Services Database Supervised Consumption (East Sussex County Council Area)

Service ID



The two levels to this service are as follows:

Level one
The pharmacy contractor is required to supervise the consumption of medicines prescribed for the treatment of a client at the point of dispensing in the pharmacy contractor’s premises, ensuring that the client has consumed the medicine. Medicines may include methadone, buprenorphine, naltrexone, disulfiram and exceptionally other prescribed items.

 In addition, pharmacy contractors will:

  • offer a friendly, non-judgmental, confidential service;
  • provide support and advice to the client, including referral to primary care or specialist services when appropriate; and
  • communicate any non-attendance or other non-adherence to the treatment programme to the appropriate care coordinator.

Level two
In addition to level one services, the pharmacy contractor will measure breath alcohol for specified clients when requested by the prescriber. The pharmacy contractor may also measure breath alcohol for other clients if the pharmacy contractor intends not to dispense medicine when it is unsafe because the client appears to be intoxicated.

Location of service

East Sussex LPC


Local Authority (LA)

Method of commissioning

Local Authority contract

Source of funding

Local Authority (LA)

Service type

Supervised administration

Other organisations involved


Start date:
End date:




The specialist service will arrange a site visit with the pharmacy contractor to visit the pharmacy and meet pharmacists and staff involved in providing the service before the service starts. The purpose of the visit will be to ensure staff understand the service requirement and to address any questions or concerns about how the service will operate.

A Centre for Pharmacy Postgraduate Education (CPPE) open learning programme provides pharmacists with the necessary knowledge to underpin the provision of this enhanced service: CPPE Substance Use and Misuse (2nd Edition, May 2012). A record of completion of this programme for any pharmacist providing the service must be sent to the East Sussex County Council Public Heath (ESCCPH) team.

Temporary approval to provide the service for six months may be achieved by written self declaration to Public Health stating that the CPPE training pack has been commenced and will be completed within six months. To continue providing the service, the record of completion must be sent to the ESCCPH team as evidence that the training has been completed within six months of the approval.

CPPE also has a Pharmacy Technician Substance Use and Misuse open learning programme available. Although not required to provide the service, this learning programme supports the delivery and development of the service.


This service is available in the East Sussex County Council area only.