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'Treatment costs for Drug addiction and Alcoholism'.
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REDCAR AND CLEVELAND ADULT DRUGS JOINT COMMISSIONING GROUP
Minutes of meeting held Jan 14th 2009
ATTENDED
Terry Doyle Service User Co-ordinator
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
Russell Portues Assistant Director Probation
John Stamp PCT Mental Health
John Lambert Vulnerable children's manager
Louise Wallace PCT
1. APOLOGIES:
Richard Parker Reducing Re-offending Manager
Jacqui Parker PCT Finance
Pauline Lisle Supporting People
Rob Orrell Young Persons Manager
Ken McGladrie Local Authority Commissioning (Mental Health)
Mary Mohan Local Authority Commissioning (Mental Health)
2. MINUTES OF LAST MEETING
Agreed
MATTERS ARISING / ACTIONS UNDERTAKEN
Commissioning team structure - PP reported that the JCM post had gone to advert with a closing date of the 5th Jan 09. Interviews were being held on the 22nd January 09.
Intensive DIP status - PP requested some feedback from the LSP regarding progress of the Intensive status application for funding. HA to action
Discussion held around Targets and Outcomes to be included in forthcoming SLA's VW to explore contract sanctions and bring these to the March 09 JCG for discussion.
All other matters appear on this month's agenda.
4. SERVICE USER UPDATE - TERRY DOYLE
Terry Doyle's service user and co-ordinator report was circulated with the agenda. Terry gave an update against the report highlighting the following areas/issues.
Service User and Carer conference attended - discussion around government initiative `incapacity to employment'
Peer mentoring - 13 individuals have been selected for interview next week. Once recruited and CRB checked they will attend a 12 week (one day per week) training course and then go into placements within the treatment model.
Lindsey Wagner training - TD requested £3500 costs to provide further training courses this was agreed by the group.
TD also raised a discussion regarding access to Gyms and funding for passes PP informed the group that a number of initiatives are being developed to provide access to sport and these should be accessible by our client group
5. DUAL DIAGNOSIS POST
JS discussed with the group the proposal to appoint a South Tees Dual Diagnosis post. The role would cover
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.
6. TREATMENT PLAN UPDATE AND EXCEPTION REPORT.
As the Quarter 3 NTA review documentation was due for submission to the NTA today VW tabled this document for the group's approval for submission. The document highlights all the treatment plan objectives and exceptions.
No major exceptions to report and the group approved submission to the NTA.
NEEDS ASSESSMENT
The completed needs assessment document was tabled and discussed the group noted the findings and areas for improvement.
8. 09/10 TREATMENT PLANS (PARTS FOR NTA SUBMISSION).
Part 1
The Part 1 treatment plan was discussed, a small number of corrections and inclusions were requested and the group agreed 6 priorities for 09/10, i.e.
The procurement of cost effective, high quality service provision
To improve the qualitative and quantitative range of intelligence available to the JCG to inform the decision making process
To effectively procure Tier 4 services.
Improve the spectrum of services available to address the physical health, mental health and social wellbeing of problematic drug users in treatment.
Reduce problematic drug user's impact on Community safety, crime and anti social behaviour.
To develop a commissioning team to effectively deliver the treatment plan.
Part 2
The part 2 targets were agreed and noted by the group.
Part 4
The Part 4 financial investment documents were noted and agreed as interim figures subject to change following the ratification of service costs to be provided 09/10.
The group agreed submission of the documents to the NTA
9. PERFORMANCE MONITORING
TOPs
VW reported that the area remained within target for TOPs starts however TOP reviews and Exits still required improvements. Action planning has been undertaken with the providers and a number of training sessions have been held to assist improvement in these areas.
An action plan has been developed and submitted to the NTA. Actions will also be included within the Treatment Plan grids to ensure improved performance next year.
DIP CASELOAD AND COMPACT TARGETS
DIP
DIP caseload remains static at around 120 clients which would be the maximum caseload that the team could work with this is being monitored
DRR
December has seen 18 new DRRs being passed by the courts this is the most DRRs ordered in a month period for Redcar and is very much down the work of the new reducing re offending team.
KPI targets are also showing an upward trend.
10. 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.
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 carryover via a letter to PCT's if required. PP to explore this.
A number of applications against the slippage were tabled and expenditure of the following was agreed via the group.
Furniture for Helen Project
Furniture for the Recovery Group
Furniture for the Commissioning team
IT equipment for the Commissioning Team
Team building event
An application for a second outreach post was put on hold pending agreement of funding from this years slippage.
VW tabled a budget forecast for 09/10 the costings are subject to ratification of the PCT uplift and final agreement from the JCG on the investments as follows.
09/10 TREATMENT MODEL
This outlined current provision and recommended future provision for 09/10
The following actions were agreed by the group:
CRI - continue to operate within their 3 year contract. Plus extra one year funding for an outreach post, some discussion took place around the use of the outreach worker RPort, suggested the worker be attached to the Reducing Re offending team as this would assist in the reduction of unplanned discharges. VW highlighted that this would provide outreach for approx 150 clients where many were already subject to statutory court orders with sanctions if they failed to attend if we agreed this it would leave approx 400 generic clients with no outreach facility. It was agreed that further discussion was needed to clarify the remit of the post. VW/RP/RPort to discuss.
Lifeline- continues to operate within their 3 year contract with a variation to include funding for a Harm Minimisation Nurse and complementary therapies to be delivered via the service. They will receive budget uplift in line with PCT uplifts once ratified.
On Track - extend the provision for a further 12 months (in order to allow the JCG to develop a new clinical model) with a variation to remove funding of the Harm Minimisation Nurse and complementary therapies which will be delivered via the Harm min service. They will receive a budget uplift in line with PCT uplifts once ratified.
Fulcrum - extend the provision for a further 12 months (in order to allow the JCG to develop a new clinical model) with a variation to remove funding of the Harm Minimisation Nurse and complementary therapies which will be delivered via the Harm min service. They will receive a budget uplift in line with PCT uplifts once ratified.
Albert Centre - extend both the counselling and the service User and Carer Rep post for a further 12 months (in order to allow the JCG to develop a new clinical model). They will receive a budget uplift in line with PCT uplifts once ratified.
Dual Diagnosis - Discussed within the group via prior agenda item. Further work is ongoing in partnership with Middlesbrough DAT to source the dedicated Dual Diagnosis post across South Tees. JCG agreed in principle to this post, final costings to be advised by JS
Recovery group and Helen project - Continue to receive funding for a further 12 months.
Carer's counsellor - A request had been made by the Helen Project to seek funding for a dedicated counselling service for carers of drug users. TD further informed the group that the Helen Project were also keen to have their own development worker, the JCG agreed that the identified funding could be used for either post however any development post would have to be hosted via a voluntary organisation such as Carer's together of the RCVDA. Following
discussions within the JCG it was agreed that VW would discuss options with the Helen Project and inform the JCG as to their views.
Naloxone Pilot
SP informed the group of the Tees Wide project (TOMs) to provide Naloxone as an Overdose prevention measure agreed via the Confidential Death enquiries group the one year pilot would require Redcar JCG to provide £4188 funding. This was agreed by the group.
11. AOB
.
No further business
NEXT MEETING TO BE HELD AT 1pm LANGBAUGH HOUSE BOARD ROOM WEDNESDAY MARCH 11TH 09