4 - NA Alcohol & Drug Performance Management Report Apr 22 - Mar 23 Final
North Ayrshire Council · 24 August 2023
Back to Integration Joint Board — 24 August 2023 and its agenda
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Performance management report NORTH AYRSHIRE HEALTH AND SOCIAL CARE PARTNERSHIP & ADP April 2022 - March 2023 Prepared by Denise Brown Prevention and Service Support Team Alcohol and drug related information On target Achieved Not achieved
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Substance Use Treatment Target The Scottish Government have created a new ‘Substance Use Treatment Target’ to increase the number of individuals being supported in treatment. North Ayrshire has been set a target to increase numbers in treatment from 882 individuals in April 2020 to 959 individuals by March 2024. Baseline from Scottish Government Target by 2024 by Scottish Goverment 2022/2023 Financial Year Interventions are in place across our community alcohol and drug recovery services to support the achievement of this target by the due date of April 2024. Please note the monthly information supplied is unpublished and has been collected from local prescribing systems to monitor progress, however, we await an initial verified nationally published report.
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Ayrshire and Arran Drug related deaths information ANNUAL SUMMARY 1st April 2022- 31st March 2023 Published confirmed deaths (Extracted from National Records of Scotland Drug Related Deaths in Scotland, 2021) Number of deaths confirmed 2017 2018 2019 2020 24 29 41 36 25 38 41 39 12 15 26 31 61 82 108 106 EAST NORTH SOUTH TOTAL 2021 38 39 23 100 Number of NADARS reviews conducted for individuals identified as potentially suffering a drug related death 27 Number of these reviews which identified learning or recommendations 3 Number of reports submitted by other services which identified learning or recommendations 0 2022/23- no confirmed published information as yet National Records for Scotland - Drug Related Deaths Please find information in the link below around the definition of drug related deaths and what deaths are excluded from this definition: https://www.nrscotland.gov.uk/files/statistics/drug-related-deaths/drd2016/html/drug-related-deaths- 2016-annex-a.html The link below details the full report which details statistics of drug-related deaths in 2021 and earlier years, broken down by age, sex, substances implicated in the death, underlying cause of death and NHS Board and Council. https://www.nrscotland.gov.uk/files//statistics/drug-related-deaths/21/drug-related-deaths-21- report.pdf Review and update of Drug Notification Process Local Operating Procedure Effective record keeping Regularity of review and continuity of support when keyworker was not available In the last year, local learning identified from reviews were:
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MAT availability was increased at Caley court to 3 days per week & ‘drop in’ access - and then ultimately expanded to 5 days a week with extended hours. Locations identified across NA Localities for MAT access closer to home – ultimately MAT is now available across all 6 NA Localities with immediate support available to all from Caley Court alongside ‘low threshold’ access in rural areas. An explicit delivery plan was put in place for delivering trauma informed practise; LOPs, SOPs, guidelines & clinical & care pathways of support were put in place Consultant Psychiatry, Additional prescribing capacity; Addiction Workers; Nursing staff; Support Workers; Recovery Development Workers (lived experience) MAT 7 – Primary Care (GP & Pharmacy) involvement. Vision, model & process agreed. SG recently Ring Fenced funding for this. LES to be offered to GPs. In addition MAT availability to be expanded to include Prison and Police Custody. An Improvement Implementation Plan, approved by Chief Executives, was implemented, evaluated & updated with regular progress reports submitted to the Scottish Government alongside quarterly update reports being sent to the national MAT support Team – ‘MIST’. National and local ADP funding was secured for additional staff which includes: Priorities for 2023/24 include: A RAGB self-assessment was completed and evidence (numerical, experiential and process information) was submitted to the MIST team for analysis and benchmarking. The table below highlights a very positive final RAGB score for the implementation of MAT standards 1 - 10 across North Ayrshire. Implementation of MAT standards within North Ayrshire A pilot test of change evaluation was carried out within the Three Towns Area of North Ayrshire. By March 2022, results demonstrated that MAT delivery could be undertaken safely and with positive recovery outcomes throughout North Ayrshire. An evaluation of an initial test of change pilot demonstrated that MAT delivery could be undertaken safely and with positive recovery outcomes. It was agreed to expand MAT availability during 2022/23 – to ensure MAT was available across all of North Ayrshire and Arran to prioritised groups due to vulnerability in relation to risk.
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Access to residential rehabilitation across Ayrshire and Arran - Ward 5 Local residential rehabilitation support is provided in Ward 5, Woodland View to anyone who has an alcohol and/or drug problem and mental health issues. Ward 5 has 10 beds for residential care: Seamless pathways of support are in place with the local community team supporting individuals before, during and after their placement (extra support in place for NA residents e.g. in addition to ongoing NADARS support, everyone is also provided with daily follow up support from the PEAR service for the first week following discharge). During 2022/23: Access to additional local residential rehabilitation – Harper House The NA H&SCP was instrumental in supporting Phoenix Futures, Scotland, to open ‘Harper House’ in November 2022. It is located in Saltcoats & is a Care Inspectorate registered service, funded by the Scottish Government – it offers specialist support for the ‘whole family to recover from the harms of problematic drug and alcohol use’. Their family-focused programme of interventions is ‘designed to benefit each member of the family and the family unit as a whole’. Referrals are accepted from across Scotland, with enhanced local access available for residents of North Ayrshire. These pathways continue to be improved with a local oversight group meeting regularly to support the identification and suitability of families. In the first 4 months of opening 4 families from NA have benefited from this support. Access to External Residential Rehabilitation (ERR) Individuals wishing to access external residential rehabilitation support can do so via NADARS who will support the development of a care plan, identify a residential rehabilitation provider, seek funding and then support individuals into, through and after their external residential rehabilitation placement. In quarter 4, 4 indiviudals have been supported in to ERR. Residential Rehabilitation expansion Rehabilitation 55 Detoxification 143 individuals (NA=84) Detoxification support 67 individuals (NA=41) Rehabilitation support
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Financial information ADP 22-23 Forecast Spend
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Additional funding streams