REDCAR AND CLEVELAND ADULT DRUGS JOINT COMMISSIONING GROUP

Minutes of meeting held JULY 10TH 2008

ATTENDED Terry Doyle Service User Co-ordinator

David Jackson Strategic commissioner

Viki Whelan Joint Commissioning Manager

Ken Mac Gladrie Local Authority Commissioning (Mental Health) Sue Cash PCT Public Health Lead PCT

Simon Dale Chair of R&C Safer Communities Partnership and Chair of JCG

Richard Parker OBIT Manager

Helen Armstrong SCP Co-ordinator

Lynn Dougan NTA

Susan Pashley Service Development Manager

Peter Price Director of Public Health PCT

1. APOLOGIES:

Jacqui Parker PCT Finance

Darren Birkett Cleveland Police

Russell Portues Assistant Director Probation

Pauline Lisle Supporting People

Rob Orrell Young Persons Manager

John Liddell NTA Deputy Regional Manager

Mary Mohan Local Authority Commissioning (Mental Health)

Deborah Ward Data Manager

2. MINUTES OF LAST MEETING

Agreed

Alcohol data forwarded to Lynda Wright

Commissioning Team Review - PP, SC and SD to attend meeting arranged via Louise Wallace PCT.

Alcohol commissioning will be addressed via the commissioning team review.

The Group discussed a model for future commissioned drug treatment clinical services within Redcar and Cleveland. The proposed model is based on a 3 level approach.

Patient Approaches GP or Care Coordination Team with Drug Problem

Level 1 GP / SHARED CARE

GP Undertakes Assessment - Options inc

1 - Delivers Clinical Care and Refers To Care Coordination for Wraparound Support

2 - Refers To GPwSI for Assessment

- Retains Treatment and Prescribes On GPwSI Recommendation. Informs And Care Plans With Care Coordination Team

- Where Chaotic GPwSI Retains The Clinical Drug Treatment Element And Refers Back To The GP Once Stable. Informs and Care Plans With Care Coordination Team

Level 2 GPwSI CARE

Delivered Via a GP Surgery

Delivered via a Specialist Provision with Its own base and Satellite Clinics within GP Surgeries

Delivered via virtual teams that provide clinics within local GP Surgeries

Level 3 CONSULTANT CARE

VW will write a paper for next JCG exploring this model further, and aim to get some feedback from the stakeholder's day.

Further discussion took place regarding the DARZI response VW to draft a response to circulate for comment and amendment prior to submission.

The issue around continuing funding for this service is still to be resolved KMc explained that it has been hard to gather information and data around referrals etc. In particular;

KMc will provide a report for the next commissioning group which details what information they have to date and the group will need to decide at the next meeting if notice is to be served or funding to continue and if so how much will be allocated .

Exception report circulated prior to meeting. VW reported on exceptions to the Treatment Plan although there are some areas which were slightly behind deadline due to staff shortage all areas were being addressed

NDTMS -

There is no NDTMS data from NEPHO yet. VW reported that via Performance Management all providers report that they are recording appropriately and the Data Manager was working closely with providers to ensure all data was inputted before the NEPHO deadline of 22^nd July 08. It is hoped some data will be available for the next meeting.

DIP CASELOAD AND COMPACT TARGETS - RP

RP reported a healthy DIP caseload of 59 which is double the caseload from previous year. All targets were being met.

The area is looking to change its DIP provision from non intensive to intensive, this would require the area to self fund the extra resource required and RP is in the process of writing a report to support the application, once complete this will be brought to the JCG.

DRR - RP

RP reported that we continue to receive low numbers of DRRs within the area; process work continues in order to increase these orders via Arrest referral, Courts and links between Probation and THE care Co-ordination team.

VW circulated a Q1 finance statement. There is an identified 41K under spend that has been added to the budget. VW explained that 10K of this needed to be reabsorbed to cover some old residential rehabilitation invoices. The remaining would be available for investment and the group are aware that the YP service was keen to bid for some to support their service.

VW suggested some be allocated to the Care Coordination team for a part time worker. The project is currently not performing as well as expected at this stage due to a number of internal issues including the departure of the project manager, they also had a part time post that they were finding it hard to recruit into and additional funds to make this a full time post for 1 year could assist the team get up to speed. The group were not inclined to agree extra funds at this stage.

The group were requested that if interested in bidding for under spend monies these needed to be formally submitted in writing to the JCG for consideration

TD report circulated wit h agenda. TD gave update against report

11 AOB

No other business

NEXT MEETING THURSDAY SEPTEMBER 11TH 1 -3.00 PM

LANGBAUGH HOUSE BOARD ROOM