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Treatment costs for Drug addiction and Alcoholism

Leslie D Winward made this Freedom of Information request to Redcar and Cleveland Primary Care Trust (PCT)

The request was successful.

From: Leslie D Winward

20 March 2009

Dear Sir or Madam,

I am trying to obtain information regarding the costs of treatment
for a) Alcoholism and b) Drug addiction in the Redcar and Cleveland
Area, for the most recent year where these costs were recorded.

In particular, I would like to know for each case (drugs and
alcohol):

i) How much funding was allocated for treatment?
ii) How much was spent?
iii) What initiatives were introduced by way of treatment?
iv) How does the PCT gauge successful treatment for each?
v) What figures do the PCT have as 'successes'?

Yours faithfully,

L D Winward

Link to this

From: Waters Laura (5E1) North Tees PCT

23 March 2009

Dear Leslie,

Our reference: FOI M/ 293

Thank you for your request of 20/03/2009 regarding Treatment costs for
Drug addiction and Alcoholism. This request will be handled under the
terms of the Freedom of Information Act (2000) on behalf of Middlesbrough
PCT and Redcar and Cleveland PCT. I can be contacted by telephone on 01642
666700 should you have any questions or concerns about your request.

In some circumstances a fee may be payable and if that is the case, I will
let you know. A fees notice will be issued to you, and you will be
required to pay before we will proceed to deal with your request.

Under the act we have 20 working days in which to provide the information,
therefore you can expect a response no later than 21/04/2009.

In line with the Information Commissioner's directive on the disclosure of
information under the Freedom of Information Act 2000 your request will
form part of our disclosure log. Therefore, a version of our response
which will protect your anonymity will be posted on both the Middlesbrough
PCT and Redcar and Cleveland PCT websites.

If I can be of any further assistance in the meantime please do not
hesitate to contact me. Please remember to quote the reference number
above in any future communications.

Yours sincerely,

Laura Waters

Information Governance Assistant

Stockton-on-Tees Teaching PCT

Teesdale House

West point Road

Thornaby

Stockton-on-Tees

TS17 6BL

Tel: 01642 666793

Fax: 01642 666701

Link to this

From: Hogarth Michelle (5E1) North Tees PCT

21 April 2009

Dear Leslie

RE : FOI M293

With reference to your Freedom of Information request relating to
treatment costs for drug addiction and alcoholism, please find below a
response on behalf of Redcar and Cleveland PCT.

Response:-

Redcar & Cleveland

(i) Funding allocated for alcohol treatment 2008/09: £404,854

(ii) Projected spend for alcohol treatment 2008/09: £404,854

(i) Funding allocated for drug treatment 2008/09: £1,321,919

(ii) Projected spend for drug treatment 2008/09: TBA-Viki Whelan

(iii) Drugs treatment initiatives 2008/09: New care co-ordination team
(CRI) and model implemented. Stimulant service introduced at Lifeline

Alcohol treatment initiatives 2008/09: No new initiatives - level of
service maintained from previous year

(iv) Successful treatment for drugs is determined by the National
Treatment Agency (NTA) and measures the number of people in effective
treatment and those retained for twelve weeks or more. Also there has
recently been the introduction of TOP (Treatment Outcome Profile),
however this is still in its infancy and therefore little data is
available at present
Successful treatment for alcohol: this is currently not really measured,
however provider performance is measured at regular performance management
meetings between the Joint Commissioning Manager and service providers

(v) As detailed in (iv) above, PCT successes are only measured for drugs
in terms of number of people in effective treatment and those retained for
twelve weeks or more.

Data for Nov 2007-Oct 2008: 623 people in effective drug treatment

I trust this is satisfactory, however if you have any queries with regards
to the above or I can be of any further assistance please do not hesitate
to contact me.

Yours sincerely

Michelle Hogarth

Information Governance Assistant

Hartlepool PCT & Stockton on Tees Teaching PCT

Teesdale House

Westpoint Road

Thornaby

Stockton on Tees

TS17 6BL

Tel : 01642 666793

Fax: 01642 666701

Link to this

From: Leslie D Winward

28 April 2009

Dear Hogarth Michelle (5E1) North Tees PCT,

Thank you very much for the information which you supplied.

I would like to know further;

i) What is the PCT's definition of treatment for alcoholism?

ii) How do the PCT define 'accessing treatment' for alcoholism?

Yours sincerely,

Leslie D Winward

Link to this

From: Leslie D Winward

15 May 2009

Dear Sir or Madam,

Could I see a copy of the Minutes of the Joint Commissioning Group
last meeting, for Redcar & Cleveland PCT?

Yours sincerely,

Leslie D Winward

Link to this

From: Michelle Hogarth

18 May 2009

Dear Leslie

RE : FOI RC322

Thank you for your request of the 18/05/09 regarding treatment for drug
addiction and alcoholism. This request will be handled under the terms
of the Freedom of Information Act (2000) on behalf of Redcar and
Cleveland PCT.

In some circumstances a fee may be payable and if that is the case, I
will let you know. A fees notice will be issued to you, and you will be
required to pay before we will proceed to deal with your request.

Under the act we have 20 working days in which to provide the
information, therefore you can expect a response no later than 16th June
2009.

In line with the Information Commissioner's directive on the disclosure
of information under the Freedom of Information Act 2000 your request
will form part of our disclosure log. Therefore a version of our
response which will protect your anonymity will be posted on both the
Tees PCT's websites.

If I can be of any further assistance in the meantime please do not
hesitate to contact me. Please remember to quote the reference number
above in any future communications.

Yours sincerely

Michelle Hogarth
Information Governance Assistant
Unit 16 Riverside House
High Force Road
Middlesbrough
TS2 1RH

show quoted sections

Link to this

From: Michelle Hogarth

26 May 2009


Attachment JCG APRIL 09 MINUTES.doc
198K Download View as HTML


Dear Leslie

RE : FOI RC22

With reference to your Freedom of Information request relating to the
Minutes of the Joint Commissioning Group, please find attached a copy of
the most recent minutes for Redcar and Cleveland PCT.

I trust this is satisfactory, however if you have any queries with
regards to the above or I can be of any further assistance please do not
hesitate to contact me.

Yours sincerely

Michelle Hogarth
Information Governance Assistant
Unit 16 Riverside House
High Force Road
Middlesbrough
TS2 1RH

show quoted sections

Link to this

From: Leslie D Winward

26 May 2009

Dear Michelle Hogarth,

Thank you for the information which you have provided, it is much
appreciated. If I need anything further, I shall contact you.

Yours sincerely,

Leslie D Winward

Link to this

From: Leslie D Winward

18 June 2009

Dear Michelle Hogarth,

Do you have any information in answer to my questions of 28th
April, i.e.:

i) What is the PCT's definition of 'treatment' for alcoholism?

ii) How do the PCT define 'accessing treatment' for alcoholism?

Yours sincerely,

Leslie D Winward

Link to this

From: Hogarth Michelle

18 June 2009

Dear Leslie

I thank you for your email today but unfortunately I did not receive
your email of the 28th April. I will however, pass your questions on to
the relevant department and get back to you as soon as possible with a
response.

Yours sincerely

Michelle

Michelle Hogarth
Information Governance Assistant
Unit 18 Riverside House
High Force Road
Middlesbrough
TS2 1RH

show quoted sections

Link to this

From: Hogarth Michelle

18 June 2009


Attachment nta modelsofcare alcohol 2006 mocam.pdf
285K Download View as HTML


Dear Leslie

Further to your email earlier today, I have attached the Models of Care
for Alcohol Misusers which hopefully should answer your queries.

If you have any further queries please do not hesitate to contact me.

Yours sincerely

Michelle Hogarth
Information Governance Assistant
Unit 18 Riverside House
High Force Road
Middlesbrough
TS2 1RH

show quoted sections

Link to this

From: Leslie D Winward

19 June 2009

Dear Hogarth Michelle,

Thank you for the information which you provided, in particular
access to the document 'Models of Care for Alcohol Misusers
(MoCAM)'.

May I ask further, what monitoring data have the PCT gathered as
described in MoCAM Section A2, page 48 (Monitoring the performance
of alcohol treatment systems)? May I have access to this data?

Yours sincerely,

Leslie D Winward

Link to this

From: Hogarth Michelle

23 June 2009

Dear Leslie

Further to your recent email regarding the above request please find
below the details as requested.

All Alcohol services (Nationally and locally) are required to complete
monitoring forms on every client entering treatment, this monitoring
covers a range of information from personal health data to modality
(treatment) information. (See NEPHO link)

This data is collated by NEPHO ( North East Public Health Observatory)
and public information and reports are published via their website and
the NDTMS (National Drug Treatment Monitoring System) site.

Links -
www.ndtms.net
www.nepho.org.uk/ndtms/alcohol

The local PCTs primary measure around alcohol is the reduction in the
number of alcohol related hospital admissions.
A dedicated data monitoring system (the Cardiff model) has been
introduced and is currently being developed with James Cook Hospital
however no public data for Redcar and Cleveland is available as yet.

I trust this is satisfactory, however if you require any further
clarification please do not hesitate to contact me.

Yours sincerely

Michelle

Michelle Hogarth
Information Governance Assistant
Unit 18 Riverside House
High Force Road
Middlesbrough
TS2 1RH

show quoted sections

Link to this

From: Leslie D Winward

24 June 2009

Dear Hogarth Michelle,

Thank you for the attached information.

If I may refer you back to your reply of 21/04/09, you stated that:

(i) Funding allocated for alcohol treatment 2008/09: £404,854

(ii) Projected spend for alcohol treatment 2008/09: £404,854

Can you provide a breakdown on which particular services or
initiatives for alcohol treatment these funds were allocated?

Yours sincerely,

Leslie D Winward

Link to this

From: Hogarth Michelle

25 June 2009

Dear Leslie

RE : FOI RC23

Thank you for your request of the 24th June 2009 regarding treatment costs for drug addiction and alcoholism. This request will be handled under the terms of the Freedom of Information Act (2000) on behalf of Redcar and Cleveland PCT. I can be contacted by telephone on 01642 352635 should you have any questions or concerns about your request.

In some circumstances a fee may be payable and if that is the case, I will let you know. A fees notice will be issued to you, and you will be required to pay before we proceed to deal with your request.

Under the act we have 20 working days in which to provide the information, therefore you can expect a response no later than 22nd July 2009.

In line with the Information Commissioner's directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log. Therefore, a version of our response which will protect your anonymity will be posted on both the Tees PCT's websites.

If I can be of any further assistance in the meantime please do not hesitate to contact me. Please remember to quote the reference number above in any future communications.

Yours sincerely

Michelle Hogarth
Information Governance Assistant
Riverside House
High Force Road
Middlesbrough
TS2 1RH

Tel : 01642 362635
Fax : 01642 352380

show quoted sections

Link to this

From: Hogarth Michelle

6 July 2009


Attachment image001.gif
0K Download

Attachment RC23 Alcohol BUDGET REPORT FOI REQUEST.xls
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Dear Leslie

RE : FOI RC23

With reference to your Freedom of Information request relating to
treatment costs for alcoholism, please find attached a response on behalf
of Redcar and Cleveland PCT.

I trust this is satisfactory, however if you have any queries with regards
to the above or I can be of any further assistance please do not hesitate
to contact me.

Yours sincerely

Michelle Hogarth

Riverside House

High Force Road

Middlesbrough

TS2 1RH

1RH

From: Leslie D Winward [mailto:[FOI #9567 email]]

Sent: 24 June 2009 12:46

To: Hogarth Michelle

Subject: Re: Freedom of Information request - Treatment costs for Drug
addiction and Alcoholism

Dear Hogarth Michelle,

Thank you for the attached information.

If I may refer you back to your reply of 21/04/09, you stated that:

(i) Funding allocated for alcohol treatment 2008/09: £404,854

(ii) Projected spend for alcohol treatment 2008/09: £404,854

Can you provide a breakdown on which particular services or

initiatives for alcohol treatment these funds were allocated?

Yours sincerely,

Leslie D Winward

Riverside House

High Force Road

Middlesbrough

TS2 1RH

Tel : 01642 352635

Fax : 01642 352380

Link to this

From: Leslie D Winward

13 August 2009

Dear Hogarth Michelle,

Having reviewed the information previously provided, I would like
to request that you provide some further information.

1) You give the Redcar & Cleveland PCT funding for 2008/9 on
"Clinical Treatment Services" as £300,000. This is rather a broad
term. Could you provide a further breakdown on exactly what
"Clinical Treatment Services" are, and what the spend is/was for
each itemised treatment/service?

2)Thank you for the information provided in the MoCAM document and
the NTA website. However, the MoCAM document is just that - a model
for treatment. The NTA website gives numbers of people "In
Treatment", but could you also please provide the following
information:

i) What is the PCT's definition of Recovery?

ii) Does the PCT have or practise an alcohol abstinence programme?

3) Could you please provide the minutes of meeting for the previous
12 Redcar & Cleveland Adult Drugs JCG?

Yours sincerely,

Leslie D Winward

Link to this

From: Hogarth Michelle

17 August 2009

Dear Leslie

RE : FOI 24

Thank you for your request of the 13^th August 2009 regarding treatment
costs for drug addiction and alcoholism.  This request will be handled
under the terms of the Freedom of Information Act (2000) on behalf of
Redcar and Cleveland PCT.  I can be contacted by telephone on 01642
352635 should you have any questions or concerns about your request.

In some circumstances a fee may be payable and if that is the case, I will
let you know.  A fees notice will be issued to you, and you will be
required to pay before we proceed to deal with your request.

Under the act we have 20 working days in which to provide the information,
therefore you can expect a response no later than 11^th September 2009.

In line with the Information Commissioner's directive on the disclosure of
information under the Freedom of Information Act 2000 your request will
form part of our disclosure log.  Therefore, a version of our response
which will protect your anonymity will be posted on both the Tees PCT's
websites.

If I can be of any further assistance in the meantime please do not
hesitate to contact me.  Please remember to quote the reference number
above in any future communications.

Yours sincerely

Michelle Hogarth

Information Governance Assistant

Riverside House

High Force Road

Middlesbrough

TS2 1RH

Tel : 01642 362635

Fax : 01642 352380

show quoted sections

Link to this

From: Hogarth Michelle

25 September 2009

Dear Leslie

RE : FOI RC24

With reference to your Freedom of Information request relating treatment
costs for drug addiction and alcoholism, please find below a response on
behalf of Redcar and Cleveland PCT.

Response :-

1) You give the Redcar & Cleveland PCT funding for 2008/9 on
"Clinical Treatment Services" as £300,000. This is rather a broad term.
Could you provide a further breakdown on exactly what "Clinical Treatment
Services" are, and what the spend is/was for each itemised
treatment/service

The £300,000 relates to Clinical services commissioned via the
JCG. The amount queried is currently paid to Tees Esk Wear Valley
Foundation trust to pay for inpatient and home detox and support for
clients with alcohol problems scoring 30 or more on the AUDIT tool.
It funds a number of Nurses, GP time, Consultant time, support
workers and resources to accommodate 180 clients at any one time. The
client group are either those wishing to abstain for alcohol or those
wishing to manage their drinking.

 

2) Thank you for the information provided in the MoCAM document and
the NTA website. However, the MoCAM document is just that - a model for
treatment. The NTA website gives numbers of people "In Treatment", but
could you also please provide the following  information:

     i) What is the PCT's definition of Recovery?

The PCT does not have a standard definition of 'Recovery'

    

ii) Does the PCT have or practise an alcohol abstinence programme?

The PCT / JCG Commission the services of the Albert centre to provide
a support worker (who works alongside the clinical services) This
support worker currently works with clients who wish to abstain form
alcohol and offers 1 to 1 support and runs a support group.

 

3. Could you please provide the minutes of meeting for the previous
12 Redcar & Cleveland Adult Drugs JCG?

Please find attached the last 12 JCG minutes as requested

I trust this is satisfactory, however if you have any queries with regards
to the above or I can be of any further assistance please do not hesitate
to contact me.

Yours sincerely

Michelle Hogarth

Riverside House

High Force Road

Riverside Park

Middlesbrough

TS2 1RH

 

Tel : 01642 352635

Fax : 01642 352380

show quoted sections

Link to this

From: Leslie D Winward

6 October 2009

Dear Hogarth Michelle,

Thank you for the information supplied.

I have some further questions:

1) What is the PCT's definition of Tier 2 Service?

2) What is the PCT's definition of Tier 3 Service?

3) Which category (Tier) does 'Aftercare' fall into?

4) Which category (Tier) does 'Outreach' fall into?

Also, JCG minutes were not attached to previous message.

Yours sincerely,

Leslie D Winward

Link to this

From: Hogarth Michelle

9 October 2009

Dear Leslie

RE : FOI RC25

Thank you for your request of the 6^th October regarding treatment costs
for drug addiction and alcoholism.  This request will be handled under
the terms of the Freedom of Information Act (2000) on behalf of Redcar and
Cleveland PCT.  I can be contacted by telephone on 01642 352635 should
you have any questions or concerns about your request.

In some circumstances a fee may be payable and if that is the case, I will
let you know.  A fees notice will be issued to you, and you will be
required to pay before we will proceed to deal with your request.

Under the Act we have 20 working days in which to provide the information,
therefore you can expect a response no later than the 3^rd November 2009.

In line with the Information Commissioner's Directive on the disclosure of
information under the Freedom of Information Act 2000 your request will
form part of our disclosure lob.  Therefore, a version of our response
which will protect your anonymity will be posted on both the Tees PCTs
websites.

If I can be of any further assistance in the meantime please do not
hesitate to contact me.  Please remember to quote the reference number
above in any future communications.

Yours sincerely

Michelle Hogarth

Riverside House

High Force Road

Riverside Park

Middlesbrough

TS2 1RH

 

Tel : 01642 352635

Fax : 01642 352380

show quoted sections

Link to this

From: Hogarth Michelle

12 October 2009


Attachment Sept08mins 1.doc
215K Download View as HTML

Attachment JCG APRIL 09 MINUTES.doc
198K Download View as HTML

Attachment JCG DECEMBER MINUTES.doc
195K Download View as HTML

Attachment JCG FEB 09 MINUTES.doc
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Attachment JCG JANUARY MINUTES.doc
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Attachment JCG JULY 09 MINUTES.doc
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Attachment JCG JUNE 09 MINUTES.doc
172K Download View as HTML

Attachment JCG MARCH 09 MINUTES.doc
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Attachment JCG MAY 09 MINUTES.doc
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Attachment JCG OCTOBER MINUTES.doc
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Attachment REDCAR JOINT COMMISSIONING GROUP AUG minutes.doc
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Attachment REDCAR JOINT COMMISSIONING GROUP JULY minutes.doc
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Dear Leslie

RE FOI RC25

With reference to your Freedom of Information request relating to
treatment costs for drug addiction and alcoholism, please find below a
response on behalf of Redcar and Cleveland PCT.

The PCT aims to commission an alcohol service in line with the alcohol
models of care framework and we subscribe to the tier definitions and
categories included within the framework document. You will note from
that document all Tier definitions and levels of care within those Tiers.

The link to the Models of care Document is

[1]www.nta.nhs.uk/publications/documents/nta_modelsofcare_alcohol_2006_mocam.pdf

I trust this is satisfactory, however if you have any queries with regards
to the above or I can be of any further assistance please do not hesitate
to contact me.

Yours sincerely

Michelle Hogarth

Riverside House

High Force Road

Riverside Park

Middlesbrough

TS2 1RH

Tel : 01642 352635

Fax : 01642 352380

show quoted sections

Link to this

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Anyone:
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