Marjorie Pringle, 74, of Sunderland, has not felt this good in years. ‘I laughed so hard I forgot my knees hurt,’ she says, clutching a silver canister labelled ‘Whipped Cream Charger’. She has replaced her blood pressure tablets with nitrous oxide, after a Facebook post in the group ‘Sunderland Grannies Unite’ claimed the gas ‘relaxes the arteries and lifts the spirits’. Her daughter, Sharon, 51, found her mother on the kitchen floor, giggling at a photograph of a cat. ‘She said her doctor was a quack and this was the real medicine.’ Dr. Anil Mehta, her GP of 22 years, says he has never seen a patient ‘so serene and so profoundly unwell’.

A trust in crisis finds a silver lining

The Sunderland NHS trust, facing a £2.3 million deficit, sees an opportunity. In a leaked internal memo, chief executive Alan Dobson writes: ‘Patient Pringle’s case offers a unique pathway to reduce pharmaceutical spend. Nitrous oxide is cheap, cheerful, and, crucially, not on any formulary.’ Within a week, the trust launches a pilot scheme, ‘Nitrous Oxide for Seniors’, offering free canisters to patients over 70 with hypertension. The Sunderland City Council’s health committee approves the scheme by a 3-2 vote, with chair Councillor Brenda Whitfield, 68, declaring: ‘This is about patient empowerment. If my nan wants a laugh, who am I to say no?’ Dr. Mehta resigns from the committee, saying he ‘cannot in good conscience prescribe party gas to people with heart conditions’. He is replaced by a locum who once sold aromatherapy oils.

A river, a laugh, and a cautionary tale

The scheme collapses on a damp Tuesday morning. Pringle is found near the River Wear, where three teenagers died after a car plunged into the water in September 2026. She is sitting on a bench, inhaling from her canister, and laughing so hard she cannot stand. A passerby, 19-year-old Callum Dixon, who was laying flowers for the victims, calls the police. ‘I thought she was having a fit,’ he says. ‘Then I smelled the gas and thought, is that a party?’ Pringle is arrested for ‘disorderly conduct’ and her canister is confiscated. At the station, she tells officers: ‘I feel fantastic. I’ve never been so relaxed. My husband left me in 1998 and I haven’t laughed since.’ The trust issues a statement blaming ‘miscommunication’ and suspends the scheme. Councillor Whitfield, however, is quoted as saying: ‘The scheme was a success. It brought joy to the community. The police are just jealous.’

The waiting list is long, but the gas is cheap

Pringle is now on a waiting list for a hip replacement, which she says she can ‘wait for, because I’m laughing through the pain’. She has been banned from the local community centre for ‘inappropriate giggling’ during a bingo session. The police have returned her canister, but only after she signed a form agreeing not to use it ‘within 500 metres of a waterway’. Dr. Mehta, now back on the committee, has prescribed her a course of brisk walks and a reduction in eggs. ‘I’ve told her to walk to the coast and back, twice a week,’ he says. ‘If she laughs, she laughs. But at least she’ll be moving.’ Pringle, however, has other plans. She has ordered a bulk pack of 50 canisters from an online party supplies shop, and is considering a new hobby: ‘Laughing at the telly. It’s cheaper than the funeral.’