June 2012
1.
BACKGROUND
The South Ayrshire Alcohol and Drug Partnership (ADP) was formed in August 2009
following the launch of A New Framework for Local Partnerships on Alcohol and Drugs (April
2009) by the Scottish Government, NHS and CoSLA.
The ADP is a Thematic Group within the South Ayrshire Community Planning Partnership
(CPP) structure and reports directly to the CPP (see Section 5 Governance & Performance
Management).
The principle responsibilities of the ADP are:
The development and implementation a comprehensive evidence-based alcohol and
drugs strategy
The development of an Action Plan and Outcomes Framework to monitor progress
and outcomes of the strategy
The performance management and governance of the ADP in line with CPP Board
governance arrangements
To report on performance of the ADP to the CPP Board
To ensure good financial management
To influence the development of the Single Outcome Agreement (SOA) in relation to
alcohol and drugs.
The ADP has representatives from a wide range of partner organisations including:
South Ayrshire Council
o Housing and Community Care
o Children & Families Services
o Contracts & Commissioning
o Community Safety
o Licensing
NHS Ayrshire & Arran
o Mental Health Directorate
o Addiction Services
o Public Health Department
o Pharmacy
o Primary Care
Strathclyde Police Service
HMP Kilmarnock
Criminal Justice Social Work Partnership
South West Scotland Community Justice Authority
Strathclyde Fire & Rescue
Jobcentre Plus
3rd Sector Services
Service User representation
The ADP Delivery Plan 2012-15 has been developed and agreed by the partners of the
ADP.
Page 2 of 28
2.
INTRODUCTION
South Ayrshire‟s Alcohol and Drug Partnership (ADP) has developed an ambitious four year
strategy (2011–2015)1 aimed at working with individuals and local communities to identify
their strengths and assets to ultimately reduce the impact of alcohol and drug misuse on
individuals, families and communities.
The strategy provides an assessment of local needs and identifies key outcomes relating to
drugs and alcohol misuse, their place within the wider framework of priority outcomes
contained within Single Outcome Agreements (SOAs) and how their achievement will be
measured.
The views of individuals, families, local communities and partner organisations were an
essential part of the strategy development. A range of consultation activities were
embedded from the outset and the views gathered were incorporated into the strategy. The
strategy has been written for the people of South Ayrshire and continuous consultation and
feedback will be an essential part of the delivery of the strategy.
South Ayrshire‟s local strategy takes a whole population approach to tackling substance
misuse. For alcohol use this requires a shift away from a marginal approach which targets
only those drinking at harmful levels to focusing more upstream at reducing average
population consumption, as described in Changing Scotland’s Relationship with Alcohol: A
Framework for Action (2009)2.
In relation to drug misuse, the whole population approach requires working with our partners
to ensure our communities are supportive of recovery. In addition to this, the Road to
Recovery (2008)3 recognised that everyone in Scotland should be aware of the
consequences of drugs so that no one in Scotland uses drugs in ignorance.
South Ayrshire‟s Alcohol and Drug strategy recognises that factors such as socioeconomic
circumstances and other existing lifestyle risk factors and health conditions, have a role to
play in determining the harm resulting from alcohol and drug misuse. This strategy has been
considered in the context of national and local strategies which are focused on addressing
these issues.
It is also important to recognise that the degree to which South Ayrshire is successful in
effectively tackling alcohol and drug misuse locally will be dependent on the implementation
of the national alcohol and drug strategies, such as the introduction of a minimum per unit
price for alcohol.
We recognise the significant amount of good work that has been undertaken by a wide
range of partner agencies and community groups and we intend to continue to develop our
partnerships and put the needs of local communities at the heart of delivering this strategy.
The ADP recognised its joint responsibility with both the Child Protection Committee (CPC)
and the Adult Protection Committee (APC) to protect children and young people and
vulnerable adults. The ADP, CPC and APC have developed joint commitment statements to
demonstrate this shared responsibility.
1
South Ayrshire Alcohol and Drug Strategy (2011-2015) www.south-ayrshire.gov.uk/adp
Changing Scotland‟s Relationship with Alcohol: A Framework for Action (Scottish
Government, 2009) http://www.scotland.gov.uk/Publications/2009/03/04144703/0
3
The Road to Recovery: A New Approach to Tackling Scotland‟s Drug Problem
(Scottish Government, 2008) http://www.scotland.gov.uk/Publications/2008/05/22161610/0
2
Page 3 of 28
3.
DELIVERING THE STRATEGY
The overarching vision for South Ayrshire‟s Alcohol and Drug Strategy is that:
The population of South Ayrshire are able to build on their strengths to reduce alcohol
and drug misuse to the benefit of individuals, families and communities.
The ADP recognises the strengths, assets and capabilities of every individual and the feeling
of being valued and connected when these skills are used. The partnership is committed to
taking an asset-based approach within the strategy, both on an individual and communitybased approach. By working with local residents to identify strengths and assets rather than
focusing on deficiencies, the partnership hopes to empower the community to implement a
sustainable community project to give the feeling of achievement whilst improving the local
community.
Our strategy identifies key priorities to be addressed within South Ayrshire, following the
assessment of need and local consultation. The ADP utilised local information to develop
five priority workstreams which will contribute to achieving the overarching vision:
A whole population approach to prevention and education
Enforcement, availability and safer environments
Children and families affected by others‟ substance misuse
Developing a Recovery Orientated System of Care
Communication, engagement and workforce development.
Figure 1 shows South Ayrshire‟s Outcomes triangle detailing the high level and intermediate
outcomes the ADP is working towards and links to both the National Outcomes and ADP
National Core Outcomes.
Topic specific ADP Sub Groups have been established which have wide partner and service
user representation and an agreed Terms of Reference.
The ADP Sub Groups have developed Implementation Plans to support the delivery of the
strategy detailing key actions, who will deliver them and by when . The Implementation Plans
are reviewed and updated on an annual basis to ensure that the actions continue to meet
the needs of the local community.
Section 3.1 – 3.5 provides an overview of each workstream area, highlighting some of the
key achievements for 2011/12 and actions to be taken forward during 2012/13.
Page 4 of 28
Figure 1: South Ayrshire’s Alcohol and Drug Outcomes Triangle
Page 5 of 28
3.1
A whole population approach to prevention and education
Prevention and Education in the context of a whole population approach is primarily
concerned with reducing supply and demand and minimising the harm associated with
alcohol and drugs. Elements of this whole population approach to prevention and education
are threaded through the themes of the strategy.
Key outcomes the ADP aims to achieve during 2012-15 are:
People are healthier and experience fewer risks as a result of alcohol and drug use
Fewer adults and children are drinking or using drugs at levels or patterns that are
damaging to themselves or others
Fewer women are drinking or taking drugs during pregnancy
Reduced number of fire related casualties/deaths and dwelling fires linked to alcohol
and drugs
Key achievements during 2011/12:
Mapping exercise to identify current substance misuse education delivered in
secondary schools.
Exceeded HEAT Alcohol Brief Intervention (ABI) targets in priority settings
Continued roll-out of fire awareness training to staff working with people affected by
substance misuse.
Continued roll-out of Positive Attitudes to Alcohol - Peer Education project in
Secondary Schools.
Key actions for 2012/13:
Undertake a pilot community engagement project using an asset-based approach
Continue the delivery of ABI‟s in priority settings whilst also rolling out ABI‟s in nonpriority settings
Review findings of substance misuse mapping exercise in secondary schools and
make recommendations to standardise core elements of substance misuse education
Develop and roll out local training pack in relation to legal highs
Continue to provide education and interventions to vulnerable groups to minimise the
risk of fire death or injury for the people in South Ayrshire
Figure 2 details the Intermediate and Short-Term Outcomes ADP are working towards in
relation to a whole population approach to prevention and education for 2012-2015.
3.2
Enforcement, availability and safer environments
South Ayrshire has one of the lowest crime rates in Scotland however the ADP recognises
the significant links between alcohol and drug misuse and offending behaviour. Our
approach in South Ayrshire aims to ensure that communities are safe and feel safe. We will
continue to work with local partners to reduce availability of alcohol and illicit drugs, reduce
antisocial behaviour and support individuals to recovery from substance misuse.
Key outcomes the ADP aims to achieve during 2012-15 are:
People live in positive, health-promoting local environments where alcohol and drugs
are less readily available
Communities and individuals are safe from alcohol and drug-related offending and
antisocial behaviour
Reduction in the harmful impact of alcohol in domestic abuse incidents
Page 6 of 28
Key achievements during 2011/12:
Challenge 25 Licensing Trade Event delivered to over 100 trade personnel
Supported South West Scotland Community Justice Authority (CJA) to develop a
CJA and ADP Shared Statement on Alcohol and Offending
Criminal Justice Social Work staff trained in the use of ABI‟s to identify individuals
requiring specialist support.
Key actions for 2012/13:
Support the local Licensing Board and Licensing Forum to examine overprovision
and what impact, if any, this has on communities in South Ayrshire and gather an
evidence base to inform the Licensing Policy Statement.
Roll out the test purchasing programme
Increase awareness amongst parents, carers and siblings on the consequences of
agent sales
Support the CJA to develop an Arrest Referral / Early Intervention service
Review anti social behaviour activities being delivered across CPP Thematic Groups
and agree additional required actions.
Figure 3 details the Intermediate and Short-Term Outcomes ADP are working towards in
relation to enforcement, availability and safer environments for 2012-2015.
3.3
Children and families affected by others’ substance misuse
The ADP recognises that parental or carer substance misuse can result in a considerable
number of negative effects on the family and the impact can be complex and wide-ranging.
The importance of collaborative practice in producing comprehensive assessments of risk
and need in relation to children is crucial to ensure that the right interventions and action
plans are in place. Good communication and the willingness to work together are key to
improving support to children, young people and their parents or carers.
Addressing the loss and stigma experienced by some adults can act as a highly motivating
component on the road to recovery, where the adult has been unable to make or sustain the
necessary changes previously whilst their child has remained in their care.
Key outcomes the ADP aims to achieve during 2012-15 are:
Children and family members of people misusing alcohol and drugs are safe, wellsupported and have improved life chances
Children and families affected by substance misuse receive appropriate support
when required in a non-stigmatising way
Social care workforce is confident and competent in dealing with parental substance
misuse and its impact on children
Key achievements during 2011/12:
Development of an ADP and Child Protection Joint Commitment Statement
University of Stirling jointly commissioned (with North Ayrshire ADP) to establish
baseline data for children affected by parental substance misuse (CAPSM) and to
develop systems for future data recording and collection.
Small scale audit of adult alcohol & drug services and children & family services
undertaken to look at joint working and information sharing.
Page 7 of 28
Key actions for 2012/13:
Review finding of CAPSM Research project, identify and agree further actions.
Deliver joint ADP and CPC event to raise awareness of CAPSM and further develop
collaborative practice.
Develop an audit programme for specialist alcohol and drug services to ensure all
children affected by parental substance misuse are identified and referred.
Develop and implement framework for consulting children, young people and their
family‟s experiences of services.
Figure 4 details the Intermediate and Short-Term Outcomes ADP are working towards in
relation to children and families affected by others‟ substance misuse for 2012-2015.
3.4
Developing a Recovery Orientated System of Care
Previously, services across South Ayrshire were delivered in line with a locally agreed three
phase „Functional Model‟ for treatment and support services. However, in line with the
national drive towards more recovery-focused service provision, a new Recovery Orientated
System of Care (ROSC) has been developed.4
The new ROSC has the following strategic vision at its heart:
Recovery is possible and at the centre of all services we provide
People will own their own recovery and service staff will facilitate their recovery
journey
People in recovery will support others along the path to recovery
Communities will support their members through recovery
People in recovery support their communities
People in recovery will have a key role in planning and development of services.
The ROSC helps people to take charge of their own recovery and is well suited to the assetbased community development approach.
Key outcomes in relation to recovery for 2012-15:
Alcohol and drug services are working with individuals on strength-based asset
approach ensuring people move through treatment into sustained recovery
Individuals are recovering from problematic drug and alcohol use
Improved life circumstances to promote sustained recovery
Individuals, families and communities affected by alcohol and drug problems have
hope that recovery is possible and have the skills and support to help them plan for
this journey
Key Achievements during 2011/12:
Established and developed an active ADP Service User Engagement Steering
Group.
Service users represented on a range of ADP groups.
Established the first Service User Recovery Forum in March 2012.
ROSC Stakeholder Development event held in September for staff and service users
ROSC Briefing sessions delivered to 62 staff members.
Supported the development of new local mutual aid group.
Support local people in recovery to develop „Celebrating Recovery‟ resources
4
A Recovery Orientated System of Care for Ayrshire & Arran (February 2011) https://www.southayrshire.gov.uk/adp
Page 8 of 28
Met and exceeded HEAT A11 access to treatment waiting times targets.
Exceeded the local target for the initial phase of rolling out the national Take Home
Naloxone Programme.
Key Actions for 2012/13:
Continue to implement the ROSC in South Ayrshire.
Host RecoveryAyr – Footsteps to Recovery on 16th June 2012 to promote and
celebrate recovery.
Support service users to develop regular Recovery Forums.
Develop Peer Educator programmes and training options for service users.
Explore options for developing local Recovery Cafe, Social Enterprise models and
recovery communities.
Meet the 2013 HEAT A11 access to treatment waiting times target
Develop joint ADP and Adult Protection Committee joint statement and host local
event.
Implement and evaluate local outcomes measurement tool.
Workforce development – see Section 3.5.
Figure 5 details the Intermediate and Short-Term Outcomes ADP are working towards in
relation to developing a recovery orientated system of care for 2012-2015.
3.5
Communication, engagement and workforce development
Key to the delivery of outcomes in the strategy is effective communication . The partnership
is committed to developing communication between services, providing materials within the
local community to help support long-term behaviour change, and the providing accurate
and clear information on the local services available.
Key outcomes the ADP aims to achieve during 2012-15 are:
Improved communication and information-sharing between specialist and non
specialist statutory, 3rd sector and community groups.
South Ayrshire‟s alcohol and drug workforce are united by a shared vision, focused
on the needs of individuals.
Increased knowledge and understanding among the general public about drug and
alcohol dependency and recovery, to reduce the levels of fear, blame and stigma.
Increased engagement with people in recovery, their families and the local
communities in the ongoing process of systems improvement.
Alcohol and drug services which are high quality, continually improving, efficient,
evidence-based and responsive, ensuring that people move through treatment into
sustained recovery.
Key achievements for 2011/12:
Launch of South Ayrshire‟s Alcohol and Strategy by Roseanna Cunningham, Minister
for Community Safety in October 2011. The launch event was attended by over 100
service users, staff and community members.
Recovery Survey completed by over 450 individuals to gather data on the knowledge
and attitudes towards recovery of a wide range of staff and community-based groups
involved in a ROSC.
Development of information posters for both Adult and Children & Family Alcohol and
Drug Support Services and wide distribution within the community.
Standardised performance management and evaluation process put in place for all
ADP funded services.
Page 9 of 28
Key actions for 2012/13:
Develop a local overarching Communication Strategy to support the implementation
of the local alcohol and drug strategy.
Develop links with local media to promote positive recovery stories.
Utilise an outcomes-based commissioning approach when commissioning new
services in South Ayrshire.
Undertake a mapping of current training activities to indentify gaps and duplication in
provision.
Review current training provision in line with Supporting the Development of
Scotland’s Alcohol and Drug Workforce5 and work with partners to identify workforce
development needs and implement appropriate training.
Figure 6 details the Intermediate and Short-Term Outcomes ADP are working towards in
relation to communication, engagement and workforce development for 2012-2015.
5
Supporting the Development of Scotland’s Alcohol and Drug Workforce (Scottish Government &
CoSLA, December 2010) https://www.scotland.gov.uk/publications/2010/12/AandD
Page 10 of 28
Figure 2: A Whole Population Approach to Prevention and Education
Short-Term Outcomes
SO1a: Increased knowledge of recommended limits for alcohol and where it should be
avoided
SO1b: Increased knowledge of impact of alcohol consumption and drugs use in target groups
SO2:
Increased knowledge and understanding among young people to limit alcohol
consumption and avoid drug taking
SO3:
Improved and increased engagement of participants with age-appropriate social
activity, positive lifestyle, community activities
SO4a: Dissociation of alcohol with glamour and attractive lifestyles among children and young
people
SO4b: Increased awareness of the consequences of legal highs
SO5:
Increased knowledge, engagement and action in target communities in relation to
alcohol and drugs
SO6a: Increased knowledge and skills among staff groups of the impact of alcohol and drugs
SO6b: Increased knowledge among staff groups of risk-taking behaviours in relation to blood
borne viruses
SO6c: Increased knowledge among staff groups in relation to referral pathways for those at
risk, infected and affected by blood borne viruses
SO6d: Increased awareness among staff groups of mental wellbeing
SO7:
Intermediate Outcomes
Local Outcome
IO1: People are healthier and
experience fewer risks as a
result of alcohol and drug use
(Core Outcome 1)
IO2: Fewer adults and children are
drinking or using drugs at levels or
patterns that are damaging to
themselves or others (Core
Outcome 2)
(Links to Protection (Licensing) and
Treatment & Recovery work
streams)
The population of
South Ayrshire are
able to build on
their strengths to
reduce alcohol
and drug misuse
to the benefit of
individuals,
families and
communities
IO3: Decreased acceptability of
hazardous drinking and drug taking
behaviour in target communities
Increased knowledge of the impact of alcohol and drug use among parents and carers
SO6b: Increased knowledge among staff groups of risk taking behaviours in relation to Blood
SO8a: Increased number of staff in target settings trained to deliver Alcohol Brief Interventions
Borne Viruses
(ABIs)
IO4: Fewer women drinking or
taking drugs during pregnancy
SO8b: Increased awareness of the impact of alcohol and drug use on pregnancy
SO6c:
staff groups
in relation
to of
referral
pathways
for those
SO8c: Increased
Increasedknowledge
awarenessamong
of the possible
adverse
effects
alcohol
in pregnancy
and at
risk, infected
and
affected
bydefects
Blood Bourne
Virusesof reproductive age
alcohol
related
birth
for all women
SO9a: Increased number of staff working with people affected by substance misuse receiving
fire awareness training
SO9b: Increased number of referrals from services working with people affected by substance
misuse for home fire safety visits
IO5: Reduced number of fire
related casualties/deaths and
dwelling fires linked to alcohol and
drugs
Page 11 of 28
Figure 3: Availability, Enforcements and Safer Environments
Short-Term Outcomes
SO10a: Increased refusal to service alcohol to underage people in all
premises
SO10b: Reduction in the level of agent sales in off-sales premises
SO10c: General public have increased knowledge of the legal consequences
buying alcohol for underage people
SO10d: Increased awareness of the protecting and improving public health
licensing objective
SO10e: Managers and staff have increased knowledge of their legal
obligations
SO10f: Increased information flow between ADP/Board/Forum
SO10g: Increased proactive lobbying of politicians – local, Scotland, UK
Intermediate Outcomes
IO6: People live in positive, healthpromoting local environments where
alcohol and drugs are less readily
available (Core Outcome 6)
The population of
South Ayrshire
are able to build
on their strengths
to reduce alcohol
and drug misuse
to the benefit of
individuals,
families and
communities
SO11a: Increased reporting of suspicious behaviour in the community (links to
crime stoppers)
SO11b: Increased intelligence-led police operations relative to alcohol or drug
misuse
SO11c: Increased detections for drug-related crime
SO12a: Increased use of Community Payback Orders as an alternative to
custody to address offenders drug/alcohol problems
SO12b: Increased access for offenders to appropriate drug/alcohol services in
the community
SO12c: Increased access to drug/alcohol services in custodial settings
Local Outcome
IO7: Communities and individuals are
safe from alcohol and drug-related
offending and antisocial behaviour
(Core Outcome 5)
SO13a: Reduced incidence of antisocial behaviour as a result of alcohol and
drug use
SO13b: Increased awareness of the impact of alcohol and drug misuse has on
injuries and casualties on our roads
SO14a: Improved interventions to address the alcohol or drug misuse of
perpetrators of domestic abuse
SO14b: Improved support to victims/survivors of domestic abuse where
alcohol or drug misuse has been a factor
IO8: Reduction in the harmful impact
of alcohol in domestic abuse
incidents
Page 12 of 28
Figure 4: Children and Families Affected by Others’ Substance Misuse
Short-Term Outcomes
SO15: Increased number of children affected by others‟ substance misuse
identified through services
SO16a: People being referred under High Risk Pregnancy Protocol (HRPP)
understand why they are being assessed and have access to information
on HRPP
SO16b: High risk pregnancies are identified and assessed within agreed
timescales
SO16c: Increased awareness of the possible adverse effects of alcohol in
pregnancy and alcohol related birth defects
SO17a: Service users who are parents are supported to improve their parenting
skills
SO17b: Increased recognition by parents in touch with services of the impact of
their substance misuse on their children
SO17c: Increased number of children in touch with services having a positive
relationship with their substance-misusing parents
SO18: All children and families identified through specialist alcohol and drug
services are assessed and where appropriate a Child Plan is put in place
SO19a: Increased awareness of parenting programmes across South Ayrshire
based on Parent & Family Support Strategy
SO19b: Ensure appropriate provision of services for children affected by others
substance misuse
SO19c: Increased consultation to enable children to become involved in planning
of services
SO20: Increased number of targeted activities available for young people
affected by others‟ substance misuse
SO21a: Increased number of sibling and family support groups in South Ayrshire
SO21b: Increased knowledge of services available for children and young people
affected by others‟ substance misuse
SO22a: Increased training for all staff on the impact of others‟ substance misuse
on children and young people
SO22b: Increased awareness of the possible adverse effects of alcohol in
pregnancy and alcohol related birth defects among staff groups working
with children
SO22c: Processes developed to support improved communication between
services
Intermediate Outcomes
Local Outcome
IO9: Children and family members of people
misusing alcohol and drugs are safe, wellsupported and have improved life chances
(Core Outcome 4)
IO10: Pregnant women who misuse alcohol
and/or drugs are identified, assessed and
offered appropriate support
IO11: Increased number of children affected
by others‟ substance misuse accessing early
intervention services
IO12: Increased number of children under 5yrs
affected by others‟ substance misuse whose
physical needs and emotional wellbeing are
met
IO13a: Increased opportunities to access
services to develop resilience and wellbeing of
children affected by others‟ substance misuse
IO13b: Enhanced resilience and wellbeing for
children affected by others‟ substance misuse
The population of
South Ayrshire
are able to build
on their strengths
to reduce alcohol
and drug misuse
to the benefit of
individuals,
families and
communities
IO14: Increased number of young people
affected by others‟ substance misuse
supported to move from targeted into universal
services
IO15: Children and families affected by
substance misuse receive appropriate support
when required in a non-stigmatising way
IO16: Social care workforce is confident and
competent in dealing with parental substance
misuse and its impact on children
Page 13 of 28
Figure 5: Developing a Recovery Orientated System of Care
Short Term Outcomes
SO23a:
SO23b:
SO23c:
SO23d:
SO23e:
Increased service user engagement in the planning and delivery of services
Increased number of service users attend recovery-focused services
Increased number of referrals to mutual aid groups
Increased awareness among adult services of all recovery services available
Improved and increased integration between recovery services and community of
recovery
SO24a: Increased number of individuals, families and carers who are fully involved and participate
in planning for their own sustained recovery
SO24b: Individuals receive timely and age appropriate support
SO24c: Increased working with individuals who may wish to become alcohol and drug free
(including substitute prescribing medications if desired)
SO24d: Decreased risk of deaths as a result of opiate overdose through local roll-out of Take
Home Naloxone programme
SO24e: Reduction in alcohol or drug related harm for individuals with problematic alcohol and
drug use
SO24f: Service users have improved/no deterioration in health/mental health
SO25a:
SO25b:
SO25c:
SO25d:
SO25e:
Increased number of individuals in sustained recovery
Reduction in the number of service users exhibiting offending and re-offending behaviour
Service users have improved/no deterioration in social functioning/personal relationships
Service users are more involved/included in their community
Increased number of individuals who are homeless or at risk of homelessness, and who
have substance misuse issues being identified and referred to appropriate support
SO25f: Increased number of service users living in safe, settled and appropriate accommodation
SO25g: Increased number/% of service users have improved financial stability
SO25h: Service users have an increased awareness of work/training opportunities available
SO25i: Increased number/% of service users moving into and sustaining voluntary work,
sustaining training, voluntary work or employment
SO25j: Service users have improved career aspirations
SO25k: Service users have an improved understanding of their rights and responsibilities
SO26a: Increased peer-based recovery support which promotes active participation in local
communities
SO26b: Increased number of community recovery champions who can assist in the development
of recovery communities
SO27a: Increased number of strategic and operational recovery champions
SO27b: Promotion of recovery success at individual, family and community levels is increased to
show recovery is possible
Intermediate Outcomes
Local Outcome
IO17: Alcohol and drug services are
commissioned to work with individuals
on strength-based asset approach
ensuring people move through
treatment into sustained recovery
IO18: Individuals are recovering from
problematic drug and alcohol use
(Core Outcome 3)
IO19: Improved life circumstances to
promote sustained recovery i.e.
improved family relationships,
housing, employability and social
networks
The population
of South
Ayrshire are
able to build on
their strengths
to reduce
alcohol and
drug misuse to
the benefit of
individuals,
families and
communities
IO20: Increased number of
communities where individuals in
recovery act as champions for those
starting their recovery journey
IO21: Individuals, families and
communities affected by alcohol and
drug problems have hope that
recovery is possible and have the
skills and support to help them plan
for this journey
Page 14 of 28
Figure 6: Communication, Engagement and Workforce Development
Short-Term Outcomes
Intermediate Outcomes
SO28a: Increased integration, cooperative working and information sharing between
specialist alcohol and drug services and children and family services
SO28b: Increased integration, cooperative working and information-sharing between
rd
all statutory and 3 sector services working with individuals affected by
substance misuse
SO28c Increased awareness of alcohol and drug recovery services available in
South Ayrshire
IO22: Improved communication and
information-sharing between specialist
rd
and non specialist statutory, 3 sector
and community groups
SO29a: Improved understanding and attitudes across all services working with
individuals affected by substance misuse of the Recovery Orientated System
of Care which focuses on individuals‟ strengths and assets
SO29b: Increased number of staff trained in Levels 1–4 National Learning Priorities
SO29c: Increased number of individuals in recovery who are trained to become an
effective part of the alcohol and drug workforce
SO29d: Increased training for all staff on the impact of others‟ substance misuse on
children and young people
SO29e: Increased number of staff working with individuals affected by substance
misuse trained in suicide prevention training
IO23: South Ayrshire‟s alcohol and drug
workforce are united by a shared vision,
focused on the needs of individuals
SO30: Increased number of community projects using a whole population assetbased approach to alcohol and drugs
SO31: Increased promotion of recovery success stories at individual, family and
community level to show recovery is possible
SO32a: Increased number of service users and people in recovery involved in the
ADP
SO32b: Increased number of representative service user groups in South Ayrshire
SO33a: Increased number of individuals in recovery and their families involved in the
ongoing process of systems-improvement
SO33b: Increased outcome-based commissioning for local alcohol and drug services
SO33c: Increased number of Equality Impact Assessment (EqIAs) completed by
commissioned services
SO33d: Standardised performance management and evaluation processes are in
place for all alcohol and drug services funded by the ADP
IO24: Increased knowledge and
understanding among the general public
about drug and alcohol dependency and
recovery, to reduce the levels of fear,
blame and stigma
IO25: Increased engagement with
community members as part of the
continuous improvement and delivery of
local services
IO24b: Increased use of the asset-based
approach within community settings
Local Outcome
The population
of South
Ayrshire are
able to build on
their strengths
to reduce
alcohol and
drug misuse to
the benefit of
individuals,
families and
communities
IO26a: Increased involvement of service
users and people in recovery within the
ADP
IO26b: Service users and people in
recovery have meaningful involvement in
service design and delivery
IO27: Alcohol and drug services are high
quality, continually improving, efficient,
evidence-based and responsive, ensuring
that people move through treatment into
sustained recovery (Core Outcome 7)
Page 15 of 28
4.
GOVERNANCE AND PERFORMANCE MANAGEMENT
4.1
Outcome Indicators
A robust performance management system is being finalised to ensure that progress
towards the outcomes can be demonstrated to our partners and, more importantly, to our
communities and service users. An Outcomes Framework has been developed detailing
specific indicators which will measure progress towards achieving the outcomes. The ADP
are developing a number of additional local indicators and these will be put in place as
baselines are established and included in future updates of the Delivery Plan.
Local targets have not been set for a number of national indicators due to the lack of long
term data available to show trends over time. The ADP will keep under review the national
indicators as more data becomes available.
Table 1 - 5 detail the agreed outcome indicators to demonstrate progress towards achieving
the outcomes.
The Outcomes Indicators detailed in Tables 1 – 5 are either Intermediate or High Level
Outcomes. Evidence suggests that it is likely to take 3-5 years for a positive change to be
seen in Intermediate Outcomes and 10 years or more for a change in High Level Indicators
therefore positive change in a number of outcomes may not be seen during this Delivery
Plan.
The ADP recognises that the achievement of the outcomes will result from the contribution of
all workstreams in the strategy delivering synergistically in addition to external factors which
may lie outwith the control the ADP.
4.2
Links to Community Planning
South Ayrshire ADP is a Thematic Group within the CPP Structure and reports directly to the
CPP. Appendix 1 details the current ADP Structure and links to the CPP and other thematic
groups.
The CPP nominates the Chair of the ADP and endorses the Terms of Reference. All
Thematic Sub Group submit brief written progress reports to each CPP meeting, attends the
annual SOA reporting seminar and as a minimum attends the CPP once a year.
The CPP reviewed and endorsed the ADP Alcohol and Drug Strategy and recommendations
for funding. The ADP Delivery Plan and Annual Reports, including progress in relation to the
SOA and National Core Outcomes will be reviewed by the CPP prior to submission to the
Scottish Government.
Page 16 of 28
Table 1: Prevention and Education: Changing Knowledge, Skills and Attitudes
Outcome Indicators
Baseline
Area
1.1
1.2
1.3
1.4
1.5
2004/07
2005/08
2006/09
2007/10
Rate of drug-related acute hospital discharges
(rolling 3-year average per 100,000 population)
ISD SMR-01
Rate of alcohol-related hospital discharges
rates (rolling 3-year average per 100,000
population)
ISD SMR-01
South Ayrshire
159
162
154
152
Scotland
99
108
113
116
South Ayrshire
960
939
958
925
Scotland
734
752
743
737
Rate of alcohol-related mortality
(rolling 3-year average per 100,000 population)
GROS
South Ayrshire
2005/07
19
2006/08
22
2007/09
18
2008/10
22
25
25
23
22
Prevalence of hepatitis C among injecting drug
users (% based on all injecting drug users
tested)
HPS
Scotland
South Ayrshire
2005/06
2006/07
2007/08
Data not available
Scotland
2008/09
60.0%
53.5%
2006
South Ayrshire
Scotland
2009/10
South Ayrshire
Scotland
Estimated prevalence of Problem Drug Use amongst
Total population age 15-64
Male population age 15-64
Female population age 15-64
1.47%
1.93%
1.03%
1.62%
2.30%
0.95%
1.26%
2.04%
0.89%
1.71%
2.49%
1.00%
Male population age 15-64
Male population age 25-34
Male population age 35-64
ISD Drug Prevalence Study
-
-
1.50%
5.76%
1.36%
2.28%
4.99%
1.78%
Target
March 2015
Maintain, reducing in the long
term. See supporting
narrative.
Maintain, reducing in the long
term. See supporting
narrative.
Maintain, reducing in the long
term. See supporting
narrative.
Local target not set due to
lack of baseline or trend data
currently available. ADP
working towards a reduction
in prevalence rate.
Local target not set due to
lack of trend data currently
available. ADP working
towards a reduction in
prevalence rate.
Page 17 of 28
1.6
1.7
1.8
1.9
Estimated prevalence of injecting drug use amongst
15-64 year olds in Scotland.
ISD Drug Prevalence Study
South Ayrshire
Data not currently available from ISD
Scotland
2006
2010
South Ayrshire
11%
8%
ISD SALSUS 2006,2010
Scotland
14%
11%
Percentage of 15 year old pupils who used an illicit drug in the
last year (areas with lower prevalence).
South Ayrshire
18%
17%
ISD SALSUS 2006,2010
Scotland
23%
19%
The proportion of individuals drinking above daily and/or weekly
recommended limits
South Ayrshire
Percentage of 15 year old pupils who used illicit drugs in the last
month (areas with larger prevalence).
Scottish Health Survey
Data not currently
available from ISD
Scotland
The proportion of individuals drinking above twice daily (“binge”
drinking) recommended limits
South Ayrshire
Scottish Health Survey
Scotland
1.11
The proportion of individuals who are alcohol dependent
Scottish Health Survey CAGE questionnaire
South Ayrshire
Scotland
Data not currently
available from ISD
1.12
Proportion of 15 year olds drinking on a weekly basis
Mean number of units in the last week
South Ayrshire
Scotland
South Ayrshire
38%
30%
-
18%
20%
16.6
ISD SALSUS 2008,2012
Scotland
-
19.5
1.10
1.13
No of Dwelling house fires where alcohol/ drugs is suspected to
be a contributory factor
No of fire incidents which resulted in Death or injury, where
alcohol/drugs is suspected to be a contributor
Strathclyde Fire & Rescue
South
Ayrshire
Data not currently
available from ISD
Local target not set due to
lack of baseline or trend data
currently available.
Target
March 2015
Local target not set due to
lack of trend data currently
available. ADP working
towards a reduction.
Local target not set due to
lack of trend data currently
available. ADP working
towards a reduction.
Local target not set due to
lack of baseline or trend data
currently available.
Local target not set due to
lack of baseline or trend data
currently available.
Local target not set due to
lack of baseline or trend data
currently available.
Local target not set due to
lack of trend data currently
available. ADP working
towards a reduction.
2009/10
2010/11
2011/12
12
19
16
10. See supporting narrative.
0
5
8
10. See supporting narrative.
Page 18 of 28
Supporting narrative
Reduction in harm will occur if consumption decreases. This is dependent on changes to environmental factors such as affordability, availability and social
acceptability. Influence over some of these issues lies outwith the control of the ADP and will result from national legislative changes. There is also likely to
be a significant time lag between reduction in consumption and a positive impact on harms to health. Evidence indicates that a reduction in chronic alcohol
conditions may not be seen for on average 10 years following changes in overall population consumption. As a result, although the target is a reduction in
harm it is unlikely that this will be realised within the life of this strategy6
1.13 House fires are a top priority for Strathclyde Fire & Rescue and staff are committed to working closely with partners to address the underlying causes
of alcohol/drugs misuse to reduce the number of dwelling fires where alcohol or drugs is a contributing factor. During the course of this Delivery Plan it is
expected that the performance measure will increase. This is due to the data is recorded, in previous years only people taken to hospital were recorded as
casualties now anyone receiving a precautionary check up is also included within this data.
The ADP is currently working with partners to develop local outcome indicators which can robustly measure progress towards achieving outcomes in
relation to Prevention and Education: Changing Knowledge, Skills and Attitudes. The Delivery Plan will be updated as baselines are established.
Table 2: Availability, Enforcement, Safer Environments and Communities
Outcome Indicators
2.1
Percentage of young people who have ever been offered drugs
ISD SALSUS
2.2
Percentage of people perceiving drug misuse or dealing to be
common or very common in their neighbourhood
Scottish Household Survey
6
Baseline
Area
South Ayrshire
Scotland
Target
March 2015
2006
48%
53%
2010
62.5%
57.5%
2007/08
2009/10
South Ayrshire
6.7%
11.9%
Scotland
12.5%
11.6%
Local target not set due to
lack of trend data currently
available. ADP working
towards a reduction.
Local target not set due to
lack of trend data currently
available. ADP working
towards a reduction.
Monitoring and Evaluating Scotland‟s Alcohol Strategy. Setting the Scene: Theory of change and baseline picture, NHS Health Scotland (2011)
http://www.healthscotland.com/documents/5072.aspx
Page 19 of 28
2.3
Percentage of people noting „alcohol abuse‟ as a negative aspect
of their neighbourhood
Scottish Household Survey
South Ayrshire
3.0%
2.0%
Scotland
4.0%
4.0%
Local target not set due to
lack of trend data currently
available.ADP working
towards a reduction.
2011/12
2.4
Number of premise licences:
i) in force per annum
ii) the overall capacity of premise licences
South Ayrshire
448
Not available at this time
South Ayrshire Council
2.5
2.7
Number of:
i) new applications for premise licences
ii) occasional licences granted
iii) occasional licences refused
Number of test purchases resulting in further action (prosecution
and licensing board actions)
South Ayrshire
28
681
11
17
South Ayrshire
Data not currently available
from ISD. Local data
included. Local targets not
set.
Data not currently available
from ISD. Local data
included. Local targets not
set.
Increase. See supporting
narrative.
Strathclyde Police / SAC
2.8
Average annual number of crimes directly related to alcohol
Number of „drink/drug driving‟ offences detected
Number of „drunk and incapable‟ offences detected
Number of „consuming alcohol in designated place‟ offences
detected
South Ayrshire
Strathclyde Police
2.9
2.10
2009/
2010
184
2010/
2011
166
2011/
2012
121
33
31
30
1219
973
762
Percentage of new patients/clients at specialist drug treatment
services who report funding their drug use through crime
South Ayrshire
2009/10
-
2010/11
18.5%
ISD Scottish Drug Misuse Database (SMR-25a)
Scotland
20.0%
21.6%
One year reconviction frequencies rate for offenders given a Drug
Treatment and Testing Order
East, North and
South Ayrshire
2007/08
170.3
2008/09
120.7
Increase. Priority issue for
Strathclyde Police. See
supporting narrative.
Maintain at current levels.
See supporting narrative.
Continued reduction. See
supporting narrative.
Local target not set due to
lack of trend data currently
available.ADP working
towards a reduction.
Reduction in Reconviction
Frequency Rates. See
Page 20 of 28
Scottish Government Criminal Justice Social Work Statistics
2.11
Number of cases of anti social behaviour per 1,000 population
Crimefile & STORM
2.12
Number of Community Payback Orders (CPOs) issued where
alcohol and drug treatment required, and proportion that are
successfully completed. Scottish Court Service data
2.13
Percentage of victims of a crime who reported that offender was
under the influence of alcohol
Scottish Crime and Justice Survey
Percentage of victims of a crime who reported that offender was
under the influence of drugs
Scottish Crime and Justice Survey
Scotland
192.3
162.3
South Ayrshire
2009/10
48.7
2010/11
37.4
Scotland
42.7
35.5
South Ayrshire
CPOs was introduced in
February 2011 and the
first annual statistic will not
be published until late
2012.
23.0%
24.0%
Scotland
Strathclyde Police
Force Area
Scotland
Strathclyde Police
Force Area
Scotland
23.0%
22.0%
23.0%
14.0%
12.0%
13.0%
supporting narrative.
Reduce. See supporting
narrative.
No local target set to due
to lack baseline and trend
data.
Local target not set due to
lack of trend data currently
available.
Local target not set due to
lack of trend data currently
available.
2011/2012
2.14
Number of domestic abuse incidents where:
Victims under the influence of alcohol
Suspects under the influence of alcohol
Victims under the influence of drugs
Suspects under the influence of drugs
South Ayrshire
(Total incidence = 1283)
434
564
4
14
Reduce. See supporting
narrative.
Strathclyde Police
Supporting narrative
As stated in Table 1 reductions in harm require a reduction in consumption. Evidence suggests that, unlike changes in chronic alcohol related
conditions positive impacts on alcohol related crime and disorder are likely to become apparent more quickly. 7
2.7
Strathclyde Police has been working locally to increase the number of test purchase operations. In 2011/12 17 intelligence led test purchase
Monitoring and Evaluating Scotland‟s Alcohol Strategy. Setting the Scene: Theory of change and baseline picture, NHS Health Scotland (2011)
http://www.healthscotland.com/documents/5072.aspx
Page 21 of 28
7
operations took place with one person reported to the Procurator Fiscal regarding the alleged sale of alcohol to a person underage. In the premises
where no offences are detected then good practice is acknowledged and encouraged. Over the course of the Delivery Plan there will be an increase in
the number of test purchase operations in South Ayrshire.
2.8
Drink/ Drug driving is a priority issue for Strathclyde Police and there will be an increased focus on this issue to keep people safe. The intention
will be to increase the number of people detected for drink or drug driving. In relation to drunk and incapable offences this remains an area where police
officer‟s will take action. The action can be to arrest in the interests of the safety and well being of the individual concerned however other options
include securing medical attention as appropriate etc. Given the range of welfare and safety based measures which can be taken then it is likely that
this performance measure will remain constant in the period of the Delivery Plan. Increases or decreases in number must be seen in this context.
In South Ayrshire Strathclyde Police have robustly enforced the legislation surrounding street drinking bye laws. This focus remains and there are links
between public consumption of alcohol and anti social behaviour complaints from local communities. The trend data demonstrates the impact which
enforcing the provisions around consuming alcohol in designated places can produce. This downward trend will be aim for the period of this Delivery
Plan although where detected these offences will continue to be dealt with robustly which may impact on future trends.
2.10 Drug Treatment and Testing Orders (DTTO) was introduced across Ayrshire from 2004, and the overall trend for Reconviction Frequency Rates
has been a reduction from 2005/6 - 192.3 to the latest available figures of 2008/9 – 120.7. However, DTTO criteria necessarily results in a much smaller
cohort than other community sentences which address substance use, i.e. Scotland 2008/9 – DTTO 363 (162.3) compared to Probation 5,122 (86.0),
and therefore individual variation in reoffending has a greater impact, particularly in Ayrshire, where only 3 DTTO were imposed in South Ayrshire in
2011/12.
2.11 Anti Social Behaviour remains a priority area for police officers working in South Ayrshire. The data shows that the number of cases has fallen
from the baseline year and this trend is welcome and will remain the target of this Delivery Plan. Strathclyde Police works closely with partners to
address the underlying causes of anti social behaviour in a number of ways including placing a police officer on the Anti Social Behaviour Team of
South Ayrshire Council. This partnership approach encourages information sharing and a joined up approach to dealing with issues.
2.14 Strathclyde Police is committed to partnership working when dealing with incidents of domestic abuse. All members of staff are aware of their
role and their responsibilities in dealing with domestic abuse. There is a dedicated Domestic Abuse Unit working locally with individuals and agencies to
provide the best possible outcomes to keep people safe. During the course of this Delivery Plan the aim will be to reduce the number of domestic abuse
incidents where alcohol and drugs have been involved. This aim must be understood within the context of the ongoing efforts to encourage those who
are living with domestic abuse to come forward for assistance and support.
The ADP is currently working with partners to develop local outcome indicators which can robustly measure progress towards achieving outcomes in
relation to Availability, Enforcement, Safer Environments and Communities. The Delivery Plan will be updated as baselines are established.
Page 22 of 28
Table 3: Children and Families Affected by Others Substance Misuse
Outcome Indicators
3.1
3.2
3.3
3.4
Baseline
Target
March 2015
Area
2004/05 –
2006/07
2005/06 –
2007/08
2006/07 –
2008/09
2007/08 –
2009/10
Rate of maternities (per 1000 maternities)
recording drug use
South Ayrshire
19.4
20.2
21.5
18.2
ISD, SMR-02
Scotland
9.6
9.5
9.9
11.9
Rate of maternities (per 1000 maternities)
recording alcohol use
South Ayrshire
Data not currently available.
ISD, SMR-02
Scotland
Local target not set due to
lack of baseline or trend
data currently available.
Number of Child Protection Case Conference
where parental drug and alcohol abuse has been
identified as a concern/risk
Scottish Government Child Protection statistics
South Ayrshire
Data not available until February 2013.
Local target not set due to
lack of baseline or trend
data currently available.
Proportion of positive ABI screenings in ante-natal
setting NHS Board
South Ayrshire
Data not currently available
Local target not set due to
lack of baseline or trend
data currently available.
Scotland
Maintain, reducing in the
long term.
Supporting narrative
The ADP is currently working with partners to develop local outcome indicators which can robustly measure progress towards achieving outcomes in
relation to the children and families affected by others substance misuse. The Delivery Plan will be updated as baselines are established.
Page 23 of 28
Table 4: Implementing a Recovery Orientated System of Care
Outcome Indicators
Baseline
Area
4.1
Percentage reduction in daily drugs spend during treatment
ISD Scottish Drug Misuse Database (SMR-25b)
4.2
4.3
Scotland
Reduction in the percentage of clients injecting in the last
month during treatment
South Ayrshire
ISD Scottish Drug Misuse Database (SMR-25b)
Scotland
Proportion of clients who abstain from illicit drugs between
initial assessment and 12 week follow-up
South Ayrshire
ISD Scottish Drug Misuse Database (SMR-25b)
4.4
South Ayrshire
Proportion of clients receiving drugs treatment experiencing
improvements in employment/ education profile during
treatment
Scotland
South Ayrshire
Scotland
2010/11
Target
March 2015
2011/12
Data not currently available
from ISD.
Data not currently available
from ISD.
Data not currently available
from ISD.
Data not currently available
from ISD. Baseline due
December 2012
Local target not set due to
lack of baseline or trend
data currently available.
Local target not set due to
lack of baseline or trend
data currently available.
Local target not set due to
lack of baseline or trend
data currently available.
Local target not set due to
lack of baseline or trend
data currently available.
ISD Scottish Drug Misuse Database (SMR-25b)
Supporting narrative
The ADP is currently working with partners to develop local outcome indicators which can robustly measure progress towards achieving outcomes in
relation to the Recovery Orientated System of Care. The Delivery Plan will be updated as baselines are established.
Page 24 of 28
Table 5: Communication, Engagement and Workforce Development
Outcome Indicators
5.1
The number of screenings (using a validated tool) for alcohol use
disorders delivered and the percentage screening positive with the
breakdown of:
i) % eligible for ABI
ii) % eligible for referral to treatment services
NHS Ayrshire & Arran
5.2
The number of alcohol brief interventions delivered in accordance with
the HEAT Standard guidance
5.3
Percentage of clients waiting more than three weeks between referral
to a specialist drug and alcohol service and commencement of
treatment
ISD Waiting Times Database
Baseline
Area
Ayrshire &
Arran
Ayrshire &
Arran
South
Ayrshire
Scotland
2010/11
2011/12
Data not currently
available.
7,591
7,501
June
2011
7%
December
2011
3.3%
17.2%
15.1%
2010/11
5.4
Number of treatments drug service clients receive at 3 month and 12
month follow-up (and annually after that)
ISD Scottish Drugs Misuse Database
South
Ayrshire
Target
March 2015
Local target not set due to
lack of baseline or trend
data currently available.
Deliver at least 3,668 (90%)
within priority settings and
408 (10%) in non-priority
settings by March 2013.
Ayrshire & Arran trajectory
set whereby 90.3% of
people will wait no longer
than 3 weeks by March
2013
2011/12
Data not currently
available.
Local target not set due to
lack of baseline or trend
data currently available.
Supporting narrative
The ADP is currently working with partners to develop local outcome indicators which can robustly measure progress towards achieving outcomes in
relation to communication, engagement and workforce development. The Delivery Plan will be updated as baselines are established.
Page 25 of 28
5.
ADP FUNDING
6.1
Alcohol Misuse and Drug Misuse Funding
Scottish Government Alcohol Misuse and Drug Misuse Funding allocated to NHS Ayrshire &
Arran are divided between North Ayrshire, East Ayrshire and South Ayrshire ADPs using
agreed formulas.
South Ayrshire ADPs funding allocations for 2012/13 include:
Alcohol Misuse allocation for 2012/13
Drug Misuse allocation for 2012/13
South Ayrshire Council allocation for 2012/13
£752,260
£364,488
£140,476
The ADP has identified two commissioning priorities for 2012/15 namely:
A local person-centred recovery support service which incorporates the ethos of the
ROSC
A local service to support children and young people affected by parental or carer
substance misuse
Table 6 provides a breakdown of the funding allocations for 2012/13. With the exception of
the two new commissioned services, funding allocations beyond 31st March 2013 are still to
be reviewed and agreed by the ADP and CPP.
6.2
NHS Ayrshire & Arran Core Direct Spend
In addition to the Alcohol Misuse and Drug Misuse Funding detailed above NHS Ayrshire &
Arran has „core‟ direct spend in relation to alcohol and drug misuse. The following details
„core‟ direct spend by NHS Ayrshire and Arran*:
South Ayrshire:
Ayrshire &Arran (Pan-Ayrshire services)
£877,684
£1,310,508
The figures detailed above should be treated with caution as they are notionally split. This
core funding incorporates elements of staffing and supplies costs and also funding related to
substitute prescribing – the funding split changes on a regular basis and it is based on the
current needs of the service or the locality team taking into account current caseload,
numbers of referrals, increases/decreases on the numbers on substitute medication and
changes to dispensing/supervision regimes.
6.3
Performance Management Arrangements
Each service funded by the ADP is subject to a standardised performance management
processes and will have a dedicated monitoring officer(s) in place. Each service has agreed
outcomes detailed in a Service Level Agreement or Service Specification and provides
regular performance management reports.
The Commissioning and Performance Management (CPM) Group oversee the performance
management of these services and provide exception reports to the ADP with remedial
actions where required.
Page 26 of 28
Table 6: ADP funding allocations for 2012/13
Strategy Area
Provider
Funding
Source
Prevention, Education,
Early Intervention,
Enforcement & Safer
Communities
Children, young people
and family support
Statutory Services
Alcohol Misuse
Funding *
£204,890
Statutory services
Alcohol Misuse
Funding *
Alcohol Misuse
Funding *
Alcohol Misuse
Funding *
£48,333
Commissioned services
Treatment & Recovery
Support Services
Communication,
Engagement & Workforce
Development
Statutory Addiction Services
(including local residential
rehabilitation facility
2011/12
allocations
£75,000
£327,012
Commissioned support services
(includes support for dual
diagnosis, ARBD)
Alcohol Misuse
Funding *
£185,549
Statutory Addiction Services
Drug Misuse
Funding*
£197,955
Commissioned Recovery Support
Services
Drug misuse
funding and
South Ayrshire
Council
Funding
Alcohol Misuse
Funding *
£308,406
Includes staff and service user
training, research and celebrating
recovery
£85,433
* includes carry forward from 2011/12
7.0
NATIONAL SUPPORT
South Ayrshire ADP received very valuable support from the National Support Coordinator,
particularly in relation to the implementation of the ROSC. The ADP Chairs events have
been beneficial and the ADP would welcome similar events for ADP officers.
The ADP has received excellent support from national organisations including the Scottish
Government Delivery Team, Scottish Recovery Consortium and Scottish Drugs Forum
(Naloxone Training for Trainers courses). The ADP commissioned Alcohol Focus Scotland
to deliver local training. The mapping of local training will also include a review of STRADA
training available and how this could be utilised locally. Health Scotland colleagues will be
supporting the ADP during 2012/13 with the development and evaluation of the asset based
community project.
The ADP would welcome support on the development of local core indicators and
measurement tools, as well as longer term national trend data and analysis.
Page 27 of 28
Appendix 1: Current ADP Structure Chart
Scottish Government
Pan Ayrshire
ADP Groups
Community Planning Partnership Board
Community Planning Implementation Group
Sustainability
Partnership
Community
Health
Partnership
Alcohol and
Drug
Partnership
Community
Safety
Partnership
Economic
Development
Partnership
Adult and Child
Protection
Committees
rd
SWS
Community
Justice Authority
VASA 3
Sector
ADP
Group
Local Licensing
Forum
PEAEC
Sub
1
Group
___
----1
2
3
4
Naloxone
Steering
Sub Group
ROSC
Sub
Group
Service User
Steering
Group
CAPSM
Sub
2
Group
Comms
Sub
3
Group
CPM
Sub
4
Group
Direct links between groups
Links between groups
Prevention & Education, Availability, Enforcement & Communities Sub Group
Children Affected by Parental Substance Misuse Sub Group
Communications Sub Group
Commissioning & Performance Management Sub Group
Page 28 of 28