Service Evaluation of Scotland's Take-Home Naloxone Programme
An independent service evaluation of the implementation of Scotland’s National ‘Take Home’ Naloxone programme which has been rolled out in Scotland since November 2010. The report presents findings on the programme's processes and structures, the effectiveness of these, an early indication of impact, lessons learned and policy implications.
Footnotes
1. From Spring 2014 these reports will also be provided to ADPs and NHS Health Boards
2. Launched in 2012 to support the development of local network of peer volunteers to help widen the reach of the naloxone training.
3. Western Isles Health Board is not participating in the THN programme
4. See UK Focal Point on Drugs Annual Report 2012 for comparative information
5. The Road to Recovery: A New Approach to Tackling Scotland's Drug Problem, Scottish Government, 2008
6. National Investigation into Drug-Related Deaths in Scotland, Zador et al, Scottish Executive, 2005
7. National Drug Related Death Database (Scotland) Report: Analysis of Deaths occurring in 2012, ISD 2014
8. National Forum on Drug Related Deaths in Scotland Annual Report 2008-09
9. For further background on the programme in Scotland see Consideration of naloxone, the UK Advisory Council on the Misuse of Drugs, 2012
10. NHS Addiction Services, Cambridge University, NHS Health Scotland, ISD Scotland, Scottish Drugs Forum, Pharmacy, Scottish Prison Service, Police Scotland, Scottish Ambulance Service, Emergency Medicine, Healthcare Improvement Scotland, Scottish Government and Scottish Families Affected by Alcohol and Drugs
11. One health board (Tayside) the figures relate to February 2014.
12. ISD
13. ISD
14. ISD
15. ISD
16. ISD
17. The figures supplied by Highland and Grampian were from the survey; the figures for all other areas have been subsequently revised by the national naloxone staff to reflect actual numbers who have undertaken the 4-day national naloxone Peer Education programme. Those in Highland and Grampian may not have undertaken this programme but may have undertaken the 2-day TTT programme.
18. National Naloxone Programme in Scotland-naloxone kits issued 2012-13. ISD, 2013
19. ISD will report new figures for kit uptake in October 2014.
20. National Naloxone Programme in Scotland-naloxone kits issued 2012-13. ISD, 2013
21. Note: This practice would have been a local decision
22. A peer trainer is someone who in the past has had problem drug use and who is now trained to deliver naloxone training to those at risk of opioid overdose.
24. There were two other categories 'slightly effective' and 'not at all effective' but these are not reported here as the numbers were low.
25. ISD
26. This is likely to be an underestimate. Nineteen respondents said they were aware of 'more than ten' potential lives being saved. For the purposes of this calculation, we have estimated that each of these 19 respondents are aware of 11 potential lives being saved, but 'more than ten' could relate to any number greater than ten.
27. The wording of the survey was "has saved lives" but this has been changed to "potentially saved lives" in the report text as it is not possible to know if the overdose would have proved fatal.
28. Bennet, T., & Holloway., K. (2011) Evaluation of the Take-Home Naloxone Demonstration Project,
29. Bennet, T., & Holloway., K. (2011) Evaluation of the Take-Home Naloxone Demonstration Project
30. See Appendix 2, paragraph 21
31. See Appendix 2, paragraph 21
34. The Road to Recovery: A New Approach to Tackling Scotland's Drug Problem (Scottish Government, 2008)
35. National Drug Related Death Database (Scotland) Report: Analysis of Deaths occurring in 2012, ISD 2014
36. Launched in 2012 to support the development of local networks of peer volunteers to help widen the reach of the naloxone training.
37. NHS Western Isles is not currently a participant in the programme.
38. As of March 2014 there are 15 prisons in Scotland - HMP Peterhead closed December 2013, HMP Aberdeen closed January 2014, and HMP & YOI Grampian opened in March 2014.
39. Subsequent to this evidence review being conducted, two new studies from the US have strengthened the evidence base (Walley et al / Coffin et al, both 2013).
40. http://www.ctu.mrc.ac.uk/research_areas/study_details.aspx?s=80#9
41. http://www.kcl.ac.uk/iop/depts/addictions/research/drugs/N-ALIVE.aspx
42. ISD,
43. ISD
44. ISD
45. ISD
46. ISD
47. These figures were updated by National Naloxone team
48. 100% of respondents in Orkney said they had supplied service users but this represents only one respondent. In Shetland, 67% had supplied service users but this represents only two respondents.
49. This is likely to be an under-estimate. Nineteen respondents said they were aware of 'more than ten' lives being saved. For the purposes of this calculation, we have estimated that each of these 19 respondents are aware of 11 lives being saved, but 'more than ten' could relate to any number greater than ten.
Contact
Email: Fran Warren
There is a problem
Thanks for your feedback