Daliya P, Adiamah A, Roslan F, et al. - In North America, opioid misuse is now considered a major public health epidemic with substantial social and financial aftereffects. In addition, researches herein described socio‐economic and commercial drivers, modifiable risk‐factors that have resulted in this crisis. Researchers sought to determine if modifiable drivers for persistent postoperative opioid use were present within England. In this retrospective cohort study of practice at 14 National Health Service hospitals across England, they enrolled 509 patients, 499 of whom were included in the data analysis. The intermediate surgery cohort comprised 31.5% (157/499) patients and the major or complex major surgery cohort comprised 68.5% (342/499) patients, Of these cohorts, 21.0% (33/157) and 21.6% (74/342) were discharged with opioid medicines to be taken at regular intervals, respectively. There were similar median oral morphine equivalent doses prescribed at discharge. A duration was specified at discharge in 76.6% (82/107) of patients prescribed regular opioid medicines. However, no written deprescribing advice was made on discharge for 72.9% (78/107) patients. Overall, this work revealed a pattern of poor prescribing practices, a lack of guidance and formal training at individual institutions.