Edinburgh cabbies sign up to carry naloxone as part of SAS campaign

The Scottish Ambulance Service (SAS) has launched an initiative with Edinburgh’s Central Taxis to equip its taxi drivers with the life-saving drug naloxone, which temporarily reverses the effects of an opioid overdose.

Central Taxis is the largest taxi operator in Edinburgh, and their drivers have all been approached to carry out the necessary training and to carry naloxone in their cabs. Already, 36 drivers have signed up to complete the training.

Recognising the signs and symptoms of overdoses and the administration of naloxone can mean the difference between life and death. Naloxone is vital in reversing the life threatening effects of opioid overdose and can buy precious time while waiting for an ambulance to arrive.

Taxi drivers cover large areas in the region, and serve different communities on a daily basis, and so they are often likely to encounter an overdose before an ambulance is called.

This initiative is part of a wider campaign, Stop the Deaths, launched by the Scottish Government and the Scottish Drugs Forum, which seeks to reduce stigma and raise public awareness of how to recognise and intervene when someone has a drug overdose.

Inspired by the success of Glasgow Taxi’s naloxone campaign, launched in February 2022, Julie McCartney, SAS’s Drug Harm Reduction Lead for the East Region, worked with Central Taxis to encourage a similar campaign in the Lothians.

As part of this initiative, SAS is also working with their partners Edinburgh Alcohol & Drug Partnership (EADP), Scottish Drugs Forum (SDF), and Scottish Families Affected by Alcohol & Drugs (SFAD).

SDF is providing free access to online naloxone training for drivers, and the naloxone kits are being provided by SFAD, who will use their click and deliver service to distribute them to the drivers who request them.

Julie McCartney, SAS’s Drug Harm Reduction Lead for the East Region said: “The Scottish Ambulance Service Drug Harm Reduction team are delighted to be working with Edinburgh Central Taxis and our local partners, to raise public awareness of the importance of being able to identify an overdose, administer naloxone and call 999 for an ambulance.

“Public knowledge and understanding is key as we seek to address the stigma surrounding drug use and encourage a compassionate approach to those who are vulnerable and need our help. This forms part of a wider catalogue of work by the Scottish Ambulance Service to maximise every opportunity to support those who use drugs to access treatment and support direct from the scene of an emergency.”

Murray Fleming, Company Secretary, at Central Taxis said: “This is a great campaign. Our drivers are out and about 24 hours a day and are very much the eyes and the ears of the city.

“We’ve had a terrific initial response from drivers registering to complete the training, carry Naloxone and play their part in the Stop The Deaths initiative.

“We already provide a back-up service for the NHS and Ambulance service in Edinburgh and see ourselves as very much the fourth emergency service.”

Drugs Policy Minister Angela Constance said: “I welcome this joint initiative by Scottish Ambulance Service and Edinburgh taxi drivers which will result in more lives being saved through the use of the emergency treatment naloxone.

“The response to the Stop The Deaths campaign by the Scottish Drugs Forum and Scottish Government earlier this year has been very encouraging and in addition to saving lives, we hope it has helped reduce the stigmatisation of people at risk of overdose and those with a problematic drug use more broadly.

“Naloxone is one of a wide range of measures being used to address the public health emergency of drugs deaths, but it plays an important role and I hope people will continue to visit the “Stop The Deaths” website to find out more.”

David Williams, Joint Commissioning Officer from the Edinburgh Alcohol and Drugs Partnership, said: “For someone experiencing a drug overdose, Naloxone can be life-saving. Its ability to temporarily reverse the effects of opioid drugs such as heroin, buprenorphine, and methadone gives a crucial window of time to call an ambulance and get someone the critical medical support needed.

“The Edinburgh Alcohol and Drugs Partnership is therefore delighted to be supporting this initiative with Edinburgh Central Taxis. The more people who carry Naloxone kits in Scotland – and have the right training and awareness to administer it – the more drug related deaths can be prevented.

“We’re grateful to all those in Edinburgh’s taxi community who go on to sign up to this initiative and carry these life-saving kits.

“We would encourage anyone who might be in a position to use a kit and save a life to go to https://www.sfad.org.uk/support-services/take-home-naloxone or drop in to one of the local services who provide them.”

National campaign launched to prevent deaths from overdose

A nationwide marketing campaign to raise public awareness of the signs of a drug overdose and the life-saving medication naloxone has been launched to mark International Overdose Awareness Day.

The Scottish Government and Scottish Drugs Forum (SDF) have teamed up to help inform the public of the medication which can reverse the effects of an opioid-related overdose.

TV and radio adverts and billboards at transport hubs and shopping centres will encourage people to go to the StopTheDeaths website to learn how to identify when someone is experiencing an overdose and how to get a naloxone kit and be trained to use it.

The campaign aims to inform the public how to respond to an overdose and provide an early intervention that could save a life and is therefore a vital part of the national mission on the drug deaths crisis.

Drugs Policy Minister Angela Constance said: “Firstly, on International Overdose Awareness Day I want to pass on my sincere condolences to all those who have been affected by a drug-related death.

“As I have said before, the number of deaths in Scotland is heart-breaking and I am determined that every penny of the £250 million we will spend on the crisis over the next five years will make a difference.

“That is why I am pleased to launch this joint campaign with Scottish Drugs Forum to encourage the public to get involved in our national mission and equip themselves to save a life.

“It will help inform a wider audience of what naloxone is, how it works and how they can use it in an emergency.

“We hope that the campaign will also help reduce the stigmatisation of people at risk of overdose and people with a drug problem more broadly.

“Naloxone is one of a wide range of measures being used to address the public health emergency of drugs deaths, but it plays an important role and I hope as many people as possible will visit the  “Stop The Deaths” website to find out more.”

Kirsten Horsburgh, Strategy Coordinator for Drug Death Prevention at Scottish Drugs Forum, said: “People can feel overwhelmed and powerless in the face of the numbers of overdose deaths in Scotland but these deaths are preventable.

“Even in the moment that people encounter someone who may be experiencing an overdose it is important that people do not feel helpless.  With a little knowledge and training people can make a life-saving difference.

“In the time people wait for an ambulance the first steps can be made that can save that person’s life.  Recognising that someone may be experiencing an overdose, dialling 999 and administering naloxone are all part of the response that gives that person the best chance of recovery. 

“In Scotland there is widespread access to naloxone kits and training and it’s crucial that as many people as possible get involved.” 

For further information visit  StopTheDeaths

New treatment standards for drug users announced

New standards for treatment for drug users will ensure everyone has access to the support which works best for them.

The 10 new standards, published today by the Drug Deaths Taskforce, will reinforce a rights-based approach for people who use drugs and the treatment they should expect, regardless of where they live.

Funding from the additional £50 million for drugs services announced by the First Minister in January will ensure that all Alcohol and Drug Partnerships (ADPs) are supported by the Scottish Government to embed the standards by April 2022. They make clear that people must be able to start receiving support on the day that they ask for it and emphasise the importance of allowing people to make informed choices about the type of medication and help available to them.

These 10 standards apply to Medication-Assisted Treatment (MAT) which is the term used to refer to the use of medication, such as opioids, together with any psychological and social support, in the treatment and care of people who experience problems with drug use.

Minister for Drug Policy Angela Constance said: “I want to thank the Drug Deaths Taskforce for their work on developing these standards and all those who gave their views following the interim report.

“We now have a set of standards which are safe, accessible and person-centred. These will help ensure consistency of treatment across the country. Making help available and giving people an informed choice is an essential part of respecting a person’s rights and dignity. It is also an approach which is more likely to be effective and provide people with the support and treatment they need.

“We have said a national mission is needed to tackle the drug deaths emergency and that is why we allocated an additional £250 million over the next five years to improve and increase services for people affected by drug addiction.

“These MAT standards will mean everyone with problematic drug use can access the right support for them regardless of their situation or location.”

Chair of the Drug Deaths Taskforce Professor Catriona Matheson said: “The publication of the MAT Standards and the start of their implementation represents a major achievement for the Taskforce and the beginning of a new phase of our work.

The Standards constitute the most significant intervention in the strategy to reduce the unacceptable level of drug related deaths. The Standards will form a critical element of the longer term, sustainable actions that will save lives, complimenting the emergency actions taken to date.

“The evidence is clear that using street drugs and not being in treatment is dangerous and life-threatening. The Taskforce wants more people at risk to be in treatment programmes.

“I would like to thank everyone who contributed to the rapid development of the Standards and who are now involved in their roll-out and adoption. Commitment like this will help save lives.”

Scottish Drugs Forum CEO David Liddell said: “Scotland’s MAT Standards are the most significant landmark in improving Scotland’s response to problem drug use in over a decade. Implementing the standards will be the most significant development in addressing the on-going public health emergency of drug-related deaths.

“People who enter treatment are amongst the most vulnerable people in our society and often find engaging with services difficult. Services need to be more attractive, more approachable and more accessible; and reach out to people who have been in treatment but no longer are. 

“These standards are the basis for  making services truly person-centred. Implementing them will help services develop empowering relationships with people in treatment. Full implementation of the standards will save lives, reduce harm and transform people’s quality of life.”

Medication-Assisted Treatment (MAT) standards:

  • all people accessing services have the option to start MAT from the same day of presentation
  • all people are supported to make an informed choice on what medication to use for MAT, and the appropriate dose
  • all people at high risk of drug-related harm are proactively identified and offered support to commence, re-commence or continue MAT
  • all people are offered evidence based harm reduction at the point of MAT delivery
  • all people will receive support to remain in treatment for as long as requested
  • the system that provides MAT is psychologically and trauma informed (Tier 1); routinely delivers evidence based low intensity psychosocial interventions (Tier 2); and supports the development of social networks
  • all people have the option of MAT shared with Primary Care
  • all people have access to advocacy and support for housing, welfare and income needs
  • all people with co-occurring drug use and mental health difficulties can receive mental health care at the point of MAT delivery
  • all people receive trauma informed care.