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National priority 2: Reducing inappropriate high dose opiate prescriptions for non-cancer pain 

Public Health England data from 2019 shows that 5.6million adults in England (13% of the adult population) received opioid pain medications. There is no evidence for efficacy of high dose opioidsusually up to 120mg/day morphine equivalent, in long term pain. Increasing opioid load above this is unlikely to yield further benefits but exposes patients to increased harm.