Bsafe Blackpool Community Safety and Drugs Partnership. Drug and Alcohol treatment planning in the community for Young People and Adults 2012/13

Transcription

1 Bsafe Blackpool Community Safety and Drugs Partnership Drug and Alcohol treatment planning in the community for Young People and Adults 2012/13 Planning Framework Treatment plan Planning Framework Bsafe Blackpool 1/17

2 Planning Section 1: Commissioning for positive outcomes Identification of key priorities following needs assessment relating to commissioning system: Evaluate the implementation of HORIZON Review the year old service which is being delivered by the Hub and monitor the effectiveness of the service and ensure that it does not have a detrimental impact on the young people s service To support the strengthening of the Blackpool Service User Group Evaluation of the Inpatient Detox framework for preferred provider list Set specific targets around successful treatment completions for both drug and alcohol treatment Review BBV pathways, improve access to testing & vaccination across the treatment system and explore new harm reduction interventions to further prevent the spread of BBV and drug and alcohol related deaths Implement the pharmacy testing campaign and evaluate the effectiveness of this intervention Review pharmacy role of those delivering needle exchange and develop audit tool to further engage the treatment naïve population with offer of testing and vaccination Review the pharmacy service level agreement and pricing structure for both supervised and needle exchange Support the Community Budget Pilot to ensure children are protected and families are supported. Preparation work for the transition of Public Health in to the Council. Work with Providers to support them during the transition and moving them from NHS Contracts to Council contracts Support the development of an Abstinent Bar in Blackpool Offer Clients choice Young People agenda remains a priority Ensure that a single computerised case management system is in place Expected outcomes 2012/13: An effective integrated Drug and Alcohol treatment System Effective year old service Continuation of clear and transparent joint commissioning processes/systems for children, adult and family services Clients successfully complete their treatment journey and continue with sustained recovery Providers deliver the same standard and quality of service To ensure that all partnerships work collaboratively within the HORIZON consortia. Treatment plan Planning Framework Bsafe Blackpool 2/17

3 Improvement in uptake of testing and vaccination for BBVs within both services and pharmacies Improved reporting on all systems. Achieve the required TOPS, DirWeb, DMIS and NDTMS targets, so that information can be utilised as part of the needs assessment process Improving the care pathways for young people A successful service user forum, that support delivery of harm reduction and recovery message in the community Improve successful completions Continued achievement of engaging clients in effective treatment Increased awareness of Contraception and Sexual health due to risky behaviours All providers working on a single computerised case management system Prescription generation at each clinical site via the single computerised software package. Delivery Plan : Key milestones By when By whom Evaluate the effectiveness of HORIZON integrated treatment system and ensure that the delivery of the year old service does not have a detrimental impact on the service delivery for young people under 18. To continually review treatment centres who offer detoxification and residential rehabilitation to ensure they meet the requirements of the Commissioners and the individual needs of the clients and to devise an audit tool in line with NICE Guidance and the Care Quality Commission. Develop a system to monitor the outcomes of clients who have attended detoxification and rehabilitation to review the effectiveness of Tier 4 providers and review unplanned discharges to be reported to the Joint Commissioning Group on a quarterly basis. September 2012 BSafe Partnership/ JCG/Criminal Justice Forum/ for JCG/ for JCG/ for Maintain the local agreement with Social Services for Tier 4 Lead Commissioner Public Health lead for Moving Forward and Recovery Treatment plan Planning Framework Bsafe Blackpool 3/17

4 Public Health leads to monitor the uptake of residential rehabilitation and identify any blockages for clients accessing rehabilitation. To review packages of care that meet the needs of the clients i.e. reduced length of time within rehabilitation and structured day support given to clients who wish to be supported in the Community The partnership s ambition for a sustained recovering community will not only focus on a person s recovery, but on the reintegration of an individual s holistic needs by establishing links with quality housing, education, employment and the rebuilding of family and community networks. The partnership need to continue to build on the recovery agenda by exploring new models of working which will incorporate the four domains whilst establishing a vision for the population within Blackpool, mutual aid groups being an integral part of this agenda, and to support service users who are developing social enterprise initiatives e.g. Abstinent bar To refine the Key Performance Indicators so that they are specific for an outcome driven service in line with local and national strategy for both adult and young peoples treatment Continue to monitor the Community Contracts and Service Level Agreements with the providers to ensure that they have effective and robust governance arrangements in place Review the Practices of the Providers through NDTMS, TOPS, DIRWEB and the DIP dashboards to ensure that there is robust and accurate monitoring in place. October 2012 JCG/Public Health lead for Moving Forward and Recovery BSafe Partnership/ JCG/Criminal Justice Forum/ for BSafe Partnership/ JCG/Criminal Justice Forum/ for for /JCG/Criminal Justice Forum for for /Criminal Justice Forum/Horizon The partnership will continue to deliver on the output performance requirements of DIP, DRR and ATR whilst also developing local outcome measures as directed by national guidance. BSafe Partnership/ JCG/Criminal Justice Forum/ for Treatment plan Planning Framework Bsafe Blackpool 4/17

5 The partnership will ensure the continued alignment of DIP, DRR and ATR with the local PPO scheme and expand further alignment with Integrated Offender Management The will work with the Providers to ensure that they improve the reporting mechanisms for NDTMS, TOPS, DIRWEB, DMIS and quality review reports. These are now all included within the Community Contracts and Service Level agreements and the HORIZON treatment system and the Hub Young Peoples service will be monitored on its performance The will work closely with the Providers to ensure that accurate information is recorded on all reporting systems. To support service users in delivering advocacy and peer led harm reduction training Continue to engage with the Service User Group, parents and young people in the consultation and planning process within the Commissioning Cycle via Blackpool LINK service BSafe Partnership/ JCG/Criminal Justice Forum/ for for /JCG/Criminal Justice for for for Continue Identify where service user representation should be integrated within the partnership structures and ensure that all providers promote the service user forum. Ensure that Providers promote and deliver Long Acting Reversible Contraception (LARC), by auditing the workforce around their perceptions and to support the development of positive dialogue around referral for LARC, audit the service users to understand their perceptions around contraception and risky sexual health behaviours and develop a mandatory training package for the workforce. for for Treatment plan Planning Framework Bsafe Blackpool 5/17

6 Support the Development of an abstinent cafe bar within Blackpool to help create a more visible recovery community for To Commission a Tier 1 life style Coaching Officer to raise alcohol awareness for To advise, explore and lobby for wider determinants to reduce alcohol harm i.e. minimum pricing and alcohol awareness. Audit the workforce in relation to positive dialogue around uptake of testing, vaccination and referral to treatment for BBV Develop and deliver mandatory training for Hep B and C to further improve uptake of testing and vaccination for Public Health lead for Harm Reduction/Horizon Public Health lead for Harm Reduction/Horizon Implement, support and evaluate the Pharmacy Hepatitis Campaign of Public Health lead for Harm Reduction Review the pharmacy service level agreement and pricing structure in line with the Pan Lancashire offer and develop incentives for pharmacies to engage injecting drug users who are not in treatment to the offer of BBV testing and vaccination To review the changing patterns of drug usage through the needs assessment December 2012 Public Health lead for Harm Reduction for. Treatment plan Planning Framework Bsafe Blackpool 6/17

7 Treatment plan Planning Framework Bsafe Blackpool 7/17

8 Planning Section 2: Maintaining and improving access to treatment Identification of key priorities following needs assessment relating to access to the drug treatment system: Continue engaging clients in effective treatment. Evaluation of the year old service Reducing the length of stay within Service Develop the work force and ensure service users aware of all the changes with the treatment system Ensure that all monitoring across the new treatment service is robust and effective Support the Providers implementing and delivering the new treatment system Reduction in alcohol related hospital admissions Ensure that young people receiving specialist treatment within 15 working days of referral Continue to provide flexible service provision including drop in facilities for young people Expected outcomes 2012/13: Equitable access to HORIZON for all clients Needs of Diverse Groups are met Recovery culture is embedded with in all staff and service users in to further develop the recovery Community Clients are not retained in service for more than 5 years Expected outcomes : Clients who are considered appropriate should not be retained in service for more than 2 years, with the aim to reduce the number of clients who are on long term methadone. Clients are not transferred from the Hub into the Adult treatment service when they reach the age of 25 Treatment plan Planning Framework Bsafe Blackpool 8/17

9 Delivery Plan: Actions and milestones By when By whom Integrated pathways for Domestic Abuse into the treatment system and improve links with MARAC, MAPPA, MASH, priority 3 of the children s plan and Community Budget Pilot. Criminal Justice Review the effectiveness and practices of the Prison Link Team. Identify and respond to gaps in treatment for Blackpool clients in prison incorporating wider offender health agendas To develop and implement a single Case Management System in order to improve access to data and information across Horizon and reduce the need to duplicate records, and reduce the number of times clients are being asked the same questions e.g. Poppie To continue to support the development of the Service User Forum, and to strengthen the foundation of the Committee. Robust monitoring of clients to ensure that the needs of children are identified through the Adult Treatment Services. Criminal Justice Ensure all Provider Staff have an awareness of the hidden harm agenda, every child matters and that all staff are trained in child protection procedures. This will be monitored at the contract review meetings with all providers Treatment plan Planning Framework Bsafe Blackpool 9/17

10 Continue to support the Community Budget Pilot across the Providers Services to ensure closer working with partner agencies such as children s centres, mental health service, and job centre plus Embed the work of the Service Users with the providers Support the development of a recovering community and ensure that there are strong links with partnership agencies to continue to embed a recovery culture within the work force and improve outcomes for clients Establish a clear commissioning protocol for young people requiring detoxification and residential rehabilitation in order to achieve a rapid response regarding funding and access to treatment. / Hub To ensure all staff have awareness of safeguarding adults and their procedures Treatment plan Planning Framework Bsafe Blackpool 10/17

11 Planning Section 3: Delivering recovery and progress within treatment Identification of key priorities following needs assessment relating to recovery and effectiveness of the drug treatment system: There is a need to improve on TOPS reporting and to review an effective alcohol recording system to ensure that the data is robust, accurate and represents HORIZON. To improve successful completions and reduce the number of unplanned discharges within HORIZON Increase the number of young people leaving treatment in a planned way Continue to reduce drug related death and alcohol related deaths and improve the engagement of clients for all screening for BBV, and Hep B vaccinations. Improve links with wrap around services Embed the recovery culture with in HORIZON Expected outcomes 2012/13 All clients have a planned discharge and improved numbers of clients achieving successful completion Reduce long term ill health and long term conditions Improved life expectancy Improved uptake of Hep B and Hep C vaccinations Reduction in Drug Related Deaths Reduction in Alcohol Deaths Support HORIZON in maintaining an effective and Efficient system Established Network system Strengthen links with key stakeholders Build a recovery community Treatment plan Planning Framework Bsafe Blackpool 11/17

12 Delivery Plan: Actions and milestones By when By whom To ensure that all providers are achieving the required targets for TOPS and alcohol recording system reporting (STAR). This will be monitored through contract meetings with all Providers. Continue to improve the successful completions rate to ensure more clients leave HORIZON drug free, alcohol free or occasional user To review and monitor the Key Performance Indicators, Quality review reports and agreed outcomes for all providers and respond to issues that arise All provider services to ensure robust assessment procedures are in place to ensure Hep C intervention is offered and status is recorded Public Health lead for Harm Reduction/Horizon To work with the providers to improve the uptake for Hep C testing and referral to treatment To audit providers to improve the uptake of for Hep B vaccinations and Hep C testing Public Health lead for Harm Reduction/Horizon Public Health lead for Harm Reduction/Horizon Treatment plan Planning Framework Bsafe Blackpool 12/17

13 To work with the providers to improve the uptake of Hep B vaccines Public Health lead for Harm Reduction/Horizon Review the returns policy to ensure there are an increase in both Community Pharmacists and the Specialist Service to prevent injury and the spread of blood bourne viruses Explore other harm reduction initiatives to prevent drug related deaths, alcohol related deaths and prevent the spread of BBV Continue to provide overdose awareness & first aid training for service users and carers on monthly basis Public Health lead for Harm Reduction Public Health leads Harm reduction Harm Reduction/Horizon Review the Naloxone Scheme and the effectiveness of the scheme HORIZON to work collaboratively with the wider partnership to improve access to social support and wrap around services in primary care, education, employment, housing and accommodation. Harm Reduction Moving Forward and Recovery/Horizon Continue to develop opportunities for clients to achieve their full potential in the workplace through personal, education and skills development. Moving Forward and Recovery/Horizon Pilot a Dry House facility in Blackpool and review the effectiveness of such a pilot Substance Misuse Pilot a non-prescribed community detoxification service for clients who do not wish to receive substitute prescribing and explore options for clients to have a direct route to inpatient detoxification. Ensure that these clients have the appropriate mechanisms for support in the community Substance Misuse Treatment plan Planning Framework Bsafe Blackpool 13/17

14 Continue to develop the Safe Haven project and monitor its effectiveness Substance Misuse Maintain and improve the Alcohol Liaison Service provision to reduce hospital admissions and develop KPI s to review the effectiveness Continue and embed the hospital outreach workers, and review their effectiveness within the Horizon treatment system and develop KPI s to report the effectiveness of the service Support the development of the newly qualified nurse prescriber for young people services and embed within the Horizon treatment system Substance Misuse Substance Misuse Substance Misuse/Horizon Development of Nurse Prescribing within Horizon to reduce the pressure on the medical staff clinics Substance Misuse/Horizon Ensure the availability of brief intervention training for front line professionals and volunteers on the impact of on individual young people and their families. Continue with the successful collaboration between the Hub, A&E and develop the relationships with the alcohol liaison nurses based in the acute trust. Substance Misuse/Horizon Substance Misuse/ Hub Improve the collaboration between the Hub and Awaken project (commercially and sexually exploited children and young people) Treatment plan Planning Framework Bsafe Blackpool 14/17

15 Continue to ensure that children who are looked after, young offenders, pregnant young women are a priority accessing service provision. Continue with the successful collaboration between the Hub and CAMHs for young rs with mental health issues Support the development of Recovery champions throughout the horizon treatment system giving every individual an opportunity to be involved. The responsibility will lie with the newly appointed peer mentor coordinator to implement recovery champions in Blackpool. Recovery champions will spread the message throughout the treatment system that recovery is a worthwhile goal while being involved in the recovery movement nationally. Substance Misuse/ Hub Substance Misuse/ Hub Substance Misuse/ Hub Substance Misuse Planning Section 4: Achieving outcomes and successful completions Please see checklist at Appendix 1 of the 2011/12 plan guidance for possible areas to include within this planning grid Identification of key priorities following needs assessment relating to outcomes, discharge and exit from the drug treatment system: To improve the number of clients who successfully complete treatment Improve TOPS compliance and utilise the level reports to review outcomes Improving links with wrap around services Supporting Service Users Continue to maintain the high numbers of young people leaving treatment in a planned way Ensure Young People are referred back into universal and targeted services Treatment plan Planning Framework Bsafe Blackpool 15/17

16 Expected outcomes : All clients leave treatment in a planned way Reduction in looked after children Better engagement of families within the Communities Building a recovery community Reduction in young adults health inequalities 100% of young adults discharged in a planned manner Delivery Plan: Actions and milestones By when By whom Ensure that HORIZON are incorporating national guidance and local action plans for reducing attrition, improving treatment effectiveness and successful treatment completions through the performance monitoring framework, reducing unplanned exit and representations Substance Misuse/Horizon Ensure all services comply with data requirements in accordance with national guidance and the Key performance and quality indicators detailed within the community contracts through the performance monitoring framework Continue to support the development of opportunities for both provider and peer led abstinence support. Substance Misuse/Horizon Substance Misuse/Horizon Evaluate the outcomes for those leaving Community Rehabilitation Moving forward and Recovery/Horizon Treatment plan Planning Framework Bsafe Blackpool 16/17

17 Provide Alcohol Star training to all services and introduce the tools used across all services October 2012 Substance Misuse Monitor the work of the Drug and Alcohol outreach workers in relation to their involvement in improving outcomes and develop KPI s Substance Misuse Implementation of the pathways for the volunteer co-ordinator employed via the Ashley Foundation Commission a range of social marketing Moving forward and Recovery/Horizon / Ashley Foundation Alcohol Commission and monitor the delivery of lifestyle advice and brief intervention training for Tier 1 workers Alcohol Provide drug and alcohol awareness training for drunk and disorderly offenders Alcohol Treatment plan Planning Framework Bsafe Blackpool 17/17