Document Details:
ADP Reporting Requirements 2012/13
1
Partnership Details
2
Self-Assessment:
3
Finance Framework
4
Core & Local Indicators and key activities 2012/13
5
ADP & Ministerial priorities for 2013/14
Appendix 1

Guidance Notes and Commissioning Diagram
1
1.
PARTNERSHIP DETAILS
Alcohol & Drug Partnership:
ADP Chair
Contact name(s):
Contact telephone
Email:
Date of Completion:
Date published on ADP
website(s)
North Ayrshire
Sheena Gault
Mark Gallagher
01294 310336
markgallagher@north-ayrshire.gov.uk
29th August 2013
18th September 2013
The content of this template has been agreed as accurate by the Alcohol and Drug Partnership, and has been
shared with our Community Planning Partnership:
Sheena Gault
ADP Chair
The Scottish Government copy should be sent to:
Amanda Adams, Alcohol Policy & Delivery Team, Amanda.adams@scotland.gsi.gov.uk
2
2.
ADP Self-Assessment 1 April 2012 – 31 March 2013
Theme
R
A
G
Evidence See Note 2
See 1
ANALYSE
1
ADP Joint Strategic Needs
Assessment
has
been
undertaken and provides a clear,
coherent assessment of need.
G


See Note 3






2
An outcome based ADP Joint
Performance Framework is in
place that reflects the ADP
National Outcomes.
G


The work of North Ayrshire ADP is informed by ‘A Strategy for the Future
2011-2015’ that included the Needs Assessment for Alcohol and Drug
services in North Ayrshire.
Overprovision analysis supporting Licensing Policy has been undertaken
and submission to the Alcohol Licensing Consultation has taken place.
Lead Public Health Practitioner collated and delivered local statistical data
from the Health and Wellbeing Profiles survey for North Ayrshire.
An assessment of the health and social care needs of Older People was
conducted in July 2012
Completion of the Opiate Replacement Therapy consultation was
presented to the Drugs Strategy Delivery Commission
Mapping of Alcohol and Drug Prevention, Education and Early Intervention
Activity within North Ayrshire
A survey was conducted in relation to the prevalence of ‘Legal Highs’ in
Ayrshire and establishing the differences between localities.
An evaluation was undertaken on behalf of North Ayrshire ADP by the
Scottish Drugs Forum (SDF) to map addiction service provision within
North Ayrshire. This included identifying gaps, analysing the relationships
between those gaps and recovery oriented provision, and placing this
profile in the context of the ADP needs analysis and predicted future
service demand.
ADP performance framework is outlined in the ADP Delivery plan 2012-15.
This is reflected within the ADP Action Plan for each of the priority areas
for the ADP sub groups to report on.
The delivery plan reflects low to high level indicators and national
outcomes by applying a logic model approach.
3
Theme
R
A
G
Evidence See Note 2
See 1
3
4
Integrated Resource Framework Process
Suitable data has been used to
scope the programme budget
and a baseline position has been
established regarding activity,
costs and variation. Note 5
Integrated Resource Framework Outcomes
Note 5
A coherent approach has been
applied to selecting and
prioritising investment and
disinvestment options
G


North Ayrshire ADP committed a two year budget for period 2012-2014.
The ADP has commissioned an independent consultant who has
commenced work in relation to developing a Joint Strategic
Commissioning Plan by April 2014. The first phase of this work has been
completed through collating local data and awareness of service delivery.
A development plan will support the preparatory work prior to the strategy
being implemented.
G


See above.
The ADP is introducing a new contract management framework for
2013/14. This will inform decisions in aligning resources for the following
year.
PLAN
Theme
5
We have a shared vision and joint
strategic objectives
R
A
G
G
Evidence


North Ayrshire ADP’s ‘A Strategy for the Future 2011-15’ has been
developed in partnership with a range of stakeholders within the Community
Planning Partnership. The ADP has adopted a whole population approach
which requires work with and within communities to reduce the harmful
effects of alcohol and drug misuse on individuals, families and communities.
The four key priority areas consist of Prevention, Protection, Communities,
and Recovery.
The ADP has broad partnership involvement reflected in the diverse range
4
PLAN
6
G

Our strategic commissioning
work
is
clearly
linked
to
Community Planning priorities
and processes.
See note 6
7
Include your ADP Commissioning
plan or Strategy – if available.
Service Users and carers are
embedded within the partnership
commissioning processes

G



8
A person centered recovery focus
has been incorporated into our
approach to strategic
commissioning
Please include your outcomes for all
individuals within your alcohol and &
drug treatment system for 2012/13 if
available.
G


of agencies from each sector contributing within all of the ADP groups.
North Ayrshire ADP operates within North Ayrshire Community Planning
structure and report directly to the Community Planning Partnership. The
CPP review and endorse the ADP strategy and the recommendations made
for funding. The ADP submits a quarterly progress report to the CPP
relating to the Single Outcome Agreement that the ADP contributes
towards.
The CPP reporting structure is documented within page 6 of the ADP
strategy.
An evaluation was undertaken on behalf of North Ayrshire ADP by the
Scottish Drugs Forum (SDF) to map addiction service provision within North
Ayrshire. 97 service users participated in this process either by being
interviewed or attending focus groups.
The findings of the evaluation contributed towards the service specification
for a new commissioned service which will commence in the summer of
2013.
Following three conversation café events which took place in December
2012 and February and March 2013, some service users expressed a
desire to work towards achieving a number of support mechanisms to the
wider recovery community. A capacity building group work programme will
begin in May 2013 to prepare a group of people in recovery from alcohol
and other drug problems to form a committee who will contribute to ADP
meetings and become a formal strand of the ADP structure.
The Recovery Oriented Systems of Care (ROSC) sub group is a formal
strand of the ADP and its remit is working towards one of the strategic key
priority areas. The group is represented by a number of providers to ensure
recovery based approaches and opportunities are being enhanced and
promoted with appropriate support being provided within all stages of
recovery.
North Ayrshire ADP has employed a Recovery Policy Officer who has
focussed on service user engagement, recovery based practices and
5
PLAN
G




9
All relevant statutory
requirements regarding Equality
Impact assessments have been
addressed during the compilation
of our ADP Strategy and Delivery
Plan
G

service delivery through adapting and introducing evidence based tools and
paperwork in relation to assessments, care plans and recovery capital
questionnaire. A new outcomes tool has been introduced where more
specific recovery outcomes will be reflected in 2013/14. The policy officer
attends each of the sub groups to ensure recovery based approaches are
being reflected within different sectors.
North Ayrshire ADP has a new logo that was designed by a service user
involved within the Addiction Services Art Group. This logo is representative
of their own recovery and what this means to them.
A practitioner’s forum has been developed and established with around 16
members from a diverse range of services. This provides an opportunity to
reflect and share recovery practice throughout the area.
The ADP has put in place a two year partnership with SMART UK in order
to enhance the use of mutual aid provision within North Ayrshire. The
recovery café event involved all mutual aid providers hosting a stall and
engaging in conversations with a range of stakeholders.
A wide range of outcome tools are currently utilised within services. The
ADP Contract Monitoring Officer has commenced work to introduce a new
contract management framework. The monitoring tool will be outcome
focused with services required to evidence recovery based approaches
throughout client engagement. The outcomes tool being introduced in
2013/14 will be reflective of the key areas of service delivery with the same
tool being used by all services.
North Ayrshire ADP’s ‘A Strategy for the Future’ 2011 - 2015 incorporates
an Equality and Diversity Impact Assessment to ensure the needs of all
groups within North Ayrshire are identified and met paying particular
attention to those most at risk of harm.
6
DELIVER
10
Joint Workforce plans are in
place across all levels of service
delivery which are based on the
needs of your population.
G


11
A
transparent
performance
management framework is in
place for all ADP Partner
organisations
who
receive
funding through the ADP.
G


The ADP is committed to ensuring there is a confident and competent
workforce. A CAPSM Training Needs Analysis and Addiction Training
Mapping exercise has been conducted where the findings of these
evaluations will be incorporated within the new workforce development sub
group that will commence in June 2013.
The ADP ROSC Policy Officer held a ‘Conversation about Recovery’ event
exploring two themes- recovery, and stigma and prejudice. There was a
broad representation with professionals from Social Services Children and
Families teams, Criminal Justice Social Work Services, Reception Services,
Youth Strategy Services, Housing, Mental Health, Addiction Services and
North Ayrshire ADP all contributing to discussions
The ADP Finance, Commissioning and Performance Monitoring group
(FCPM) has a dedicated monitoring officer who is responsible for receiving
quarterly and annual reports from all ADP funded services. This information
is presented to the FCPM group prior to being relayed to the ADP for
approval.
The ADP has an established process and associated paperwork for
applications for funding from the ADP. Funding applications are agreed
within the respective sub group prior to being presented to the FCPM group,
who then relay to the ADP to ratify this decision.
REVIEW
12
ADP Delivery Plan is reviewed on
a regular basis.
G


The ADP Action Plan is reviewed by each of the sub groups on a regular
basis to ensure actions are contributing towards the delivery plan and
strategic objectives.
A development session took place involving members of the ADP and Chairs
from all of the sub groups. This provided an opportunity to raise awareness of
the specific remit and actions of each group, the nature of partnership
7
REVIEW
G

13
Outcomes focussed contract
monitoring arrangements are in
place for all commissioned
services.
G


14
A schedule for service
monitoring and review is in
place.
G


15
G
Service Users and their families
play a central role in evaluating
the impact of services.


working and raising any challenges that could be addressed on a shared
basis.
Another two development sessions took place within the Recovery Oriented
System of Care (ROSC) sub group and the Communities and Prevention
Implementation group (CPIG). This was an opportunity for the groups to raise
awareness of the nature of service delivery taking place and systems to
enhance collaborative working. This was well received due to a number of
new members engaging on the groups.
The ADP Contract Monitoring Officer has reviewed the Service Level
Agreement for all ADP funded services. Each of these services provides
quarterly and annual reports detailing service activity that are reflective of
agreed outcomes.
For all funding applications the ADP requires for the proposal to specify
projected outcomes where progress is then reflected within quarterly
exception reports.
The ADP Finance, Commissioning and Performance Monitoring group
(FCPM) has a dedicated monitoring officer who is responsible for receiving
quarterly and annual reports from all ADP funded services. This information is
presented to the FCPM group prior to be relayed to the ADP for approval.
The ADP has commenced work in reviewing all service delivery that will
contribute towards future provision and informing the preparatory work of the
commissioning strategy.
An evaluation was undertaken on behalf of North Ayrshire ADP by the
Scottish Drugs Forum (SDF) to map Addiction Service provision within North
Ayrshire, identifying gaps, analysing the relationships between these gaps
and recovery oriented provision and placing this profile within ADP needs
analysis and predicted future service demand. 97 service users participated
in this process either being interviewed or attending focus groups.
As reflected above, three events have taken place during 2012/13. These
involved a large number of service users and their families engaging in
8
REVIEW
G
conversations about recovery in North Ayrshire. This provided an opportunity
for all in attendance at the March event to develop an understanding of
recovery orientated systems in North Ayrshire whilst also helping to identify
opportunities for development

As a result of the three events the ADP has been able to develop a local
working definition of recovery:-
'Recovery from alcohol and other drug problems is a deeply personal journey
which anyone is capable of embarking upon. Recovery is something which you
can do for yourself though rarely by yourself; it can involve the growth and
development of individuals, families and communities. Recovery is empowering
and an exciting opportunity. For many, recovery is about 'giving something back'
to your community, to your family and to yourself. At its heart recovery is about
improving quality of life, progressing and moving forward at your own pace'.



16
There is a robust quality
assurance system in place which
governs the ADP and evidences
the quality, effectiveness and
efficiency of services.
See note 7
G


ADP funded services ensure the views of service users views are collated
through the use of group evaluations, joint reviews and exit evaluations.
A series of WRAP workshops were delivered within North Ayrshire where 17
service and ex-service users in attendance were asked their views on the
merits of delivering WRAP and the impact this placed on their recovery.
The ADP has launched Recovery Literature booklets where this involved
engaging with service users who shared their recovery stories that provide a
valuable insight into the many difficulties and barriers that addiction presents
and how supports were provided to enhance their quality of life.
The ADP reports directly to the CPP and also provides quarterly reports to
the CHP demonstrating contribution to the SOA and key thematic streams.
The ADP has met with representatives from the National Policy Unit on a
number of occasions. These meetings have taken place at the local
addiction services and included attending the ADP community event in
9
REVIEW
G

March and other national events to report on progress taking place
The introduction of new contract monitoring tool will provide in depth
evidence of the wider ADP approach through achieving low to high level
outcomes that will make a positive impact to meet national objectives.
3. Financial Framework
Your Report should identify both the earmarked drug and the earmarked alcohol 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 or support 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.
Income
Income
Earmarked funding from Scottish Government
Funding from Local Authority
Funding from NHS (excluding funding earmarked from Scottish Government)
Funding from other sources
Alcohol
£982,483
0
0
0
Drugs
£588,037
0
0
0
Total
£1,570,520
Allocation 2012/13 including
Carry Forward 2011/12
Alcohol
TOTAL
Total
£1,570,520
£1,252,861
Drug
£624,257
Total Expenditure for
2012/13
Alcohol
£1,125,275
Drug
£597,491
Underspend
Alcohol
Drug
£127,586
£26,766
10
North Ayrshire ADP ratified the Finance, Commissioning and Performance Monitoring (FCPM) sub-group decision that all carry
forward monies would be allocated to identified projects as this reflects an area of need and supports key priorities within the ADP
Strategy. In addition the FCPM sub group has been in receipt of funding proposal requests with projected budget for 2013/14 being
entirely committed.
11
4.
Core and Local Indicators 2012/13
Please include progress made re-establishing baselines, local improvement goals/targets and progress using the RAG
system for all national and local outcomes.
HEALTH: People are healthier and experience fewer risks as a result of alcohol and drug abuse
Indicators
Baseline
Drug related Increased by
11, Scottish
hospital
admissions average
increased by
2
Alcohol
Increase by
related
1, Scottish
hospital
average
admissions reduced by
26
Alcohol
Decrease by
related
3, Scottish
mortality
average
decreased by
1
Prevalence
Increase by
of hepatitis 5.9%,
C among
Scottish
people who average
inject drugs increased by
(PWID)
2.6%
Improvement RAG Key actions delivered to support this outcome in 2012/13
Goal/Target
Reduction
 North Ayrshire ADP in collaboration with NHS Ayrshire & Arran
A
towards Scottish
average

Reduction
A
towards Scottish
average
Continue
downward trend
G
Improved
number of BBV
tests and
treatment taking
place
A



delivered Naloxone training and distribution of 409 kits, an increase
of 84 from the previous year. There are identified link workers for the
homeless hostels.
Alcohol Liaison, NHS residential rehabilitation, and prison based staff
now engaging in ROSC sub group to support community transition
Co-location of NHS and North Ayrshire Council Addiction services
NHS Ayrshire & Arran identified as a test site for the National
Hepatitis C Peer to Peer model. A monthly support group
commenced in January 2013
Improved linkage between ADP and BBV Managed Care Network.
Shared resources agreed for new commissioned service in 2013/14
12
Drug related hospital admissions
3 year rolling average rates per 100,000 population for Scotland and Council area of residence
ADP area
North Ayrshire
Scotland
2005/06 - 2007/08
237
101
2006/07 - 2008/09
262
110
2007/08 - 2009/10
269
115
2008/09 - 2010/11
278
120
2009/10 - 2011/12
289
122
2008/09 - 2010/11
1106
736
2009/10 - 2011/12
1107
710
2008 - 2010
26
23
2009 - 2011
23
22
Alcohol related hospital admissions
3 year rolling average rates per 100,000 population for Scotland and Council area of residence
ADP area
North Ayrshire
Scotland
2005/06- 2007/08
1046
758
2006/07 - 2008/09
1075
776
2007/08 - 2009/10
1118
766
Alcohol related mortality
Alcohol related deaths (underlying cause)
3 year rolling average rates per 100,000 population for Scotland and Council area of residence
ADP area
North Ayrshire
Scotland
2005 - 2007
24
27
2006 - 2008
25
26
2007 - 2009
25
24
Prevalence of hepatitis C among people who inject drugs (PWID)
Percentage of injecting drug users testing positive for HVC antibody (% is based on all injecting drug users tested)
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2008/9
45%
53.5%
2010
50.9%
56.1%
13
PREVALENCE: Fewer adults and children are drinking or using drugs at levels or patterns that are damaging to themselves or others
Indicators
Baseline
Improvement RAG Key actions delivered to support this outcome in
Goal/ Target
2012/13
Prevalence of 0.1% increase, Reduction
 The Multi-Agency Problem Solving Group has continued to
A
problem drug same as
users
Scottish
average
Drug use last 3% increase,
month
Scottish
(pupils age
average was
15)
-3%
Drug use last 1% increase,
year (pupils
Scottish
age 15)
average was
-4%
Population
No previous
exceeding
data- NHS
weekly
A&A 1.5%
and/or daily
below Scottish
limits
average
‘Binge
No previous
Drinkers’
data- NHS
A&A 1.9%
below Scottish
average
Reduction
A
towards Scottish
average
Reduction
A
towards Scottish
average
To continue
below Scottish
average
G





To continue
below Scottish
average
G


G

make a sustained impact in communities. Through effective
community engagement, the group has responded to issues of
concern, tailoring their approach to meet the specific needs of the
areas being targeted. Diversionary activity involved the deployment
of street soccer through KA Leisure, high visibility police officers,
the fire service and youth workers. The diversionary activities were
provided in 7 areas across North Ayrshire. In total 335 young
people registered to take part in activities.
Alcohol and drug early intervention has been provided through the
Curriculum for Excellence
Campus Police Officers located within secondary schools
Fire Service Liaison Officers engage with all secondary schools
Letter sent to all parents of P7 pupils to ensure they have access to
information on speaking to their child about alcohol.
NAC Addiction service has provided inputs to youth clubs and Duke
of Edinburgh award scheme.
The ACES initiative targets P7 pupils and is offered to every
primary school in North Ayrshire working in conjunction with Police
Scotland. The key message is safe choices and to think carefully
about risk taking behaviour.
Jump2it project delivered positive messages about healthy
lifestyles to 12 primary schools across North Ayrshire, engaging
with a total of 955 pupils. A unique educational basketball initiative
including topics such as the importance of fitness and healthy
eating, and the dangers of smoking and alcohol.
Dry Bar- Youth Services team and a further 7 young people trained
14
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





Problem
drinking
Weekly
drinkers
(pupils age
15)
No previous
data- NHS
A&A 0.3%
below Scottish
average
Decrease of
5%, Scottish
average was
10% decrease
To continue
below Scottish
average
G

as peer educators. The young people have also had additional two
days training on perfecting the bar games and have trialled it with
two groups. Promotion of the resources has resulted in a demand
from community and voluntary organisations, requesting to use the
programme as part of their youth development programmes.
Drivers Test Success Programme- in partnership with Ardrossan
Academy, with 8 young people. Completed a second Drivers Test
Programme with 6 young people from Youth Groups.
Mobile skate board park purchased and will be utilised within a
number of communities
Exceeding the targeted number of Alcohol Brief Interventions within
a number of community settings
National Drop a Glass Size campaign was supported on a local
basis
FAS Awareness - Local radio ads, Banner pens produced, and
Stickers for all Midwifery notes
MAPS4U model provides a wide range of services that females can
access with follow up clinic appointment. It provides advice, support
and a quick responsive service for day to day issues all under one
roof. Over 100 females have accessed the service since
commencing in February 2012
Presentation delivered to services engaging within Older Peoples
forums
As above
Reduction
A
towards Scottish
average
A
15
Prevalence of problem drug users
Estimated prevalence of problem drug use (ages 15 to 64)
Alcohol & Drugs Partnership area
2006
North Ayrshire
2.0%
Scotland
1.6%
2009/10
2.1%
1.7%
Estimated prevalence of problem drug use, males (ages 15 to 64)
Alcohol & Drugs Partnership area
2006 2009/10
North Ayrshire
2.9%
3.0%
Scotland (excluding Islands)
2.3%
2.5%
Estimated prevalence of problem drug use, females (ages 15 to 64); 2006 and 2009/10
Alcohol & Drugs Partnership area
2006
2009/10
North Ayrshire
1.3%
1.2%
Scotland (excluding Islands)
1.0%
1.0%
Drug use last month (pupils age 15)
Estimated prevalence of problem drug use, females (ages 15 to 64); 2006 and 2009/10
Alcohol & Drugs Partnership area
2006 2009/10
North Ayrshire
12%
15%
Scotland
14%
11%
Drug use last year (pupils age 15)
Percentage of 15 year old pupils who used illicit drugs in the last year (2006, 2010)
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2006
21%
23%
2010
22%
19%
Population exceeding weekly and/or daily limits
16
The proportion of individuals drinking above daily and/or weekly recommended limits, 2008, 2009, 2010,
2011
Aged 16 and over (Figures based on all survey respondents)
NHS Board
Men
Women
Total
Ayrshire & Arran
46.6
37.8
41.9
Scotland
48.7
38.6
43.4
‘Binge Drinkers’
The proportion of individuals drinking above twice daily (“binge”
drinking) recommended limits, 2008, 2009, 2010, 20112 Aged
16 and over and current drinker
NHS
Board
Ayrshire
& Arran
Scotland3
Men
Women
22.5
26.0
16.2
16.7
Total
19.2
21.1
Problem drinking
Proportion of people with potential problem drinking, 2008, 2009, 2010, 2011
Aged 16 and over and current drinker
Two or more Problem
Drinking Indicators
NHS Board
Ayrshire & Arran
Scotland
Men
13.5
13.9
Women
9.2
9.5
Total
11.4
11.7
17
Weekly drinkers (pupils age 15)
Percentage of 15 year old pupils drinking on a weekly basis (2006, 2010)
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2006
34%
30%
2010
29%
20%
Mean consumption of pupils reporting drinking in the last week (2010)
Alcohol & Drugs Partnership area
2010
North Ayrshire
22.5
Scotland
19.6
The next SALSUS survey is due to report in 2014
The next SALSUS survey is due to report in 2014
RECOVERY: Individuals are improving their health, well-being and life-chances by recovering from problematic drug and
alcohol use
Indicators
No
information
is currently
available for
recovery
indicators
Baseline Improvement RAG Key actions delivered to support this outcome in 2012/13
Goal/Target
 MAPS4U is a partnership resource in North Ayrshire for women aged
G


G
16 and above. It provides advice, support and a quick responsive
service for day to day issues all under one roof. Over 100 females
have accessed the service since commencing in February 2012
Methadone and Alcohol Cessation programme continues to prove
an effective initiative resulting in 26 service users reducing and 11
becoming abstinent during the last year.
Three community conversation café style events have taken place,
the third occasion witnessed over 100 people in attendance. The
‘conversations about recovery’ was also used to engage with a variety
of stakeholders and partners within the third sector
18





A practitioner’s forum has been developed and established with a
diverse range of members
Engagement taking place with Networking Forum (Older Peoples
services)
FITBA4U programme provides a structured sport, employability and
health programme that helps build confidence, improve health, extend
social networks and develops skills, qualifications and goals moving
towards employment, education and training.
Community Garden has offered participants the ability to participate
in meaningful volunteering placements and activities by creating a
garden environment for others.
NAC Addiction Service delivers a number of activities based themes
including Creative Arts, Allotments and Gym groups as well as
thematic groups involving Parenting Programme; Single Gender and
Relapse Prevention Groups; and Recovery Capacity Group.
CAPSM / FAMILIES: Children and family members of people misusing alcohol and drugs are safe, well-supported and
have improved life-chances
Indicators
Baseline
Maternities
with drug
use
Reduced by
3.4%, Scottish
average
increased by
3.9%
Reduced by
0.3%, Scottish
average
increased by
2.8%
Maternities
with alcohol
use
Improvement RAG Key actions delivered to support this outcome in 2012/13
Goal/Target
To continue
 FAS awareness raising took place during 2012/13 through radio
G
below Scottish
average
To continue
below Scottish
average
G

advert, banner pens and stickers to highlight potential adverse
effects of alcohol in pregnancy and alcohol related birth defects.
Banner pens were distributed to antenatal staff and ‘No alcohol, No
risk’ stickers are displayed on every woman’s hand held maternity
notes.
All community midwives using an updated screening tool. All
community midwives trained in ABIs have been delivering ABIs to
antenatal women reporting drinking during pregnancy.
19
Child
protection
with
parental
alcohol/dru
g misuse
Proportion
of positive
ABI
screenings
in ante-natal
setting
No previous
figures
No
previous
figuresexceeded
target
Continued
G
engagement
between ADP &
CPC
To contribute
G
towards the
4076 overall
target for NHS
Ayrshire & Arran











G
The Specialist Midwife (Alcohol) delivers training around ABIs and
FAS awareness for 1st year midwifery students
559 ABIs delivered within ante-natal settings
NACPC conducted a multi-agency evaluation of child protection
services in a sample of CAPSM cases
Staff continues to adhere to the High Risk Protocol and pre-birth
child protection processes have been updated in line with National
Guidance for Child Protection in Scotland. Management information
in relation to pre-birth child protection activity is reported quarterly to
NACPC.
The NHS Ayrshire & Arran Unseen Child protocol is adhered to
Numbers of children on the child protection register who have
parental drug and/or alcohol misuse recorded against them are
reported quarterly to NACPC.
Parenting Capacity Assessment has been rolled out within NAC
Addiction service which is undertaken in all cases where children
are subject to CP/LAC proceedings. NAC Addiction Service
introduced a parenting group as part of their programme
The Solihull parenting approach continues to be delivered to staff
working with families
Children 1st 4ward Steps service provision supports pregnant
women with substance misuse issues and delivery Mellow
Parenting training to a diverse range of services
Two additional posts are funded through the ADP in order to support
vulnerable young people and families within a number of settings
through delivering a range of individual and group based
interventions
North Ayrshire Young Carers provides support to young people
aged between 8 – 18 years who have been affected by parental
substance misuse. Young Carers staff now engaging within the
CAPSM sub group.
20




Child Protection Committee Training delivered on a multi-agency
basis
A Training Needs Analysis carried out in respect of CAPSM
Lighthouse Foundation attending CAPSM and ROSC sub groups
with improved support and signposting for family members affected
by addiction
MAPS4U model provides a wide range of services that females can
access with follow up clinic appointments
Maternities with drug use
Rate of maternities (per 1,000 maternities) recording drug misuse
Financial years 2004/05 - 2010/11, three year rolling average
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2004/05-2006/07
26.6
9.6
2005/062007/08
30.1
9.5
2006/072008/09
28.4
9.9
2007/082009/10
25.3
11.9
2008/092010/11
21.9
15.8
Maternities with alcohol use
Rate of maternities (per 1,000 maternities) recording alcohol misuse
Financial years 2011/12, 2012/13
Rate per 1,000 maternities (drinking one unit or more) in the course of a typical week
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2011/12
8.4
30.2
2012/13
8.1
33.0
Child protection with parental alcohol/drug misuse
Number of Child Protection Case Conference where parental drug and alcohol abuse has been identified
21
Concerns identified at the case conferences of children who were on the child protection register at 31 July 2012, by local authority
August
2011 July 2012
50
918
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
Proportion of positive ABI screenings in ante-natal setting
Priority Area
Ante-natal
Total of ABIs
Delivered
881 screenings
COMMUNITY SAFETY: Communities and individuals live their lives safe from alcohol and drug related offending and antisocial behaviour
Indicators
Baseline
Drug use
funded by
crime
Increase of
2.7%, Scottish
average
reduced by
1.2%
CJA area
increased,
Scotland
reduced
Reduction
noted within
serious assault
& vandalism
Reconviction
of DTTO-ers
Alcohol
'related'
offences
Improvement RAG Key actions delivered to support this outcome in
Goal/ Target
2012/13
Reduction
 The Womens Diversion service has been a positive initiative as
A
towards Scottish
average
Reduction
A
towards Scottish
average
Reduction
A
towards Scottish A
average

this provides an alternative to Procurators Fiscal to intervene at an
early stage rather than process service users via the Court system.
The primary intervention is structured around substance misuse
and its impact on “low-level” offending whilst offering supports to
related welfare needs.
The Multi-Agency Problem Solving Group has continued to
make a sustained impact in communities. Through effective
community engagement the group has responded to issues of
concern, tailoring their approach to meet the specific needs of the
areas being targeted. Diversionary activity involved the
deployment of street soccer through KA Leisure, high visibility
22
offences;
increase in
common
assault
offending. All
above offence
categories
above Scottish
average.
No previous
data for breach
of the peace,
this is below
the Scottish
average
No previous
figures
CPOs with
alcohol/drug
treatment
Alcohol/ drug 1% increase
influenced
for alcohol &
offences
2% increase
for drugs
within
Strathclyde
Police area;
Scottish
average
reduced by 1%
alcohol and
1% increase
for drugs



A
Reduce the
trend
A



A
police officers, the fire service and youth workers. The diversionary
activities were provided in 7 areas across North Ayrshire. In total
335 young people registered to take part in activities.
76% core Criminal Justice Social Work (CJSW) staff in North
Ayrshire has been trained in the use of ABIs. NAC CJSW
delivered 263 ABIs
Substance Use Procedures were finalised for CJSW in May 2012
incorporating guidance on alcohol/drugs assessment and mapping
to appropriate services/interventions for Criminal Justice Social
Work Reports and all forms of Case Management. This includes
closer joint working processes between CJSW and specialist
partner service
CJSW have developed a Diversion service within the Structured
Deferred Sentence Project, with the criterion of any young man 1825 or all women 16> with first time or less serious offences
including alcohol/drug related offences. Participants engage in the
6 session Alcohol Education Programme where appropriate, as
well as support to address other lifestyle needs.
Substance Use Procedures finalised in May 2012 contain
guidance for staff on the use of alcohol/ drug screening/
assessment tools in mapping suitability for Supervision, Alcohol or
Drug Treatment Requirements in recommending Community
Payback Orders in Social Work Reports to the Court.
Two additional posts are funded by the ADP in order to support
vulnerable young people involved within the criminal justice system
with positive work taking place with HMP YOI Polmont to support
transition to the community
Safer Streets Christmas campaign delivered greater numbers of
highly visible police patrols deployed within the town centres with
their main objective being public reassurance. The increased
numbers also allowed response times to incidents to be greatly
decreased with detection being increased. Feedback has been
23

very positive in respect of the good work of taxi marshals assisting
at taxi ranks who dealt with 9323 individuals. This had the desired
effect of reducing incidents at taxi ranks and those incidents which
did flare up were promptly quelled by marshals and only requiring
police involvement on only one occasion.
There were 1580 Fire Service home safety visits
Drug use funded by crime
Percentage of new patients/clients at specialist drug treatment services who report funding their drugs through crime
Alcohol & Drugs Partnership area
2009/10
North Ayrshire
8.8%
Scotland
17.7%
2010/11
13.5%
22.4%
2011/12
16.2%
21.2%
Reconviction of DTTO-ers
One year reconviction frequency rates for offenders given a Drug Treatment and Testing Order
The rates are based upon the number of reconvictions for every 100 offenders
Community Justice Area
East, North and South Ayrshire
Scotland
2007/08
170.3
192.3
2008/09
120.7
162.3
2009/10
165.0
149.6
Alcohol 'related' offences
Alcohol 'related' offences recorded by the police
Rates per 1,000 population
Serious Assault
Local Authority Area
2009/10
2010/11 2011/12
North Ayrshire
1.3
1.3
1.1
Scotland
1.0
0.9
0.8
1.
Common Assault
2009/10 2010/11 2011/12
14.3
13.9
14.1
12.9
12.3
11.8
Vandalism
2009/10
2010/11
23.3
18.8
15.1
13.6
2011/12
17.7
12.8
Breach of the Peace2
2009/10 2010/11 2011/12
4.1
6.3
Please note that in last year’s ADP outcome reports, we reported on the Scottish Police Performance Framework Anti-Social Behaviour offence category which
included breach of the peace and vandalism offences. This year as a result of changes in the ASB category we are reporting offences separately.
24
2.
Due to the introduction of new legislation there have been new crime codes introduced for offences that would previously been recorded as Breach of the Peace.
Offences that were previously recorded as Breach of the Peace crime code can now be recorded under five different crime codes. Therefore, this indicator is not
directly comparable to figures for previous years.
CPOs with alcohol/drug treatment
Number of Community Payback Order requirements issued with drug or alcohol treatment
Financial year 2011/12
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2011/12
34
772
Alcohol/drug influenced offences
Percentage of crimes where offender was under influence of alcohol
Financial years 2009/10, 2010/11
Police Force work area
Strathclyde Police
Scotland
2009/10
23%
23%
* No update available for this indicator
The Scottish Crime and Justice Survey has recently become a biennial
survey and no fieldwork was conducted in 2011/12
2010/11
24%
22%
Percentage of crimes where offender was under influence of drugs
Financial years 2009/10, 2010/11
Police Force work area
Strathclyde Police
Scotland
2009/10
12%
12%
2010/11
14%
13%
25
ENVIRONMENT: People live in positive, health-promoting local environments where alcohol and drugs are less readily
available
Indicators
Pupils age 15
being offered
drugs
Drug misuse in
neighbourhood
Alcohol abuse
in
neighbourhood
Baseline Improvement RAG Key actions delivered to support this outcome in 2012/13
Goal/Target
2%
Reduction
 Campus Police Officers located within secondary schools
A
increase,
Scottish
average
was 11%
reduction
2.9%
reduction,
Scottish
average
was 0.9%
reduction
2%
increase to
6%,
Scottish
average
remained
the same
at 4%
399
Licenses in
force
Applications for 13
licenses
premised
licences &
142
personal
towards Scottish
average

Reduction
A
towards Scottish
average


Reduction
A
towards Scottish
average

No previous
figures
No previous
figures
The Multi-Agency Problem Solving Group has continued to make
a sustained impact in communities. Through effective community
engagement, the group has responded to issues of concern,
tailoring their approach to meet the specific needs of the areas
being targeted. Diversionary activity involved the deployment of
street soccer through KA Leisure, high visibility police officers, the
fire service and youth workers. The diversionary activities were
provided in 7 areas across North Ayrshire. In total 335 young people
registered to take part in activities.
Safer Streets Christmas campaign - see above.
Community Policing Teams carry out enforcement activity on a
regular basis involving integrity testing, test purchasing and agent
sales. The Bottle Marking Initiative continues to be successful and
there was a notable reduction from the same reporting period in the
previous year with public reported incidents of street drinking,
complaints/disturbances involving youths, public reporting incidents
of antisocial behaviour and vandalism/malicious mischief all being
reduced.
Improved working between the ADP and the Licensing Board in
relation to Overprovision policy. Work taking place along with
Licensing Board to prepare a Licensing Policy statement for the
2013-2016 period.
26
licences
Pupils age 15 being offered drugs
Percentage of 15 year old pupils who have ever been offered drugs (2006, 2010)
The next SALSUS survey is due to report in
2014
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2006
48%
53%
2010
50%
42%
Drug misuse in neighbourhood
Percentage of people perceiving drug misuse or dealing to be very or fairly common in their neighbourhood
Financial years 2007/08, 2009/10
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2007/08
19.6%
12.5%
2009/10
13.7%
11.6%
* No update available for this indicator
annual figures to be produced for 2012 onwards (published in (approx.) August 2013).
Alcohol abuse in neighbourhood
Percentage of people spontaneously reporting 'alcohol abuse' as a negative aspect of their neighbourhood
Financial years 2007/08, 2009/10
* No update available for this indicator
Up to and including 2011, Scottish Household Survey (SHS) was based on a biennial
design i.e. could only produce ADP-level results using
2 year datasets – the latest being SHS 2009/2010 (included in ADP reports
last year). The SHS new survey design will allow ADP
annual figures to be produced for 2012 onwards (published in (approx.) August 2013).
Alcohol & Drugs Partnership area
North Ayrshire
Scotland
2007/08
4%
4%
2009/10
6%
4%
27
Licenses in force
(a) Number of Premises licences in force on 31 March 2012 by type of licence
Total
On sale
Off sale
Local Authority
North Ayrshire
Scotland
licence
279
11553
licence
120
4838
399
16391
(b) Number of Personal licences in force on 31 March 2012
Local Authority
North Ayrshire
Scotland
Total
1348
46701
Applications for licenses
(a) Number of new applications for premise licences received during 2011-12 and number refused under Section 23 of the 2005 Licensing Act
Local Authority
North Ayrshire
Scotland
New applications
on sale
off sale
only
7
6
239
206
Applications
refused
2
21
(b) Number of new applications for personal licences received during 2011-12 and number refused under Section 23 of the 2005 Licensing Act
Local Authority
North Ayrshire
Scotland
Personal licences
New
Refused
142
0
5299
17
28
SERVICES: Alcohol and drugs prevention, treatment and support services are high quality, continually improving,
efficient, evidence-based and responsive, ensuring people move through treatment into sustained recovery
Indicators
Baseline
Improvement
Goal/Target
Screenings for Exceeded
alcohol use
target
disorders
Alcohol brief
interventions
196% target
achieved
Treatment
waiting times
100%
compliance-
99%
achieved
(94.6% for
Scotland)
To contribute
towards the 4076
overall target for
NHS Ayrshire &
Arran
To contribute
towards the 4076
overall target for
NHS Ayrshire &
Arran
Maintain current
delivery to
exceed the 90%
national target.
RAG Key actions delivered to support this outcome in
2012/13
Primary Care ABIs 586
G
Primary Care Additions Team ABIs 219
GP LES: ABIs 674
GP LES: Screenings 1062
GP LES: Follow-up 70
G
Non-priority settings 1536 ABIs delivered
 NAC CJSW 263
 KA Leisure 1262
 Health & Wellbeing 11
G
100% compliance from North Ayrshire Addiction tier 3 and 4 service
provision involved in providing waiting times data. 99% clients were
seen within 3 weeks, exceeding the HEAT target.
Alcohol brief interventions
ABI Delivery 2012-13
ABI HEAT Standard Trajectories 2013-14
NHS Board
Ayrshire & Arran
Apr - Jun
2013 (Q1)
1,019
Jul - Sep
2013 (Q2)
1,019
Oct - Dec
2013 (Q3)
1,019
Jan - Mar
2014 (Q4)
1,019
LDP
Trajectory
Total
4,076
HEAT
standard
Total
4,076
Total Number
of Interventions
delivered 201213
8,002
% of Target
Interventions
Delivered in
2012-13
196%
29
Number of alcohol brief interventions delivered in accordance with the HEAT Standard guidance
NHS Board
Ayrshire & Arran
Scotland
2008/09
3,001
30,310
2009/10
3,475
55,757
2010/11
7,591
88,143
2011/12
7,501
97,830
Total
No.
of
Interventions
2008/09 - 2011/12
21,568
272,040
Target
No.
of
Interventions
2008/09 - 2011/12
14,773
210,530
Treatment waiting times
Percentage of clients waiting for more than 3 weeks between referral to a specialist drug and alcohol service and start of treatment
Jun-11
Dec-11 r
Mar-12
Jun-12
Sep-12
Alcohol & Drugs Partnership area
%
%
%
%
%
North Ayrshire
11.6
12.5
5.6
3.7
2.4
Scotland
17.2
15.1
12.2
10.1
8.5
Progress towards HEAT target
(known as HEAT Standard from
2013/14)
(at 31 March 2013)
Clients waiting over 6 weeks to receive appropriate
treatment ( at 31 March 2013)
Area
Scotland
North Ayrshire ADP
Number of
Completed
Waits (March
2013)
10,897
% seen
within 3
weeks
(March
2013)
94.6
% seen
within 6
weeks
(March
2013)
0.8
288
99.0
0.0
Completed
waits
% seen within
7-8 weeks
Completed
waits
% seen within
9-12 weeks
Completed
waits
% seen
within 1316 weeks
Completed
waits
% seen
within 1720 weeks
Completed
waits
% seen
within 21+
weeks
0.5
0.2
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Dec-12
%
1.1
7.9
Compliance from services
delivering tier 3 and 4 drug
and alcohol treatment in by
ADP at 31 March 2013
Number
% of
of
Total
services
services
number
providing
providing
of
waiting
waiting
services
times
times
data
data
265
263
99.2
4
4
100.0
30
5.
ADP & Ministerial Priorities in 2013/14
ADP Priorities
Please list your ADP’s five key commitments for 2013/14 following this self-assessment.





Progressing CAPSM research to enhance our approach in supporting children and families
ADP website launch taking a whole population approach to raise awareness of addiction and services to support community
members, showcasing recovery and achievements whilst challenging stigma
Developing a Service User Committee who will be supported to become a formal strand of the ADP structure
Areas within the Development Plan will be addressed in advance of implementing the Commissioning Strategy in 2014/15
Introducing a recovery capital measurement tool within all ADP funded services that will support service user engagement
and reflect recovery care plans and outcomes being achieved
Ministerial Priorities
ADP funding allocation letters 2013-14 outlined a range of Ministerial priorities. The Quality Improvement letter issued to ADPs on
3 July 2013 asks ADPs to describe in this ADP Report their local Improvement goals and measures for delivering these during
2013/14. Please outline these below.



North Ayrshire ADP services will continue to deliver and exceed the target for Alcohol Brief Interventions within a number of
priority and non-priority settings. We will identify other areas where we can engage with the wider community and
information will be incorporated within the new ADP website.
North Ayrshire ADP services will 100% comply with the Scottish Drugs Misuse Database. The FCPM sub group include as a
standing agenda item at each meeting in order to review progress. In addition the group will review the recording to ensure
that records are identifiable.
The delivery of the national Naloxone programme will be further enhanced through improved community engagement,
supporting the Peer to Peer approach by working in conjunction with the Scottish Drugs Forum and improving the uptake for
family members. Estimated prevalence within North Ayrshire is 1800; therefore the 15% target by March 2014 is to distribute
270 Naloxone kits. The current number distributed is 199. North Ayrshire ADP will work with relevant services to improve the
supply of Naloxone kits to new clients receiving prescribed opiate substitute treatment. North Ayrshire ADP contributes to the
Pan-Ayrshire Drug Related Death Review Group where improved communication and learning is required in order to
improve our approach.
31



North Ayrshire ADP will deliver a series of new psychoactive substance workshops in order to raise awareness for staff and
service users. The Pan-Ayrshire Drug Trend Monitoring Group will provide and circulate up to date information regarding
new psychoactive substances and other drug related activity.
North Ayrshire ADP services will ensure systems are in place in order to achieve the HEAT Drug and Alcohol Treatment
Waiting Times Standard. Effective pathways will be promoted within prison, residential, hospital and community settings
through action plan goals and ROSC sub group membership. North Ayrshire ADP achieved 99% of the HEAT target (94.6%
for Scotland). We will maintain the current delivery to exceed the 90% national baseline standard.
North Ayrshire ADP will aim to increase the number of fully identifiable records. The ADP had 18% of anonymous records on
the DATWD (Scottish average being 20%). There will continue to be a number of records that will remain ‘anonymous’ due
to the information sharing principles adopted by services in Ayrshire and Arran. However, services will be encouraged to
further promote client consent to sharing personal identifiable information at point of assessment and for duration of
intervention. Local systems are in place which will be monitored to support this area and to increase the number of SMR25b
being completed. In Scotland there were 9730 SMR25a returns, North Ayrshire ADP was 398 (15% with a 3 Month SMR25b
record for Scotland was 15%; North Ayrshire ADP was 5%). North Ayrshire ADP requests that ISD ensure that all NHS
Addiction Service SMR submissions are reflected in the ADP area where an individual lives (and not based on one singular
ADP area that the service sits within). This will provide a more accurate reflection of SMR25a returns relative to the North
Ayrshire ADP area. All services will be instructed to continue to collect, record and report on all aspects of waiting times and
SMR data. However, in order to increase the 5% of completed SMR25b records at 3 month follow up, the ADP will work with
local services to implement a system of formal review appointments for clients at 3 month follow up. To assist this, services
will be able to access a locally devised report that will highlight and prompt services when the review date is due. Services
will also be made aware of the importance of completing a formal review within the 70-98 day window period. The ADP
Contract Monitoring Officer will ensure this is discussed on a regular basis when engaging with service providers.
As this is the first self-assessment ADP’s are asked to report please describe briefly whether you found the questions
asked to be useful in considering your current position.
 In general the template was helpful as it provides clear information of what activity is required to be reported from the ADP
 Specific section required to report on the level of engagement taking place with national commissioned services
 Similar template of the local data presented from ISD should be incorporated within the ADP annual report. Furthermore the
ADP would welcome if the statistical data being presented was more current as a number of these figures are for previous
years out with the one we have been asked to report on
32