Post on 28-Mar-2015
Annie SteeleLisa Copeland25th June 2010
Primary care for people who happen to have a drug problem
What difference can we make?
Primary care and drug use
Who is in this relationship?
• 60 -70 % of drug users come via
primary care.• Key members of primary care
team:- Receptionist
GP Prescribing clerk Health Visitors
Drug worker Practice nurses Other GPs in the practice.
Drug worker
pharmacistService User
Primary care
Primary care and drug use
How it works for new patients
• Drug user presents to practice• Booked in with GP by receptionist • Sees GP (establishes relationship)-GP assessment• Sees drug worker- compliments GP assessment• Care plan agreed- Drug user, GP ,Worker and
Pharmacist• Other members of primary care team become
involved
Primary care and drug use
Ongoing
• Weekly meeting with GP to discuss cases• Joint appointments happen if required• Surgery notes kept up to date• Regular reviews of care plan and targets (GP has a
copy)• Continued health checks
Primary care and drug use
Outcomes
• Increased capacity• Increased
engagement• Patients lead on their
own care• They also take
responsibility for their own health
• Increased BBV screening and vaccination taken up
Primary care and drug use
Able to engage those who feel stuck in treatment and access the support networks where they live.
Primary care and drug use
Barry
•45 yr old•20 + yrs drug history (c & h)•Mental health issues•Risk of sudden death syndrome•Never engaged unless on order (dabbled)•Aunt has died four times
Primary care and drug use
Result
• Never missed an appointment• Collects meds on time• Meets GP for physical health and manages other
medical conditions• HEP B Vaccinated
Next steps• Continued encouragement to access mental health
(GP in support)
Primary care and drug use
Paul
30yr oldTreatment naïveHeroin use 10 yearsPresented straight to practiceIn service for a year60 mls a methadone- illicit free from ChristmasNow 35 mls prepping for lofexidine detox by GP
Primary care and drug use
Primary care and drug use
Annie SteeleLisa Copeland.
Swanswell0121 233 7400