Comprehensive Overview of Pharmacy Services for Substance Misuse Patients in NHS Lothian
This detailed document provides insights into the expansion of Buvidal administration, proposed site developments, locum pharmacists' role, patient demographics, service experiences, and feedback. It covers various aspects such as employment details, patient pathways, satisfaction scores, and supports available for individuals dealing with substance misuse. The content also includes feedback from patients highlighting the convenience and understanding nature of the pharmacy services.
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Paul Maguiness Lead Pharmacist Substance Misuse and Prison Services NHS Lothian
Expansion of Buvidal administration required Home Office licences Community Pharmacy exemption OST services Flu vaccinations and travel clinics Avoid large scale structural change to services
One site proposed in West Lothian Originally proposed for two sites in Edinburgh Must have experience of injection based services Good relationship with local substance misuse services Consultation Rooms Two pharmacists trained to administer Patient slots of 15 minutes
Locum Pharmacists Patient pathways Payment Community pharmacy access to Trakcare Communication with local SMS hub OFT tests
Baseline demographics Quality of Life EQ5D Substance Use Recovery SURE Satisfaction score Feedback questionnaire (experience and suggestions for improvement) Up to 20 patients followed up over 6 months
employment 8 male and 4 females Age range 22-54 years (mean 40.17) regular full time unemployed unfit to work Living situation 10 single, 2 married alone with parents with partner with partner and children friends/flatmates
Service Experience support group housing support Age of first drug use 10-32 (mean 17.17 yrs) support for employment counselling Previous overdose experience n=2 residential rehab In patient detox Previous ORT on 1-5 times 6 on Buprenorphine sl 2 buprenorphine wafer 8 methadone GP ORT specialst ORT Needle exchange 0 2 4 6 8 10 12 14
Only negative comment related to completing evaluation paperwork To me it has been more convenient. I work so the flexible timings help a lot. The atmosphere is relaxing and it is just a quicker, more flexible experience that suits my life. The pharmacy has been very understanding and listens to you with trying to answer any questions you have to ask. Tries to give the jag as well as he can without pain. My experience has been great, the pharmacist is a very nice person, easy to talk to, and doesn t judge me at all for being on opiate replacement. I have had bad experiences in the past with other pharmacist, but feel really comfy getting my jag here. The Buvidal jag has been the best treatment I have had on all the years I ve been getting treated. Buvidal has been a blessing and a curse. I think the drug worker have less of an understanding of its effects when a patient relapses.
