Substance Misuse Treatment Framework – Needle Exchange

Implications for planning and practiceCarry Burton

North WalesNeedle Syringe Programme

& Harm Reduction Service ManagerOffice Tel: 01244 818513

April 2011

Needle Exchange Service Framework 2005

• Prevent transmission of BBVs• Preventing the sharing of injecting

equipment• Limit sexual transmission of viral

infections• Attracting people into treatment• Reduce drug-related death and

prevent overdose

Service Framework for NSP in Wales 2011

• Response to service user need• Response to international evidence• Response to national guidance and

examples of best practice

Updated WAG Guidance

WAG Service Framework 2011

• Part of the Harm Reduction Compendium• Over-arching view of harm reduction

principles across Wales– BBV prevention testing and treatment– OD prevention– Safer injecting– Sexual health– Etc

Service Models

• Statutory and voluntary service provision• Pharmacy• Community Drug Teams• Outreach/mobile unit• Vending Machine• Police custody suites• Hospitals • Secondary distribution/peer-led• Etc

Not JustNeedles & Syringes

• Paraphernalia • Sharps boxes• Alternatives to

injecting (foil/UYB)

• Safer injecting advice

• Safer sex advice• Wound care/

antibiotic prescribing

• Hep B vaccinations

• DBS Testing• Break the Cycle

Range of Equipment Provided

PHARMACY NSP PACKS

NSP & Young People

• 16-17 year olds• Under-16s

The Way Forward

• Look at existing service provision• Highlight gaps• Use research as examples of good

practice to help develop services• Use WAG guidance to make

recommendations for service development