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Peterborough
Adult Drug Treatment
Care Pathways
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Contents
PageIntroduction to Drug Treatment Care Pathways 1
Common Referral Pathway 4
Drug Rehabilitation Requirement 5
Specialist Prescribing 7
Shared Care Prescribing 9
Treatment Pathway 11
Inpatient Drug Treatment 13
Residential Rehabilitation 15
Targeted Testing Pathway 17
Young Person’s Substance Misuse Pathway 19
Service aims and outcomes for children and families 21
Peterborough contact details for drug & alcohol services 22
Bordering counties contact details for drug and alcohol services 23
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Introduction to Drug Treatment Care Pathways
This guide acts as an information resource for professionals, service users and potential service users to describe:
• How elements of the local adult drug treatment system link together • How different treatment interventions are delivered
• How particular client groups are supported and case managed
Aspire; the local adult drug treatment service, defines ‘adult’ as anyone 18 years of age or above. Services are open to residents of Peterborough.
Ensuring all practitioners are aware of pathways enables them to support service users, making informed choices about their treatment and to promote flexibility in terms of service users moving through the treatment system in line with identified goals and changing needs.
Pathways
This document comprises of three groups of pathways:
• System pathways give a top-level overview of the treatment system – Aspire • Treatment pathways describe the anticipated course of a specific intervention
• Specific service user care pathways describe how treatment case management for a discrete group of service users with specific needs will be delivered locally
The pathways take the form of diagrammatic representations of the expected course of treatment for a service user along with some descriptive text. They do not necessarily describe a person’s entire treatment journey but will cover the key steps.
The advantages of clearly describing pathways are:
• Service users often have complex needs and access multiple services or interventions. • Pathways support effective coordination of multiple interventions
• They ensure consistency and parity of approach
• They reinforce the central role that service users play in planning and reviewing their own treatment
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Local specialist drug intervention provision
Aspire
This service offers:
• A rapid access for criminal justice drug interventions • Referrals to other services
• Recovery worker support • Advice and information • Service user involvement • Activities
• Mutual aid
• Peer Mentor support • Parent and Carer support • Harm reduction services • Hepatitis B vaccination • Hepatitis C screening • Housing support
• Prison in-reach – Aspire will link in with the prison drug treatment services to ensure treatment continues going into prison and on release
• Targeted Testing and required assessments - for people arrested for certain offences
• Restrictions On Bail Assessments - where a court gives bail to someone with the requirement that they go to a drug service for an assessment
• A brief stimulant intervention service • Specialist needle exchange
• Drug Rehabilitation Requirement (DRR) programme for people sentenced to a DRR by the courts
• Prescribed, medical treatment – either through Aspire or in partnership with a Shared Care GP
A service user may access more than one intervention type at a time, or one after another depending on their needs. Before drug treatment commences services will ensure:
• There is a full assessment or review of the service user’s needs • A written care plan is agreed with the service user
• A named recovery worker who will provide key worker and case management support is allocated
Pharmacies
A number of local pharmacies offer the following drug services: • Needle exchange and harm reduction services
• Advice and information
• Dispensing substitute medication and supervised consumption.
General Practitioners
There are a number of GPs in Peterborough who are involved in the delivering of prescribed treatment to drug users. Shared Care GPs work with Aspire to deliver the Shared Care prescribing service. GP Shared Care is a partnership between specialist drug treatment services and general practitioners which aims to provide treatment in the most appropriate setting for individual service users.
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Other services
Other services are available to people in treatment with Aspire and who meet the relevant eligibility criteria. These are:
• Inpatient Drug Treatment – detoxification and / or stabilisation in a local hospital ward • Residential Rehabilitation – intensive treatment, usually for around 12 weeks, with
accommodation at the unit. Placements are outside of Peterborough.
Linking in to the wider system
Drug services offer specialist services to drug users. The focus is on reducing the harm caused by drug use and supporting drug users in reducing their use or stopping completely. However, service user needs will inevitably be wider than this and can be addressed by a specialist service. Recovery workers will be responsible, in discussion with the service user, for ensuring referrals to other
appropriate services are made. The exception to this will be if overall case management for a service user rests with another service. In this case the recovery worker will be responsible for coordinating the service user’s drug treatment alone.
Case management
All service users should have a single, named recovery worker or case manager within Aspire who is responsible for supporting the service user throughout the treatment episode and reviewing care plans with the service user.
There are a number of elements to case management:
• Assessment – carrying out comprehensive and ongoing assessment of the service user’s needs and any risk issues
• Care planning – developing and reviewing care plans in partnership with the service user and with other service providers as agreed. This includes, where appropriate, the development and regular review of risk management plans
• Coordination – ensuring all other providers, as agreed with the service user, are informed of current plans, changing need and progress against goals and milestones
Further information and guidance in relation to care planning and / or case management there is available from the National Treatment Agency (NTA). Visit www.nta.nhs.uk
All treatment interventions that have been agreed the service user will be accessing, must be recorded on the service user’s care plan.
In some circumstances the service user’s overall care will be coordinated externally by an agency with a requirement to do so. For example, Offender Managers for service users with a DRR order or the named healthcare coordinator for service users under Care Planning Arrangements. In these cases the substance misuse case manager will input to the overarching care plan in terms of substance misuse related issues and interventions. Overall case management responsibilities will remain with the external care coordinator.
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Common Referral Pathway
The general referral route to treatment services and the generic starting point for interventions will basically be the same for all specialist drug treatment. The basic process is as follows.
Adult drug user requests support to reduce drug related harm, reduce drug use or to abstain from drug use
Referral to services. Either: • Self-referral/Open access
• Referral by a professional with the service user’s consent
Initial assessment to identify presenting issues, priority needs and to provide
information and advice about treatment options
Treatment commences
Risk assessment and management where required
Structured treatment requested: • Comprehensive assessment • Identification of other involved
professionals
• Identification of treatment related needs
Development and agreement of care plan identifying treatment interventions, goals and milestones and the review date. Discharge and aftercare plans to be included as appropriate
Referral to other support services as required and agreed
Referrals by telephone, correspondence or in person
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Adult drug user is referred to Aspire through the Probation Service
recovery worker and service user will complete a DRR assessment, which will go to court
Yes to DRR- 6, 9 or 12months
Service user is seen by the recovery worker within 24 hours and they will have an induction, with an assessment and commence prescribing.
Care Plan is created with requirements of the DRR which consists of drug tests, one to one sessions with the recovery worker and activity involvement.
Service user has a review once a week with the recovery worker until the DRR has completed
If the service user misses an appointment they will be issued with a warning letter to attend probation with a valid reason for non-attendance
If the service use continues to fail to attend this will be classed as a breach and the service user will have to appear at court.
Service user successfully completes treatment Service user continues
with treatment post DRR, structured or non-structured
Drug Rehabilitation Requirement (DRR)
No to DRR Order, could engage with Aspire voluntarily
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Service description
A service user attends Aspire as part of a DRR (Drug Rehabilitation Requirement) order which will allow them to access treatment through the DRR prescribing service in line with their DRR attendance requirements for one to one sessions and activities weekly.
Programme outcomes
• Reducing the number of days a service users uses illicit drugs • Improving a service user’s physical and psychological health • Increasing a service user’s quality of life
• Reducing the number of days a service user commits a crime • Reducing the number of crimes a service user commits
Client group and exclusions
The target client group is adult drug users (aged over 18) who are residents within the Peterborough City Council geographical boundary.
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Specialist Prescribing
Service user and recovery worker agree prescribed medication would be helpful and appropriate as part of assessment and /or review
Clinical assessment carried out at Aspire prescribing clinic with a specialist doctor – medical treatment that best meets their needs is identified and agreed. Max 10 days between assessment and doctor’s appointment
Prescribing treatment started: specific medication dependent on service user needs, identified goals and clinical considerations
Opiate dependent (heroin, methadone etc):
• Titration and review at one week • Methadone stabilisation and
maintenance
• Methadone reduction programme • Methadone detoxification
• Subutex detoxification and maintenance
• Naltrexone relapse prevention treatment
Treatment review with recovery worker and at prescribing clinics with specialist doctor /nurse carried out on a regular basis
Further treatment /treatment continuation agreed
between recovery worker, doctor and service user
Treatment completed successfully. Exit
If service user is pregnant, it will be confirmed through a pregnancy test, and the service user will be referred to the neo-natal midwife who will oversee the prescribing and become the service users recovery worker for up to 1 year post natal.
Prescribing intervention not appropriate at this time
Clinical assessment includes drug testing to confirm dependency / regular use
Treatment regime in line with evidence base for effective treatment, best practice guidance and clinical guidelines
Alcohol detoxification: Referral to Drinksense
Benzodiazepine detoxification: Managed through Aspire,
Shared Care service
Shared Care considered if appropriate. Treatment completed successfully. Other needs identified, referral to other service
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Service description
Specialist prescribing is community prescribing delivered by a specialist drug service (Aspire) including specialist doctors. Treatment offered includes medication that can substitute for heroin, other opiates and medication to help people abstain from heroin.
Service outcomes
• Achieve abstinence from drug use where appropriate
• Reducing the number of days a service user uses illicit drugs • Reducing the number of days a service user injects
• Increasing a service user’s physical and psychological health • Increasing a service user’s quality of life
• Reducing the number of days a service user commits a crime • Reducing the number of crimes a service user commits
Specialist ante-natal support, care coordination and case management for pregnant drug users.
Service outcomes
• Minimise risk to the unborn child • Minimise risk to the pregnant woman
• Support positive substance misuse treatment outcomes as identified and reviewed through the Treatment Outcome Profile system
Client group and exclusions
The target client group is adult drug users (aged over 18) who are residents within the Peterborough City Council geographical boundary.
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Shared Care Prescribing
Existing service user and recovery worker agree prescribed medication would be helpful and appropriate as part of assessment and /or review
Recovery worker contacts Shared Care GP to explore the possibility of GP led substance misuse prescribing
Shared Care GP agrees to support substance misuse prescribing treatment:
A GP can also refer a client to Aspire and start Shared Care
Benzodiazepine
(Valium, Temazepam, Nitrazepam etc): • Benzodiazepine detoxificationOpiate
(heroin, methadone etc): • Methadone stabilisation and maintenance • Methadone detoxification • Subutex detoxification and maintenance • Naltrexone relapse prevention treatment Treatment regime in line with evidence base and clinical guidelines
Regular reviews between service user, recovery worker and GP at least every 12 weeks initially
Further treatment /treatment continuation agreed
between recovery worker, doctor and service user
Treatment completed successfully. Exit Treatment completed successfully. Other needs identified, referral to other service
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Service description
Shared Care prescribing is community prescribing delivered by a GP with support from Aspire (a specialist drug service). Treatment offered includes medication that can substitute for heroin and other opiates, medication to detox from benzodiazepines (Valium, Temazepam, Nitrazepam etc) and medication to help people abstain from heroin.
Service outcomes
• Reducing the number of days a service user uses illicit drugs • Reducing the number of days a service user injects
• Increasing a service user’s physical and psychological health • Increasing a service user’s quality of life
• Reducing the number of days a service user commits a crime • Reducing the number of crimes a service user commits
Client group and exclusions
The target client group is adult drug users (aged over 18) who are residents within the Peterborough City Council geographical boundary.
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Treatment Pathways
Service user and recovery worker identify at initial assessment that regular support would be helpful
Service user requires support while waiting for additional structured treatment to start – e.g. waiting for GP Shared Care prescribing appointment
Recovery worker and service user agree appointments – plan of work recorded on service user’s care plan
Range of support will include regular therapeutic
appointments with the recovery worker. The service user would also have access to:
• Alternative therapies • Harm reduction work
• General support with related issues e.g. finances, healthy lifestyle, relationships
• Support with issues as identified between service user and their recovery worker
• Attending group activities
• Structured group work, FOR (Foundations of Recovery)
• Peer Mentor support • Mutual aid
• Counselling
• Family and carer support • Stimulant support • Life skills i.e. Cooking • Social i.e. Breakfast club
Referral on to other services if more in depth, specialised support is required e.g. to Peterborough Citizen’s Advice Bureau for debt counselling, Relate for relationship counselling, JCP, Housing etc.
Regular review of care plan with recovery worker every 12 weeks or as and when needed.
Treatment completed successfully. Exit
Continue with post treatment recovery support and aftercare via regular reviews.
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Service description
A care planned package of support that includes regular one-to-one sessions with the recovery worker. This includes a range of structured and non-structured activities. A service user can build up a personal timetable based on what will help.
Service outcomes
• As identified in the service user’s care plan and in line with standard treatment outcome measures
Client group and exclusions
The target client group is adult drug users (aged over 18) who are residents within the Peterborough City Council geographical boundary.
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Inpatient Drug Treatment - detoxification
Alcohol detox managed by Drinksense clinical staff
Service user and recovery worker identify that inpatient treatment may
be an appropriate treatment option
Management of inpatient access by clinical staff member linking with the
service user’s recovery worker
Inpatient treatment plan identified and agreed between service user, recovery worker and clinical lead
Local inpatient treatment at a local hospital
Treatment programme agreed: length and nature of treatment dependent on
clinical criteria
Treatment delivered at a local hospital (Cavell Centre), clinical lead liaises
with ward staff
Out of area treatment at a residential detox / stabilisation unit prior to
entering a rehab
Rehab placement (see residential rehabilitation care pathway) – ongoing case review with local
case manager Inpatient treatment completed: discharge back to community services Direct transfer to rehab coordinated by recovery worker
Community-based treatment and Preparatory work:
may include community based reduction of drug use prior to admission
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Service description
Drug treatment provided in an inpatient setting delivered in line with DoH Clinical Guidelines and NICE guidance. Treatment may include:
• Medically supervised assessment • Stabilisation on substitute medication
• Detoxification / assisted withdrawal from opiates and alcohol or brief respite interventions • Emergency care for drug users in drug-related crisis
Service outcomes
• Reducing the number of days a service user uses illicit drugs • Reducing the number of days a service user injects
• Increasing a service user’s physical and psychological health • Increasing a service user’s quality of life
• Reducing the number of days a service user commits a crime • Reducing the number of crimes a service user commits
Client group and exclusions
The target client group is adult drug users (aged over 18) who are residents within the Peterborough City Council geographical boundary.
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Residential Rehabilitation
Rehab identified as a treatment option by service user and recovery worker
Recovery worker and service user undertake rehab assessment
Recovery worker and line manager discuss and agree that rehab is an appropriate option and identify
possible placement
Service users does not meet local criteria for rehab – community
interventions continued as agreed
Recovery worker and service user visit rehab, arrange to undergo the rehab’s assessment/
admission process, report progress to the Rehab Panel
Rehab Panel to discuss case and ensure the case meets the eligibility criteria and, if there are
competing cases, whether the case is prioritised for funding
Criteria met, funding available
Service user meets rehab criteria for acceptance and completes preparatory care plan goals and milestones
Rehab placement commences on agreed date. Recovery worker undertakes monthly reviews for
duration of the placement
Exit Discharge Review care continuesCommunity
Service user does not meet the rehab’s
acceptance criteria or does not meet a preparatory care plan
goal or milestone – identify other rehab or continue with community based
interventions
Funding not available in current year: Recovery
worker discusses and agrees treatment options
with service user
Community-based interventions continue if agreed between recovery
worker and service user. Potential re-referral in the following financial year or if there is significant change to the service user’s circumstances. Criteria not met
or another case is prioritised
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Service description
A range of treatment delivery models or programmes to address drug and /or alcohol misuse, including abstinence oriented interventions, within the context of residential accommodation. Some residential rehabilitation providers also offer inpatient drug treatment services; please see the inpatient drug treatment care pathway for how this should link into local treatment.
Please refer to the Peterborough Residential Rehabilitation Procedure for further information and guidance relating to accessing funding for this treatment option.
Service outcomes
• Reducing the number of days a service users uses illicit drugs
• Increasing a service user’s physical and psychological health self-rating • Increasing a service user’s quality of life self-rating
• Reducing the number of days a service user commits a crime • Reducing the number of crimes a service user commits
Client group and exclusions
The target client group is adult drug users (aged over 18) who are residents within the Peterborough City Council geographical boundary.
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Anyone over 18 yrs who is arrested and gets taken into custody
Detained person is drug tested if they meet the criteria for targeted testing
Positive- required assessment process with Aspire Courts- Restrictions On Bail
Conditional Caution issued
Referred to Aspire to work with a recovery worker from the Criminal Justice Interventions Team
Targeted Testing Pathway
Negative result, ask if there are any issues and advise of open access at Aspire
Court/Probation Drug Rehabilitation
Requirement If they do not do
the assessment, an arrest warrant will
be issued Police custody, prison sentence. Prison release Structured interventions
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Service description
Targeted testing on arrest is used for identifying drug-misusing offenders. A positive drug test for heroin, crack or cocaine use is an important gateway to ensure the offender can access treatment and other support to tackle their drug-related offending.
Service outcomes
• Anyone who tests positive will be assessed by recovery workers and allocated a programme of support or treatment
Client group and exclusions
The targeted client group is adult users (aged over 18) who are residents within the Peterborough City Council geographical boundary.
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Young Person’s Substance Misuse Pathway
Professional referral Self Referral
Triage
(Within 2 working days of referral) by service manager/senior practitioner (case co-ordinator)
Comprehensive Assessment of Need (Within 15 days of referral) by specialist worker
Care Planning
(Within 2 weeks of Comprehensive Assessment in line with NTA guidelines
Care planning developed and agreed with young person/parent/carer Review of Assessment with Service Manager
(case co-ordinator) for additional needs
Delivery of care planned interventions By key worker
Review
With young persons/parents/carers. Planned and responsive to changes in
young persons circumstances
Discharge, referral on and after care Exit plan agreed with young person/parents/ carers and Service Manager. This may include:
After care pack with Information, Advise and contact details, transitional links to Adult Alcohol
Services and Adult Drug Services
Multi-agency liaison- includes joint assessment processes with CAMHS, CAF and TAC arrangements, Children’s Social Care arrangements, Family Recovery Project,
multi-Parent/Carer referral
Case co-ordination
Multi-agency liaison
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Service description
Drink and Drugsense work with parents and young people and offer information, education and preventative work that young people respond well to. For those with more complex needs they offer an intensive outreach service working with young people on a one to one basis, looking at issues such as tenancy and unplanned pregnancies.
Service outcomes
• Support the client to be abstinent of substances • Reduce the risks of committing crime
• Increase the clients quality of life
• Increasing a service user’s physical and psychological health
Client group and exclusions
The targeted client group is young people (under 18 years old) who are residents within the Peterborough City Council geographical boundary. Parents and Carers who require advice and support around drug and alcohol use issues in relation to their children.
Referral
Before the client turns 18 years of age, they are referred to Aspire, where they will be assigned a recovery worker. The recovery worker will work with the client for a period of engagement and integration which will help prepare the client for the transition over to adult services.
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Service aims and outcomes for children and families:
• Local drug services safeguard children by: Protecting children from harm
Preventing impairment of children’s health or development • Drug services proactively promote children’s welfare:
Ensuring children are growing up in circumstances consistent with the provision of safe and effective care
Creating opportunities to enable children to have optimum life chances so they can enter adulthood successfully
• Children achieve the five outcomes set by Government: Stay safe
Be healthy
Enjoy and achieve
Make a positive contribution Achieve economic well-being
Service should refer to Peterborough Safeguarding Children Board Core Inter-agency Safeguarding Procedures and supplementary documents for further information and guidance, available at www.peterborough.gov.uk
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Peterborough contact details for drug and alcohol services:
SaferPeterborough Partnership
4th Floor Bayard Place Broadway Peterborough PE1 1HL Telephone: (01733) 747474Office hours: Monday to Friday, 9am – 5pm
Aspire- (adult drug service)
102-104 Bridge StreetPeterborough PE1 1DY
Telephone: (01733) 895624 Fax: (01733) 349221
Service user 24-hour freephone: 0800 111 43 54
Open: Monday, Wednesday and Friday 9.30am – 5pm, Tuesday and Thursday 9.30am – 8pm Saturday 10am – 2pm
Drinksense- (adult alcohol services)
Alcohol Services Centre,169 London Road, Peterborough,
PE2 9DS Telephone: 01733 551575 Fax: 01733 558331
Open: Monday 1pm to 3pm, Tuesday 9am to 11am, Wednesday 4pm to 6pm, Thursday 3pm to 5pm and Friday 12pm to 2pm
Drink and DrugSense Children, Young People and Families Service
79A Eastfield Rd, Peterborough, Cambridgeshire PE1 4AS Telephone: 01733 567998 Fax: 01733 555531Build
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Bordering counties contact details for drug and alcohol
services:
Cambridgeshire
Inclusion- commissioned by Cambridgeshire Drug and Alcohol Action Team
For more information or support please contact our countywide single point of contact number on: 0300 555 01 01 (all calls charged at local rate).
Inclusion Drug Services Cambridge
Mill House, Brookfields Hospital, Mill Road, Cambridge, CB1 3DF Tel: 01223 723 020
Inclusion Drug Services Huntingdon
7 Market Hill, Huntingdon, Cambridgeshire, PE29 3NR Tel: 01480 413 800
Inclusion Drug Services Wisbech
Church Terrace, Wisbech, Cambridgeshire, PE13 1BW Tel: 01945 584 444
Inclusion Drug Services Ely
52-54 Market Street, Ely, CB7 4LS Tel: 01223 723 020Addaction Wisbech
Former Council Offices, Church Terrace, Wisbech, Cambridgeshire PE13 1BW Tel: 01945 469 035,
Open: Mon-Fri: 9am-5pm
Addaction St. Neots - Alcohol service
1st Floor offices, Cross Keys Mews, Market Square, St. Neots, PE19 2AR Tel: 01480 406823,
Open: Monday: 9am - 8 pm, Tuesday: closed, Wednesday- Friday: 9am - 5pm
CASUS young people under 18yrs and their families’ drug
and alcohol service
CASUS North
(Huntingdonshire and Fenland) Newtown Centre Nursery Road Huntingdon PE3 8SJ Tel: 01480 415278 Fax: 01480 415393
CASUS South
(Cambridge City, South and East) The Bridge
152/154 Mill Road Cambridge CB1 3LP
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Lincolnshire
Drug and Alcohol Recovery Team Boston:
Babbage House, Rear of Boston Borough Council, West Street, Boston, PE21 8QR Tel: 01205 314479
Drug and Alcohol Recovery Team Grantham:
Beaconfield Centre, Beacon Lane, Grantham, NG31 9DF Tel: 01476 591233Drug and Alcohol Recovery Team Lincoln:
Carholm court, Long leys Road, Lincoln, LN1 1FS Tel: 01522 597979Addaction Lincoln:
30 Newland, Lincoln Tel: 01522 301307Addaction Grantham:
71 High Street, Grantham Tel: 01476 512950Addaction Boston:
70-74 Wide Bargate, Boston Tel: 01205 319920Northamptonshire
Adult drug and alcohol services CRI: Tel: 08450344549
Young People’s Team:
76 St. Giles Street Northampton NN1 1JW: Tel: 08450 556 246
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Pharmacies offering needle exchange services
PHARMACY ADDRESS TELEPHONE MON - FRI SAT SUN
Asda
Pharmacy West Rivergate Shopping Centre, Viersen Platz, Peterborough (01733) 556310 7am-10pm 7am-10pm 10am-4pm
Boots The Chemist Queensgate Centre, Peterborough (01733) 312211 8.30am - 5.30pm 8.30am – 6pm 10.30am 4.30pm
Boots The Chemist Unit 2 Bretton Centre, Bretton, Peterborough (01733) 262555 8am – 12am 8am – 11pm 10am – 4pm
Boots The Chemist Serpentine Green, Hampton, Peterborough 892 528(01733) 9am – 8pm 9am – 8pm 10am – 4pm
Mi Pharmacy
(Eastchem) 127 Eastfield Road, Peterborough (01733) 310751
9am –
6.30pm Closed Closed
Botolph Bridge
(Jhoots) Pharmacy Unit B Sugar Way, Peterborough (01733) 895974
8.30am –
6.30pm Closed Closed
City Pharmacy 50 Lincoln Road, Peterborough (01733) 562045 6.30pm9am – 9am – 1pm Closed
Millfield Chemist 387 Lincoln Road, Peterborough (01733) 312933 9am – 8pm 9am – 8pm 10am – 8pm
Co-op Pharmacy Chadburn Centre, Paston, Peterborough (01733) 322907 6.30pm9am – 9am – 1pm Closed
Co-op Pharmacy 303-307 Lincoln Road, Millfield, Peterborough (01733) 567208 9am – 6pm 9am – 5pm Closed
Co-op Pharmacy 2-6 Hampton Court, Westwood Peterborough (01733) 262854 9am – 6pm 9am – 5pm Closed
Rowlands Pharmacy 178a Mountsteven Avenue, Walton, Peterborough (01733) 322776 9am – 6pm 9am – 12pm Closed
Lloyds Pharmacy Nene Valley Medical Centre, Clayton, Orton Malborne, Peterborough (01733) 234244 8.30am – 6.30pm Closed Closed
Lloyds Pharmacy 1 Bushfield, Orton Centre, Orton Goldhay, Peterborough (01733) 235026 9am – 6pm 9am – 5pm Closed
Co-op Pharmacy Stanground Surgery, Peterborough (01733) 343678 5.30pm9am – 9am – 5pm Closed
Sainsbury's
Pharmacy Flaxland, Bretton, Peterborough (01733) 331328
7am – 11pm 7am – 10pm 10am – 4pm
