Drug Service
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Wirral Drug Service
 

Introduction to the Service

The Wirral peninsula, like other urbanised areas in the U.K., experienced a huge upsurge in heroin use in the early 1980's. By 1984 there were an estimated 5,000 heroin users on the Wirral alone (1.5% of the total population). Treatment services at the time were not able to respond to this problem. Users seeking drug treatment usually went outside the area and by the summer of 1988, 25% of a neighbouring Health Districts clients were from the Wirral area.

 

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We hope you find these pages describing the unit's work informative. Please feel free to contact us with any comments you have.
A response was needed on the Wirral to serve the local population and so in August 1988 the Wirral HIV/AIDS Prevention unit was set up at St. Catherine's Community Hospital in
Tranmere, Birkenhead. Dr. Stefan Janikiewicz was appointed as Clinical Director; a local GP, already prescribing to drug users from his own surgery, it was felt that Dr. Janikiewicz was uniquely placed to be the units Director. Using a building close to the main entrance known as the Old Lodge, this unit acted primarily as a syringe exchange scheme, distributing almost 30,000 barrels and syringes to approximately 600 clients in it's first year alone.
 
Over the next two years it became clear that a substitute prescribing service would help improve treatment offered to drug misusers and in April 1991 a community based drug service was established next door to the existing premises. By the following April the unit had attracted 750 patients, the full complement of it's contractually agreed numbers; as a whole both parts of the service were providing a comprehensive drug treatment service at a community based hospital.
 
The pressure on the service was still considerable as far as requests for treatment were concerned and so, 2 years later in 1993 the unit began to work in a far more formalised
way with local GPs. Although GPs had treated drug users prior to the unit's opening it was in a piecemeal and unsupported way, with no overall guidelines and protocols. A new GP Liaison team was set up and GPs were encouraged to join the scheme. Many more patients could now be treated, not only at the specialist drug unit, but also back at their own GP practice, once a degree of stability was recognised in their drug use. By April 1999 the GP team was treating up to 450 patients.
 
In April 2000 further funding was attracted from the Birkenhead Primary Care Group enabling the team to expand by a further 60 places to 510 shared care places. Further funding has since been given by Wirral Drug Action Team to expand shared care to 700 places across the Wirral and aims to include all practices within the scheme.
 
Detoxification services available to clients were reviewed in July 1996 and in September our Detoxification Team was launched. This service provides various community based detox options to the unit's clients. From this date Wirral Phoenix House, established in April 1987, has worked in partnership with the unit in providing two beds used for those clients requiring a residential detox. The detox team moved in January 2002 to it's own separate building within the hospital, known as 'The Port House'.
 
Overall Wirral Drug Service now treats approximately 1,400 people in varying stages of their drug use. We have been operating for almost ten years and have now grown into the largest drug service in the United Kingdom and one of the largest in Europe, employing over 40 staff. We feel we are unique in the varied services offered to drug users on the Wirral. Please enjoy these pages describing the unit's work and feel free to comment or contact us.
 
Clients currently in treatment represent 0.41% of the total Wirral population.
 
MISSION STATEMENT

WIRRAL DRUG SERVICE PROVIDES QUALITY ACCESSIBLE
INTERVENTIONS FOR THOSE WHOSE LIVES ARE AFFECTED
BY DRUG USE, TREATING THEM WITH DIGNITY AND RESPECT.

THE SERVICE RESPONDS TO THE DIVERSITY OF THE COMMUNITY
AND RECOGNISES THE NEEDS OF INDIVIDUAL CLIENTS, THEIR
FAMILIES AND CARERS.
 
Alcohol Service [Wirral] [Chester] [Ellesmere Port]
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