1. Problematic and injecting drug use – findings from the Harm Reduction Database (HRD) Presenter: Josie Smith, Health Protection, PHW

2. Estimates of problematic and injecting drug use EMCDDA Problematic drug use – “injecting drug use or long duration or regular use of opioids, cocaine and/or amphetamines” UK estimates indicate around 1% or 10 per 1000 population aged 15 – 64 years Translates to around 20,000 individuals in Wales Injecting drug use – UK estimates indicate around 0.4% of population aged 15 – 64 years Translates to around 8,000 individuals in Wales

3. Wales HRD data 1/09/10 – 31/03/11 7277 individuals registered with needle exchange Female – 1004 (14%) Male – 6273 (86%) Would expect: 25% female 75% male Pharmacy? What is the extent of secondary / peer distribution?

4. Profile of service provision 2011 AreaSpecialistPharmacy Betsi Cadwaladr APB (North Wales) 12 + 3 mobiles72 Powys Teaching APB49 Hywel Dda APB (West Wales) 031 Abertawe Bro Morgannwg University APB (South West Wales) 5 +1 mobile29 Cardiff & Vale APB4 +1 mobile12 Cwm Taf APB421 Aneurin Bevan APB (Gwent) 318

5. Number of individuals registered

6. Wales data – Age profile by gender Data from all sites: Activity 01/09/10 to 31/03/11

7. Profile of substances used by APB

8. Details available for analysis Age Gender Year of first injecting Area of residence Housing status Substances used Blood borne virus monitoring Injecting equipment reuse and sharing behaviour

9. Uses of data / reporting mechanisms Provider activity data –Planning of opening times, additional services for young people, females, steroid users –Address additional health / other needs –Address specific risk behaviours with service users Local planning (APB/CSP/SMARTs) –Coverage –Quality –Nature of local injecting (and wider problematic drug use) behaviours National planning (WAG, Public Health)

10. Next steps: Improving data quality Some services completing client details Other services completing bare minimum - visits to sites reinforcing need to complete client details/assessment in order to provide quality service

11. Next steps : rolling out to pharmacy Working in conjunction with Pharmacy WAG to implement in existing community pharmacy services across Wales (2011) Addition of take home Naloxone section – stat and voluntary sector

12. Thank you! All service users and staff from voluntary and statutory services Regional co-ordinators WAG Public Health