1. A DAY IN THE LIFE OF BOOTS QUEEN STREET STATION Lynda Allan Store Manager

2. Our Store

3. Services for PWUD Signposting  CATs, Homelessness Centre, Food & Shelter, Crisis Centre, Sexual Health Clinic (BBV) Referral  GP, Hospital (Wounds, infections, physical or mental health) IEP Equipment Provision  One hit kits, water for injection, sharps bin Naloxone  Brief one to one overdose training and supply of naloxone for people at risk of opiate overdose in the community. eMAS  Everyone can go to their pharmacist for advice or to buy a medicine for a minor illness or ailment. This allows people who do not pay for prescriptions to access a selection of over the counter medicines without paying.

4. Information

5. Clients & Transactions

6. The IEP – when a client comes in.... We accept returns We register/update client details on NEO We ask about the drug(s) are being used, injection site and frequency (mostly heroin use) We try to influence choice of needle size We encourage client takes as many needles as possible We encourage the use of water for injection We offer a choice of sharps bins We provide overdose training and supply Naloxone

7. OST – behind the scenes  Methadone and Buprenorphine prescriptions – controlled drugs.  Legal aspects of prescriptions – signature, date, quantity, dose, instalment requirements. Wording to allow for irregular closure or dose to be supplied if collection on instalment day missed added?

8. OST – behind the scenes  Dispensing of medication – has the dose or dispensing arrangements changed?  Recording of medication – all medication must be recorded in the CD register and who collected the medication.  PMR records for medication – can keep notes, check medication for interactions.  Links to prescribers and teams – treatment agreement allows sharing of information. Is the patient struggling? Are they doing really well? Has the patient missed doses?

9. OST  Before being given a dose - is the patient’s appearance or speech any different? Has the patient consumed alcohol or drugs?  Seeing patients regularly means staff get to build a relationship with the patient.  Supervised doses – processes in place for both methadone and buprenorphine. Patients asked to confirm identity just like anyone collecting a prescription.  Patients routinely given information about safe storage of any take home doses and dental hygiene.

10. All in a day’s work........  Regular patients/clients of IEP – relationship, comfortable to ask for help, a ‘weel kent face’.  Help reduce stigma by linking in with Transport Police.  Harm reduction services, referral, signposting, naloxone provision, OST dispensing – all in place to help keep a person safe and help them progress through their recovery journey.  Pharmacist and dispenser used naloxone on a person who had overdosed.  eMAS, prescriptions, health advice (patient & family) – access to general health care.

11. Thank You