High-Risk Pathway & Chemsex Service
Update on New Referrals 10/12/2025
Please note:
The waiting list is temporarily closed due to staff vacancies. London Friend has now filled two vacancies for the chemsex service, and the required procedures to formalize the contracts are currently in progress.
During this time, this mailbox will not be regularly monitored .
Referrals
1. Self-Referrals
If you are concerned about your substance use and feel it is becoming unmanageable, please refer yourself to your local drug and alcohol service or attend Clifden Clinic, where a staff member can provide guidance and support.
If you are in crisis or feel that your mental health is deteriorating, please see the guidance below:
- For urgent mental health care:
Contact NHS 111, option 2 – they will connect you with services in your area. - If at significant risk to yourself or others:
Call 999 or visit your nearest A&E immediately. - For general medical support:
Please contact your GP.
2.Professional Referrals
3. External Referrals - (From services such as Mental Health or Forensic teams)
We are temporarily closed to external referrals due to staff vacancies.
Please refer to your local drug and alcohol service in the meantime.
4. Internal Referrals:
Homerton Referrals
For patients with moderate to severe chems use, please refer to the local drug and alcohol service.
If the patient's chems use is mild-moderate (and they are not under mental health or forensic services), please contact the High-Risk Sex/Chemsex Pathway Lead, Dr. Ana Revez at ana.revez@nhs.net.
Via HSHS / Patient Attending Our Clinic
Please discuss with Dr. Ana Revez (ana.revez@nhs.net).
If patients are stable, we may be able to offer up to 6 sessions of Motivational Interviewing/Low intensity, with the possibility of signposting or discussing suitability for referral to our HSHS Psychology team.
Further Information
If you need any information or guidance about the Chemsex Service at Homerton Healthcare NHS Foundation Trust, please email ana.revez@nhs.net and copy huh-tr.chemsexsupport@nhs.net.
Resources
Drug support organisations
Mind.org.uk - page support for drug and alcohol problems has more information on the ways to get help for drug use.
Turning Point
turning-point.co.uk
Health and social care services in England for people with a learning disability. Also supports people with mental health problems, drug and alcohol abuse or unemployment.
Health and social care services in England for people with a learning disability. Also supports people with mental health problems, drug and alcohol abuse or unemployment.
Change Grow Live
Find information and local support services for alcohol and drug use. Also offers support for mental wellbeing, and issues like housing and work.
Club Drug Clinic
020 3317 3000
clubdrugclinic.cnwl.nhs.uk
Information and support for people worried about their use of recreational drugs. The clinic offers help in the London boroughs of Kensington & Chelsea, Hammersmith & Fulham and Westminster.
clubdrugclinic.cnwl.nhs.uk
Information and support for people worried about their use of recreational drugs. The clinic offers help in the London boroughs of Kensington & Chelsea, Hammersmith & Fulham and Westminster.
London Friend
londonfriend.org.uk
Offers services to support LGBTQ+ health and wellbeing, including support groups and counselling. These are available online, as well as in person around London. And provides information for on topics including mental health, coming out, and drug and alcohol use.
Offers services to support LGBTQ+ health and wellbeing, including support groups and counselling. These are available online, as well as in person around London. And provides information for on topics including mental health, coming out, and drug and alcohol use.
FRANK
0300 123 6600
Confidential advice and information about drugs, their effects and the law.
Narcotics Anonymous
0300 999 1212
Support for anyone who wants to stop using drugs.
Release
020 7324 2989
ask@release.org.uk (email helpline)
release.org.uk
National charity that offers free and confidential advice about drugs
ask@release.org.uk (email helpline)
release.org.uk
National charity that offers free and confidential advice about drugs
Information on Chemsex Service
This is part of a new exciting partnership between London Friend, Turning Point and NHS with a view to help people struggling with problematic chemsex. You can access the service by attending our Clifden Clinic or by emailing the team at huh-tr.chemsexsupport@nhs.net . Support is provided by a Recovery Worker and a Psychology Assistant/MSM Peer Mentor. We can provide triage, assessment, advice, and treatment within the Sexual Health Service. We can provide full support for those living in City and Hackney. For people living outside the borough, we can provide some support and linking with relevant services.
Safer Injecting – Chemsex Packs
If you or people you know are engaging in Chemsex and slamming, we are offering free kits to keep you safer. Our Safer Injecting packs can be picked up free of charge at our main hub at the Clifden Centre. We are open Mondays-Saturdays.
Each pack contains:
1 x sharps bin
2 x measuring syringes (2ml)
4 x condoms
4 x sachets of lube
10 x syringes with needles (1ml)
10 x cookers/spoons
10 x pre-injection swabs – alcohol wipes
Download a list of needle exchange sites where you can drop off used sharps:
Naloxone
Naxalone can be provided by our Recovery Worker at Homerton Sexual Health Services with advice on appropriate use. Naloxone is a life-saving drug that prevents an overdose of heroin or other opiods and can be administered by anyone. You can collect Naxalone from the Clifden Centre on Tuesdays (9am-5pm) or Thursdays (12pm-7pm).