Transcript Drug Use in Nottingham

Public Health Forum
Adult Substance Misuse
Welcome and Introduction
Alison Challenger
Director of Public Health
Findings of the Joint Strategic
Need Assessment
Caroline Keenan
Senior Performance and Insight Officer
Impact on Nottingham’s Citizens
1 in 10
Nottingham
citizens are
affected by drug
use
1 in 5 Children
in Care cases
associated with
parental drug
use
1 in 5 Children in Care
cases associated with
parental alcohol use
Drugs: Who is at risk and why?
Young adults are most
likely to use drugs
Drugs: Who is at risk and why?
Substance
Cannabis
Powder cocaine
Opiates
Crack cocaine
Any drug
Any stimulant
Any Class A
Long term
Short term
Drugs: Who is at risk and why?
Drugs: Health inequalities and
consequences
Drugs: Need versus ‘treatment’
1809, 29%
Structured drug
treatment
Unstructured drug
treatment
1206, 19%
Alcohol: Who is at risk and why?
Increasing and higher risk drinking
increases with age
Alcohol: Who is at risk and why?
Consumption at home is static whilst
consumption outside the home
reduces
Alcohol: Health inequalities and
the alcohol-harm paradox
Alcohol: Health consequences
Alcohol: Need versus ‘treatment’
784,
7%
1073,
10%
Structured Alcohol
Treatment
Brief intervention
1068, 10%
1022, 10%
Intervention Brief
Advice
Hospital Liaison
Alcohol: Need versus ‘treatment’
Strategy
Alex Castle-Clarke
Strategy and Commissioning Officer
The Partnership Strategies

Safe, Responsible, Healthy:
Nottingham’s Approach to Alcohol


2012-2015
Partnership Drugs Strategy

2012-2015
Since 2013

Health and Wellbeing
Boards


Health and Wellbeing
Strategies
Police and Crime
Commissioners


Police and Crime Plan
PCC Alcohol Strategy
Ongoing Strategy Commitments

Partnership Plan


Police and Crime Plan


Statutory
Children and Young People’s
Plan


Non-Statutory
Health and Wellbeing Strategy


Statutory
PCC Alcohol Strategy


Statutory
Statutory
Force Substance Misuse
Strategy

Non-Statutory
A New Approach



Partnership Board requires that a new,
joint drug and alcohol strategy be
developed.
It has noted the number of existing
strategies. A clarified approach is
suggested.
A single framework of all ongoing targets
and actions has been produced.
Strategy Governance
Commissioning
Lucy Putland
Strategy and Commissioning Manager
Substance Misuse
Treatment
System
Commissioning
Public Health Forum
12th August 2015
Vision..
A treatment system that delivers the best possible quality and
standards of care, maximising numbers achieving a substance
free lifestyle and recovery from substance misuse.
High quality treatment will need to be delivered within the
available budget in a challenging economic climate.
Objectives …
• Maximise the number of clients who
achieve recovery
• Reduce the harm to individuals and
families (including vulnerable groups)
as a direct or indirect result of
substance misuse; including
supporting those for who recovery is
not yet an option
• Ensure service users and beneficiaries
are at the heart of the treatment
system and their own recovery
journey
• Respond to current need and be
flexible to future changing needs
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Nottingham City Substance Misuse Treatment System
Provide treatment that is …
• Able to intervene early through
identification, training and
screening
• Recovery focused offering a visible
recovery community and
rebuilding community assets
• Easily accessible and easy to
navigate
• Joined up – for poly substance
users
• Evidence based but with freedom
for expert clinically-led innovation
• Cost effective and delivering value
for money
Inpatient and residential
rehabilitation
Structured treatment
interventions and recovery
coordination
Brief psychosocial
interventions and advice
Harm Reduction
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Nottingham City Substance Misuse Treatment System
What is substance
misuse treatment?
Treatment should:
• Address service users holistic needs and
support the rebuilding of recovery
capital (physical and mental health,
employment, training and education,
finance, housing and relationships)
• Focus on each service user as an
individual – the therapeutic relationship
between clinician and client being
central
• Consider the impact of substance misuse
on others - in particular families,
children and the community
• Be delivered in line with national
guidance
Drug Misuse & Dependence: UK Guidelines on Clinical
Management 2007
http://www.nta.nhs.uk/uploads/clinical_guidelines_2007.pdf
Drug Strategy 2010: Reducing demand, restricting
supply, building recovery: supporting people to
live a drug-free life
https://www.gov.uk/government/publications/dru
g-strategy-2010--2
Suite of NICE Clinical Guidelines including : Alcoholuse disorders: diagnosis, assessment and
management of harmful drinking and alcohol
dependence.
Drug misuse: psychosocial interventions.
https://www.nice.org.uk/guidance/cg115
https://www.nice.org.uk/guidance/cg51
Alcohol Strategy 2012
https://www.gov.uk/government/publications/alcoholstrategy
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Nottingham City Substance Misuse Treatment System
Strategies
&
Guidelines
Current provision
In Nottingham we currently have a range
of different service areas;
The budgets available for
substance misuse treatment
in Nottingham are reducing
year on year from 2014/15
to 2016/17.
It is likely that the current
economic climate will
continue to have an impact
and it will be necessary to
look for further efficiencies
within the new treatment
system model.
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Nottingham City Substance Misuse Treatment System
What next?
It is anticipated that the new treatment system will be operational by 1st July 2016
and that services will go out to tender towards the end of this year.
During the design and consultation stage of this activity, we are seeking the views
of as many people as possible
• Stage one consultation and market development is now complete
• Service user focus groups are taking place end July and August
• Findings are being pulled together to determine a final proposed
model for further consultation
• Stage two consultation is planned to begin in September
• Any provider pre-tender events are likely to take place October /
November
• Tender anticipated towards the end of this year
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Nottingham City Substance Misuse Treatment System
Further reading ….
• Nottingham’s Alcohol Strategy: Safe. Responsible.
Healthy (2012-15)
• Nottingham Crime & Drugs Partnership Strategic
Assessment (2014/15)
• Nottingham City Joint Strategic Needs Assessments
• Nottingham Substance Misuse Commissioning Review
(pending)
• Criminal Justice Needs Assessment (2013)
• The National Drug Strategy (2010)
• The National Alcohol Strategy (2012)
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Consultation
Glen Jarvis
Service User and Carers Involvement Officer
Break
Resource Centre display
Group Work