Scottish Government

A REPORT OF A JOINT WORKING GROUP OF THE NATIONAL PHARMACEUTICAL FORUM / SCOTTISH MEDICAL AND SCIENTIFIC ADVISORY COMMITTEE
ISBN 0 7559 4693 6
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CONTENTS

Executive Summary

Summary of Main Recommendation

I. INTRODUCTION
Introduction
Background
Remit
Methodology
Key Aims of the Report

II. POLICY CONTEXT
Introduction
Summary of National Policy
• Drug Misuse
• Smoking
• Alcohol
Conclusion

III. PHARMACEUTICAL SERVICES FOR SUBSTANCE MISUSERS: SUMMARY OF EXISTING SERVICES
Introduction
Summary of Services Provided by Pharmacists to Substance Misusers
• Health Promotion and Health Education
• Prescription Monitoring
• Medication Review
• Substitute Medication and Detoxification
• Care Management
• Drug Testing
• Needle and Syringe Exchange Schemes
• Treatment of Overdose
• Detection/Management of Solvent Misuse
• Misuse of Over-The-Counter ( OTC) Medicines
• Smoking Cessation Schemes ( SCS)
• Alcohol Counselling

IV. CHALLENGES TO EFFECTIVE SERVICE PROVISION AND WAYS TO ADDRESS THEM
Introduction
Legal and Ethical Challenges
Professional Challenges
Educational Challenges
Other Challenges

V. THE WAY FORWARD
Introduction
The Concept of Integrated Care
An Integrated Pharmaceutical Care Model for Substance Misusers

VI. CONCLUSION
Conclusion
Overview of Recommendations

References

Glossary of Acronyms and Abbreviations

APPENDICES
Appendix I Membership of the Group.
Appendix II List of Contributors.
Appendix III Drug Misuse in Scotland: Some Facts.
Appendix IV Drug Misuse in Pregnancy.
Appendix V Drug-related Deaths in Scotland.
Appendix VI Number of Pharmacies Involved in the Supervised Self-Administration of Methadone [by NHS Board Area].
Appendix VII Prescriptions for Methadone Mixture: 1998/99 -2002/03.
Appendix VIII Number of Pharmacy-based Needle Exchanges [by NHS Board Area].
Appendix IX Specialist Pharmacists in Substance Misuse ( SPiSMs).
Appendix X Examples of Agencies Working in Partnership.
Appendix XI Useful Addresses.

TERMS OF REFERENCE

The Group was set up to explore ways to maximise the contribution of pharmacists to services for substance misusers in Scotland and to report on the findings to the Chief Pharmaceutical Officer.