Pain medicine

Organisational practices in postoperative opioid prescribing at discharge in UK NHS day surgery units: the OPIOID ‐discharge survey

AnaesthesiaPublished Cross-sectional study

Authors' conclusion

Six months after the drug safety update, there is evidence of significant impact, with most Trusts sharing the alert and moving away from modified-release opioids.

Study context

Population
Day Surgery Units and Drugs and Therapeutics Committees of acute hospitals in England, Wales and Northern Ireland83 Day Surgery Units, 70 Drug and Therapeutics Committees
Outcome
Compliance with the MHRA drug safety update on prolonged-release opioids for postoperative pain
Follow-up
6 months post-publication
Methodological detailssurvey, multicentre
  • Survey
  • Multicentre

Main finding

As reported in the abstract

Organisational discharge opioid prescribing practices
Trusts routinely using modified-release opioids before March 2025
51/70 (73%)
Committees that shared the guidance
59/70 (84%)
Organisations previously using modified-release opioids that no longer do so
38/51 (75%)
Units still dispensing modified-release opioids
10/70 (14%)
Discharge letters advising general practitioners against repeat prescriptions (units dispensing opioids)
19/60 (32%)
Units providing patient information on opioid risks
17/60 (28%)
Formal training on acute postoperative pain management confirmed
22/83 (27%)

Observational data: associations, not effects.

Original publication

Organisational practices in postoperative opioid prescribing at discharge in UK NHS day surgery units: the OPIOID ‐discharge survey. Anaesthesia. Published 29 March 2026. doi:10.1111/anae.70206

Composed by AI from the published abstract and checked against it. How Briefs are made →

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