How To Close The Haysbrook Centre In Little Hulton

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1 Community Impact Assessment (CIA) Title of proposal: Review of Drug and Alcohol Recovery Services in Salford Service Group/ Team: Public Health Date of assessment: Completed Lead CIA Officer: Mark Knight Officers in Assessment Mark Knight Team: Review Date: 30 th June 2016 The findings of your CIA MUST be included within the report for decision and this document attached as evidence of your consideration of potential impact on communities. Summary of Community Impact Assessment Brief summary of proposal or what you are impact assessing A review of drug and alcohol service premises was conducted to ensure usage best promotes recovery and utilises resources efficiently. This review was informed by the recently commenced refurbishment of council owned premises on Orchard Street (M6) to create a bespoke Recovery Community Resource Centre. This refurbishment has been jointly funded by Salford City Council, Greater Manchester West Mental Health NHS Foundation Trust (GMW) and the award of a Public Health England Capital Grant of over 250,000. The new Recovery Community Resource Centre, located close to Salford Precinct, will be an asset utilised by groups which comprise Salford s growing recovery community. The refurbishment is scheduled for completion in December It is proposed that as the new centre opens the existing recovery centre located at nearby Mona Street in Pendleton will close. In order to pool resources and create a clear focal point for recovery activities it is also proposed to close the Haysbrook Centre in Little Hulton since the review concluded that the service lacked the capacity to deliver a new recovery model based on group work, family interventions and crucially the development of the capacity of recovery community organisations. Both of these centres are of inferior quality to the bespoke premises being constructed at Orchard Street. They are also both rented from private owners. The new Orchard Street Recovery Community Resource Centre will be mandated for Drug and Alcohol Service provision alongside existing council buildings detailed in the Integrated Drug and Alcohol Treatment and Recovery System Service Specification. The development will deliver a modern fit for purpose space, enable better use of the council s estate and keep money within the public sector. 1

2 How did you approach the CIA and what did you find? During 2012, Salford Drug and Alcohol Action Team (DAAT) undertook a series of stakeholder, public and service user consultations as part of the consultation phase of the re-specification of the drug and alcohol treatment system. In April 2015, consultation with service users and staff began in light of the award of the Public Health England Capital Grant and confirmation of the feasibility to develop a new Recovery Community Resource Centre. The proposed closure of the Haysbrook Centre will affect approximately 162 service users. Recovery Voices, a service user group, have consulted with Haysbrook Centre service users and feedback was that the dilapidated condition of this centre does not lend itself to an open and friendly environment that encourages recovery. Assisted travel options and creative use of personal budgets will encourage these service users to access the new recovery centre. Those requiring local appointments will be seen at local venues. A targeted assertive outreach service in Little Hulton will also promote use of the new recovery centre and provide support to individuals and groups who are harder to engage. The service will continue to work with GPs in offering shared care provision at the Gill Medical Centre and facilitate group work at the Walkden Gateway Centre. What are the main areas requiring further attention? The consultative processes detailed in this CIA have not identified any potentially disproportionate negative impacts for individuals or groups with protected characteristics. Service users and staff have been fully consulted about the proposals detailed. There is a communication plan for service users and referrers. Updates have been regularly shared at locality team meetings and staff have been directly involved in identifying Gateway Centres and GP surgeries where individual and group work provision can be delivered if the Haysbrook Centre is closed. Summary of recommendations for improvement Our recovery model aims to promote equality and inclusion whilst reversing the disadvantage and stigma too often experienced by those with substance misuse issues. Community development is central to our recovery model since what we are seeking to achieve is improvements in both individual and collective well-being. We recognise that people s social networks, their commitments to them, and what people do with their daily lives constitute outcome measures of real value. Improvement in these outcomes will be the measure of success. 2

3 1. The proposal This section should outline details of the proposal. This could include (where applicable) Description of the current service (policy, procedure, strategy, function) Explanation of the proposal Reason for the proposal Aim or purpose of the proposal Who should benefit from the proposal Who are the key stakeholders What outcomes are required from the proposal Details of other services on which the proposal could impact Social value considerations In October 2014 GMW was awarded the contract to provide drug and alcohol recovery services across Salford. As the Lead Provider for the new Achieve Partnership, GMW work with a range of sub-contracted partners to deliver recovery-focussed services that adopt an asset based community development (ABCD) approach which encourages individuals to positively participate in their community and fosters a sense of purpose and self- belief. A key aim of the new Achieve Partnership is to boost recovery capital and ensure access to the resources required to protect against relapse. The level and quality of recovery capital plays a pivotal role in generating successful treatment outcomes in that those with good social integration and employment are more likely to successfully complete treatment and not relapse. Achieve aim to ensure the new service model does not develop in isolation but instead promotes community cohesion by working with local communities. To support this strategy premises are open for use by partners and community groups that share the services aims and values. In addition there is agreement to locate staff in a range of community venues to improve relationships with partners and provide better access to services. Integrated joint working and information sharing with partners in turn improves capacity to provide the targeted recovery services needed to achieve long term recovery alongside a broad range of interventions through from prevention to harm reduction and clinical interventions. A review of current service premises has been conducted to ensure usage reflects this approach to promoting recovery and utilises resources efficiently. Importantly, this review is informed by the recently commenced refurbishment of council owned premises on Orchard Street (M6) to create a bespoke Recovery Community Resource Centre. This refurbishment has been jointly funded by Salford City Council, GMW and the award of a Public Health England Capital Grant of over 250,000. The new Recovery Community Resource Centre, located close to Salford Precinct, will be an asset utilised by groups which comprise Salford s growing recovery community. It will be a focal point for recovery activity in the City providing practical, peer led and professionally facilitated groups, training and development opportunities, and support to people in recovery, their carers and family members. The refurbishment is scheduled for completion in December It is proposed that as the new centre opens the existing recovery centre located at nearby Mona Street in Pendleton will close. In order to pool resources and create a clear focal point for recovery activities it is also proposed to close the Haysbrook Centre in Little Hulton. Whilst fit for the purpose of delivering traditional treatment models based on 1-1 appointments, the review concluded that the service base in Little Hulton lacked the capacity to deliver a new recovery model based on group work, family interventions and crucially the development of the capacity of recovery community 3

4 organisations. Both of these centres are of inferior quality to the bespoke premises being constructed at Orchard Street. They are also both rented from private owners. The new Orchard Street Recovery Community Resource Centre will be mandated for Drug and Alcohol Service provision alongside existing council buildings detailed in the Integrated Drug and Alcohol Treatment and Recovery System Service Specification. The development will deliver a modern fit for purpose space, enable better use of the council s estate and keep money within the public sector. The building will offer a beacon of hope and practical support for people and families as they seek to achieve and sustain abstinence. The new base will offer a dedicated centre for group work, therapeutic and social interventions to support recovery journeys as well as the opportunity for people in recovery to access a wide range of self help, mutual aid and skills based opportunities. The centre will be a resource for training, development and voluntary work, offering constructive use of time, personal and employment related skills development including accredited qualifications, and the development of social enterprise. Work at the centre will recognise that recovery is more than the absence of addiction and requires the development of opportunities for personal development, wellbeing and increased access to the labour market. The centre will therefore offer access to office resources, support for developing micro enterprises, workshop and training space, meeting space and professional advice. The Achieve Partnership will enhance opportunities for people to access the new recovery centre from all parts of Salford through assisted travel options and use of personalisation budgets. For those who require clinical interventions the service will ensure these can be accessed at venues across the city through the use of community venues, primary care services, health improvement centres, mental health service premises, services at Salford Royal and three dedicated substance misuse treatment centres inclusive of those for families and young people. The structure of the service delivery model includes a Single Point of Contact (SPOC) to promote engagement and facilitate rapid access to treatment, recovery and wider support services in Salford. A positive experience at the point of engagement with the service will significantly contributes to an individual s on-going recovery with Peer Mentors and volunteers providing evidence of visible recovery at all treatment and recovery bases. Recovery Voices, the partnership service user group, are supporting the development of activities planned for the new centre and are helping to keep service users fully informed of the intentions to develop recovery opportunities within the Little Hulton area and across Salford. They are also helping to ensure that service users can access information from local pharmacies where they access prescribed medications. Ongoing consultation has involved service users, individuals in recovery, families and carers. Service users have been informed via posters at treatment centres and at an individual level case workers have discussed planned developments with service users when attending appointments. Mangers and staff regularly meet with the Recovery Voices group to ensure information is cascaded throughout the recovery community. Voice Box Inc, a local research and production company led by people in recovery, have also been commissioned to consult with service users across Salford about the new service model and develop strategies for involving local people in the design and future activities of the new centre. The proposed closure of the Haysbrook Centre will affect approximately 162 service users. As stated above, assisted travel options and creative use of personal budgets will encourage these service users to access the new recovery centre. Those requiring local appointments will 4

5 be seen at local venues. A targeted assertive outreach service in Little Hulton will also promote use of the new recovery centre and provide support to individuals and groups who are harder to engage. The service will continue to work with GPs in offering shared care provision at the Gill Medical Centre and facilitate group work at the Walkden Gateway Centre. Achieve will work with GMW s Communication Team to ensure all partners and referring agencies are informed of the proposals and informed in advance of any venue changes. The Haysbrook Centre currently provides a needle exchange service. Achieve will ensure that this provision is not unduly disrupted. Provision of needle exchange and waste disposal (e.g. used injecting equipment) will continue to be delivered from local pharmacies that will be supported appropriately to address an increased volume of clients. Targeted outreach workers will work to ensure the needs of hard to reach drug users are met. Twelve staff currently based at the Haysbrook Centre will be relocated to the new resource centre. Though based at the new centre they will continue to work from a range of service bases and community venues inclusive of local gateway centres, as is the case for the vast majority of Achieve staff. 5

6 2. Evidence and research What equality information (qualitative and quantitative), research or other intelligence have you used to develop this proposal? This can include; equality monitoring information, census data, customer satisfaction surveys and feedback, inspection reports, desktop research (local, regional and national), professional journals, feedback from individuals and groups. Details of information considered when assessing the impact should be published (whilst ensuring individual confidentiality). Information source Salford Drug and Alcohol Health Needs Assessment (2014) Public Health, Salford City Council. Recovery Orientated Drug Treatment (2011) and Medications in Recovery (2012) New Economics Foundation (2010) Rec-Cap Tools, Best et al (2013) Service User Records Treatment and Postcode Analysis (August 2015) What has this told you? This Needs Assessment directly informed the procurement of a new recovery-orientated treatment system in Salford. It provides detail on local and national strategies. Promoting recovery and reducing the harm caused by substance misuse through effective partnership working and integrated service delivery are the overarching principles recommended for service delivery. Recovery Orientated Drug Treatment (ROTD) states that the level and quality of recovery capital plays a pivotal role in generating successful outcomes since those with good social integration and employment are more likely to leave treatment without relapse. Accordingly, a key aim of recovery orientated drug treatment is to boost recovery capital and ensure access to the resources required to protect against relapse. An expert group chaired by Professor Jon Strang was set up in 2012 through the National Treatment Agency in response to the challenges set out in the National Drug Strategy. It concluded that Opioid Substitution Treatment (OST) helps prevent people dropping out of treatment, suppresses illicit use of heroin, reduces crime, reduces the risk of blood borne virus transmission, and reduces the risk of death. The expert group also identified key elements of a successful treatment system that should be embedded into any current and future delivery of specialist services including a shared vision of recovery, availability of psychosocial interventions and strong links to recovery orientated community organisations. The new service model adopts the 5 ways to health and well-being approach which will deliver a range of accredited and evaluated group programmes to individuals, families and carers. All interventions are agreed with service users following an assessment of motivation and recovery capital alongside a comprehensive assessment of severity of substance misuse and personal, social and health complexity. In August 2015 there were 162 individuals accessing the Haysbrook Centre for treatment. Of these: 102 were male with 74 accessing services for a primary drug problem and 28 accessing services for a primary alcohol problem. 6

7 60 were female with 37 accessing services for a primary drug problem and 23 accessing services for a primary alcohol problem. Postcode data for those receiving treatment at the Haysbrook Centre evidences that: 45% live in the areas of Walkden and Little Hulton. 55% live in the areas of Pendlebury, Clifton and Swinton. It is proposed that clients living close to the current service are offered appointments at the Walkden Gateway and local shared care GP surgeries in the event that the Haysbrook Centre closes. Clients from the areas of Pendlebury, Clifton and Swinton will similarly be offered appointments at local GP surgeries and at the Swinton Gateway in the event that the Haysbrook Centre closes. Service users will also be encouraged to make use of the facilities at the new Recovery Centre through assisted travel options and creative use of personalised budgets. Achieve has an established system for administering personalised budgets. It is worth noting that service users from Little Hulton, and throughout Salford, already travel to the King Street site in Eccles when a medical appointment is required with the Consultant Psychiatrist or Nursing Team. This system has been in operation for the past 12 months and there have been no objections from service users from any area of Salford in relation to accessing these appointments. 7

8 3. Engagement / Consultation When considering your proposal, you should be engaging with individuals and groups covering the following protected characteristics (You can use evidence from existing consultations if this evidence is relevant to your proposal): Age Disability Gender Gender reassignment Marriage and Civil Partnership Pregnancy and maternity Race Religion and belief Sexual orientation We also advise you to consult people on a low income, carers, ex-offenders, refugees and people seeking asylum, gypsies and travellers, where appropriate. You should detail below your engagement activities (Please note; you must ensure individual confidentiality) Date(s) of engagement January to March 2012 Who was involved? Salford Drug and Alcohol Action Team (DAAT) undertook a series of stakeholder, public and service user consultations as part of the consultation phase of the respecification of the drug and alcohol treatment system. The CIA for the new Recovery Strategy was updated in January 2013 following the decision to adopt a Lead Provider Model for service delivery. Main issues identified Provider Briefing Event This took place on 19th January 2012 and was attended by 68 people from a range of agencies. The main points raised by participants were: The need to develop peer recovery focused support including recovery champions and peer based assertive outreach. The development of a visible and accessible recovery community. Greater integration and co-ordination across the system with a single point of entry and effective and integrated information systems. 8

9 This model became operational in October 2014 with GMW as the Lead Provider for the Achieve Partnership. Community development and links between the services and the community. Development of employment related activity, linking into the local business economy. Fast entry and re-entry to prevent people disengaging and dropping out. Focus on families including the most vulnerable young people, adult carers, parents in recovery and identifying families and parents who are not in treatment. Need to develop accessible opening times, evening and weekends, dropin sessions. Need for women specific services, especially women leaving prison. Recovery to be integrated into the model, as a guiding principle not as a service at the end of the model. Need to have more detail within pathways and methods of achieving outcomes. Service User Consultations These were held at services in Eccles, Pendleton and Little Hulton during February and March The main points raised were: Lack of after-care support once finished treatment and the need for support to continue when people are in recovery. The need for recovery mentoring and more ex users working in services The need for help with methadone reductions. The need for services in the evenings and at weekend and in local areas. The need for provision for women i.e. residential rehabilitation and mental health provision. Greater involvement in the community including voluntary work, recovery 9

10 talks in local community, schools, and churches. The need to combat stigma. The need for relapse prevention and residential support for people who relapse. Support for families i.e. childcare, weekend provision. Support tailored to the person. Not enough groups i.e. need to be longer, more confidence / self esteem related, more peer led. The need for more publicity about personal budgets. Importance of support from key-worker, having continuity of care, phone calls to remind of appointments and follow up calls. Public Consultations During March 2012, DAAT Officers attended public events in Ordsall and Langworthy, Broughton, Pendleton, and Eccles. The range of issues addressed included: Alcohol being recognised as a key issue with particular points made about home drinking, social acceptability, and accessibility. The need of a social life for people who abstain from drugs and alcohol. Women s needs were recognised, in particular the need for childcare. Support for the separation of prescribing from co-ordination, brief interventions and outreach. Workforce issues were raised with the need to ensure the right people are doing the right jobs and to avoid the loss of talent, skill and existing expertise during the re-organisation process. The need for strategic coordination of resources was highlighted. 10

11 April 2015 (ongoing) Recovery Voices Service User Group Voice Box Inc. In April 2015, service users from the Recovery Voices group met with service management to establish a service user steering group to shape service development. This steering group has since met once every two months (the last meeting was in September 2015). The group has directly informed the commissioning of the new Recovery Centre and has been consulted on interior design, external signage and the range of recovery activities that will be delivered from the new centre. Voice Box Inc is a peer led community research organisation that have received funding from the Achieve Community Asset Fund to consult with service users across Salford in the planning and development process of the new Recovery Resource Centre. In May 2015 they began by facilitated an all day event utilising a world conversation café approach for sharing ideas. They have worked closely with Recovery Voices and have particularly focused on individual and community outcomes. Learning from the project will be used to influence ongoing developments within and across services and local communities. Recovery Voices have also consulted with Haysbrook Centre service users and feedback was that the dilapidated condition of this centre does not lend itself to an open and friendly environment that encourages recovery. The group plan to support service users who currently use the Haysbrook Centre to access the new Recovery Resource Centre. There are plans for volunteers and peer mentors to facilitate transport, the minibus owned by THOMAS (an Achieve partner) will contribute to this alongside personal budgets and assistance with travel costs. July 2015 (ongoing) Staff Consultation All GMW staff have been fully consulted about the proposals detailed in this CIA. A communication plan for service users and referrers has been discussed by staff. In line with service user suggestions it has been agreed that existing contact numbers will continue to be used to support ease of contact during the transition. Updates have been regularly shared at locality team meeting and staff have been directly involved in identifying Gateway Centres and GP surgeries where individual and group work provision can be delivered if the Haysbrook Centre is closed. 11

12 4. Assessing the impact From your evidence gathering, you will have identified potential disproportionate negative impacts. Please provide details and your actions to overcome these below. We would also like to know if there will be any positive impacts that your proposals will make to improve equalities: Potential impact: If the proposal could result in some groups (including customers and/or staff) being disadvantaged or treated unfairly Mitigations and actions: Where there is a potential for disadvantage or unfair treatment, what are your plans to eliminate, reduce, mitigate or justify it? Could making these changes have a negative effect on any other group(s)? Explain why and what you will do about this. You should include details of who will be responsible for the actions and target dates for completion: Promoting Equality: Could the proposal result in an opportunity to promote equality or inclusion? Explain how. Please note: this table will form the basis of your action plan. Protected characteristic or other group Potential impact Mitigations and actions Age Disability Gender Gender reassignment Marriage and Civil Partnership Pregnancy and maternity Race Religion and belief Sexual orientation Other groups Responsible officer Target date Promoting equality The consultative processes detailed in this CIA have not identified any potentially disproportionate negative impacts for individuals or groups with protected characteristics. Our recovery model aims to promote equality and inclusion whilst reversing the disadvantage and stigma too often experienced by those with substance misuse issues. Community development is central to our recovery model because recovery prevalence is shaped as much by community recovery capital as personal recovery capital. This means that a successful treatment journey will increasingly focus less on addictive behaviour and more on the internal and external resources needed to initiate and sustain recovery. 12

13 5. Assessing the impact on community cohesion Community cohesion is what must happen in all communities to enable different groups of people to get on well together. A key contributor to community cohesion is integration which is what must happen to enable new residents and existing residents to adjust to one another. An integrated and cohesive community is based on three foundations: People from different backgrounds having similar life opportunities. People knowing their rights and responsibilities. People trusting one another and trusting local institutions to act fairly. And three ways of living together: A shared future vision and sense of belonging. A focus on what new and existing communities have in common, alongside a recognition of the value of diversity. Strong and positive relationships between people from different backgrounds. Detail below if the proposals is likely to impact on community cohesion, including if there is likely to be a positive impact. GMW recognises the importance of working with all stakeholders and has sought contributions from agencies recognised locally as essential to the achievement of recovery. The Achieve Partnership contributes to community cohesion by addressing crime and anti-social behaviour and by people in recovery becoming net contributors to local communities and the local economy. The new Community Recovery Resource Centre will be available for use by the partnership and wider community groups for the benefit of the local community. This will include a community garden and a catering social enterprise that will provide developmental opportunities for people in recovery. Involving the local community in the use and upkeep of the centre will bring economic value to the local area, enhance social cohesion and promote social responsibility. 13

14 6. Monitoring You should ensure that any actions within your CIA are monitored and reviewed regularly within Covalent. You should review progress on your action plan annually. 7. Review Your CIA should be reviewed after the proposals have been implemented to review actual impact. You should record an appropriate review date below. Review Date 30 th June Sign off When you have completed your CIA, it must be signed off by a senior manager within your service group (Assistant Director or above). Name Signature Date Ian Ashworth, Consultant in Public Health. 28 th September 2015 When your CIA has been signed off and after the decision has been made, send it to Elaine Barber in the Partnerships and Engagement Team for publishing on the council s website. 14

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