![]() ![]() Continuing community OST prescriptions for people admitted in the evening, night-time, or weekend was often precluded by requirements to confirm doses with organisations that were closed during these hours. Policies illustrate procedural barriers to OST provision, including inconsistent application of national guidelines across trusts. An additional 44 (33%) responded but could not provide relevant policies, and five (4%) did not send a definitive response. ResultsĮighty-six (64%) trusts provided 101 relevant policies. We worked closely with people with lived experience of OST and/or illicit opioid use, informed by principles of community-based participatory research. Additionally, we reviewed an Omitted and Delayed Medicines Tool (ODMT), one resource used to inform critical medicine categorisation in England. We requested policies on substance dependence management from 135 National Health Service trusts, which manage acute hospitals in England, and conducted a document content analysis. We sought to understand the barriers to timely provision of opioid substitution therapy (OST), which helps to prevent opioid withdrawal, in acute hospitals in England. Opioid withdrawal contributes to premature discharge. Many admissions end in discharge against medical advice, which is associated with readmission and all-cause mortality. People who use illicit opioids are more likely to be admitted to hospital than people of the same age in the general population. ![]()
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