1. According to the National Drug Treatment Monitoring System (NDTMS), how many opiate clients were in treatment between 31st March 2016 and 1st April 2017?
Don’t know; x
Number of opiate clients in treatment:
Don’t know. Devon County Council do not hold this information, this is restricted data held by Public Health England and therefore unavailable.
2. According to the Office for National Statistics (ONS) and/or Coroners statistics, how many deaths related to drug poisoning (as defined by the International Classification of Diseases, ICD-9 and ICD-10) were registered in 2015 where any opioid was mentioned on the death certificate?
Number of opioid poisoning deaths: 26 confirmed at inquest
3. Is Take-home Naloxone (THN) currently provided?
If THN is currently provided, please proceed to respond to Questions 4-14.
4. Was the term ‘Naloxone’ included in the most recent tender document when commissioning for any drug and/or alcohol services?
5. Who is responsible for purchasing Naloxone? Please select all that apply:
Local authority commissioner;
Clinical Commissioning Group (CCG) commissioner;
Commissioned drug service(s) through start-up funding. x
Other. Please specify:
6. How many Naloxone kits were purchased by responsible persons/bodies (see Question 5) in each financial year since 2014/15?
Between 1st April 2014 and 31st March 2015:
Between 1st April 2015 and 31st March 2016:
Between 1st April 2016 and 31st March 2017:
The scheme started at the end of February 2017 therefore we do not hold information for the years above.
7. Are there any concrete plans to repurchase Naloxone in the next financial year (between 1st April 2017 and 31st March 2018)?
8. Who is currently directly providing Take-home Naloxone (THN) kits? Please select all that apply:
An NHS body;
Pharmacy/ies providing drug treatment services;
Drug service(s), including needle syringe programmes (NSP) and opiate substitution therapy (OST) prescribing; x
Local police force(s);
Other. Please specify: Commissioned adult drug service – Devon RISE (Addaction)
9. Have THN providers received training on how to train THN recipients to administer Naloxone?
If such training has been provided, please proceed to respond to sub-questions a-b. Page 2 of 2
a. Which groups received such training? Please select all that apply:
Commissioned drug service employees; ALL RISE staff have undergone training
Family member(s), friend(s) of and/or carers for at-risk individuals;
Not applicable – no training was coordinated;
Other. Please specify: Other organisations have received/will receive training on how to administer THN but not to train others as not commissioned drug services and therefore not able to directly proved kits
b. Which organisation(s) and/or individual(s) delivered such training? Please select all that apply:
Martindale Pharma; Initially
Naloxone Advisory Group;
Other. Please specify: From Martindale initially and then Harm Reduction leads in the Commissioned service
10. Who is currently provided with THN kits? Please select all that apply:
People who use drugs;
Opiate Substitution Therapy (OST) patients; x
Clients accessing needle syringe programmes (NSP);
Clients in residential drug treatment services;
Clients in (other) commissioned drug services; x
Family member(s), friend(s) of and/or carers for at-risk individuals x
Other. Please specify:
Rough sleepers/street homeless,
People in supported accommodation/vulnerably housed,
Young carers and will include other priority groups such as those with complex needs including alcohol use
11. Do individuals eligible to receive THN kits (see Question 11) have to fulfil any requirements in order to receive THN kits? Please select all that apply:
Referral to a THN provider; x
Booking and attending an appointment with a THN provider;
Assessment with a THN provider;
Completion of training on Naloxone administration delivered by a THN provider; x
Safe storage of THN (particularly if no fixed abode, non-secure or temporary residence);
Other. Please specify:
12. What is the maximum number of THN kits an individual can receive at the point of access, if any?
There is no maximum number of THN kits an individual can receive at the point of access; x
The maximum number is: Usually one but no limit set
13. How many THN kits were dispensed in the community in each financial year since 2014/15?
Between 1st April 2014 and 31st March 2015: Not held
Between 1st April 2015 and 31st March 2016: Not held
Between 1st April 2016 and 31st March 2017: Roll out started February 2017
14. What recording and/or monitoring practices have been put in place regarding Naloxone, if any? Please select all that apply:
Purchasing is recorded; x
Provision is recorded; x
Administration of Naloxone to prevent opioid overdose is recorded; x
Expiry dates of purchased Naloxone is recorded and monitored; x
Other. Please specify: HALO case management system Naloxone form and Addaction protocols including resupply and monitoring of ‘near misses’