The number of drug users continues to rise with more taking drugs at a younger age. Despite nearly two decades of policy makers trying to get GPs involved and a decade of Primary Care Led NHS, we still appear to be no further along. The publication of the Clinical Guidelines has been surrounded by controversy amongst GP professionals (though ironically also amongst others in the field). GPs stating in their annual conference that they are being blackmailed into caring for this patient group. Government strategy, especially in relation to delivering the optimistic targets set out in the Drug Strategy, will depend heavily on GP involvement. What can be done then to turn the heads (and hands) of the largest medical professional group in the National Health Service? This talk will explore new Government initiatives that could go some way in helping to involve Primary Care. If they fail, what next?