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Annie Steele Lisa Copeland 25 th June 2010 Primary care for people who happen to have a drug...
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Transcript of Annie Steele Lisa Copeland 25 th June 2010 Primary care for people who happen to have a drug...
![Page 1: Annie Steele Lisa Copeland 25 th June 2010 Primary care for people who happen to have a drug problem.](https://reader036.fdocuments.us/reader036/viewer/2022062307/5515e51d550346dd6f8b4ee1/html5/thumbnails/1.jpg)
Annie SteeleLisa Copeland25th June 2010
Primary care for people who happen to have a drug problem
![Page 2: Annie Steele Lisa Copeland 25 th June 2010 Primary care for people who happen to have a drug problem.](https://reader036.fdocuments.us/reader036/viewer/2022062307/5515e51d550346dd6f8b4ee1/html5/thumbnails/2.jpg)
What difference can we make?
![Page 3: Annie Steele Lisa Copeland 25 th June 2010 Primary care for people who happen to have a drug problem.](https://reader036.fdocuments.us/reader036/viewer/2022062307/5515e51d550346dd6f8b4ee1/html5/thumbnails/3.jpg)
Primary care and drug use
Who is in this relationship?
• 60 -70 % of drug users come via
primary care.• Key members of primary care
team:- Receptionist
GP Prescribing clerk Health Visitors
Drug worker Practice nurses Other GPs in the practice.
Drug worker
pharmacistService User
Primary care
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Primary care and drug use
How it works for new patients
• Drug user presents to practice• Booked in with GP by receptionist • Sees GP (establishes relationship)-GP assessment• Sees drug worker- compliments GP assessment• Care plan agreed- Drug user, GP ,Worker and
Pharmacist• Other members of primary care team become
involved
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Primary care and drug use
Ongoing
• Weekly meeting with GP to discuss cases• Joint appointments happen if required• Surgery notes kept up to date• Regular reviews of care plan and targets (GP has a
copy)• Continued health checks
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Primary care and drug use
Outcomes
• Increased capacity• Increased
engagement• Patients lead on their
own care• They also take
responsibility for their own health
• Increased BBV screening and vaccination taken up
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Primary care and drug use
Able to engage those who feel stuck in treatment and access the support networks where they live.
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Primary care and drug use
Barry
•45 yr old•20 + yrs drug history (c & h)•Mental health issues•Risk of sudden death syndrome•Never engaged unless on order (dabbled)•Aunt has died four times
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Primary care and drug use
Result
• Never missed an appointment• Collects meds on time• Meets GP for physical health and manages other
medical conditions• HEP B Vaccinated
Next steps• Continued encouragement to access mental health
(GP in support)
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Primary care and drug use
Paul
30yr oldTreatment naïveHeroin use 10 yearsPresented straight to practiceIn service for a year60 mls a methadone- illicit free from ChristmasNow 35 mls prepping for lofexidine detox by GP
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Primary care and drug use
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Primary care and drug use
Annie SteeleLisa Copeland.
Swanswell0121 233 7400