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Year
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2008
Type
House
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Answering member
Legislative stage
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To ask the Secretary of State for Children, Schools and Families how many children who were subject of serious case reviews died from ingesting methadone in each of the last three years.
To ask the Secretary of State for Children, Schools and Families how many children who were subject of serious case reviews died from ingesting methadone in each of the last three years.
Asked by
Meg Munn
(Labour; Co-operative Party)
Answered by
Baroness Hughes of Stretford
(Labour)
Answering body
Department for Children, Schools and Families
Type
Written questions
Status
Answered
Tabled on
11 December 2008
For answer on
15 December 2008
Answered on
17 December 2008
Child deaths which result in a Serious Case Review being undertaken may be due to a range of causes but it is not possible precisely to quantify the number of methadone related child deaths from the information held by the Department for Children, Schools and Families. Serious case reviews should always be conducted when a child dies and abuse or neglect is known or suspected to factor in the death.
Subjects
Children; Protection; Methadone
Date
17 December 2008
Reference
485 c817W; 244118
House
House of Commons
To ask the Secretary of State for Health how many people were prescribed methadone in (a) the Gloucestershire Primary Care Trust area and (b) Stroud constituency in each of the last 10 years.
To ask the Secretary of State for Health how many people were prescribed methadone in (a) the Gloucestershire Primary Care Trust area and (b) Stroud constituency in each of the last 10 years.
Asked by
David Drew
(Labour; Co-operative Party)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
11 November 2008
For answer on
13 November 2008
Answered on
19 November 2008
The Department does not hold information on the number of patients treated with a particular drug. However we are able to provide two related sources of data covering the Gloucestershire and Stroud areas. These are the number of methadone prescriptions and the number of people receiving specialist prescribing treatment for drug misuse.The number of items prescribed and dispensed for methadone is in the following table. This information covers the last 60 months and is based on the primary care trust (PCT) that most closely represents the area requested."Note:""Methadone can be used to treat more than one condition—it is licensed for use in opioid dependence, as an analgesic and as a cough suppressant."
The National Treatment Agency for Substance Misuse’s (NTA) National Drug Treatment Monitoring System (NDTMS) collects data on people in drug treatment in England.NDTMS records numbers of people receiving specialist prescribing for drug treatment rather than the type of drug which is prescribed. Most of those in treatment receive oral methadone, but buprenorphine or other substitute opioids may also be prescribed.The NDTMS only records data based on local authority boundaries, and only since 2004-05. The NDTMS does not break down data specifically for Stroud.Data for the number of people receiving prescribing treatment in the Gloucestershire Primary Care Trust area, for each of the years since 2004-05 are given in the following table.
| Number of prescription items (not individuals receiving prescriptions) of methadone | |
|---|---|
| Financial year | Gloucestershire PCT¹ |
| 2007-08 | 5,995 |
| 2006-07 | 5,559 |
| 2005-06 | 3,990 |
| 2004-05 | 3,046 |
| ¹ Due to changes in PCT configuration Gloucestershire PCT comprised of the following PCTs, pre 2006 changes: | |
| Cheltenham and Tewkesbury PCT | |
| Cotswold and Vale PCT | |
| West Gloucestershire PCT |
| Number of individual receiving prescribing treating (including methadone) for drug misuse | |
|---|---|
| Number | |
| 2004-05 | 865 |
| 2005-06 | 1,314 |
| 2006-07 | 1,358 |
| 2007-08 | 1,467 |
Subjects
Gloucestershire; Methadone
Date
19 November 2008
Reference
483 c528-9W; 235961
House
House of Commons
To ask the Chancellor of the Duchy of Lancaster how many deaths attributed to methadone addiction were recorded in (a) Doncaster, (b) Barnsley and (c) South Yorkshire in each of the last five years.
To ask the Chancellor of the Duchy of Lancaster how many deaths attributed to methadone addiction were recorded in (a) Doncaster, (b) Barnsley and (c) South Yorkshire in each of the last five years.
Asked by
Jeff Ennis
(Labour)
Answered by
Lord Brennan of Canton
(Labour)
Answering body
Chancellor of the Duchy of Lancaster
Type
Written questions
Status
Answered
Tabled on
12 November 2008
For answer on
17 November 2008
Answered on
18 November 2008
The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.Letter from Karen Dunnell, dated November 2008:"As National Statistician, I have been asked to reply to your recent question asking how many deaths attributed to methadone addiction were recorded in (a) Doncaster, (b) Barnsley and (c) South Yorkshire in each of the last five years. (236239)""The attached table provides the numbers of deaths for which the underlying cause was drug poisoning and methadone was mentioned anywhere on the death certificate in South Yorkshire county from 2003 to 2007 (the latest year available). The information collected at death registration does not specify whether the deceased was addicted to the substances mentioned as contributing to the death.""Figures cannot be provided for the metropolitan districts of Doncaster and Barnsley as these data are judged to be too detailed to preserve anonymity in death statistics."
| Table 1. Number of deaths attributed to drug poisoning¹ where methadone was mentioned anywhere on the death certificate, South Yorkshire county, 2003 to 2007² | |
|---|---|
| Deaths | |
| 2003 | 6 |
| 2004 | 10 |
| 2005 | 7 |
| 2006 | 7 |
| 2007 | 12 |
| ¹ Cause of death was defined using the International Classification of Diseases, Tenth Revision (ICD-10). Deaths were included where the underlying cause was due to drug poisoning (shown in the following table) and where methadone was mentioned on the death certificate. | |
| ² Figures are for deaths registered in each calendar year. |
| ICD-10 | Description |
| F11-F16, F18-F19 | Mental and behavioural disorders due to drug use (excluding alcohol and tobacco) |
| X40-X44 | Accidental poisoning by drugs, medicaments and biological substances |
| X60-X64 | Intentional self-poisoning by drugs, medicaments and biological substances |
| X85 | Assault by drugs, medicaments and biological substances |
| Y10-Y14 | Poisoning by drugs, medicaments and biological substances, undetermined intent |
Subjects
Death; South Yorkshire; Methadone
Date
18 November 2008
Reference
483 c403-4W; 236239
House
House of Commons
To ask the Secretary of State for Health how many people were prescribed methadone in (a) the UK, (b) the North East, (c) Tees Valley district and (d) Middlesbrough South and East Cleveland constituency in each of the last 10 years; and what percentage of those prescribed methadone in the...
To ask the Secretary of State for Health how many people were prescribed methadone in (a) the UK, (b) the North East, (c) Tees Valley district and (d) Middlesbrough South and East Cleveland constituency in each of the last 10 years; and what percentage of those prescribed methadone in the...
Asked by
Ashok Kumar
(Labour)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
21 October 2008
For answer on
23 October 2008
Answered on
5 November 2008
The Department does not hold information on the number or age of patients treated with a particular drug. However we are able to provide two related sources of data covering the north east. These are the number of methadone prescriptions and the number of people receiving specialist prescribing treatment for drug misuse.However, the number of items prescribed and dispensed for methadone is in the following table. Information is only held for the last 60 months and is based on the national health service organisation that most closely represents the areas requested.Methadone can be used to treat more than one condition—it is licensed for use in opioid dependence, as an analgesic and as a cough suppressant.
The National Treatment Agency for Substance Misuse's (NTA) National Drug Treatment Monitoring System (NDTMS) collects data on people in drug treatment in England.NDTMS records the numbers of people receiving specialist prescribing for drug treatment rather than the type of drug which is prescribed. Most of those in treatment receive oral methadone but buprenorphine or other substitute opioids may also be prescribed.The NDTMS only records data based on local authority boundaries, and only since 2004-05. The NDTMS does not break down data specifically for the Tees Valley district, or Middlesbrough, South and East Cleveland constituency, and only records data for England not the whole of the UK.Data for the number of people receiving prescribing treatment for the local authority areas of Middlesbrough and Redcar and Cleveland, as well as the north east and England, for each of the years since 2004-05 is given in the following table.
The percentages of people receiving prescribing treatment in England, for the age brackets as requested and since 2004-05 are in the following table.
| Number of prescription items (not individuals receiving prescriptions) of methadone | ||||
|---|---|---|---|---|
| Thousand | ||||
| Financial year | ||||
| 2004-05 | 2005-06 | 2006-07 | 2007-08 | |
| England (prescribed in the community in England and dispensed in the UK) | 1,089.7 | 1,310.6 | 1,585.7 | 1,894.7 |
| England (prescribed in hospitals and dispensed in the community in England) | 769.4 | 797.1 | 750.7 | 651.7 |
| Subtotal for North East | 103.7 | 136.3 | 162.2 | 179.6 |
| North East SHA¹ | — | — | 124.5 | 179.6 |
| Northumberland, Tyne and Wear SHA | 28.6 | 38.9 | 12.2 | — |
| County Durham and Tees Valley SHA | 75.0 | 97.3 | 25.5 | — |
| Stockton on Tees Teaching PCT | 16.5 | 21.6 | 21.8 | 21.8 |
| Middlesbrough PCT² | 27.4 | 31.4 | 30.3 | 31.3 |
| Redcar and Cleveland PCT³ | 1.6 | 2.5 | 4.9 | 5.5 |
| Following the primary care trust (PCT) reconfiguration in 2006 | ||||
| ¹ Northumberland, Tyne and Wear SHA and County Durham and Tees Valley SHA merged to form North East SHA. | ||||
| ² A part of Middlesbrough PCT joined with others to form Redcar and Cleveland PCT. | ||||
| Middlesbrough PCT remained but as a smaller PCT. | ||||
| ³ Langbaurgh PCT merged with a part of Middlesbrough PCT and became Redcar and Cleveland PCT. | ||||
| Notes: | ||||
| 1. Due to these changes it is not possible to compare the numbers of items prescribed in one year to the number in the next. | ||||
| 2. National figures for prescriptions written in hospitals and dispensed in the community in England are sourced from Prescription Cost Analysis (PCA). | ||||
| Source: | ||||
| For all other figures was the Prescribing Analysis and Cost Tool (PACT) |
| Number of individuals receiving prescribing treatment (including methadone) for drug misuse | ||||
|---|---|---|---|---|
| 2004-05 | 2005-06 | 2006-07 | 2007-08 | |
| Middlesbrough | 962 | 905 | 1,038 | 1,137 |
| Redcar and Cleveland | 379 | 378 | 417 | 518 |
| North East | 6,248 | 7,175 | 7,930 | 9,145 |
| England | 88,196 | 107,093 | 118,107 | 131,468 |
| Percentage of people receiving prescribing treatment (including methadone) by age | ||||
|---|---|---|---|---|
| 2004-05 | 2005-06 | 2006-07 | 2007-08 | |
| Under 18 | 1 | 0 | 0 | 0 |
| 18 to 25 | 28 | 25 | 24 | 22 |
| 26 to 40 | 58 | 61 | 62 | 64 |
| 40 plus | 11 | 13 | 14 | 15 |
| Note: | ||||
| Due to rounding, percentages may not always total 100 per cent. |
Subjects
Methadone
Date
5 November 2008
Reference
482 c526-7W; 229857
House
House of Commons
To ask the Secretary of State for Health how many people were prescribed methadone in (a) Hemel Hempstead, (b) West Hertfordshire Hospital Trust and (c) Hertfordshire in each of the last 10 years; and what percentage was aged (i) under 18, (ii) between 18 and 25, (iii) between 26 and...
To ask the Secretary of State for Health how many people were prescribed methadone in (a) Hemel Hempstead, (b) West Hertfordshire Hospital Trust and (c) Hertfordshire in each of the last 10 years; and what percentage was aged (i) under 18, (ii) between 18 and 25, (iii) between 26 and...
Asked by
Mike Penning
(Conservative)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
23 October 2008
For answer on
27 October 2008
Answered on
5 November 2008
The Department does not hold information on the number or age of patients treated with a particular drug. However we are able to provide two related sources of data covering the Hertfordshire area. These are the number of methadone prescriptions and the number of people receiving specialist prescribing treatment for drug misuse.The number of items prescribed and dispensed for methadone is in the following table. We are unable to supply information for the areas requested as they are not health regions. We have supplied information for the health areas that most closely fit those requested (West Hertfordshire Primary Care Trust (PCT) to represent Hemel Hempstead and West Hertfordshire and East and North Hertfordshire PCTs combined to represent Hertfordshire). Furthermore, some of these health areas have changed under the reconfiguration of PCTs in 2006, details of which are given as follows. Information is only held for the last 60 months.Methadone can be used to treat more than one condition - it is licensed for use in opioid dependence, as an analgesic and as a cough suppressant.
The National Treatment Agency for Substance Misuse's (NTA) National Drug Treatment Monitoring System (NDTMS) collects data on people in drug treatment in England.NDTMS only records numbers of people receiving specialist prescribing for drug treatment rather than the type of drug which is prescribed. Most of those in treatment receive oral methadone but buprenorphine or other substitute opioids may also be prescribed.The NDTMS only records data for the county of Hertfordshire, and only since 2004-05.The number of people who received prescribing treatment for drug misuse for each of the years since 2004-05 is in the following table.
The percentages of people receiving prescribing treatment, for the age brackets as requested are as follows.
| Number of prescription items (not individuals receiving prescriptions) of methadone, as whole numbers | ||||
|---|---|---|---|---|
| 2004-05 | 2005-06 | 2006-07 | 2007-08 | |
| Hertfordshire¹ | 7,140 | 5,404 | 5,442 | 6,937 |
| West Hertfordshire² | 4,413 | 3,350 | 3,741 | 5,128 |
| ¹ Due to changes in PCT configuration Hertfordshire comprises of the following PCTs: | ||||
| Post 2006 PCT changes | ||||
| East and North Hertfordshire PCT; and | ||||
| West Hertfordshire PCT. | ||||
| Pre 2006 changes | ||||
| Dacorum PCT; | ||||
| Hertsmere PCT; | ||||
| North Herts and Stevenage PCT; | ||||
| Royston, Buntingford and Bishops Stortford PCT; | ||||
| South East Hertfordshire PCT; | ||||
| St Albans and Harpenden PCT; | ||||
| Watford and Three Rivers PCT; and | ||||
| Welwyn Hatfield PCT. | ||||
| ² Due to changes in PCT configuration West Hertfordshire comprised of the following PCTs, pre 2006 changes: | ||||
| Dacorum PCT; | ||||
| Hertsmere PCT; | ||||
| St. Albans and Harpenden PCT; and | ||||
| Watford and Three Rivers PCT. | ||||
| Due to these changes it is not possible to compare the numbers of items prescribed in one year to the number in the next. |
| Number | |
| 2004-05 | 831 |
| 2005-06 | 970 |
| 2006-07 | 1,081 |
| 2007-08 | 1,310 |
| Percentage | ||||
| 2004-05 | 2005-06 | 2006-07 | 2007-08 | |
| under 18 | 1 | 1 | 0 | 0 |
| 18 to 25 | 28 | 24 | 22 | 21 |
| 26 to 40 | 59 | 62 | 64 | 62 |
| 41+ | 12 | 13 | 13 | 17 |
| Notes: | ||||
| Percentages may not always total 100 per cent. owing to rounding. |
Subjects
Hertfordshire; Methadone
Date
5 November 2008
Reference
482 c527-8W; 231098
House
House of Commons
To ask the Chancellor of the Duchy of Lancaster how many deaths attributed to methadone addiction were recorded in London in each of the last five years.
To ask the Chancellor of the Duchy of Lancaster how many deaths attributed to methadone addiction were recorded in London in each of the last five years.
Asked by
Mike Penning
(Conservative)
Answered by
Lord Brennan of Canton
(Labour)
Answering body
Chancellor of the Duchy of Lancaster
Type
Written questions
Status
Answered
Tabled on
28 October 2008
For answer on
30 October 2008
Answered on
5 November 2008
The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.Letter from Karen Dunnell, dated 31 October 2008:"As National Statistician, I have been asked to reply to your recent question asking how many deaths attributed to methadone addiction were recorded in London in each of the last five years. (232444)""The attached table provides the numbers of deaths for which the underlying cause was drug poisoning and methadone was mentioned on the death certificate either alone or together with other substances, in London government office region, from 2003 to 2007 (the latest year available).""The information collected at death registration does not specify whether the deceased was addicted to the substances mentioned as contributing to the death."
| Number of deaths attributed to drug poisoning¹ where methadone was mentioned on the death certificate, London government office region, 2003-07², ³, 4 | |||
|---|---|---|---|
| Deaths | |||
| Methadone mentioned only | Methadone and other substances | Total mentions of methadone | |
| 2003 | 8 | 9 | 17 |
| 2004 | 19 | 7 | 26 |
| 2005 | 12 | 8 | 20 |
| 2006 | 28 | 11 | 39 |
| 2007 | 21 | 9 | 30 |
| ¹ Cause of death was defined using the International Classification of Diseases, Tenth Revision (ICD-10). Deaths were included where the underlying cause was due to drug poisoning (shown in following table) and where methadone was mentioned on the death certificate. | |||
| ² Based on boundaries as of 2008. | |||
| ³ Figures are for deaths registered in each calendar year. | |||
| 4 Where methadone was the only drug mentioned on the death certificate, and where methadone was mentioned with other substances. |
| ICD-10 | Description |
| F11-F16, F18-F19 | Mental and behavioural disorders due to drug use (excluding alcohol and tobacco) |
| X40-X44 | Accidental poisoning by drugs, medicaments and biological substances |
| X60-X64 | Intentional self-poisoning by drugs, medicaments and biological substances |
| X85 | Assault by drugs, medicaments and biological substances |
| Y10-Y14 | Poisoning by drugs, medicaments and biological substances, undetermined intent |
Subjects
Death; Greater London; Methadone
Date
5 November 2008
Reference
482 c497W; 232444
House
House of Commons
To ask the Chancellor of the Duchy of Lancaster how many deaths attributed to methadone addiction were recorded in each of the last five years.
To ask the Chancellor of the Duchy of Lancaster how many deaths attributed to methadone addiction were recorded in each of the last five years.
Asked by
Mike Penning
(Conservative)
Answered by
Lord Brennan of Canton
(Labour)
Answering body
Chancellor of the Duchy of Lancaster
Type
Written questions
Status
Answered
Tabled on
20 October 2008
For answer on
22 October 2008
Answered on
27 October 2008
The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply. Letter from Karen Dunnell, dated October 2008: "As National Statistician, I have been asked to reply to your recent question asking how many deaths attributed to methadone addiction have been recorded in each of the last five years. (229662)""The attached table provides the numbers of deaths for which the underlying cause was drug poisoning and methadone was mentioned on the death certificate either alone or together with other substances, from 2003 to 2007 (the latest year available).""The information collected at death registration does not specify whether the deceased was addicted to the substances mentioned as contributing to the death."
| Table 1: Deaths attributed to drug poisoning ¹ where methadone was mentioned on the death certificate, England and Wales, 2003 to 2007 ², ³, 4 | |||
|---|---|---|---|
| Number | |||
| Methadone mentioned only | Methadone and other substances | Total mentions of methadone | |
| 2003 | 74 | 127 | 201 |
| 2004 | 105 | 114 | 219 |
| 2005 | 98 | 122 | 220 |
| 2006 | 125 | 116 | 241 |
| 2007 | 167 | 158 | 325 |
| ¹ Cause of death was defined using the International Classification of Diseases, Tenth Revision (ICD-10). Deaths were included where the underlying cause was due to drug poisoning (shown in the table below) and where methadone was mentioned on the death certificate. ² Figures include deaths of non-residents. ³ Figures are for deaths registered in each calendar year. 4 Where methadone was the only drug mentioned on the death certificate, and where methadone was mentioned with other substances. |
| ICD-10 | Description |
| F11 to F16, F18 to F19 | Mental and behavioural disorders due to drug use (excluding alcohol and tobacco) |
| X40 to X44 | Accidental poisoning by drugs, medicaments and biological substances |
| X60 to X64 | Intentional self-poisoning by drugs, medicaments and biological substances |
| X85 | Assault by drugs, medicaments and biological substances |
| Y10 to Y14 | Poisoning by drugs, medicaments and biological substances, undetermined intent. |
Subjects
Death; Methadone
Date
27 October 2008
Reference
481 c766-7W; 229662
House
House of Commons
To ask the Secretary of State for Health how many patients have been prescribed methadone to help combat drug addiction in (a) England, (b) London, (c) the north-east, (d) the Tees Valley district and (e) Middlesbrough South and East Cleveland constituency in each year since 1997.
To ask the Secretary of State for Health how many patients have been prescribed methadone to help combat drug addiction in (a) England, (b) London, (c) the north-east, (d) the Tees Valley district and (e) Middlesbrough South and East Cleveland constituency in each year since 1997.
Asked by
Ashok Kumar
(Labour)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
15 July 2008
For answer on
17 July 2008
Answered on
22 July 2008
Information on the number of people prescribed a medicine is not collected centrally. However, the number of prescription items prescribed for methadone¹ is shown in the following table. Information is only held for the last 60 months and is based on the national health service organisation that most closely represents the areas requested.
| NHS organisation | 2004-05 | 2005-06 | 2006-07 | 2007-08 |
| England (community) | 1,031,215 | 1,251,786 | 1,522,924 | 1,828,577 |
| England (hospitals) | 740,741 | 767,843 | 727,310 | 634,089 |
| NHS London² | 93,834 | 97,764 | 106,662 | 115,326 |
| North-east total | 102,154 | 134,418 | 160,066 | 176,860 |
| NHS North East | — | — | 122,840 | 176,860 |
| Northumberland, Tyne and Wear strategic health authority | 28,037 | 38,118 | 11,964 | — |
| County Durham and Tees Valley strategic health authority | 74,117 | 96,300 | 25,262 | — |
| Stockton on Tees Teaching primary care trust | 16,481 | 21,484 | 21,702 | 21,627 |
| Middlesbrough primary care trust³ | 27,116 | 31,148 | 30,080 | 31,032 |
| Redcar and Cleveland primary care trust4 | 1,610 | 2,522 | 4,877 | 5,439 |
| ¹ Methadone is licensed for use in opioid dependence, as an analgesic and as a cough suppressant. The figures provided are for prescriptions written under British National Formulary (BNF) section 4.10—drugs used in substance dependence. | ||||
| ² North West London Strategic Health Authority (SHA), North Central London SHA, North East London SHA, South East London SHA and South West London SHA merged in 2006 to become NHS London. | ||||
| ³ Part of Middlesbrough Primary Care Trust (PCT) joined with others to form Redcar and Cleveland PCT in 2006. Middlesbrough PCT remained but as a smaller PCT. | ||||
| 4 Langbaurgh PCT merged with part of Middlesbrough PCT and became Redcar and Cleveland PCT in 2006. | ||||
| Source: | ||||
| Prescribing Analysis and Cost Tool (PACT) |
Subjects
Methadone
Date
22 July 2008
Reference
219857; 479 c1099-100W
House
House of Commons
To ask the Secretary of State for Health if he will take steps to ensure that users of methadone who receive the drug on prescription are made aware of the risks associated with allowing children in their care access to the drug.
To ask the Secretary of State for Health if he will take steps to ensure that users of methadone who receive the drug on prescription are made aware of the risks associated with allowing children in their care access to the drug.
Asked by
Lord Brady of Altrincham
(Conservative)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
15 July 2008
For answer on
17 July 2008
Answered on
22 July 2008
In September 2007 the Department, in collaboration with the National Treatment Agency for substance misuse (NTA) published guidelines for the clinical management of drug treatment services, ““Drug Misuse and Dependence: UK Guidelines on Clinical Management””.The guidelines note that patients prescribed methadone"““must be made fully aware of the risks of their medication and if the importance of protecting children from accidental ingestion. Prescribing arrangements should also aim to reduce risks to children””."The guideline goes on to note that during assessment clinicians should inform patients of the"““risks to children of ingesting prescribed medication and the importance of safe storage must be emphasised at the first appointment and repeatedly thereafter. Assessment of compliance with these safety measures should form part of the decision-making concerning dispensing and supervision arrangements””"of methadone prescribing.In January 2007, the National Institute for Health and Clinical Excellence published the ““Technology Appraisal”” ““Methadone and buprenorphine for managing opioid dependence””, which recommended the use of both methadone and buprenorphine for the treatment of opioid dependence.This Appraisal notes the risks that the use of methadone (or buprenorphine) has for non-drug users, especially children who may be at risk of accidental ingestion, and that"““the responsible clinician, in consultation with the person, should estimate the risks and benefits of prescribing methadone or buprenorphine, taking account of the person's lifestyle and family situation (for example, whether they are considered chaotic and might put children and other opioid-na?ve individuals living with them at risk)””."Local clinical governance protocols for drug treatment would normally require recording of any serious incidents concerning the 'misuse' of prescribed methadone so that appropriate action can be taken to ensure that any risk or harm is minimised and is not repeated.Earlier this year the NTA launched a consultation on clinical governance in drug treatment, with the aim of publishing guidance later this year. This will help commissioners and service providers shape the local implementation of clinical governance systems in this important area.
Subjects
Methadone
Date
22 July 2008
Reference
479 c1100-1W; 220095
House
House of Commons
To ask the Secretary of State for Health pursuant to the answer of 2 April 2008, Official Report, column 1105W, on methadone, what the cost to primary care trusts of dispensing methadone prescriptions was in 2006-07.
To ask the Secretary of State for Health pursuant to the answer of 2 April 2008, Official Report, column 1105W, on methadone, what the cost to primary care trusts of dispensing methadone prescriptions was in 2006-07.
Asked by
David Davis
(Conservative)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
18 April 2008
For answer on
22 April 2008
Answered on
6 May 2008
The total net ingredient cost to primary care trusts in England of methadone prescriptions in 2006-07 was £15.7 million¹. This does not include prescriptions written in hospitals or clinics that were dispensed in the community, prescriptions dispensed in hospitals or private prescriptions."Note:""Methadone can be prescribed as a cough suppressant, as an analgesic or for the treatment of addiction.""Source:""¹The Electronic Prescribing Analysis and Cost Tool system."
Subjects
Finance; Methadone
Date
6 May 2008
Reference
475 c765W; 200509
House
House of Commons
To ask the Secretary of State for Health how many methadone prescriptions were issued by primary care trusts in each of the last five years.
To ask the Secretary of State for Health how many methadone prescriptions were issued by primary care trusts in each of the last five years.
Asked by
David Davis
(Conservative)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
20 March 2008
For answer on
26 March 2008
Answered on
2 April 2008
Methadone can be prescribed as a cough suppressant, as an analgesic or for the treatment of addiction. All three uses are included in these figures and cannot be separated. The Department does not hold information on prescriptions issued, only on prescription items prescribed in primary care trusts and then dispensed. The total number of items prescribed in England and dispensed in the United Kingdom for methadone since February 2003 are shown in the following table.
| Prescription items prescribed in the community in England and dispensed in the UK | |
|---|---|
| Methadone (thousand) | |
| 2003 (February to December) | 843.3 |
| 2004 | 1,046.0 |
| 2005 | 1,246.7 |
| 2006 | 1,514.1 |
| 2007 | 1,783.9 |
| Source: | |
| Electronic Prescribing Analysis and Cost Tool system |
Subjects
Methadone
Date
2 April 2008
Reference
474 c1105W; 196843
House
House of Commons
To ask the Secretary of State for Health what the cost of prescribing methadone was in each of the last three years, broken down by primary care trust.
To ask the Secretary of State for Health what the cost of prescribing methadone was in each of the last three years, broken down by primary care trust.
Asked by
James Brokenshire
(Conservative)
Answered by
Baroness Primarolo
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
27 February 2008
For answer on
29 February 2008
Answered on
11 March 2008
Information on the net ingredient cost of prescribing methadone for the calendar years 2004 to 2006, broken down by primary care trust, has been placed in the Library.
Subjects
Methadone
Date
11 March 2008
Reference
191385; 473 c271W
House
House of Commons
Deposited by
Department of Health
Type
Deposited papers
Author
Department of Health
Committed on
11 March 2008
Received on
11 March 2008
Subjects
Costs; Prescription drugs; Primary care trusts; Methadone
Date
11 March 2008
Reference
DEP2008-0701
House
House of Commons