Opioid Resources

The Opioid Resource Pack brings together a number of resources clinicians can use to support the appropriate use and review of opioids used for chronic pain. The information included refers to the management of adult patients although some principles may also apply to use in older children.

The information in the resource pack does not apply to palliative care and end of life care where use of opioids should follow the World Health Organisation (WHO) pain ladder and relevant guidance.

Document	Last updated	Review date
JAPC Opioid Resource Pack - Currently under review	July 2020	June 2023
Resource to support Opioid Tapering in Chronic Non-Cancer Pain in Adults	June 2023	May 2026
Opioid Prescribing Quality Improvement Toolkit for Primary Care	June 2023	N/A
Clinical system searches to support QI opioid toolkit	June 2023	N/A
Repeat prescribing minimum standards for opioids	August 2023	July 2026

See the Chapter 4 CNS page for further information. 

The following appendices are taken from the JAPC Opioid Resource Pack to allow clinicians easier access to patient information resources.

Appendices	Last updated	Review date
Appendix 2 - What to Discuss with the Patient When Considering Opioid Treatment	July 2020	June 2023
Appendix 3 - Ten Footsteps Patient Information Leaflet	July 2020	June 2023
Appendix 4 - About Pain Patient Information Leaflet	July 2020	June 2023
Appendix 5 - Thinking About Opioid Treatment for Pain Patient Information Leaflet	July 2020	June 2023
Appendix 6 - Pain Diary	July 2020	June 2023
Appendix 7 - Opioid Management Plan: Treatment Agreement	July 2020	June 2023
Appendix 8 - Taking Opioids for Pain Patient Information Leaflet	July 2020	June 2023
Appendix 9 - Driving and Pain Patient Information Leaflet	July 2020	June 2023
Appendix 10 - Letter Inviting Patients for Review	July 2020	June 2023
Appendix 11 - Letter suggesting Drug Holiday	July 2020	June 2023
Appendix 12 - Letter suggesting review of Tramadol due to Serotonin Syndrome Risk	July 2020	June 2023
Appendix 13 - Opioid Policy - New Patients	July 2020	June 2023
Appendix 14 - Opioid Policy - Issuing Prescriptions	July 2020	June 2023
Appendix 15 - Approximate Equi-analgesic Potencies of Opioids	July 2020	June 2023
Appendix 16 - CQC and NHSE Checklist for Safer Use of Oxycodone Medicines	July 2020	June 2023
Appendix 17 - CQC and NHSE Checklist for Safer Use of Fentanyl and Buprenorphine CD Transdermal Patches	July 2020	June 2023
Appendix 18 - MHRA Fentanyl Skin Patches Patient Information Leaflet	July 2020	June 2023
Appendix 19 - Preparation for Dose Reduction	July 2020	June 2023