Harm Reduction Services

1. Opioid Substitution Treatment Service

• OST Service Specification 2025
• OST service contract 2025
• Service User and Provider Agreement (Generic)
• Belfast HSC Trust “Substitute Prescribing Agreement”
• Oromucosal Buprenorphine: Espranor®
• References

1. Opioid Substitution Treatment: Northern Ireland Supplementary Guidance for Community Pharmacists 2019 (Version 1.1) Updated January 2021
2. Opioid Substitution Treatment: Cover letter issued with Northern Ireland Supplementary Guidance for Community Pharmacists 2019 (July 2019)
3. Drug Misuse and Dependence: UK Guidelines on Clinical Management 2017
4. Learning from Serious Adverse Incident (SAI): Action Required when a Patient Receiving Oral Substitution Treatment (OST) Misses Doses or Circumstances Change (Jan 2021)
5. Opioid Substitution Treatment: Addendum to NI Supplementary Guidance for Community Pharmacists 2019 (Jan 2021)

https://www.gov.uk/government/publications/drug-misuse-and-dependence-uk-guidelines-on-clinical-management

 

2. Needle and Syringe Exchange Service

• NSES Service Specification (2024)
• NSES and THN providers March 2026
• Needle and Syringe Provision: Self Select Order Form (PHA,2022)
• NI Guide to Needle Exchange Pack Contents
• NI Harm Reduction Information System (HRIS) Staff Member User Guide
• HRIS Paper Form
• NSES Privacy Notice
• NSES Contract
• References

1. Needle and Syringe Exchange Scheme Leaflet
2. Annual Report of the Needle & Syringe Exchange Scheme

 

3. Naloxone

• References

1. “Widening the availability of Naloxone” Guidance 2017
2. Take Home Naloxone
3. Service Specification for Naloxone
4. Naloxone Privacy Notice
5. Naloxone Contract 2026
6. NSES and THN providers March 2026

 

4. Over The Counter Codeine Pilot Service

1. OTC Codeine Pilot Service Specification 2026
2. OTC Codeine Pilot Contract
3. Risk Assessment Tool for OTC Codeine Dependence
4. Community Addiction Service Referral Form
5. OTC Codeine Pilot Flowchart
6. HSC Leaflet “Taking care with medicines used to relieve pain”
7. Northern Trust CAS patient information leaflet
8. Client Information Sheet
9. Privacy Notice
10. Data Sharing Agreement Template
11. Client Feedback Questionnaire
12. OTC Codeine Pilot Training Link and DSA Process
13. OTC Codeine Providers May 2026

Correspondence

OTC codeine social media letter (July 2026)
OTC codeine remuneration clarification and updated training link (June 2026)
OTC codeine Pilot Expression of Interest (April 2026)
OTC codeine Pilot Training link and DSA process (March 2026)
OTC codeine Pilot Cover Letter (February 2026)
Letter of advance notice to Community Pharmacy re: OTC Codeine pilot (December 2025)

 

5. Additional Support Resources

Supporting the nutritional needs of people at risk of harm due to substance use