Download Introduction This delivery plan for the years 2012 – 2015 sets out the

East Ayrshire Alcohol and Drugs Partnership
Delivery Plan
2012 - 2015
1
Introduction
This delivery plan for the years 2012 – 2015 sets out the strategic direction of East Ayrshire
Alcohol and Drugs Partnership for the three year period. This delivery plan, as the reporting
instrument for Scottish Government, further sets out the key strategic aims of the East
Ayrshire as well as the specific changes that the ADP wish to see occur.
It is therefore crucial that in viewing this delivery plan it is viewed in context alongside the
ADP alcohol and drugs strategy (and associated documentation including the treatment and
recovery needs assessment, commissioning strategy), the East Ayrshire Single Outcome
Agreement (SOA) as well as the East Ayrshire Community Plan.
2
Key Changes
East Ayrshire ADP during the lifetime of the delivery plan seek to shift the balance of care
from specialist services at tier 3 to universal/community based interventions at Tier 1. The
diagram below seeks to illustrate this process.
Tier 1 – Interventions available within broader community settings, such as
education, training, Welfare rights, housing, meaningful activities and
employability services
COMMUNITY
TIER 2 - Local services including harm reduction team and local
counseling services
SERVICES
TIER 4- Inpatient/
residential
Raising aspirations and hope
TIER 3 – Specialist alcohol and drug
support services
3
In shifting this balance of care, East Ayrshire ADP will prioritise:1. Increasing the number of problem drug/alcohol users being discharged from service
to positive destinations,
2. Decreasing the impact of problem drug/alcohol use on local communities.
3. Enhance the availability and ability to access support and advice for people affected
by problematic substance use
4. Minimise risks to children as a consequence of substance misuse by ensuring early
intervention and support is available.
5. Minimise risks to vulnerable adults as a consequence of substance misuse by
ensuring early intervention and support is available
6. Quantify the total cost to the Community Planning partnership of alcohol and drug
use in East Ayrshire.
4
Core & Local Outcomes to be achieved
ADP
stream
work
Local outcomes
Core
alcohol
outcomes
drug
Local SOA Outcome
2.2
Education:
Preventing alcohol
and drug use in
young people
Decrease the proportion of young
people who have been offered drugs
in the last year
Fewer adults and children are
drinking or using drugs at levels or
patterns that are damaging to
themselves or others (CO2)
Alcohol
and
Drug
Related Harm reduced
2.3
Prevention
Community
Focused: Positive
attitudes
positive
choices
Decrease
the
proportion
of
individuals drinking above daily
and/or weekly recommended limits
People are healthier and experience
fewer risks as a result of alcohol
and drug use (CO1)
Increase in services offering leisure
and recreation
Fewer adults and children are
drinking or using drugs at levels or
patterns that are damaging to
themselves or others (CO2)
2.4 Prevention Early
Intervention:
Supporting families
and communities
reduction
in
the
number
of
maternities recording drug or alcohol
use
Children and family members of
people who misuse alcohol and
drugs are safe, well supported and
have improved life chances (CO4)
Decrease the proportion of 13 year
olds who have had an alcoholic drink.
Minimise the number of children
looked
after
and
accommodated/separated
from
parents by reducing the impact of
parental substance misuse
Increased
number
of
children
affected by parental alcohol/drug use
identified
5
and
National Outcomes
We
live
healthier lives
longer,
We have tackled the
significant inequalities
in Scottish society.
We have improved the
life
chances
for
children, young people
and families at risk.
We live our lives safe
from crime, disorder
and danger.
We have strong, resilient
and
supportive
communities
where
people
take
responsibility for their
own actions and how
they affect others.
ADP
stream
work
2.5 Treatment and
Recovery:
Promoting
Recovery
Local outcomes
Core
alcohol
outcomes
Reduction in drug and alcohol related
morbidity, mortality and deaths
Increase available treatment options
in order to enable individuals to move
on from problem drug use, towards a
drug free life. Reduction in drug and
alcohol related morbidity, mortality
and deaths
Increase in drug/alcohol users
engaging in employment, education,
leisure
2.6
Protection:
Reducing
consumption and
Law Enforcement
Reduced alcohol and drug related
violence and offences
Increased
detections
possession of drugs
for
the
Increased detection rates for the
supply of drugs in the local area
and
drug
Local SOA Outcome
Individuals are improving their
health, well being and life chances
by recovering from problematic
alcohol and drug use (CO3)
Alcohol
and
Drug
Related Harm reduced
Alcohol and drug services are high
quality,
continually
improving,
efficient, evidence based and
responsive, ensuring people move
through treatment into sustained
recovery. (CO7)
Communities and individuals are
safe from alcohol and drug related
offending and anti social behaviour
(CO5)
People live in positive, health
promoting local environments where
alcohol and drugs are less readily
available (CO6)
Reduced incidence of alcohol and/ or
drug associated Anti-social behaviour
Increased use of Community payback
Orders as an alternative to Custody to
address
alcohol/drug
related
offending.
Increased access for offenders to
appropriate drug/alcohol services in
the community and in custody.
Increased refusal of inappropriate
alcohol sales
6
National Outcomes
We live longer, healthier
lives
We have tackled the
significant inequalities in
Scottish society.
We have improved the
life chances for children,
young
people
and
families at risk.
We live our lives safe
from crime, disorder and
danger.
We have strong, resilient
and
supportive
communities
where
people
take
responsibility for their
own actions and how
they affect others.
Financial Investment
In 2012/13, The Scottish Government allocation for Ayrshire and Arran for alcohol is
£2,662,120 and for drug use £1,739,532.
Of this total East Ayrshire’s drug allocation is based on 75% prevalence and 25% NHS
Scotland Resource Allocation Committee (NRAC).
East Ayrshire’s alcohol allocation was based on a whole population split. East Ayrshire ADP
receives £660,115 drug misuse funding and £855,624 for alcohol which includes a £51,708
alcohol prison allocation
Drugs Funding
In 2012/13, East Ayrshire ADP allocated its drugs funding in accordance with the following
table
organisation
NHS
Service
Funding
Model of
care tier
Substitute prescribing
£101,318
3
Prevention services and support
£51,414
team
1
Community addiction team
£128,535
3
Primary care addiction team
£125,148
3
£87,469
2/3
£166,815
2/3
SMART Recovery
Addaction
Community alcohol recovery
service
Turning
Point
SEASTAR – Community
recovery service
drug
£660,699
Total
7
Alcohol Funding
In 2012/13, East Ayrshire ADP allocated its alcohol funding in accordance with the following
table
organisation
Service
Funding
Model of
care tier
A&E in - patient liaison nurses
£77,661
2
Midwives
£6,977
1
Community addiction team
£138,461
3
Primary care addiction team
£135,662
3
Prevention and Service Support
£12,497
Team
1
Prison alcohol allocation
£51, 708
4
Loudon House residential unit
£31,460
4
GP Brief interventions
£32,741
1
OT Older People
£58,000
2
Strathclyde
Presence at A&E
Police
£7,000
N/A
TBC
£18,838
1
£30,000
2
NHS
Community Capacity building
Ayrshire
Council on Alcohol and Offenders
Alcohol
SMART Recovery
Addaction
Community
service
Alcohol
Recovery £27,919
EAC
Children’ Services Officer Locality
Group for services for children
£243,900
and children affected by parental
substance misuse
Total
£872,824
8
2/3
2
Additional spend
East Ayrshire Council
Children and Families addiction workers
£186,224
Early years addiction workers
£55,624
Team manager community Care
£48,730
Ayrshire Council on Alcohol
£34,992
Turning Point Scotland
£118,000
Young Carers
£27,812
Total
£471,382
NHS Ayrshire and Arran
East Ayrshire ADP area
£1,322,429
Pan-Ayrshire services
£1,310,508*
Total
£2,632,937
*not able to accurately break this down by locality area as this funding incorporates
elements of the Ayrshire wide residential rehabilitation unit, the Prevention and Service
Support team and other pan-Ayrshire related costs
East Ayrshire ADP is also in the process of attempting to establish total spend across East
Ayrshire on dealing with the impact of alcohol and drugs on services and communities. This
considerable associated spend highlighted in several national publications including Drug
and alcohol services in Scotland (Audit Scotland 2009) once identified further allows the
ADP to address strategic objectives and provides a further considerable evidence base for
action.
East Ayrshire ADP has identified four areas of drug and alcohol spend that are inter related
and described by the following diagram
9
Community spend e.g
criminal justice
Impact Spend eg hospital
admissions, child protection,
sexual health
Direct spend – NHS and
East Ayrshire Council
SG drug and alcohol
allocation
10
Priority Actions & Interventions to Improve Outcomes
The East Ayrshire ADP continues to operate within the East Ayrshire Community Planning
structure as The Community Plan is recognised by all Partners as the sovereign strategic
planning document for the delivery of public services in East Ayrshire
Therefore, within this structure, actions delivered by the ADP require to fit with the key
strategic priorities of the Community Planning Partnership and its 4 thematic groups
towards delivery of the East Ayrshire Single Outcome Agreement (SOA) outcome of
reducing alcohol and drug related harm. The Community Planning Partnership Single
Outcome Agreement 2011-2015, developed during the four-yearly Review, underpins the
Community Plan and provides a robust performance management framework ensuring
effective links to the national outcomes.
Delivering Community Regeneration
In supporting the Community Planning Partnership to deliver community regeneration :
The Alcohol and Drug Partnership will seek to establish a network of community
therapeutic and strategic ‘recovery champions’ who are visible across the whole
system within all organisations and in each locality of East Ayrshire

The ADP will work with communities, to challenge their attitudes in relation to their
own alcohol consumption and increase knowledge across all age groups to enable
individuals to make informed choices about their personal alcohol and drug use
Improving Community Safety
In supporting the Community Planning Partnership to improve community safety:
East Ayrshire Alcohol and Drug Partnership will continue to work with Strathclyde
Police in reducing the supply and demand for drugs controlled via the Misuse of
Drugs Act 1971.

The ADP will work as part of the partnership on the Public Reassurance Model within
a specifically identified area of East Ayrshire focusing on the priority concerns of
Drunk and Disorderly Behaviour and Drug Dealing and Misuse
11

The ADP will continue to work in partnership with Strathclyde Fire and rescue
services to reduce alcohol and drug related fire deaths
Improving Health and Wellbeing
In supporting the Community Planning Partnership to improve health and wellbeing :
East Ayrshire ADP will seek to minimise the number of people for whom long-term
abstinence is not a viable option, and, for this group to generate meaningful
pathways to maintained recovery.

East Ayrshire ADP will further work with communities to build better environments,
restore expectations of employment, promote the benefits of education, and
promoting the value of living positively

East Ayrshire ADP will develop high quality accessible recovery oriented alcohol and
drug treatment and support services
Promoting lifelong learning
In supporting the Community Planning Partnership to promote lifelong learning :
East Ayrshire ADP will increase the range of activities for children and young people
in the areas of sports, and leisure opportunities to help enable them to develop
personally and physically. These sporting and leisure opportunities will seek to
address both participation and diversion and aim to increase the likelihood of positive
long-term outcomes for those who take part.

East Ayrshire Alcohol and Drug Partnership will identify the workforce development
needs and work with partners to provide appropriate training opportunities.
12
Key Achievements
Whilst this delivery plan seeks to outline the direction of travel for East Ayrshire ADP for the
years 2012-15, it is important to note that this delivery plan builds upon significant previous
work and successes. Prior to the establishment of the ADP, East Ayrshire Community
Planning Partners had prioritised alcohol and drugs and had come together in developing
the “Community Planning Alcohol and Drugs Pledge 2008-11”. This pledge was managed
via a small multi agency working group chaired by the local authority Chief Executive
During 2011/12, there were many areas of joint working with partners across the ADP.
Examples of these successes include:

Successfully meeting the national HEAT (Health, Improvement, Efficiency, Access,
Treatment) target whereby most service users now receive first treatment within
three weeks of being referred to service, and all service users received first
treatment within five weeks.

Supporting NHS Ayrshire & Arran in exceeding the target of delivering 4,076 Alcohol
Brief Interventions (ABIs) between April 2011 and March 2012. East Ayrshire staff
made an essential contribution in the overall Ayrshire delivery of 7,501 ABIs.

Delivery of a successful local ‘alcohol awareness week’ which engaged with over
500 members of the public, heard the views of students and staff at Kilmarnock
College and promoted safer levels of alcohol use among the 6000 employees of
East Ayrshire Council

Allocated resources towards supporting service users develop recovery capital. A
local keep fit centre and gym now has regular attendance from drug users where
previously none attended. The local boxing club is now aiming to develop drug users
in recovery into coaches and mentors for local young people.

Worked intensively with drug users on substitute medication managing to reduce
levels of prescribing by 499ml among 21 users. Of these 21 drug users, three are
now completely drug free and a further three are now a methadone detox regime.

Conducted an audit of support services across East Ayrshire (particularly in tiers 1
and 2)
13
Core & Local Indicators to enable progress to be measured
National Core
Outcomes
indicators
Sources
Local Outcomes
Baseline
Scotland
average
East
Ayrshire
People are healthier and
experience fewer risks as a
result of alcohol and drug
use (CO1)
Rate of drug-related hospital
discharges (three year rolling
average) 2007/10
ISD Scotland
Reduction in patients
hospitalised
with
alcohol conditions
SAMS
Reduction in deaths
from alcohol related
diseases
FACE
Rate of alcohol-related hospital
discharge rates (three year rolling
average) 2007/10
Reduction in patients
hospitalised with drug
related conditions
Reduction
in
the
proportion of IV drug
users
reporting
sharing needles or
syringes
Rate of alcohol-related mortality
(three
year
rolling
average)
2008/10
Increase distribution
of
needles
and
syringes
Percentage of injecting drug users
testing positive for HVC antibody
(% is based on all injecting drug
users tested) 2008/09
Increase in the % of
drug users offered
Hep C testing
Increase in the % of
Hep C positive drug
users
offered
treatment
Increase in the % of
drug users offered
Hep B vaccination
14
232 per
100,000
population
116 per
100,000
population
929 per
100,000
population
718 per
100,000
population
22 per
100,000
population
22 per
100,000
population
30.3%
53.5%
Target
Core & Local Indicators to enable progress to be measured
National Core
Outcomes
indicators
Sources
Local Outcomes
Baseline
Scotland
average
East
Ayrshire
Fewer adults and children
are drinking or using drugs
at levels or patterns that are
damaging to themselves or
others (CO2)
Estimated prevalence of Problem
Drug Use Amongst 15-64 year olds
in Scotland. 2009/10
Estimated prevalence of injecting
drug use amongst 15-64 year olds
in Scotland (ever injected)
Percentage of 15 year old pupils
who usually take illicit drugs at
least once a month
Percentage of 15 year old pupils
who used illicit drugs in the last
year (2006, 2010)
Estimating the National
and Local Prevalence of
Problem Drug Misuse in
Scotland.
Decrease the
proportion of young
people who have been
offered drugs in the
last year
ISD Scottish Schools
Adolescent Lifestyle and Decrease the
Substance Use Survey proportion of
individuals drinking
(SALSUS)
above daily and/or
weekly recommended
Scottish Health Survey limits
3.1%
1.71%
41%
13%
11%
17%
19%
21%
20%
19.5 units
19.5 units
Scottish Health Survey
CAGE questionnaire
The proportion of individuals
drinking above daily and/or weekly
recommended limits
The proportion of individuals
drinking above twice daily (“binge”
drinking) recommended limits
The proportion of individuals who
are alcohol dependent
Proportion of 15 year olds drinking
on a weekly basis (and their mean
weekly level of consumption
15
Target
Core & Local Indicators to enable progress to be measured
National Core
Outcomes
indicators
Sources
Local Outcomes
Baseline
Scotland
average
East
Ayrshire
Individuals are improving
their health, well-being and
life-chances by recovering
from problematic drug and
alcohol use (CO3)
Reduction in the percentage of
clients injecting in the last month
during treatment
Service submissions to
ISD
Scottish
Drug
Misuse Database
Proportion of clients who abstain
from illicit drugs between initial
assessment and 12 week follow-up
SAMS
Increase in
drug/alcohol users
engaging in
employment,
education, leisure
Reduction in the number of drug
and alcohol service clients who are
homeless (or where drug and
alcohol support needs have been
identified when person identified as
homeless)
Rate of maternities recording drug
use (three year rolling average)
2007/10
Rate of maternities recording
alcohol use (three year rolling
average)
20%
Reduction in drug
related morbidity,
mortality and deaths
Proportion of clients receiving
drugs
treatment
experiencing
improvements
in
employment/
education profile during treatment
Children
and
family
members
of
people
misusing alcohol and drugs
are safe, well-supported and
have improved life-chances
(CO4)
Reduction in drug and
alcohol
related
morbidity,
mortality
and deaths
ISD SMR 02
Scottish Government
Child Protection
statistics
NHS Board
Number of Child Protection Case
Conference where parental drug
and alcohol abuse has been
identified as a concern/risk (data to
be published from 2013).
reduction in the
number of maternities
recording drug or
alcohol use
Minimise the number
of children looked after
and accommodated
/separated from
parents
Increased number of
children affected by
parental alcohol/drug
use identified
16
9%
21.0 per
100,000
population
4 (since
March 31
2012)
11.9 per
100,000
population
Target
Core & Local Indicators to enable progress to be measured
National Core
Outcomes
indicators
Sources
Local Outcomes
Baseline
Scotland
average
East
Ayrshire
Proportion
of
positive
ABI
screenings in ante-natal setting
Communities and individuals
live their lives safe from
alcohol and drug related
offending and anti-social
behaviour (CO5)
Percentage of people perceiving
drug misuse or dealing to be
common or very common in their
neighbourhood
Scottish
Survey
Household
Service submissions to
ISD
Scottish
Drug
Misuse Database
17
Reduced alcohol and
drug related violence
and offences
Increased detections
for the possession of
21.1%
11.6%
Target
Core & Local Indicators to enable progress to be measured
National Core
Outcomes
indicators
Sources
Local Outcomes
Baseline
Scotland
average
East
Ayrshire
Percentage of new clients at
specialist drug treatment services
who report funding their drug use
through crime
Scottish
Government
reconviction rates in
Scotland
One year reconviction frequencies
rate for offenders given a Drug
Treatment and Testing Order
(2007/08, 2008/09)
16%
21.6%
Increased detection
rates for the supply of
drugs in the local
area
120.7
162.3
Crimefile
recording
system and the STORM
command and control
system
anti-social behaviour offences
recorded by police
Number of Community Payback
Orders issued where alcohol and
drug treatment required, and
proportion that are successfully
completed.
drugs
Scottish Court service
data
Scottish Crime
justice survey
18
and
Increased use of
CPO as an alternative
to Custody to address
alcohol/drug related
offending.
Increased access for
offenders
to
appropriate
drug/alcohol services
in the community and
in custody.
39.9 per
1000
population
41
35.5 per
1000
population
Target
Core & Local Indicators to enable progress to be measured
National Core
Outcomes
indicators
Sources
Local Outcomes
Baseline
Scotland
average
East
Ayrshire
People live in positive,
health-promoting
local
environments where alcohol
and drugs are less readily
available (CO6)
Alcohol
and
drugs
prevention, treatment and
support services are high
quality,
continually
improving,
efficient,
evidence-based
and
responsive, ensuring people
move through treatment into
Percentage of people noting
‘alcohol abuse’ as a negative
aspect of their neighbourhood
SALSUS
3%
4%
Proportion of 15 year old young
people who have been offered
drugs in the last year
38%
42%
Number of premise and occasional
licences in force per annum
337
premises
licenses
(April
2012)
The number of screenings for
alcohol use disorders delivered and
the percentage screening positive
(with % eligible for ABI and %
eligible for referral)
The number of alcohol brief
interventions
delivered
in
accordance
with
the
HEAT
Scottish
Survey
Household
Health Boards
Service submissions to
ISD Drug and Alcohol
Treatment
Waiting
Times Database
Service submissions to
ISD
Scottish
Drug
19
Reduced incidence of
alcohol and/ or drug
associated Anti-social
behaviour
Services will be better
adapted to the needs
of
groups
who
currently have poor
access
including
those with childcare
needs, persons who
are homeless, and
those with complex
Target
Core & Local Indicators to enable progress to be measured
National Core
Outcomes
indicators
Sources
Local Outcomes
Baseline
Scotland
average
East
Ayrshire
sustained recovery (CO7)
Standard guidance
Misuse Database
Number of people waiting more
than three weeks between referral
to a specialist drug and alcohol
service and commencement of
treatment Dec 2011
ISD Waiting times
needs
such
as
serious mental health
14.9%
Problems
Reduce number of
suicide
and
self
harming episodes
PSS&T
Number of homeless applications
received
from
persons
with
substance misuse problems
Number of staff trained in ASIST,
STORM AND Safe Talk
20
15.1%
Target
Governance & financial accountability arrangements
The diagram below illustrates the governance arrangements for East Ayrshire ADP in
relation to the Community Planning Process
Community Planning Partnership Board
Community Safety
partnership
Community Health
Partnership
Life Long
Learning
Community
Regeneration
Alcohol and Drugs Partnership
Child protection
committee
Adult protection
committee
Violence against
women partnership
South West
Scotland CJA
Key:
Direct reporting
Strategic linkages
Decisions on spend of resources are made by partners and ratified by the full ADP
Committee.
Financial governance is ensured by the preparation and submission of quarterly finance
reports.
21
National Support
East Ayrshire ADP values the contribution made to the national agenda by the range of
Scottish Government NGO’s commissioned to provide ADP’s with ongoing strategic
support.
As East Ayrshire continues to develop and deliver its strategic vision of shifting the balance
of care towards increasing numbers of problem drug/alcohol users in recovery, East
Ayrshire will seek to utilise the experience of The Scottish Recovery consortium in particular
to develop strategies that build and sustain recovery by the development of recovery
networks.
East Ayrshire ADP has recently become involved in the pilot recovery training programme
being piloted in the West of Scotland by the Scottish Recovery Consortium.
The ADP further notes the contribution made by ISD in the production of baseline data and
the contribution of Scottish Drugs Forum in further developing the concept of user
involvement
However, whilst East Ayrshire ADP recognises and values the varied contribution of the
range of NGO’s it would be of particular interest to the wider ADP membership if these
NGO’s were explicit within their own strategic plan as to their specific role and function in
supporting ADP’s
22