35.1% of cannabis extracts available in the United Kingdom were formulated or manufactured into products within the UK, the majority of these extracts were cultivated in countries like Denmark (19.6%), North Macedonia (17.5%), Australia (15.5%), and Portugal (12.4%).
The flourishing UK cannabis export industry has the potential to make waves in domestic cannabis production and beyond.
Further growth in the medical cannabis export market will lead to the creation of a huge range of jobs and foster the growth of a new sector within the UK economy. From cultivation to distribution, research and development, and even insurance and legal services, the cannabis industry has the potential to be a significant supporter of employment in the UK that contributes to the country's economic vibrancy.
The newfound opportunities also extend to UK farmers and cannabis producers. With the right support and incentives, these stakeholders can benefit from the up tick in demand, turning what was once an underground commodity into a legitimate and lucrative agricultural product.
The boost in economic activity could fuel greater investment in cannabis research and development. The UK's strengths in scientific research could be harnessed to innovate in medical applications, leading to breakthroughs in cannabis-based treatments and therapies
Looking ahead, the future of the UK's medical cannabis export market is brimming with potential.
Global demand for medical cannabis is on an ever-increasing upward trajectory, with a projected CAGR that indicates significant growth potential. The UK's commitment to quality and innovation positions it favourably for a slice of this thriving market.
The success of the UK's medical cannabis export market will determine its place in the international trade arena. By establishing a reputation for reliability, integrity, and superior products, the UK can become a key exporter in the rapidly expanding medical cannabis domain.
The UK's involvement in the medical cannabis export market was largely influenced by GW Pharmaceuticals' success in obtaining a licence to cultivate cannabis for medicinal research in 1998. This paved the way for the UK to become a key player in the global cannabis export industry
Despite the legal restrictions on cannabis within the UK, the country has emerged as a leading cannabis exporter due to pharmaceutical companies legally growing and exporting cannabis. The legalisation of medical cannabis in 2018 further impacted this, though the majority of produced cannabis is still exported.
The future looks promising for the UK's medical cannabis industry. With its commitment to quality and innovation, and the global demand for medical cannabis rising, the UK is well-positioned to expand its role in the international market.
Although the UK is one of the largest producers of medical cannabis in the UK, due to strict industry regulations and a lack of standards amongst unlicensed cannabis products in the UK manufacturing, the majority of its cultivated cannabis is sold to the international market and exported abroad, an operation style industry experts have described as 'an anomaly’.
Either way, medical cannabis is here in the UK, and it is here to stay. Medical cannabis is showing huge potential in treating a variety of conditions, and it looks like the UK is ready to take on its rightful place amongst established medical cannabis markets.
From production licences and export regulations, to domestic access points and product availability, the UK’s approach to medical cannabis is ever-evolving and so too are its players - with new companies entering the market all the time.
As the UK sets out on its journey to establishing a multi-billion pound medical cannabis industry, one thing is clear: the future for medical cannabis in the UK looks promising.
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Am I eligible?With five years of journalism and healthcare content creation under her belt, Lucy strives to improve medical cannabis awareness and access in the UK by producing high quality, credible content.
All of our articles are written by medical cannabis experts, guided by strict sourcing guidelines, and reference peer-reviewed studies and credible academic research. Our expert clinical team and compliance specialists provide valuable insights to ensure accuracy when required. Learn more in our editorial policy.
Need more help?
On the 1st of November 2018, medical cannabis was legalised in the United Kingdom following advice given by the Government’s Chief Medical Advisor, Dame Sally Davies. Strict restrictions were imposed around the classification of cannabis-based products for medicinal use in humans (CBPM), as well as the prescription and dispensing of medical cannabis.
Lucy MacKinnon
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Sam North
When prospective patients start to explore the world of medical cannabis, pricing strategies or how much medical cannabis costs are often at the forefront of their minds. This is completely understandable considering that to establish whether medical cannabis may be the right option for you, you need to know if it's within your budget, and therefore, the price of medical cannabis in the UK.
Lucy MacKinnon
