1. Strategic, service provider and user responses to reducing fatal and non-fatal poisonings Rowan Williams, Development Manager, Drugaid

2. Welcome and introductions Strategic changes Discussion Good practice for substance misuse service providers Discussion Service user role and responsibilities Discussion Case study Workshop overview

3. Death rates in England and Wales

4. Drug Related Death Panels National Drug Related Death Monitoring Group – chaired by the Welsh Assembly Four regional panels – 6 monthly meetings Data collated from post-inquest files and questionnaires sent to service providers. Lessons learned

5. Ambulance and police services Protocol stating that police will not routinely attend overdose incidents. Police will only attend if: The person dies The ambulance staff want back up Emergency services are called to an address where they have experienced problems in the past

6. Naloxone availability Wales is ahead of the game distributing Naloxone to drug users Naloxone could be made available to: Concerned others Housing providers esp. hostels Drug services and Tier 2 providers

7. Embed harm reduction in working practices Preparation work with service users Partnership working with Tier 1 and 2 service providers Peer education Staff to explore overdose risk factors and injecting practices in detail with service users

8. Early warning systems Focal Point – EU warning system – detection of emerging trends Public Health Wales alerts OWL messaging system in Gwent Systems within services Drug services messages need to be timely, relevant and factual

9. Workforce development Induction and continuing personal development Overdose prevention and response training Naloxone training Refresher courses

10. Roles and responsibilities Feed into early warning systems Look after peers Respect emergency services Bear risk information in mind Get trained and carry Naloxone Utilise informal networks

11. Where next? THANKS rowan.williams@drugaidcymru.com