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National Needle Exchange Survey Report of qualitative findings England and Scotland

National Needle Exchange Survey Report of qualitative findings England and Scotland. Dawn Griesbach & Neil Hunt National Conference on Injecting Drug Use Friday 14 October 2005. Accessibility and coverage. Rural / urban distinctions Outreach / secondary exchange Anonymity in rural areas

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National Needle Exchange Survey Report of qualitative findings England and Scotland

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  1. National Needle Exchange SurveyReport of qualitative findings England and Scotland Dawn Griesbach & Neil Hunt National Conference on Injecting Drug Use Friday 14 October 2005

  2. Accessibility and coverage • Rural / urban distinctions • Outreach / secondary exchange • Anonymity in rural areas • Balance of pharmacy and ‘specialist’ services • Opening times • Needs of specific groups

  3. Injecting paraphernalia • Wide variation in practice – no standard provision • Concerns with inequity • Issues of wastage – ‘pick ‘n’ mix’ vs packs

  4. Monitoring and information systems • Wide variation • More developed among specialist services than pharmacy services • Further discussion needed?

  5. Return rates / sharps disposal • Difficult to monitor – seen as meaningless • Variations in policies about returns – often from one service to another • Reported difficulties in some areas with discarded sharps  media coverage

  6. Young people • Needle exchange to under-18s not common – not clear why

  7. Conclusions • Encourage home delivery and outreach in rural areas • Need for guidance (and standards?) on paraphernalia distribution • Encourage closer working between nurse-led NEXes and pharmacies • Need for better guidance on NEX for under-18s • Improved clarity around workforce competencies and career hierarchy within NX/harm reduction services

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