Transcript Substance Misuse Commissioning Team

Staffordshire – Building Recovery
in Communities
March 2011
Introduction
Pat Merrick
County Commissioner (Substance Misuse)
The national issues
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It is estimated that we have over 330,000 Problem Drug Users in the UK
and the Government is spending £1.2bn to reduce societal harms*
Cost to society estimated at £15bn per annum*
80% of problem drug users claim benefits at a cost of £40m per annum*
Currently no efficacy measures in place
Alcohol misuse affects far greater numbers and drinking to excess is
socially acceptable
Misuse of both substances are a major factor in social harms including
crime, antisocial behaviour, domestic abuse, child neglect
The aim of treatment for the last ten years - management of addiction
* NAO (2010)
A brave new world
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National Drugs Strategy issued in December 2010 (Restricting
supply, reducing demand, promoting recovery)
Public Health White Paper Consultation
Government's vision for criminal justice reform (MoJ)
Policing in the 21st century: reconnecting police and the people
(Home Office)
Liberating the NHS Health and Social Care transformation
Consultation, consultation and more consultation (Community
Right to Challenge)
Social Impact Bonds
Social Enterprises
National Strategy Priorities
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Reducing Demand
Restricting Supply
Building Recovery Communities
The Staffordshire issues
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4,151 accessing drug treatment
2,071 in effective treatment
1,820 in needle exchange
131,000 hazardous drinkers
32,000 harmful drinkers
21,000 dependent drinkers
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260 in abstinence rehabilitation
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Strategy on a page
The
Vision
The
Strategic
Goals
Delivered
by
Progress
tracked
by
To create an environment that promotes prevention and responsibility, reduces harm to individuals, their families
and communities and empowers and enables people to recover from alcohol and/or drug addiction and
dependency.
Improve the health and well
being of people with
addiction and/or dependency
problems and reduce health
inequalities.
Enabling access to an
improved, consistent
education and
prevention message.
Work plans for Partnership
Board, Provider Board and
Service User Forum
SPECTRUM.
Reduce offending and
reoffending rates and build
safer stronger communities
that support the recovery
agenda.
Enabling access to a
menu of treatment
services that offer a
range of options to aid
recovery.
SMCT Service
Delivery Plan
Deliver key national and local
priorities and ensure positive
outcomes for service users, their
families and the wider
community.
Enabling access to a range
of support and aftercare and
support that sustains long
term recovery success.
Adult and YP
Treatment Plans
Commission high quality,
value for money services
that promote the
development of recovery
communities.
Placing service users
at the heart of
strategic planning
and service redesign.
County Council and
Partnership Plans
Commissioning
for recovery via a
whole systems
approach.
Local and National
data returns
Local Strategy Priorities
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Reducing Demand
Restricting Supply
Building Recovery Communities
How do we turn strategy into reality?
Outcomes focused commissioning for recovery
- convince practitioners of the merits of change
- change the shape of the market place
- demonstrate value for money
- make a difference to the people that need help,
their families and the wider community (outcomes)
The Staffordshire way
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Abstinence based recovery service funded via
Health, Social Care, PTB and SP
Whole systems approach looking at education,
prevention, treatment and after care and
resettlement in communities
Partners include social housing landlords and
employers
Social Enterprise ‘last piece of the jigsaw’
Why do it this way?
 Money
follows success - providers that demonstrate
success will be rewarded.
 Evidence affordability and value for money
 Promote transparency of performance
 Remove duplication
 Local accountability – locally designed and jointly
commissioned services ensure local needs are met
All to ensure the right outcomes for service users and that
public money is being wisely spent to make a real
difference.
What is meant by outcomes?
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Freedom from dependence on drugs and /or alcohol
Improvement in mental health and physical health & well being
A reduction in crime, anti-social behaviour and re-offending
Sustained employment
Effective parenting
The ability to access and sustain suitable accommodation
Improved relationships with family, partners, friends and the wider
community
Prevention of drug related deaths & blood borne virus
Walking the talk – being a positive role model for others
The future?
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Increased financial constraints but lots of
opportunities to think and work more creatively
Special projects incorporating
Total Staffordshire/ Big Society philosophy (Big
Society Bank opens in April)
Themes from last Wednesday’s budget include
growth, enterprise but continuing fiscal restraint
Pertinent Budget messages
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A new start up scheme to support entrepreneurs - Start
Up Britain - will be launched.
21 new enterprise zones will be introduced.
Entrepreneur's Relief will be doubled to £10 million on
6th April.
24 new university technical colleges will be set up.
100,000 places in new work experience schemes will
be introduced.
50,000 apprenticeship places will be created over the
next four years.
Remember – recovery is contagious
…recovery is
contagious and that it
is a powerful force not
only in transforming
the lives of individuals
blighted by addiction
but in impacting on
their families and
communities as well.
Dr.David Best, 2009
What can you do?
Ask not what your
community can do for
you but what can you
do for your community?
YOUR
COMMUNITY
NEEDS YOU
Thank you for listening.
Any questions?
Substance Misuse Commissioning Team
Joint Commissioning Unit,
Social Care & Health
Leaven House,
Beaconside,
Stafford.
01785 358608