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INTERNATIONAL DOCTORS FOR HEALTHIER DRUG POLICIES 
Action Summit on Naloxone 
Increase the use of Naloxone in reducing opi...
Agenda 
10:00 Introduction to summit Chris Ford 
Setting scene 
10.05 History of naloxone use in UK John Strang 
10.15 Whe...
1. What is the availability of naloxone in 
your area? 
•Marked variation 
–total provision (Scotland, Birmingham, 
Leices...
2. What have been the main drivers for 
the availability? 
• Reducing DRD’s 
– Reducing DRD is a Scottish Government prior...
3. What have been the positive outcomes 
in the community of the naloxone 
programmes? 
• Hundreds of lives potentially sa...
4. What are the main barriers locally and 
nationally? 
• Locally 
– Lethargy, stigma, lack of understanding and knowledge...
5. Have you found something that needs to be 
improved or could be managed better? 
• Make naloxone and training available...
6. What do you hope might be 
outcomes from the day? 
• Formulate an “Action Plan” as to how things can be 
taken forward ...
Runs the biggest drug survey in the 
world. 
• GDS 2012 : 15,500 
• GDS 2013 : 22,000 
• GDS 2014 : 
78,800 
9 languages 
...
Injecting drug use section in 
GDS2015 
• Developed in collaboration with the 
international injecting community 
• Will m...
INTERNATIONAL DOCTORS FOR HEALTHIER DRUG POLICIES 
Now time to do the work! 
Dr Chris Ford 
chris.ford@idhdp.com 
www.idhd...
Welcome & answers on naloxone availability, Chris Ford
Welcome & answers on naloxone availability, Chris Ford
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Welcome & answers on naloxone availability, Chris Ford

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Welcome & answers on naloxone availability, Chris Ford

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Welcome & answers on naloxone availability, Chris Ford

  1. 1. INTERNATIONAL DOCTORS FOR HEALTHIER DRUG POLICIES Action Summit on Naloxone Increase the use of Naloxone in reducing opioid deaths Dr Chris Ford, Clinical Director IDHDP October 27th 2015 Physicians globally unite for health based drug policy
  2. 2. Agenda 10:00 Introduction to summit Chris Ford Setting scene 10.05 History of naloxone use in UK John Strang 10.15 Where are we in England now John Jolly 10.25 Update from PHE Steve Taylor Examples of good practice 10:35 How Scotland did it Kirsten Horsburgh 10.45 What can we learn from Wales Rhian Hills 10.55 Birmingham – how achieved & lessons learnt Judith Yates 11.05 Discussion 11:30 Coffee Action Plan 11.45 Role of user activism Kevin Jaffery 11.55 Role of training Elsa Browne 12.05 Using legal challenges Kirstie Douse 12.15 Discussion and formulating the Action Plan 12:55 Summing up, electing action group to take forward and timeline 13:00 Close main meeting Meeting action group >14.00
  3. 3. 1. What is the availability of naloxone in your area? •Marked variation –total provision (Scotland, Birmingham, Leicestershire) –Minimal informal through peers –nothing
  4. 4. 2. What have been the main drivers for the availability? • Reducing DRD’s – Reducing DRD is a Scottish Government priority • Belief in the evidence that it works and that lives are being lost which could be saved • Need to provide for PUDs safety • Tenacity of individuals • Working together e.g. monthly naloxone meeting with service leads • For unavailability: – ambivalence from the commissioners and prescribers
  5. 5. 3. What have been the positive outcomes in the community of the naloxone programmes? • Hundreds of lives potentially saved • Avoid brain damage following non-lethal OD • PUD’s proud to be part of the solution • Reduces stigma, increases self-worth • All involved, working together: Drug workers, GPs, police • Improves relationships with health services • Keeps overdose prevention a priority
  6. 6. 4. What are the main barriers locally and nationally? • Locally – Lethargy, stigma, lack of understanding and knowledge – Staff willingness, competing priorities – Lack of GP prescribing – Confusion on who holds medication • Nationally – Postcode lottery being allowed to develop – Lack of clear guidelines or instructions from the center – Confusion about the MHRA consultation and the October 2015 date – Awareness and funding
  7. 7. 5. Have you found something that needs to be improved or could be managed better? • Make naloxone and training available to all people who might be present at OD, GP, drug services, police, hostels, community services, family members, carers, prison, probation service • Prescribers of OST – need to prescribe naloxone • Better understanding from PHE and commissioners on its importance • Need access naloxone to those not in drug treatment – Need to be make this standard practice in PC and secondary care – Needs widespread availability through Needle Exchanges/Pharmacies • Ambulance service – need to change operator script via NHS Pathways nationally, happening locally, need nationwide • Better presentation of the evidence, the arguments for and against (including dispelling the myths that remain), and the costs. • Co-ordination needed between community services, with prison programmes
  8. 8. 6. What do you hope might be outcomes from the day? • Formulate an “Action Plan” as to how things can be taken forward so we can get national coverage for naloxone • Clear actions / steps at a national level – with PHE and DoH buy-in • Promote much wider provision in England • Promote training and provision to all • Leave feeling confident that lots can be done now to provide naloxone and it doesn’t need to be resource intensive • Get it as part of normal practice in our areas and better directive of what is possible
  9. 9. Runs the biggest drug survey in the world. • GDS 2012 : 15,500 • GDS 2013 : 22,000 • GDS 2014 : 78,800 9 languages • GDS 2015 target 130,000 12 languages
  10. 10. Injecting drug use section in GDS2015 • Developed in collaboration with the international injecting community • Will map the following around the world Access to naloxone Groin and neck injecting Being injected by others Access to clean injecting equipment Last year overdose experience Launches Nov 10th https://www.globaldrugsurvey.com/GDS2015
  11. 11. INTERNATIONAL DOCTORS FOR HEALTHIER DRUG POLICIES Now time to do the work! Dr Chris Ford chris.ford@idhdp.com www.idhdp.com Physicians globally unite for health based drug policy

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