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Vol 275 No 7362 p185
13 August 2005

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Substance misuse could be tackled through new contract

Substance misuse treatment programmes in Scotland could be improved if NHS boards make use of the new community pharmacy contract.

This is one of the recommendations made by the Scottish Advisory Committee on Drug Misuse (SACDM) in response to a national investigation into drug-related deaths published this week.

The SACDM says that the new GP and pharmacy contracts give NHS boards an opportunity to create a contractual framework that improves the quality of care for substance misusers.

“The new pharmacy contract should be seen as an opportunity to increase the number of supervised consumption places available in community pharmacies,” it states. It further recommends that information about the danger of mixing drugs and alcohol should be made available through pharmacies.

Concerns over the long-term prescribing of opiate analgesics and benzodiazepines, including how such medicines are diverted for illicit use, were raised in the investigation. The SACDM says this needs to be addressed. It also recommends that the Scottish Executive should evaluate innovative treatments for substance misuse, noting experience in France that suggests that use of buprenorphine reduces drug-related deaths.

The Scottish Executive will produce an action plan based on the SACDM recommendations later this year.

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