


REDCAR AND CLEVELAND ADULT DRUGS JOINT COMMISSIONING GROUP
Minutes of meeting held April 8th 2009
ATTENDED
Peter Price Director of Public Health PCT (Chair of JCG)
Viki Whelan Joint Commissioning Manager, R & C PCT
Helen Armstrong SCP Co-ordinator (Drugs)
John Liddell NTA Deputy Regional Manager
Susan Pashley Service Development Manager, R & C PCT
Richard Parker Reducing Re-offending Manager
Ken McGladrie Local Authority Commissioning (Mental Health)
Pauline Lisle Supporting People
Terry Doyle Service User Co-ordinator
1. APOLOGIES:
Allia Hussain PCT Finance
Rob Orrell Young Persons Manager
John Stamp PCT Mental Health
Louise Wallace PCT
John Lambert Vulnerable children's manager
Russell Portues Assistant Director Probation
Mary Mohan Local Authority Commissioning (Mental Health)
2. MINUTES OF LAST MEETING
Agreed
MATTERS ARISING / ACTIONS UNDERTAKEN
Treatment plan submitted to NTA
Testing for probation Licensees - agreed would only test those in regular contact with treatment services and regularly being seen by CRI.
All other matters will be dealt with via the agenda.
4. SERVICE USER UPDATE - TERRY DOYLE
Terry Doyle's service user and co-ordinator report was circulated with the agenda.
Terry's report was noted.
A discussion took place around housing - further discussed item 8.
The Hep c campaign was discussed and PP requested we involve the PCT communications department regarding the forthcoming launch.
CRI will be invited to the next JCG to present the peer mentoring programme to the group.
5. CONFIDENTIAL DEATH REPORT
Gail Simms opened a discussion around confidential deaths. The most recent yearly report dates back to 2007, the 2008 report is held up awaiting toxicology reports.
As the 2007 report has already been tabled within the group PP discussed ways in which we can develop better communication between the confidential death group and the JCG, particularly around recommendations and lessons learnt. GS informed the group that following a death there will be a multi agency meeting held with all services that had been involved with the client and discuss lessons learnt. This was seen to be a good move however the JCG requested that a quarterly report of recommendations and lessons be provided for the group on a quarterly basis. This would then enable the commissioning team to audit if providers have implemented recommendations. GS to discuss within her meeting and will let the JCG now if this is possible.
6. SLA'S
VW reported that she has not received the necessary information from PCT departments around contract sanction/bonus options. PP suggested she try Marylin Mc Clean VW to action.
VW reported that discussions have taken place with providers around the new SLAs.
7. SERVICE MODEL
VW reported :
2 Outreach posts will be advertised by the end of the month.
Harm Min Nurse will start May 2nd
Complementary therapies are now available via Lifeline
Helen Project worker job spec approved by the project who are now clarifying who will host the post.
Naloxone Pilot - On hold until Tees wide issues surrounding Patient Group Directives are clarified.
Think Family - VW has attended a meeting regarding the new LA project which aims to improve identification of families in need and access routes into interventions, there is scope for the JCG to supplement this project via funding for an extra worker to specifically work within the adult drug treatment system. VW to provide a report for the JCG
DUAL DIAGNOSIS POST - Job Spec distributed .
Drug services strategic lead across the south tees area.
They would work to implement the DD strategy,
Provide awareness training for all partnership staff,
Develop and manage robust care pathways into and between services,
Carry a small caseload of the most chaotic DD clients,
Manage a DD steering group,
Ensure robust data collection and reporting within the partnership
Comments to be returned by Thurs.
Comments tabled included - location/ base Line management back to JCGs / Commissioners
8. SUPPORTING PEOPLE STRATEGY
PL presented a summary of the Supporting People strategy. The emphasis if the presentation was surrounding the current 13 beds available for offenders/ drug users. This service will be put out to tender this year and the SP team will be requesting innovative ideas to assist this section of the community.
Currently SP invests £45,000 in support via CRI this funding is due to end in August 09 and depending on the type of applications they receive and the outcome of the tender will determine if this contract will be extended or the money invested in the new contract. PL invited VW to sit on their tender panel.
PL informed that group that any investment available via the JCG could assist with the quality and breadth of service that can be commissioned, this will be considered via the group.
PERFORMANCE
DIP caseload Feb = 152
Slight drop in dashboard target 2
DRRs 55/70 starts
21/35 completions
Numbers in effective treatment
Nov 639 / 659 PDUs
Nov 759 / 749 All Drug Users over 18
Retained more that 12 weeks
PDUs 89%
All 87%
TOPs
Starts - 49 due 41 completed 84%
Reviews - 46 due 18 completed 39%
Exits - 5 due 3 completed 60%
10. FINANCE
PP informed the group that the finance unit were unable to ratify any underspend amounts as yet due to some issues around expenditure within the PCT elements of the budget which are being looked at.
VW tabled a spreadsheet for the 09/10 budget.
11. AOB
HA Informed the group about the forthcoming Drug action week in June.
PP Informed the group that the DIP intensive application is still ongoing.
VW informed the group that the Team building event was well attended and produced some very positive feedback.
NEXT MEETING TO BE HELD AT 1pm LANGBAURGH HOUSE BOARD ROOM WEDNESDAY MAY 14TH 09