Home > General practitioner engagement with the Scottish National Naloxone Programme: A needs assessment project.

Pflanz-Sinclair, Christine and Matheson, Catriona and Aucott, Lorna [healthscotland.com] . (2013) General practitioner engagement with the Scottish National Naloxone Programme: A needs assessment project. Edinburgh: NHS Health Scotland. 59 p.

[img] PDF (General practitioner engagement with the Scottish national naloxone programme) - Published Version
[img] PDF (General practitioner engagement report: appendices) - Supplemental Material

The Scottish National Naloxone Programme was launched in November 2010 following successful pilots in Scottish sites. The aim of the programme is to reduce Scotland’s high number of drug-related deaths (DRDs) caused by opiate overdose. The national programme is currently being implemented through specialist drug services. However, there may be drug users who are not using such services or have limited access to such services. General Practitioners (GPs) are likely to have direct contact with drug using patients who are on opiate replacement treatment or receiving general medical care. Thus, GPs are in an ideal position to either, direct these patients to Naloxone training and supply schemes, or to provide this service themselves. Additionally, they will often be in contact with friends and family of drug users who may be registered at the same practice; this group is a vital part of the national programme as they potentially would be the ones to administer Naloxone, thus ‘buying’ time for an ambulance to arrive.

This needs assessment was commissioned to ensure GPs’ views and knowledge are considered to maximise engagement of GPs in the Scottish National Naloxone Programme.

Discussion and conclusion
Both interviews and the survey indicated that GPs did not currently feel sufficiently skilled or knowledgeable to be involved in Naloxone training and provision. There was a strong need evident for information on DRDs and associated risk factors, and on the prescribing and use of Naloxone, which should be evidence based. A key barrier identified was the typecasting of Naloxone prescribing as a specialist service that only specialists should provide. Negative attitudes to drug users generally were evident and this potential stigmatisation of drug users as a patient group should be reviewed.

In conclusion, this research identified minimal awareness among GPs of the national programme. GPs tend to classify Naloxone distribution as a specialist service and therefore assume it is not part of their remit. Even those with higher involvement or specialist training in substance misuse considered this a service that is not necessarily relevant to them. However, there were tentative and encouraging signs that GPs would be willing to be more involved in Naloxone distribution if certain enablers were addressed. Most important of these was training, which should be evidence based, and which was recognised by GP respondents as essential.

Item Type:Evidence resource
Publication Type:Report
Drug Type:Opioid
Intervention Type:AOD disorder drug therapy, AOD disorder harm reduction
Date:January 2013
Pages:59 p.
Publisher:NHS Health Scotland
Place of Publication:Edinburgh
Accession Number:HRB (Electronic Only)
Subjects:B Substances > Opioids (opiates) > Opioid product > Naloxone
F Concepts in psychology > Attitude and behaviour > Attitude toward substance use > Attitude toward person who uses substances (user)
G Health and disease > Substance use disorder > Drug use > Drug intoxication > Poisoning (overdose)
J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment
J Health care, prevention and rehabilitation > Substance use prevention > Substance use harm reduction
J Health care, prevention and rehabilitation > Treatment and maintenance > Provider / worker / staff attitude toward treatment
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)
MA-ML Social science, culture and community > Sociocultural discrimination concepts > Prejudice (stigma / discrimination)
P Demography, epidemiology, and history > Population dynamics > Substance related mortality / death
R Research > Type of research study > Empirical study > Qualitative study
T Demographic characteristics > Doctor
VA Geographic area > Europe > United Kingdom > Scotland

Repository Staff Only: item control page