NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair [email protected].
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Transcript of NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair [email protected].
![Page 2: NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail.com.](https://reader036.fdocuments.net/reader036/viewer/2022062519/56649eb75503460f94bc1561/html5/thumbnails/2.jpg)
www.nnef.org.uk
• First UK NSPs in 1980s
• ACMD (1988): “The spread of HIV is a greater danger to individual and public health than drug misuse”
• Wealth of international evidence:
– Impacts on HIV, risk behaviour
– Increases drug treatment uptake
– Cost effective
– “No convincing evidence” of unintended consequences
![Page 3: NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail.com.](https://reader036.fdocuments.net/reader036/viewer/2022062519/56649eb75503460f94bc1561/html5/thumbnails/3.jpg)
More than just needles…
![Page 4: NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail.com.](https://reader036.fdocuments.net/reader036/viewer/2022062519/56649eb75503460f94bc1561/html5/thumbnails/4.jpg)
www.nnef.org.uk
NTA Needle Exchange Audit
•Average DAT in 2006 =
– 2.4 specialist NSPs
– 11 pharmacy-based NSPs
•“Mixed economy”:
~50% DATs did not provide BBV testing
~ 40% did not provide immunisations
~33% did not provide safer injecting advice
![Page 5: NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail.com.](https://reader036.fdocuments.net/reader036/viewer/2022062519/56649eb75503460f94bc1561/html5/thumbnails/5.jpg)
www.nnef.org.uk
Issues to Discuss
•Impacts of budget cuts on NSP / HR
•Impacts of localisation
•Over-reliance on pharmacy exchanges
•Complacency among decision makers
•Performance and Image Enhancing Drugs
•Mephedrone injecting
•Reduced staff training and specialism