Author: Ellie Grudgings

Shared Care Operational Guidance Pathway Overview

Yes

ADVISE BDP SHARED CARE ON
0117 987 6018

PATIENT PRESENTS WITH OPIOID DEPENDENCE

CHECK EMIS WEB FOR CURRENT OST

No

GP URINE SCREEN TO
CONFIRM & REFER TO ROADS SPOC– COMMUNITY RECOVERY SERVICE (DHI)
roads@dhi-online.org.uk.cjsm.net
Fax - 0117 9166 593
Post: DHI, BRUNSWICK COURT,
BRUNSWICK SQUARE, BS2 8PE
Assessment queries: 0117 7440 0540

REFER TO BSDAS

REFER BACK TO GP

COMPLEX NEEDS
REQUIRING SPECIALIST TREATMENT

PATIENT DNA

ROADS SPOC ASSESSMENT COMPLETED WITHIN 10 WORKING DAYS
Drug & Alcohol Use
Risk & Safeguarding
Psychosocial/Recovery support
RECORDED IN EMIS WEB & THESEUS CASE MANAGEMENT SYSTEM

REFER TO BSDAS

PHARMACY

LIASE WITH GP & GENERATE PRESCRIPTION
ORGANISE PHARMACY:
SUPERVISED DISPENSING
MINIMUM 6 DAYS 0R 7 DAYS WHERE CHILDREN
UNDER 5 YEARS OLD LIVING IN HOUSEHOLD

DISPENSE AS PER PRESCRIPTION

ROADS SPOC REFERS TO BDP SHARED CARE – APPOINTMENT OFFERED WITHIN 10 DAYS

PATIENT MISSES 3 CONSECUTIVE DAYS—CONTACT GP, BDP SHARED CARE on 0117 987 6018

OST STABILISATION PHASE:
RECOVERY PLAN ; BBV;
NALOXONE
REFERRALS; PRESCRIPTION
MANAGEMENT

Specialist Clinical Advice
ROADS consultant addictions psychiatrist:
0117 919 23245

OST—OPTIMISED :
60-120MG METHADONE
12-24 BUPRENORPHINE
OR DETOX PLAN