11 - HSCP ADP Annual performance Management Report
North Ayrshire Council · 25 August 2022
Back to Integration Joint Board — 25 August 2022 and its agenda
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Integration Joint Board 25th August 2022 Subject : North Ayrshire HSCP & ADP Annual Performance Management Report – Alcohol and Drugs Purpose : To present, for awareness, annual performance information in relation to alcohol and drugs Recommendation : IJB are asked to note the content of the report Direction Required to Council, Health Board or Both Direction to :- 1. No Direction Required X 2. North Ayrshire Council 3. NHS Ayrshire & Arran 4. North Ayrshire Council and NHS Ayrshire & Arran Glossary of Terms IJB Integrated Joint Board HSCP Health and Social Care Partnership ADP Alcohol and Drug Partnership 1. EXECUTIVE SUMMARY 1.1 To present an annual performance report for management and assurance purposes from the North Ayrshire HSCP and ADP in relation to alcohol and drugs for the period April 2021 to March 2022. 2. BACKGROUND 2.1 This is a yearly report providing information on a variety of alcohol and drug related performance standards, targets and achievements (please refer to the accompanying more detailed report). 3. PROPOSALS 3.1 IJB are asked to note performance and management information in relation to :- • Access to Treatment Waiting Times; • Alcohol Brief Interventions; • Naloxone supply;
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• Drug Related Deaths; • Training delivery • Finance; 3.2 Anticipated Outcomes This report reflects and demonstrates the whole system (ADP, NADARS & wider stakeholders) response to the prevention of drug deaths and to Strategic Plan objectives 3.3 Measuring Impact This report is a summary of national and local performance information and provides details on the attainment of various standards and targets which are linked to ensuring the delivery of the ADP Strategy and in the prevention of Drug Related Deaths in line with the National Mission 4. IMPLICATIONS 4.1 Financial ADP financial information included in the report. 4.2 Human Resources A wide range of staff from across the HSCP, ADP and partner services have contributed to the delivery of the various standards and targets. 4.3 Legal None. 4.4 Equality/Socio-Economic The attainment of the various standards and targets has a direct positive impact on some of the most vulnerable members of society. 4.5 Risk The report details the attainment of various standards and targets (and as such this carries a ‘low’ risk rating. 4.6 Community Wealth Building The attainment of the various standards and targets will increase community confidence in partnership approaches and raise awareness of the impact of alcohol and drugs and the work of the HSCP, ADP and partner agencies to reduce alcohol and drug related harms.
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4.7 Key Priorities Actions and improvements link directly with Ministerial priorities to support the delivery of local strategic and operational plans across statutory and partner services and support wider actions to prevent Drug Related Deaths in line with the National Mission 5. CONSULTATION Staff from across various services have contributed to the production of this report. Director – Caroline Cameron For more information please contact Peter McArthur, Senior Manager, Addiction Services on [01294 317840 or peter.mcarthur@aapct.scot.nhs.uk] Appendices • NAHSCP Alcohol & Drug Performance Management & financial report 2021 to 2022
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Performance management report NORTH AYRSHIRE HEALTH AND SOCIAL CARE PARTNERSHIP & ADP April 2021 - March 2022 Prepared by Denise Brown Prevention and Service Support Team Alcohol and drug related information
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North Ayrshire H&SCP & ADP information Performance Management Indicators Target met On trajectory Not met Waiting times - alcohol treatment 90% of clients will wait no longer than 3 weeks from referral to appropriate alcohol treatment that supports their recovery 100% of clients will wait no longer than 6 weeks from referral to appropriate alcohol treatment that supports their recovery 90% of clients will wait no longer than 3 weeks from referral to appropriate drug treatment that supports their recovery Waiting times - drug treatment 100% of clients will wait no longer than 6 weeks from referral to appropriate drug treatment that supports their recovery Alcohol Brief Interventions Public Health Scotland have stated that the requirement of ABI reporting for 2021/22 has been paused. NHS Ayrshire and Arran is not required to submit any ABI activity figures until they receive further communication from Public Health Scotland, however within this report we have provided local, unpublished ABI activity. Naloxone supplies The North Ayrshire H&SCP & ADP have set a local target for more than 300 naloxone kits to be supplied in 2021/22. Drug related deaths The North Ayrshire H&SCP & ADP have a vision to prevent and reduce the number of drug related deaths in subsequent years. Lives saved Information will be provided on the number of reported lives saved through the use of naloxone across North Ayrshire (please note that not all lives saved are reported back to NHS Addiction Services). Prevention and Service Support Activity Information will be provided on activity carried out by the Prevention and Service Support Team bi-annually.
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Ayrshire & Arran Quarterly Naloxone Report 1st April 2021 - 31st March 2022 This report outlines Naloxone kits supplied in the community and reported through the Shared Addictions Management System (SAMS). Total Naloxone kits *North: East: South: HMP Kilmarnock: 736 Prenoxad kits 844 Nyxoid kits Locality Q1 Q2 Q3 Q4 Totals North East South HMP Kilmarnock 1580 716 354 393 117 113 116 84 40 203 81 72 24 716 354 393 Produced by NHS Ayrshire and Arran Prevention and Service Support Team 146 122 125 21 254 35 112 32 117 *North carried out a targeted piece of work monitoring kits that were due to expire and positvely promoted re-issue of new kits*
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Demographics Produced by NHS Ayrshire and Arran Prevention and Service Support Team Gender* *Where this data was recorded 70%30%
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Lives saved Produced by NHS Ayrshire and Arran Prevention and Service Support Team Education 7 Naloxone Training for Trainers sessions were delivered with a total of 50 participants trained. 318 received overdose awareness training 19 completed the Naloxone LearnPro module 37 Naloxone awareness courses were delivered with a total of 271 participants trained. Thanks for the Naloxone I saved another life at the weekend and I need more. I have saved lots of lives now, because of Naloxone my friends are still alive. Your training has worked well on the team, they had to administer 2 shots of injectable Naloxone on someone today in Irvine who had overdosed and was lying in the street. The police were around the individual, two team members went up and administered 2 shots of Naloxone and then the ambulance came. A life saved. indeed! Observed a commotion of people trying to rouse/stand up a gentleman who was clearly unconscious. Ambulance had been called, quickly assessed that an overdose was likely and administered Naloxone, after the first dose the gentleman woke up and thanked me for saving his life.
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Ayrshire and Arran Drug related deaths information ANNUAL SUMMARY 1st April 2021- 31st March 2022 Published confirmed deaths (Extracted from National Records of Scotland Drug Related Deaths in Scotland, 2020) Number of deaths confirmed 2016 2017 2018 2019 29 24 29 41 32 25 38 41 24 12 15 26 85 61 82 108 EAST NORTH SOUTH TOTAL 2020 36 39 31 106 Number of NADARS reviews conducted for individuals identified as potentially suffering a drug related death 18 Number of these reviews which identified learning or recommendations 1 Number of reports submitted by other services which identified learning or recommendations 0 2021/22 - no confirmed published information as yet From all reports - the key learning or recommendations were: Support all staff working within NADARS to be aware of, and feel comfortable to use, all the available resources and forums at their disposal. Consider offering social care colleagues some training in mental health and well being, as well as how best they can access resources when they are needed Within this reporting period the Mental Health Service Adverse Event Review Group (AERG) commissioned a review to investigate the circumstances surrounding the management and care of a client within NADARS. There are a variety of forums within NADARS to discuss complex cases and seek advice and support, these include - weekly allocation meeting, weekly discussion meeting and weekly psychiatry meeting. These meetings provide opportunities for multi-disciplinary discussion between health and social care. It is the view of the Review team that some staff find these meetings daunting and feel unable to speak up. These forums sound like the perfect opportunity to discuss a complex case like this, to get a wide range of advice and support. This may have provided reassurance for the keyworker involved that all aspects of the patient’s mental health and wellbeing had been assessed. There are also mental health trained staff in this forum which may have negated the need for a referral to the CMHT. The review team suggest the following recommendations:
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Financial information ADP 21-22 Forecast Spend
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Additional funding streams