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CONTROLLED DRUGSDean R Hatt
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Famous Quotes
“Drug misuse is not a disease, it is a decision, like the decision to step out in front of a moving car. You would call that not a disease but an error of judgment.”
“So, now I've been to see a drug counselor who told me I need to lay off the drugs and talk about my feelings, and a shrink who heard what I had to say and immediately put me on drugs.”
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Agenda
Definitions Regulations Classification Licensing Storage Annual Returns Disposal Audits
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Definitions
Controlled drug a medicine which is governed by the Misuse of
Drugs Act control is for the ordering, possession, supply,
disposal and manufacture Narcotic
An addictive drug affecting mood or behaviour Psychotropic substance
A chemical substance that crosses the blood–brain barrier and acts primarily upon the central nervous system where it affects brain function, resulting in alterations in perception, mood, consciousness, cognition and behaviour.
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Regulations
Misuse of Drugs act 1971 An act of the Parliament in the UK It represented action in line with treaty commitments
under the single convention on narcotic drugs, convention on psychotropic substances and the UN convention against illicit traffic in Narcotic drugs and Psychotropic substances.
Misuse of Drugs regulations 1985 amended
Criminal justice and police act 2001 Drugs Act 20015
Repealing of 2001 act
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Classification
Schedule 1 Not used medically, no therapeutic use Cannabis, LSD, ecstasy (MDMA) etc Possession and supply prohibited except
for research Schedule 2
Used medically as full controlled drug under CD prescription
Morphine, cocaine, methadone, fentanyl etc
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Classification
Schedule 3 Used medically under CD prescription Same as schedule 2 without need for registers Midazolam, buprenorphine, phenobarbitone
etc Schedule 4 part I
Used medically under non CD prescription but need authority to possess
No need for register Benzodiazepines e.g diazepam, oxazepam,
midazolam etc
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Classification
Schedule 4 part II No restriction on possession when part of a medicine No need for register Anabolic Steroids e.g nandrolone, testosterone etc
Schedule 5 Preparations of medicines containing CD’s at very
low levels No need for register Kaolin & Morphine, Co-codamol, Codeine Phosphate
tablets Extensive list of CD’s including precursors for
abuse/chemical weapons
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Licensing
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Licensing
Controlled by the Home Office, Drugs branch
1 license for each drug schedule Previously all drugs were named
Each license has a stipulated date Previously these have been ‘endless’
License is for posession/supply/manufacture/import/export Cost per license 3-5K, dependent on use,
renewal is less
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Licensing
Selling / provision of CD’s should only be allowed after checking on licenses of buyer/requester
New License holders Are DBS (Disclosure and Barring service)
checked Must have a National Drugs Control
System (NDS) account
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Storage
CD’s must be stored in A HO approved cabinet At least 2 deadbolt locks Bolted to floor and/or wall Responsible of single key holder and keys
not held with cabinet Limited access to others at knowledge of
key holder ‘similar’ for those requiring cold storage Requirements differ according to schedules
of drugs
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Controlled Drugs Ledger
A ledger which details the dates of all CD movements, in and out
Includes all weights, quantities, batch ID and all suppliers and recipients
Details all disposals and notification of checks and discrepancies
A separate page for each controlled drug
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Annual Returns
Each January, there are needs for annual returns to ensure CD’s are accounted for What did we have at start of year ? What have we bought/brought in ? What have we used/disposed/supplied ? What have we got remaining ? Used to be extensive but less importance
for research establishments Separate returns for narcotics, psycotropic
substances and manufactures
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Disposal
Must be at a HO approved site for disposal of CD drugs
Must be accompanied on route from source to disposal site
Disposal/destruction must be witnessed by appropriate person Policeman, security guard etc
Records of disposals retained, amounts deducted in ledger and noted in annual returns
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Audits
By HO inspector Approx. every 3 years
For last 10 years, this was discontinued for research sites
Used to give zero notice – just turn up Now they tell us a few months in
advance Inspect
Ledger, CD cabinet, Quantities, Disposal Log etc
A Recent inspection.....
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For more Information
http://www.npci.org.uk/cd/public/docs/controlled_drugs_third_edition.pdf
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Any Questions ?