This is an HTML version of an attachment to the Freedom of Information request 'Treatment costs for Drug addiction and Alcoholism'.

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REDCAR AND CLEVELAND ADULT DRUGS JOINT COMMISSIONING GROUP

Minutes of meeting held March 11th 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)

Mary Mohan Local Authority Commissioning (Mental Health)

Russell Portues Assistant Director Probation

1. APOLOGIES:

Allia Hussain PCT Finance

Pauline Lisle Supporting People

Rob Orrell Young Persons Manager

John Stamp PCT Mental Health

Louise Wallace PCT

Terry Doyle Service User Co-ordinator

John Lambert Vulnerable children's manager

2. MINUTES OF LAST MEETING

Agreed

  1. MATTERS ARISING / ACTIONS UNDERTAKEN

Intensive DIP status - Ongoing . proposal has gone to the JAG for funding and outcome is promising.

DUAL DIAGNOSIS POST

Ongoing … £35k allocated

Await job spec . KMC requested some input around job role and spec VW to invite KMC to next meeting.

Ensure robust data collection and reporting within the partnership.

4. SERVICE USER UPDATE - TERRY DOYLE

Terry Doyle's service user and co-ordinator report was circulated with the agenda.

Within his report TD requested a further 12.5k from the budget to extend training beyond the Recovery group and include general public. The group felt this could not be awarded as any funding from the budget needed to be spent on Problomatic Drug Users and Carers and not the General public. VW to inform TD of outcome.

As part of the peer mentoring initiative CRI will be invited to attend the JCG to inform them of the peer mentoring programme. VW to arrange for May group.

Housing - Service users are still reporting issues with housing - the group requested Pauline Lisle present the Supporting people strategy to the group at the next JCG. VW to arrange with Pauline.

5. ALCOHOL - LIVING SOBER

The LEGI group have requested some feedback from the JCG, regarding an application they have received for enterprise funding from an individual proposing to run a dedicated Living Sober support group.

As this intervention is already being provided as part of our contracted Alcohol service it was agreed that the group could not comment on or support any application as it may infringe the procurement regulations and future tender applications for alcohol services during this next year.

6. NTA REVIEW

The group has received some positive feedback from the recent NTA review. This was circulated and recommendations noted.

7. TREATMENT PLAN

PART 1

Part one of the treatment plan has been re edited against the NTA review document. KMC requested further amendment of the Dual Diagnosis paragraph.

PART 2

Group accepted the edited part 2 . Discussion took place around the inclusion of baseline figures and targets. JL stated that this was a new form and the intention is that the NTA will provide the partnership with data against the ticked headings, this should assist the group to identify baselines and set targets in future years.

PART 3

Discussion took place around the planning grids, it was agreed that this was a working document and can be added to throughout the year. Members were asked to review the actions and inform VW if further inclusions or amendments need to be made.

PART 4

Finance document agreed. Unable to include any under spend carry over amount as this has not yet been ratified

8. NEXT YEARS BUSINESS

As a further 29k has been awarded to the partnership budget a proposal was put to the group to use this funding to employ a further outreach worker, this would give the partnership 2 outreach workers. One would be dedicated to work alongside the DIP/ reducing re-offending team and one across the generic CRI caseload. This action was agreed.

  1. SLAs

The SLAs were distributed with the agenda. A discussion took place around the output headings.

PP requested VW explore the use of sanctions/bonus payments against

The targets.

10. PERFORMANCE

DIP caseload - 145 in Jan

DRRs - Feb 43 starts (target 70) although we will not achieve target we have seen a sharp increase in starts from September - 12 to 43.

19 completions to date.

PDUs in treatment remains on target

TOPs remains below target and work is ongoing with providers to improve in this area.

11. FINANCE

VW reported that there will be further slippage within our current year's budget due to staff vacancies and low use of Residential rehabilitation. PP remains keen for the finances to break even at the end of the year. However it looks likely that some monies from the PTB will need to be carried forward. VW informed the group that LW was looking into this.

JL from the NTA informed the group that any pooled treatment budget under spend could be carried forward and the NTA regional Manager would support carry over via a letter to PCT's if required.

VW tabled a budget forecast for 09/10 the costings are subject to ratification of the PCT uplift and final agreement from the JCG.

The PCT contract uplift amount has still not been ratified.

VW informed the group that the budget was showing a number of missing invoices that have been authorised but do not show up on the actuals. VW is meeting with finance to view these invoices.

12. AOB

.

Lifeline to present to NTA RE Stimulant therapies

ISA - SP informed the group about ISA (protection of vulnerable adults) and the implications it has on our providers.

Testing for Probation Licensees.

RPort enquired if there was any funding available to finance future testing of Probation Licensees. These individuals have been released from prison with a licence condition that they be regularly drug tested. The licence agreement does not mandate contact with drug services. A discussion took place and where individuals are in contact with the drug services then there could be a possibility that we could undertake tests however this would only be where individuals were in regular contact and could be tested at CRI and not probation premises.

NEXT MEETING TO BE HELD AT 1pm LANGBAURGH HOUSE BOARD ROOM WEDNESDAY APRIL 8TH 09