The supervised Consumption of Opiate Substitute Medication Specification
All referrals under this contract must come from Hackney drug treatment service providers for example:
- Community Drug Service – Lifeline Project LTD https://www.lifelineprojecthackney.com
- Complex Needs Team (formerly Specialist Addiction Unit) – East London NHS Foundation Trust
- Drug Intervention Programme – Westminster Drug Project
The aim of shared care is to ensure the safe, effective and equitable management of drug using patients within a shared care prescribing arrangement.
The key service providers in shared care are prescribers, community drug services and pharmacists.
- New patients prescribed substitute medication should be required to take their daily doses under the direct supervision of a professional for a period of time that may be around three months, subject to the assessment of patient’s compliance and individual circumstances.
- The daily treatment of drug users is the daily contact they have with the service users and their ability to monitor and offer on general health and well being.
- The service aim is to support all drug users in complying with their medication regime.
- All service users will have to sign an agreement with their treatment provider concerning the supervised consumption of medication.
Treatments included are as follows:
- • Methadone that should be consumed directly from the bottle or poured into a disposable cup
- Buprenorphine should be placed in the mouth under the tongue and that the dose has been absorbed beyond state of retrieval.
- Suboxone – sublingual absorption that takes 5-10 minutes on average.
- Needle exchange is also provided. http://www.talktofrank.com/treatment-centre/lifeline-hackney-community-drug-service-cds