Open Event : Reconfiguration of Substance Misuse Services in - - PowerPoint PPT Presentation
Open Event : Reconfiguration of Substance Misuse Services in Westminster July 2009 Westminster City Council Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster Introduction Objectives
July 2009
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Objectives
To Excite and Inspire To Inform To network with other providers To answer your questions
Outcomes Gain and Understanding of:
Westminster and its substance misuse issues The basic rationale behind the change The new treatment model Outcome based commissioning Areas of focus and the challenges ahead
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Westminster “A City within a City”
One of the busiest Cities in the world 500’000 people – nightlife 3400 licensed premises Busier at 3am than 3pm Home to Parliament Media Attention
A Unique Opportunity
Whole scale redesign of services Integrating Drug and Alcohol Services Comprehensive Service User Consultation
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Index of Multiple Deprivation 2007, national deprivation quintileMost affluent wards in the country found next to some of the most deprived Hazardous and harmful levels of drinking amongst higher socio economic Queens Park, Westbourne, Church Street – Top 20% of most deprived wards in the country
A City of Contrasts
NHS Westminster Public Health Data 2008 Westminster City Council Ward Profile Data
8th Most deprived Local Authority in England
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Figures have been taken from Neighbourhood Statistics Mid Year Estimate for Jun 2007 Westminster Joint Strategic Needs Assessment Aug 2008 Westminster Public Health Annual Report 2007/08
Estimated 1’000’000 frequent the city
Population of approx 230’000 residents
50.1% Male 49.9% Female
Demographics
29% of the Population BME 52% of the Population Born outside of the UK 1/3 of Westminster’s population will leave 1/3 replace in any given year 73.9% of working age 20’000 Claiming some kind of worklessness benefit
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Chinese 3% Asian 11% Black 8% Other 7% White 71% Chinese 2% Asian 19% Black 14% Other 12% White 53%
Proportion of Westminster Population in each ethnic group Proportion of Westminster children and young people in each ethnic group
Source: GLA 2007 round population projections (PLP low)
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council Figures have been taken from Westminster LARP Data a, Glasgow Estimate and Alcohol Needs Assessment Research Project 2005
Prevalence of Substance Misuse
Alcohol Use
Opiate and Crack users – Smoothed estimate
Capacity of Treatment System
drinkers = 821 (ANARP)
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Westminster’s Treatment Population
Just over half of clients accessing structured treatment receive either specialist or GP prescribing Approx 60% of new presentations are either NFA or present with a housing problem Women remain under represented in the treatment population 84% of PDUs accessing structured treatment in 2008 were there for 12 weeks. Around two thirds are from a white background 85% of the treatment population misuse either opiates or crack cocaine Approximately 60% of the treatment population are aged 35 or older
Westminster Performance Management Data/ NTDMS 2007/08
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council National Service Framework for Children, Young People and Maternity Services
Department of Health (2004). http://www.nwph.net/alcohol/lape/index.htm
Nationally, 50% of child protection cases reference parental alcohol misuse
Alcohol
2,752 alcohol related hospital admissions for Westminster residents Approx 230 people in structured treatment at any given time in 45% of all violent incidents, victims believed offenders to be under the influence of alcohol (Home Office Stats) 37% of domestic violence cases involve alcohol (Home Office Stats) Parental alcohol misuse – around 2,447 children in Westminster impacted by parental drinking
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Approximately 600 Westminster residents prescribed in a primary care setting
Primary Care
12 GP Practices participating in Shared Care 12 pharmacies offering needle exchange services 74% Male, 26% Female (Comparable to overall treatment population) Delivery of brief interventions for alcohol misusers Approximately 51% using substances on top of their script 13% of clients employed Older population
Provisional findings from Westminster DAAT GP Shared Care Audit 2009
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council HM Government NO ONE LEFT OUT Communities ending rough sleeping Westminster City Council Rough Sleeping Strategy 2007–2010
Homeless Population
41% of rough sleepers have a problem with drugs 40% of rough sleepers have a mental health problem 49% of rough sleepers have a problem with alcohol Approx 15 hostel providers accommodating approx 1200 individuals Nearly one quarter of all rough sleepers nationally are in Westminster Understanding the differences 57% new to the streets 9% will be returners 34% entrenched ongoing 1,820 individuals were verified rough sleepers in Westminster in 06/07
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Drug Intervention Programme
Arrests 550 ‐650 drug tests per month 32% Testing Positive 76% Out of borough Drug Rehabilitation Requirements; 100 New Orders in 08/09 with a 49% success rate Approx 50% on caseload are NFA 319 DIP Care Plans agreed in 2008 150 DIP referrals to specialist treatment In 2008 Over 600 ROB Assessments at court with approx 150 receiving ROB 43 % of Dip caseload engaged in structured treatment in 2008
Home Office Dashboard/ Performance Indicators 2008
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
User Focused Treatment System Developed in collaboration with key partners Significant input from Drug and Alcohol users Improving the experience and outcomes of service users Integration of drug and alcohol treatment into broader work of NHS Westminster,
Community Protection, Police and Probation Service
July 2009
Positive Outcomes: Health and Well Being, Reduction in Criminal Behaviour Increase range, quality and accessibility of alcohol treatment Increase number of women and BME communities accessing treatment Improved care pathways – the right treatment at a time they need and want it Focus on social reintegration‐ accommodation, training, education Emphasis of meeting needs of children and families of substance misusers Service users at the centre‐ developing service user advocacy and support Treatment rooted in local community, need to engage to ensure meeting their needs
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Hub and Spoke Design 2 mini treatment systems North and South Range of services on offer as detailed in specification Delivered from 3 key settings:
Neighbourhood Centres Direct access service offering Tier 2 and 3 interventions Structured Intervention Centres
West End Referral Centre Offering harm reduction interventions and referral on In reach services at a range of community based settings
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
What are the results we are buying?
What Performance targets will you set yourself? Who are your customers and how many do you plan to serve? Does your service have a good understanding of Westminster’s substance misusing population? What are your strengths in serving this group? How would you go about socially reintegrating this group?
What are the chances of success?
What is it about you that gives you the best chance of success? What is the organisations ethos, history and commitment to quality and diversity? Evidence proven track record of success, and examples of innovation Who are the key people delivering this service? How will you ensure quality?
Is this the best use of resources?
Does this offer the DAAT Value for Money? What are your Financial Projections? What does it cost to get a successful outcome? What added value do you offer?
Examples of Questions For Consideration When Working with and Outcomes Based Approach
An Outcomes Based Approach
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
National Strategy Local Outcomes Objectives from Safer Westminster Plan/ NHSW Business Plan Programme Outcomes Preventing harm to young people and families affected by drugs Reduction in chronic acute ill health caused by alcohol Public information campaign, communications and community engagement Protecting communities through robust enforcement to tackle drug supply, substance misuse crime and a.s.b. Delivering new approached to substance misuse treatment and social reintegration Work in partnership with the Family Recovery to: Breakdown Barriers Early identification and intervention Integration of services Improve economic well being Increase the number of brief advice/interventions provided in a range of
number of people accessing Alcohol Treatment Treatment is rooted in the local community , meeting the needs of all residents. Public are aware of harm substances can cause and are able to make informed decisions To work in partn4ership with Police and Probation to tackle drug and alcohol related offending and antic social behaviour. Ensure treatment is personalised, outcome focused, making full use of treatment approaches shown to be effective.
How will your service work to safeguard children and vulnerable adults and meet the needs of substance misusing parents and carers of substance misusers? How will your service reduce the harm caused by alcohol use
wider community? How will your service engage with the local community and build confidence in the work being done to tackle substance misuse? How will your service help to reduce the rate
related crime and anti- social behaviour? Measured by National Indicators NI 17- ,NI38, NI 120 What innovative approaches to treatment and social reintegration will your service adopt? PSA 25 and NI 141,
144,146,148,150
Commissioner verification Provider Information
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Major Challenge to the Project Westminster DAAT intends to secure all 5 sites during the tender process Unable to secure all 5 may ask bidders for support 10th August Property Needs set out in invitation to tender Spatial plans available online Estimate of space required
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
Estimated Size
Structured Intervention Centres 200 Square Metres Neighbourhood Centres 300 Square Metres West End Referral Centre 100 Square Metres
Location
North North of Oxford Street/ Bayswater Road South South of Green/ St James Park “Low Density Residential Area” Central (Referral Centre)Ideally Soho Area Estimated Spatial Plans Available online
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
TUPE likely to apply for all current employees Organisations invited to tender will be provided with relevant information from
current providers by the City Council
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council
ACTIVTY TARGET Deadline for receipt of PQQs 27th July 2009 Evaluation of PQQS
Shortlist of organisations agreed Wb 10th August 2009 Invitation to tender Wb 10th August 2009 Receipt of written questions 11th September 2009 Deadline for reply to written questions 18th September 2009 Deadline for receipt of bids 23rd October 2009 Evaluation of written tender bids
October 2009 Wb 2nd November 2009 Tender presentations / service user panel / site visits / Post tender clarification Wb 9th November 2009
November 2009 Award of Contract December 2009 Lead in time for start of new contract January, February, March, April, May, June, July, August 2010 Contract Start date 1st August / 1st September 2010
Tender Timetable
Open Event for interested parties regarding the reconfiguration of substance misuse services in Westminster
Westminster City Council