We were pleased to hear of another primary health care team actively vaccinating intravenous drug users against hepatitis B.1 We have also found hepatitis B vaccination in primary care to be feasible and effective, but we have modified our practice through a number of audit cycles. We provide an outreach service to homeless patients in Leicester and we began by offering bloodborne virus screening to all intravenous drug users before offering vaccination on the traditional 0, 1- and 6-month schedule. We audited the outcomes for all drug users starting a methadone treatment programme over a 6-month period. The first audit of 23 patients treated in the 6 months to September 2000 found that only 48% …