Survey of services John Perrott - APPGITA

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feasible and the patient warned that sleep may be disturbed for a few days before normal rhythm is re-established; broken sleep with vivid dreams may persist or several weeks. There is no specialised service addressing the patients who are dependent upon prescribed only benzodiazepine and z drug tranquillisers and sleeping tablets and who do not abuse these or other substances within INWL PCT area. The Royal College of General Practitioners would offer advice and support to GP’s progressing a withdrawal regime with their patient. There is also information and guidance available from National Institute for Clinical Excellence (NICE) and easily accessed via the internet. You are correct in your assumption that the specialist drug and alcohol services within INWL PCT’s catchment does treat tranquiliser addiction when combined with illicit substance misuse but not stand alone tranquilliser addiction unless illicit. They are not commissioned to carry out this function and there is a recognition that the needs of the cohort you refer to are significantly different to those who are illicit substance misusers. NHS North West London is a partnership of NHS Brent, NHS Ealing, NHS Hammersmith & Fulham, NHS Harrow, NHS Hillingdon, NHS Hounslow, NHS Kensington & Chelsea and NHS Westminster. Yours sincerely, Andrew Lall Freedom of Information Lead Wiltshire PCT NO – Misuse only Further to your request for information below, NHS Wiltshire is able to provide the following information. NHS Wiltshire does not formally commission a dedicated treatment service for people with addiction problems in relation to ‘over the counter’ medications. The Wiltshire Service is for misuse of alcohol and illicit drugs. It is worth noting that there is an increase noted in the misuse of ‘street’ available benzodiazepines, and that our specialist (T3) service does take referrals for some individuals requesting Benzodiazepine withdrawal, where a clear care package is set up and key worked. Benzodiazepine withdrawal is considered to be very complex and needing specialist intervention. The Wiltshire Tier 2 service sometimes work with a client’s GP on giving advice where needed on a reduction plan, and give the client support during the reduction liaising with the GP throughout, which might take some time. Wiltshire DAAT has also supported a programme of Continuous Professional Development sessions over the last few years, for those GPs signed up to the Drugs Misuse Locally Enhanced Service. One of these sessions approximately a year ago focussed specifically on the prescribing of ‘Benzos and Z drugs’. The overheads for this particular session are being shared across all Wiltshire GP practices. I hope this information is of assistance. Should you wish to request further information please do not hesitate to contact me atfoi@wiltshire.nhs.uk .
Kind regards, Susannah Wirral PCT NO – I rang Kim Loughran who confirmed that there are no services apart from a small support group comprising ex-addicts and that she has requested services in the past as they are needed but to no avail. She was aware of benzo.org.uk and really wanted to do something about what she described as a massive and hidden problem. On receipt of your email, I contacted Kim Loughran at Wirral Drugs Service for advice. I have worked with Kim previously and know that she works mainly with opiate dependency rather than tranquilliser dependency. However, she would like to speak to you and discuss the support that is available currently on the Wirral. There are some support groups I believe. She is aware there is a need for more support and it is useful for her when patients get in touch. Kim’s contact numbers are 0151 604 7303 and 07500 881794 so please give her a call. In addition, one of my colleagues in Medicines Management has done some work with a few patients who are trying to withdraw from benzodiazepines. Her name is Sheena Davies. Sheena only works here on Thursdays and Fridays so I cannot ask her for advice today and I am not sure what projects she is working on currently. Would you be happy for me to pass your contact details on to her? I hope this is helpful and will put you in touch with Sheena if you wish. Kind regards Helen Dingle Prescribing Adviser T. 0151 643 5319 (Internal ext. 1077) M. 07900 495713 NHS Wirral Wolverhampton City PCT NO – Healthy Minds Service provides CBT and not appropriate ITA withdrawal support and advice Thanks again for your email . With regards to your query below I have had a response back from Dr Ravindran, Mental Health Lead for Wolverhampton Clinical Commissioning Group who advised that he was not aware of a specialised service for patients that where dependendant upon prescribed benzodiazepine/z drug tranquillisers/sleeping pills. However he explained that the GP together with the help of the Healthy Minds Service can deal with the issue and seek help if needed. I hope the information above answers you questions, but if you have any further comments please do not hesitate to contact PALS. Regards Patient Advice and Liaison Service (PALS) Wolverhampton City Primary Care Trust
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Survey of services John Perrott - APPGITA

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