CONTROLLED DRUGSDean R Hatt

Famous Quotes

“Drug misuse is not a disease, it is a decision, like the decision to step out in front of a moving car. You would call that not a disease but an error of judgment.”

“So, now I've been to see a drug counselor who told me I need to lay off the drugs and talk about my feelings, and a shrink who heard what I had to say and immediately put me on drugs.”

Agenda

Definitions Regulations Classification Licensing Storage Annual Returns Disposal Audits

Definitions

Controlled drug a medicine which is governed by the Misuse of

Drugs Act control is for the ordering, possession, supply,

disposal and manufacture Narcotic

An addictive drug affecting mood or behaviour Psychotropic substance

A chemical substance that crosses the blood–brain barrier and acts primarily upon the central nervous system where it affects brain function, resulting in alterations in perception, mood, consciousness, cognition and behaviour.

Regulations

Misuse of Drugs act 1971 An act of the Parliament in the UK It represented action in line with treaty commitments

under the single convention on narcotic drugs, convention on psychotropic substances and the UN convention against illicit traffic in Narcotic drugs and Psychotropic substances.

Misuse of Drugs regulations 1985 amended

Criminal justice and police act 2001 Drugs Act 20015

Repealing of 2001 act

Classification

Schedule 1 Not used medically, no therapeutic use Cannabis, LSD, ecstasy (MDMA) etc Possession and supply prohibited except

for research Schedule 2

Used medically as full controlled drug under CD prescription

Morphine, cocaine, methadone, fentanyl etc

Classification

Schedule 3 Used medically under CD prescription Same as schedule 2 without need for registers Midazolam, buprenorphine, phenobarbitone

etc Schedule 4 part I

Used medically under non CD prescription but need authority to possess

No need for register Benzodiazepines e.g diazepam, oxazepam,

midazolam etc

Classification

Schedule 4 part II No restriction on possession when part of a medicine No need for register Anabolic Steroids e.g nandrolone, testosterone etc

Schedule 5 Preparations of medicines containing CD’s at very

low levels No need for register Kaolin & Morphine, Co-codamol, Codeine Phosphate

tablets Extensive list of CD’s including precursors for

abuse/chemical weapons

Licensing

Licensing

Controlled by the Home Office, Drugs branch

1 license for each drug schedule Previously all drugs were named

Each license has a stipulated date Previously these have been ‘endless’

License is for posession/supply/manufacture/import/export Cost per license 3-5K, dependent on use,

renewal is less

Licensing

Selling / provision of CD’s should only be allowed after checking on licenses of buyer/requester

New License holders Are DBS (Disclosure and Barring service)

checked Must have a National Drugs Control

System (NDS) account

Storage

CD’s must be stored in A HO approved cabinet At least 2 deadbolt locks Bolted to floor and/or wall Responsible of single key holder and keys

not held with cabinet Limited access to others at knowledge of

key holder ‘similar’ for those requiring cold storage Requirements differ according to schedules

of drugs

Controlled Drugs Ledger

A ledger which details the dates of all CD movements, in and out

Includes all weights, quantities, batch ID and all suppliers and recipients

Details all disposals and notification of checks and discrepancies

A separate page for each controlled drug

Annual Returns

Each January, there are needs for annual returns to ensure CD’s are accounted for What did we have at start of year ? What have we bought/brought in ? What have we used/disposed/supplied ? What have we got remaining ? Used to be extensive but less importance

for research establishments Separate returns for narcotics, psycotropic

substances and manufactures

Disposal

Must be at a HO approved site for disposal of CD drugs

Must be accompanied on route from source to disposal site

Disposal/destruction must be witnessed by appropriate person Policeman, security guard etc

Records of disposals retained, amounts deducted in ledger and noted in annual returns

Audits

By HO inspector Approx. every 3 years

For last 10 years, this was discontinued for research sites

Used to give zero notice – just turn up Now they tell us a few months in

advance Inspect

Ledger, CD cabinet, Quantities, Disposal Log etc

A Recent inspection.....

For more Information

http://www.npci.org.uk/cd/public/docs/controlled_drugs_third_edition.pdf

Any Questions ?