This locally commissioned service (LCS) supports GPs and substance misuse teams to work with patients to support their recovery from opiate drug misuse. The service is delivered in partnership on a shared care basis by the GP and Better Lives, Islington’s Community Substance Misuse Service, to support the patient’s treatment and recovery goals.
This LCS supports a range of interventions for opioid drug dependence within primary care settings by supporting GPs to provide non-specialist care and treatment in partnership with Better Lives.
The LCS objectives are to:
- Improve access to community substance misuse services for patients who meet the locally agreed criteria.
- Normalise the drug treatment process.
- Encourage a holistic approach by addressing the patient’s wider physical, mental and social health and wellbeing.
- Promote continuity of care.
- Promote access to additional specialist clinical treatment or input where required.
- Promote recovery from drug misuse.
The inclusion criteria are:
- Adult patients (18 years old or over) registered with an Islington-CCG-contracted GP for general medical services (GMS).
- Objectively opioid dependent i.e.
a) clinically assessed/observation of opioid withdrawal symptoms
b) opioid positive urinalysis (or other near patient testing methods such as oral fluid and/or breath testing, where available with confirmatory urinalysis).
- Patients who would benefit from treatment within a primary care setting and are able to adhere to appointment based treatment.
Better Lives contact details:
t: 0203317 6650