Inverclyde ADP Annual Report 2014-15
Document Details:
ADP Reporting Requirements 2014-15
1.
2.
3.
4.
5.
Partnership Details
Self-Assessment
Finance Framework
Performance Framework
ADP & Ministerial Priorities
Appendix 1: Guidance Notes and Commissioning Diagram
Appendix 2: ADP Performance Framework and Benchmarking Report
October 2015
1
1.
PARTNERSHIP DETAILS
Alcohol and Drug Partnership
ADP Chair
Contact name(s) see note 1
Contact Telephone
Date of Completion
Date Published on ADP website(s)
Inverclyde
Councillor Joe McILwee
Margaret McConnachie
01475-715360
Final ADP Committee approval on 12th October 2015
TBC
The content of this Annual Report has been agreed as accurate by the Alcohol and Drug Partnership, and has been shared
with our Community Planning Partnership/Integration Joint Board through our local accountability route.
………………………………………………………………
ADP Chair
The Scottish Government copy should be sent for the attention of Amanda Adams to:
Alcoholanddrugdelivery@scotland.gsi.gov.uk
2
2.
ADP SELF-ASSESSMENT 1 APRIL 2014 – 31 MARCH 2015
ANALYSE – Please evidence your ADPs analysis activities/progress
1
Theme
RAG
note 1
ADP Joint Strategic
Needs Assessment
has
been
undertaken
and
provides a clear,
coherent
assessment/analysis
of need, which takes
into
consideration
the
changing
demographic
characteristics
of
people (and their
families and local
communities)
affected by problem
drug and/ or alcohol
use in your area.
Please state when
this was undertaken
and when it is next
planned.
G
Please also include
here
any
local
research that you
have commissioned
e.g.
hidden
populations, alcohol
Evidence see note 2
The ADP Joint Strategic Needs Assessment is supported by a range of completed
and ongoing work being carried out across ADP partner agencies. An approach to
Strategic Needs Assessment has been adopted which recognises the need for
ongoing needs assessment processes if the diverse and changing needs
associated with alcohol and drug misuse are to be addressed for individual, families
and carers and the wider community. This work has included changing
demographic characteristics of people (and their families and local communities)
affected by problem drug and/ or alcohol use in Inverclyde. There have also been
some thematic pieces of work completed or established in response to particular
areas of concern.
Examples of needs assessment work undertaken include:
ADP Needs Assessment Report :
• Initial report was completed in 2012/13
• Report has been updated May 2015
Needs Assessment and Service user Involvement: Examples of work
undertaken 2014/15 period:
A continued emphasis on service user involvement within our needs assessment
processes has continued: The “Your Voice Network”* carried out a service user
and communities of interest needs assessment consultation in 2014/15. This work
has helped shape our Strategic Commissioning Intentions. This work was a followup to similar consultation with the community carried out in 2012 by the Your Voice
Network.
(*Your Voice is a local voluntary sector organisation who have a focus on building
3
Theme
related deaths.
RAG
note 1
Evidence see note 2
capacity and the empowerment of local people to influence and inform the
planning, development and provision of local services),
See Note 3
Health and Wellbeing Survey and Community Consultation Event with young
People: Secondary School Pupils
• The CHCP (now HSCP) Commissioned a Health and Wellbeing survey in
schools. The survey included the opportunity to include questions related to
alcohol and drugs including New Psychoactive Substances. The survey
sample included all Secondary Schools in Inverclyde with an 85% response
rate. The final survey report was made available in early 2015.
• This work was followed by a “Community Conversation” Event (which took
place in spring 2015) lead by young people at which the themes of the
survey responses were the subject of workshops. At this event young
People were provided with the opportunity to “ASK” services to make
particular responses and services were asked to make “OFFERS” of how
they could work towards meeting needs. Alcohol and drugs were one of
range of key themes which were discussed within a “Risk Taking” Behaviour
context. This project has informed the services provided by ADP partners.
Prevention and Education in Schools
• Pupils have taken part in surveys to obtain feedback on re-design of
prevention and education information provided in Schools.
Children Affected by Parental Substance Misuse (CAPSM)
• The CAPSM group (joint ADP and Child Protection Committee development
group) developed tools and obtained approval to carry out a case audit
across addictions and children’s services to better scope the needs
associated with CAPSM. This work was carried out in autumn 2014. The
findings will inform training and joint working across children and families
and alcohol and drug services
• Plans are in place to repeat this audit process in 2015/16.
Community Safety Strategic Assessment
• Community Safety Strategic Assessment was updated in 2014. This
strategy has a Drug and Alcohol theme which uses local intelligence to
identify community safety needs across Inverclyde including impact of
4
Theme
RAG
note 1
Evidence see note 2
alcohol and drug misuse on the wider community.
Community safety and local Police Scotland services have developed
quarterly Ward level community safety reports wich reflect activity trends
including alcohol and drug related incidents providing ongoing needs
information at a locality level –supporting the allocation of resources to
areas of greatest need where appropriate.
Neighbourhoods
A work stream has been established by Inverclyde community planning partnership
(CPP) which provides a focus on identifying needs including those related to the
impact of alcohol and drug misuse within targeted small areas of greatest need.
This work has included the collation of a range of information to build a holistic
picture of need within areas of highest need in Inverclyde.
Inequalities
- Work has taken place to develop health and wellbeing profiles establishing
a baseline for Inequalities work being taken forward through a SOA delivery
group. Alcohol and drug related information has been part of the profiling
work being undertaken.
- The SOA delivery group are working with Health Scotland to Review current
planning outcomes in relation to Inequalities, establish SOA outcome(s) with
an inequalities focus and to link to these appropriate indicators and
measurements.
Drug Deaths
• NHS GG&C Wide Drug Death Report has been developed. This report
provides detailed analysis and response to drug related deaths at a board
wide and ADP level. This framework provides a mechanism for future
detailed reporting and benchmarking of service response to Drug Related
Deaths supporting prevention strategies.
Acute Liaison Services
• Acute liaison services have audited the alcohol screening of patients in the
acute setting. This demonstrated inconsistent practice methods and need to
improve acute staff knowledge and skills. Outcome is refresher alcohol
screening training to be provided to acute staff in conjunction with Alcohol
Brief Intervention training.
•
5
2
Theme
RAG
note 1
Evidence see note 2
An outcomes based
ADP
Joint
Performance
Framework is in
place that reflects
the
ADP
Local
Outcomes and the
National
Core
Outcomes.
See note 4
G
An ADP Joint Performance Framework is in place. This framework is structured around the
ADP National outcomes and includes ADP National Outcome indicators and local outcome
indicators identified across partner agencies where available. The Outcome Based
Performance Framework is reviewed annually.
As part of developing the ADP Delivery Plan 2015-2018 ADP partner’s worked to establish
three year SMART targets where possible. (in line with Scottish Government Guidance to
ADPs).
Local ADP outcomes are aligned with Inverclyde Community Planning Partnership
Outcomes. Within the ADP performance framework (where relevant) ADP Outcomes have
been cross referenced with Single Outcome Agreement Outcomes.
Not all indicators reported within the performance framework are SMART. ADP partners are
working towards achieving this goal. This will be a further enhancement of the existing
performance framework.
3
Integrated Resource
Framework Process
Suitable data has
been used to scope
the
programme
budget
and
a
baseline
position
has
been
established
regarding
activity,
A
Benchmarking
ADP performance is benchmarked with Scotland, NHS GG&C and other NHSGG&C ADPs. A
copy of the ADP Performance Framework and Benchmarking report 2014/15 is attached at
Appendix 2.
The NHS GG&C Addictions and Mental Health Clinical Services review has evaluated the
addiction service model across NHS Greater Glasgow and Clyde, the review included
individual ADP reports. This review provides a focus on maximizing quality and efficiency
including reviewing care pathways and improving outcomes. The review has also included
benchmarking and needs assessment.
Joint Local Authority and NHS budget reporting through HSCP Addiction Service’s Quarterly
Performance Reporting Processes provide an ongoing mechanism for supporting a better
understanding of current activity and resource use across health and social care, including
commissioned services.
6
Theme
RAG
note 1
costs and variation.
Evidence see note 2
A Resource Allocation Group (RAG) which includes statutory and voluntary sector providers
functions as an ongoing scoping, monitoring and evaluation mechanism for resource
allocation providing the opportunity to respond to financial pressures and opportunities across
the partnership.
Note 5
Scottish Government allocations in respect of Drug and Alcohol National priorities are
monitored via NHSGGC, Inverclyde Council and IADP. This allows for integrated tracking of
total allocation and spend in the Addictions field, increasing efficiency and impact within our
Partnership approach.
ADP continues to provide financial reporting to the ADP committee. Work is required to obtain
a better mechanism for capturing spend across ADP partner agencies. The National work in
this area will inform future development in supporting the ADP to better capture this
information.
ADP partners have been asked to identify spend on activities which support the achievement
of Alcohol and Drug National Outcomes. This is work in progress which will support a better
understanding of alcohol and drug spend related (including prevention) across ADP partner’s
budgets.
4
Integrated Resource
Framework
Outcomes
Note 5
A
coherent
approach has been
applied to selecting
and
prioritising
investment
and
disinvestment
options – building
A
Resource allocation decisions are part of a robust financial allocation process which requires
that funding applications include evidence of need, identified outcomes evidenced by
performance indicators which are within the context of National ADP outcome guidance.
Funding allocation decisions are also made with reference to meeting outcomes related to the
ADPS commitment to ROSC and Quality Standards for Alcohol and Drug Treatment and
Support Services.
Prevention is an essential element of the whole population approach which the ADP pursues
in relation to alcohol and drugs. Dedicated teams deliver schools based programmes which
reach every child in the ADP area. Community education is undertaken by our Integrated Drug
and Alcohol teams in partnership with voluntary and statutory agencies and service user
groups. Investment has been made to support Recovery Café and Vocational Training
developments to build community capital.
7
Theme
prevention into the
design and delivery
of services.
RAG
note 1
Evidence see note 2
Prevention strategies have been incorporated throughout service developments examples
include :
• Prevention strategies are part of the care pathway provided across services. This
includes, for example, relapse prevention services.
• Extension of alcohol liaison staff across primary settings within GP surgeries supports
early intervention and prevention and access to services.
• Recovery developments have provided a focus on the development of recovery capital
within the community. This work has contributed to prevention strategies by providing
a wider choice of support through for example SMART Recovery and service user let
developments within peer support networks.
• Education and training initiatives which target improving awareness of substance
misuse across ADP partners and wider community organisations. This has included for
example training providers and employers and has supported competence and
knowledge of substance misuse.
• Access to harm reduction services have been extended to a wider range of locations
and opportunities to attend. Including use of local pharmacy services and
homelessness services.
• The Persistent Offenders Partnership continues to provide intensive support to
offenders with a focus on preventing reoffending providing intensive support to
maintain engagement with addiction and other services. In 2014 this service identified
a need to target women offenders who have in the past been underrepresented by the
service user profile.
• Women Offenders Project: provides support to prevent women from disengaging from
services and supports them to engage with new services including alcohol and drug
services.
• HMP Greenock Through care Support Officers (TSO) project has been extended. This
work provides for a range of prevention strategies including being able to maintain
continuity between support provided in prison and in the community on release. Core
aspects of this work are to prevent re-offending and maintain links with services.
• Community Integration Units (CIU) have been developed over the past few years
becoming operational in 2015. CIUs at HMP Greenock offer a unique way of working
with short term offenders who have been risk assessed as suitable to access the
8
Theme
RAG
note 1
Evidence see note 2
•
•
•
•
•
community on a temporary release licence. It is envisaged those offenders will develop
a network of supports prior to support them post release. Where appropriate local
alcohol and drug services will be accessed through this route establishing links with
services.
Over 1014/15 the Inverclyde Recovery Café Project has worked in partnership with
staff and those in custody from HMP Greenock to establish a recovey café model
within the prison campus. A male and female recovery café have been developed.
ADP and Adult protection services are currently scoping the links between Alcohol and
drug Service users and those who have been the subject of Adult Protection Concern
Reports. This work aims to achieve a better understanding of how we can facilitate
prevention interventions for this particularly vulnerable group.
o This project has attracted lottery funding and has developed a peer led model
of delivery, supporting the development of recovery capital among prisoners
involved.
Youth Justice In partnership with: Police Scotland, Community Safety, Addition
Services, Community learning and development and addiction services: the Early and
Effective Intervention Project provides for early intervention and support for young
people who are being brought to the attention of the police. Predominantly this relates
to antisocial behaviour issues where there is an alcohol component. A multiagency
response is provided though the partnership.
Alcohol and Drug services have close links with MARAC processes improving service
access opportunities for individuals identified through this route.
NHS Acute Liaison training programme has provided a focus on prevention across
acute setting with the development of ADI training to staff groups including e-learning
opportunities.
Drug Death Strategy provides a focus for the prevention of Drug Related Deaths. This has
included:
• The Naloxone programme has been reviewed and extended; Naloxone is incorporated
into core assessment processes
• Drop in harm reduction clinics includes access to Naloxone training and distribution
including access through Homelessness services drug support
• the
training programme has been refreshed with wider groups being targeted,
9
Theme
RAG
note 1
Evidence see note 2
•
•
•
•
families, voluntary organisation other services (mental health and homelessness
services , family support services)
Naloxone Pharmacy Project has been established targeting those not in treatment
and hidden populations - whilst also supplying to those in treatment who have not
accessed the service from CAT team.
NHS wide annual Drug Death report will provide better intelligence and opportunity to
share practice and learning. Recent detailed trend analysis of Drug Deaths in
Inverclyde has taken place to support the identification of risk and service
development. Risks associated with offenders and both drug and alcohol being
present were identified as key areas for concern.
Low Threshold Services: Additional medical time has supported the introduction of a
low threshold services supporting early intervention and harm reduction.
This strategy also links with the emerging use of new Psychoactive Substances with
other “Drugs”.
PLAN - Please evidence your ADPs Planning activities/progress
5
Theme
RAG
note
1
Evidence see note 2
We have a shared
vision
and
joint
strategic objectives for
people
affected
by
problem substance use
& those affected, which
are aligned with our
local partnerships, e.g
child
protection
committees, violence
against
women,
community
safety,
prevention
including
G
Inverclyde ADP Strategic Commissioning Plan 2015-2018 was developed over the 2014/15
period and was approved by Committee in 2015. This is the second ADP Strategic Plan. The
plan outlines Inverclyde ADP’s key strategic commissioning priorities for people with problem
substance misuse their families’ carers and the wider community –including prevention.
Actions agreed across ADP partners to deliver the ADP’s joint strategic objectives are outlined
within the ADP Delivery Plan 2015-2018.
Our Strategy and Delivery Plan have a shared vision and joint strategic objectives shared
across ADP partners and partnerships. The ADP Commissioning Strategy and Delivery Plan
have been developed with close reference to wider partnership strategies, ensuring the
alignment of priorities and resources where appropriate. This has included taking cognizance
of and working together to meet the strategic planning priorities of the Inverclyde: Health and
Social Care Partnership, Community Planning Partnership, Child Protection Committee,
10
Theme
education etc.
RAG
note
1
Evidence see note 2
Community Safety Strategy and Community Justice Planning. The focus has been on how
partners contribute jointly to achieving the National ADP Outcomes.
Examples Include:
5.1 Inverclyde Health and Social Care Partnership (HSCP)
The ADP Commissioning Strategy 2015/18 is the first to be developed within the new HSCP
governance arrangements. The ADP strategy identifies the role of the ADP in supporting the
achievement of the HSCP’s Health and Wellbeing outcomes outlined within the The Public
Bodies (Joint Working)(Scotland) Act 2014.
The Inverclyde HSCP strategic commissioning priority themes are closely linked to the needs
of individuals and communities where there is an impact from alcohol and drug misuse
including supporting prevention this includes:
•
•
•
•
•
Employability and Meaningful Activity
Recovery and Support to live independently
Early intervention, prevention and Reablement
Support for families
Inclusion and Empowerment
5.2 Inverclyde Community Planning Partnership (CPP)
Inverclyde ADP supports a range of crosscutting themes outlined within the CPP Single
Outcome Agreement (SOA). Operating as a SOA delivery group the ADP executive group
provides the opportunity to ensure ADP planning and commissioning is references across SOA
themes. (see section 6 below for further details).
CPP - Locality Planning Programme
This program looks at localities of greatest needs across a range of indicators of need and is
being driven within a Local Housing Provider’s (Riverclyde Homes) regeneration programme.
The project is looking at prevention strategies targeted at localities where there is a high
demand for a range of services and support including alcohol and drug services.
11
Theme
RAG
note
1
Evidence see note 2
5.3 Child Protection Committee: Children Affected by Parental Substance Misuse
Children Affected by Parental Substance Misuse (CAPSM) priorities and supporting action
plan is agreed and reported across the ADP Committee and Child Protection Committee
providing the opportunity to align priorities and actions.
Over 2014/15 this group has led the joint development of new practice and assessment
guidance for local implementation of revised Scottish government guidance for practitioners
working with children, young people and families affected by substance use.
5.4 Inverclyde Community Safety Partnership : Inverclyde Community Safety Strategy
Inverclyde Community Safety Strategic Assessment has identified key strategic priority areas
for development for ADP and Community Safety Partners. Including addressing the impact of
the Night Time Economy, tackling underage drinking, preventing un-intentional house fires
where alcohol and/or drugs use have been a factor.
The Inverclyde Community Safety Partnership’s Antisocial Behavior Strategy has in
consultation with the community identified he impact of alcohol and drug misuse on
communities as a strategic priority which has been supported by ADP partners.
5.5 Inverclyde Community Safety Public Reassurance Project
ADP is working closely with Inverclyde Community Safety Public Reassurance project. Work
with local communities in identifying community safety issues and community safety partners
and the local communities working to respond to the issues.
5.6 Violence Against Women
Through Community Safety structures the ADP links with Inverclyde Violence Against Women
Strategies. There is a commitment to work in partnership to ensure that there is a Strategic
focus that actively seeks to address and reduce VAW. Collaborative work has included tackling
the drivers that allow VAW to permeate family and community life. Considering the influence
of alcohol and drugs within supporting this strategy. ‘Inverclyde VAW Action Plan 2015/16
12
Theme
RAG
note
1
Evidence see note 2
continues this commitment with an action to : Ensure staff supporting Women and their
children affected by VAW have access to appropriate alcohol and drug training supporting
better identification of need and access to support.
A member of additions staff has been trained to deliver gender based violence “Safer Lives
Risk Assessment” training. This will support addictions staff in making appropriate and timely
referrals to MARAC improving care and support pathways. (MARAC) is a local, multi-agency
victim-focussed meeting where information is shared on the highest risk cases of domestic
violence and abuse between different statutory and voluntary sector agencies.)
5.7 Community Justice
The ADP Commissioning Strategy makes a commitment to work in partnership with Criminal
Justice Social work supporting a range of prevention and early intervention strategies which
will support the reduction of offering and re-offending improving outcomes. Prevention
strategies will provide a focus on: supporting women offenders, supporting the uptake of
treatment by offenders - including Community payback orders, Persistent Offenders
Partnership and arrest referral support.
New Community Justice Governance Arrangements
The ADP will work to support new Community Justice governance arrangements which will
provide stronger links with CPPs. New arrangements will provide the opportunity to work jointly
to achieve better outcomes for offenders where alcohol and drug misuse issues are impacting
on offending behaviour. Criminal Justice social work services are represented within ADP
structures which will support these processes.
The ADP has taken cognizance of the a clear expectation in the Policy Memorandum attached
to the new Criminal Justice Scotland Bill that ADPs will play a role in the drafting of community
justice plans. There has been an identified commitment to supporting this process.
5.8 Inverclyde Adult Protection Committee
Individuals can be “at risk” from their own or other peoples alcohol and drug misuse. Inverclyde
13
Theme
RAG
note
1
Evidence see note 2
ADP has close links with the work of the Inverclyde Adult Protection committee. A senior
member of HSCP addictions staff represents the ADP on the Adult Protection Committee and
ADP Committee providing a strategic and operational link across these groupings.
5.9 Prevention Strategies
Prevention is a key priority for supporting the achievement of ADP Outcomes. The ADP
Commissioning Plan identifies Prevention as a key strategic focus. The ADP adopts a whole
population approach to prevention through alcohol and drug education being provided
throughout the primary and secondary school system, to the wider population and to the
“alcohol and drug” workforce providing a better understanding of their role is supporting needs
associated with alcohol and drug misuse.
Harm reduction strategies are an important part of preventing and reducing alcohol and drug
related harm - this will include working to reduce drug related deaths. See section 4 above for
further details of ADP wide prevention strategies.
5.10 Inverclyde Education Health and Wellbeing Strategies
The ADP whole population approach to prevention includes a strategic commitment to a
comprehensive programme of alcohol and drug prevention education across education
establishments (this has included pre-five establishments, primary and secondary schools and
local further education colleges) employers and the wider community.
Inverclyde Education Services Health and Wellbeing Programme has a strategic commitment
to the delivery of alcohol and drug education programme in schools. A range of ADP partners
support this process including, teachers, Young People’s Alcohol Team, community learning
and Development and Health Improvement. This work also supports the delivery of Curriculum
for excellence objectives.
The Clyde Conversations Health and Wellbeing conference (held in 2014/15) which aimed to
bring forward actions to improve the Health & Wellbeing of the young people of Inverclyde, and
14
Theme
6
A.
Our
planned
strategic
commissioning work is
clearly
linked
to
Community
Planning
and local integrated
health and social care
plans, preparing to
support
improved
outcomes,
priorities
and processes jointly.
Please include your ADP
Commissioning Plan or
Strategy if available.
RAG
note
1
G
Evidence see note 2
by extension, the whole community. Provided a strategic focus for a range of factors impacting
on the lives of our young people including: alcohol and drug. This work provided a strategic
focus in this area for ADP partners.
A.
Inverclyde Community Planning Partnership (CPP)
ADP strategic commissioning is linked to community planning priorities and processes. The
ADP Executive group (second tier within the ADP governance structure) operates as an SOA
Delivery Group within the Inverclyde Community Planning Partnership‘s Governance structure.
The ADP Executive Group is the SOA delivery group for local SOA Outcome 5:
SOA 5. A positive culture change will have taken place in Inverclyde in attitudes to alcohol,
resulting in fewer associated health problems, social problems and reduced crime rates.
The ADP has close links across other SOA delivery groups within the CPP structure which
provides the opportunity to address cross cutting themes. In particular this relates to Local
SOA outcome linked to:
•
Please
include
information
on
your
formal relationship to
your local child protection
committee.
•
•
•
•
•
•
SOA 2: Communities are stronger, responsible and more able to identify, articulate and take
action on their needs and aspirations to bring about an improvement in the quality of
community life.
SOA 3: The areas economic regeneration is secured , economic activity in Inverclyde is
increasing , and skills development enables both in work and those furthers from the labour
market to realise their full potential.
SOA 4: The health of local people is improved, combating health inequality and promoting
healthy lifestyles.
SOA 5: A positive culture change will have taken place in Inverclyde in attitudes to alcohol,
resulting in fewer associated health problems and reduces crime rates.
SOA 6: A nurturing Inverclyde gives all our children and young people the best possible start in
life.
SOA 7: All children citizens and communities in Inverclyde play an active role in nurturing the
environment to make the area a sustainable and desirable place to live.
SOA 8: Our public services are high quality, continually improving, efficient and responsive to
local people’s needs.
15
Theme
RAG
note
1
Evidence see note 2
A workshop was held in 2014/15 which reviewed the SOA 5 delivery group outcomes, priorities
and related indicators providing a refreshed delivery plan. This review included reference to
ADP National Outcomes.
The Community Planning Partnership vision for Inverclyde is ‘Getting it right for every Child,
Citizen and Community’ This means that the Alliance works in partnership to create a
confident, inclusive Inverclyde with safe and sustainable, healthy, nurtured communities, and a
thriving, prosperous economy, with active citizens who are achieving, resilient, respected,
responsible and included, and able to make a positive contribution to the area. This has
included the adoption of the SHANARRI wellbeing indicators as a guide to measuring
outcomes. The ADP has incorporated this direction within its priorities.
The revised ADP Strategy 2015-18 has been developed within the context of the CPP vision
being driven through “Getting it right for every Child, Citizen and Community (GIRFECCC)
“. The GIRFECCC approach has a strong fit with ADPs whole population approach to
addressing the impact of alcohol and drug misuse including prevention strategies.
Integrated Health and Social Care Partnership (HSCP) (also see section 5.1 above)
The ADP Strategic Commissioning Plan 2015-2018 is being implemented (via the ADP
Delivery Plan 2015-2018) within the framework of the Inverclyde Health and Social Care
Partnership (HSCP) and the governance arrangements outlined within its integration scheme
which became operational in April 2015 - in line with requirements of The Public Bodies (Joint
Working)(Scotland) Act 2014.
Central to the new integration arrangements is the commitment:
to better support the wellbeing of people who use health and social care
services, particularly those
whose needs are complex and involve support from health and social care at the
same time.
The Inverclyde HSCP’s Integration Scheme supports the delivery of the National Health
and Wellbeing Outcomes prescribed by Scottish Ministers. National Health and Wellbeing
16
Theme
RAG
note
1
Evidence see note 2
Outcomes under the power conferred by Section 5(1) of The Public Bodies (Joint
Working)(Scotland) Act 2014 .
Inverclyde ADP is a specific client planning group which reports to the Integrated Joint Board.
ADP Outcomes in some cases are cross cutting with the National Outcomes for Health and
Social Care Partnerships, the ADP’s key Strategic focus on Recovery, Prevention, Protection
and Inequality fit well will with the Inverclyde HSPC Outcomes. HSCP outcomes are closely
aligned with ADP national core outcomes providing a significant role for the ADP in supporting
the delivery of local HSCP health and wellbeing outcomes.
Inverclyde HSCP outcomes include :
•
•
•
•
•
•
•
•
•
People are able to look after and improve their own health and wellbeing and live in good
health for longer
People, including those with disabilities, long term conditions, or who are frail, are able to live,
as far as reasonably practicable, independently and at home or in a homely setting in their
community.
People who use health and social care services have positive experiences of those services,
and have their dignity respected.
Health and social care services are centred on helping to maintain or improve the quality of
life of service users
Health and social care services contribute to reducing health inequalities
People who provide unpaid care are supported to reduce the potential impact of their caring
role on their own health and well-being
People who use health and social care services are safe from harm
People who work in health and social care services are supported to continuously improve
the information, support, care and treatment they provide and feel engaged with the work they
do
Resources are used effectively in the provision of health and social care services, without
waste.
17
Theme
RAG
note
1
Evidence see note 2
Relationship with Child Protection Committee and ADP: Children Affected by Parental
Substance Misuse (CAPSM). CAPSM
Inverclyde ADP and Child Protection Committee (CPC) formed a Joint Children Affected by
Parental Substance Misuse (CAPSM) sub group in 2013/14 - in response to recommendation
of the reviewed “Getting our Priorities Right “ The group has strengthened strategic links
between the ADP and CPC. This group has a work plan which is monitored through the ADP
and CPC Committee structures. The CAPSM group has representation across ADP and CPC
partner agencies. Over 2014/15 this group has had a focus on: workforce development, the
development of updated joint policy, procedures and assessment processes and identifying
needs.
Senior ADP addictions management staff have a seat at the Child Protection Committee, and
senior Children and Families staff have a seat at the ADP Committee and Executive group.
ADP Strategic Commissioning Plan
A copy of the ADP Strategic Commissioning Plan 2015/18 is attached
B. What is the formal
arrangement
within
your ADP for reporting
on
your
Annual
Reports/
Delivery
Plans/shared
documents,
through
your
local
accountability
route.
Please
include
information on the level
and
frequency
of
feedback
you
have
received through your
local
accountability
B
Reporting to ADP Structures
ADP sub groups report to the ADP Executive group on an eight weekly basis. This is in the
form of ADP sub group summary reports with the opportunity for larger pieces of work to be
reported separately where appropriate.
The executive group scrutinises reporting agreeing reporting to be delivered to ADP
Committee on a quarterly basis.
Feedback : reporting to the ADP Executive Group and Committee have a mechanism for
providing feedback through minutes and action logs resulting from the meetings.
Reporting to Community Planning Partnership (CPP)
The ADP executive group’s role as SOA delivery group of the CPP places the work of the ADP
within the CPP delivery and reporting structures. The reporting route is:
18
Theme
route/CPP/
Integration Board.
RAG
note
1
Evidence see note 2
Joint
To the CPP Programme board:
• The ADP prepares SOA Outcome Delivery Group quarterly performance reports which
are agreed by the ADP executive group.
• Reporting to the CPP is a core agenda item on the ADP Executive Group and ADP
Committee agenda.
• ADP Executive Group chair sits on the CPP SOA Programme Board.
• SOA Outcome Delivery Group quarterly performance reports are presented to the CPP
SOA Programme Board on a quarterly basis. Feedback: is received in the form of
exception reports on a quarterly basis where relevant.
• The CPP SOA Programme Board submits the Outcome Delivery Group progress
reports to the CPP Alliance Board on a quarterly basis. Feedback: is received in the
form of exception reports on a quarterly basis where relevant.
• CCP Alliance Board pre agenda processes provide a further route for scrutiny and
feedback with the CPP Chair. Pre-agenda takes place prior to the Alliance Board
meeting.
Arrangements are in place for ADP Strategy and Delivery Plan to be incorporated into the
CPP’s Alliance Board reporting cycle on an annual basis.
See note 6
Reporting to HSCP : Integrated Joint Board
The ADP reports to the Community Planning Partnership via the Single Outcome Programme
Board, and thereafter to the Alliance Board. The annual report from the ADP will be reported
thereafter to the Integrated Joint Board, and HSCP committee within the Council. Regular
performance reports are made to the IJB and HSCP committee.
7
Service Users and
carers are embedded
within the partnership
commissioning
processes
G
Service Users and carers are embedded within the partnership commissioning processes
through various routes. Service user and carers are represented within ADP governance
structures though representation from a local stakeholder network on the ADP Committee and
ADP sub-groups. The ADP engages with service users and carers through the HSCP
Inverclyde Advisory Group network which has an alcohol and drug misuse sub group Reports
from this group are reported to the ADP executive group and to the ADP Committee, where
19
Theme
RAG
note
1
Evidence see note 2
appropriate.
This network bring people with a common interest together to create a stronger voice in
influencing decisions about the delivery and development of services and to strengthen the
work that is already happening in the community. The network has a focus on:
• Identifying common issues of concern
• Highlighting gaps in provision
• Working in partnership with statutory partners to develop solutions
• Highlighting areas of good practice – what works well
The Addictions Sub Group of the Inverclyde Advisory Network aims to:
Ensure that relevant information pertaining to alcohol and drug misuse is communicated and
cascaded and people have the opportunity to get involved and have their say. This is an
ongoing process where the Advisory group feeds into the ADP reporting cycle on a quarterly
basis.
The work from this sub-group feeds directly into the HSCP Inverclyde Advisory Group and the
Alcohol and Drug Partnership (ADP). Reports from the Advisory group are included within SOA
delivery reports provided to the CPP in response to progress on the SOA Alcohol theme.
These reports are also presented to the ADP executive and committee.
Actions taken in response to stakeholder feedback are included within this reporting
mechanism providing accountability for actions being taken in response to the
recommendations.
There is representation throughout the ADP governance structure from a local Community
Stakeholders group including the ADP committee.
At service level service providers both statutory and those provided by the voluntary sector
report a high level of engagement with service users. This includes service user involvement
being integral to the services contact monitoring arrangements with funders.
20
Theme
RAG
note
1
Evidence see note 2
Services are continually striving to better engage with service users and carers. The
implementation programme for Quality Principles for alcohol and drug Services will include
service user and carer involvement in the evaluation of services with reference to the nationally
agreed quality principles. This aspect of service user involvement is still to be embedded.
8
A person centered
recovery focus has
been incorporated into
our approach to
strategic
commissioning.
Please advise if your
ROSC is ‘in place’; ‘in
development’ or in
place and enhancing
further.
Describe the progress
your ADP has made in
implementing a
Recovery Oriented
System of Care
(ROSC), please include
what your priorities are
in implementing this
A
Following an ROSC training and development day led by Inverclyde ADP - Your Voice (&
recovery assets) will conduct an engagement / consultation exercise with people who use
addiction services to ask what their views on ROSC and if they feel that local services are
implementing them - taking in the Quality Principles - Standard Expectations of Care and
Support in Drug and Alcohol Services– engagement will hopefully take place September /
October / November 2015.
Our ADP Commissioning Strategy makes a commitment to Recovery as the key outcome for
service users their families and carers, whilst recognising that recovery is a process and
requires a response from individuals, agencies and the wider community. Our focus within our
commissioning strategy is to deliver services within a framework which supports Recovery
Orientated Systems of Care (ROSC).
A ROSC is currently in development. Inverclyde ADP has taken a range of actions towards
achieving this goal over 2014/15 building on work that has been ongoing over the longer term.
Some of these actions have been reported in past self-assessment / annual reports this work
has been reported below for completeness.
A ROSC Development plan has been developed. This plan provides a focus on ensuring that :
• assessment and review processes are fit for purpose to support a ROSC model
• ensuring that pathways are available which support ROSC including that within
these pathways service users have choices
• workforce planning to ensure competencies to deliver on ROSC
• ensuring peer support is an integral part of the ROSC framework.
As part of developing our commission priorities the ADP Recovery Development Group held
21
Theme
during 2015-16. This
may include:
8.1 ROSC service
review and redesign
8.2 Identify and
commission against
key recovery outcomes
8.3 Recovery outcome
reporting across
alcohol and drug
services (Please
outline what
current/planned
recovery tool you are
using)
8.4 Individual recovery
care plan and review
8.5 Involved mutual aid
and recovery
communities
8.6 Please include your
recovery outcomes for all
individuals within your
alcohol and drug
treatment system for
2014/15 if available.
RAG
note
1
Evidence see note 2
(in late 2014) a workshop with the aim of supporting the refresh of the ROSC Plan. The
workshop’s aim was to:
•
Support the continued development of a Recovery Orientated System of Care in
Inverclyde
• Identify strengths and areas for action across the distinguishing features of a Recovery
Orientated System of Care as outlined within national guidance:
The Quality Principles : Standard Expectations of Care and Support
Services in Drug and Alcohol Services
- Scottish Governments National Review of Opium Replacement Therapies
Report.
This resulted in a focus on evaluating the extent to which services are : person-centred,
inclusive of family and significant others, keeping people safe and free from harm, providing
individualised and comprehensive services – such as housing, employability and education,
connected to the community, services that are trauma-informed
This work was further supported by a local Scottish Government Seminar on the Quality
Principles which provided services with the opportunity to learn more about the application of
models for change and how they could be used to support a shift in services towards ROSC
within the Quality Principles framework.
8.1 ROSC Service Review and Redesign
Service review and redesign and any commissioning has been carried out with reference to
meeting recovery outcomes. More recently this has included reference to features of a
Recovery Orientated System of Care as outlined within national guidance:
•
The Quality Principles : Standard Expectations of Care and Support Services in Drug
and Alcohol Services
22
Theme
RAG
note
1
Evidence see note 2
•
Scottish Governments National Review of Opium Replacement Therapies Report.
Integrated health and social care drug and alcohol teams have been developed as part of
service redesign with the aim of providing holistic, one stop assessment, and treatment and
recovery services. This also included a redesign of service provision from acute to primary
care settings including the physical re-location of services to central, community located
premises supporting better access to services. Within both drug and alcohol integrated service
teams (services provided by health and social work services) distinct “recovery” step down
services have been developed to support the care pathway model.
There has also been service redesign carried out by service with a focus on hard to reach
groups redesigning services to extend provision to:
• Enhanced services for Women – Recovery project have targeted women
including women only services and crèche facilities to support participation. A
local residential rehabilitation services have been developing a women’s
residential rehabilitation facility (due to be open October 2015). Enhanced
services have been provided to women offenders supported by criminal Justice
social work and Persistent Offenders Partnership
• Family Support – Family support services have been developed this has included
services which provide the opportunity for families to engage in joint activities.
• Outreach (move away from one location for delivery from this service in the past)
• Individualised one to one community support.
• SMART Recovery
8.2 Identify and Commission Against key Recovery Outcomes
ADP resource allocation processes require that funding allocations are linked with Recovery
outcomes and are monitored against recovery outcomes. Funding allocation processes also
include evidencing Quality Standards for Alcohol and Drug Services. This work is being
supported by HSCP commissioning and monitoring framework.
23
Theme
RAG
note
1
Evidence see note 2
Initial discussions have taken place. This work requires the opportunity for services to have a
better understanding of where they are with respect to the Quality Standards expectations. This
process has been established but requires further development.
8.3 Recovery outcome reporting across alcohol and drug services (Please outline what
current/planned recovery tool you are using)
Inverclyde HSCP statutory health and social work alcohol and drug services have adopted the
use of the Recovery Outcome Star Tool. All staff within Integrated Alcohol Services and
Integrated Drug Service teams have been trained on the use of this tool. Implementation has
been phased.
Integrated Alcohol services have implemented the tool across a range of services within the
team and have been able to provide reporting from this process for one of these services.
Details are reported at 8.6 below. Reporting across all services should be available before the
end of 2015.
Integrated Drugs services ave initiated the assessment side of using the tool, they are however
in the process of moving to the reporting phase. This should be available in late 2015.
Other commissioned services servicers use a variety of outcome measurement tools, often
these are tools adopted across national agencies. Section 8.6 below provides details of how
partners have reported outcomes.
8.4 Individual Recovery Care Plan and Review
The process of implementing the Recovery Outcome Star across core treatment services has
supported Individual Recovery Care Plan and Review the tool as providing a more
motivational, holistic and intelligible care planning tool which provides service users with a way
of identifying and communicating their own outcome goals service users can see the progress
the actions they are involved with regarding treatment support and other services are making
towards achieving these goals.
24
Theme
RAG
note
1
Evidence see note 2
8.5 Involved Mutual Aid and Recovery Communities
In 2014/15 the ADP commissioned peer support training as part of the strategy to support local
capacity to build a stronger network of peer networks building on local recovery capital assets.
This training was attended by a range of partners from statutory and voluntary sectors and
people in recovery.
Locally there is a long history of provision by national mutual aid and fellowships including AA
and NA and more recently CA (Cocaine Anonymous).
ADP partners have developed a range of mutual aid and peer support opportunities. These
have been developed from within both the statutory and voluntary sectors. A key aspect of the
recovery development worker post funded by the ADP (funding was continued in 2014/15) has
been to widen opportunities for peer support in Inverclyde.
Over 2014/15 there has been a move towards some of the peer support groups obtaining
charitable status and being able to apply for their own funding. This has been an important part
of service re-design where long term users of statutory services have been supported to
develop alternative support mechanism through a peer support model. These groups have
been supported by addictions staff and Community and Voluntary Services Inverclyde (CVS)
to form independent steering groups, obtain charitable status and make independent
applications for financial support for external funders. Examples include:
•
Wellpark Alcohol Support Project
(WASP) is a peer led support group which promotes recovery facilitating:
involvement, outings, therapy and a range of activities.
family
• The Inverclyde Recovery Café (IRC) Project has taken forward a range of peer
support groups over 2014/15. This approach has been based on a model which
facilitates service users to take forward groups within their area of interest - often
building on service users areas of expertise. This work has been supported by Your
Voice Inverclyde and the recovery development worker.
25
Theme
RAG
note
1
Evidence see note 2
This has included: music groups (Recovery Jam) and Drama Group. The IRC has also
developed an extensive programme of social event in response to service user
consultation which provides evening and weekend social events and Saturday Brunch
café at which is operated with support by service users.
•
HMP Greenock Recovery Café: IRC has supported in partnership with HMP staff the
development of the Recovery Café Project hosted at HMP Greenock. This project
facilitates the development of recovery capital building strengths with an emphasis on
peer support.
•
Peer led Family Support groups are supported by the Integrated Drugs Service and a
Local Residential Rehabilitation Service (Voluntary Organisation – Jericho house)
•
There has been a long standing care pathway to the peer support group “GEESE
“hosted by a local recovery project “Moving On”.
8.6 Recovery outcomes
•
Please include your recovery outcomes for all individuals within your alcohol and drug
treatment system for 2014/15 if available.
26
RAG
note
1
Evidence see note 2
8.6a Inverclyde Integrated alcohol Services ; Recovery Star Report 2014/15
Recovery Star Scores
Theme
Integrated Alcohol Services Recovery Star Scores Initialm Assessment and
Review
9.1
9.1
10 8.49
8.7
8.2
8
7.9
9
7.7
7.7
7.6
7.5
6.9
8
6.7
7
6
4.8
4.1
4
3.9
5
3.7
3.5
4
3
2
1
0
Initial
Assessment
Review
27
Theme
RAG
note
1
Evidence see note 2
% of sample who showed decrease, no change or increase in
Recovery Star Scores across the 10 recovery indicators
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Decrease
Same
Increase
8.7 Please include what your priorities are in implementing ROSC in 2015-16.
Inverclyde ADP delivery plan sets out priorities for the implantation of ROSC which will be
established in 2015-16. This includes in summary
Implementing Recovery
Oriented Systems of Care
(ROSC)
Recovery Café
Developments including
peer support
Review ROSC Plan audit current position with respect to
ROSC.
Ensure that peer support is an integral part of the ROSC
framework
Supported by Your Voice and Inverclyde Recovery Café,
continue to develop the recently established Recovery Café
28
Theme
RAG
note
1
Evidence see note 2
within the prison to promote and provide opportunities for
offenders affected by alcohol/ drug misuse to achieve
recovery.
Supporting the Needs of
Offenders
ROSC:
Supporting
Prison
Population
Support the implementation
of the NHS GGC Substance
Misuse Strategy for HMP
Greenock, Barlinne and low
Moss
Provide
access
to
supported
employment
opportunities as part of the
recovery pathway process.
HMP Greenock ROSC: Deliver a Recovery Orientated System
of Care (ROSC) to:
• Ensure that assessment and review processes are fit for
purpose
• Deliver pathways that support Recovery
• Workforce planning to ensure competencies to deliver
ROSC
Workforce Development:
Recovery Focus
• Provide access to Scottish Drug forum Addiction Workers
Training Project- initial funding for two workers to
commence 2015/16 : monitor progress and learning from
involvement with his project
• Support access to “In work “employment project as part
of recovery service provision.
•
Develop referral pathways into wider employability
projects and networks.
Supported by STRADA establish a learning and Development
action plan linked to ROSC.
Support lifelong learning
for people in recovery.
Providing Staff with Recovery Training in partnership with
Scottish Recovery Consortium in collaboration with
Renfrewshire and East Renfrewshire ADPs.
Provide adult learning and literacies programmes to adults
recovering from drug addiction.
29
Theme
RAG
note
1
Evidence see note 2
Develop a community
understanding of Recovery
9
All relevant statutory
requirements regarding
Equality Impact
Assessments have
been addressed during
the compilation of your
ADP Strategy and
Delivery Plan.
Please advise when this
was undertaken and is
next planned.
G
Work in partnership with the Mental Health Recovery and
Inclusion Group (MHRIG) to develop community strategies
for supporting Recovery across Inverclyde.
As per 2013/14 Response :
Equality Impact Assessments are embedded within service development processes. Equality
impact assessment is routinely carried out as part of partner’s governance arrangements for
commissioned service.
ADP funding allocation processes include a requirement for Equality Impact Assessment to be
evidenced. There is a need to ensure strategy and planning arrangement are supported by
equality Impact assessment processes.
DELIVER - Please evidence your ADPs Delivery activities/progress
Theme
10 Delivery of Joint
Workforce plans, as
outlined in ’Supporting
The Development of
Scotland’s Alcohol and
Drug Workforce’
statement are in place
across all levels of
service delivery which
RAG
note 1
Evidence
see note 2
A
A work stream has been established to meet the workforce development requirements
outlined within “Supporting The Development of Scotland’s Alcohol and Drug workforce”. The
Inverclyde ADP Learning and Development Strategy has provided a focus for ADP workforce
development over the past year. This strategy has been supported by an annual training plan
which has directed the commissioning of training across the Alcohol and Drug Workforce. The
strategy places an emphasis on a partnership approach within the context of recognising that
the whole community have a role to play in supporting better outcomes for individuals and
communities where substance misuse impacts on lives, including prevention strategies.
30
Theme
are based on the needs
of your population.
see note 7
RAG
note 1
Evidence
see note 2
Further development of this work stream is a key priority for the ADP in 2015/16. This work
will build on developments which have taken place over 2014/15 which have included :
• The review of Tier1 and Tier 2 alcohol and drug education in consultation with staff
groups.
• This has involved the redesign of inclusion of training modules delivered including the
addition of Roles and Values facilitating the implementation of ROSC.
• Roll out of Tier1 and Tier 2 training across partner agencies
• Peer support training
• Extensive NPS training programme delivered across partner agencies including
vulnerable young; those working with looked after and accommodated children and
youth support workers and school guidance staff.
• Cannabis awareness training
• Motivational Interviewing training
• Trauma aware practice training
• Drug Alcohol and Youth Work Training
Work is required to develop a comprehensive Joint Workforce Plan across all levels of
service delivery with all ADP partner agencies. The ADP has secured support for this work to
be provided by STRADA. Initial discussions have been held with STRADA and STRADA have
provided a draft Strategic Workforce Development and Planning Brief with a key aim of
supporting the continued growth of Recovery Oriented System of Care (ROSC) within
Inverclyde.
Recent changes to STRADA’s operating arrangements have required a review of the
workforce development support which will available to the ADP. New arrangements will focus
on the delivery of learning and development scoping exercise which will provide a learning
and development Action Plan linked to ROSC key phases.
An ADP short life working group has been established to support this work which will
commence formally with STRADA in November 2015.
Workforce development continues to be supported through ongoing systems in place to
identify and address training needs through:
31
Theme
RAG
note 1
Evidence
see note 2
•
Performance Review processes, PDP and performance review as part of the regular
KSF process.
• Personal Develop Plans
• Supervision arrangements.
An ongoing training programme is delivered through team meeting structures supporting
identified training needs within alcohol and drug service teams.
ADP partners are included in the network which provides a focus on ensuring access to
training across all ADP partner agencies. In particular this includes access to generic training
for ADP partner agencies (voluntary and statutory sector) on for example child protection,
vulnerable adults and suicide prevention, adult protection and violence against women.
The ADP prepares an annual training report which outlines provision. This report is presented
to ADP Executive Group and Committee on an annual basis. A copy of the Inverclyde ADP
training report for 2014/15 can be made available if further details are required.
11 Please provide a bullet
point summary of your
ADP’s Alcohol and
Drug
Provision,
to
demonstrate the range
of
prevention,
treatment/recovery
&
support interventions
(including
early
interventions)
commissioned by the
ADP which have been
delivered
in
the
reporting period.
We recognise there will
be overlaps – please use
G
Prevention, treatment/recovery & support interventions (including early interventions) are
provided by a range of teams and organisations.
Inverclyde Integrated Drug Service
•
•
•
•
•
Duty Service: A duty worker is available to provide support, information and advice.
Duty workers can also can assess and make referrals to appropriate services required.
Assessment Clinic: This service provides support to people who have been referred
or self-referred and who are trying to move away from problematic drug use.
Dual Diagnosis Clinic: a consultant psychiatrist led clinic which offers ongoing
support to people with severe and enduring mental health issues and associated drug
problems.
Substitute Prescribing: People referred to this service will be allocated a keyworker
who will in partnership with the service user develop a personal care plan which will
assist in reducing and stopping problem drug use. This will be used in conjunction with
Opiate Replacement Therapies prescribing where required.
Detox: Offered short term detox using subutex treatment. Suitable service users for
32
Theme
RAG
note 1
Evidence
see note 2
local definitions.
•
•
•
•
•
•
•
•
•
•
•
this clinic would include people with mild opiate dependence and people prescribed
methadone who are considered suitable for methadone detox.
Hospital Liaison: Where a referral has been made from an acute hospital, staff can
respond by providing an assessment and appropriate interventions within an acute
setting. This service also offers liaison clinics.
Occupational Therapy Service: This service supports people to live more
independently through identifying and achieving goals and overcoming difficulties.
Lifestyle Interventions: There are opportunities for service users to participate in a
variety of groups activities and where required one to one support from our support
workers. Variations of group activities are advertised regularly on our notice board.
Complementary Therapies: Our in-house therapist provides therapy sessions via
referral for service users including message, relaxation therapy, accudetox etc.
Family Support Service: The family support service provides advice, information and
emotional support to individuals who have been affected by a family members’ drug
use.
Homeless Service: A nurse and drug worker located within homelessness services
provide a comprehensive service to people who are homeless.
Hepatitis C Service: Patients are assessed and treated for Hepatitis C at Inverclyde
Royal Hospital. Patients can access this service through referrals from Harm
Reduction Service, Addiction Nurses, Drug Workers or GP. If patients do not wish to
be treated they can be monitored six monthly where the ongoing health of their liver is
assessed.
Primary Care Service: Shared Care: This service provides additional support and
advice to local GP’s who are providing a substitute prescribing clinic. Addiction Nurse
and Drug Workers attend these clinics and key work service users if required.
Naloxone Programme: We provide Naloxone Training for service users their
families or friends. Naloxone can be use in the event of an opiate overdose and can
help save lives. Please ask staff for details of training.
Harm Reduction Services: The Harm Reduction Service offers a range of services
including: Needle Exchange, Blood Borne Virus information and testing, Pregnancy
Testing, Wound care etc.
Inverclyde Integrated Drugs Team - Intensive Recovery Programme: The aim is to
33
Theme
RAG
note 1
Evidence
see note 2
help people achieve major and lasting change in moving away from drug use and the
drug scene. In this programme a team of recovery workers provide an intensive range
of additional supports to those provided by the keyworker and doctor. These supports
are intended to improve physical and mental health, to help stop/reduce illegal drug
use and to help people tackle the various life problems that they may have.
Inverclyde Integrated Alcohol Services
Inverclyde Integrated Alcohol Service is a joint team of NHS and council services which
provides treatment and support for people experiencing alcohol problems. The service also
works with young people, local groups, organisations, families and communities to reduce the
risk of harm caused by alcohol misuse. Services Include:
Treatment and Support Services Provided by the Integrated Alcohol Service Include:
•
•
•
•
•
Counselling Services: One to one counselling services are available. This can be as
part of the care pathway once someone has completed the day service programme or
as stand-alone service where assessment has identifies this as the appropriate
intervention.
Consultant psychiatrist/nurse led alcohol day services: This medical and nursing
service provides a range of medical and therapeutic interventions. People referred to
this service will receive an in-depth assessment and given a personal care plan to
achieve and sustain abstinence.
Community Alcohol Nurses: This service provides supports for people who, in
addition to alcohol problems, experience mental or physical health problems or use
other substances. The nurses also prepare people for detox programmes. People can
be seen in a variety of settings.
Acute Liaison Services: This service helps people in acute hospital settings
(Inverclyde Royal) to address and underlying problems with alcohol. Nursing staff
provide in-depth assessment, appropriate intervention and can refer onto other alcohol
services for specialist treatment and support.
Intense Outreach Support Services: This service provides support to people who
34
Theme
RAG
note 1
Evidence
see note 2
•
•
•
•
are trying to move away from problematic drinking. The support will start with an
assessment leading to an agreed care plan.
Recovery Programme: “Moving Through”: This programme is a group based
service which provides support to people who have completed one or more of the
Integrated Alcohol Services programmes. The programme is part of the recovery
pathway offered by Inverclyde Integrated Alcohol Services. The programme involves
links with other agencies and has a strong link with other community facilities. The
programme also works to support mutual support through peer support development.
Arrest Referral /persistent Offenders Partnership (POP): Delivered in partnership
with Inverclyde integrated drugs team and local police Scotland services. The team
work in partnership with local criminal justice services and HMP Greenock. The project
works to prevent further offending and custodial sentences with the aim of breaking the
cycle of alcohol and drug misuse and crime.
Homelessness Services Alcohol Worker: Dedicated alcohol support worker
provides support services and ADIs within the Homelessness service.
Young Persons Alcohol Councilor: Specialist counseling services for young people.
Youth Addiction Workers Service: CHCP Social Work Services
The Youth Addiction Workers are part of the Youth Justice and Youth Support Teams
provided. The service provides support to young people aged 8-18 years. This is a Tier 3
service, providing assessment, individual and family support, advice and guidance and
programmed work.
Prevention and Education
Healthier Inverclyde Project/Drink Safe:This service promotes safe drinking and raises
awareness of alcohol consumption. The team attends community events and provides
services to employers . This service is available Monday to Friday with some evening and
weekend working by arrangement. The service provides the Tier 1 and Tier 2 Alcohol and
Drug awareness programme across Inverclyde ADP partners.
Young Person’s Alcohol Team:This service is dedicated to tackling Alcohol problems
35
Theme
RAG
note 1
Evidence
see note 2
amongst young people up to the age of 26 years. It provides an extensive prevention and
education programmes in both primary and secondary schools, counselling services and
engages with organisations that provide a service to young people.
Community Learning and Development (CLD): CLD services service provide a range of
drug prevention and education inputs to secondary schools. Within risky behavior strategies a
further range of input to schools address behaviors with reference to influence of alcohol and
drugs.
Health Improvement Schools Input : Tobacco Work in schools has been re-designed to
include Cannabis.
Residential Treatment and Rehabilitation Services
• NHS Inpatient Treatment Services
The Kershaw NHS in-patient unit provides planned residential alcohol detoxification for those
individuals with a higher tariff of risk or need e.g. previous significant withdrawal experience,
psychiatric/physical comorbidity, unsuccessful community based detoxification, other
complicating substance dependence. This is complemented by psychosocial therapeutic
interventions while resident and seamless return to the locality service for continuing support.
• Residential Drug Treatment and Rehabilitation Services
In response to needs residential Drug treatment and rehabilitation services have been
commissioned from a range of providers on a spot purchase basis. Jericho Society Provides
Residential Rehabilitation Service for men in Inverclyde. Currently this provider is developing
a service for women which will be operational in October 2015..
ADP has commissioned support services form a range of partner organisations .The
ADP web site provides a list of all services and what is provided and can be located
at: http://www.inverclydeadp.org.uk:
36
Theme
RAG
note 1
Evidence
see note 2
This includes further details of;
•
•
•
12 Please provide a brief
summary of the
interventions your ADP
has delivered to
support communities:
A
Inverclyde Recovery Café project
Moving on Inverclyde ; Recovery Project
Support services commissioned from:
- Scottish Association for Mental Health
- Salvation Army
- Barnardos
- Richmond Fellowship
The ADP Delivery Plan 2013/2018 and ADP Strategy 2015/18 provide details of ADP Partner
intervention supporting the delivery of ADP National and local outcomes. Please see ADP
delivery plan previously provided to Scottish Government and attached copy of ADP strategy
for details.
Below is brief summary of Interventions:
a) Prevention of
developing problem
alcohol/drug use
b) Community Safety/
violence against
women/Reducing
Reoffending
c) Children/ CAPSM
d) Supporting People
in moving on from
treatment and care
services for ongoing
recovery (e.g. Self
Directed Support,
mutual aid/recovery
communities)
•
Prevention of developing problem alcohol/drug use
A comprehensive prevention and education programme is delivered across the ADP and is
provided by a range of ADP partners including the following services and supports:
• HSCP Young People’s Alcohol Team deliver prevention and education programme
across all primary and secondary schools in Inverclyde and deliver to young people in
other settings. Over 2014/15 these programmes were delivered to 1,125 Secondary
School pupils and 952 primary school pupils.
• Community Learning and Development Service provide drug awareness programme in
Schools and youth settings and to youth groups.
• Alcohol and drug training for Youth workers was delivered to 32 members of staff in
2014/15.
• Annual “WASTED” project delivered to all P2 pupils in Inverclyde: delivered by range
of ADP partners – targets “risk taking behavior” including alcohol and drugs.
• Inverclyde Integrated Drug Service: Family Support Service delivered “Drug proofing
37
Theme
RAG
note 1
Evidence
see note 2
Your Kids “courses.
Police Scotland have introduced a Schools and Residential Homes Liaison Officer who
links with colleagues in education and CLD to jointly deliver appropriate inputs on
alcohol and drugs to school children in Inverclyde.
• Drink Safe Inverclyde deliver alcohol and drug awareness to wider community
including employers, staff groups, and community events. This team delivers the Tier 1
and Tier 2 Alcohol and Drug awareness programme. 75 Staff from across ADP partner
agencies attended this training. Bespoke alcohol awareness training was provided to
102 staff members for council environmental services.
• Drink Safe Inverclyde have implemented an alcohol an older peoples programme
providing awareness training to staff working with older people including care homes.
• Cannabis and NPs training has been commissioned and delivered across ADP
partner’s’ staff groups.
• ADP partners have supported overprovision work in partnership with the Local
Licensing Forum.
• Licensees have been provided with information of reducing alcohol related harm, drug
awareness including NPS annual licensing seminars.
b) Community Safety/ violence against women/Reducing Reoffending
• ADP has funded a Persistent Offenders Partnership (POP) with dedicated staff from
Alcohol and Drug services and Police Scotland. This project works in partnership with
Criminal Justice Social Work Services, Procurator Fiscal Services and HMP Greenock.
• HMP Greenock and Inverclyde Recovery Café Project supports the
reducing
reoffending programme by building recovery capital among prisoners in recovery and
providing links and peer support networks outwith the prison through the HMP
Greenock recovery Café Project..
• HMP Greenock Community Integration Units provide links with community services
including access to alcohol and drug services.
• Criminal Justice Women offender’s project has supported access to alcohol and drug
services.
• Police Scotland have locally introduced the neighbourhood team of 6 officers. This
team provides additional support to the police Scotland commitment to tackling ASB
and all alcohol and drug related violence. This team regularly engage Safer
Communities, Licensees and Housing to better identify problematic tenancies,
•
38
Theme
RAG
note 1
Evidence
see note 2
locations and people.
Children/ CAPSM
• ADP has targeted children and families staff for a wide range of alcohol and drug
awareness training including NPS and Cannabis training.
• CPP has delivered CAPSM training across Children and Families and partner
agencies.
• Family support services ae delivered by Integrated Drug services including where
these families have children.
• Barnardos has delivered the “Threshold Plus” family support service which targets
those where there has bene an impact from parental alcohol and drug misuse.
• Policies and assessment processes have been reviewed as part of implementation of
new GOPR policy and guidance.
d) Supporting People in moving on from treatment and care services for ongoing
recovery (e.g Self Directed Support, mutual aid/recovery communities)this is covered extensively in other part of the report mostly within section 8 of this report..
•
•
•
13 A. A transparent
performance
management
framework is in place
for all ADP Partner
G
for mutual aid and peer support please see section 8.5
HSCP Integrated alcohol and integrated drugs team as part of service redesign deliver
pathway within core services which include access to services from treatment to
recovery which are located within these teams.(see section 8 within ROSC discussion)
Following from this pathway there are pathways available which support service users
to move to support within a Recovery Community Model. This is delivered by the
Inverclyde Recovery Café and community services provided by Moving On Recovery
project provided by a voluntary organization.
A.
ADP funding regulations include a requirement to provide outcome performance reporting.
Partners are required to include performance management and reporting intentions within any
bid for funding. Outcomes are reported and monitored though ADP Executive and ADP
committee.
39
Theme
RAG
note 1
organisations who
receive funding
through the ADP,
including statutory
provision
Evidence
see note 2
Where appropriate agreement can be sought to use the projects central performance
reporting management reports if these meet the ADP requirement – with the aim of
minimising the duplication of reporting for partners. This is of particular use to partners where
small grants have been allocated on a non-recurring basis.
B. Describe how all
ADP Partners
contribute to delivering
outcomes identified in
the Joint Strategic
Needs Assessment
(box 1) which includes
prevention, recovery,
treatment, support and
throughcare services
through ROSC
provision, where in
place.
Where a mechanism is not in place for reporting recovery outcomes partners from (April
2014) are asked to use the Recovery Outcome Indicators (included within ADP Reporting
Guidance Document).
ADP funding regulations also include a requirement for funded agencies to demonstrate
implementation of National Quality Standards for Substance Misuse Services (being phased
in providing services with time to implement and monitor the new standards).
The Addictions Management Quarterly Performance Review Process provides a performance
management framework for statutory health and social care services where activity and
finance information and targets are part of a detailed scrutiny process.
REVIEW - Please evidence your ADPs Delivery activities/progress in reviewing Strategies/Outcomes
Theme
14 ADP Delivery Plan is
RAG
note 1
A
Evidence see note 2
ADP Delivery plan is reviewed through ADP Governance Structures.
reviewed on a regular
basis, which includes a
review of the provision
of prevention activity,
recovery, treatment
40
15
and support services
(ROSC).
Progress towards
outcomes focussed
contract monitoring
arrangements being in
place for all
commissioned
services, which
incorporates
recommendation 6
from the Delivering
Recovery Report.
A
Statutory services are working towards the full implementation of outcome focused monitoring
through Outcome Star. Training has been completed. Services are now working through
incorporating into assessment and review processes. Some services have advanced more
than others with this task. Over 2015/16 the goal is for all Statutory Services to be reporting
via Outcome Star as a mechanism for monitoring service level outcomes.
For Commissioned Services: Providers use outcome reporting tools adopted by their own
organisations. As part of contract monitoring processes.
Clinical and care governance requirements also support the monitoring of services against
outcomes across both statutory and commissioned services. .
Recommendation 6: A full range of essential care Services include identifiable community
rehabilitation services – including using people with lived experience; access to detoxification
and residential rehabilitation; access to a full range of psychological and psychiatric services;
services addressing employability and accommodation issues.
see note 8
Drug and alcohol treatment services are consultant led services .
16 A schedule for service
G
The HSCP quarterly performance management processes provide a mechanism for
monitoring and review of statutory services. Externally commissioned services are subject to
HSCP contract compliance processes. The Implementation of the Quality Standards for
Alcohol and Drug Services will be incorporated into our monitoring processes as part of
enhancing current processes. Recovery measurement tool to be included in performance
measurement.
A
Service Users and carers are embedded within the partnership commissioning processes
through various routes. Service user and carers are represented within ADP governance
structures though representation from a local stakeholder network on the ADP Committee and
ADP sub-groups. The ADP is supported through the CHCP Inverclyde Advisory Group
network which has an alcohol and drug misuse sub group This network bring people with a
common interest together to create a stronger voice in influencing decisions about the delivery
monitoring and review
is in place, which
includes statutory
provision.
17 Service Users and their
families play a central
role in evaluating the
impact of our statutory
and third sector
services.
41
and development of services and to strengthen the work that is already happening in the
community. The network has a focus on:
• Identifying common issues of concern
• Highlighting gaps in provision
• Working in partnership with statutory partners to develop solutions
• Highlighting areas of good practice – what works well
The Addictions Sub Group of the Inverclyde Advisory Network aims to:
Ensure that relevant information pertaining to alcohol and drug misuse is communicated and
cascaded and people have the opportunity to get involved and have their say. This is an
ongoing process where the Advisory group feeds into the ADP reporting cycle on a quarterly
basis.
The work from this sub-group feeds directly into the CHCP Inverclyde Advisory Group and the
Alcohol and Drug Partnership (ADP). Reports from the Advisory group are included within
SOA delivery reports provided to the CPP in response to progress on the SOA Alcohol theme.
There is representation throughout the ADP governance structure from a local Community
Stakeholders group including the ADP committee.
Service have carried a range of service user consultation exercises
Including families: It has been acknowledged that including families in the evaluation of the
impact of statutory and third sector services is an area for improvement.
•
•
18 A. There is a robust
A
The Inverclyde ADP Delivery Plan makes a commitment to work with carer
organisations to implement improvements in engaging with families in evaluating the
impact of our statutory and third sector services.
Inverclyde Peoples Week 2015 (provides a focus for Alcohol and Drug services to
make service users and the wider community better aware of support available ) has a
“Supporting Families ”. this work has been supported by the national organisation
“Families Affected by alcohol and Drugs”.
A
42
quality assurance
system in place which
governs the ADP and
evidences the quality,
effectiveness and
efficiency of services.
B. Please advise when
(and how) your ADP
has/plans to undertake
an assessment of local
implementation of the
‘Quality Principles:
Standard Expectations
of Care and Support in
Drug and alcohol
Services.
See notes 9 and 10
The Service activities within the ADP are monitored by sub groups and reported to ADP
Committee and to Full Council. Key performance data in respect of Alcohol is reported
systematically to the SOA Board and Community Planning Partnership.
HSCP Addiction services report via Quarterly Performance Reports. This includes HEAT
Standards, targets and performance against developmental goals, HR and commissioning
activity. Both Day and Inpatient service activity is reported. The Overview Performance Report
is reviewed by the CEO NHS GGC and the CEO Inverclyde Council twice yearly. A range of
appropriate multiagency groups ensure governance of joint initiatives which are reported as
above e.g Persistent Offenders Partnership. Systematic Service User' feedback is reported as
an integral part of the above processes'
The application and continued review of clinical and care governance arrangements across
alcohol and drug services support services to be able to evidence the quality, effectiveness
and efficiency of services.
B
Implementation of Quality Principles Standard Expectations of Care and support in
Drug and alcohol Services.
The Initial stages of this process have begun: Scottish Government ADP Support Team
provided a seminar/workshop with service providers to outline and set the context for
implementation of the quality principles. This also provided the opportunity to test out models
of change to support services in thinking about small tests of change.
Following this event services were provided with copies of Quality principles audit templates
being used by other ADPs.
Services have already carried out audits with reference to SRI 2 tool. This work will form a
basis for taking forward fuller implementation of Quality principles for Drug and Alcohol
Services.
Timescales:
-
Services will be asked to complete an agreed audit tool by December
2015.
43
-
19 Describe the progress
your ADP has made in
taking forward the
recommendations from
the Independent Expert
Review of Opioid
Replacement Therapies
in Scotland. Please
include any
information around the
following:
19.1 your (updated,
if applicable) Key Aim
Statement
19.2 a specific
update on your
progress in
implementing it –
have you achieved
it/when do you plan
to do so?
19.3 Outline the work
of your ORT
Accountable Officer
19.4 How many
people were in
receipt of opiate
replacement
therapies in your area
This will form the basis for an action plan supported by the workforce
development work being supported by STRADA
A
19.1 Your (updated, if applicable) Key Aim Statement ,
19.2 a specific update on your progress in implementing it – have you achieved
it/when do you plan to do so?
Statutory services will ensure that the recommendations of the Expert Group are considered
and implemented.
IIDS has achieved its Key Aim of incorporating a recovery focus in all cases subject to
review.This was completed within projected deadline
We will seek to place recovery at the core of all services promoting safer, high quality
responses to assessed need which are timeous, inclusive and holistic.
Recovery will involve the individual, their families and communities in a process of positive
change.This will be measured and monitored using tools which have ongoing input from SUs
and significant others.
Consideration of alternatives to methadone is given at all points in the patient journey.Newly
presenting opiate dependant service users are high priority for alternative, safer prescribing.
Naloxone is offered routinely at clinics and reviews.The uptake to date is disappointing,
particularly in those who are in recovery. Greater efforts will be made to persuade service
users of the potential benefits to themselves and others.
A thriving Recovery network has been established by Inverclyde Recovery Café with support
from IADP and other Voluntary sector groups.Vocational training has been procured via SDF
and service users are supported to access a wide range of social, vocational and educational
opportunities.
Family support is available to service users where appropriate.We continue to promote staff
training and development and to develop services which are aimed at early, effective
44
between 1 April 2014
& 31 March 2015.
19.5 Information on
length of time on ORT
and dose
19.6 Information
about any related
staff training in ORT
provision or recovery
orientated systems of
care.
19.7 Detail of any
ORT focussed groups
operating in the area.
19.8 GP engagement
– how drug and
alcohol treatment is
being delivered in
primary care settings.
See note 10
intervention and prevention of harm.
The ORT ‘Accountable Officer’ is the Associate Medical Director GGCHB.He was a member
of the Expert Group and chairs the Board wide Addiction Clinical Governance Group which
considers substitute prescribing, critical incident reporting and audits relevant to ORT.
The lead consultant for IADP chairs the Substitute Prescribing Management Group which has
multi-disciplinary representation and includes contractors [GPs Pharmacists].
The Accountable Officer ensures training for staff involved in ORT by delivering quarterly
‘Shared Care Conferences’ aimed at GPs, Addictions and Pharmacy staff.
19.3 Outline the work of your ORT Accountable Officer
The Responsible Officer for ORT in NHS GG&C health board associated ADPs is the
Associate Medical Director (AMD) for NHS GG&C Addiction Services.
The AMD is co- chair of the board wide Alcohol and Drug Clinical Services Review (CSR),
which includes a review of ORT in NHS GG&C. The review was driven by priorities including
addressing unmet need, reducing variations in standards of practice and increasing the
recovery orientation of services. The review of ORT in NHS GG&C was also informed by the
Independent Expert Review of ORT in Scotland (as well as other key documents). The CSR is
now entering an implementation phase, which includes the implementation of
recommendations in Glasgow city community addiction teams and GP shared care schemes.
The RO is a member of the Implementation Board for this phase of service redesign.
The AMD chairs the board wide Addictions clinical governance system, which includes the
following remits pertaining to ORT:
• The board wide Substitute Prescribing Management Group (SPMG), currently chaired
by an addiction consultant psychiatrist. This multi-disciplinary group includes
representation from contracted services (GPs and pharmacists) and all ADP areas.
The group monitors ORT prescribing within the board, reported at ADP level, and coordinates development of best practice advice and guidelines. Currently, the group is
updating the GG&C Prescribing Guidelines in relation to ORT and benzodiazepines.
The group reports to the Governance Group, chaired by the AMD.
• Critical incident reporting and investigations, including adverse incidents in relation to
ORT. Learning from investigations is disseminated through the SPMG and other
45
•
governance sub-groups such as Person Centred Care
Record of Audits relevant to ORT
The AMD chairs the Glasgow City Alcohol and Drug Deaths Prevention sub-group of the
Glasgow city ADP and manages the work of the Alcohol and Drug Deaths Research
Associate and Assistant.
The AMD co-ordinates CPD opportunities for staff involved in ORT by organising a quarterly
“Shared Care Conference” aimed primarily at GPs, pharmacy staff and addiction staff. This is
currently delegated to a Senior Medical Officer and a planning team to ensure appropriate
learning needs are addressed in a programme covering relevant topics. In addition, GP
practices contracted to the Drug Misuse NES undergo an annual support and monitoring visit.
The NHS GG&C RO was a member of the Independent Expert Review of ORT and is ViceChair of the Scottish Government’s National Forum on Drug Related Deaths.
19.4 How many people were in receipt of opiate replacement therapies in your area
between 1 April 2014 & 31 March 2015.
19.5 Information on length of time on ORT and dose
19.4 19.5
Inverclyde
ADP 2014/15
Opiate Substitute Treatment Caseloads (data sources:
EMIS and shared care returns)
2014/15 Data
CAT OST Caseload
Shared Care OST Caseload
Total OST Caseload
587
188
775
46
Community Addiction Team Prescribing
(data source: EMIS)
Methadone
CAT No. clients prescribed Methadone
CAT Methadone dose range (ml)
514
2-200mls
Breakdown of Methadone Doses
(No of Individuals)
1-30mls
31-59mls
60-120mls
121mls and over
Suboxone
CAT No. clients prescribed Suboxone
CAT Suboxone dose range (mg)
Breakdown of Suboxone Doses (No of individuals)
0.8mg to 7mg
8mg to 24mg
25mg and over
All Community Addition Team Length of Time in
Treatment* % of Patients receiving Suboxone or
Methadone
<1 year
1-4 years
5 year plus
110
142
236
26
73
0.8-24mg
18
55
0
Estimated Numbers
8%
47
26%
153
66%
387
Shared Care Prescribing (data source: shared care returns)
Methadone
Shared Care No. clients prescribed Methadone
Shared Care Methadone dose range (ml)
Breakdown of Methadone Doses (No of Individuals)
1-30mls
31-59mls
60-120mls
177
3-130
43
68
65
47
121mls and over
1
Length of Time in Treatment (Methadone)
<1 year
13
1-4 years
77
5 year plus
87
177
Suboxone
Shared Care No. clients prescribed Suboxone
Shared Care Suboxone dose range (mg)
Breakdown of Suboxone Doses (No of individuals)
0.4mg to 7mg
8mg to 24mg
25mg and over
Length of Time in Treatment (Suboxone)
<1 year
1-4 years
5 year plus
11
0.4-12mg
5
6
0
1
6
4
*based on 2013/14 data due to data migration to EMIS and resulting data
loss.
19.6 Information about any related staff training in ORT provision or recovery
orientated systems of care.
• Scottish Recovery Consortium Recovery Matters Training
• Scottish Recovery consortium Events
• Quarterly ‘Shared Care Conferences’
19.7 Detail of any ORT focussed groups operating in the area.
NO
48
19.8 GP engagement – how drug and alcohol treatment is being delivered in primary
care settings.
• Shared Care is delivered via LES by GPS The scheme is part of the Local Enhanced
Service governed by NHS Greater Glasgow and Clyde.
• All general practitioners work to the same protocol as specialist services to ensure
consistency in the provision of treatment and support.
• General practitioners are supported by specialist workers. Including Consultants and
specials drug team nursing and social work staff.
• A series of educational events are held throughout the year for general practitioners to
attend to ensure knowledge and practice is informed but current evidence base.
• Practice visits are carried out once a year by specialist medical staff.
• Inverclyde Integrated Drug Team staff support GP led clinics, this provides an important
link for service users with other recovery support available.
• Within the primary care framework cases are prioritised such that high risk child care/
chaotic cases are retained within the core service
20 Please describe in brief
bullet points how your
ADP and partners are
contributing to delivery
of a Whole Population
Approach for Alcohol.
G
Inverclyde ADP Whole Population Approach to Alcohol
• Alcohol Brief Interventions
HEAT Standard settings
Emergency Department/Acute
• Acute Addiction Liaison Nurse pilot in ABI clinic in IRH Emergency Department. Twice
weekly half day sessions, will be reviewed December 2015.
• ABI learnpro e-module available to staff
• Acute Addiction Liaison Nurses are available to provide scheduled and ad hoc face to
face Alcohol Screening and ABI Delivery training to staff both in HEAT standard and
wider setting areas
• Acute Addiction Liaison Nurses providing support to acute staff around recording and
reporting ABI activity
Primary Care
• Community nursing staff are currently supporting primary care delivery.
49
Antenatal
• Board wide working groups looking at developments for this area (Acute focus).
Currently screening and ABI occurring at the “booking session”
Wider Settings
IIAS
• Initial Contact now routinely using AUDIT questionnaire
• ABI delivery being recorded on in house spreadsheet.
Healthier Inverclyde Project (HIP)
• Provide Alcohol Screening and ABI Delivery training to community wider settings
Generally there is a need to improve recording and reporting mechanisms (particularly wider
settings). This will form part of the HIP work.
• Prevention and Education
Delivering prevention and education programme to young people across Inverclyde through:
Young People’s Alcohol Team (YPAT): deliver alcohol education programme across all
primary and secondary schools in Inverclyde, including booze busters programme. In the
2014/15 academic year, YPAT have delivered alcohol awareness sessions to 1125
Secondary School pupils and 952 primary school pupils.
Community Learning and Development Services: provide a range alcohol awareness
education inputs in schools and youth services as part of Risky Behaviour Strategies.
Police and fire and Rescue services: deliver alcohol inputs to schools inputs to schools.
“ Drug Proofing your Kids” : Family Support Team deliver this programme which also
addresses alcohol related harm.
Parenting Campaign: Provides parents with access to information about alcohol and its
impact. Raising issues of supporting parents to understand the impact of alcohol on young
people. How to approach the subject with young people and to consider their own alcohol
consumption and how this influences /impacts their children.
Inverclyde Education Services:
50
-
Health and Wellbeing Survey of young people and follow up work has helped to
support local whole population approach to alcohol, identifying needs and solutions.
Education Services’ Health and Wellbeing Plan provide a programme for alcohol and
drug education.
Schools address alcohol awareness within PSD
Schools have taken forward specific projects where young people have considered
impact of alcohol in their local community -(Port Glasgow High School) .
Inverclyde HSCP Drink Safe Inverclyde Team:
Alcohol awareness is delivered across employers, employability groups, college, youth groups
and community events. This work provides the opportunity to deliver Alcohol Brief
Interventions (ABIs).
During 2014/15 the Drinksafe Inverclyde Team have engaged with over 2100 members of the
public at events including Gourock Highland Games, Gourock Garden Party, Port Glasgow
Comet festival and Gourock Fake Festival
Across 2014/15 this team have provided a focus on :
- Alcohol and Older People
Alcohol and older people; including training across the wider community and with care homes
and staff groups working with older people.
This work will be supported by the piloting of Older Peoples ABI which better reflects the
impact of alcohol on areas like medication changes to the impact of alcohol as the body ages
including impact on falls and fall prevention.
- Alcohol in Pregnancy
Raises awareness of the risks of alcohol and pregnancy including Foetal Alcohol Syndrome.
Community Safety Partnership
Community Safety have established an suite of intelligence which is made available to
community councils at ward level which includes alcohol related harm information.
The service is embarking on a study of the nigh time economy: to better understand needs
51
within particular localities in Inverclyde where alcohol related harm is an issue.
Community Safety Partnership has introduced the Beat Bar None Programme
Fire and Rescue and Community Safety
House fires including those where alcohol is an issue are a target for fire and rescue and
community safety staff. This work also included work with private landlords promoting smoke
alarms.
• Licensing
Inverclyde licensing board has taken a range of actions to minimise alcohol related harm and
better manage the impact of alcohol across the community. This has included:
- Introduction of overprovision arrangements within a restricted area of the centre of
Greenock
- “Protecting Children” restricting the grating of licenses in circumstances where for
example children will be attending award events.
- Maintenance of a curfew supporting the safer management of the night time economy.
Police Scotland and HSCP provide comment on any license applications where alcohol
related harm which may result from the granting of /extension to alcohol licences
Licensing Forum
The ADP coordinator, alcohol service manager and Health Improvement Officers and youth
work representatives are members of the licensing forum providing a mechanism for
influencing licensing policy and decisions
Licensed Trade
Police Scotland in partnership with other ADP partners provide licencing seminar which
promote relationships with the licensed trade supporting responsible licensing, this has
included both drug and alcohol awareness including information about New Psychoactive
Substances.
ADP Training Strategy
Inverclyde ADP training strategy has provided a focus on supporting access to Tier 1 and Tier
2 training across ADP partners and wider employee groups in Inverclyde. The key aim being
52
to raise awareness of alcohol related harm for those who are dealing with the community.
21 How many service
22
users are in receipt of
prescriptions for
problem alcohol use?
How many service
users are receiving
counselling/support
through ADP
commissioned
services?
23 How many service
users have received
treatment for ARBD in
the reporting period?
Data is unavailable
Given the variety of service providers and the possibility of duplication numbers in numbers
this number has been calculated from open cases within core alcohol and drug treatment
services.
Inverclyde Integrated Alcohol Services
• Inverclyde Integrated Alcohol Services 543 open cases. This team provides a range of
services (noted in detail at section 11 in this report) which would be included within the
counselling /support classification in the question.
• This team has specialist counselling service, currently this service has a caseload of
255 (this is included within the 543 open cases total.
Data from Drugs Team
• There are 650 open cases allocated to the drugs Service. Of these 650 clients 11 are
shared with the Homlessness Service.
• The Family Service have a further case load of 108 family members to whom they
provide counselling information advice and support.
• 200 patients support by shared care services where clinics ae also supported by
Integrated Drug Services Staff
• Estimated total 958.
We frequently encounter service users experiencing varying degrees of ARBD. This is not
currently specifically recorded to allow an annual count. The following information provides
details which give some idea of the service input in support of ARBD need:
• ARBD has been identified as a workforce development priority in 2014/15: 31
members of staff attended ARBD training (this was a follow up to a seminar held in
2013/14 where 50 members of staff attended. This included staff from across the
statutory and voluntary sector.
• 68 individuals received prescribed Pabrinex via IIAS. This is mainly for prophylaxis.
• We currently support 15 individuals across two specialist ARBD units In total we
53
provide just over 300 hours housing support to 13 of these 15 individuals (ranging from
14 hours per week to 35 per week). This support is provided by SAMH and includes a
range of support dependant on the individual’s needs. This may include socialisation
work, assisting service users with weekly tasks such as shopping, and attending
appointments e.g. dentist or doctors appointments. We also provide an additional 9
hours social care to the three individuals.
3. FINANCIAL FRAMEWORK
Your Report should identify both the earmarked alcohol and the earmarked drug funding from Scottish Government which the ADP
has received (via your local NHS Board) and spent in order to deliver your local plan. It would be helpful to identify any other
expenditure on drugs and/or alcohol prevention, treatment/support services or recovery which each ADP partner has contributed
from their core budgets to deliver the Plan. You should also highlight any underspend and proposals on future use of any such
monies.
3. FINANCIAL FRAMEWORK
Your Report should identify both the earmarked alcohol and the earmarked drug funding from Scottish Government which the ADP
has received (via your local NHS Board) and spent in order to deliver your local plan. It would be helpful to identify any other
expenditure on drugs and/or alcohol prevention, treatment/support services or recovery which each ADP partner has contributed
from their core budgets to deliver the Plan. You should also highlight any underspend and proposals on future use of any such
monies.
Total Income from all sources
Income
Earmarked funding from Scottish Government
Funding from Local Authority
Funding from NHS (excluding funding earmarked from Scottish Government)
Funding from other sources
Alcohol
Drugs
£ 686,000
£ 703,000
£ 671,000
£ 364,000
£ 282,826
£ 282,826
£ 706,000 [IC
Commissioning]
Total
£ 1,389,000
£ 1,035,000
£ 565,651
£ 706,000
Total
£ 2, 346,000
£ 3, 696,000
£ 1,350,000
54
Total Expenditure from sources
Prevention (include community focussed, early years, educational inputs/media, young
people, licensing objectives, ABIs)
Treatment & Support Services (include interventions focussed around treatment for
alcohol and drug dependence)
Recovery
Dealing with consequences of problem alcohol and drug use in ADP locality
Total
Alcohol
Circa £ 400k
Drugs
Circa £ 160k
Total
£ 560,000
Circa £
1,500k
Circa £ 400k
Circa £
1,000k
Circa £ 190k
£ 2,500,000
£ 2,300,000
£ 1,350,000
£ 3,700,000
£ 590,000
£ 50,000
End Year Balance for Scottish Government earmarked allocations
Drug
Alcohol
Total
Income £
£ 1,350,000
£ 2, 346,000
Total
Expenditure £
£ 1,350,000
£ 2,346,000
£ 3, 696,000
Total Underspend from all sources
Underspend £
Support in kind
Provider
POLICE SCOTLAND
End Year Balance £
NIL
NIL
£ 3,696,000
Proposals for future use
NIL
Description
1 OFFICER + ADMIN PERSISTENT OFFENDERS’ PARTNERSHIP
55
4.
PERFORMANCE FRAMEWORK - PROGRESS
ADP performance framework is found at Appendix 2
ROSC
We will measure if a ROSC has been successfully implemented in our area by:
• Monitoring and reviewing our ROSC implementation progress against our ROSC Plan. The implementation of a ROSC will be aligned
with our planned work on
- Implanting Quality Principles for Alcohol and Drug Services
- Workforce Development
• Consult with service users and cares on our performance in successfully implementing a ROSC this will be carried out in consultation
with service users and carers. This will include engagement though:
- our existing stakeholder engagement processes via the HSCP Inverclyde Advisory Group alcohol and drug misuse sub
group.
- Service engagement with service users
- Planned work to engage with carers.
HHSCP
Please include progress made re-establishing baselines, local improvement goals/targets and progress using the
ScotPHO website for all national outcomes. You may submit your annual update on your performance framework from
your delivery plan, however please include local indicators, linkage between activities, indicators and outcomes, how you
will measure if a ROSC has been successfully implemented in your area.
56
5.
ADP & MINISTERIAL PRIORITIES
ADP Priorities 2014/15
Please list the progress you have made in taking forward your ADP’s five key commitments for 2014/15.
ADP key commitments for 2014/2015
1. Update ADP Strategy and Delivery Plan
2. Working towards meeting the recommendations
of the ORT Review Including Further Embedding
ROSC
3. Implement Systems for Reporting on Outcomes
Progress on
ADP key commitments for 2014/2015
Inverclyde ADP Commissioning Strategy 2015-18 and ADP Delivery Plan 2015-2018
have been developed consulted on and approved through ADP governance
structures.
All cases have been reviewed to ensure that recovery is at the heart of treatment.
Service users are offered naloxone on a regular and systematic basis
Safer forms of ORT are promoted particularly with new presentations of opiate
dependency and governance structures are established to ensure clinical standards
across the Board area. Service users are linked into mutual aid groups, Recovery
Café, education and vocational training. Opportunities for family support and
intensive recovery have been developed All recommendations of the Expert Group
have been adopted and staff benefit from training around Recovery and Shared Care
including GPs , pharmacists and specialist addiction workers from health and social
care backgrounds
Core treatment service working within the Inverclyde Integrated Drugs Team and
Inverclyde Integrated Alcohol Team have been trained on assessment of and
recording of outcomes using the Outcome Star tool.
This was a comprehensive training programme implemented as part of the strategy
to embed outcome recording and reporting within practice across services. In the
latter part of 2014/15 it has been possible to report on outcomes using the tool from a
selection of teams. Work will continue to secure more comprehensive outcome
reporting across teams. This will be of particular importance in supporting the
implementation of the new national Drug and Alcohol Information System (DAISy).
57
ADP key commitments for 2014/2015
4. Implementing Quality Standards for Drug and
Alcohol Services
Progress on
ADP key commitments for 2014/2015
Programme for implementing Quality standards for alcohol and Drug Services
(QSADS) has included delivery of a local Scottish Government seminar on QSADS
launching the standards across the area: raising awareness of exceptions with
respect to the standards and giving providers the opportunity to apply small tests of
change methodology : increasing understanding and confidence with using
improvement methodologies.
Teams have considered audit tools for assessing QSADS being used in other ADPs
across Scotland.
Discussions have taken place as part of commissioning and procurement review
processes to include QSADS within contact monitoring and evaluation processes.
A work stream has been established to meet the workforce development
requirements outlined within “Supporting The Development of Scotland’s Alcohol and
Drug workforce”. The Inverclyde ADP Learning and Development Strategy has
provided a focus for ADP workforce development over the past year. This strategy
has been supported by an annual training plan which has directed the commissioning
of training across the Alcohol and Drug Workforce.
5. Further Develop Workforce Development Plans
The strategy places an emphasis on a partnership approach within the context of
recognising that the whole community have a role to play in supporting better
outcomes for individuals and communities where substance misuse impacts on lives,
including prevention strategies. The ADP Learning and Development Strategy for
2014/15 has provided a focus on :
• Incorporation of ROSC within core tier 1 and tier 2 training: including roles
and values
• Roll out of Tier1 and Tier 2 training across partner agencies
• Peer support training
• Extensive NPS training programme
• Cannabis awareness training
58
Progress on
ADP key commitments for 2014/2015
ADP key commitments for 2014/2015
•
•
•
Motivational Interviewing training
Trauma aware practice training
Drug Alcohol and Youth Work Training
Work is required to develop a comprehensive Joint Workforce Plan across all levels
of service delivery with all ADP partner agencies. The ADP has secured support for
this work to be provided by STRADA. Initial discussions have been held with
STRADA and STRADA have provided a draft Strategic Workforce Development and
Planning Brief with a key aim of supporting the continued growth of Recovery
Oriented System of Care (ROSC) within Inverclyde.
ADP Priorities in 2015/16
Please list your ADP’s five key commitments for 2015/16 following this self-assessment.
ADP Priorities in 2015/16: ADP’s five key commitments for 2015/16 following this self-assessment.
1
ROSC
2
Implementing Quality Standards for Drug and Alcohol Services
3
Implementation of the new National Drug and Alcohol Information System (DAISy).
4
Drug Related Deaths
5
Workforce Development
59
Ministerial Priorities
ADP funding allocation letters 2015-16 outlined a range of Ministerial priorities and asks ADPs to describe in this ADP Report their
local Improvement goals and measures for delivering these during 2015/16. Please outline these below.
Ministerial Priorities 2015/16: Local Improvement Goals and Measures
Ministerial
Priorities 2015/16
Inverclyde ADP Improvement
Goals
2015/16
WHAT WE WANT TO ACHIEVE
1
Implementing
improvement
methodology at local level, including
implementation
of
the
Quality
Principles: Standard Expectations of
Care and Support in Drug and Alcohol
Services and responding to the
recommendations outlined in the
independent expert group on opioid
replacement therapies.
We will continue to develop and embed best
practice, assuring ease of access and timeous
response to service user need by all of our
services
Implementation of developments consistent
with ‘Quality Principles’
Ensure service provision is consistent with the
conclusions of ORT Expert Group.
2
Ensuring a proactive and planned
approach to responding to the needs of
prisoners affected by problem drug and
alcohol use and their associated
through care arrangements.
2.1 HMP Greenock
NHS Greater Glasgow and Clyde Prison
Healthcare have developed a comprehensive
Substance Misuse Strategy which includes all
prison delivered services and an inclusive
health and recovery focused model for delivery
of all substance misuse services to those in
custody. Throughcare is a priority area and is
Delivery Measures
HOW WILL WE ACHIEVE THIS
We will continue to analyse our practice and
develop service responses in partnership with
users and other partners
We will embed ‘Outcome Star’ and relevant
tools to assure performance measurement.
We will manage risk in relation to ORT,
promote alternative treatments to methadone
and place recovery at the heart of all service
provision.
We will continue to support and promote our
Intensive Family Response Service to
address whole family needs and support
training and development of Addiction staff
2.1 HMP Greenock
The model ensures all referrals are acted on
within timescales set and that there are
systems in place to address urgent issues.
There are quarterly reporting requirements
and an audit process built in to the standard
operating procedures to ensure all areas of
the Substance Misuse strategy are met. Each
60
Ministerial
Priorities 2015/16
Inverclyde ADP Improvement
Goals
2015/16
WHAT WE WANT TO ACHIEVE
reflected
throughout
the
interventions
delivered. The services will reflect community
practice with appropriate adaptations and will
work alongside partners.
Delivery Measures
HOW WILL WE ACHIEVE THIS
service user is provided with an individualised
care plan which is updated as care continues.
Throughcare
arrangements
with
GP
prescribers and support services will be
concluded prior to release from custody.
NHS GG & C will make appropriate referrals
to the SPS Throughcare Support Officers who
will ensure all such referrals are actioned and
a suitable release plan agreed. The SPS
Throughcare Support officers will continue to
support those individuals engaged in the
service for the required period following
release.
2.2Maximisation of effective early interventions 2.2 We will continue to develop a bespoke
with offenders in the community, police cells Addiction Nurse service in SPS. Persistent
Offenders Partnership [POP] will continue to
and pre and post liberation
work into prisons. DTTO will be fully
supported by our Integrated Drug Services.
We will ensure that all requirements are met in We will work effectively within our capacity to
regard to database reporting. We will meet or ensure that targets are met in respect of
exceed national Waiting Times Standards
DATWTD. We will ensure full staff capacity
and the development of low threshold
approaches to access care
3
Compliance with the Drug and Alcohol
Treatment
Waiting
Times
Local
Delivery
Plan
(LDP)
Standard,
including, increasing the level of fully
identifiable records submitted to the
Drug and Alcohol Treatment Waiting
Times Database (DATWTD).
4
Preparing local systems to comply with We will ensure compliance with the DAISy All staff involved in delivery will be trained and
the new Drug & Alcohol Information system
supported. We will refine our processes and
61
Ministerial
Priorities 2015/16
Inverclyde ADP Improvement
Goals
2015/16
WHAT WE WANT TO ACHIEVE
System (DAISy) which is expected to
be operational by Autumn 2016.
Delivery Measures
HOW WILL WE ACHIEVE THIS
maximise the effectiveness of organisational
information systems
5
Compliance with the Alcohol Brief We want to increase our number of Standard We will deliver extensive training, modify
Interventions (ABIs) Local Delivery Plan and Wider Setting ABIs
reporting systems and support effective
(LDP) Standard.
reporting of ABIs
6
On-going implementing of a Whole We wish to achieve a far reaching change in We will sustain our existing comprehensive
Population Approach for alcohol attitude to drinking alcohol in our community.
input to all school aged children in Inverclyde.
We will continue to engage with our
recognising harder to reach groups,
supporting a focus on communities
Community re alcohol awareness and
where deprivation is greatest.
education and develop our input to people
who are homeless and prisoners
7
ADP engagement in improvements to We want to ensure that less people become
reduce alcohol related deaths.
involved in problematic and risky drinking in
the first place.We wish to ensure that those
who do are treated timeously and appropriately
8
9
We will continue to encourage and support
effective Partnership action to achieve Culture
change in Inverclyde.
We will continue to develop services which
prevent and divert people from dangerous
consumption and ensure effective services for
those who require them
Increasing compliance with the Scottish We will achieve compliance with SDMD within We will ensure that all relevant staff are
Drugs Misuse Database (SDMD), both capacity.
trained and supported to ensure efficient and
effective recording and practice
SMR25a and b.
Increasing the reach and coverage of We will ensure development in line with the
the national naloxone programme and recommendations of the ORT Expert Group
tackling drug related death (DRD)/risks
in your local ADP.
We will support the development of
alternatives to methadone and promote and
sustain
our
significant
Recovery
developments
62
Ministerial
Priorities 2015/16
10
Inverclyde ADP Improvement
Goals
2015/16
WHAT WE WANT TO ACHIEVE
Delivery Measures
HOW WILL WE ACHIEVE THIS
Improving
identification
of,
and We will increase awareness and understanding We will deliver tailored inputs to every school
preventative activities focused on, new of NPS on a whole population and ADP basis
which highlight the risks attached to NPS. We
psychoactive substances (NPS).
will deliver bespoke training on NPS. We will
continue to monitor NPS impact upon
statutory services linking actively with the
Drug Trend Monitoring Group.
APPENDIX 1: NOTES
1.
Please complete the RAG column for each theme according to the following definitions:
ADPs should assess themselves against their three-year delivery plans.
RED
AMBER
GREEN
Not yet started or being considered for the future
Work in progress but not yet completed or still some development needed
Work either completed or a pattern of work fully established to the ADP
specification and now an on-going piece of work which includes further
enhancements.
2.
This column should be used to describe the range of evidence used to support the RAG Score. We do not require the
source documents to be attached unless specifically requested
3.
Joint Strategic Needs Assessment: Joint strategic needs assessments (JSNAs) analyse the health needs of populations
to inform and guide commissioning of health, well-being and social care services within local authority areas. The main goal of a
JSNA is to accurately assess the health needs of a local population in order to improve the physical and mental health and wellbeing of individuals and communities. (http://www.nhsconfed.org/Publications/briefings/Pages/joint-strategic-needsassessment.aspx) ). It is recognised that grey literature is issued in-between specific Commissioned Strategic assessments such
as prevalence and ADPs will wish to factor this into their on-going planning.
4. Joint Performance Framework: a national assessment process on how effectively local partnerships are achieving these
improvements. (http://www.sehd.scot.nhs.uk/publications/cc2004_02.pdf)
63
5.
Integrated Resource Framework: An Integrated Resource Framework is: Patient level data to explore service use and then
evaluate pathways over time for people with problem alcohol or drug use, data for all hospital based services and GP prescribing
have been linked by NHS ISD for everyone in Scotland for 4 years. Data has always been available at patient level from ISD but
the activity data has also been costed using patient level costing, allocating fixed and variable costs by speciality and location
across Scotland.
The Integrated Resource Framework was developed jointly by the Scottish Government, NHS Scotland and COSLA to enable
partners in NHS Scotland and Local Authorities to be clearer about the cost and quality implications of local decision-making about
health and social care. The IRF helps partnerships to understand more clearly current resource use across health and social care
for different population groups, enabling better local understanding of costs, activity and variation across service planning and
provision for different population groups, enabling better local understanding of costs, activity and variation across service planning
and provision for different population groups. (http://www.shiftingthebalance.scot.nhs.uk/initiatives/sbc-initiatives/integratedresource-framework/)
By providing Health Boards and their Local Authority partners with the information required to plan strategically and review services
more effectively, and by developing financial relationships that integrate resources around populations instead of organizations’,
partners are able to realign their resources to support shifts in clinical/care activity within and across health and social care
systems.
6.
Please indicate in your evidence if you have received feedback on this report from your Community Planning
Partnership/Integrated Joint Board or other accountability route, specifying who that is. Strategic commissioning is
informed by The Commissioning Cycle (the outer circle) which drives purchasing and contracting activities (the inner circle), and
these in turn inform the on-going development of Strategic Commissioning. Strategic commissioning is defined as ‘term used for all
activities involved in assessing and forecasting needs, links investment to desired outcomes, considering options, planning the
nature, range and quality of services and working in partnership to put this in place. Strategic commissioning process is defined by
four stages, analyse, plan, deliver and review as presented visually in the diagram below.
7.
The Alcohol and Drug Workforce Statement is addressed to anyone who has a role in improving outcomes for an
individual, families or communities experiencing problematic drug and alcohol use.
8.
A full range of essential care Services include identifiable community rehabilitation services – including using people with
lived experience; access to detoxification and residential rehabilitation; access to a full range of psychological and psychiatric
services; services addressing employability and accommodation issues.
http://www.scotland.gov.uk/Resource/Doc/217018/0058174.pdf)
64
9.
Quality Assurance Framework: A guidance document which sets out the systematic monitoring and evaluation of the
various aspects of a project, service, or facility to ensure that standards of quality are being met. Examples of how to improve the
quality of your services may be found at
http://www.qihub.scot.nhs.uk/media/458288/efficient%20and%20effective%20cmht%20prototype%20version%201.pdf
10.
The Quality Principles: Standard Expectations of Care and Support in Drug and Alcohol Services can be found at
http://www.gov.scot/Publications/2014/08/1726 N.B. We plan to work with the Care Inspectorate over the next 18 months to
validate ADPs and services’ self-assessment against The Quality Principles. We expect fieldwork to begin in the later part of this
calendar year and we will work with ADPs to assess their readiness to be involved at either the start, middle or end of the rolling
programme. It is expected that a steering group (involving ADP reps and others) will oversee/ guide the work of the programme.
The focus of the project is very much on improvement support as opposed to formal inspection and each ADP will receive an
individualised briefing summary of the CI’s findings (areas of strength in relation to the Quality Principles and opportunities for
improvement). A national report will also be produced but this will be anonymous and not feature any ADP-identifiable data.
11.
The Independent Expert Review of Opioid Replacement Therapies in Scotland ‘Delivering Recovery’ can be found at
http://www.gov.scot/Publications/2013/08/9760/downloads
We are looking to improve this self-assessment for ADPs on a regular basis. Please describe briefly whether you found
the questions asked to be useful in considering your current position.
65
Appendix 2
ADP Performance Framework
ADP Self-Assessment – Annual Report for the reporting period 2014/15
Section 1: Performance Framework
Section 2: Benchmarking Report
Introduction
This Performance Framework reports on progress towards 2014/15 target where information is available. Actions taken by partners towards
achieving outcomes are provided under the headings of the ADP National Outcomes. Where possible actions are linked with indicators in
brackets after each action - with the caveat of the need to recognise the limitations of attributing outcomes to one particular action. Where
available local ADP indicators towards meeting these outcomes are included.
Benchmarking
Information is benchmarked against National Data within the core tables. A separate benchmarking section includes benchmarking against an
ADP agreed data set which includes NHSGG&C and other ADPs within the NHS GG&C
66
Section 1: Performance Framework
Single Outcome Agreement Local Outcomes:
SOA 4: The health of local people is improved, combating health inequality and promoting healthy lifestyles.
SOA 5: A positive culture change will have taken place in Inverclyde in attitudes to alcohol, resulting in fewer associated health problems and
reduces crime rates.
Indicator
Performance
ADP Target for Comment on
Base line most recent figure
2014/15
progress against
For Benchmarking National figure in ()
2014/15 Target
1.1 Drug Related Hospital
Admissions: rate per 100k
ADP
2009
241
2010
256
2011
275
2012
192
1.2 Alcohol Related Hospital
Admissions:: rate per 100k
ADP
2009
1383
2010
1230
20/11
1189
2012
1164
1.3 Alcohol related mortality:
Annual/ISD Alcohol Statistics
Scotland. Rate per 100k
ADP
2009
39.4
2010
48.4
2011
38.5
2012
27.9
1.4 Prevalence of Hepatitis C
among injecting drug users. %
(Needle Exchange Surveillance
Initiative)
1.5 Drug Related Mortality
5 year average rate per 1,000 pop
Local Indicator
ADP
Considerable increase
in drug related hospital
admissions
.Target
has not been met.
12% fall in alcohol
related admission rate.
Exceeded target.
R
10% reduction
in ADP rate
19% reduction in rate
of
alcohol
related
mortality.
Exceeded
target.
G
2011
(53.0
National)
2011
70.4
(53.0 National)
TBC: updated data not
currently available.
NA
2010-2014
0.19
(0.11)
Reduce 5 year
average.
R
2013
13
2014
17
2% Reduction
2012/13
91.3%
2013/14
89.8%
Reduce
percentage
Inverclyde five year
average per 1000 pop
is considerably higher
than the national rate
Increase in absolute
number of drug deaths
from 13 to 17. Target
not met
Reduced by 1.5%
moving closes to the
1.5a Drug Related Mortality
Numbers
ADP
2010
7
2011
17
2012
20
1.6 Alcohol Related Emergency
Hospital Admissions Percent of
ADP
2009/10
91%
2010/11
93%
2011/12
94%
2010
63.7
2013
240
(125
National)
2013
1022
(697
National)
2013
22.5
(21.4
National)
2% reduction in
ADP Rate
RAG
ADP National Outcomes 1.0 Health: People are healthier and experience fewer risks as a result of alcohol and drug use.
2% reduction in
ADP Rate
by
G
R
A
67
Performance
Base line most recent figure
For Benchmarking National figure in ()
alcohol admissions which are
emergency.
LOCAL INDICATOR
1.7 Alcohol related repeat
hospital admissions: Average
number of discharges per
patient
LOCAL INDICATOR
1.8 Alcohol acute liaison service
contacts resulting in active
involvement in specialist alcohol
services. Annual average
LOCAL TARGET
ADP
ADP Target for
2014/15
Comment on
progress against
2014/15 Target
(88.5%
National)
2%
Reduce ratio to
1.3
National figure.
Slightly missed target
moving
in
right
direction
Ratio
has
been
reduced to 1.3 meeting
target.
2009/10
2010/11
2011/12
2012/13
2013/14
1.4
1.4
1.5
1.4
1.3
RAG
Indicator
G
(1.5National)
ADP
2011/12
2012/13
2013/14
2013/14
2014/15
50%
56%
51%
51%
54%
1.9 Naloxone Kit : distribution
target 25% of prevalence.
2015
Community
307
Prison
285
Naloxone Kits Distributed
(Cumulative)
1% increase in
the percent of
contacts
with
service resulting
in
active
involvement.
Community
Target 2015
30%
of
prevalence (310
kits)
96
kits
per
annum
based
on
liberation
numbers.
3% increase
exceeding target
G
60% of target has
been met.
A
18% of the 25% total
has been net to date.
A
Actions taken by ADP Partners towards delivering on National and local outcomes noted:
•
•
•
•
Partnership has responded to this challenge on a number of levels by promoting early intervention wherever possible e.g. ABI training and promotion
[we are currently establishing a new service at A&E]. (1.2,1.3,1.6,1.8)
NHS GGC wide review of ABI delivery including data collection processes has taken place. Implemented 2014/15. (1.2,1.6,1.7)
Training provided to A&E staff, acute liaison work, referrals from first admission for alcohol related reasons. Training programme for Acute Service
staff around alcohol screening and alcohol and drug withdrawal management Targeted training programme for staff in Acute settings has been
delivered by Alcohol liaison Staff embed liaison's role as a regular contributor to acute nurse's practise development sessions around alcohol
problems and junior doctor training programme. (1.2,1.3)
Acute liaison pilot at Glasgow Royal Infirmary Emergency Department looking to improve engagement with their attenders is being implemented in
68
•
•
•
•
•
•
•
•
•
•
•
•
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Comment on
progress against
2014/15 Target
RAG
Indicator
Inverclyde on a Pilot basis.
Acute liaison nursing staff support more frequent clinics supporting rapid access to Alcohol services from acute referral processes. This includes a
focus on hose with repeat admissions supporting continuity of care and better pathways into services. (1.2,1.3,1.6,1.7, 1.8)
Police Scotland remains actively involved in the Persistent Offender Partnership along with Drug and Alcohol workers from HSCP. The aim of this is
to support clients in reducing their alcohol and/or drug dependency with a view to reducing their offending and improving their overall health and
wellbeing.(1.1,1.3,1.4,1.6)
Patient review processes revised as part of commitment to OPR Review. (1.2,1.5, 1.9)
Hep C Programme. Continued development of programme with wider access to harm reduction including HEP C support through pharmacy services.
(1.4)
Drugs Death group are currently looking at individual cases and matching with community links and support. NHS GG&C Drug Related Deaths –
Annual Report will provide better intelligence and sharing of lessons learned across the board area supporting Drug Death strategies.(1.1,1.5,1.5a),
Naloxone incorporated into core assessment processes. Naloxone programme development: including Naloxone Pharmacy project, Homelessness
Services Harm Reduction Clinic, Naloxone Awareness Training Programme delivered across ADP Partners.( 1.1,1.5,1.5a).
Naloxone Development Programme at HMP: Following the review of the Take Home Naloxone Programme in Greenock Prison - NHS Pre Release
Group and the Take Home Naloxone Group have been merged to more effectively respond to referrals and targeting. Referral and monitoring
processes have been reviewed: all of those admitted to HMP Greenock (transfer in or court admission) who have either history of problematic drug
use or opiate use and all of those on a maintenance prescription are referred to the Take Home Naloxone Group. A process of monitoring has also
been included. (1.1,1.5,1.5a)
Festive overdose campaign delivered ( 1.1, 1.5a)
Training programmes have supported this outcome: Training for Addictions Staff including: Alcohol Related Brain Damage, Sexual Health, Core Skills
NPS and Cannabis awareness.
Older people and alcohol programme has been established with wider NHS GG&C work this has included targeted input to , care homes, this working
with older people, dissemination of information for staff. The next phase will consider revised assessment for alcohol and needs of older people.
(1.6,1.7)
The Substance Misuse Strategy for NHS GGC Prison healthcare has been agreed and currently at the workforce planning and implementation stage.
This strategy will ensure continuity across the three prison sites within NHS GGC and will improve service delivery for all those prisoners effected by
drugs and alcohol. It will firm up and improve all through care arrangements between prison and community and will encourage Recovery
Communities to grow and develop within prison ensuring smother transition to positive community influences on release. (1.1-1.5)
The BBV services have developed strong links to community services by having the same delivery within prison delivered by the same staff team as
the community. (4.1)
69
Single Outcome Agreement Local Outcomes:
SOA 5: A positive culture change will have taken place in Inverclyde in attitudes to alcohol, resulting in fewer associated health problems and
reduces crime rates.
SOA 6: A nurturing Inverclyde gives all our children and young people the best possible start in life.
Indicator
Performance
ADP Target for
Comment on
Base line most recent figure
2014/15
progress
For Benchmarking National figure in ()
against 2014/15
Target
2.1 Estimated prevalence of
15-64
2006
2009/10
2012
R
1% reduction in
Updated data
Problem Drug Use Amongst
Inverclyde%
2.6%
2.6%
3.2%
prevalence rate
from 2012 not yet
15-64 year olds, by age group.
(1.7 National)
total pop
available
% of population 15-64
ADP (no)
1400
1700
2.2 Estimated prevalence of
Males
2006
2009/10
2012
R
1% reduction in
Updated data
Problem Drug Use Amongst
Inverclyde%
4.4
3.8
3.7
prevalence rate
from 2012 not yet
Males 15-64 year olds, by age
(2.4 National)
males
available
group. % of population 15-64.
ADP (no)
1.100
2.3 Estimated prevalence of
Females
2006
2009/10
2012
R
1% reduction in
Updated data
Problem Drug Use Amongst
Inverclyde % 1.5
2.1
1.6
prevalence rate
from 2012 not yet
Females 15-64 year olds, by
( 1.0 National)
females
available
age group. % of population 1564.
ADP (no)
570
2.4 Percentage of 15 year old
15 year olds
2006
2010
2013
R
Reduce to 8%
Data is not
pupils who have used illicit
Inverclyde
16.9%
13%
10%
available on an
drugs in the last month (areas
( 9.4 National)
annual basis to
with lower
report on
prevalence).SALSUS
progress
2.6 Percentage of 15 year old
pupils who have used illicit
drugs in the last year (areas
with lower
prevalence).SALSUS.
15 year olds
Inverclyde
2006
20%
2010
14%
2013
19.1%
( 15.5 National)
Reduce to 14%
Data is not
available on an
annual basis to
report on
progress
RAG
ADP National Outcomes: 2.0 Prevalence: Fewer adults and children are drinking or using drugs at levels or patterns that
are damaging to themselves or others.
R
70
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
2.7 Males: exceeding
daily/weekly drinking limits
NHS GG&C Data
2011
49.9 NHS GG&C
( 48.7 National)
2.8 Female: exceeding
daily/weekly drinking limits
NHS GG&C Data
2011
39.2 NHS GG&C
( 38.6 National)
2.9 Individuals : exceeding
daily/weekly drinking limits
NHS GG&C Data
2011
44.3 NHS GG&C
( 43.4 National)
Reduce to Scottish
level in short term.
2.10 Males binge drinking
NHS GG&C Data
2011
26.2 NHS GG&C
( 26.0 National)
Reduce to Scottish
level in short term.
2.11 Females binge drinking
NHS GG&C Data
2011
18.3 NHS GG&C
( 16.7 National)
Reduce to Scottish
level in short term.
2.12 Individuals binge drinking
NHS GG&C Data
2011
22.0 NHS GG&C
(21.1 National)
Reduce to Scottish
level in short term.
2.13 Males problem drinking
NHS GG&C Data
2011
15.9 NHS GG&C
(13.9 National)
Reduce to Scottish
level in short term.
2.14 Females problem
drinking
NHS GG&C Data
2011
11.5 NHS GG&C
( 9.5 National)
Reduce to Scottish
level in short term.
Reduce
to
Scottish level in
short term. Smart
target will be set
one
trend
is
available. Applies
to 2.7 to 2.15
Reduce to Scottish
level in short term.
Comment on
progress
against 2014/15
Target
Data is not
available report
on progress on
2011 level
Data is not
available report
on progress on
2011 level
Data is not
available report
on progress on
2011 level
Data is not
available report
on progress on
2011 level
Data is not
available report
on progress on
2011 level
Data is not
available report
on progress on
2011 level
Data is not
available report
on progress on
2011 level
Data is not
available report
on progress on
RAG
Indicator
A
A
A
A
A
A
A
A
71
Performance
Base line most recent figure
For Benchmarking National figure in ()
2.15 Individuals problem
drinking
NHS GG&C Data
ADP Target for
2014/15
2011
13.7 NHS GG&C
( 11.7 National)
Reduce to Scottish
level in short term.
Reduce to 8%
2.16 Proportion of 15 year olds
drinking on a weekly basis
(SALSUS)
15 Year Olds
2006
2010
2013
Inverclyde
27%
10%
16.2%
(11.6National)
2.17 Weekly drinkers 15 years:
Mean number of units in the
last week. (<155 units)
SALSUS
Local Indicator
2.18 Number of referrals to
Alcohol Services
Source Waiting Times Data
15 Year Olds
Inverclyde
2006
2011
2013
18%
( National)
Reduce to 16%
ADP
2012/13
1133
2013
/14
989
2014/15
820
2% increase in
number of referrals
in short time.
ADP
2012/13
259
2013
/14
300
2014/15
344
2% increase in
number of referrals
in short time.
2013/14
40%
2014
/15
70%
Local Indicator
2.19 Number of referrals to
Drug Services
Source Waiting Times Data
Base
Local Indicator
2.20 NPS Training : All ADP
Partner agencies will have had
access to NPS Training
Local Indicator
2.21 Alcohol Brief
Primary Care including share
2014/15
Comment on
progress
against 2014/15
Target
2011 level
Data is not
available report
on progress on
2011 level
Increase in
proportion of
pupils reporting
drinking on a
weekly basis
target has not
been met.
Target met
RAG
Indicator
A
R
G
Target has not
been met there
has been a 7%
reduction in
referrals to the
service
Target has been
met.
R
50% of partner
agencies will have
accessed NPS
training.
Target has been
met.
G
Target 440
Target not met
R
G
72
Interventions
Performance
Base line most recent figure
For Benchmarking National figure in ()
of wider settings.
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
RAG
Indicator
Delivery 312
Actions taken by ADP Partners towards delivering on National and local outcomes noted:
•
•
•
•
•
•
•
•
•
•
•
Over 2014/15 Cannabis use has been raised as an area of concern. In response: Cannabis training has been commissioned and delivered to staff
from a wide range of ADP partner organisations and Inverclyde Integrated Drugs Service has established a Pilot Cannabis Clinic. (2.1 - 2.6)
IADP has maintained a whole population approach to our alcohol consumption problem, influencing Licensing policy and promoting interventions at
all levels to limit availability and supply of alcoholic drink.(2.7- 2.1),
Partners have responded to concern about youth drinking on a number of levels promoting education, parental involvement and effective, early
intervention. A partnership approach has been adopted including Police Scotland, Community Safety and Community Wardens, Youth Services, and
Young Peoples alcohol Team. (2.16-2.17)
Comprehensive, age appropriate alcohol and drug education inputs are delivered to every school in Inverclyde. Input has been augmented to include
NPS and cannabis information. . (2.6, 2.16-2.17)
Content of Education and prevention programme delivered to Secondary school has been reviewed in consultation with pupils. . (2.6, 2.16-2.17)
Input to local employment initiatives to support alcohol and drug awareness. .(2.7- 2.1),
Input to local businesses support alcohol and drug awareness including “Employer Health Offer”
Police Scotland (K division) have introduced a Schools and Residential Homes Liaison Officer who has quickly established links with colleagues in
Young Peoples Alcohol Team, Education and Community Learning and Development Services to jointly deliver appropriate inputs on alcohol and
drugs to school children in Inverclyde. (2.6, 2.16-2.17)
Police Scotland schools liaison has been further supported by the development of the neighbourhood team of 6 officers which commenced in early
2015. The neighbourhood team regularly engage with school children of all ages and have delivered requested inputs about alcohol and drugs. (2.6,
2.16-2.17).
nd
The ‘wasted’ programme was delivered to all 2 year pupils in Inverclyde over a 3 week period in 2014/14. This project tackled a range of “risk taking
behaviours” including alcohol and drugs. This was a partnership initiative which was jointly delivered by Young Peoples Alcohol Team, Health
Improvement, Police Scotland, Youth Services and Scotland Fire and Rescue. (2.4, 2.6, 2.16-2.17).
NPS Strategy has included; (2.1-2.6,2.7, 2.20)
o Developed NPS Training Programme: Specialist NPs training was commissioned to provide an extensive programme of NPS
awareness across staff from ADP partner agencies
o Incorporated NPS into awareness programmes across input to schools , college, youth work and Tier 1 and Tier 2 alcohol and Drug
training programme.
o Have included NPS into awareness programmes delivered across youth work
o Provided NPS awareness to licensees
o The Psychoactive Substances multi agency working group has continues to support a partnership wide focus for addressing local
73
•
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
NPS issues. In 2014/15 there has been a focus on establishing better information sharing and responses to demands related to NPS
locally. In 2014/15 this has included a focus on mental health services and looked after and accommodated children’s services staff
have been targeted for NPS training.
o Police Scotland are providing work in schools and colleges around harm reduction with reference to NPS.
o Police Scotland STOP Unit have delivered seminars to alcohol and drug services staff supporting a better understanding of NPS and
its use.
Finding from the HSCP Health and Wellbeing Secondary School pupil survey has support better targeting of resources to meet needs. Follow on
work form the findings has identified further actions identified by pupils to support better choices with respect to alcohol and drug use. This has
included: peer support for the delivery of alcohol awareness training. This has been established with a pilot with one secondary school where senior
pupils have been trained to deliver alcohol awareness to younger pupils. Pupils will also be involved with designing web base alcohol and drug
related information.(2.6,2.7,2.16, 2.17).
RAG
Indicator
ADP National Outcomes: 3.0 Theme: Recovery: Individuals are improving their health, well-being and life-chances by
recovering from problematic drug and alcohol use.
Indicator
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
3.1 Drug Spend Reduction
3.2 Prevalence of injecting drug
use: Individuals currently
injecting: Reported Injecting
Table 1.25
SMR 25: % of New Individuals
reporting injecting.
Data is not currently
available to update this
National indicator
ADP
2012/13
8.7%
2013/14
12.0%
2014/15
4.96%
2014 Target 3%
reduction in % of new
service users injecting
Comment on
progress
against 2014/15
Target
Data
is
not
available
to
update
this
National
indicator
Target has been
met with
considerable fall
in 5 of new
referrals
injecting.
RAG
SOA 2: Communities are stronger, responsible and more able to identify, articulate and take action on their needs and aspirations to bring about
an improvement in the quality of community life.
SOA 3: The areas economic regeneration is secured, economic activity in Inverclyde is increasing , and skills development enables both in work
and those furthers from the labour market to realise their full potential.
NA
G
74
Local indicator
3.3 HMP Greenock: Percent of
Prisoners Tested positive on
entry to prison
Percent of Liberated prisoners
tested positive on liberation.
Local Indicator
3.4 HMP Greenock:
Reduced or stabilised Drug Use
3.5 Number of problem Drug
Users still in treatment 3 months
after treatment commencing
(ORT only) Source: Continuum
includes only IIDS shared care
not included.
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
RAG
Indicator
2014/15
Target relates to
reduce the % of
liberations tested
positive
TBC
2014/15
TBC
2014/15
Increase percentage
TBC
March
2013
March
2014
Target 75 % of service
users still in treatment
after three months .
70%
90%
% of
admissions
tested
positive
2011/12
84%
2012/13
73%
2013/14
64%
2014/15
TBC
% of
liberations
tested
positive
Prisoners
Reduced or
Stabilised
Drug Use
2011/12
17%
2012/13
36%
2013/14
20%
2014/15
TBC
2013/14
44%
March
2012
78%
3.6 Recovery Outcome STAR
To be included in future
performance framework once
wider reporting is available.
This will include the STAR
indicators.
Target
exceeded.
considerable
increase
in
retention
in
services
of
those in drug
treatment
services service
G
NA
Actions taken by ADP Partners towards delivering on National and local outcomes noted:
•
•
Full time recovery worker post was extended over 2014/15 period.
Inverclyde Recovery Café have been continued to develop with a move towards training and education this has included; Tier 1 & 2 Addictions
training facilitated by IIAS / Health Issues in the Community / Volunteer Training / safe TALK / ASIST / Naloxone / Conversation Café Hosting / Art
Therapy / Music Therapy / Health Improvement Fund Bids / Scottish Recovery Consortium Funding Bids / SDF Addiction Worker Training
75
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
Programme / NLP Coaching / SMART Recovery / Skin Camouflage. The project has also provided as part of the Health and Wellbeing Programme
of the Recovery Café Project access to: Physical activities –Tai Chi / Self Defence / Badminton / Walking Groups / Street Soccer. Recovery Café
project is working with local criminal justice services to provide support a women’s group – initial focus of this work is confidence building- including
“confidence in recovery”. The Café project has provided an extended service which includes more frequent evening provision and weekend services
being available. supporting community inclusion with the opening of a Saturday Cafe open to the wider public. (all recovery indicators)
Inverclyde Recovery Café Project has continues to working with HMP Greenock to develop recovery cafes in Prison. The focus of this work has been
to develop peer led element of this initiative. (3.3,3.4)
Developments have been completed for the introduction of Community Integration Units at HMP Greenock: this will facilitate those in custody being
able to access community services including alcohol and drug services supporting better links with community services.(3.3,3.4)
A recovery activities service user brochure was developed in response to service users and staff requiring a better understanding of programmes
available across Inverclyde. This information is available electronically and provides a weekly programme of events.
A weekly Outreach Recovery Stall is facilitated y by the recovery development worker
Services now receive direct input from HSCP benefits staff; who hold surgeries within alcohol and drug services maximising access to these services.
This has supported the transition related to benefit reforms. This also included financial fitness support where benefits are not the area of concern.
A ROSC Action Plan continues to be progressed to support the implementation of ROSC work across the ADP.
Tier 1 and Tier 2 training has been re-designed to include “Roles and Values” this has supported the roll out of ROSC across partner agencies.
Phase two of a Core Skills Training programme has been delivered to ADP staff statutory training has been delivered across services.
The ADP has committed resources to the SDF Addition Workers Training Project. Two trainees are currently completing the programme with local
work placements.
Inverclyde Integrated Alcohol Services “Moving Through Project” has continued to develop services in response to service user input this has
included the establishment of a Service user led support group “WASP” and a music, gardening and walking group. The group has become
constituted and has been able to successfully apply for external funding.
Recovery Cafes groups (one for male and one for female prisoners) have been established at HMP Greenock. This work is supported through
Inverclyde Recovery Café Project workers. (3.3,3.4)
A local Residential Rehabilitation facility for women has been under development over 2-14/15 and I due to be operational October 2015.
Extension of Drug Service (IEP) harm reduction services will increase in access to services. (3.2).
HMP Greenock developments have involved: The development and sustaining of the Recovery Café has been a key action including the creation of
an all prisoner steering group to direct the café. There has been Funding gained from the Recovery Consortium for this group and its future
development. With the development of peer support/recovery café sharing of life stories and visitors from community partners has increase greatly,
this has been directed by the recovery café groups.
RAG
Indicator
76
SOA 5: A positive culture change will have taken place in Inverclyde in attitudes to alcohol, resulting in fewer associated health problems and
reduces crime rates.
SOA 6: A nurturing Inverclyde gives all our children and young people the best possible start in life.
Indicator
Performance
ADP Target for
Comment on
Base line most recent figure
2014/15
progress
For Benchmarking National figure in ()
against 2014/15
Target
4.1 CAPSM Maternities b14.1
%
2008
2009
2010
2011
R
2011
Rate of Maternities recording
Inverclyde 21.7
23.6
18.6
21.5
drug use.
(19.7)
TBC
4.2 CAPSM Maternities B14.1
%
2011/12
2012/13 2013/14
R
TBC
Rate of Maternities recording
Inverclyde 30.5
31.8
alcohol use.
4.3 Child protection case
%
2012
2013
2014
R
Target under
conferences where parental
Inverclyde 14.3
12.0
5.9
discussion.
drug or alcohol misuse has been
identifies as a concern.
Crude Rate/10,000 population
aged <18 years.
4.4 Child protection case
Inverclyde 2012
2013
2014
R
Target under
conferences where parental
8.0
10.4
5.9
discussion.
alcohol misuse has been
identified as a concern.
Crude Rate/10,000 population
ages <18 years.
4.5 Child protection case
Inverclyde 2012
2013
2014
R
Target under
conferences where parental
8.0
5.9
discussion.
Drug misuse has been identified
as a concern. (Crude Rate
/10,000 population aged <18
years).
RAG
ADP National Outcomes: 4.0 Families; CAPSM: Children and family members of people misusing alcohol and drugs are
safe, well- supported and have improved life changes.
Actions taken by ADP Partners towards delivering on National and local outcomes noted:
•
•
Special Needs in pregnancy services (SNIPS) continues to develop a multi-agency approach to supporting needs including alcohol and drug related issues. (4.1-4.2)
Barnardos Nurture service (Threshold plus service) secured one year extension to funding 2014/15 from Lloyds TSB (PDI) to support the continued
provision of services for CAPSM.(4.4, 4.5)
77
•
•
•
•
•
•
•
•
•
•
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
ADP has funded a Families Affected by Drugs and Alcohol scoping exercise being carried out by Barnardos. This work supports a local second stage
bit to Lloyds (PDI) for funding for a family support project; outcome will be known in October. (4.3-4.5)
We have produced a revised CAPSM procedure which ensures effective and safe protocols involving child protection and addiction services.
Assessment paperwork has been reviewed to support the effective implementation of GOPR new guidance.(4.1-4.5)
Inverclyde Recovery Café secured funding in 2014/15 to provide Crèche facilities for selected recovery café events facilitating family engagement with
recovery services. (4.3-4.5)
Local recovery project has delivered revised family support services and services targeted services for women. (4.3-4.5)
We continue to develop our Family Support services and have strengthened services to women offenders.)4.3-4.5)
Children and Families staff have been targeted for accessed alcohol and drug awareness training including NPS and Cannabis Training.
Early Years Staff have been included provided with alcohol and drug awareness training. (4.3-4.5)
Discussions have started to provide foster cares with access to alcohol and drug awareness training. Including Cannabis and NPS training.
A pregnancy and alcohol campaign has been delivered to the local community. Alcohol services are working in partnership with wider NHS GG&C
pregnancy and Alcohol work.(4.4, 4.5).
Within HMP Greenock:As part of the Recovery Café the participants organised and held and Family Day and was joint worked by SPS and NHS
Substance Misuse Team. The day was supported by the SPS Family Strategy. Families are included as a support option for those receiving Substance
Misuse interventions. (4.3- 4.5)
RAG
Indicator
ADP National Outcomes: 5.0 Community Safety: Communities and individuals are safe from alcohol and drug related
offending and anti-social behaviour.
SOA 2: Communities are stronger, responsible and more able to identify, articulate and take action on their needs and aspirations to bring about
an improvement in the quality of community life.
SOA 5: A positive culture change will have taken place in Inverclyde in attitudes to alcohol, resulting in fewer associated health problems and
reduces crime rates.
SOA 7: All children citizens and communities in Inverclyde play an active role in nurturing the environment to make the area a sustainable and
desirable place to live.
78
Performance
Base line most recent figure
For Benchmarking National figure in ()
5.1 Drug use funded by
crime %
Inverclyde
5.2 Attempted murder and
serious assaults: Rate per
10,000 pop
2010/11
20.0
2011/12
12.2
(8.9)
2012/13
11.3
(6.9)
2011/12
22.8%
(20.9)
2013/14
9.8
(6.1)
Local Indicator
5.2 a
No of serious assaults
2010/11
142
2011/12
88
2012/13
84
No of Serious Assaults
Detection rate
58.3%
60.4%
65.9%
5.3 No of Common Assaults
Rate per 10,000 pop
2011
107.5
(130.7)
2012
87.8
(114.7)
2013
75.2
(113.3)
Local Indicator
No of Common Assaults
2010/11
847
2011/12
737
2012/13
571
2013/14
475
2014/15
442
5.3a Common Assault
Detection Rate
5.4 Vandalism
Rate per 10,000 pop
63.5%
67.5%
70.8%
75.1%
TBC
2010/11
175.0
2011/12
161.0
2012/13
108.7
2013/14
94.2
2014/15
102.7
2011
25
2012
48.2
(46.8)
2010
17.4%
ADP Target for
2014/15
Reduce by 1%.
2014/15
12.0
Reduce rate.
2013/14
74
2014/15
81
Reduce numbers no
SMART target set for
numbers
64.5%
TBC
Target is detection rate
for 14/15this was to
increase to 72%
Reduce rate.
(source local analyst)
5.5 Breach of the Peace
Rate per 10,000 pop.
No target for numbers
Target is detection rate
for 14/15this was to
increase to 76%
Reduce vandalism
rates.
Reduce vandalism
rates.
Comment on
progress
against 2014/15
Target
Updated
data
not yet provided
RAG
Indicator
NA
Rate
has
increases
in
2014/15.
Considerably
higher than the
national rate.
Number
has
increased.
A
Awaiting
detection
rate
data
Rate
reduced
rate
is
considerably
lower
than
national figure.
Number of
common
assaults have
continued to fall
TBC
Rate has
increased.
R
Increase in rate
Higher than
national level
R
R
G
G
79
Performance
Base line most recent figure
For Benchmarking National figure in ()
5.6 No of Domestic Fires
where alcohol/drug is
suspected to be a
contributory factor.* interim
ADP
5.7 No of Domestic Fires,
where alcohol/drugs are
suspected to be a
contributory factor with
casualty.
5.8 No of Domestic Fires s
facilities – where fatalities
alcohol/drugs is suspected
to be a contributory factor*interim.
ADP
ADP
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
Considerable
fall in numbers
over the year
Target met
RAG
Indicator
10/11
21
11/12
15
12/13
29
13/14
18
14/15
13
2014/15
Target to reduce the
number of incidents
where alcohol/drug is
suspected to be a
contributory factor,
G
10/11
11/12
12/13
13/14
14/15
2014/15
Reduce numbers
Target met
G
4
3
8
9
6
10/11
11/12
12/13
13/14
24/15
2014/15 Target
Maintain at Zero
Target met
G
1
0
0
0
0
Actions taken by ADP Partners towards delivering on National and local outcomes noted:
•
•
•
•
•
•
•
Persistent Offenders Partnership [Drug, Alcohol & Police Scotland] identify and work assertively with high risk individuals to reduce acquisitive crime,
improve health and wellbeing , social and family functioning.( 5.2-5.5,6.2)
Police Scotland remains committed to tackling ASB and all alcohol and drug related violence. We regularly engage with our colleagues in Safer
Communities, Licensing and Housing to better identify problematic tenancies, locations and people. (5.1, 5.2-5.5,6.4-6.7)
Police Scotland consistently visit known locations and carry out appropriate interventions including patrol plans, warnings and joint action with
partners and take action under legislative and common law powers where possible. We continually liaise with our communities at community council
meetings and through elected members to reassure the public and to encourage reporting which in turn enables us to take action against drug
dealers by executing search warrants and reporting them under the Misuse of Drugs Act. (5.1,5.2 -5.5, 6.2-6.3)
Police Scotland locally provide a comprehensive programme of actives around supporting responsible Licensing by Alcohol licence holders though
problematic premises activities and monitoring.(5.1-5.2-5.9)
Within HMP Greenock, at all pre-release Integrated Case Management (ICM) Meetings consideration is given to prisoners’ addiction issues, which
can involve inviting community addiction services to attend these meetings and/or making further referrals to these services. (5.1)
Addiction colleagues who are working with Criminal Justice service users whether on release licence or as part of a community base social work
court disposal are routinely invited to review meetings to facilitate an integrated approach to support and to maintain an overview of compliance.(5.1)
Addiction and SPS colleagues have been an integral part of the establishment of our Women’s Service, both in terms of the strategic oversight of this
80
•
•
•
•
•
•
•
•
•
•
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
service and in its day to day operations. This has helped to ensure a holistic and joined up approach to meeting the risks and needs, including those
associated with addiction, of this vulnerable service user group.(5.1)
Drug Treatment and Testing Orders (DTTO) service have been disaggregated back to the control of the individual local authorities. This shift brings
with it opportunities for more localised partnership working with addiction colleagues which will support these service users in their recovery journey
including reducing offending. ( 5.2-5.5)
Fire and Rescue and alcohol and drug referral project is contributing to supporting better identification of fire risk for people with alcohol and /or drug
misuse issues. Care staff have been identifying needs related to provision of fire retardant bedding where smoking in bed and in particular alcohol
cause risk of fire.(5.6,5.9)
The Community Safety Partnership Strategic Assessment (2012-15) identifies alcohol and drugs, violence against women and children, violence
reduction, antisocial behaviour and general safety as its strategic priorities. (5.5,5.4)
Best Bar None Scotland, a scheme to help create a safer drinking environment, was introduced in Inverclyde in 2014. A number of on-licensed
premises in the area have agreed to sign up for the scheme with results due in 2015.(5.4,5.5,6.2)
Police Scotland in partnership with local housing provider have established a programme for tackling areas of high concern where alcohol and drug
issues are causing neighbourhood issues. This has included increase in high visibility patrols by police in areas. (5.10,6.2,6.1)
Police Scotland locally provide a comprehensive programme of actives around supporting responsible Licensing by Alcohol licence holders though
problematic premises activities and monitoring.(6.4,6.7)
A work stream to obtain a better understanding of the Night Time Economy has been established , engage with parties to understand the impact
Night time Economy has on violence in Inverclyde (5.4,5.5,6.3)
Scottish Government No Knives Better Lives Campaign is engaging with young people within the context of “risky behaviour” –including alcohol and
drug use. (5.2,5.2a,5.4,5.5)
Due to a high prevalence of antisocial behaviour in some areas the Community Safety Partnership has established 2 public reassurance initiatives
within Inverclyde. This work will include addressing alcohol and drug related ant- social behaviour. (5.4,5.5,6.3,6.1)
The CLD Service is supporting a network of ‘community clusters’ to address the role of the community in changing the culture of alcohol in the
context of the findings of the H&WB survey of secondary schools.(6.3)
RAG
Indicator
ADP National Outcome 6.0 LOCAL ENVIRONMENT: People live in positive, health-promoting local environments where
alcohol and drugs are less readily available.
SOA 2: Communities are stronger, responsible and more able to identify, articulate and take action on their needs and aspirations to bring about
an improvement in the quality of community life.
SOA 7: All children citizens and communities in Inverclyde play an active role in nurturing the environment to make the area a sustainable and
desirable place to live.
81
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
6.1 Proportion of young people
who have been offered drugs
in the last year.(SALSUS)15
years.
ADP
2006
53%
2013
33%
(36%)
2014/15 Target
Reduce % of young
people who have been
offered drugs in last
year
Level is falling
and below
national level
but is still high
for ADP area
RAG related to
need to reduce
further.
R
6.2 Perception of drug misuse
in the neighbourhood.
(SCOTPHO)
6.3 % of people perceiving
rowdy behaviour very/fairly
common in neighbourhood. SD
ScotPho
Inverclyde
2013
13%
2013
13%
(12%)
2013
8.7
(12.6)
2014/15 Target
Reduce %
Data not
available
R
Inverclyde
2009
10.2
2012
10.4
2014/15 Target
Reduce %
G
2013
21.0
2013
21.0
(26.6)
No target set
2012
10.2
2013
10.4
2013
10.4
(11.4)
No target set
Inverclyde
2011
30.6
2012
31.1
2013
31.4
(38.0)
No target set
Inverclyde
2011
2012
2013
No target set
Data not
available.
Performance
below national
level
RAG is based
on national
comparison
given need for
update data
RAG is based
on national
comparison
given need for
update data
RAG is based
on national
comparison
given need for
update data
RAG is based
6.4 Number of licensed
premises in force per on trade
Inverclyde
2012
20.9
Inverclyde
6.6 Premise Licenses in force
total Crude rate per 10,000 pop
>18
6.7 Personal Licenses in Force
2010
40%
Crude rate per 10,000 pop >18
6.5 Number of licenses in force
off trade
Crude rate per 10,000 pop >18
RAG
Indicator
G
G
G
G
82
Performance
Base line most recent figure
For Benchmarking National figure in ()
ADP Target for
2014/15
Crude Rate per 10,000K
66.6
75.0%
Comment on
progress
against 2014/15
Target
RAG
Indicator
on national
comparison
given need for
update data
81.5%
(123.5)
Close links with ADP National Outcome 5 Community Safety actions have been merged in table ADP National Outcome 5 table to avoid
duplication.
ADP National Outcomes: 7.0 Theme: Services: Alcohol and drug services are high quality, continually improving, efficient,
evidence-based and responsive, ensuring people move through treatment into sustained recovery.
Indicator
Performance
Base line most recent figure
For Benchmarking National figure in ()
7.1 Alcohol Services; Waiting
times. Referral to assessment.
Waiting less than three weeks for
treatment services.
%
ADP
2013/14
88.0
7.2 Drug Services; Waiting times.
Referral to assessment.
Waiting less than three weeks for
treatment services.
%
ADP
2013/14
Q4
69%
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
2014/15
91%
2014/15 Target
94%
Target not met
2014/15
2014/15 Target
94%
Target met
RAG
SOA 8: Our public services are high quality, continually improving, efficient and responsive to local people’s needs.
R
97%
83
Performance
Base line most recent figure
For Benchmarking National figure in ()
2013-14
SMR25a
2014-15
SMR25a
% Change
SMR25a
2014-15
% 12 Wk
Follow up
ADP
196
159
81%
27%
Scotland
13793
12815
93%
(nat.avg.)
33%
(nat.avg.)
2014
100%
7.3 SDMD Initial Completeness
7.4 SDMD follow up
completeness
7.5 SDMD Records: individuals
Identified 5 of Cases on SDMD
Inverclyde
ADP
7.6 Percent of GP practices
signed up to delivering ABIs
ADP
2011
69%
2012
75%
2013
75%
2014
75%
ADP Target for
2014/15
Comment on
progress
against 2014/15
Target
2014/15
No target set. Aim to
improve recording
processes.
Work is still
required to
improve SMRa
and follow-up
recording.
RAG
Indicator
R
Target 2014
100%
G
2014
75%
G
ABI reported at 2.21
Actions taken by ADP Partners towards delivering on National and local outcomes noted:
•
•
•
•
•
•
Services have strived to ensure that posts are retained and filled timeously. Staff are highly qualified and retention good. Services continuously
review impact and reach and respond accordingly.(7.1,7.2)
Early and effective intervention is consistently pursued.(7.1, 7.2)
Prescribing practice is cognisant of ORT Expert Group recommendations.(7.2)
Work has continued to secure continued support from GP practices through GP practice forum for participation in ABI delivery programme. Processes
have been reviewed for the better data capture of ABI information. (7.6)
Services have worked to secure additional prescribing capacity to support improved performance within drug treatment services with respect to
waiting times.(7.1, 7.2)
Staff across both alcohol and drug services have been provided with Outcome Star as part of the process of implementing outcome reporting across
services.(7.1, 7.2)
84
Section 2: Benchmarking Report
BENCHMARKING FILE: Reporting for 2014/2015 Self-Assessment Report: This is the second ADP Benchmarking Report
supporting the ADP self-assessment processes.
1.
Background
Benchmarking is reported across National ADP Indicators were data is available with Scotland, NHS GG&C and NHS GG&C ADPs
(East Dumbarton, East Renfrewshire, Glasgow City, Inverclyde, Renfrewshire, West Dumbarton) . Selected ADP National Outcome
indicators are included within this benchmarking report, selection is based on availability of more recent data .
2.
Drugs: National ADP Outcome Indicators
2.1
National Indicator 1.1 Drug Related Hospital Discharges (Source ISD Table 1.3)
rug Related Hospital Discharges
Inverclyde
Number
2008/9
2009/10
2010/11
2011/12
2012/13
2013/14
191
183
191
210
144
175
p
2013/14
Average
2008/9-2013/14
182
Rate per 1000.000 pop
2008/09
2009/10
2010/11
2011/12
110
108
116
118
107
124
Dunbartonshire East
143
27
140
35
157
46
144
46
125
38
145
37
Dunbartonshire West
109
128
146
95
117
131
Glasgow City
181
178
198
179
154
169
Inverclyde
251
241
256
275
196
240
Renfrewshire
120
111
133
134
122
140
73
49
51
48
54
61
Scotland
8
Greater Glasgow & Clyde
Renfrewshire East
2012/13
85
Drug Related Hospital discharges Rate :100.000 Population
300
Scotland8
250
Greater Glasgow &
Clyde
Dunbartonshire East
200
Dunbartonshire West
150
Glasgow City
100
Inverclyde
50
Renfrewshire
Renfrewshire East
0
2008/09
2009/10
2010/11
2011/12
2012/13p
2013/14
Comment
Inverclyde Numbers:
• Number of Drug related hospital admissions in Inverclyde increased between 2012/13 and 2013/14 from 144 to 174. The latest data is lower than the
annual average calculated over from 208/9 to 2013/14. The data reflects quite a bit of fluctuation over the reporting period
Rate per 100,000
• The Inverclyde rate of drug related admissions per 100K pop remains considerably higher than that for Scotland and other benchmarking partners.
• With the exception of East Dunbartonshire the drug related hospital admission rate has increased across all other benchmarking areas in 2013/14.
• . The data reflects the contrasting rates of discharges between areas of high and low deprivation comparing for example the relatively low and plat rates for
East Renfrewshire and East Dunbartonshire with Inverclyde and Glasgow City.
86
2.2 National Indicator: Drug Related Mortality
Drug Death Rate Annual Average2010-14 per 1K pop
SCOTLAND
0.11
E Dunbartonshire
0.03
E Renfrewshire
0.04
Glasgow City
0.18
Inverclyde
0.19
Renfrewshire
0.13
W Dunbartonshire
0.18
0.2
0.18
0.16
0.14
0.12
0.1
0.08
0.06
0.04
0.02
0
Drug Death Rate Annual Average2010-14 per 1K pop
0.19
0.18
0.18
0.13
0.11
0.03
0.04
• Inverclyde drug related death rate is highest across the
benchmark areas.
• Inverclyde drug related death rate is considerable higher than
several of the benchmarking partners including East Dunbarton
and East Renfrewshire.
SCOTLAND
E Dunbartonshire
E Renfrewshire
Glasgow City
Inverclyde
Renfrewshire
W Dunbartonshire
2010-14 per 1K Problem Drug
Users
9.4
8.7
4.5
9.4
9.1
8.0
10.8
2010-14 Annual average Rate per 1K Problem Drug Users
12
10
9.4
9.4
8.7
8
6
10.8
9.1
8
4.5
4
2
0
• Rate of deaths among those with drug misue problems places
Inverclyde lower than the Scottish figure at annual average of
9.1 Over 2010-2014 compared to 9.4 for Scotland.
87
2.3
Hepatitis-C positives among people who inject drugs (Source: Needle Exchange Surveillance Initiative)
Updated date was not available .
% of people who inject
80
71.4
70
drugs tested positive for
67.5
67
65.1
64.9 62.7
70
63.7
63.1
62.6
the hepatitis C antibody
2010
2011
%
Scotland
Greater Glasgow
& Clyde
%
56.4
53.0
Dunbartonshire East
67.5
65.1
63.1
55.7
Dunbartonshire West
67.0
Glasgow City
60
50
56.4
53
55.7
54.7
55.7
50
40
30
2010
54.7
20
2011
70.0
62.6
10
Inverclyde
63.7
71.4
0
Renfrewshire
Renfrewshire East
55.7
64.9
62.7
50.0
Comment
•
•
In 2010, 63.7.4% of people in Inverclyde who inject drugs (and were tested) tested positive for the hepatitis C antibody, compared with71.4% in
2011.
The proportion of positive testing for hepatitis C in 2011 was higher in Inverclyde than Scotland and the other ADPs within GG&C.
88
2.4
National Population Prevalence of Problem Drug Misuse : Estimated Prevalence
Estimated National Population Prevalence of Problem Drug Misuse % of population 15-64: 2006, 2009, 2012.
Estimated
Prevalence of
Drug Misuse
4
2006
2009
2012
Scotland
1.6
1.7
1.7
NHS GG&C
Dunbartonshire
East
Dunbartonshire
West
Glasgow City
2.5
2.6
1.9
0.7
0.7
0.6
2
1.5
3.5
3
2.5
2.6
2.7
2.5
3.3
3.4
2.8
0.5
Inverclyde
2.6
2.6
3.2
0
Renfrewshire
1.8
1.9
2.4
1
1.7
1.5
Renfrewshire East
1
2006
2009
2012
• Estimated drug misuse prevalence as % of 15-65 year olds in the population has shown a marked increase in Inverclyde by 2012. This is also the
case for Renfrewshire.
• Inverclyde has the highest rate across the benchmarking partners shown at 3.2 5 of the 15- 64 age group.
• The Inverclyde rate is almost twice the rate for Scotland as a whole.
89
2.5
Drugs Used in the Last Month and Last Year: SALSUS Data :SALSUS : schools lifestyle survey reports percent of pupils
ages 15 using drugs in last week and last year . 2010.2013
Pupils ages 15 using
reporting
Used Drugs <= Month % 2010
Pupils ages 15 using reporting
Used Drugs <= Month % 2013
Pupils ages 15 using
Reporting used Drugs
<= 1Year % 2010
Pupils ages 15 using
reporting used Drugs
<= 1Year % 2013
Scotland
11
9
19
16
NHS GG&C
13
10
21
17
East Dun
10
8
18
15
West Dun
13
7
20
11
Glasgow City
12
10
20
16
Inverclyde
10
17
14
19
Renfrewshire
17
9
24
24
East Ren
20
12
31
18
Pupils aged 15 reprting used drugs in last month 2010,
2013 %
25
20
20
15
10
% 2010
11
% 2013
13
9
10
17
13
10
8
12
10
7
10
17
Pupils aged 15 reprting used drugs in last Year 2010, 2013
%
35
31
30
25
12
9
20
15
19
16
% 2010
21
17
2424
% 2013
18
15
20
20
16
11
19
18
14
10
5
5
0
0
90
Drugs Used in the Last Month and Last Year:
• there was a marked increase in the % of pupils reporting having used drugs ove the last month from 10% to 17% between 2010 and 2013. All other
areas showed a decrease in monthly drug use among young people aged 15.
th
• There was also an increase in yearly drug use reported by 15 year olds in Inverclyde from 14 to 19 , for Renfrewshire this drugs remained stable and
for the other areas considered the % reporting using drugs in the last year fell.
2.6 CAPSM: Child Protection Alcohol and or Drug Misuse :No updated data available from last years report.
Rate per 10.000 pop aged < 18
2013
(*2012 data used for drug
misuse figures)
Child
Protection with
Parental Drug
Misuse
Rate
Child
Protection with
Parental Alcohol
Misuse
Rate
2013
2014
2013
2014
Scotland
6.4
6.7
5.1
6.2
NHS GG&C
East Dun
4.0
2.9
4.6
N/A
West Dun
7.3
Glasgow City
Inverclyde*
Renfrewshire
East Rent*
Child
Protection with
Parental Drug
and
Alcohol Misuse
Rate
2013
2014
9.6
10.9
3.9
6.7
7.4
8.1
8.0
14.4
5.6
N/A
8.4
9.0
2.3
4.2
2.2
5.9
8.0
5.9
12.8
7.0
7.9
4.3
4.5
5.8
9.6
12.0
8.8
18.1
11.7
3.9
4.9
6.3
8.0
Comment
Variance in recording issues across geographies for this indicator requires caution when interpreting across ADP areas. More useful comment will be trend
analysis once available assuming recording practices are static.
From the data for Inverclyde:;
• Almost 10% of Child Protection cases had a parental alcohol and /or drug misuse issue recorded.: This is the same rate for Scotland as a whole.
2.7
Community Safety: Table below records three community safety related National Indicators from the following
sources:SALSUS those aged 15 reporting being offered drugs in school survey, Drug Use funded by Crime : Scottish Drug Misuse
Database,Scottish Household Survey
91
Children Being offered Drugs Aged 15
SALSUS 2010 , 2013 % Survey Response
Scotland
8
NHS GG&C
East Dun
West Dun
Glasgow City
Inverclyde*
Renfrewshire
East Rent*
Drugs Used funded by Crime 2011 %
No updated data available
2012
2013
20.9
12.9
11.9
21.6
14.5
16.1
24.1
4.9
5.4
31.7
24.5
22.3
28.5
36.5
21.5
18.5
19.3
39.5
32.7
22.8
10.3
13.0
47.8
43.4
21.3
8.4
12.2
58.5
37.1
12.7
3.6
5.3
2010
2013
42.5
35.6
47.0
42.8
37.5
40.8
45.0
45.5
Children been offered Drugs aged 15 2010, 2013 %
70
60
50
40
30
20
10
0
2010
35.6
42.5
37.5
47
40.8
42.8
2013
31.7
45
Drug Misuse in Neighbourhood 2012 %
36.5
45.5
43.4
32.7
39.5
47.8
37.1
58.5
Perception of Drug misuse in the neighbourhood 2012
2013 %
30
25
20
15
10
5
0
11.9
12.9
2012
2013
16.1
14.5
28.5
19.3
13
5.4
4.9
22.3
18.5
10.3
12.2
8.4
5.3
3.6
92
3. Alcohol
3.1 National ADP Outcome Indicators: Alcohol Related Hospital Discharges
;
EASR Alcohol Related Discharges Rate 100.000
2008/09
2009/10
Inverclyde Numbers
1,110
988
2008/09
Scotland6
Greater Glasgow and Clyde
Dunbartonshire East
2010/11
951
2011/12
939
2012/13
688
2013/14
812
Rate per 100.000 pop
2009/10 2010/11
2011/12
2012/13
2013/14
828
772
759
749
693
697
1,216
1,144
1,150
1,098
982
TBC
400
438
404
412
371
438
Dunbartonshire West
1,185
1,176
1,248
1,027
915
972
Glasgow City
1,601
1,495
1,514
1,398
1,254
1259
Inverclyde
1,383
1,230
1,189
1,164
852*
1022
Renfrewshire
927
910
928
959
952
1011
Renfrewshire East
559
481
425
528
486
437
•
This data needs to be treated with caution.
Comment
• Across Scotland there has been a plateau in the previous decline in alcohol related hospital discharges. This is also the case for Glasgow city.
• Inverclyde shows a marked increase in the rate per 100.000 k population, However the 12/13 data reflects an uncharacteristic low which is distorting the
analysis. Looking at the longer term trend it is a downwards.
93
Alcohol Related Discharges Rate per 100.000 pop
1800
1600
1400
Scotland6
1200
NHS GG&C
E. Dun
1000
W. Dun
800
Glasgow City
Inverclyde
600
Renfrewshire
E Renfrewshire
400
200
0
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
94
3.2
Alcohol Related Mortality
National records of Scotland data shown Alcohol Related Mortality per 1000.000 pop (EASR) where there was an alcohol related
underlying cause to death.
Alcohol related Mortality
Rate per 1000.000 (EASR) POP
8
2012
2013
Alochol Related Mortality Rate per 100K POP 20112, 2013
21.2
21.4
30.7
11.1
28.6
West Dun
29.9
30.7
Glasgow City
39.0
37.0
Inverclyde
27.9
22.5
Renfrewshire
East Rent
30.2
23.0
Scotland
NHS GG&C
East Dun
9.3
12.5
45.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
28.6
201
2
37.0
30.7
22.5
21.4
23.0
17.6
9.3
21.2
30.7
11.1
29.9
39.0
27.9
30.2
12.5
17.6
Comments:
•
•
Alcohol related mortality rates remained stable across Scotland with little change over 2013- 2013.
Inverclyde showed the largest fall in rate compared to comparator areas where there has been a fall in the rate over the year under consideration.
95
3.3
SALSUS DATA: Weekly Drinkers
Weekly Drinkers
%
%
2010
2013
SALSUS (Pupils Aged 15) 2010
Scotland
8
25
20.4
20.4
11.6
East Dun
19.0
14.2
12.4
10.8
West Dun
22.0
14.6
Glasgow City
20.6
9.7
Inverclyde
10.4
16.2
Renfrewshire
East Rent
21.7
19.6
23.0
11.7
NHS GG&C
SALSUS % of pupils (15 years) reporting weekly
20
22
19
21.7
20.6
23
2010
2013
19.6
14.2
15
16.2
14.6
10
11.6
12.4
10.8
10.4
11.7
9.7
5
0
Comments:
•
•
•
Compared to all other benchmarking partners Inverclyde has shown an increase in weekly drinking .from 10% to 16% of 15 year olds in the survey
The SALSUS survey (2010) reports 10% of pupils reporting drinking weekly.
This is considerably behind the trend of other areas considered.
Inverclyde showed the highest rate of weekly drinkers across the samples considered.
96
4 Community Safety Alcohol Related Issues
4.1 Community Safety Alcohol Related Issues (Scottish Government Recorded Crime in Scotland) -waiting for updated data
Serious
Assaults
2012
Scotland
NHS GG&C
East Dun
West Dun
Glasgow City
Inverclyde
Renfrewshire
East Rent
Common
Assaults
Vandalism
Breach
of the
Peace
6.1
102.5
100.3
46.8
5.3
9.2
13
10.4
7.8
60.1
108.1
151
73.3
98.4
61.5
128
131.3
121.2
101.5
1.1
41.3
61.3
% people perceiving
Rowdy behaviour in
their neighbourhood
(2012)
Premise licences
in force On trade
(2013)
Premise licences
in force – Off trade
(2013)
Premises Licenses in
Force
26.7
50.7
92.4
48.2
38.7
14.5
17
5.9
15.8
22.9
10.4
11.7
26.6
22
13.8
20.5
25.3
21
19.7
11.4
10.1
7.8
12.9
10.6
10.4
10
38
32.2
21.7
33.4
35.9
31.4
29.7
8.6
6.4
16.5
6.6
23.2
97