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NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail

NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail.com. 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

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NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail

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  1. NEEDLE AND SYRINGE PROGRAMMES IN THE UK Jamie Bridge, NNEF Chair bridgejamie@hotmail.com

  2. 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 www.nnef.org.uk

  3. More than just needles…

  4. 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 www.nnef.org.uk

  5. 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 www.nnef.org.uk

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