1. NPS Symposium Charles Berry House Tuesday November 3 rd 2015 Dr Rob Hampton Rob.hampton@gp-c82670.nhs.uk

2. Welcome & Housekeeping Fire Refreshments & food Toilets Wifi (BTHUB3 – password bfe437be22) Phones Slides/handouts

3. Scope for today 1.What is going on with NPS in LLR? – Problems – Solutions 2.Can all LLR agencies agree collective approaches? 3.Can we agree 5 actions?

4. NPS Definition Home Office’s Expert Panel October 2014 “psychoactive drugs, newly available in the UK, which are not prohibited by the United Nations Drug Conventions but which may pose a public health threat comparable to that posed by substances listed in these conventions.”

5. NPS Symposium FEWS Forensic Early Warning System Psychoactive Substances Bill NPS Resource pack MoJ NPS Initiative Operation Nitrox Neptune PHE NPS toolkit for commissioners RAPT (Rehabilitation for Addicted Prisoners Trust) Report Number 4 4 th International Conference on Novel Psychoactive Substances

6. ‘Party Drugs, Club Drugs’ ‘NPS’ ‘Legal highs ’ Synthetic Cannabinoid Receptor Agonist (SCRA) ‘Synthetics’

7. Synthetic Cannabinoid Receptor Agonist (SCRA) Inspector of Prisons Report 2014-15 – Assault 10% rise – Assault on staff 28% rise – Deaths in Custody29% rise – Self harm 33% rise 19 NPS deaths (PPO), 2012-14 10 fold ‘mark-up’ profit – Opiates 3 fold ‘Spice pigs, Mamba Muppets, Mambulance’

8. Violence – direct or indirect? Indirect? - YOI Research Birmingham – debts, gangs, ‘escape’ Direct? – Front line experience – Service users recall – Non ‘synthetics’ service users Strength, paranoia, persistence, seizures, safety.

9. FEWS – Forensic Early Warning System 2014 Festivals, Headshops, Internet, Prisons – Completely different patterns Mixtures & unpredictable content Prisons – Non-controlled 738/762 (96%) – 5F-AKB-48 and 5F-PB22 in 78% samples Scope for testing??

10. Scope for today 1.What is going on with Synthetics in LLR? – Problems – Solutions 2.Can all LLR agencies agree collective approaches? 3.Can we agree 5 actions?

11. NPS Symposium First Speaker Charles Berry House Tuesday November 3 rd 2015 Jude Duncan NPS Lead LiFT CJDT Service User insight & Treatment Worker resources

12. NPS Symposium Second Speaker Charles Berry House Tuesday November 3 rd 2015 Tracy Carr Public Health England

13. NPS Symposium Third Speaker Charles Berry House Tuesday November 3 rd 2015 Dr Paul Smith Consultant Clinical Scientist and Forensic Toxicologist, University Hospitals of Leicester

14. 5 Possible Actions