Progress Update to Safe and Healthy Select Committee - OCTOBER 2008

Scrutiny Recommendations

Progress Update

Responsible Officer

6

That consequences of the impact of cutbacks in national funding for younger people's alcohol interventions should be monitored by the DAAT and reported back to the Safe and Healthy People Select Committee in October 2008.

The anticipated cutbacks in funding did not occur in 2008/09 and the investment remained only slightly below 2007/2008 levels. The consequence of this was that the DAAT was able to re-commission the tier 2 services which were due to cease operation in 2008/09, to provide relative continuity of service

Funding for subsequent years (formerly the Young People's Substance Misuse Partnership Grant ) will be allocated to Hampshire through a number of routes. The details of this are shown in the table appended to this document.

Tina James

Young Peoples Substance Misuse Strategy Manager

On behalf of the Health, Personal Development and Wellbeing Team, Children's Services and DAAT

11

That the DAAT reviews the balance of attention given to alcohol issues within DARGs and, where necessary, seeks to influence groups to redress any obvious imbalance.

Drug and Alcohol Reference Groups [DARG] are local forums where practitioners from various fields can cover all forms of substance misuse. The agenda is set by the membership and therefore individual agencies / concerns have the opportunities to ensure `alcohol related issues' are included.

The following are examples of where `alcohol' has been the primary focus of the DARG.

· Alcoholics Anonymous invited by DAAT to give presentation to all DARG chairs 14th March 2008, with follow up invite to present at individual DARG meetings.

· Fareham & Gosport DARG hosted a drink and drugs seminar on 20th June 2008. This workshop style seminar, open to all, primarily looked at the `next steps' with regards the national and local alcohol strategies.

· North East Hants DARG supported work within secondary schools, in their area, with regards `alcohol, rape and personal safety'. Additional funding secured from GOSE to run parental awareness evening around substance misuse.

· Fareham and New Forest DARG had each secured funding from the DAAT to promote drug and alcohol services to young people in their area

· A number of DARG now produce action plans which include local responses to tackle alcohol misuse.

John Winter

DAAT Community Manager

13

That the PCT and Hampshire County Council ensure that their approaches to learning and skills development providers include a consistent approach to working in partnership with service users, carers and parents.

A Learning and Development Plan is produced annually. This recommendation will be incorporated into the plan for 2009/10 and progress reported in April 2009 alongside the progress in relation to recommendation 12.

Barbara Evans Learning & Development Advisor Mental Health

15

That Hampshire County Council reviews its workforce substance misuse Health and Safety Policy as it relates to alcohol, with a view to strengthening its implementation

The policy has been programmed for review by end of October and, where necessary, amended and strengthened in line with the recommendation. Recognition of the changes to Occupational Health arrangements arising from recommendation 16 below, will be reflected in the policy.

Gerry Colverson

Strategic Health & Safety Advisor

16

That Hampshire County Council's Occupational Health Department:

(i) builds DANOS into its staff IPP appraisal process, in order to strengthen its ability to deliver tier one interventions to staff with alcohol problems.

(ii) explores opportunities for joint training with NHS staff on alcohol issues and the use of evidence based screening tools such as AUDIT.

(iii) reviews its role in facilitating access to tier two services for those in the workforce that it identifies as needing additional support.

All of these recommendations have been actioned. The Occupational Health Manager has included within the IPP appraisal process for all OH staff, training objectives in relation to onward referral to external agencies in matters relating to alcohol. There is also in place a means to reference and print off all cases managed by the Occupational Health Department where alcohol is/or is thought to be a contributory factor.

A productive meeting has taken place between Occupational Health and the Alcohol Strategy Co-ordinator and there was strong agreement that a one day training event would greatly benefit OH staff, building on the skills that they already have. The timing of the training event will planned for early in the new year and subject to the final programme will include a presentation from Alcoholics Anonymous and a local Tier 2 provider, in order to gain a better understanding of effective treatment options and their availability and to improve care pathways.

Denize Bainbridge

Occupational Health Manager

Mike Webb

Alcohol Strategy Co-ordinator

19

That the `invest to save' work on transition services includes work on the transition between Children's and Adult's Alcohol Services, and between Children's and Adult Mental Health Services.

There has been a slight delay in starting the 'Think Family' project in Basingstoke, as the Children's Centres and `Building Bridges' project have also been included.

Recruitment to the Manager of the `Building Bridges' project was delayed - interviewing October 2008. Following appointment there will be a workshop of invited parties from the local teams/services to determine the details of the project, which is likely to focus on one area of need in Basingstoke linked to a Children's Centre. It is hoped the workshop will take place in late November or early December.

Liz McGill

Mental Health Commissioning Manager

22

That commissioners of alcohol and domestic violence training for staff ensure this covers awareness of the inter-relationship between alcohol problems and domestic violence, and that frontline staff can signpost clients to appropriate sources of help.

The alcohol and domestic violence leads are developing an alcohol brief intervention training programme that will be specifically targeted at Domestic Violence Refuge workers. It is intended that the training will take place early next year. As further training for staff is developed, it will take account of the inter-relationship between these issues.

The alcohol lead will be attending the Domestic Violence Conference with a display stand and the domestic violence co-ordinator has been asked to present at the next meeting of the Alcohol Partnership Board, Chaired by the Director of Public Health.

Mike Webb

Alcohol Strategy Co-ordinator

25

That progress on actions following the 2007 mental health and substance misuse Dual Diagnosis review be reported by Adult Services to the Safe and Healthy People Select Committee during 2008.

A project team has been established to deliver a Joint (Adult Services and PCT) Commissioning Strategy for Dual Diagnosis by April 2009. This work is being led by Liz McGill.

Liz McGill

Mental Health Commissioning Manager

Additional Information supporting Recommendation 6 in relation to funding streams for young peoples services

Source of allocations to Hampshire 2008-09 to 2010-11 (and route of allocation)

Funding Stream

Funding allocation per year from 2008-09 to 2010-11

Home Office contribution through Area Based Grant

£ 210,351

DCSF contribution through Area Based Grant (due to the late settlement of this figure, for this year first payments will be made into the ABG in November 2008)

£153,715

DH contribution through PCTs for substance misuse treatment for under 18s *

£ 442,300

HO contribution to YOTs in England through the Youth Justice Board

£ 100,439

Total

£ 906,805

* funding levels are indicative for this funding stream for 2009/10 and 2010/11

Notes:

1. The DCSF and HO allocations which previously came through the Young People's Substance Misuse Grant are now paid through the Area Based Grant on an unringfenced basis to allow maximum local flexibility. This allocation has been released to the DAAT for 2008-09.

2. Members of the Youth Substance Misuse Strategy Group will meet on the 6th November to produce a business case for the use of this allocation in 2009-2011. Consideration will be given to the priorities in the Government's new Drug Strategy, "Protecting Families and Communities", the Youth Alcohol Action Plan (2008), the Hampshire Alcohol Flagship 10 - Point Plan, local need and the relevant indicators under Public Service Agreement targets and PSA 14: "Increase the number of children and young people on the path to success" (through a shared aim to reduce the numbers of young people frequently using drugs, alcohol and volatile substances (glue, gas and solvents).