Derby and Derbyshire

Concerns summary A significant number of patients on long-term, high-dose opiate/opioid prescriptions lack support to reduce or stop medication. There is an absence of specialist services for dependence and no clear regional or national strategies to address this widespread issue.

Concerns summary Poor information sharing and lack of system connectivity between agencies hindered care for a vulnerable adult. The GP safeguarding referral form was inadequate, causing delays in response.