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James Cook today, delighting in being able to regurgitate the last bit below:
Efforts to bring down Scotland’s sky-high rate of drug deaths are being frustrated by the arrival of hundreds of powerful new synthetic substances that experts warn are making the deadly drugs crisis even more dangerous.
In the past three years, there has been an explosion in the supply of new synthetic cannabinoids and opioids, transforming the illicit drugs trade and increasing the risk of fatal overdoses.
Annual figures to be released on Wednesday are expected to show a rise in the number of drug-related deaths in Scotland, which already has an unenviable record as the drugs death capital of Europe.https://www.bbc.co.uk/news/articles/c39w4n07ekeno
Here, I want to ask questions BBC Scotland will not be asking:
Will Scotland’s world-first opioid overdose reversal kit programme – naloxone be helping to control this increase in drug deaths mainly from nitazenes?
Scotland’s naloxone programme is large, still expanding in reach, and pharmacologically the right tool for nitazene overdose. It will save lives that would otherwise be lost. It will not, by itself, control an increase in deaths if the supply keeps getting more potent and more mixed. Harm reduction still depends on people having a kit and not using alone, calling 999, and receiving further medical care — plus action on supply and treatment.
What is Scotland’s Naloxone Opioid Overdose Reversal Programme and how is it working to reduce deaths?
The SNP Government’s world-first opioid overdose reversal programme increasing, in January 2026, its reach to 84% is protecting hospitals as it fights the effects of the English County Lines drug gangs plague in Scotland
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From the National naloxone programme Scotland – Quarterly monitoring bulletin Quarterly Monitoring Bulletin April to June (Q1) 2025/26 published today:
The overall aim of Scotland’s NNP is to prevent fatal opioid overdoses. Administration of naloxone provides time for emergency services to arrive and for further treatment to be given. Following suitable training, THN kits are issued to people at risk of opioid overdose, their friends and family and service workers in order to help prevent overdose deaths.
Drug-related hospital admissions plummet for third year in a row after Scottish Government’s ‘world-first’ opioid overdose reversal Naloxone initiative but are not being reported by media.
During 2025/26 Quarter 1 (1 April 2025 to 30 June 2025):
9,672 Take-Home Naloxone (THN) kits were issued.
7,724 THN kits were issued by services based in the community:
1,049 kits supplied by other non-drug treatment services.
437 kits were issued by prisons in Scotland.
1,045 kits were supplied via prescriptions dispensed by community pharmacies.
441 THN kits were provided by SAS.
A total of 600 kits (318 in prisons and 282 in the community) were supplied by peers (a trained champion/mentor that provides training and a THN kit to others who may witness an overdose).
At the end of 2025/26 Quarter 1, the ‘reach’ of the NNP (percentage of people at risk of opioid overdose who have been supplied with THN) was estimated to be 84.0%, an increase of 1.8 percentage points compared to 2024/25 Quarter 4 (82.2%).1
What is the Naxolone Initiative?
After a pilot phase ending in 2018, the Scottish Government began to embed Naloxone opioid overdose reversal kits across NHS Scotland. Shortly after, the kits which can be administered by anyone, were adopted by Police Scotland, ambulances and prisons, and made available to libraries, community centres, taxi drivers and to the friends and relatives of users.
Scotland was the first country in the world to introduce a national naloxone programme, empowering individuals, families, friends and communities to reverse an opiate overdose.
Anyone in Scotland can now order a free naloxone kit from national charity Scottish Families Affected by Alcohol & Drugs (SFAD) and be trained in its use.
Opioids such as those found in prescription painkillers are now responsible for 81% of all drug deaths in Scotland.
Why are Scotland’s drug deaths not falling faster given the Naloxone scheme’s impact?
County Lines gangs seek new markets along public transport lines, in small towns and rural areas where local dealers can be dominated with threats of extreme violence and a property can be taken over. Using their scale of operations, these gangs can transport and sell more powerful drugs, more cheaply, using couriers as young as 11, to users unused to the low costs and higher strength. Increased drug deaths is a simple and predictable consequence. These same gangs, entirely from English cities, were first reported in Scottish towns, up the east cast rail lines to places such as Aberdeen, Fraserburgh, Inverness and Wick, around 2019, just as Scotland’s drug deaths had begun to plateau and, in 2021, fall.
Scotland has the most centralised, best-measured and highest-coverage take-home naloxone (THN) system in the UK. Wales also runs a national programme. Northern Ireland has a smaller national scheme. England still relies mainly on local commissioning and has weaker national data. UK-wide medicines law was aligned in December 2024, so legal access is converging even while delivery models still differ. https://www.gov.uk/government/publications/acmd-naloxone-review/acmd-review-of-the-uk-naloxone-implementation-accessible
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The optimistic place we thought we were in only eight months ago:
Drug-related hospital stay rates in Scotland plummet by half as SNP’s unique, World-first, opioid overdose reversal kit programme gets on top of the plague after 8 years
From Drug-related hospital statistics Scotland 2024 to 2025, published today the above graph and:
There were 10,185 drug-related hospital stays (2023/24: 11,148). The European Age-sex Standardised Rate (EASR, see background below for more information) of drug-related hospital stays was 192 stays per 100,000 population. This rate was a decrease from 2023/24 (212 stays per 100,000 population) and continued the decreasing trend observed in hospital stays since 2020/21.
Opioid-related stays accounted for 38% of all drug-related stays, the lowest percentage in the time series, continuing a steady decrease from 64% in 2011/12.
The rate of stays for drug poisoning/overdose decreased to 21 stays per 100,000 population, from 27 stays per 100,000 population in 2023/24, and was the lowest rate observed since 2006/07 (21 stays per 100,000).
The decline in opioid stays is simply explained by SNP Government’s world-first opioid overdose reversal programme increasing, in January 2026, its reach to 84% and its protection of hospitals as it fights the effects of the English County Lines drug gangs plague in Scotland
One thought on “Scotland’s world-first Naloxone opioid-reversal kits will help stem the tide of death but cannot stop this cross-border flow”
Drug deaths are 16 times more likely in areas of deprivation =Poverty ! Yet successive Westminster Governments have increased poverty by their actions – e.g two-Child Benefit cap , cuts to Welfare , increasing unemployment etc…
Until Scotland has total control ( Independence ) over all measures to fight Poverty then we will continue to have high drug deaths .
Scotland's First and biggest Rebuttal Service -Talking-up Scotland 
Drug deaths are 16 times more likely in areas of deprivation =Poverty ! Yet successive Westminster Governments have increased poverty by their actions – e.g two-Child Benefit cap , cuts to Welfare , increasing unemployment etc…
Until Scotland has total control ( Independence ) over all measures to fight Poverty then we will continue to have high drug deaths .
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