DRUG AND ALCOHOL CORPORATE ACTION PLAN 2005/06
The information in the following template will comprise the Drug and Alcohol
Corporate Action Plan for 2005/06. For reporting purposes the drug pillars and alcohol
priorities have been combined as follows: Culture Change and Communities
Prevention, Education and Young People
Provision of Support and Treatment Services
Protection, Controls and Availability
Drug and Alcohol Action Teams are asked to demonstrate progress against the
following drug and alcohol national priorities. Where there is local data in support of
performance eg. local indicators or milestones, these should be shown. Responses
should be confined to one page per priority.
If the national priority is not relevant at local level then the reason for this should be
outlined (eg. No waiting times for treatment services).
National Priorities: Drugs
1. Reduce the proportion of under 25’s reporting use of illegal drugs.
Target: Reduce the proportion of under 25’s reporting use of illegal drugs in the last
month and previous year substantially, and heroin use by 25%, by 2005.
2. Increase the number of drug misusers in treatment services.
Target: Increase the number of drug misusers in contact with drug treatment and care
services in the community, by at least 10% every year.
3. Increase the number of drug misusers successfully completing treatment.
4. Increase the number of drug misusers moving onto training, education and
employment.
5. Reduce waiting times for drug treatment and rehabilitation services.
6. Reduce drug related deaths.
Target: Reverse the upward trend in drug-related deaths and reduce the total number, by
at least 25% by 2005
7. Reduce the proportion of under 25s who are offered illegal drugs.
Target: Reduce the proportion of young people under 25 who are offered illegal drugs
significantly, and heroin by 25%, by 2005.
Target: An increase in the weight of Category A drug seizures of 10%, by 2006.
Target: An increase in detection of offences for supply or intent to supply Category A
drugs by 10%, by 2006.
National Priorities: Alcohol
8. Reduce binge drinking, because of the harmful social and individual consequences.
9. Reduce hazardous or at risk drinking by children and young people because of the
particular health and social risks.
Targets: To reduce the incidence of adults exceeding weekly sensible drinking levels
from:
33% to 31% for men between 1995 and 2005 and to 29% by 2010;
13% to 12% for women between 1995 and 2005 and to 11% by 2010.
Targets:
To reduce the frequency and level of drinking from 20% of 12-15 year olds to
18%
between 1995 and 2005 and to 16% by 2010.
10. To provide equitable, accessible and inclusive services to address the needs of
those who experience problems with alcohol and those affected by others’ alcohol
problems.
National Priorities: Drugs and Alcohol
11. Reduce harm to children affected by substance misusing parents / carers.
12. Reduce drug and alcohol related crime, and reassure communities of this.
The Drug & Alcohol Action Team : 2004/05.
Name :
Action on Alcohol and Drugs in Edinburgh
Number of meetings in 2004/05: 9
Action Team Members*:
Name
Designation
Tom Wood
(from 15 Sept 2004)
Dougie Watson
(until 15 Sept 2004)
Mike Winter
Duncan MacAuley
Chair
Chief Superintendent
(Interim Chair)
Clinical Director
Lothian Primary Care
NHS Trust (Vice Chair)
Chief Social Work Officer
Organisation
Action on Alcohol and
Drugs in Edinburgh
Lothian & Borders Police
Lothian NHS Board
No. of meetings
attended 2004/05
(inc reps as necc)
6 of 6
4 of 4
9
Social Work Department
The City of Edinburgh
Council
Social Work Department
The City of Edinburgh
Council
Performance and
Development Unit,
Corporate Services
The City of Edinburgh
Council
Housing Department
The City of Edinburgh
Council
Education Department
The City of Edinburgh
Council
Jobcentreplus
8 of 9
Jobcentreplus
5 of 7
7 of 9
Bryan Chatham
Convenor, Joint
Commissioning Group
Ray de Souza
Senior Consultant
Cathy King
Head of Care Housing
Mike Rosendale
Head of Community
Education
Allan Robertson
(until 12 May 2004)
Lyndsay Geddes
(from 18 August 2005)
Graeme MacArthur
Regional Manager
Peter Anderson
Representative
Jim Rafferty
Chief Executive
SDF/ Coalition of Drug
Agencies
Coalition of Drug
Agencies
Capital City Partnership
Michelle Paterson
(from September 2003)
David Croft
(from 15 September
2004)
Assistant Procurator
Fiscal
Governor
Regional Procurator
Fiscal's Office
HM Prison Edinburgh
6 of 9
John Mathieson
(until 18 August 2005)
Unit Manager, Inclusion
HM Prison Edinburgh
1 of 3
Mike Massaro
Development Manager
Substance Misuse
Lothian NHS Board
8 of 9
Progress2Work
Coordinator
Regional Manager
8 of 9
9 of 9
8 of 9
7 of 9
1 of 1
7 of 9
7 of 9
6 of 6
Name
Designation
Organisation
Maggie Murray
Strategy Support and
Implementation Officer
Research and
Information Officer
Administrator
Action on Alcohol and
Drugs in Edinburgh
Action on Alcohol and
Drugs in Edinburgh
Action on Alcohol and
Drugs in Edinburgh
Chris Denmark
Jeanette Shiells
No. of meetings
attended 2004/05
(inc reps as necc)
8 of 9
7 of 9
2 of 2
* indicates all attendees.
Action Team Support Funding:
2004/05 Allocation :
Carry Forward :
Total :
£127,278
£52,195
£179,473
Category of Spend
Salaries and Travel
Premises
Supplies and Services
Management Costs (DAAT Chair)
Expenditure £
£68,127
£1,000*
£5,000*
£9,120
£83,247
£96,226+
Carry Forward
* relocation/refurbishment costs still to be finalised
+
dependent on finalised relocation costs
Note
Carry forward earmarked for the following Expenditure in 2005/06
Full year effect of re-structured EDAT
Training Venue & Hosting
Directory of Services & Publicity
Website Development
IT Software/support
Pilot Projects
Policy Led Training
£30,000
£6,500
£6,000
£6,500
£5,000
£20,000
£22,226
£96,226
SUPPORT AND TREATMENT TABLES 2004/05
NON-RESIDENTIAL SERVICES IN ACTION TEAM AREA:
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
ANNUAL
SPEND
NUMBERS
All performance figures are for 9
month period up to December 04
with an estimated full years data (in
blue)
TYPE OF SERVICE PROVIDED
(Enter code 1-5* below)
X
X
X
£60,345 (L)
51
68
29
The Access Point (performance
data for social work-non duty
system only)
Alcohol Liaison Nurses-RIE
DA
£51,000 (L)
85
113
123
DA
£60,000
(N)
N/A
N/A
N/A
N/A
4
4
4
4
4
4
4
1
4
Alcohol Problems Service
Ward and Resource Team Lothian wide
CPN Team - Edinburgh
Alcohol Problems Service – REH &
Community
Bethany Addictions Service
A
£49,456
(N)
£224,518 (N)
CPN Team
£568,997
(N)
£14,962 (L)
2228
2970
770
5596
7461
2584
3445
5
4
4
2
4
4
5
4
4
X
X
X
X
X
X
X
X
X
2228
2970
770
5596
7461
2584
1723
5
4
4
2
4
4
5
4
4
X
X
X
X
X
X
X
X
X
44
59
51
386
514
5
7
5
4
4
4
4
4
4
1
4
X
X
X
X
Capital C
DA
£46552 (N)
£25600 (L)
25
33
42
223
297
N/A*
5
5
5
5
5
5
5
5
X
X
A
DA
2
4
X
X
X
Crisis Management
X
Community Rehabilitation
X
Brief / Minimal Interventions
Volatile Substance Abuse
X
Mutual Support Groups
Family Support
Advice & Information
Home Visits
Education/Training/Employment
X
Counselling (Group and 1-1)
Aftercare
Prison Throughcare & Aftercare
Criminal Justice SW Intervention
Needle Exchange
X
DA
2
3
5
Outreach Clinics
4
Substitute Prescribing
4
Day-Care
4
Detoxification
Ethnic Minority Groups
4
Over 65’s
Dual Diagnosis
4
Homeless People
Pregnant Women
1
Psychostimulant Users
Women
1
Equality Groups
Under 16s
No. of Planned Discharges
Total Attendances
No. of Active Clients
New Clients
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
1
Aberlour Edinburgh Outreach
1044
1392
8
11
SPECIFIC GROUPS
X
X
X
X
X
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
ANNUAL
SPEND
NUMBERS
All performance figures are for 9
month period up to December 04
with an estimated full years data (in
blue)
SPECIFIC GROUPS
TYPE OF SERVICE PROVIDED
(Enter code 1-5* below)
718
10716
14288
892
1
4
4
2
4
4
4
4
4
1183
DTTO
D
£437,091 (L)
435
580
94
8788
11717
5
5
5
5
5
5
5
5
5
ELCA
A
£44,532(L)
£44,532(N)
295
393
218
1389
1852
4
5
124
165
5
4
4
4
4
4
5
4
4
eSUS
D
£81,800 (L)
35
4
4
4
4
1
4
5
£28,800(L)
108
144
D2
3
4
(DA)
167
223
D24
32
5
FADD (CHAI)
133
177
D4
5
5
2
2
2
2
5
5
2
2
Family Support Network (VOCAL)
DA
£7,526(L)
57
76
74
230
230
35
52
4
4
4
4
4
4
4
4
Libra (individual counselling)
A
£22,000 (N)
120
160
49
25
33
511
681
1
4
5
4
4
5
5
4
X
X
X
Crisis Management
1094
1458
Community Rehabilitation
£757,398 (N)
Brief / Minimal Interventions
D
X
Mutual Support Groups
Community Drug Problems
Service
X
Volatile Substance Abuse
4
Family Support
4
Home Visits
4
Counselling (Group and 1-1)
4
Advice & Information
4
Education/Training/Employment
4
Aftercare
2
Prison Throughcare & Aftercare
Homeless People
2
Criminal Justice SW Intervention
Psychostimulant Users
2
Needle Exchange
Equality Groups
47
63
Outreach Clinics
Ethnic Minority Groups
2537
3382
Substitute Prescribing
Dual Diagnosis
239
Day-Care
Pregnant Women
120
160
Detoxification
Women
£155631
(N)
£27791 (L)
5
Over 65’s
Under 16s
No. of Planned Discharges
D
D19
Total Attendances
No. of Active Clients
New Clients
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
Castle Project
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
ANNUAL
SPEND
NUMBERS
All performance figures are for 9
month period up to December 04
with an estimated full years data (in
blue)
5
1
4
5
4
4
5
5
4
1384
1845
687
916
192
256
916
1221
5
4
4
2
4
4
4
4
4
X
5
1
1
1
1
1
1
1
5
71
398
531
1
4
4
2
4
5
4
2
5
X
X
X
X
X
X
68
482
643
10
13
8
11
1
4
4
2
4
5
4
2
5
X
X
X
X
X
X
80
107
10
13
70
N/A*
N/A*
5
2
3
2
3
3
3
1
4
X
X
X
21
23
31
3
4
3600
4800
N/A*
3600
4800
N/A*
X
X
X
X
X
X
Crisis Management
4
Community Rehabilitation
5
Brief / Minimal Interventions
5
Mutual Support Groups
Home Visits
X
Volatile Substance Abuse
Counselling (Group and 1-1)
X
Family Support
Advice & Information
4
X
Education/Training/Employment
DA
Aftercare
3D (streetwork)
Prison Throughcare & Aftercare
DA
X
Criminal Justice SW Intervention
3D (NCH Referral Worker-long
term work)
£120,000 (L)
£20,000 (N)
£150,000 (L)
X
Needle Exchange
DA
4
44
59
38
51
Outreach Clinics
HOP Addictions Team
5
190
Substitute Prescribing
£103,000
(L)
4
95
Day-Care
DA
1
276
368
97
129
Detoxification
Hype Too
5
7
Over 65’s
£134,000 (L)
Homeless People
DA
Psychostimulant Users
Hype
Equality Groups
£80,202 (L)
Ethnic Minority Groups
DA
Dual Diagnosis
Harbour Project (FSU)
Pregnant Women
£61018 (N)
Women
D
Under 16s
Muirhouse Medical Group^
(Enter code 1-5* below)
379
505
7
9
36
No. of Planned Discharges
A
TYPE OF SERVICE PROVIDED
29
39
12
16
56
75
7
9
Total Attendances
Libra (Young Women’s Group)
No. of Active Clients
A
New Clients
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
Libra (Groupwork)
SPECIFIC GROUPS
X
X
X
X
X
X
X
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
ANNUAL
SPEND
NUMBERS
All performance figures are for 9
month period up to December 04
with an estimated full years data (in
blue)
SPECIFIC GROUPS
TYPE OF SERVICE PROVIDED
(Enter code 1-5* below)
Oxgangs (dedicated drugs
service)
Harm Reduction TeamNeedle exchange outreach
Harm Reduction Team- Needle
exchange pharmacy
Harm Reduction Team-Needle
exchange SSC
D
£20,000 (L)
21
275
367
4
5
4
5
5
4
0
0
£116,000total-needle
exchange
(Lothian
wide)
119
182
242
4
5
N/A*
5
D
6
8
24
32
853
5
4
4
4
4
4
4
3
4
11437
18741
24,988
N/A*
5
4
4
4
4
4
4
3
4
X
259
345
731
1774
2365
N/A
5
4
4
4
4
4
4
3
4
X
Harm Reduction Team-Low
Threshold Methadone Programme
D
12
16
61
3672
4896
24
32
5
4
4
4
4
4
4
3
4
Includem Edinburgh-intensive
support young people/Edinburgh
alcohol and young women
DA
0
0
20
4888
6517
0
0
4
4
5
4
4
4
5
4
5
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Crisis Management
X
Community Rehabilitation
X
Brief / Minimal Interventions
4
Mutual Support Groups
4
Volatile Substance Abuse
4
Family Support
4
Home Visits
4
Counselling (Group and 1-1)
4
Advice & Information
4
Education/Training/Employment
4
Aftercare
4
Prison Throughcare & Aftercare
Homeless People
14
19
Criminal Justice SW Intervention
Psychostimulant Users
Needle Exchange
Equality Groups
4195
5593
X
Outreach Clinics
Ethnic Minority Groups
Substitute Prescribing
Dual Diagnosis
Day-Care
Pregnant Women
Detoxification
Women
Over 65’s
Under 16s
No. of Planned Discharges
341
1137
Total Attendances
191
254
£40,000 (L)
No. of Active Clients
£175,048 (N)
£28,348 (L)
£27,739
(HIF)
D
New Clients
DA
D
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
NEDAC
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
SPECIFIC GROUPS
TYPE OF SERVICE PROVIDED
(Enter code 1-5* below)
120
160
5
4
4
4
4
4
4
4
4
£62,464.73
(L)
104
139
104
547
729
22
29
5
3
4
4
4
4
4
4
4
£142,252 (N)
£10,000 (L)
167
223
14
19
306
408
393
2750
3667
105
140
N/A
4
4
4
4
4
4
4
4
N/A
4
4
4
4
4
4
4
141
1097
14623
116
155
4
4
4
4
4
4
4
90
120
72
193
257
36
48
1
185
246
259
576
768
124
165
5
(A)
ScotPEP-health and Social care
D/A
ScotPEP Needle Exchange
D
Simpson House Drugs Counselling
Service
D
Sunflower Garden Project
(Working with children and families
affected by drug use)
North East Locality Clinic
D
D
£140,000(N)
£32,000(L)
£25,744 (N)
28
4
4
4
4
4
4
5
4
X
X
X
X
X
X
X
X
X
X
X
4
X
X
X
X
4
X
X
Crisis Management
1000
1333
Community Rehabilitation
350
X
Brief / Minimal Interventions
505
673
X
Mutual Support Groups
£22,000 (L)
X
Volatile Substance Abuse
D
X
Family Support
5
Home Visits
5
Counselling (Group and 1-1)
5
Advice & Information
4
5
Education/Training/Employment
N/A
Aftercare
10
Prison Throughcare & Aftercare
6
8
Criminal Justice SW Intervention
5
Needle Exchange
4
5
Outreach Clinics
N/A
Substitute Prescribing
29
Day-Care
14
19
DA
£102,480
+
£57,318 (L)
Detoxification
Over 65’s
Homeless People
Psychostimulant Users
Equality Groups
Ethnic Minority Groups
Dual Diagnosis
Pregnant Women
Women
Under 16s
No. of Planned Discharges
SACRO Alcohol Education
Probation Project – Edinburgh
Total Attendances
SACRO EMARS (Edinburgh and
Midlothian Arrest Referral Service)
No. of Active Clients
Rankeillor Initiative - Supported
Accommodation
New Clients
DA
NUMBERS
All performance figures are for 9
month period up to December 04
with an estimated full years data (in
blue)
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
Rankeillor Initiative - Visiting
Support
ANNUAL
SPEND
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
ANNUAL
SPEND
NUMBERS
All performance figures are for 9
month period up to December 04
with an estimated full years data (in
blue)
SPECIFIC GROUPS
TYPE OF SERVICE PROVIDED
(Enter code 1-5* below)
X
X
X
X
4
4
4
X
X
X
X
Social Work - DRT **
D
58
N/A*
5
4
4
4
4
4
4
X
X
X
X
Social Work - SAT HIV Drugs
D/HIV
N/A
34
N/A*
5
4
4
4
4
4
4
X
X
X
X
Social Work - SAT HIV Other
HIV
N/A
39
N/A*
67
N/A*
N/A*
5
4
4
4
4
4
4
4
X
3600
4800
60
80
5
4
4
4
4
4
4
4
4
5
4
4
4
4
26
34
44
59
7
7
4
4
4
4
5
4
4
4
4
4
4
1
5
X
4
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Crisis Management
4
Community Rehabilitation
5
Brief / Minimal Interventions
X
Mutual Support Groups
X
Volatile Substance Abuse
1
Family Support
4
18
4
Home Visits
5
267000 L]
Counselling (Group and 1-1)
N/A*
D
Advice & Information
1
Education/Training/Employment
5
TPS - Midpoint
X
Aftercare
4
53
4
Prison Throughcare & Aftercare
4
70
93
26
34
5
Criminal Justice SW Intervention
5
30
63
84
16
21
80
107
8
11
N/A*
£10000 [L]
5
Needle Exchange
225
300
D
272
363
69
92
155
207
14
19
9
12
N/A*
63
Social Work - 3RT **
£26,000 (L),
£34,000 (N)
£33,348 (L)
D
4
Outreach Clinics
D
Substitute Prescribing
South East Locality Clinic
Day-Care
5
Detoxification
4
Over 65’s
4
TPS - Integrate
Homeless People
Dual Diagnosis
5
15
Psychostimulant Users
Pregnant Women
34
45
60
80
Equality Groups
Women
1536
2048
83000 [L]
Ethnic Minority Groups
Under 16s
125
D
No. of Planned Discharges
65
86
TPS - Chrysalis
Total Attendances
No. of Active Clients
£19,000 (N)
£52,000
N/A
New Clients
D
Social Work - RIDU
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
South West Locality Clinic£33,348
(L) 3RT Only
X
X
DEDICATED DRUG AND / OR
ALCOHOL SERVICE
REMIT
X
X
X
X
X
X
X
X
1944
2592
^ In last years CAP Muirhouse Medical Group was reported as part of the CDPS figures.
* Not available
**In last CAP 03-04 Social Work reporting was for CCRT only. It should be noted that this team has been renamed 3RT in the current CAP. Social Work teams have been re-named
/restructured –Drug Referral Team (DRT) was previously known as ARTA. The Residential Rehab Referral Team (Drugs) - 3RT was formerly known as CCRT.
NB:Two employability services, City Connexions and Transition were not required to return information for the treatment tables. Information on their performance is contained on Page 26.
Crisis Management
4
Community Rehabilitation
4
Brief / Minimal Interventions
4
X
Mutual Support Groups
4
X
Volatile Substance Abuse
4
X
Family Support
4
X
Home Visits
4
X
Counselling (Group and 1-1)
4
X
Advice & Information
4
Education/Training/Employment
4
Aftercare
4
Prison Throughcare & Aftercare
4
Criminal Justice SW Intervention
4
Needle Exchange
4
Outreach Clinics
4
Substitute Prescribing
4
Day-Care
Homeless People
5
Detoxification
Psychostimulant Users
Over 65’s
Equality Groups
52
69
Ethnic Minority Groups
W
837
LC
824
NX
283
T
Dual Diagnosis
W
78
LC
121
NX
108
T
307
(Enter code 1-5* below)
Pregnant Women
0
TYPE OF SERVICE PROVIDED
Women
2568
3424
SPECIFIC GROUPS
Under 16s
No. of Planned Discharges
985
1186
W
70
LC
16
NX
108
T
194
258
Total Attendances
890
No. of Active Clients
D
£158000 (N)
£14000 [L]
£158,780
(N)
£28,349
(L)
NUMBERS
All performance figures are for 9
month period up to December 04
with an estimated full years data (in
blue)
New Clients
West Edinburgh Support
Team (WEST)
W = WEST
LC = Locality Clinic
NX = Needle exchange
T = totals
D
Insert annual spend and source
NHS SPEND (N)
Local Authority (L)
Drugs Only (D)
Alcohol Only (A)
Drugs and Alcohol (DA)
TPS- Leith –Smith’s Place
ANNUAL
SPEND
X
X
X
X
RESIDENTIAL SERVICES IN ACTION TEAM AREA:
SERVICE
REMIT
TPS Links Project
Short stay residential crisis centre
offering detox stabilisation/reduction
of drug use
Alcohol Problems Service
Inpatient Detox
Allelon Hostel
Alcohol, drugs and offenders
rehabilitation
Alcohol, drugs and mental health
Alcohol and mental health
Alcohol and mental health long term
care
Cyrenians
Hilton Court Care Home
Jericho House
Malta House
Alcohol and drugs rehabilitation
Brenda House
Detox rehab for mothers
Support for children
Thorntree Street Hostel
Long term care for men with
complex needs
NUMBER
OF BEDS
12
(9 beds block
purchased for
Edinburgh)
12
TOTAL
ADMISSIONS
109
(01 04 2004 –
31 12 2004)
310
208
2
Block
purchase @
£122,007 pa
14 (spot
purchased
when
necessary)
6 women and
up to 12
children (CEC
block
purchased 4
adult beds)
12 beds block
purchased by
CEC @ cost
of £233,390
pa
ADMISSIONS FROM
ACTION TEAM AREA
86
DETAIL ANY TARGETED GROUPS
For men and women aged 16+
Service aimed at people with complex needs
who require to be detoxed in an inpatient
environment
2
1
3
6 new admissions
21 @ a net cost of £95,511
7
Adults men and women with complex
needs/dual diagnosis and homelessness
Men and women aged 16+ with alcohol/drug
dependence
7
Pregnant women and mothers with young
children
12
Males aged 50+ homeless with alcohol
dependence/mental health problems/ARBD
DEDICATED SERVICES USED OUTWITH ACTION TEAM AREA:
SERVICE
REMIT
LOCATION
Castle Craig*
Green Door*
Phoenix House*
Borders
Falkirk
Glasgow
Bandrum Nursing Home
Beechwood House
Kinmylies Lodge
Ronachan House
Castle Craig
Ley Community
Milton House
Phoenix House
Red Tower Drug Project
Alcohol related early onset
dementia
Respite learning difficulty
placements
Dunfermline
1
NUMBER OF
CLIENTS ADMITTED
11
1
5
Total
1
Midlothian
2
2
£11,021.81**
Alcohol and drugs
rehabilitation
Drug assessment, detox,
rehab and relapse prevention
Drug rehabilitation
Drug rehabilitation
Long-term rehabilitation clinic
of 9 houses across Britain.
Can target the needs of
individuals e.g. father and
child resource
Drug detox and rehabilitation
Argyllshire
1
5
3
5
£84 665**
£25,254.01**
Peebles
5
5
£20,462.89
Oxford
4
1
4
4
1
4
£5,139.86
£954.06
£214,779.38
4
4
Total
£38,595.54
£286.670.73
Inpatient detox
“
“
*All figures are April to December 2004 and purchased by NHS Lothian
** All figures subject to review and revision by CEC Social Work at financial year-end
NUMBER OF CLIENTS
REFERRED
11
1
5
TOTAL ANNUAL
SPEND
£86,112
£2,450
£7,229
£95,791
£7,451.79**
SHARED CARE: (Drugs Only)
Number of GP Practices signed up to local shared care scheme
Number of pharmacists signed up to local shared care scheme
Number of dispensings of methadone mixture
Number of supervised dispensings of methadone mixture
NEEDLE EXCHANGE: (Drugs Only)
SERVICE TYPE
NUMBER OF FACILITIES
Specialist
1
Outreach
1
Community Pharmacies
10
* Part year only
67 practices of which 61 have NES contracts
70
April – November 2005 = 270,376. Full Year Estimate = 405,564
April – December 2005 = 65,584. Full Year Estimate = 87,445
NUMBER OF NEEDLES / SYRINGES DISTRIBUTED
32,041*
2381*
181,385*
NUMBER OF NEEDLES / SYRINGES RETURNED
11,857*
429*
43,908*
PREVENTION SERVICES: (Alcohol Only)
How many dedicated alcohol prevention services have been funded by the Action Team using existing monies:
ADULT SERVICES
8*
CHILDREN’S SERVICES
6**
* Only two services are alcohol only, other funded services offer a substance use approach, which includes alcohol.
Services are: ELCA, Libra, NEDAC, Homeless Outreach Project, Rankeillor
Initiative, Alcohol Problems Service, Alcohol Liaison Nurses (Royal Infirmary of Edinburgh), Lothian & Police Drug Awareness Officers.
** There are no dedicated alcohol services for children in Edinburgh. There is a substantial evidence base to support a “Substance Use” approach with children and young people, rather than
providing separate drug and alcohol services. Services are Hype, 3D (Hype and Streetwork), Fast Forward, E52, Crew 2000 and Includem.
Action Team Progress – Culture Change and Communities.
National Priority: Reduce binge drinking.
Target: Reduce the incidence of adults exceeding weekly sensible drinking
levels from: 33% to 31% for men between 1995 and 2005, and to 29% by
2010
13% to 12% for women between 1995 and 2005, and to 11% by 2010.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:







Drink driving is a major contributory offence affecting road casualty numbers. Statistics for the city indicate a better
than baseline target result of 20.8% for those killed or seriously injured. The number of children killed or injured fell
by 41.3% from baseline and those people slightly injured fell by 17.6% below baseline.
84 people were reported for drunk and incapable offences during 2004/05 in Edinburgh.
810 people were reported for offences relating to drink driving in 2004 within the City.
Continue to deliver alcohol awareness programme, counselling and twice-weekly AA meetings at HMP Edinburgh
The number of alcohol related acute hospital discharges for Edinburgh has reduced from 2,970 in 2002/03 to 2281
in 2003/04. (source - SMR 1).
Performance Assessment Framework indicators report that for male adults, aged 16-64 in Lothian 32% were
drinking more than 21 units per week in 1995. This figure slightly increased to 33% in 1998. The Lothian Health
and Life Survey 2002 reported that 35% of males had drunk more than the recommended weekly limit. None of
this data identifies binge drinking as such.
Performance Assessment Framework indicators report that for female adults, aged 16-64 in Lothian 15% were
drinking more than 14 units per week in 1995. This figure slightly increased to 18% in 1998. The Lothian Health
and Life Survey 2002 reported that 19% of females had drunk more than the recommended weekly limit. Again,
none of this data identifies binge drinking as such.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:












All new licensees are visited by officers, from Lothian and Borders Police, and the Licensing Department are
actively discouraged from engaging in ‘Happy Hour’ type promotions.
Identified drunkenness ‘Hot-Spot’ areas are subject to appropriate high profile policing.
The crackdown on drink and drunkenness at the Hogmanay Street Party resulted in only 10 arrests for drink
related offences.
Roll-out of requirement that new licenceholders attend an approved course on their responsibilities before being
given licence.
In October 2004, the Licensing Board studied options available to control irresponsible drinks promotions. Prior to
anticipated legislation providing new powers it was felt that action had to be taken in the meantime, thus a policy
has been developed whereby the Board will deal severely with licenceholders reported to the Board for breaches
of industry codes of practice by encouraging excessive consumption of alcohol.
NHS Lothian Library and Resource Centre offers free alcohol health promotion resources to all city–based workers
- this includes leaflets, training packs, books, display boards and equipment hire covering advice, information,
awareness raising and educational alcohol material.
NHS Lothian Health Promotion Service has continued to develop interventions that engage with employees and
managers in the workplace. This has involved developing drug & alcohol policies with organisations, management
training and awareness raising activities.
Established the ‘Clubzone+’ charter mark for commercial under 18s night clubs.
Responsible Retailer initiatives established in a number of areas in the city.
Initial analysis of Viewfinder 2 young people’s lifestyles questionnaire reported.
Continuation and expansion of ‘Open All Hours’ initiatives in Community and Leisure Centres at weekends.
An Action Group was formed from main Action Team members, its function is the dynamic progress of alcohol

related issues included in the early implementation of the Nicholson Report recommendations: the Best Bar None
Scheme and the appointment of licensing supervisor.
A draft Civic Code for the City of Edinburgh was published and relates to public drinking and alcohol related
behaviour.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:















Enforcement action against all breaches by licensees of the Licensing Scotland Act legislation.
Continue to develop problem-solving partnerships to address binge drinking in the city centre.
Licensing Board will roll out irresponsible promotions policy by firstly bringing the policy to the attention of the trade
and secondly, with the co-operation of Lothian and Borders Police, considering possible suspension of licence
where it finds a licenceholder no longer fit and proper to hold a licence through encouraging excessive
consumption of alcohol.
Licensing Board will ensure training for licenceholders and bar staff to ensure awareness of controls on serving
alcohol.
Continue to encourage the use of alcohol health promotion materials that inform of the risks associated with
excessive drinking levels.
Increase availability of levels 1 & 2 brief intervention training for generic staff in locality settings.
Links between the Action Team and Edinburgh Community Safety Partnership (ECSP) will be strengthened and
joint actions agreed in relation to binge drinking.
ECSP will identify and target resources to areas and premises within the city that show highest levels of assaults
by 2006.
ECSP will identify those people in the city who are most at risk and target with personal safety initiatives.
ECSP/ECM will promote an award scheme and work with licensees to promote best practice by 2007.
Improve late night transport availability and security by 2008.
Further develop the Civic Code.
Implement Nicholson recommendations on Liquor Licensing Standards Officers and discounted drinks promotions.
Enhance response to binge drinking by use of additional monies from the Scottish Executive.
Reduction in:
o incidents at targeted premises/areas;
o crimes of violence.
Action Team Progress – Culture Change and Communities.
National Priority: Reduce drug and alcohol related crime and reassure
communities that effective action is being taken.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:






Lothian and Borders Police statistics show that there were 84 people arrested for being drunk and incapable YTD,
2004/05. However most drunken behaviour will result in charges of breach of the peace therefore this figure may
well mask the true extent of drunkenness in the City.
Drunk-driving offences have reduced to 810 YTD, 2004/05 (end of February 2005) suggesting a continuation of
the downward trend over recent years.
Lothian and Borders Police continue to concentrate on the enforcement of Class “A” drug legislation.
Lothian and Borders Police carried out 669 drug awareness presentations between April 2004 and February 2005.
The number of drunkenness offences recorded in 2003 in Edinburgh was 257- an increase on the previous year
(230 were recorded in 2002) but still less than 2001 (261 offences).
In 2003, 190 offences (per 100,000 population) of possession with intent to supply were recorded and 476 of
possession. This compares with a Scotland wide figure of 174 offences (per 100,000 population) and 616 of
possession. This high proportion of “intent to supply” offences reflects a deliberate and successful policy by
Lothian and Borders Police to target dealers and large scale suppliers of drugs.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:




Youth Action Teams have been extended following the successful pilot in the South of Edinburgh.
There has been a significant reduction in road casualties through a range of initiatives including the enforcement
of drink driving legislation.
Commercial teen discos – good practice charter developed with licensees, streetwork being undertaken and
“Make it Real” campaign due to be launched March 2005.
Service capacity of Edinburgh DTTO Project increased from 70 to 100 orders per annum.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:








Increase public reassurance, police visibility and accessibility in line with existing Lothian and Borders Police
supporting strategies.
Reduce disorder in public places as per Lothian & Borders Police Force Operational Goals.
The Licensing Board will continue to monitor drug and alcohol related crime in licensed premises through
consideration of crime statistics reported by Lothian and Borders Police.
Extension citywide, of police Youth Action Teams, to improve the quality of life for residents by using reactive hotspot patrols with proactive youth liaison work in a community sensitive policing style.
The Licensing Board will suspend licences of premises, which become a focus for drug and alcohol related crime
on receipt of complaints from Lothian and Borders Police where appropriate.
Streetwork Nine Out of Ten project will work intensively with up to 15 vulnerable individuals during the first year,
whose substance use is associated with poor use of accommodation and frequent spells of rough sleeping and
offending, to address issues around accommodation and offending behaviour.
Additional targets will be in line with those identified in the Homelessness Strategy to increase accommodation
sustainability and to achieve measured changes in substance using behaviours. These are:
o 50% reduction in number of people sleeping rough for more than 28 days;
o For people new to rough sleeping, 100% of people accessing accommodation within 28 days;
o 100% of people reporting stabilised or reduced substance use during contact with services.
HMP Edinburgh will deploy: Substance Misuse Detection Testing to identify incidence and prevalence rates of
prisoners involved in substance misuse, security measures and a dog search to assist in the detection of




forbidden drugs and associated contaminated articles.
Examine and address the level/impact of drug misuse within ethnic minority groups – this will involve partners from
health, prisons, CDPS, voluntary sector and Social Work.
Develop a leaflet on alcohol issues that will encourage people from ethnic minority groups to seek advice,
information and treatment.
Examine the impact on carers of people who misuse alcohol.
DTTO project capacity will be increased to 125.
Action Team Progress – Prevention, Education and Young People.
National Priority: Reduce hazardous or at risk drinking by children and young
people because of the particular health and social risks.
Target: Reduce Frequency and level of drinking from 20% of 12 – 15 year
olds to 18% between 1995 and 2005, and to 16% by 2010.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:




The Licensing Board will consider complaints considering licenceholders who become involved in sales of alcohol
to under age drinkers whether or not convictions have been secured.
Establishment of new CEC Children and Families Department brings closer working of professional staff engaging
with children and young people.
New guidance on Protecting Children Living in Families With Problem Substance Use will context joint agency
working.
Based upon the 2002 SALSUS1 data:

44% of 15 year olds last occasion of drinking was during the last week. This is less than the Scotland wide
figure (46%).

20 % of15 yr olds report being drunk more than 10 times. This equals the Scotland wide figure.

13% of 15 yr olds report consuming five or more drinks on the same occasion in the last 30 days. This
represents a reduction on the corresponding Scottish figure (17% of 15 yr olds).

42% of 15 yr olds had vomited as an effect of drinking too much alcohol. This represents a reduction on the
national figure (49% of 15 yr olds).
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:









Lothian and Borders Police, ‘A’ Division Drug Awareness Officers (DAOs) have undertaken projects to raise
awareness in school children including an Action Team funded video on ‘Spiked Drinks’ and ‘Drug Assisted Sexual
Assault. (Due for completion April 2005).
Lothian and Borders Police, ‘A’ Division DAOs have developed a ‘Binge Drinking’ awareness package, aimed at
5th and 6th year pupils.
The Licensing Board has suspended licences where sales to under age drinkers have taken place.
HMP Edinburgh has identified specific officers to act as Family Contact Development Officers (FCDOs).
Established the “Clubzone+” charter mark for commercial under 18’s night clubs.
Responsible Retailer initiatives established in a number of areas in the city.
Report on initial analysis of Viewfinder 2, a questionnaire targeting 11 to 21 years of age young people in
Edinburgh.
Continuation and expansion of ‘Open All Hours’ initiatives in Community and Leisure Centres at weekends.
NHS Lothian Health Promotion Department offered 2 training courses on alcohol issues and young people for
those who work with this client group.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:
 Lothian and Borders Police Officers will continue to deliver alcohol awareness sessions to schools and youth
groups. Additional Officers will be trained to offer existing inputs as well as newly derived awareness packages
1
This remains the most recent available local level data as SALSUS 2004 has thus far only reported on a Scotland –
wide basis (SALSUS 2004 Interim Report).








such as a new alcohol awareness package for Primary 7 school children.
Lothian and Borders Police will host the ‘Choices for Life’ event in June 2005.
Lothian & Borders Police will enforce legislation concerning the unlawful supply of alcohol to young persons,
measurable via the number of persons reported for such offences.
Extend the work of E52 for further 6 months, to end of September 2005 and evaluate outcomes.
Rollout of ‘Hammered’ teaching pack and information leaflet on alcohol use.
A minimum of 2 training courses on alcohol related issues will be provided by NHS Lothian Health Promotion
Service for generic workers in Edinburgh.
The Young Person and Learning Sub Group will pilot engagement methods and consultation with excluded and
hard to reach young people on nature and content of information resource material.
The Action Team’s Young People and Learning Sub Group will consider findings of recently published Joseph
Rowntree Foundation Research.
Pilot work with BME groups appropriate to culture and setting.
Action Team Progress – Prevention, Education and Young People.
National Priority: Reduce the proportion of young people reporting use of
illegal drugs.
Target: Reduce proportion of under 25’s reporting use of illegal drugs in the
last month and previous year substantially, and heroin use by 25% by 2005.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:








Lothian and Borders Police ‘A’ Division have delivered 669 drug awareness presentations to school pupils/youth
groups, teaching staff and adult groups.
56 juvenile offenders were reported for possession of illegal drugs YTD 2004/05 within the city.
In year ending 31 March 2004 495 new clients under the age of 25 presented at drug services. This compares
with 457 new clients under the age of 25 in March 2003. This increase in engagement with services reflects the
increasing development and success of specialist services for working with young people in Edinburgh.
In year ending 31 March 2004 100 new clients reported under the age of 25 as age of onset for problem drug use.
This compares with 82 new clients reporting under the age of 25 in year ending March 2003. This again indicates
the increase of young people presenting at services.
In year ending 31 March 2004 100 new clients reported the age that they first started using illicit drugs as being
under 25. In the year ending 31 March 2003 the comparative figure was 89. This again indicates increased
engagement with young people.
In the year ending 31 March 2004, 100 new clients reported the age that they first started using illicit drugs as
being under 25. In the year ending 31 March 2003, the comparative figure was 89. This again indicates
increased engagement with young people.
Establishment of new CEC Children and Families Department brings closer working of professional staff engaging
with children and young people.
New guidance on “Protecting Children Living in Families With Problem Substance Use” will context joint agency
working.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:







Lothian and Borders Police continued to deliver drug and alcohol awareness presentations to youth and
community groups.
Police Training for Drugs Education (Training for Trainers Course at Scottish Police College) took place in
February this year. The course is designed to provide officers returning to Force with the knowledge and skills to
deliver training suitable to local needs, whilst maintaining a consistent approach throughout Scotland.
YTD figures for the City for 2004/05 indicate that there has been an increase in those reported for ‘supply’ and
‘intent to supply’ cases of 13% (from 764 in 2003/04 to 863 2004/05 YTD).
YTD figures for the City for ‘possession of controlled drugs’ again rose from 1826 2003/04 to 1922 2004/05 YTD.
New guidance on “Protecting Children Living in Families with Problem Substance Use” will context joint agency
working.
NHS Lothian Health Promotion Dept continued to offer a number of drug and alcohol courses – this included
specific drug courses on BBV, HIV, AIDS and crack cocaine plus alcohol courses specifically geared for people
who work with young people and homelessness.
Commitment made to joint strategy development with Community Safety Partnership.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these should be clearly
measurable:






Lothian and Borders Police in line with ACPOS Drug Strategy, will seek to reduce drug supply, demand and drug
related harm through a range of enforcement and non-enforcement measures.
Pilot work with BME groups appropriate to culture and setting.
To engage with The Access Point to determine any specific responses to the needs of homeless young people.
Social Work Drug Referral Team will develop plans for under 25 year olds, using non-drug specific community
based services.
Pilot engagement processes with young people to determine efficacy of existing information programmes.
Audit substance use education material used in schools and informal settings.
Action Team Progress – Prevention, Education and Young People.
National Priority: Reduce harm to children affected by substance misusing
parents / carers through improved multi-agency support to parents and
children.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:









Information from Scottish Morbidity Record (SMR O2) points to a reduction in the number of maternities recording
drug misuse in Edinburgh from 49 in 2001/02 to 41 in 2002/03.
Information from SMR 11 shows a reduction in the number of neonatal discharges recording drug misuse from 21
in 2001/02 to 14 in 2002/03.
The City of Edinburgh Council decision to create an integrated Children and Families Department will bring
together education, community education and social work children and families services.
All recommendations from the O’Brien Inquiry with a City of Edinburgh Council lead have been implemented.
Good progress made in meeting External Audit Team’s recommendations (audit and review of Child Protection
cases), within budget constraints.
Risk Taking Policy and Guidance approved by The City of Edinburgh Council.
Improved links between the Action Team and Edinburgh & Lothian Child Protection Committee (strategic level),
and substance misuse and children and families services (at operational level).
Increased referrals between children and family and substance misuse treatment networks.
There has been a continued reduction in the number of children on the Child Protection Register with 333
children being reported in March 2003, 326 being reported in March 2004, and 257 as of February 2005. This
equates to a 23% reduction since 31/03/03. The national average rate per 100,000 children aged 0 – 15 years on
31 March 2004 was 4.6% in Edinburgh and 2.4 % Scotland-wide. The average rate in Edinburgh had dropped to
3.2% in February 2005.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:










Good progress on recruitment and retention of staff (Social Work Children and Families).
CEC Senior management audit of Child Protection procedures arranged including all children under 2 years of
age and a sample of children affected by parental substance misuse.
Internal auditing and monitoring of Child Protection established by The City of Edinburgh Council.
Wide-ranging consultation on draft interagency guidelines for working with parental substance misuse
undertaken. This included a specifically commissioned independent consultation with parents.
Greater ‘visibility’ and acknowledgement of children’s needs within adult drug and alcohol services.
Outreach services for children and families affected by parental substance misuse available citywide.
Capacity increased (by 1 extra bed) in Brenda House (mothers with alcohol/drug dependency and their children).
2 Interagency Training Courses on Working with Children and Families / Parental Substance Use were provided
(to 37 participants) by STRADA.
Support provided (Pilot project) for grandparents who were carers of children of drug-using parents.
NHS Lothian launched its Substance Misuse in Pregnancy Pack and offered training to all relevant staff.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:



Implement Interagency Guidelines for Working with Children Living in Families with Problem Substance Misuse
by September 2005 and monitor implications
Prepare for Joint Inspection of Child Protection to highlight the circumstances of children affected by parental
substance misuse.
Develop integrated service for Pregnant Women/New Parents With Problem Substance Use to work with 70





2
families (70-100 adults) per annum.2
Increase the capacity (by 1x f/t worker) of the Social Work Addictions Resource Team to meet the needs of
parents with drug /alcohol problems in a child protection context (respond to at least 50 new referrals per annum).
Continue to provide competency based, policy-led inter-agency training for staff.
Implement a pilot project to cater for the needs of young carers (<16 years) living with drug / alcohol dependent
parents.
Implement project to engage with young women working in (street) prostitution and support them to exit.
South Edinburgh Local Community Planning Partnership will target children under 12 years and their families
where a drug/alcohol misuser is present.
On condition that funding is provided by Scottish Executive
Action Team Progress – Provision of Support and Treatment Services.
National Priority: To provide equitable, accessible and inclusive services to
address the needs of those who experience problems with alcohol.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators where appropriate:
Tier 1



Tier 2






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
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
Tier 3




Tier 4



Drug/alcohol Information and awareness raising is available to everyone in a variety of settings, through a range of
services in the community.
Specific model of support created as a pilot (by Care For Carers) for carers of people with alcohol / drug problems.
NHS Lothian has appointed a full-time Senior Health Promotion Specialist in alcohol.
Available to everyone accessing NHS primary care and community care services in the city.
Alcohol CPN service has been expanded (by part-time post in South Central LHCC); demand on the NHS service
continues to be high and clients are offered six-weeks of contact/support.
Capacity of Alcohol Problem Service enhanced by two new part-time posts – Occupational Therapist and
Psychology - to work across the in-patient/ outpatient services.
Additional funding provided to ELCA and Libra to increase counselling and group work provision, and reduce
waiting times/ lists.
Additional funding also granted to NEDAC to address alcohol related problems in Greater Pilton / Muirhouse area.
SACRO Alcohol Education Probation continues to provide a service specifically focussed on tackling offending
behaviour.
The Access Point’s Substance Misuse Team and other homelessness service providers continued to address the
needs of homeless people with alcohol problems.
Includem provided intensive support to young women with alcohol problems.
For the period 1July until 30 September 2004 recorded by the Scottish Executive Waiting Times Recording
System LIBRA had 26 clients seen during that period, all of which were seen within 7 days. Additional funding
provided to support group work provision has facilitated rapid engagement with services.
For the period 1 October until 31 December 2004 recorded by the Scottish Executive Waiting Times Recording
System ELCA had 51 clients still waiting (referral-assessment) and 87 who had been seen during that period. Of
the clients seen almost all were seen within 8 weeks (81) with more than half (48) being seen within 28 days.
For the period 1 October until 31 December 2004 recorded by the Scottish Executive Waiting Times Recording
System NEDAC had 8 alcohol clients still waiting (referral-assessment) and 10 who had been seen during that
period. Of the clients assessed all were seen within 26 weeks (10).
Provision of two Alcohol Liaison Nurses to provide specialist alcohol support within the acute hospital setting
(RIE), working with admissions to A&E and in-patients.
Resources Team at the Alcohol Problems Service provide a women’s only support group for females in treatment.
Specialist inpatient care is offered as an alternative to community detox at the Alcohol Problems Service. The 12
in-patient beds are operating at 80% capacity, seven days per week, treating patients with higher/complex needs.
Number of residential rehabilitation placements and associated expenditure (by Social Work and NHS) increased
sharply during the year. Block-purchase capacity at Brenda House increased by one bed, to 5.
Services for people with Korsakoff’s/ARBD were enhanced with the addition of 2 supported accommodation units
by Penumbra as well as the provision of support in the community.
£40k allocated to Social Work from the Scottish Executive’s additional alcohol monies to support development of
a dedicated service (2 beds) for people with Korsakoff’s/ARBD. Increasing number of long-term placements for
people with Korsakoff’s/ARBD made in registered units out of the area. Meeting the increasing need/demand for
medium/long term specialist service for Korsakoff’s/ARBD is constrained by lack of funding.
Jericho House (20 beds) continued to cater for the long-term needs of 18 people with alcohol and mental health
problems.
Thorntree residential facility (12 beds) caters for the needs of older males (aged 50+) with a history of alcohol
problems, some with ARBD, and homelessness.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:













Alcohol awareness provision continued to be made available to inmates at Saughton Prison.
4-year pilot to further increase the number of Alcohol CPNs in the community and to provide a citywide community
based CPN service to all localities in Edinburgh.
Waiting times for access to one-to-one counselling and group counselling reduced.
Number of beds for people with Korsakoff’s/ ARBD in the city increased.
Number of residential rehabilitation/long term placements for people with alcohol problems/Korsakoff’s increased
in the face of financial constraints on the Social Work Department.
Interagency training and awareness programmes continued to be provided for staff.
Initial costed proposal for designated place developed and is in process of being refined.
Development of 12 units of supported accommodation for older people with a history of homelessness and alcohol
use, particularly those with ARBD/Korsakoff’s. The support is funded through Social Work and Supporting People.
The Homelessness Strategy target is:
o 75% of people settled into accommodation remaining in that accommodation after 12 months.
Provision of additional OT and psychology dedicated services in the care and treatment of people with alcohol
problems.
NHS Lothian appointed a full-time Senior Health Promotion Specialist in alcohol.
Additional recurring funding to ELCA to provide specialist advice, information and counselling to people that have
an alcohol problem and their families/carers.
A two day course took place in the Autumn 2004 for 11 workers from Ethnic Minority Groups focussed on raising
awareness of alcohol issues, prevention, encouraging more people to access services for advice, care and
treatment.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:










3
4
Increase residential provision for People with Korsakoff’s/ARBD in the city by 2 beds by June 2005, and a further
two by January 2006.
Develop designated place (4 bed) facility in city, subject to funding for the service being made available by
Scottish Executive.
Identify funding sources and viable options for the Social Work Department to meet the increasing demand for
residential rehabilitation. In the interim the Social Work Department will develop an assessment prioritisation
system for access to residential rehabilitation to contain expenditure within financial resources available.
Increase Social Work service specialist provision (at The Access Point) by 0.5 WTE post by June 2005.
Explore future requirements and models of provision of alcohol (awareness and support) services at HM Prison,
Edinburgh and identify funding options.
Identify costed options for developing structured Day Rehab Programme in the community for people recovering
from alcohol problems to extend choice for service users.
Secure recurring funding for two Community CPN posts in the city that are only funded till Sept 2005 and provide
an additional two CPN posts in the southwest and northwest of the city, to address increased demand on the
community alcohol specialist service.
Expand the skills of Community CPNs and others within the primary care and community settings in order to
deliver more cognitive behaviour therapy treatments.
Provide Maternity Services at the Royal Infirmary of Edinburgh with a Substance Misuse Nurse. 3
Subject to funding: provide an Alcohol Liaison Nurse Service at the Western General Hospital. 4
On condition that funding is provided by Scottish Executive
On condition that funding is provided by Scottish Executive
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Reduce waiting times for drug treatment and rehabilitation
services.
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:






Waiting time South Edinburgh reduced from 66 weeks to 40 weeks.
Waiting time North Edinburgh reduced from 26 weeks to 15 weeks.
As measured by the Scottish Executive Waiting Times System for the period 1 October to 31 December across all
participating agencies (time between referral to assessment- clients seen) 40% of clients seen were assessed
within 7 days. 58% were assessed within 14 days and 93% were assessed within 8 weeks.
As measured by the Scottish Executive Waiting Times System for the period 1 October to 31 December across all
participating agencies (time between the date care plan is agreed/decision is treatment is made and the first
appointment date offered for community support /and or rehabilitation-clients seen) 80% of total clients were
offered an appointment for community support/and or rehabilitation within 7 days.
As measured by the Scottish Executive Waiting System for the period 1 October to 31 December across all
participating agencies (time between the date care plan is agreed/decision on treatment is made and the first
appointment date offered for prescribed drug treatment-clients seen) 64% of clients were offered an appointment
for prescribed drug treatment within 7 days.
As this is the first year of the Scottish Executive System we do not have direct comparison data from previous
years but we will begin report this in next years CAP.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:








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


Waiting times increased temporarily in the first part of the year, as a result of GP contract revisions and the initial
development of the TAPS service. Recent staff appointments to the CDPS have assisted with the reduction of
waiting times.
Transitional Access to Prescribing Services (TAPS) has been established to accommodate those drug users
affected by any GPs not opting in to the GMS Scheme. This service has been instrumental in supporting Primary
Care and Specialist Drug Treatment Services to keep waiting times to a minimum.
Establishment of dedicated initiating and prescribing service within EHP (TAP). Access routes through existing
outreach services to target provision to people at risk of rough sleeping, who are resident in CEC approved
temporary accommodation and/or working constructively with voluntary partners.
The Action Team have continued to develop and expand Locality Clinics throughout Edinburgh that has reduced
waiting times to drug treatment and prescribing services.
A review of prescribing services in Lothian has been undertaken and reported a satisfactory level of drug
treatment services in Lothian.
Additional dedicated beds block-purchased at Brenda House to meet increased demand and access
arrangements revised by Social Work.
Additional funding granted to ScotPEP to provide financial stability for the agency/ secure services for female
prostitutes.
A dedicated initiating and prescribing service developed at The Access Point’s Edinburgh Homeless Practice.
Access routes are through existing outreach services to target provision to people at risk of rough sleeping,
resident in CEC approved temporary accommodation and /or working constructively with voluntary partners.
Social Work’s ARTA developed positive links with CDPS and GPs to develop integrated care packages for service
users.
NDUDA undertook a successful exercise aimed at engaging with users and non-users of services, consulting with
them about their views of services and areas for improvement, and helping them to self organise into coalitions
with whom the Action Team could consult.
Commissioned Streetwork Nine Out Of Ten Project to work with people whose substance use is associated with
poor use of accommodation and frequent spells of rough sleeping and offending.
DTTO Project positively received by Sheriffdom and expanded to incorporate Midlothian.

Esus Project (for stimulant users) granted funding to extend the duration of the service.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:






5
Implement Streetwork Nine Out Of Ten Project to work intensively with up to 15 individuals in the first year to
address accommodation, offending behaviour issues and achieve measured changes in substance use. Monitor
project using ECHO Monitoring system.
Undertake a comprehensive review of treatment, care and rehabilitation services with a view to consolidating
provision and developing an integrated care system, by September 2005. Develop and implement Single Shared
Assessment by January 2006. Develop and integrated monitoring system for non-NHS services by October 2005,
subject to additional funding being made available.
The Action Team intend to build on the solid foundation of drug treatment services in Edinburgh through the
further development of Locality Clinics.5 This will also incorporate the development of single shared assessment
tools and shared referral protocols – in collaboration with all partner agencies.
Develop 12-place Day Rehab Programme to provide a range of structured programmes for up to 75 (recovering)
drug users per annum (subject to availability of funding).
EHP will consolidate and develop initiating and prescribing service and will improve links with:
o secondary and tertiary healthcare providers
o SPS Health Service to provide more seamless service to discharged prisoners
o partners providing services to patients with drug and alcohol problems
Progress will be monitored using indicators from: National Enhanced Service Contract Information; ISD Waiting
Times Information and ECHO database.
On condition that funding is provided by Scottish Executive
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Increase the number of drug misusers in contact with
treatment and care services.
Target: Increase the number of drug misusers in contact with treatment and
care services in the community by at least 10% every year until 2005.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:






In 2004 the number of new clients attending services increased by 26%, from 1368 to 1729. In terms of recording
clients in contact with services this represents a limited guide, as it does not recognise ongoing clients remaining in
treatment. Agencies who are successful at engaging with and retaining clients in treatment are, in fact, potentially likely
to return fewer SMR 24 forms. The Action Team recognises that the percentage increase is an under-representation
because statistical returns have been inconsistent from some local agencies. Remedial action has been taken to rectify
the situation.
Numbers of placements spot-purchased in residential rehab increased.
Numbers of beds block-purchased in Brenda House increased from 3 to 5 beds.
The Harm Reduction Team has refined its reporting process for this year’s Corporate Action Plan and has identified
clients for Edinburgh city postcodes only. Previously all clients from Lothian were reported.
The Low Threshold Methadone Programme new clients total is reported as lower for this year – 2004/05(an estimate
for the full year of 16) in comparison with last year’s comparison figure (42) for 2003/04.
Locality Clinic developed in South West Edinburgh, enhancing access to drug treatment services.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:








Expanded Arrest Referral Project consolidated, arrestees being routed towards treatment / rehab services – target
exceeded for current year.
DTTO Project saw an increased number of referrals from the Courts. Heavy demand on the service. Capacity
increased from 75 to 100 orders.
Introduction of a dedicated initiation and prescribing service at the Access Point’s Edin Homeless Practice to improve
responsiveness to homeless people with drug problems
Establishment of dedicated initiating and prescribing service within EHP (TAP). Access routes through existing
outreach services to target provision to people at risk of rough sleeping, resident in CEC approved temporary
accommodation and/or working constructively with voluntary partners.
Number and type of interventions targeted at specific populations (e.g. parents with drug problems; homeless people;
outreach/ detached work) were increased to improve access to services.
Introduction of improved primary healthcare access to treatment services for homeless people via the EHP dedicated
initiating and prescribing service.
Increased funding via the Action Team for Locality Clinics and Transitional Access to Prescribing Services.
A review of prescribing services has been undertaken and highlighted the solid foundation of drug treatment services in
Lothian. This review of prescribing services has also provided clear focus for services that should be developed
throughout Edinburgh & Lothian.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:










6
Extend hours of Harm Reduction Team’s Spittal Street Drop In facility and provide an extended mobile outreach
service.6
Extend Locality Clinics provision to all five city localities to reduce waiting times; encourage more clients into
treatment and increase the range of interventions available. 7
Implement and monitor the outcome of the Minority Ethnic Drug Initiative (Church of Scotland) aimed at consulting
with ethnic minority communities and delivering services to people with drug problems from those communities
and their families.
Develop service for Sex industry Workers - to provide assessment, harm reduction and support to access
treatment for 50- 60 women per annum.
Implement the one-year pilot Arrest Referral Project for female prostitutes to support / encourage up to 90
arrestees to access treatment and rehab services.
Streetwork Nine out of Ten Project will specifically target people with a history of inconsistent and incomplete use
of treatment services.
HMP Edinburgh will continue to increase, year on year, the number of prisoners successfully completing approved
Drug and Alcohol programmes.
Meet targets for Homelessness Services:
o Reduction in personal harm from substance misuse: 85% of people who have chaotic substance use
reporting more stabilised use following contact with services (44% for 2004/05)
o Reduction in substance use:
 100% of people reporting reduced use (24% 2004/05)
 100% of referrals that result in access to detox/rehab services (31% 2004/05)
 100% of people leaving detox/rehab accessing appropriate support on leaving. (13% 2004/05)
Develop a pilot to offer Buprenorphine as an alternative to methadone to encourage clients into treatment and
towards abstinence.8
NHS Lothian, City of Edinburgh Council and Lothian & Borders Police are developing an Edinburgh Sex Industry
Interagency Strategy, which will include specific actions targeting drug using street sex industry workers.
On condition that funding is provided by Scottish Executive
On condition that funding is provided by Scottish Executive
8 On condition that funding is provided by Scottish Executive
7
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Increase the number of people recovering from drug and
alcohol problems entering training, education and employment.
Performance
Briefly demonstrate local performance towards the national priority, using local indicators
where appropriate:






The three ‘Better Off’ funded projects - Integrate, Transitions and City Connexions - commenced operations.
Integrate met the target of 80 referrals to Transition; Transition has worked with 90 people in total of whom 21
have achieved employability options. City Connexions has worked with 73 people of whom 29 have achieved
employability options.
Worktrack’s Sorted Programme was consolidated in a new city centre location to improve accessibility to current
and potential users and provided a service to 80 people with drug and alcohol problems in 2004/05.
Turning Point Chrysalis worked with 48 clients of whom 36 achieved employability options.
New Futures Funding to ScotPEP ceased at end of March 2004, leaving gap in specifically designed provision to
female sex workers.
Progress2Work from April to November 04 achieved 98 referrals and 39 starts (17 job outcomes; 8 new deal
starts; and 7 commenced education/training).
Jobcentreplus began tracking former prisoners in February 2004, so far only a small percentage have returned to
prison.
Briefly summarise the key achievements in this area during 2004/05:




EDAAT established Employability Forum involving drug and alcohol agencies, employability services and training/
education organisations. Links between drug/ alcohol services and employability services improved.
Employability projects have developed active links, partnerships and collaborative arrangements with education/
training establishments (e.g. Edinburgh Academies, Jewel and Esk Valley College) and employer networks.
Sorted and Apex developed collaborative arrangements with Edinburgh Prison.
HMP Edinburgh developed its Restart 5-day pre-release programme includes employability elements.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:






9
To secure funding for the continuation of the Chrysalis Project beyond end of March 2005 when New Futures
extension funding terminates.
Further develop and consolidate active links between drug alcohol agencies and the employability services, and
monitor referrals across the two ‘sectors’.
Ensure that a ‘moving on’ ethos is firmly embedded in the proposed development of the Day Rehab Service. 9
Wise Group will develop work with drug users on employability and drug agencies on capacity and will deliver
Progress2Work in the city (target 100).
HMP Edinburgh will continue to use the Links Centre to link drug using prisoners to rehabilitation and employability
services in the community.
Incorporate “moving on” and employability as standard components of all service level agreements agreed by the
Action Team.
On condition that funding is provided by Scottish Executive
Action Team Progress – Provision of Support and Treatment Services.
National Priority: Reduce the number of drug related deaths.
Target: Reverse the upward trend in drug-related deaths and reduce the total
number, by at least 25% by 2005.
Performance
Briefly demonstrate local performance towards the national target, using local indicators
where appropriate:



There were 24 drug related deaths in Lothian in 2003, this continued in the downward trend from 2002 when 39
were recorded and 2001 when 54 were recorded. 10 of these 24 were directly attributable to injecting heroin use.
Drug deaths for 2004 rose to 35 in Lothian.10 This trend has carried forward to the first 12 weeks in 2005, which
has seen 13 deaths in Lothian. This current surge in drug deaths is currently under intensive review.
Crack cocaine training rolled out to 160 professionals.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:








Continuing links between police and drug agencies when localised reports relating to quality and side effects of
drugs are received to ensure timeous transmission of information to other drugs projects.
Lothian and Borders Police have approved the introduction of a pilot needle exchange scheme within St.
Leonard’s custody centre. (Commenced 24/01/05)
Funding has been increased to target homelessness and has included a pilot for the provision of paraphernalia to
homeless people.
A safer injecting resource has been developed and piloted with drug users, highlighting the risks of injecting drug
use in public places.
NHS Lothian Health Promotion Service has provided two one-day courses on Crack Cocaine to frontline staff
working in the drug field.
The Low Threshold Methadone Programme that targets particularly vulnerable and chaotic injecting drug users
has had its funding extended throughout 2004/05.
NHS Lothian in collaboration with other partners have enhanced links with SPS to ensure that protocols for
referring on to drug treatment services are more effective.
Crack cocaine training rolled out to 160 professionals.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:





10
Analyse drug deaths in the city in a comprehensive manner, to establish patterns of time, place and age of victim.
This will be a dynamic process aimed at problem solving and intervention during the progress of the year. It is
hoped that this will be one of the first projects independently evaluated by strategic partner, the University of
Edinburgh.
Evaluate the needle exchange scheme at St Leonard’s Police Station and possibly extend to other areas
throughout the Force.
HMP Edinburgh will continue to provide information on harm reduction measures and the dangers associated with
reduced tolerance on release back to the community.
Build on collaborative work between community organisations and SPS to ensure follow-up care is as seamless as
possible.
ECSP to identify those most at risk from an alcohol or drug related death in Edinburgh.
At the time of submission of the CAP, 4 of these were inconclusive and 9 are pending.



ECSP to support specialist services in providing for those most at risk by 2006.
Provide training for front-line staff on ‘crack cocaine & heroin use’.
Launch and distribute safer injecting resource with homeless people.
Action Team Progress – Protection, Controls and Availability.
National Priority: Reduce the proportion of under 25’s offered illegal drugs.
Targets: Reduce the proportion of under 25’s who are offered illegal drugs
significantly, and heroin by 25%, by 2005
: An increase in the weight of Category A drug seizures of 10%, by
2006.
: An increase in detection of offences for supply or intent to supply
Category
A drugs by 10%, by 2006.
Performance
Briefly demonstrate local performance towards the national targets, using local indicators
where appropriate:
 Data from Lothian and Borders Police demonstrate an increase in weight of seizures of Class ‘A’ drugs are up
significantly over 2003/04. Heroin seizures for the Force are up by 116% with the City being up by 115%. Cocaine
shows the largest increase in seizure weight. The Force seizures are up by 3941% whilst the City year to date
shows an increase in seizure of 9800%.
 In 2003, 190 offences (per 100,000 population) of possession with intent to supply were recorded and 476 of
possession. This compares with a Scotland wide figure of 174 offences (per 100,000 population) and 616 of
possession.
 There was a 13% increase in supply or intent to supply reports for 2004/05 YTD over 2003/04 figures, with 863
reports being submitted for Edinburgh up to the end of February 2005.
 SALSUS 2002 reports that 45% all the young people who participated had been offered drugs. This proportion
was higher for older pupils than for younger pupils: 57% of 15 yr old pupils and 33% of 13-year-old pupils reported
that they had been offered drugs. For 13 year olds, the proportion of pupils offered drugs was not significantly
different from that reported nationally (national figure-34%) but for 15-year-old pupils the proportion was
significantly lower (national figure-65%). This remains the most recent data published at a local level from
SALSUS. 4% of 13yr olds and 5% of 15 yr olds had been offered heroin in 2002. This 2002 data remains the
most recently published on a local rather than national level.
Progress Made in 2004/05
Briefly summarise the key achievements in this area during 2004/05:



The focus of enforcement activity continues to concentrate on dealers and traffickers.
Between April 2004 and February 2005 863 people were reported in Edinburgh for supply and intent to supply
offences an increase of 13% over the previous year.
1922 reports were submitted for possession of illegal drugs offences an increase of 5% over the previous year.
Planned Action 2005/06
Briefly outline the key actions that you intend to take during 2005/06. Where possible these
should be clearly measurable:




Reduce the availability of drugs in the community through enforcement activity and disrupt and arrest those
involved in their supply and trafficking.
Ensure information and best practice is shared between intelligence and law enforcement agencies.
Maximise the confiscation of assets associated with drug dealing activity.
In combating drug dealing, Lothian and Borders Police will continue to concentrate on the enforcement of Class A
drugs legislation.
Drug and Alcohol Direct Spend By Partner Organisation.
Drug Specific Spend:
Partner
Organisation
Category of Spend
2004/05
NHS Board
NHS General Allocation
Residential Detox outwith
Edinburgh
Drug Treatment
Funding
Specialist Drug Treatment
Services
Drug Treatment
Funding
Drug Treatment
Funding
Muirhouse Medical Group
CDPS (Lothian wide)
Sighthill Locality Clinic
Lothian wide pressures
Community Based Drug
Services
Turning Point Leith
NEDAC
Simpson House
Castle Project
WEST
Residential
Links Project
Brenda House
Funding Allocated
2004/05 (include all
carry forward)
£56,171
£1,238,910 (total)
£43,704
£1,097,396
£26,729
£71,081
£784,487 (total)
£154,705
£175,051
£140,320
£155,632
£158,779
£272,719 (total)
£223,502
£49,217
Category of Spend
2005/06
NHS General Allocation
Residential Detox outwith
Edinburgh
Specialist Drug Treatment
Services
Muirhouse Medical Group
CDPS (Lothian wide)
Sighthill Locality Clinic
Lothian wide pressures
Community Based Drug
Services
Turning Point Leith
NEDAC
Simpson House
Castle Project
WEST
Residential
Links Project
Brenda House
Funding Allocated
2005/06 (include all
carry forward)
N/A
£1,238,910 (total)
£43,704
£1,097,396
£26,729
£71,081
£784,487 (total)
£154,705
£175,051
£140,320
£155,632
£158,779
£272,719 (total)
£223,502
£49,217
Accumulated
underspend up
to March 2004
Total underspend up
to March 2005
Partner
Organisation
Category of Spend
2004/05
Drug Treatment
Funding
Lothian wide Services
Scottish Drugs Forum
RIDU Aids Unit
GUM
Paediatrics
IDU Hep Service
Community Pharmacies
GP Care
Primary Care Facilitation
Team
Toxicology
Drug Treatment
Funding
BBV Prevention
CCRT
Community Based Services
Capital C
Funding Allocated
2004/05 (include all
carry forward)
£523,805(total)
£29,685
£132,654
£31,300
£2,003
£34.080
£75,988
£126,389
Category of Spend
2005/06
£76,528
£15,478
Lothian wide Services
Scottish Drugs Forum
RIDU Aids Unit
GUM
Paediatrics
IDU Hep Service
Community Pharmacies
GP Care
Primary Care Facilitation
Team
Toxicology
£33,348
CCRT
£79,252 (total)
Homeless Outreach Workers
£46,552
£32,700
BBV Prevention
Needle Exchange (Lothian)
Staffing
Injecting equipment
£116,000 (total)
£50,000
£66,000
Community Based Services
Capital C & reprovisioned
service for people with
Hepatitis C
Homeless Outreach Workers
(Dependent on confirmed
funding from Scottish
Executive)
Needle Exchange (Lothian)
Staffing
Injecting equipment
BBV Prevention
Prevention of Hep B and Hep
C in Drug Users
£31,500
Prevention of Hep B and Hep
C in Drug Users
Funding Allocated
2005/06 (include all
carry forward)
£523,805(total)
£29,685
£132,654
£31,300
£2,003
£34.080
£75,988
£126,389
£76,528
£15,478
£33,348
£79,252 (total)
£46,552
£32,700
£116,000 (total)
£50,000
£66,000
£31,500
Accumulated
underspend up
to March 2004
Total underspend up
to March 2005
Partner
Organisation
Category of Spend
2004/05
Local Authority
(Housing)
Housing SLAs
TAP SMT
The Ark Trust
Streetwork
Midpoint Supported
Accommodation
Complex Needs service
HOP Needle Exchange
Streetwork Nine out of Ten
project
Housing – Supporting People
Contracts
Midpoint
Rankeillor – Genesis
Rankeillor – Anchor
Local Authority
Social Work
Funding Allocated
2004/05 (include all
carry forward)
£51,000
£6,500
£2,500
£62,500
£55,000
£26,000
£207,271
£102,480
£57,318
Voluntary Sector Drug
Project Workers
Castle Project
C of S Simpson House
NEDAC
Turning Point Leith
WEST
Housing SLAs
TAP SMT
The Ark Trust
Streetwork
Midpoint Supported
Accommodation
Complex Needs service
HOP Needle Exchange
Streetwork Nine out of Ten
project
Housing – Supporting People
Contracts
Midpoint
Rankeillor – Genesis
Rankeillor – Anchor
Funding Allocated
2005/06 (include all
carry forward)
£55,000
£25,000 (H & SWD)
£9,142 (H & SWD)
£61,200
£221,472
£26,000
£81,824
£207,271
£102,480
£57,318
Voluntary Sector Drug
Project Workers
£28,347
£28,347
£28,347
£24,999
£28,347
Voluntary Sector Grants
and SLAs
Capital C
Category of Spend
2005/06
Castle Project
C of S Simpson House
NEDAC
Turning Point Leith
WEST
Voluntary Sector Grants
and SLAs
£25,500
Capital C & reprovisioned
service for people with
£28,347
£28,347
£28,347
£24,999
£28,347
Accumulated
underspend up
to March 2004
Total underspend up
to March 2005
Partner
Organisation
Category of Spend
2004/05
Crew (Esus)
Crew 2000
EFSU Harbour Project
Family Support Network
Fast Forward
Turning Point Chrysalis
Turning Point Forrest Road
Turning Point Links
Includem
SACRO Arrest Referral
SACRO Arrest Referral
(Criminal Justice funding)
Edinburgh Young Carers’
Project
Oxgangs Drug Project
DTTO Project
(Criminal Justice funding)
ScotPEP (one-off)
Better Off
Community
Regeneration
Fund*
City Connexions
Transition
Integrate
Funding Allocated
2004/05 (include all
carry forward)
£81,800
£61,200
£80,202
£7,526
£122,400
£55,675
£16,071
£474,002
£40,000
£29,500
£90,000
£25,000
£20,000
£20,000
£742,591
£10,000
£91,257
£124,017
£72,113
Category of Spend
2005/06
Hepatitis C
Crew (Esus)
Crew 2000
EFSU Harbour Project
Family Support Network
Fast Forward
Turning Point Chrysalis
Turning Point Forrest Road
Turning Point Links
Includem
SACRO Arrest Referral
(Criminal Justice funding)
Edinburgh Young Carers’
Project
Oxgangs Drug Project
DTTO Project
(Criminal Justice funding)
Prostitution and Young
People
City Connexions
Transition
Integrate
North Edinburgh
Craigmillar (ring fenced)
South Edinburgh
 Transition
 Family Support
Network
 Children First
Funding Allocated
2005/06 (include all
carry forward)
£25,500
£91,800
£61,200
£80,202
£7,526
£60,000
£55,675
£16,071
£466,734
£40,000
£90,000
£25,000
£20,000
£20,000
£880,475
£40,000
£146,300
£98,000
£90,000
£10,000
£50,000
£30,000
£35,000
Accumulated
underspend up
to March 2004
Total underspend up
to March 2005
Partner
Organisation
Scottish Drugs
Challenge Fund
Category of Spend
2004/05
Funding Allocated
2004/05 (include all
carry forward)
Category of Spend
2005/06
Service
Strategic Programme
 Canongate Youth
Project
 Oxgangs Drugs
Service
Reel Deal (Training
Resources)
Forrester React 2 Rugby
Edinburgh Minority Ethnic
Drugs Initiative
Artzone2
Move On
Funding Allocated
2005/06 (include all
carry forward)
£30,000
£19,000
£25,000
£15,624
£23,765
£19,520
£48,250
£5,854
* Decisions on allocation of Community Regeneration Fund Monies for 05/06 will be made after submission of the CAP to the Scottish Executive.
Accumulated
underspend up
to March 2004
Total underspend up
to March 2005
Alcohol Specific Spend:
Partner
Organisation
Category of Spend 2004/05
NHS Board
NHS General Allocation
for the Lothian wide Alcohol Problems
Service covering 4 DAATS. (For Edin
this specifically includes 4.6CPNs at
£199,000)
NHS Health Improvement Fund
2 Alcohol CPNs
Includem Project
Project Focus
NHS Resource Transfer SWD for
ELCA & Libra
NHS General Allocation for
Residential Detox outwith Edin
Treatment Services
Alcohol Problems Service
 CPN South Central
 Occupational Therapist
(P/T)
 Psychologist (P/T)
Funding Allocated 2004/05
£1,334,000
£62,000
£75,000
£150,000
£54,221***
Category of Spend 2005/06
NHS General Allocation
NHS Health Improvement Fund
2 Alcohol CPNs
Includem Project
Project Focus (6 month funding to
03/0/05)
NHS Resource Transfer for SWD to
ELCA & Libra*
Funding Allocated 2005/06
(highlight dedicated SR
funding)
£1,334,000 (L)
£31,000
£75,000
£75,000
£54,221***
£39,620
£50,000
Treatment Services
Alcohol Problems Service
 CPN South Central
 Occupational Therapist
(P/T)
 Psychologist (P/T)
Additional Alcohol CPN posts (NHS),
training (NHS) and support for the
further development of Korsakoff’s
service (SWD)*
£50,000
£110,000
Partner
Organisation
Category of Spend 2004/05
Local Authority
Voluntary Sector Grants and SLAs
£114,285***
Libra
£42,239***
Spiked Drinks video (from B/F funds)
Category of Spend 2005/06
Funding Allocated 2005/06
(highlight dedicated SR
funding)
Voluntary Sector Grants and SLAs
ELCA
Jericho House
SACRO Alcohol
Korsakoff’s Service
Lothian &
Borders Police
Funding Allocated 2004/05
£122,007
63,214
40,000
ELCA
ELCA
Libra
Libra
Jericho House
SACRO Alcohol
Korsakoff’s Service
£89,285***
£25,000
£22,239***
£20,000
£122,007
£63,214
£40,000
£5.500
Social Work Services
Senior Social Worker REH
Social Work Post (P/T)
£36,991
£18,000
Social Work Services
Senior Social Worker REH
Social Worker Post (P/T)
£36,991
£18,000
Prevention Services
£13,320
Development of Designated Place**
£13,320
* final disbursement will be dependent on the results of the current review of agencies and services.
** Subject to additional funding being made available
***Funding for ELCA and Libra includes £54,221 which is resource transferred by NHS Lothian to CEC Social Work Department. This sum is indicated under both NHS and Local Authority
spend
Combined Drug and Alcohol Specific Spend:
(Only for spend which cannot be readily or meaningfully split for drugs and alcohol, and has not been
accounted for elsewhere in plan).
Partner
Organisation
Category of Spend 2004/05
Local Authority
Housing
Housing SLA
The Access Point SMT
Local Authority
Social Work
Department
Voluntary Sector Grants and SLAs
Aberlour Brenda House
Aberlour outreach
NCH Hype
NCH Hype Too
Substance Misuse Training Pack
50/50 with Criminal
Justice
SACRO (Prostitutes) Deferred
Sentence Pilot
Funding Allocated 2004/05
(include all carry forward)
Category of Spend 2005/06
Funding Allocated 2005/06
(include all carry forward
and highlight dedicated SE
funding for alcohol)
£51,000
£273,559
£55,030
£130,319
£98,038
£4,000
£18,000
Voluntary Sector Grants and SLAs
Aberlour Brenda House
Aberlour outreach
NCH Hype
NCH Hype Too
£313,533
£55,030
£130,319
£98,038