March 2014: This guidance replaces the original NICE guideline on needle and syringe programmes published in 2009. It supports the commissioning and provision of needle and syringe programmes, including those provided by pharmacies and drugs services. The guidance has been extended to include young people aged under 18 (including those under 16) and users of image- and performance-enhancing drugs.
Minor updates since publication
November 2021: We clarified our advice on injecting equipment in recommendation 7 and added a sentence to the glossary definition for low dead-space injecting equipment.
March 2019: Some links and standard text were updated.