Dear Department of Health (Northern Ireland),
This request relates to the service commissioned within Northern Ireland 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 the commissioning of services related 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.
 Does the DoH advise the Trusts on any particular pathway that the Trusts should follow in dealing with de-escalation and withdrawal management of prescribed opioids?
 What existing guidelines – if any - does the DoH propose that the Trusts adhere to in dealing with de-escalation and withdrawal management of prescribed opioids?
 Is there a team within the DoH that deals with de-escalation and withdrawal management of prescribed opioids? If not – can you confirm which team is responsible for this area?
 Can the membership – and associated hierarchy – of the relevant team be provided? (Can the hierarchy be provided up to Director level please?)
 Can you provide any specific advice, policy or guidance that has been provided to the Trusts relating to de-escalation and withdrawal management of prescribed opioids since 1st April 2016?
 How many cases of de-escalation and withdrawal management of prescribed opioids have the Trusts 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
Dear Mr Hamill,
Please find attached an acknowledgement of receipt of your recent request
for information about Opioids, together with an information leaflet.
Department of Health
Information Management Branch
Dear Mr Hamill
Please find attached a response to your recent Freedom of Information
request to the Department of Health regarding the de-escalation and
withdrawal management of prescribed opioids in Northern Ireland.
Department of Health (NI)
Medicines Policy Branch
Tel: 02890 520014
Email: [email address]
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