DrugscopeBeyond the drug intervention

programme?Involving PCCs in local pathways into

drug and alcohol treatment

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Aim and principles of workshop• To develop an action plan to support the drug

and alcohol sector to develop a business case to PCCs for continued delivery and investment.

• The principles of the workshop were:– To provide an interactive session where workshop

participants are encouraged to set, own and develop the agenda.

– Make rapid progress through a set of given issues towards a consensus

– Generate practical solutions which can be owned and actioned by participants.

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Generating and evaluating the key issues

• Participants were asked to reflect upon the input subsequent discussion from the first part of the morning and individually to make a note of the key areas to be addressed in any action plan

• then as a large group ordered all similar key areas together into the following 4 ‘themes’ which were then named by the group

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Mission

• About processes not people – high numbers seen, low numbers of outcomes

• For ‘other’ drug users in the CJS, what are the realistic/appropriate outcomes a local DIP might seek to deliver?

• Working out and measuring the right outcomes - judging systems not services against them

• Making frequency (of reoffending) politically friendly• PCC mandate + drugs as a high/low local priority-

political considerations + image4

Transition

• Maintaining the +ive achievements/programmes that may have become taken for granted while developing/gaining support for new individually and locally tailored programmes that suit the new challenges

• How to carry over the good aspects of DIP over to new localised system without replicating the bad

• ambivalence

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Local leadership and influencing• Difficult to manage 43 local conversations + priorities• Commissioners need to understand the the need and

opportunities and have ‘muscle’ to pull agencies together• Commissioning between PCC/Health will be key but complex.

Needs to be simplified locally• Integrated approach to commissioning whole system• Join up between CJ & Health(eg PCC, HWB, Offender Health)• Make a local case to local commissioner – data and

communications

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Delivery

• Drug testing – is there still an appetite or is there another way?

• Need to link custodial services to community services (involve prison service population management)

• Treatment for drug and alcohol misusing offenders

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Prioritising

By a voting process participants decided to focus upon 3 themes for the rest of the workshop, these were:

MissionTransition

Local leadershipIn 3 syndicate groups participants used a problem-solving approach top defining issues, threats and opportunities and were asked to come up with at least one recommendation to kick off an action plan and suggest who could work alongside Drugscope on taking this forward.

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Transitionissues threats opportunities actionRetaining skills base disinvestment Speaking to other

local prioritiesDifferent arguments for different PCCs

Understanding how local commissioning systems will be organised

Impact of disinvestment on clients

Opportunity for ‘new’ kinds of drug use – new arguments to new stakeholders

Now is a good time to lobby ( SF Communities)

Staggered transition – what happens in 2014

Many voices and priorities (speaking to different agendas)

Drugs remain a national priority

Mapping local need

Want volume quickly v complex – PCCs expect a ‘bigger bang for buck’

Invest to save argument

Developing local evidence base

Developing local strategic partnerships

Local strong points (e.g. child safeguarding)

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Recommendations• *National evidence base adaptable for local use• *Brokerage + influence of relationship between PCC – PH – HWB• Less bureaucracy – local offer that can do more for money• Bring in other issues; DV, alcohol hospital admissions• Running for political office ‘ the history is lost’ – educate/ inform about

what is helping• Guidance on how to approach the right people at the right time with

the right data

* Given priority by syndicate

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Local leadership and influencingissues threats opportunities actionsCross border issues – how you pitch your case – is DIP relevant

Substance misuse/drug related offending falls off the agenda of individual partners and partnerships

Also an opportunity – wider joint action across partnerships

Use of DIP data to provide evidence around interventions in CJS

PCC priorities – joining up agendas community safety/health

Finding the evidence from across government

PCC commissioning role – place in the landscape – levels of knowledge

Using the evidence of where interventions work most effectively & targeting work locally to match this with local services

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Recommendations

• Build a case for intervening on substance misusing offenders to the benefit of all parties and using evidence to show these benefits

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Missionissues threats opportunities actionsGot to be attractive to PCCs – meet their needs. Joined up across commissioners

Health/CJS differences in commissioning – LAs/PCCs

IOM Liaison & Diversion across interventions/disciplines

It’s about treatment – streamlining of ‘process’

Time

Focus upon ‘Troubled Families’

But, lower OCUs and do what?.....

Police like testing – alcohol?

Alcohol & Community Safety

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Recommendations

• Local needs assessment - avoid usual assumptions

• Local cost benefit analysis – ‘toolkit’ (method)

- CJS/health

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Action planningmission leadership and influencing transition

action Who? action Who? action Who?

Local needs assessment and local cost benefits analysis

PCCs/LAsRole for HO to advise on template/data

Build a case for intervening on substance misusing offenders to the benefit of all parties and using evidence to show these benefits

Negotiate local champions. Provider/commissioners

National evidence base adaptable for local use

HO/ NTA/Drugscope

Brokerage + influence of relationship between PCC – PH – HWB

Providers working together. Other local VCS sectors/residents association

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