Archived decisions
Recommendations
- grouped by association with the questions posed by the review
· How available are early identification services at present, and how are agencies cooperating to improve on this ?
1) The DAAT should take steps to plan with partners how the Hampshire wide
alcohol needs assessment can be reviewed and updated, and as part of the reassessment
of need across Hampshire, include the need for self help support
2) That the DAAT works with partners to develop the Hampshire and Isle of Wight
Substance Misuse Services Directory to include reference to tier one services in
Hampshire.
3) That the DAAT works with tier one organisations to establish a way to connect them
to the work of the DAAT .
4) That commissioners emphasise the importance of those services encouraging service users and their families to access self help groups, such as AA, and influence the piloting of an alternative model of self help to the AA Twelve Step Model in order to promote choice across the county
5) That the Safe and Healthy People Select Committee draws the relevant central
government departments' attention to the local inequities in access to appropriate
early interventions for the different age groups with alcohol problems in
Hampshire and their assistance sought to ensure that funding streams and levels
of funding do not inhibit the commissioning of effective tier two services
6) That consequences of the impact of cutbacks in national funding for younger
peoples' alcohol interventions should be monitored by the DAAT and reported back to
the Safe and Healthy People Select Committee at six and twelve months after the review
report is published
· What multi agency workforce development is in place and what are the workforce planning arrangements for the future ?
7) The LAA Executive Board should:
i) prioritise the work on developing effective joint commissioning of services for people with alcohol problems, as stated in the Alcohol Flagship Initiative Ten Point Plan
ii) give high priority to the Brief Intervention Training Proposal within the Ten Point Plan.
iii) be invited to provide an update to the Safe and Healthy People Select Committee, twelve months after the publication of the review report, on progress with the Ten Point Plan
8) That the DAAT Strategic Partnership Board supports the work of the DAAT
Support Team in promoting DANOS in services for adults, and considers how it
could influence its promotion within tier one services, to ensure that continuing
progress is made to embed the standards into the care and support provided to
people in Hampshire with alcohol problems
9) 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
10) That the SHA, PCT and Hampshire County Council:
i) open a dialogue to explore how they can work more closely together to support workforce strategy development in respect of multi agency staff groups responding to the needs of adults with alcohol problems
ii) that they work to ensure that their approaches to learning and skills development providers include a consistent approach to the consideration of how they can work in partnership with service users, carers and parents; for example, how they can be equipped with relevant knowledge, skills and understanding
11) That the DAAT Strategic Partnership Board provides assurances to the Safe and
Healthy People Select Committee-
i) that all that can be done, is being done with regard to implementing the Hampshire DAAT training and development strategy in respect of alcohol
ii) that any separate adult and young people's workforce initiatives are integrated to avoid duplication and to aid the best use of resources
12) That Hampshire County Council reviews its substance misuse Health and Safety
policy as it relates to alcohol, with a view to strengthening its implementation.
13) That Hampshire County Council's Occupational Health Department -
(i) builds DANOS into its staff 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 Health 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
14) That Adult Services:
i) look to increase the number of its staff who access alcohol awareness training, and include DANOS within its appraisal process for appropriate staff groups
ii) research whether volunteers and carers would benefit from Alcohol awareness training and, if so, how this might be accessed
· What improvements could be made to deliver effective support and treatment to the most vulnerable people, including those with mental health problems ?
15) 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's Mental Health Services.
16) That the good practice in Eastleigh with regard to diversionary activities for
young people, following evaluation of this work, be communicated County wide,
and that districts be encouraged to set up similar projects, where appropriate, in
the interest of both the alcohol and the anti-social behaviour agenda.
17) That Children's Services:
i) review how well embedded alcohol awareness is in Hampshire Schools
Personal Social & Health Education curriculum and the Healthy Schools initiative.
ii) ensure hat staff in Locality Teams be trained in alcohol problem identification,
including awareness of the potential for a child's problems to be related to
parental drinking.
18) That commissioners of alcohol training for staff ensure this covers awareness of
the high risk of people with alcohol problems committing intimate partner
violence, and that staff in alcohol services can signpost female clients to
domestic violence support services, if appropriate.
19) That the LAA Executive Board:
i) prioritise the possibility of expanding the arrest referral scheme to other parts
of Hampshire as appropriate, depending on the successful evaluation of the Test Valley scheme
ii) prioritise the work of the proposed alcohol worker in Winchester prison on hazardous and harmful drinkers
20) That when the Hampshire wide alcohol needs assessment is reviewed and
updated by the DAAT, that consideration is given to:
i) the need in Hampshire for extended outreach to enable alcohol workers to reach
the homeless who are unlikely to be connected to mainstream services
ii) the need for `wet' services for people with alcohol problems
21) That progress on actions following the Dual Diagnosis review be reported by Adult
Services to the Safe and Healthy People Select Committee during 2008