De-escalation and withdrawal management of prescribed opioids within NHSCT
Dear Northern Health and Social Care Trust (Northern Ireland),
This request relates to the service provided within the NHSCT relating to de-escalation and withdrawal management of prescribed opioids.
This request does NOT relate to instances of drug misuse.
This request does relate specifically to those cases where there is an underlying condition leading to a need for chronic or acute pain management for which opioids have been prescribed and has led to dependence. De-escalation and withdrawal management from opioids in these cases needs to be done in conjunction with the requirement to continue treating the underlying condition.
[1] What pathway does the NHSCT follow in dealing with de-escalation and withdrawal management of prescribed opioids?
[2] What existing guidelines does the NHSCT adhere to in dealing with de-escalation and withdrawal management of prescribed opioids?
[3] What are the organisational units (team structure & hierarchy) involved in providing de-escalation and withdrawal management of prescribed opioids? (Can the hierarchy be provided up to Director level please?)
[4] Is there a specific multi-disciplinary team set up for providing de-escalation and withdrawal management of prescribed opioids? If so – can you provide the membership of the MDT team and state how often that it has met in the last 12 months?
[5] How many cases of de-escalation and withdrawal management of prescribed opioids has NHSCT initiated and managed since 1st April 2016?
Can this information be broken down by year:
- 1st April 2016 to 31st March 2017
- 1st April 2017 to 31st March 2018
- 1st April 2018 to 31st March 2019
- 1st April 2019 to current day
[6] What is the existing policy within the NHSCT for managing de-escalation and withdrawal management of prescribed opioids at present?
This should include – but not be necessarily limited to – use of care plans, patient involvement in decision making, support systems availability, liaison with local GP’s, regular consultation expectations, continuous review.
Yours faithfully,
Jimmy Hamill
Thank you. Your email has been received by the Information Governance Department and will be responded to in due course.
Our Ref: JH290819
Please be advised that your request is being processed by the Trust in accordance with the Freedom of Information Act 2000.
Regards
Jenni
Jenni Brooks
Senior Information Governance Officer
Information Governance
Causeway House
Route Complex
8e Coleraine Road
Ballymoney
BT53 6BP
028 27661293 Ext 363293
Dear Governance, Info,
Can I enquire as to the status of this request?
I think that I should have received a reply within 20 working days.
Yours sincerely,
Jimmy Hamill
Thank you. Your email has been received by the Information Governance Department and will be responded to in due course.
Dear Jimmy, I refer to your recent email regarding your request for
information relating to de-escalation and withdrawal management of
prescribed opioids within the Northern Health and Social Care Trust.
Please accept my sincere apology on behalf of the Trust for the delay in
providing you with a response. The information you have requested is not
held centrally and involves more than one service within the Trust which
has required input from various professionals and we are still awaiting
input from some of these professionals to attempt a collective response on
behalf of the Trust.
Your patience in this matter is sincerely appreciated and I would hope to
have a response to you in the near future.
Kind regards.
Irene Jardine
Information Governance Officer
Tel: 028 276 61415 (ext 363415)
Causeway House
8e Coleraine Road
BALLYMONEY BT53 6BP
Dear Jardine, Irene,
Can I enquire as to the status of this request?
Can I refer you to your communication of 2nd October in this regard.
Yours sincerely,
Jimmy Hamill
Mr Hamill
I continue to push for a response to your request and assure you it has not been overlooked.
I am hopeful we will have a response next week.
Once again, please accept our sincere apologies.
Regards
Jenni
Jenni Brooks
Senior Information Governance Officer
Information Governance
Causeway House
Route Complex
8e Coleraine Road
Ballymoney
BT53 6BP
028 27661293 Ext 363293
Mr Hamill
Please find attached the response to your FOI request.
Once again please accept out apologies for the delay in providing this
response.
Regards
Jenni
Jenni Brooks
Senior Information Governance Officer
Information Governance
Causeway House
Route Complex
8e Coleraine Road
Ballymoney
BT53 6BP
028 27661293 Ext 363293
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