Health Wellbeing & Substance Misuse Co-commissioning
North West ‘Through the Gate’
Substance Misuse Services
Project
Caroline Bonds, Senior co-commissioning Manager
Substance misuse
November 2014
Overview…
• Transforming Rehabilitation (TR)
– Through The Gate (TTG) / Gateways
• Virtual Campus (VC)
– Digital Inclusion platform in prisons
• Breaking Free Online (BFO)
Strategic Context – TR
• The Secretaries of State for Health and Justice agree that new
funding would be made available from the Department of Health
• Funding aimed at improving access for people with drug and or
alcohol dependency in custody and ‘through the prison gate’ to
existing substance misuse treatment and associated health
services in the community
• Announced as part of Transforming Rehabilitation Strategy
May 2013
North West ‘Through The Gate’ Pathfinder
Cumbria &
Lancashire
CRC
•
DH funded initiative with NOMS, NHS England
and Public Health England
•
Announced as part of Transforming Rehabilitation
Strategy May 2013
1. Test new pathway approaches to tackling
substance misuse and building sustainable
recovery through the gate in particular for those
serving <12 months
Greater
Manchester
& Cheshire
CRC
2. Encourage, incentivise and engage Service Users
to engage and take responsibility for managing their
recovery and rehabilitation
3. Improve alignment between commissioners along
the offender journey
•
Range of new products including: Drug testing,
alcohol brief interventions, prison TOP, Recovery
Housing, Computer Assisted Therapy
•
Roll out through tri-partite governance
The Project - continued
• Improve the alignment between commissioners along the
offender journey
• Up to 5,000 offenders a year in the NW would receive additional
support in custody and on release
• Not a pilot – but a test for up to a two year period to develop
existing provision and enhance delivery
• Learning from this approach used to inform wider roll out in the
new system in line with the projected timescales of Transforming
Rehabilitation Programme (TR)
List of NW prisons in NW TTG SMS Project
Contract Package Area
Prison
Women
HMP Styal
CPA 2 – Cumbria & Lancashire
(Male)
HMP Preston
HMP Kirkham
HMP Haverigg
HMP Lancaster Farm
SODEXO & NACRO
CPA 6 – Cheshire & Manchester HMP Manchester
(Male)
HMP Altcourse
HMP Forest Bank
PURPLE FUTURES:
HMP Risley
Interserve led with 3SC,
HMP Thorn Cross
Addaction, P3 & Shelter
Why the North West?
• Selection criteria:
– High levels of current discharge from prisons within proposed TR
contract package areas
– Concentrations of existing Drug Recovery Wing and Drug Free
environments
– Strong peer support networks
– Levels of stability around re-tending of integrated substance misuse
and wider health services
– The range of current substance misuse services which were
operating an in-reach/out-reach model in and out of prisons
– Possibility of testing early adoption of the reconfiguration of the
prison population
What's new – products/services/interventions
developed
• An increase in the frequency and range of drug testing
• Enhanced Supply Reduction activities
• Improved pathways and case management through multiagency plans from day 1 in custody and through the gate
• Improved processes for Standard Plus applications
• Determine the most appropriate screening and brief
interventions approaches and points in the offender pathway for
these to be delivered
• Improved well-being, mental health and dual diagnosis care
programme approach pathways in custody and through the gate
What’s new? - continued
• Abstinence in prison and abstinent in communities linking to
Public Reform Agendas
• Asset Based Community Development - ABCD
• Introduction of Prison Treatment Outcome Profile (TOP)
• Take home Naloxone
• Improved Peer Support
• Abstinence based recovery housing
• Meet & Greet at the gate (Friends, homes & jobs)
• Improved family interventions
• NW Innovation fund to allow engagement with smaller voluntary
organisations
• Computer Assisted Therapy
– Using technology to enhance recovery
– Promoting Digital Inclusion
Welcome to the
Virtual Campus
What is the Virtual Campus?
• A secure way for you to use web based technology for learning,
information, advice and guidance
• Recording your progress so that you are not as likely to have to
repeat any learning if you are transferred
• The Virtual Campus also lets you
– complete an exam online
– access some carefully chosen content securely from the web
Logging On…
You can message your advisor
.
Find information, advice and guidance from any
Virtual Campus PC
The Virtual Campus
Future Developments
• Mentoring
• Virtual Classroom – Remote Delivery of classes
• Continued content development to meet local and national
needs
• Phase 3 deployment
• Phase 4 expansion programme
• New Hybrid TS Solution
• In Cell Trial over next 12 months
• Health & Wellbeing Interventions
Breaking Free Online (H&J) & NOMS
• BFO Health & Justice developed through extensive
consultation with NOMS
• NOMS confirmed it meets all quality assurance, information
assurance and security requirements & receives MoJ ‘White
Label’ of approval
• Hosted in a ‘sterile’ environment – Service Users cannot access
any other website from the dedicated URL:
noms.breakingfreeoneline.com
• Access via the Virtual Campus computers or authorised laptops
• Accessible in all prisons and following release via UK Online
Centres & other community internet resources
Other implementation activities
• BFO training extended to ‘through the gate’ mentor services
• Partnership with Emerging Horizons around delivery of Pillars of
Recovery training
• Incorporated Naloxone patient information
• NOMS approved as PSO 4350 Effective Regime Intervention
• Developing Oxford, Cambridge & RSA accreditation
• Secured ethical approval from MoJ to undertake research
evaluation
Breaking Free Online at HMP Haverigg
• Preliminary usage data on 22 offenders using BFO
• Mean number of treatment episodes = 11.57 (range = 1 - 41)
• Mean total time spent on BFO = 5.87 hours (range = 24.35 mins
- 19.81 hours)
• Analysis of literacy and computer literacy:
•
Literacy level
Equivalence
n (%)
Level 2
GCSE A-C
8 (36)
Level 1
GCSE D-G
9 (41)
Entry level 3
Age 9-11
4 (18)
Entry level 2
Age 7-9
1 (5)
To date, 3 offenders have transferred to HMP Kirkham and
requested access to BFO
Feedback…
“I was pleasantly surprised that our learners did not need
more than basic IT skills to interact with Breaking Free
Online, and more computer literate users did not get bored
with the system. I would go so far as to say that there has
been little or no education-related barriers to its use.”
Ian McNaughton
Learning Support Operative
Virtual Campus
BFO Delivery…
Health, Wellbeing & Substance Misuse CoCommissioning
Commissioning Group
Directorate of Commissioning and Commercial
National Offender Management Service
3.07 Clive House
70 Petty France
London, SW1H 9HD
www.justice.gov.uk/about/noms/working-withpartners/health-and-justice
Email - health.co-commissioning@noms.gsi.gov.uk
Email - Substance-misuse.cocommissioning@noms.gsi.gov.uk