3The national issuesIt is estimated that we have over 330,000 Problem Drug Users in the UK and the Government is spending £1.2bn to reduce societal harms*Cost to society estimated at £15bn per annum*80% of problem drug users claim benefits at a cost of £40m per annum*Currently no efficacy measures in placeAlcohol misuse affects far greater numbers and drinking to excess is socially acceptableMisuse of both substances are a major factor in social harms including crime, antisocial behaviour, domestic abuse, child neglectThe aim of treatment for the last ten years - management of addiction* NAO (2010)
4A brave new worldNational Drugs Strategy issued in December 2010 (Restricting supply, reducing demand, promoting recovery)Public Health White Paper ConsultationGovernment's vision for criminal justice reform (MoJ)Policing in the 21st century: reconnecting police and the people (Home Office)Liberating the NHS Health and Social Care transformationConsultation, consultation and more consultation (Community Right to Challenge)Social Impact BondsSocial Enterprises
6The Staffordshire issues 4,151 accessing drug treatment2,071 in effective treatment1,820 in needle exchange131,000 hazardous drinkers32,000 harmful drinkers21,000 dependent drinkers260 in abstinence rehabilitation
7Strategy on a pageThe VisionTo create an environment that promotes prevention and responsibility, reduces harm to individuals, their families and communities and empowers and enables people to recover from alcohol and/or drug addiction and dependency.The Strategic GoalsImprove the health and well being of people with addiction and/or dependency problems and reduce health inequalities.Reduce offending and reoffending rates and build safer stronger communities that support the recovery agenda.Deliver key national and local priorities and ensure positive outcomes for service users, their families and the wider community.Commission high quality, value for money services that promote the development of recovery communities.Delivered byEnabling access to an improved, consistent education and prevention message.Enabling access to a menu of treatment services that offer a range of options to aid recovery.Enabling access to a range of support and aftercare and support that sustains long term recovery success.Placing service users at the heart of strategic planning and service redesign.Commissioning for recovery via a whole systems approach.Progress tracked byWork plans for Partnership Board, Provider Board and Service User Forum SPECTRUM.SMCT Service Delivery PlanAdult and YP Treatment PlansCounty Council and Partnership PlansLocal and National data returns
9How do we turn strategy into reality? Outcomes focused commissioning for recoveryconvince practitioners of the merits of changechange the shape of the market placedemonstrate value for moneymake a difference to the people that need help, their families and the wider community (outcomes)
10The Staffordshire wayAbstinence based recovery service funded via Health, Social Care, PTB and SPWhole systems approach looking at education, prevention, treatment and after care and resettlement in communitiesPartners include social housing landlords and employersSocial Enterprise ‘last piece of the jigsaw’
11Why do it this way?Money follows success - providers that demonstrate success will be rewarded.Evidence affordability and value for moneyPromote transparency of performanceRemove duplicationLocal accountability – locally designed and jointly commissioned services ensure local needs are metAll to ensure the right outcomes for service users and that public money is being wisely spent to make a real difference.
12What is meant by outcomes? Freedom from dependence on drugs and /or alcoholImprovement in mental health and physical health & well beingA reduction in crime, anti-social behaviour and re-offendingSustained employmentEffective parentingThe ability to access and sustain suitable accommodationImproved relationships with family, partners, friends and the wider communityPrevention of drug related deaths & blood borne virusWalking the talk – being a positive role model for others
13The future?Increased financial constraints but lots of opportunities to think and work more creatively Special projects incorporatingTotal Staffordshire/ Big Society philosophy (Big Society Bank opens in April)Themes from last Wednesday’s budget include growth, enterprise but continuing fiscal restraint
14Pertinent Budget messages A new start up scheme to support entrepreneurs - Start Up Britain - will be launched.21 new enterprise zones will be introduced.Entrepreneur's Relief will be doubled to £10 million on 6th April.24 new university technical colleges will be set up.100,000 places in new work experience schemes will be introduced.50,000 apprenticeship places will be created over the next four years.
15Remember – recovery is contagious …recovery is contagious and that it is a powerful force not only in transforming the lives of individuals blighted by addiction but in impacting on their families and communities as well.Dr.David Best, 2009
16What can you do?Ask not what your community can do for you but what can you do for your community?YOUR COMMUNITY NEEDS YOU
17Thank you for listening. Any questions? Substance Misuse Commissioning TeamJoint Commissioning Unit,Social Care & HealthLeaven House,Beaconside,Stafford.