Survey of services John Perrott - APPGITA

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Such services are commissioned by NHS Warrington from the Service called ‘Pathway to Recovery’, to which you can self present. This Service offers one to one support via a keyworker, and will liaise with your GP. You can telephone or attend in person, but should attend in good time to have an assessment done, so it is best to attend a few hours before closing time. You should ask for the Duty Worker. Contact details: Pathway to Recovery 14 Bold Street Warrington (Opposite the Museum Library) Telephone 01925 415 176 Opening Times: Monday, Wednesday, Thursday and Friday 9.00 am to 5.00 pm Tuesday 9.00 am to 7.00 pm I do hope that this information is of assistance to you. With kind regards Marie Montgomery Patient Relations Manager NHS Warrington Warwickshire PCT NO – See Coventry Thank you for your enquiry. The response that I gave you on 3 May 2012 applies to Coventry PCT and Warwickshire PCT. Both PCT's make up the Arden Cluster. Kind regards, Gerald Dadley Freedom of Information Officer Western Cheshire PCT NO Also see Wirral. This is substance misuse treatment and anyone who refers patients to “Talk to Frank” (misuse helpline) as a specialist helpline as the author of this response has done, does not understand ITA treatment. Please find attached NHS Western Cheshire’s response to your request for information received on 23rd May 2012 regarding Services for involuntary tranquiliser addiction: You asked: 1) Please can you tell me what services your PCT/CCG provides for patients who are dependent upon prescribed only benzodiazepine and z drug tranquillisers and sleeping tablets and who do not abuse these or other substances. The DAT commission a Health Trust to provide a substance misuse service and Shared Care scheme to dependent drug users which meets the need for identifiedreferred patients who are drug dependent. The DAT also commissions inpatient detoxification provision. There is a number of patients who are abusing prescription medicine but who are not in the drug treatment service or working outside of the Shared Care scheme. Wider services to provide support include IAPT services, reablement and pain management services. 2) Would you please include details of the availability of withdrawal advice and support including: 1. Conversion to a longer-acting benzodiazepine like diazepam. - All contracts with commissioned providers stipulate the need to meet the aim to provide a range of interventions for individuals with drug misuse problems in line with the national 2007 Drug Misuse and Dependence UK Guidelines on Clinical Management and NICE 2007 Drug Misuse guidance. 2. Provision of withdrawal schedules. - As above - policies are held by commissioned providers on withdrawal schedules and conversion of prescription where assessment indicates in line with national guidance. 3. Knowledge of the Ashton manual. - There is knowledge of the Ashton manual but we do not refer to this in contracts as it is not in the above national guidance. 4. Provision of appropriate psychological support. As above - in line with national guidance and stipulated in contracts. Psychological support available through drug services, mental health services and wellbeing activities. 5. Provision of a help-line. - No specific local help line for prescribed benzodiazepine, z drug tranquillisers or sleeping tablets only. Talk to Frank website available nationally. 6. Any details of such referral processes. Referral pathway to the drug service from all universal and specialist services. 3) In my experience the Drugs and Alcohol Teams routinely do not treat involuntary tranquilliser
addiction but only illicit addiction. - Cheshire DAT have included in the 2012-13 Direction of Travel Strategy focus to this area of work. Some DATs do treat tranquilliser addiction and we realise we need to address this locally in line with the National Drug Strategy and emerging health pictures. We are aware that prescription medicine (POM) and Over the Counter (OTC) medicine can bring comfort to many people suffering from a wide range of ailments and the overall use of prescription drugs has increased nationally. It is clear some people can develop problems with the use of certain medicines that have the potential for dependency and abuse. While historically, problems in relation to POM/OTC medicines have not been a major focus of drug treatment policy, national data does suggest that the use of these medicines are reported as problematic by a significant proportion of the drug treatment population. We also recognise that dependent drug users may often take POM/OTC medicines for quite different reasons than the rest of the population, for example, to enhance the effects of illegal drugs or to manage their after effects. It is clear that while some people might develop problems from the directed use of these medicines others can develop problems that stem from their non-directed use. We will focus on helping both involuntary and illicit addiction. I hope this sufficiently answers your enquiry but please do not hesitate to contact Laura Wentworth, Governance Office on 01244 385041 or e-mail foi@wcheshirepct.nhs.uk, should you require any further information. As part of our commitment to improving our services, I would be grateful if you would take the time to tell us how we dealt with your request for information by completing a short customer satisfaction survey. The survey is completely anonymous and should take no more than a couple of minutes to complete. The survey can be found on our public website via the following link Freedom of Information customer satisfaction survey Yours sincerely Kathy Doran Chief Executive NHS Cheshire, Warrington and Wirral West Essex PCT NO – See North East Essex Further to your enquiry I have now received information which I believe answers your first two questions. However we do not have the information to be able to answer your other queries as these fall with our provider services. Our provider service for mental health is North Essex Partnership NHS Foundation Trust and you can contact their PALS team direct on 01245 546433 or email pals@nepft.nhs.uk . Please do not hesitate to contact us with any further queries. Kind regards. Karen Weatherill PALS Officer NHS West Essex West Kent PCT NO – See Medway Westminster PCT NO The response to your request is as follows: Practitioners within the INWL PCTs are advised to follow the advice in the British National Formulary (BNF) with regards to prescribing hypnotics, and that they should not be prescribed indiscriminately and that routine prescribing is undesirable. Where prolonged administration is unavoidable hypnotics should be discontinued as soon as
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Page 33 and 34: Surrey PCT NO NHS Surrey does not c
Page 35: Further to your earlier email I am
Page 39: Kind regards, Susannah Wirral PCT N

Survey of services John Perrott - APPGITA

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