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Middlesbroughs Approach Middlesbrough Local Authority is the most - - PowerPoint PPT Presentation

Naloxone: Middlesbroughs Approach Middlesbrough Local Authority is the most deprived local authority in England Middlesbrough is the Local Authority containing the highest proportion of areas which are considered the most deprived.


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SLIDE 1

Naloxone: Middlesbrough’s Approach

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SLIDE 2

Middlesbrough is the Local Authority containing the highest proportion of areas which are considered the ‘most deprived’. Of the wards in Middlesbrough, North Ormesby is the most deprived, and is the second most deprived in England. 49% of areas in Middlesbrough fall into this ‘most deprived’ category, which is determined using 7 key indicators…

Middlesbrough Local Authority is the most deprived local authority in England

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SLIDE 3

Deprivation Domains and Middlesbrough: Where do we sit?

Income: 49% of our area is in the lowest tenth (worst in England) Employment: 48% of our area is in the lowest tenth (second worst in England) Education: 44% of Middlesbrough is in the lowest tenth (worst in England) Health: 56% of our area is in the lowest tenth (fifth worst in England) Crime: 38% of Middlesbrough is in the lowest tenth (tenth worst in England) Barriers To Housing: 0% of our area is in the lowest tenth in England (within the best) Environment: 1% of Middlesbrough is in the lowest tenth (14th best in England)

B

h p

A

P

Ranked from Worst in the country (1st) to Best in the country (326th).

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SLIDE 4

Opiate Use: A National Comparison

Rates are per 1,000 population and are estimates

  • nly

Rates of opiate users in Middlesbrough are 57% higher than in the North East region, and 66% higher than the England rate. Middlesbrough has the highest rate in the country – 21% higher than the next highest local authority.

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SLIDE 5

Opiate use in Middlesbrough

The number of

  • piate users has

increased between 2011/12 and 2014/15 by:

14%

9.66 users per 1,000 women 33.29 users per 1,000 men Trend: 61.2% of opiate users are aged 35-64 33.4% aged 25-34 5.4% aged 15-24

The number of users aged 15-24 has decreased by 21% in the last 4 years. The number of users aged 25-34 has decreased by 20% in the last 4 years. The number of users aged 35-64 has increased by 58% in the last 4 years.

1,936 2,053 2,133 1,696

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SLIDE 6

Treatment in Middlesbrough

64%

Total Naloxone/ buprenorphine Prescriptions: In Treatment:

1,245

14

Naloxone Sub-Interventions in last 12 months:

11

Estimated users in treatment:

No Treatment:

691

Proportion of those in treatment for

  • piates vs

non-opiates:

11.4% Currently

Inject

15.5% Previously

Injected

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SLIDE 7

Hospital Admissions for Substance Misuse (15 to 24 year olds)

On average, Middlesbrough has a rate of 86 more admissions per year, per 100,000 population, than England and 51 more than the North East Region. The actual number of admissions in Middlesbrough in the latest period is: 111. Admissions have increased by 75% in the last 7 years. The actual number of admissions in Middlesbrough in 2008/09-10/11 was: 71.

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SLIDE 8

Deaths Due to Drug Misuse

On average, this area has 4 more deaths per year, per 100,000 population, than England and 2 more than the North East Region. The actual number of deaths in this area in the latest period is: 41. Deaths have increased by 21% in the last 15 years. The actual number of deaths in the area in 2001/03 was: 34. The increase from 2012-14

  • nward is due to an

increase in the number of women dying.

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SLIDE 9

Actual Deaths Related to Drug Misuse in Middlesbrough – Male and Female

The increase in women dying from 2012-14 onward is highlighted above - between 2012 and 2016 it was similar to the number of men dying.

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SLIDE 10

Naloxone temporarily reverses the effects of opiate overdose – anyone can be trained to administer it. It only works if a person has

  • pioids in their system – no

risk of diversion. International evidence base proves its effectiveness – naloxone has saved countless lives.

The Benefits of Naloxone

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SLIDE 11

To reduce deaths. No overdoses in the area without a kit available. Work in collaboration with all relevant partners. Train everyone who is likely to come into contact with those at risk of overdose. Flood the town with kits.

Middlesbrough’s Naloxone Aims

To maximise the additional benefits of our naloxone programme:

  • Shorter hospital admissions;
  • Awareness raising via +ve publicity;
  • Be pioneers to inspire other areas.
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SLIDE 12

Naloxone Approach in Middlesbrough

Phase One:

  • Target those most at risk

via all MRT services

  • Include families/carers
  • Train key partner
  • rganisations

Achievements so far:

  • Over 1,200 kits distributed
  • 24 partner agencies engaged
  • 139 staff trained
  • JCUH only the 2nd hospital providing take-home kits
  • Lives saved

Phase Two:

  • Ensure hospital is engaged
  • Extend to wider partners
  • Kits available in key locations
  • Train as many people as

possible

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SLIDE 13

Although impossible to quantify exact numbers, many lives have already been saved. Case study examples:

  • 1. Foundations
  • 2. CGL
  • 3. Community

Many more that we are unlikely to find out about…

Outcomes in Middlesbrough

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SLIDE 14

Target more key partner organisations and locations:

  • Police
  • First responders
  • Transport hubs
  • Shopping centres
  • Fast food outlets
  • Pharmacies
  • Defibrilators

The Future of Middlesbrough’s Programme

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SLIDE 15

Thank you.

Jonathan Bowden – Advanced Practitioner, South Tees Public Health jonathan_bowden@Middlesbrough.gov.uk