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Finding a Needle in a Haystack: Take-Home Naloxone in England 2017/18

Release surveyed each of the 152 local authority areas in England, as local authorities are responsible for commissioning drug services, which give out take-home naloxone. The report includes findings on the availability of take-home naloxone across local authority areas, the scale of take-home naloxone supply in community settings, and coverage among people who use opiates and opiate clients in drug treatment.

Recommendations

  • Recommendation 1: Take-home naloxone should be provided in every local authority in England.
  • Recommendation 2: Local authorities should be giving out at least one take-home naloxone kit for every person using opiates in their area.
  • Recommendation 3: Local authorities should make take-home naloxone available to any person requesting it, particularly to groups that are at risk of having an opiate-related overdose or are likely to witness someone having an opiate-related overdose.
  • Recommendation 4: Local authorities should remove any unnecessary requirements to receive take-home naloxone, particularly requirements to engage with services providing take-home naloxone.
  • Recommendation 5: Local authorities should monitor take-home naloxone provision in their area, including by recording the number of naloxone kits purchased and dispensed, and by monitoring expiry dates of naloxone for recalls and reissues.
  • Recommendation 6: Support and guidance for local authorities on the local provision of naloxone should be provided nationally in England as a matter of urgency to assist in co-ordination and monitoring of provision and gaps.

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