Peer interventions have been advocated as a means of expanding and con
solidating existing HIV interventions among drug users. They have been
promoted as having the potential to redress the limitations of tradit
ional outreach by maximizing contacts with hidden populations of drug
users, and replacing individually focused health education with effort
s to change 'community norms' towards safer drug use. Yet, despite suc
h accolades, there has been little published information on the practi
calities of implementing or developing such interventions among drug u
sers in the UK. This paper outlines a survey of peer interventions amo
ng drug services in North Thames Regional Health Authority. The findin
gs provide some insight into the ay in which these interventions are b
eing introduced into the drugs field. The paper also highlights the po
tential role for local forums of service providers in the management a
nd development of community interventions.