Should operational police officers be authorised to carry and administer Naloxone in the UK.
DOI:
https://doi.org/10.70386/ijcpe.v2i1.39Keywords:
naloxone, opioid overdose, policing, harm reduction, public health, United Kingdom, police reform, operational policingAbstract
The rapid escalation of opioid-related mortality across the United Kingdom has intensified debate regarding the role of non-medical first responders in overdose intervention. This study critically examines whether operational police officers in the UK should be authorised to carry and administer naloxone, an opioid antagonist capable of reversing life-threatening respiratory depression. Drawing upon secondary data analysis, peer-reviewed literature, government policy documents, and evaluations of domestic and international police naloxone programmes, the research assesses the issue through legal, ethical, operational, and public health frameworks.
The study adopts a structured qualitative thematic analysis of existing evidence, focusing on two principal themes: (1) operational demand and the evolving safeguarding function of policing, and (2) proportionality, legality, and professional boundary considerations. Findings indicate that police officers are frequently first on scene at suspected overdoses and are therefore uniquely positioned to deliver time-critical interventions. Evidence from UK pilot schemes and international implementations demonstrates that naloxone carriage by police is operationally feasible, associated with high survival rates, and generally supported by officers following appropriate training. Concerns relating to role expansion, liability, moral hazard, and resource allocation are identified; however, these are not substantiated by strong empirical evidence demonstrating adverse systemic consequences.
The analysis concludes that authorising police officers to carry and administer naloxone is proportionate, ethically defensible, and consistent with the foundational policing duty to preserve life. While naloxone does not address the structural causes of drug dependency, its capacity to prevent avoidable mortality situates it as a legitimate harm reduction tool within contemporary public health–informed policing models. Policy recommendations include standardised national guidance, enhanced inter-agency collaboration, and continued evaluation to ensure accountability and effectiveness.
Keywords: Naloxone, opioid overdose, policing, harm reduction, public health, United Kingdom, police reform, operational policing
Downloads
References
Abdelal, R., Banerjee, A. R., Carlberg-Racich, S., Darwaza, N., Ito, D., Shoaff, J., & Epstein, J. (2022). Real-world study of multiple naloxone administration for opioid overdose reversal among bystanders. Harm Reduction Journal, 19(1). https://doi.org/10.1186/s12954-022-00627-3
Atkins, D. N., Durrance, C. P., & Kim, Y. (2019). Good Samaritan harm reduction policy and drug overdose deaths. Health Services Research, 54(2), 407–416. https://doi.org/10.1111/1475-6773.13119
Baldwin, J. R., Pingault, J., Schoeler, T., Sallis, H. M., & Munafò, M. R. (2022). Protecting against researcher bias in secondary data analysis: Challenges and potential solutions. European Journal of Epidemiology, 37(1), 1–10. https://doi.org/10.1007/s10654-021-00839-0
Banta-Green, C. J., Beletsky, L., Schoeppe, J. A., Coffin, P. O., & Kuszler, P. C. (2013). Police officers’ and paramedics’ experiences with overdose and their knowledge and opinions of Washington State’s Drug Overdose–Naloxone–Good Samaritan Law. Journal of Urban Health, 90(6), 1102–1111. https://doi.org/10.1007/s11524-013-9814-y
Beletsky, L. (2014). Engaging law enforcement in opioid overdose response: Frequently asked questions. Bureau of Justice Assistance.
Bessen, S. A., Metcalf, S. A., Saunders, E. C., Moore, S. K., Meier, A., McLeman, B., Walsh, O., & Marsch, L. A. (2019). Barriers to naloxone use and acceptance among opioid users, first responders, and emergency department providers in New Hampshire, USA. International Journal of Drug Policy, 74, 144–151. https://doi.org/10.1016/j.drugpo.2019.09.008
Black, C. (2021). Review of drugs: Phase two report. HM Government.
Campbell, N. D. (2019). Naloxone as a technology of solidarity: History of opioid overdose prevention. Canadian Medical Association Journal, 191(34), E945–E946. https://doi.org/10.1503/cmaj.190257
Centre for Applied Science and Technology. (2014). CAST standard for police chemical irritant sprays: CS and PAVA. Home Office.
Cleveland Police. (2021). Naloxone policy (Version 1.1).
Cooney, T., & Measham, F. (2023). Counting and accounting for drug-related deaths at UK music festivals 2017–2023: A commentary. Drug Science, Policy and Law, 9. https://doi.org/10.1177/20503245231211444
Dahan, A., Franko, T. S., Carroll, J. W., Craig, D. S., Crow, C., Galinkin, J. L., Garrity, J. C., Peterson, J., & Rausch, D. B. (2024). Fact vs. fiction: Naloxone in the treatment of opioid-induced respiratory depression in the current era of synthetic opioids. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1346109
Dahlem, C. H., Granner, J., & Boyd, C. J. (2022). Law enforcement perceptions about naloxone training and its effects post-overdose reversal. Journal of Addictions Nursing, 33(2), 80–85.
Davis, C. S., Carr, D., Southwell, J. K., & Beletsky, L. (2015). Engaging law enforcement in overdose reversal initiatives: Authorization and liability for naloxone administration. American Journal of Public Health, 105(8), 1530–1537. https://doi.org/10.2105/AJPH.2015.302638
Department of Health and Social Care. (2024). Consultation on expanding access to naloxone. HM Government.
Doleac, J., & Mukherjee, A. (2018). The moral hazard of lifesaving innovations: Naloxone access, opioid abuse, and crime.
Evans, J. M., Hogg, M. I. J., Lunn, J. N., & Rosen, M. (1974). Degree and duration of reversal by naloxone of effects of morphine in conscious subjects. BMJ, 2(5919), 589–591. https://doi.org/10.1136/bmj.2.5919.589
Fisher, R., O’Donnell, D., Ray, B., & Rusyniak, D. (2016). Police officers can safely and effectively administer intranasal naloxone. Prehospital Emergency Care, 20(6), 675–680. https://doi.org/10.1080/10903127.2016.1182605
Fox, T. P., Oliver, G., & Ellis, S. M. (2013). The destructive capacity of drug abuse. ISRN Addiction, 2013, 1–6.
Gooley, B., Weston, B., Colella, M. R., & Farkas, A. (2022). Outcomes of law enforcement officer administered naloxone. The American Journal of Emergency Medicine, 62, 25–29.
Green, T. C., Zaller, N., Palacios, W. R., Bowman, S. E., Ray, M., Heimer, R., & Case, P. (2013). Law enforcement attitudes toward overdose prevention and response. Drug and Alcohol Dependence, 133(2), 677–684.
Handal, K., Schauben, J., & Salamone, F. (1983). Naloxone. Annals of Emergency Medicine, 12(7), 438–445.
Hillen, P., Speakman, E., Dougall, N., Heyman, I., Murray, J., Jamieson, M., Aston, E., & McAuley, A. (2022). Naloxone in Police Scotland: Pilot evaluation. Edinburgh Napier University.
House of Commons Committee of Public Accounts. (2024). Reducing the harm from illegal drugs (HC72).
Human Medicines Regulations 2012, Schedule 19.
Human Rights Act 1998.
Ivankova, N., & Wingo, N. (2018). Applying mixed methods in action research. American Behavioral Scientist, 62(7), 978–997.
Laufs, J., Bowers, K., Birks, D., & Johnson, S. D. (2020). Understanding the concept of ‘demand’ in policing. Policing & Society, 31(8), 895–918.
Livingstone, I. (2022). Police Scotland commits to national roll-out of life-saving nasal spray. Police Scotland.
Lurigio, A. J., Andrus, J., & Scott, C. K. (2018). The opioid epidemic and the role of law enforcement officers in saving lives. Victims & Offenders, 13(8), 1055–1076.
Lynn, R. R., & Galinkin, J. (2017). Naloxone dosage for opioid reversal: Current evidence and clinical implications. Therapeutic Advances in Drug Safety, 9(1), 63–88.
Marcus, N., & Stergiopoulos, V. (2022). Re-examining mental health crisis intervention. Health & Social Care in the Community, 30(5), 1665–1679.
McAuley, A., Bouttell, J., Barnsdale, L., Mackay, D., Lewsey, J., Hunter, C., & Robinson, M. (2016). Evaluating the impact of a national naloxone programme. Addiction, 112(2), 301–308.
Murphy, J., & Russell, B. (2020). Police officers’ views of naloxone and drug treatment. Journal of Drug Issues, 50(4), 455–471.
Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis. International Journal of Qualitative Methods, 16(1).
Office for National Statistics. (2024). Deaths related to drug poisoning in England and Wales (2023 registrations).
Osse, A., et al. (2011). Handbook on police accountability, oversight and integrity. United Nations Office on Drugs and Crime.
Police Scotland. (2023). Police Scotland completes national roll-out of naloxone to officers.
Scottish Police Authority. (2024). Naloxone: Public briefing.
Shaw, W. S., Roelofs, C., & Punnett, L. (2020). Work environment factors and prevention of opioid-related deaths. American Journal of Public Health, 110(8), 1235–1241.
Smiley-McDonald, H. M., Attaway, P. R., Richardson, N. J., Davidson, P. J., & Kral, A. H. (2022). Perspectives from law enforcement officers who respond to overdose calls for service and administer naloxone. Health & Justice, 10(1).
Speakman, E. M., Hillen, P., Heyman, I., Murray, J., Dougall, N., Aston, E. V., & McAuley, A. (2023). ‘I’m not going to leave someone to die’: Carriage of naloxone by police in Scotland. Harm Reduction Journal, 20(1).
The Conservative Government. (2021). From harm to hope: A 10-year drugs plan to cut crime and save lives. HM Government.
Wagner, K. D., Bovet, L. J., Haynes, B., Joshua, A., & Davidson, P. J. (2016). Training law enforcement to respond to opioid overdose with naloxone. Drug and Alcohol Dependence, 165, 22–28.
White, M. D., Perrone, D., Malm, A., & Watts, S. (2021). Narcan cops: Officer perceptions of opioid use and willingness to carry naloxone. Journal of Criminal Justice, 72, 101778.
Wickham, R. (2019). Secondary analysis research. Journal of the Advanced Practitioner in Oncology, 10(4).
Wolfe, T. R., & Bernstone, T. (2004). Intranasal drug delivery. Journal of Emergency Nursing, 30(2), 141–147.
Zhang, A., Balles, J. A., Nyland, J. E., Nguyen, T. H., White, V. M., & Zgierska, A. E. (2022). Police contacts for drug use-related crime and future overdoses. Harm Reduction Journal, 19(1).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 International Journal of Criminology and Policing Education

This work is licensed under a Creative Commons Attribution 4.0 International License.

