1. NSP PROVISION WITHIN SPECIALIST DRUG SERVICES

2. What is it? Integral part of Harm Reduction in nx provision Integral part of Harm Reduction in nx provision An add on from tier 2 nix provision An add on from tier 2 nix provision Part of the community nx provision Part of the community nx provision On scheme all locations On scheme all locations

3. How it works 9 Local chemists. 5 specialist services 9 Local chemists. 5 specialist services One scheme –use all locations. One scheme –use all locations. Minimum information required. Minimum information required. Longer hours /7days a week. Longer hours /7days a week. 4 Packs available. 4 Packs available. Existing clients Existing clients

4. Issues raised Staffing Staffing Service users Service users Effectiveness Effectiveness Policies Policies

5. Learning's –staffing Contracts Contracts Training Training Conflict /treatment/script and supplying needles Conflict /treatment/script and supplying needles Levels / workload Levels / workload BBV BBV

6. Learning –service users More access More access integrated Harm Reduction integrated Harm Reduction Stronger relationship Stronger relationship More truthful/ honesty More truthful/ honesty Access to bbv Access to bbv

7. Learning -effectiveness No further cost implications No further cost implications Accessing more people in some areas Accessing more people in some areas Therapy advantages Therapy advantages Staffing skill mix Staffing skill mix Public health Public health Gateway to treatment pathways Gateway to treatment pathways Drug litter Drug litter

8. Learning- policies Health and safety Health and safety clinical waste clinical waste Clinical governance Clinical governance Needle stick injury Needle stick injury Returns policy Returns policy

9. NTA guidelines Recommendations 2,3,4, 5,6, Recommendations 2,3,4, 5,6,