Annual report 2013/14 (using Scottish Government template)
ADP Reporting Requirements 2013/14
1 Partnership Details
2 Self-Assessment:
3 Finance Framework
4 Core & Local Indicators and key activities 2013/14
5 ADP & Ministerial priorities
Appendix 1
. Guidance Notes and Commissioning Diagram
1 4 June 2014 1. PARTNERSHIP DETAILS
Alcohol & Drug Partnership: Aberdeen City ADP Chair Richard Carey, Chief Executive, NHS Grampian Contact name(s): See note 1 Alexander Kelman, Team Leader Contact telephone 01224 557042 Email: [email protected] Date of Completion: 19th September 2014 Date published on ADP November 2014 website(s)
The content of this template has been agreed as accurate by the ADP, Tasking & Co-ordinating Group, was presented at the full ADP meeting on 10th November 2014 and was shared with our Community Planning Partnership.
Richard Carey, Chief Executive NHS Grampian, and ADP Chair
The Scottish Government copy should be sent for the attention of Amanda Adams to:
2 4 June 2014 2. ADP Self-Assessment 1 April 2013 – 31 March 2014 Theme RAG Evidence See Note 2 See 1 ANALYSE 1 ADP Joint Strategic Needs A Health: NHS Grampian Public Health published its ‘Health Needs Assessment: Alcohol and Assessment has been illicit drugs’ with recommendations on client pathways and services. This highlighted that undertaken and provides a clear, although illicit drugs use is problematic, the biggest impact was clearly caused by alcohol. coherent assessment of need, Prevalence: Over the year, a wide range of stakeholders were consulted in connection with which takes into consideration New Psychoactive Substances (NPS). Although the ADP is unable to calculate figures on the changing demographic numbers likely to be using these drugs, it did manage to collate a ‘RAG’ analysis of the impact characteristics of substance of NPS across the broad range of partners. The ADP awaits publication of the estimated drug misusers in your area. Please prevalence and SALSUS data later in 2014. also include here any local Recovery: As seen later in this report, relating to Aberdeen in Recovery (AiR), the visible research that you have recovery community within Aberdeen City continues to grow. commissioned Families: Scottish Families Affected by Alcohol & Drugs carried out a Grampian survey amongst local families which will help inform future work in this area. See Note 3 Community Safety: The Community Safety Partnership produced its strategic assessment (2013-16) to help direct its ongoing priorities. Although not ‘stand alone’ priorities, alcohol/drugs were identified as key contributory factors impacting on community safety within Aberdeen. Local Environment: NHS Grampian Public Health submitted a report to the Aberdeen City Licensing Board around on/off-sales in Aberdeen city. The Licensing Board subsequently produced its Statement of Licensing Policy with identified overprovision areas for on and off sales in Aberdeen City. Services: The average monthly numbers entering treatment with the Integrated Alcohol Service was 43.2, and the average number of self referrals to Addaction (third sector commissioned provider) was 31.8. In preparation for the re-tendering of third sector alcohol services, a consultation exercise was carried out during 2013, including an event held on 29th May 2013 which engaged with 60 stakeholders. The average monthly number of people entering treatment with the Integrated Drug Service was 48.7, and the average number of self referrals to Drugs Action (third sector commissioned service) was 5.3. This latter figure does not include the average monthly number of people (362) who accessed their needle exchange service.
3 4 June 2014 Theme RAG Evidence See Note 2 See 1 In addition to the above, other key partners, e.g. Adult Protection; CPC; etc, regularly monitor and analyse their ongoing data regarding the impact that alcohol / drugs are having on their referral numbers.
2 An outcomes based ADP Joint A The ADP alcohol and drugs strategies both contain local outcome objectives which align to the Performance Framework is in National ADP core outcomes as well as to the local Single Outcome Agreement (SOA). place that reflects the ADP These documents are the basis for the quarterly ADP alcohol and drugs performance reports, National Outcomes. which are produced to capture key ongoing activities and identified outcomes. As detailed in later sections of this report, the ADP aims to enhance its own performance by setting clear See note 4 local targets for 2014/15. (See also section 8 re the recovery stages model)
3 Integrated Resource Framework A The ADP alcohol and drugs strategies promote the integration of services with the desire that -Process service users get holistic, seamless support. In lieu of this, Aberdeen City formed the Integrated Drug Service (IDS) and the Integrated Alcohol Service (IAS). The IDS and the IAS Suitable data has been used to are both operated by staff from the statutory services (NHS Grampian and Aberdeen City scope the programme budget Council) and commissioned Third Sector organisations. The ADP receives quarterly and a baseline position has been performance reports which include details on service activity as well as finance reports, which established regarding activity, identify spend, including any identified variation against allocated budget. costs and variation. Note 5 4 Integrated Resource Framework - G The local impact of alcohol and drugs on resources is reviewed on an ongoing basis and helps Outcomes staff to decide upon the range and type of alcohol and drugs services which need to be commissioned. Factors taken into consideration include: assessment of need; evidence base; Note 5 best value; enhancing integration. This approach has been used for investment in statutory A coherent approach has been services and in relation to tendering third sector providers. It has also been used by the ADP applied to selecting and when decisions have been made on how any non recurring money should be used. prioritising investment and disinvestment options – building The ADP is aware through analysis of local data, that there is often a significant gap between prevention into the design and the time that someone develops an alcohol/drug problem and them coming into service. A delivery of services. short life early intervention group set up in the year is working to close this gap, and is initially supporting partners focussing on the Torry area of Aberdeen. This area was selected following discussion with partners, including the Community Safety Partnership, as it has been identified as having a broad range of problematic issues.
In relation to the comment at ‘note 5’, it could be argued that once someone enters services
4 4 June 2014 Theme RAG Evidence See Note 2 See 1 they are beyond ‘prevention’. However third sector alcohol and drugs services have been commissioned to offer open access, advice and information services with the aim of preventing clients from developing problems with alcohol / drugs. This also includes harm reduction and secondary prevention advice.
PLAN Theme RAG Evidence 5 We have a shared vision and joint G The ADP alcohol and drugs strategies were produced with the involvement of partners and strategic objectives, which is both contain a shared vision and joint strategic objectives. These documents are the prime aligned with our local lead on any issues relating to alcohol and drugs in Aberdeen City. The ADP is a partner on the partnerships, e.g. child protection Child Protection Committee (CPC) and on the Community Safety Partnership (CSP). committees, violence against women, community safety etc. The ADP contributes through links with the CPC to the Integrated Children’s Services Plan and the Child Protection Programme in relation to problematic alcohol and substance misuse. Both contain various references to alcohol and drugs which align to the ADP strategies. This is demonstrated by one of its explicit objectives being to aim for a ‘Reduction in number of young people using drugs and/or alcohol’.
During the year, the CSP produced its Strategic Assessment 2013-16. This identified alcohol and drugs as ‘cross cutting’ issues which impact on all of its priority areas: anti-social behaviour; violence; violence against woman; home/fire/road safety.
6 A. Our strategic commissioning A The Aberdeen City Community Planning [known as Community Planning Aberdeen (CPA)] is work is clearly linked to structured around the five national strategic themes: Wealthier & Fairer; Smarter; Healthier; Community Planning priorities Safer & Stronger; Greener. The ADP does not have a seat on the CPA Board or on the and processes. Management group, but links into this process through the lead group on the Healthier thematic [Health & Social Care Partnership (HSCP)]. Please include information on your formal relationship to your local child CPA decided that it needed to prioritise on ‘cross cutting’ issues which were having the biggest protection committee impact across all the thematic groups and that its SOA (2013) should therefore only include items which each group could contribute something towards tackling. Although it B. What is the formal acknowledged that illicit drugs misuse was a problem for the city, it did not fall wholly into this arrangement within your ADP for domain and the CPA did not include reference to drugs within its SOA. Alcohol was however reporting on your Annual considered as something that did impact across all five thematic groups and as such, is
5 4 June 2014 PLAN Theme RAG Evidence included within the SOA. Reports/ Delivery Plans/shared documents, through your local Reference is made to links to the CPC in the response to section 5 above. This report will be accountability route. tabled at a meeting of the CPA Management group which takes place in November 2014.
See note 6 7 Service Users and carers are A Service users, carers, the wider public and service providers are all involved in public embedded within the partnership consultation in relation to commissioned services and commissioning intentions. In 2013/14 commissioning processes there was a public event open to all in relation to the future provision of commissioned alcohol services.
8 A person centered recovery focus G A third sector organisation was commissioned in 2012/13 to deliver a drug recovery service has been incorporated into our (known as ARC – Aberdeen Recovery Community). In 2013/14 an alcohol recovery service approach to strategic was also commissioned (which begins operation in September 2014). Each of these services commissioning. fully integrates into the Integrated Drug Service (IDS) / Integrated Alcohol Service (IAS). The IDS and the IAS are multi-disciplinary teams organised along recovery pathways. Describe the progress your ADP has made in implementing a In 2013/14 a Recovery Outcomes Framework was introduced for ARC. This sets out five ROSC, please include what your measurable stages for tracking progress being made by clients through their work with ARC. priorities are in implementing this Each stage has a number of components: Core Indicators; Optional Indicators; Drug / Alcohol during 2014-15. This may include: Star Outcomes; Work Star Outcomes; City and Guilds Modules. Personal development Recovery Orientated modules also exist across all of the five recovery stages to ensure that people get educational System of Care service credit for their recovery journey. All service users currently have Recovery Care Plans, and review and redesign work in support of the Quality Principles will further enhance this in 2014/15. Identify and commission against key recovery Aberdeen In Recovery (AiR) and AA / NA have all been actively involved in team meetings with outcomes the IDS / IAS. Recovery outcome reporting across alcohol Currently there is no set recovery outcomes framework for IAS clients. and drug services e.g. Outcome STAR. Other In 2013/14 the following outcomes were achieved for ARC clients: Individual recovery care 46 people were supported into employment related activity plan and review 27 people achieved employment of greater than 13 weeks
6 4 June 2014 PLAN Theme RAG Evidence
Involved mutual aid and At the end of March 2014, the ARC clients were at the following stages: recovery communities Stage 1 - 118 Stage 2 - 58 Please include your outcomes for all Stage 3 - 28 individuals within your alcohol and Stage 4 - 28 drug treatment system for 2013/14 if Stage 5 - 10 available. As illustrated later in this document, further targets are set for 2014/15.
9 G ADP Support team staff completed the Equality Impact Assessments with guidance and advice All relevant statutory from the NHS Grampian Equality & Diversity Manager throughout the development of the ADP requirements regarding Equality alcohol and drugs strategies. In addition, Grampian Regional Equality Council was one of the Impact assessments have been key consultees within the development process. The ADP appreciates however that services addressed during the compilation then need to ensure that they meet the needs of hard to reach, disadvantaged and minority of our ADP Strategy and Delivery groups to ensure equality of service. Examples of ongoing services which target vulnerable Plan populations include: the pre-birth team within Aberdeen Maternity Hospital which provides support for vulnerable unborn babies; the ACC Westburn Centre, Residential units and Young Women’s Group which all work to support vulnerable young people who are often misusing alcohol / drugs; the Connections programme which targets women within the criminal justice system; the NHS Keep Well programme which provides health checks targeted towards those at particular risk of preventable ill health, which now includes those with drugs misuse issues, and the Gypsy Traveller community.
DELIVER 10 Joint Workforce plans, as A A training needs analysis was conducted across various tiers of the workforce in 2013. The outlined in ’Supporting The findings from this analysis were synthesised with STRADA (ADP Reference group reporting Development of Scotland’s mechanism) and were also inclusive of wider partnership information sources. This has led to Alcohol and Drug Workforce’ the ongoing completion of an ADP workforce development ‘blueprint’ report. The report will statement are in place across all summarise and outline a number of priority needs and actions for the partnership going forward levels of service delivery which and is currently awaiting the outcomes from the report of the national WD mapping exercise are based on the needs of your before being finalised. The priorities identified will be matched to reflect and support activity population. (see note 7) toward the strategic priorities and commitments as listed under ADP Priorities for 2014-15. A number of the remaining workforce development actions will be linked to future priorities and will align with the development of the next ADP Delivery Plan. An ADP Workforce
7 4 June 2014 PLAN Theme RAG Evidence Development working group will convene to oversee this.
As an aside, it should be noted that statutory services within Aberdeen City face a unique situation in comparison with most of the remainder of Scotland in being able to attract new staff to the area, not least because of the high cost of housing. This therefore presents some additional challenges to services.
11 A transparent performance G The ADP has developed integrated statutory and third sector services, which is evidenced by management framework is in the existence of the Integrated Alcohol Service (IAS) and the Integrated Drug Service (IDS). In place for all ADP Partner both services the statutory bodies (NHS Grampian and Aberdeen City Council) work alongside organisations who receive commissioned third sector organisations. The statutory services (HEAT targets) and the third funding through the ADP, sector organisations (local commissioning targets) are performance managed on the outputs including statutory provision and outcomes that they are expected to deliver. This is managed at a number of different forums, including the NHS Grampian Substance Misuse Service group; Commissioning meetings, and ultimately through the ADP. The ADP is aware that the systems and processes for recording outcomes are not as ‘seamless’ as it would like and hence that the monitoring of the effectiveness of the client treatment and support pathways are not as clear as they should be. The ADP is working to improve this and awaits the development of the DAISy system.
REVIEW 12 ADP Delivery Plan is reviewed on G The ADP receives quarterly performance reports which are based around the ADP alcohol a regular basis. and drugs strategies, national ADP outcomes, and the ADP Delivery Plan 2012-15. The Delivery Plan will be reviewed in 2014/15 in preparation for developing an ADP Delivery Plan 2015-18. 13 Progress towards outcomes G All specialist drug and alcohol service specifications contain outcomes cogent with ADP focussed contract monitoring strategy. All services provide quarterly performance reporting including outcomes. All services arrangements being in place for have minimum of 2 performance reviews per year. all commissioned services, which incorporates recommendation 6 from the Delivering Recovery Report (see note 8) 14 A schedule for service monitoring A All specialist drug and alcohol services provide quarterly performance reporting including and review is in place, which outcomes. All services have minimum of 2 performance reviews per year. includes statutory provision Whilst these systems are in place, the ADP acknowledges that they will need further
8 4 June 2014 REVIEW development so that all services can demonstrate that they are compliant with the new Quality Principles.
15 Service Users and their families A The ADP is in regular and ongoing dialogue with members of Aberdeen in Recovery (AiR); play a central role in evaluating Grampian Family Support Forum (GFSF), and Scottish Families Affected by Alcohol & Drugs the impact of our statutory and (SFAD) focused on improving services. AiR and SFAD are both represented on the ADP. The third sector services. annual NHS Grampian Substance Misuse Service Conference allocates free places to specifically permit representation from service users & family members. The conference has an ‘open forum’ session, facilitated by an independent media professional, to get honest and open feedback from those in attendance, and particularly from service users, families and people in recovery. Over the last year, feedback from service users led to the local commissioned third sector drugs provider (Drugs Action) to alter their operating facilities to include evening, weekend and increased outreach work.
16 A. There is a robust quality A A: The ADP meets quarterly and reviews performance at a strategic level. There is an ADP assurance system in place which Tasking & Co-ordinating group which also meets regularly which focuses on performance governs the ADP and evidences across partners. All specialist drug and alcohol services provide quarterly performance the quality, effectiveness and reporting including outcomes. All services have minimum of 2 performance reviews per year. efficiency of services. A Quality Assurance Framework has been developed for specialist drug and alcohol services.
See note 9 B: NHS Grampian as one of the ADP partners has had a shared care scheme in operation for a number of years, with good engagement between primary care, community pharmacy and B. Describe the progress your specialist services. It is also piloting a new ‘prescribing for recovery’ scheme in conjunction ADP has made in taking forward with a third sector recovery service (ARC). In addition to this, a Governance group will be set the recommendations from the up in 2014/15 that links ORT service provision, Local Intelligence Network / Controlled Drug Independent Expert Review of Team, NHS Governance for Substance Misuse and the ORT Accountable Officer. Opioid Replacement Therapies in Scotland
9 4 June 2014 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 Alcohol Drugs Total £k £k £k Earmarked funding from Scottish Government 1221 513 1734 Funding from Local Authority 941 1301 2242 Funding from NHS G (excluding funding earmarked from Scottish Government) 456 4489 4945 Funding from other sources: Aberdeen City Council – Criminal Justice – Arrest Referral 11 11 Police Scotland – Contribution to the Designated Place of Safety 194 194 Total 2812 6314 9126
10 4 June 2014 Expenditure Prevention (include community focussed, early years, educational inputs/media young people, licensing objectives, ABIs) ADP Budget NHS G Aberdeen City Other Council £k £k £k £k Non recurring - Grant to Police, Operation Maple 60 Community Drug Services - Barnardos, Dev Officer 56 Community Drug Services - VSA, Richmond Hill 43 Arrest Referral Scheme 49 ADP Support Team 214 Needle Exchange 27 Drug Action (Commissioned) - Harm Reduction 308 Alcohol Support Ltd - Designated Place of Safety (Commissioned) 162 194 Addaction - Self Referred Counselling 15 39
11 4 June 2014 Treatment & Support (include interventions focused around treatment for alcohol and drug dependence) ADP Budget NHS Aberdeen City Other Council £k £k £k £k Nonrecurring - Street pastors 25 Nonrecurring – Community Projects 27 Core Substance Misuse Services (incl Timmermarket) 904 2495 HEAT A11 - Target Development / Integrated Pathways 85 Community Services Drugs - Drugs Action 190 Community Services Drugs - Barnardos Drug Worker 23 Alcohol Rehab - Integrated Alcohol Service 126 Drug Rehab - Integrated Drug Service 278 Drug Rehab – Wernham House 534 Community Services Alcohol - Addaction, Counselling 124 GMS – Prescribing 425 GMS - Drug Maintenance (Local Enhanced Service) 556 General Pharmaceutical Services 929
Recovery ADP Budget NHS Aberdeen City Other Council £k £k £k £k Counsellors 40 Social Work Investment 148 Community Services - Addaction Community Support 23 58 53 Community Rehabilitation - Drugs 571 Drug Rehab - Spot Purchase 33 Alcohol Rehab - Spot Purchase 33 Drugs Action (Commissioned) - Rehab & Recovery 63
12 4 June 2014 Underspend
Non-Recurring Funding Alcohol Drugs General Total £'000 £'000 £'000 £'000 Funding Recurring 13/14 Not Commited C/F 50 50 Non Recurring 13/14 C/F 166 166 Total Underspend 216 216
Existing Commitments (See below) 194 194
Non Recurring Funding yet to be Committed 22 22
COMMITMENTS £'000 GP Practices - Sustained Recovery 17 Marywell Homeless Practice 40 Dual Diagnosis Pilot 26 Campaigns - Alcohol & Parenting 3 Campaign work 10 On-line modular development 20 Training 15 HMP & YOI Grampian 10 Alcohol seminar 5 Service users feedback equipment 10 Hardware – (e.g. Cozart machines; computers) 10 ADP T&C group action fund 12 Support to Job Centre Plus 16 Total Commitments 194
13 4 June 2014 Support in kind
A number of partners supply support in kind, such as: staff time (e.g. NHS G provides finance support); accommodation for meetings; training; transport; etc. Information around this has not been collated on an ongoing basis and is therefore not available for inclusion in this report.
14 4 June 2014 4. Core and Local Indicators 2013/14 Please include progress made re-establishing baselines, local improvement goals/targets and progress using the ScotPHO website for all national outcomes. You may submit your annual update on your performance framework from your delivery plan, however please include local indicators, linkage between activities, indicators and outcomes, how you will measure if a ROSC has been successfully implemented in your area and please state how many people are in receipt of opiate replacement therapies in your area.
Indicators Baseline Local RAG Key actions delivered to support this Improvement outcome in 2013/14 Goal/Target * denotes ScotPHO data 1. HEALTH
Alcohol (Health) TARGET for 2014/15: >>>>>>>> To deliver 2630 ABIs 1.1 * Alcohol related hospital 2012/13 Red Commissioning - In order to improve services, discharges, standardised Aberdeen – 850 NHS Grampian and Aberdeen City Council begun rate per 100,000 Scotland - 693 the process for re-tendering third sector alcohol 1.2 * Alcohol related 2012 Amber services. This included public consultation with an mortality, standardised per Aberdeen – 19.7 open event held on 29th May 2013. A range of 100,000 Scotland – 21.2 stakeholders attended, including: Alcohol Focus 1.3 * Alcohol related 2011 – 33 Amber Scotland; local professionals; service users; family deaths in Aberdeen City 2012 - 38 members; and people in recovery. This process will be concluded in 2014 with the award of a new contract to the preferred bidder. HMP & YOI Grampian - Work was done in preparation for the opening of HMP & YOI Grampian in March 2014 to ensure that people in custody there received support for their alcohol / drugs problems
15 4 June 2014 Drugs (Health) TARGET for 2014/15: >>>>>>>> To issue a further 480 naloxone kits. 1.4 * Drug related hospital 2012/13 Red Dual diagnosis - The ADP funded a Dual discharges, standardised Aberdeen – 146 Diagnosis Liaison CPN on an 11 month rate per 100,000 Scotland - 107 secondment to improve referral pathways for adult 1.5 * Drug related mortality – 2012 Green in-patient mental health wards. As part of this, actual number and rate per Aberdeen Number- 16 joint training took place in August / September 100,000 Aberdeen rate – 6.3 2013 on New Psychoactive Substances with 92 Scotland – 11 Royal Cornhill Hospital Mental Health staff in 1.6 * Prevalence of Hep C 2011/12 Amber attendance. among injecting drug users Aberdeen – 54.7% Dry blood spot testing – The third sector Scotland – 53% commissioned service, Drugs Action began 1.7 Number of incidents 2012/13 - 50 No RAG score carrying out these tests within their Injecting where Scottish Ambulance 2013/14 – 79 Equipment Provision service, and completed 127 Service administered tests over the year naloxone in Aberdeen City Outreach work – Drugs Action established a fast 1.8 Number of people issued 2012/13 - 36 Green track referral process with Aberdeen Royal naloxone in Aberdeen City 2013/14 - 396 Infirmary (A&E; Infection Unit wards) to provide support at key transition points. 2. PREVALENCE
Alcohol (Prevalence) TARGET for 2014/15: >>>>>>>> To hold a minimum of 4 ABI training events and minimum 4 ‘Whole Population Approach’ awareness events for partners To target numbers as shown at 2.5 below 2.1 * Proportion of Grampian 2008-11 Green
16 4 June 2014 individuals drinking above Grampian – 41% Training - During the year, the ADP support staff recommended daily/weekly Scotland – 43.4% provided alcohol awareness training to a range of limits partners, including:FY1 medical students (50); Aberdeen College guidance team (16 staff); 2.2 * Proportion of Grampian 2008-11 Amber Student resident assistants at RGU & Aberdeen individuals drinking above Grampian - 20.6% University (34 staff); NHS G Keep Well Delivery twice daily (binge drinking) Scotland – 21.1% Team (12 staff); Healthpoint & smoking advice recommended limits service (18 staff); Health Visitors (28 staff); Grampian Housing (40 staff); Cyrenians Management Team (7 staff); Occupational Health 2.3 * Proportion of Grampian 2008-11 Amber (approximately 40 - 3rd year students) individuals with potential Grampian – 10% Training - STRADA training – 100% of all problem drinking Scotland – 11.7% provision offered – allocated to appropriate partner agencies. During year ahead will look to 2.4 * Weekly drinkers (Pupils 2010 Amber increase attendance and completion from current age 15) Aberdeen – 20% 67.9% (2013-14) though this is still above the Scotland – 20% national average (63.6%) Training - ‘Safer, Healthier & Responsible’ alcohol in the workplace local training programme first phase concluded after 6 events targeting 60 2.5 Number of patients 2011/12 - 417 TARGET - To maintain No RAG score local employers (and 98 staff) successfully (24% started treatment with the 2012/13 - 551 numbers coming into rating post knowledge “good” and 64% “very Integrated Alcohol Service in 2013/14 -901 service (as well as good) Aberdeen City becoming more targeted Media communication - ADP issued advice and towards specific areas) warnings regarding taking part in the “neknomination” social media driven ‘drinking ‘game’. In line with partners, advice was given to ignore harmful drinking ‘challenges’ and utilise “RAK” (random acts of kindness) in its place - which was widely supported and evidenced through social media accounts within the Aberdeen City area
17 4 June 2014 Drugs (Prevalence) TARGETS for 2014/15: >>>>>>>> NPS social media awareness campaign (experimental users) to target 30- 40% of those engaging with key information and 15- 25% directed to further support NPS training roll- out across all tiers of partnership with minimum of 4 events To engage with Aberdeen City Voice (citizens panel survey) around NPS (including access to drug information in general) To target numbers as shown at 2.9 – 2.16 below 2.6 * Prevalence of problems 2009/10 Red drug users Aberdeen – 2.31% NPS – In June 2013, the pan-Grampian New Scotland – 1.71% Psychoactive Drugs reference and monitoring 2.7 * Drug use last month 2010 Amber group was formed. Aberdeen City ADP (pupils age 15 years) Aberdeen – 11.1% conducted a ‘RAG analysis’ of local NPS issues Scotland – 11.4% with partners
18 4 June 2014 NPS – The Police and Trading Standards carried out various operations over the year around local 2.8 * Drug use last year 2010 Amber NPS retailers (pupils age 15 years) Aberdeen – 16.6% NPS - updated information was included within the Scotland – 18.5% revision to the School’s Curriculum for Excellence 2.9 Increase the number of N/A TARGET - 360 No RAG score (Substance Misuse Outcomes) Guidance pack people seeking advice and Performance & Image Enhancing Drugs (PIED) information about drugs – In lieu of the increase in the numbers of people 2.10 Increase number of N/A TARGET - 60 No RAG score accessing PIEDs, Drugs Action was pro-active in people seeking advice and developing bespoke advice and information to information about NPS prevent harms occurring and to discourage people 2.11 Increase referrals from N/A TARGET - 80 from AB11 No RAG score from injecting these substances. These target areas of the City messages will be taken out to gyms and to wider 2.12 Increase queries from N/A TARGET - 32 male / No RAG score audiences in 2014/15. <25 year olds 8 female Training - During the year, drugs awareness 2.13 Numbers of needles 2011/12 - 332,123 TARGET – to maintain No RAG score training was provided to: Aberdeen College distributed in Aberdeen City 2012/13 - 348,473 2013/14 numbers guidance team (16 staff); Student resident 2013/14 – 397,025 assistants at RGU & Aberdeen University (34 staff); Grampian Housing (40 staff); NHS G 2.14 Number of attendances 2011/12 - 13,159 TARGET – to maintain No RAG score Podiatry staff (24) at needle exchange in 2012/13 - 13,221 2013/14 numbers Training - STRADA training – 100% of all Aberdeen City 2013/14 – 13,531 provision offered – allocated to appropriate partner agencies. During year ahead will look to 2.15 Average monthly visit to 2011/12 - 736 TARGET – to maintain No RAG score increase attendance and completion from current needle exchange in 2012/13 – 668 2013/14 numbers 67.9% (2013-14) though this is still above the Aberdeen City 2013/14 -805 national average (63.6%) Mobile phone app – On 14th November 2013, 2.16 Number of patients 2011/12 - 476 TARGET – to maintain No RAG score Grade-A (Get Real about Drugs Education – started treatment with 2012/13 – 512 2013/14 numbers Aberdeen) a group of young peer educators Aberdeen City Integrated 2013/14 - 646 supported by the ADP, officially launched their Drug Service ‘Drug Education App’ (funded by the ADP), targeted at young people. Subsequently in recognition, Grade-A were winners of the Mentor Scotland Young STAND 2014 Award – Schools category
19 4 June 2014 3. RECOVERY
Alcohol (Recovery) TARGET for 2014/15: >>>>>>>> AiR to hold at least 48 HUB meetings; 4 conversation cafes; 3 alcohol / drug free social events To establish new third sector commissioned alcohol service with appropriate outcomes 3.1 Increase visible recovery 2013/14 Amber Recovery – AiR Core membership increased from activity. Aberdeen in Recovery 5 (2011/12) to 57 (2013/14) (AiR) who are a peer Recovery weekly sessions – AiR began weekly led recovery group and sessions on 20th September 2013 at a city centre who received start up premises. These ‘Recovery HuB’ sessions run finance from the ADP, every Friday afternoon and aim to make recovery began holding weekly more visible to: people with a substance misuse HUB meetings problems; service users; family members; professionals with over 500 total visits to the Hub made since inception. Recovery conversation café – AiR held a ‘conversation café’ on 28th May 2013 with 35 specialist alcohol and drugs service staff in
20 4 June 2014 attendance ADP Community Fund – ADP Community Fund provided small grants <£5k non-recurring in support of a variety of grass-root recovery initiatives: o Activity groups and media projects promoting mainstream participation o Single parent access to crèche facilities in support of employability activity o Community based environmental improvement projects o Health & Wellbeing activity groups Drugs (Recovery) TARGET for 2014/15: >>>>>>>> See targets at 3.2 – 3.8 below
3.2 Increase visible recovery In 2013/14 the following TARGET - 400 Amber Recovery - See bullet points under alcohol: activity outcomes were recovery above in relation to AiR activity achieved for ARC Recovery College – AiR ran a Scottish Recovery Number of people engaged clients: Consortium course with 11 people in recovery with the Aberdeen Recovery 232 engaged graduating from the course. Community (ARC) service with ARC Conference promoting recovery – NHS and outcomes they achieved 46 people were Grampian SMS conference (Fit for the Future? – supported into Challenges of meeting emerging needs) held on employment 28th November 2013 with 136 people in related activity attendance, including service users, family 27 people members, people in recovery, as well as service achieved providers. employment of ADP Community Fund – ADP Community Fund greater than 13 provided small grants <£5k non-recurring in weeks support of a variety of grass-root recovery At the end of initiatives: March 2014, o Activity groups and media projects the ARC clients promoting mainstream participation were at the o Single parent access to crèche facilities in following support of employability activity
21 4 June 2014 stages: Stage o Community based environmental 1(118); Stage 2 improvement projects (58); Stage 3 o Health & Wellbeing activity groups (28); Stage 4 Volunteering programme - Drugs Action (28); Stage 5 launched their volunteering programme, which (10) provides training and an induction programme to volunteers. This has resulted in people in recovery volunteering alongside other community members in specific capacity and confidence building initiatives such as ‘taming’ the IDS Timmermarket garden, participating in a beach clean-up and buddying people who are at an early stage in their recovery. Support / Activity Groups – Drugs Action supported the following groups: SMART group; Outdoor activities group (with 23 members attending in the past 12 months); Film group (with 29 people accessing the group and learning about all aspects of film making); Women’s group; Music groups Prescribing for recovery – NHS Grampian piloted a new ‘prescribing for recovery’ scheme in conjunction with a third sector recovery service (ARC). 3.3 Number of clients N/A TARGET - 150 No RAG score engaged in accredited learning, such as City & Guilds 3.4 Number of clients N/A TARGET - 100 No RAG score receiving City & Guilds awards 3.5 Number of clients N/A TARGET - 50 No RAG score receiving City & Guilds Certificates 3.6 Number/% of clients N/A TARGET - 60 No RAG score supported into part time/full time education
22 4 June 2014 3.7 Number of clients N/A TARGET - 100 No RAG score supported into employment 3.8 Number of clients N/A TARGET - 100 No RAG score supported into employment who remain employed for greater than 13 weeks
4. CAPSM – FAMILIES
Alcohol TARGET for 2014/15: (CAPSM/Families) >>>>>>>> To run ‘Meet the Henderson’s (alcohol & parenting campaign) obtaining at least 90% of people rating the website and resources as positive and having met their need.
4.1 *Rate of child protection 31 July 2013 Amber Alcohol campaign aimed at parents – ‘Meet the case conferences where Aberdeen – 4.3 Hendersons’ pan Grampian ADP campaign parental alcohol misuse (with Scotland – 5.1 promoting parental responsibility, advice and or without drug misuse) has information was launched in July 2013. 4,809 been identified for child on website hits were received with 614 completing the register per 10,000
23 4 June 2014 population the on-line questionnaire. The website will continue to be developed as a local platform to support advice and information to parents Improved ADP / Child Protection Committee liaison – ADP now has a seat at the CPC and the chair of the CPC has a seat at the ADP Parental engagement – Updated alcohol & drugs 4.2 * Rate of child protection 31 July 2013 Amber parental workshops (Alcohol and NPS) conducted: case conferences where Aberdeen - 10.7 11.03.14 at Kingswells Primary School (with 21 parental drug and/or alcohol Scotland – 9.6 parents) and on 25.03.14 at Robert Gordon misuse has been identified College (with 18 parents) as part of an over- for child on the register per arching pilot project within Education (and 10,000 population including other partners) to examine and improve local methodology in improving links with parents around substance misuse. To that end a free public event held at the local science centre (Satrosphere) showcasing home safety and emphasising links with alcohol/drug issues has been planned 2014-15 as final phase of project
ADP Community Fund – ADP Community Fund provided small grants >£5k in support of a diversionary/prevention activities: o Children First (Give Kids a Chance) o Befriend a Child (Inclusive Activity Group) o Deeside Family Centre (Girls Aloud) o Dads-Work (Dad’s & Children Activity Group) Fetal Alcohol Spectrum Disorder (FASD) – Two individual FASD multi-agency training days funded by the ADP and provided to a range of partners on 7th / 8th November 2013, with 155 delegates in attendance in total. 90% of those attending rated the event as good/excellent. Pregnancy, Parenting & Alcohol – NHSG/ADP information booklet was updated, locally disseminated via all antenatal booking
24 4 June 2014 appointments and subsequently shared with three other Health Board areas. Drugs TARGET for 2014/15: (CAPSM/Families) >>>>>>>> To supply at least 90% of ‘at risk’ service users with appropriate secure methadone (home) storage
4.3 * Maternities with drug 2009/12 Amber use, rate per 1000 Aberdeen – 20.7 Training – Joint planning between the ADP and Scotland – 18.8 CPC took place for an ADP funded training event which will take place in September 2014 – ‘Stages and Phases’ which will help staff to explore the tensions in ensuring timely planning for children 4.4 * Rate of child protection 31 July 2013 Amber alongside the timescales for parental recovery case conferences where Aberdeen – 7 from substance misuse. parental drug misuse (with or Scotland – 6.4 ADP Community Fund – ADP Community Fund without alcohol misuse) has provided small grants >£5k in support of a been identified for child on diversionary/prevention activities: the register per 10,000 o Children First (Give Kids a Chance) population o Befriend a Child (Inclusive Activity Group) 4.5 * Rate of child protection 31 July 2013 Amber o Deeside Family Centre (Girls Aloud) case conferences where Aberdeen – 10.7 o Dads-Work (Dad’s & Children Activity parental drug and/or alcohol Scotland – 9.6 Group) misuse has been identified for child on the register per 10,000 population
5. COMMUNITY SAFETY
25 4 June 2014 Alcohol (Community TARGET for 2014/15: Safety) >>>>>>>> To reduce common assaults by 3% against the five year average 5.1 Drunk & Incapable 2012/13 Levels to be maintained No RAG score Community Safety Partnership (CSP) – CSP admissions to the 665 (525 males / 140 produced its new strategic assessment 2013-16 Designated Pace of Safety females) ADP/CSP Liaison – ADP represented at CSP 2013/14 meetings and at the CSP four weekly ‘HUB’ 797 (592 males / 205 meetings females) National Drink Driving Campaign – ADP helped promote the “Don’t Risk It” campaign through dissemination of materials and social media links Street Pastors – ADP contributed non recurring money to support the work of the Street Pastors in the city centre to support the introduction of a new ‘Safe-Space’ vehicle and support the development of this initiative through the Weekend Partnership (Community Safety Partnership sub-group) Drugs (Community TARGET for 2014/15: Safety) >>>>>>>> Implement the “Not for Human Consumption” NPS Prevention project in at least one target geographic area
5.2 * Drug use funded by 2011/12 Green Festive Safety Messages – ADP promoted key crime Aberdeen – 14.8% safety messages in partnership with Safer Scotland – 20.9% Aberdeen over the festive period, which covered
26 4 June 2014 alcohol and drugs Police Scotland Operation MAPLE – Non recurring ADP funds given towards Operation Maple being run by Aberdeen City Police division. Totalling 38 days of action and 79 drug-search warrants issued resulting in £335,020 in controlled drug seizures. Furthermore 36 days of activity focused on Cell-block interventions focused on 703 offenders (identifying support needs & referral) with only 56 considered ‘repeat offenders’ New Psychoactive Substances – ADP supported and joint funded through the ADP Community Fund with Police Scotland an event “Not for Human Consumption” held on 27th March 2014 at Transition Extreme on New Psychoactive Substances (NPS). Event attracted 278 secondary school children. On a scale of 1(not at all) to 10 (increased greatly) the average score given by the pupils for event was ‘7.6’ when they were asked to rate whether or not their knowledge on NPS had increased. Learning from this event will be further utilised in support of a pan- Grampian NPS campaign targeting young ‘experimental’ users later in year Alert system - NHSG with Aberdeen City ADP jointly developed a protocol for a ‘2-way cascade alert’ process for highlighting substance based risks (including NPS) in the local area in order to improve targeting and quality of communication
6. ENVIRONMENT
Alcohol TARGET for 2014/15: (Environment) >>>>>>>> To submit objections to all on/off-sales
27 4 June 2014 applications contravening the Licensing Board’s Licensing Policy. 6.1 * Number of premise 2013/14 Green Licensing – NHS Grampian and Police Scotland licenses in force Aberdeen – 638 made submissions to the Licensing Board which 6.2 * Number of premise and 2013/14 Green helped them formulate the new Statement of occasional licences per Aberdeen – 34 Licensing Policy and the identified overprovision 10,000 population (18 yrs+) Scotland – 38 section within it Purple Flag – The ADP contributed to the work of 6.3 * Number of personal 2013/14 Amber the ‘Weekend Partnership’ which resulted in licences in force 2,396 Aberdeen City being awarded the accredited 6.4 * Number of personal 2013/14 Amber ‘Purple Flag’ awarded to town centres that meet or licences in force per 10,000 Aberdeen - 127.6 surpass the standards of excellence in managing population (18 yrs+) Scotland – 123.5 the evening and night-time economy. Aberdeen is 6.5 Underage drinking 2011/12 No Rag score currently the only city in Scotland with this award. offences 174 2012/13 135 Alcohol free event – The ADP supported the conception and the promotion of ‘DRY Aberdeen’ (alcohol-free events) with inaugural evening held on 9th February 2014 at a city centre nightclub, targeted towards students, with 80 people in attendance. The ‘Dry Aberdeen’ brand will be further developed with a view to extending alcohol-free events Drugs (Environment) TARGET for 2014/15: To have a return rate of at least 60% of needles to the commissioned needle exchange provider
6.6 * Pupils age 15 years 2010 Amber being offered drugs Aberdeen – 39%
28 4 June 2014 Scotland – 42% 6.7 * Drug misuse in 2012 Amber neighbourhood Aberdeen – 17.5% Scotland – 12.9%
7. SERVICES
Alcohol (Services) TARGET for 2014/15: >>>>>>>> To maintain national standards for treatment 7.1 Alcohol brief Aberdeen City Target Green interventions for 2012/13 (2644) Alcohol Brief Interventions – Training given on Numbers achieved: ABIs to various staff, including: NHS G Aberdeen Primary Care – 3924 City Health Visitors; GP practices; and the third Other areas – 1438 sector. Further training will be rolled out 2014-15 Total – 5363 utilising set protected Learning time dates in accordance with Primary Care and other Health 7.2 * Treatment waiting times 2013/14 Green partner workforce planning measures. This will - % of clients waiting more Aberdeen – 0.4% ensure opportunities exist for priority staff to than 3 weeks between Scotland – 3.2% access training on a regular basis. referral and treatment starting
7.3 Percentage of clients March 2012 – 75% TARGET - to maintain Green who received alcohol March 2013 – 98.5% level treatment within 21 days of March 2014 – 99.6% referral
Drugs (Services) TARGET for 2014/15: >>>>>>>> To maintain national
29 4 June 2014 standards of treatment 7.4 * Treatment waiting times December 2011 Green Training - Quarterly communication meetings for - % of clients waiting more Aberdeen – 1.9% IDS / IAS staff involving presentations on range of than 3 weeks between Scotland – 8.3% subjects, including: from people in recovery and referral and treatment fellowship groups starting Naloxone - A condensed ‘Train the Trainer’ naloxone training programme was launched in 7.5 Percentage of clients March 2012 – 96% TARGET – to maintain Green November 2013 for clinical staff including the who received drug treatment March 2013 – 97.7% level development of on-line pre-reading to aid the within 21 days of referral March 2014 – 98.9% effective facilitation of the programme. 7.6 * Scottish Drugs Misuse 2012/13 Awaiting 2013/14 data Green New Psychoactive Substances - Aberdeen City Database (SDMD) initial Aberdeen – 123.2% Council Social Work Dept carried out training for completeness Scotland – 62.9% their staff on New Psychoactive Substances from 7.7 * SDMD follow up 2012/13 Awaiting 2013/14 data Red October 2013 to March 2014 with 77 front line completeness Aberdeen – 9.7% staff in attendance. Scotland – 14.6%
30 4 June 2014 5. ADP & Ministerial Priorities ADP Priorities 2013/14 - Please list the progress you have made in taking forward your ADP’s five key commitments for 2013/14.
ADP Key Commitments How they will be measured Progress made 1. Implementation of redesign of Service redesigned and contract The commissioning of third sector alcohol services was delayed and the Integrated Alcohol Service awarded to third sector service the target to complete it by the end of the financial 2013/14 year (IAS) and recommission third was not met. It was however completed in June 2014 with the new sector alcohol services contracted service due to begin operation in September 2014. As a result, the redesign of the IAS is continuing through into 2014/15. 2. Improve provision of naloxone Number of naloxone kits issued A total of 396 naloxone kits were supplied during the year which to those at risk of overdose meant that the Scottish Government target of reaching 15% of estimated prevalence was met.
3. Implement next stage in Online Learning Platform (tier 1) An on-line Learning Platform (tier 1) was scoped and outlined. workforce development policy – piloted Further work has then focused on IT platform technical tier 1 and tiers 2-4 Develop local partnership for development and wider partnership opportunities. Workforce delivery of priorities from recent priorities have been identified through the production of a ‘Blueprint’ TNA (tiers 2-4) framework report - recommending a local workforce development working group to monitor and evaluate progress 4. Improve visible recovery in the Numbers of people engaged in AiR: city and increase the numbers of recovery through groups such as Core membership went up from 5 to 57 members people who move ahead in their Aberdeen in Recovery (AiR) 11 people graduated from the Scottish Recovery Consortium recovery journey course Number of persons engaged with the Conversation Café event held with 35 professionals engaged ARC service and who have achieved around recovery measurable outcomes through it Total number of visits to ‘AiR Recovery Hub’ (Sep 2013 – March 2014) was 462
ADP Community Fund – small non-recurring funding grants (>£5k) were given out in support of a variety of local grass-roots and pilot recovery initiatives within local communities which all aligned to ADP strategic priorities
31 4 June 2014 ARC: In 2013/14 a Recovery Outcomes Framework was introduced for ARC. This sets out five measurable stages for tracking progress being made by clients. Each stage has a number of components: Core Indicators; Optional Indicators; Drug / Alcohol Star Outcomes; Work Star Outcomes; City and Guilds Modules. Personal development modules also exist across all of the five recovery stages to ensure that people get educational credit for their recovery journey. In 2013/14 the following outcomes were achieved for ARC clients: 46 people were supported into employment related activity 27 people achieved employment of greater than 13 weeks At the end of March 2013, the ARC clients were at the following stages: Stage 1 – 118; Stage 2 – 58; Stage 3 – 28; Stage 4 – 28; Stage 5 – 10
5. Embed appropriate quality Standards in place and quality This has not been completed as the ADP was awaiting the standards in services assurance reports produced on a imminent publication of the National Quality Principles. This is regular basis which demonstrate that therefore carried forward as an ADP priority for 2014/15 (See they are being achieved priority 3 on next page)
32 4 June 2014 ADP Priorities in 2014-15 Please list your ADP’s five key commitments for 2014/15 following this self-assessment. ADP KEY HOW THEY WILL BE MEASURED ALIGNED TO LOCAL PRIORITY COMMITMENTS MINISTERIAL FOR WORKFORCE (with relevant core / local indicator sections in brackets) PRIORITIES DEVELOPMENT 2014/15 1.To improve public Number and locations of ABIs delivered Ministerial Priority ABI & WPA health and safety on Objections made to licensing applications which are contrary to the No: 1, 4, 6, 7 agency staff alcohol and drugs overprovision policy training Number of common assaults Community based Satisfaction feedback from the ‘Meet the Henderson’s ‘ campaign Alcohol & Drug Community engagement process e.g. through Aberdeen ‘City awareness Voice’ citizen panel and Community Council liaison (re local issues sessions and access to relevant information on alcohol/drugs) Safer, healthier & Develop and deliver Alcohol & Drug media based campaigns and responsible improve access to key information, including improvements in use workplace training of web and social media channels (with a particular focus on New and Healthy Psychoactive Substances) Working Lives Awards (Health; Prevalence; CAPSM/Families; Community Safety; Environment; Services outcome measures)
2. To reduce the time SMR 25 data Ministerial Priority NPS training between people Targets set and regularly monitored for commissioned direct access No: 1, 6, 7 developing an alcohol alcohol and drug services and/or drug problem and Utilising NPS campaign data, SALSUS information and other them coming into appropriate data sets service HEAT targets for accessing services (Prevalence; Recovery; Services outcome measures)
33 4 June 2014 3. To improve local Numbers engaged with new commissioned alcohol service Ministerial Priority NPS training alcohol and drugs Use of Service user feedback from surveys No: 2, 3, 5, 6, 7 STRADA training services Percentage of occupied places on local STRADA training courses
(Health; Prevalence; Recovery; Services outcome measures)
4. To reduce alcohol Percentage of methadone storage boxes distributed to ‘at risk’ Ministerial Priority Naloxone training and drug related deaths service users No: 4, 6, 7 Peer education Numbers of incidents that Scottish Ambulance Service (SAS) training administer naloxone Follow up with non-fatal overdose clients, who have been given naloxone by the SAS, who are not in treatment services
(Health; Prevalence; Recovery; CAPSM/Families; Community Safety; Environment; Services outcome measures)
5. To increase numbers Aberdeen Recovery Community (ARC) service performance data Ministerial Priority STRADA / SFAD of people who are in Aberdeen in Recovery (AiR) data regarding: weekly HUB meetings; No: 5, 6 family training active recovery Conversation cafes; alcohol & drug free social events SRC ‘ORT & Me’ workshop (Recovery outcome measures)
34 4 June 2014 Ministerial Priorities ADP funding allocation letters 2014-15 outlined a range of Ministerial priorities and asks ADPs to describe in this ADP Report their local Improvement goals and measures for delivering these during 2014/15. Please outline these below.
No Ministerial Priorities Local improvement goals and measures 1 Compliance with the Alcohol Brief To deliver at least 2630 ABIs Interventions (ABIs) HEAT Standard 2 Increasing compliance with the In 2013/14 there were 694 SMR 25A forms completed. This represents 107% of clients Scottish Drugs Misuse Database assessed and entered on DATWTD due to extra Form ‘A’s being produced across integrated (SDMD) services. Our target is to eliminate duplication and achieve a level of 95% compliance. In 2013/14 there were 1128 SMR25 B forms completed. This is an increase of 69% compared with the number in 2012/13. Our target is to improve our level of compliance by not having more than 60 missed notifications on the system at the end of 2014/15. 3 HEAT Drug and Alcohol Treatment In 2013/14 there were 2166 referrals submitted to DATWTD. Of this 3% (70) were anonymous. Waiting Times Standard, including, Our target is to maintain this level of compliance. increasing the level of fully identifiable records submitted to the Drug and Alcohol Treatment Waiting Times Database (DATWTD) 4 Increasing the reach and coverage To issue at least 480 naloxone kits of the national naloxone programme and tackling drug related death(DRD)/risks in your local ADP 5 Implementing improvement A Quality Assurance Framework for services has been developed and will be implemented in methodology at local level, including 2014/15. The aim is to ensure evidence is recorded in relation to delivering the Quality implementation of the Quality Principles: Standard Expectations of Care and Support in Drug and Alcohol Services. Principles: Standard Expectations of Care and Support in Drug and A Governance group will be formed in 2014/15 that links ORT service provision, Local Alcohol Services and responding to Intelligence Network / Controlled Drug Team, NHS Governance for Substance Misuse and the the recommendations outlined in the ORT Accountable Officer. independent expert group on opioid replacement therapies
35 4 June 2014 6 Ensuring a proactive and planned HMP & YOI Grampian opened in March 2014. Prior to opening considerable service design approach to responding to the work, consultation and NHS Grampian investment had been carried out to meet the needs of needs of prisoners affected by prisoners. In 2014/15 there will further redesign and refinement of the provision in conjunction problem drug and alcohol use and with NHS Grampian and the Scottish Prison Service. their associated through care arrangements In relation specifically to women prisoners, contact is made and maintained with all women remanded in custody or serving prisoners by the CJSW Women’s Support Workers. To date, this has resulted in 100% take-up of voluntary aftercare; with contact taking place bi-monthly or more frequently if required. The aim is therefore for women to continue to receive support on release from custody which reduces their risk of re-offending and helps recovery and integration into the community. This will be enhanced by the Women’s Justice Centre which is now open to all women in the criminal justice system. Approximately 90% of the women in the women’s service have, or have had, problems with drugs or alcohol. The ‘Connections’ programme has an emphasis on recovery and will continue to be supported so that women monitor and make positive changes in their drug/ alcohol using behaviour throughout the programme.
The ADP has also supported the concept and inclusion of a Family Centre resource at HMP Grampian and has provided funding for set-up materials for the soon to be completed building.
7 Improving identification of, and The aim is to increase public knowledge around NPS. Measurement will be made on individual preventative activities focused on, contacts and web page hits being made regarding NPS to the local third sector commissioned new psychoactive substances drug service - Drugs Action / Drugs Action website. The successfully piloted “Not for Human (NPS) Consumption” prevention/diversionary project partnership work will continue to be rolled out targeting young people across the City and be utilised within future media campaign communications
APPENDIX 1: NOTES
1. Please complete the RAG column for each theme according to the following definitions: Red: No action is yet underway Amber: Action is underway but is not yet completed Green: Action is completed 2 . This column should be used to describe the range of evidence used to support the RAG Score. We do not require the source documents to be attached unless specifically requested
36 4 June 2014 3. Joint Strategic Needs Assessment: Joint strategic needs assessments (JSNAs) analyse the health needs of populations to inform and guide commissioning of health, well-being and social care services within local authority areas. The main goal of a JSNA is to accurately assess the health needs of a local population in order to improve the physical and mental health and well-being of individuals and communities. (http://www.nhsconfed.org/Publications/briefings/Pages/joint-strategic-needs-assessment.aspx) 4. Joint Performance Framework: a national assessment process on how effectively local partnerships are achieving these improvements. (http://www.sehd.scot.nhs.uk/publications/cc2004_02.pdf) 5. Integrated Resource Framework: this is being developed jointly by the Scottish Government, NHS Scotland and COSLA to enable partners in NHS Scotland and Local Authorities to be clearer about the cost and quality implications of local decision-making about health and social care. The IRF helps partnerships to understand more clearly current resource use across health and social care, enabling better local understanding of costs, activity and variation across service planning and provision for different population groups. (http://www.shiftingthebalance.scot.nhs.uk/initiatives/sbc-initiatives/integrated-resource- framework/) 6. Please indicate in your evidence if you have received feedback on this report from your Community Planning Partnership/ or other accountability route, specifying who that is. Strategic commissioning is informed by The Commissioning Cycle (the outer circle) which drives purchasing and contracting activities (the inner circle), and these in turn inform the on-going development of Strategic Commissioning. Strategic commissioning is defined as ‘term used for all activities involved in assessing and forecasting needs, links investment to desired outcomes, considering options, planning the nature, range and quality of services and working in partnership to put this in place. Strategic commissioning process is defined by four stages, analyse, plan, deliver and review as presented visually in the diagram below.
37 4 June 2014 7. The Alcohol and Drug Workforce Statement is addressed to anyone who has a role in improving outcomes for an individual, families or communities experiencing problematic drug and alcohol use. 8. A full range of essential care Services include identifiable community rehabilitation services – including using people with lived experience; access to detoxification and residential rehabilitation; access to a full range of psychological and psychiatric services; services addressing employability and accommodation issues. http://www.scotland.gov.uk/Resource/Doc/217018/0058174.pdf) 9. Quality Assurance Framework: A guidance document which sets out the systematic monitoring and evaluation of the various aspects of a project, service, or facility to ensure that standards of quality are being met. Examples of how to improve the quality of your services may be found at http://www.qihub.scot.nhs.uk/media/458288/efficient%20and%20effective%20cmht%20prototype%20version%201.pdf The Independent Expert Review of Opioid Replacement Therapies in Scotland ‘Delivering Recovery’ can be found at http://www.scotland.gov.uk/Publications/2013/08/9760/downloads The Quality Principles can be found at XXXXXX
38 4 June 2014 We are looking to improve this self-assessment for ADPs on a regular basis. Please describe briefly whether you found the questions asked to be useful in considering your current position.
It would be useful if the agreed annual report template was issued by the Scottish Government by December so that it permits ADPs to manage their planning processes and allow preparation of setting of their targets in advance of a new financial year beginning. At the moment the template and guidance is issued to late in the whole planning process.
39 4 June 2014