ADP Performance Management Report
North Ayrshire Council · 25 September 2025
Back to Integration Joint Board — 25 September 2025 and its agenda
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Integration Joint Board 25 September 2025 Subject : North Ayrshire HSCP & ADP Annual Performance Management Report – 2024/25 Alcohol and Drugs Purpose : To present the annual performance information in relation to the partnership’s Alcohol and Drug services. This report is for :- • Awareness 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 √ 2. North Ayrshire Council 3. NHS Ayrshire & Arran 4. North Ayrshire Council and NHS Ayrshire & Arran Glossary of Terms HSCP Health and Social Care Partnership ADP Alcohol and Drug Partnership 1. EXECUTIVE SUMMARY 1.1 To present the annual performance report for North Ayrshire Health and Social Care Partnership (HSCP) for the period April 2024 to March 2025. 2. BACKGROUND 2.1 The annual report (please refer to Appendix 1) provides detailed information related to alcohol & drug related performance management targets, standards and outcomes. 3. PROPOSALS 3.1 IJB are asked to note performance in relation to :- • Access to Treatment Waiting Times; • Alcohol Brief Interventions; • Substance Use Target; • Naloxone supply; • Drug Related Deaths; • Prevention & Service Support delivery;
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• Information Management and Technology information; • Medication Assisted Treatment improvements; • Residential Rehabilitation; • Experiential feedback; • Human Rights Based approach; • The Alcohol and Drug Partnership (ADP) annual report and engagement with Healthcare Improvement Scotland regarding a new Residential Rehabilitation Improvement Action Plan • Finance. 3.2 Anticipated Outcomes Assurance regarding all key performance management information. 3.3 Measuring Impact All targets, standards and outcomes are monitored and evaluated with any learning implemented via quality improvement methodology. 4. IMPLICATIONS 4.1 Financial None 4.2 Human Resources The ADP works across agencies with a wide range of staff 4.3 Legal None 4.4 Equality/Socio-Economic Equality Impact Assessments are carried out where required. Services have used a human rights based approach to service development and improvement utilising the following: PANEL principles (a framework for applying a human rights-based approach in practice, emphasizing Participation, Accountability, Non-Discrimination, Empowerment, and Legality) FAIR model (a practical framework which focuses on understanding the facts, analysing rights at stake, identifying responsibilities, and reviewing actions) AAA approach (a framework focusing on the Accessibility, Availability, and Appropriateness of services and resources, particularly in the context of public health and well-being).
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4.5 Risk Risk assessments are completed as and when required – Low risk grading with regard to the information contained within this report. 4.6 Community Wealth Building Improvements will increase community confidence in partnership approaches and raise awareness of the impact of alcohol and drugs and the work of the ADP to reduce and drug related harms. 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 Service users, families and staff from across a variety of services have contributed to the achievement of targets, standards and outcomes Caroline Cameron, Director Peter McArthur, Senior Manager, Alcohol & Drug Services. 01294 317840, peter.mcarthur@aapct.scot.nhs.uk Appendices • Appendix 1 North Ayrshire HSCP & ADP, Performance Management Report Alcohol and Drug information (1st April 2024 to 31st March 2025)
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1 NORTH AYRSHIRE HEALTH & SOCIAL CARE PARTNERSHIP and the ALOCHOL & DRUG PARTNERSHIP Performance Management Report Alcohol and Drug information April 2024 – March 2025 Prepared by Denise Brown Prevention and Service Support Team
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2 NORTH AYRSHIRE ADP WAITING TIMES April 2024 – March 2025 Alcohol • 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 Drug • 90% of clients will wait no longer than 3 weeks from referral to appropriate drug treatment that supports their recovery • 100% of clients will wait no longer than 6 weeks from referral to appropriate drug treatment that supports their recovery Target achieved Q1 Q2 Q3 Q4 97% 100% 96% 98% Q1 Q2 Q3 Q4 100% 100% 100% 100% Target achieved Q1 Q2 Q3 Q4 100% 99% 100% 100% Target achieved Q1 Q2 Q3 Q4 100% 100% 100% 100% Target achieved
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3 ALCOHOL BRIEF INTERVENTIONS (ABI) Ayrshire and Arran wide information Annual report: April 2024 – March 2025 Annual target set by Scottish Government in priority settings (2024/25) – 3420 Total ABI delivery in priority settings (as at 31/03/2025) – 5940 Annual target set by Scottish Government in wider settings – 855 Total ABI delivery in wider settings (as at 31/03/2025) – 1325 Note – national reporting on ABI is currently paused. Awaiting further national guidance. SUBSTANCE USE TREATMENT TARGET In 2022, the Scottish Government have created a new ‘Substance Use Treatment Target’ to increase the number of individuals being supported in treatment. North Ayrshire had been set a target to increase numbers in treatment from 882 individuals in April 2020 to 959 individuals by March 2024. This was exceeded. In 2025, no new specific target has been set. As we await further national guidance, the expectation is for services to continue to support as many people into treatment as possible. Baseline from Scottish Government 2022-2025 quarterly reporting East North South 01/04/2020 – 31/03/2021 946 882 561 Target by 2024 by Scottish Government East North South 1029 959 610 Interventions are in place across our community alcohol and drug recovery services to support the achievement of this target. Please note the monthly information supplied is unpublished and has been collected from local prescribing systems to monitor progress. Quarterly period Target Actual Apr-Jun 22 891 898 Jul-Sep 22 900 940 Oct-Dec 22 910 974 Jan-Mar 23 920 1011 Apr-Jun 23 930 1051 Jul-Sep 23 940 1080 Oct-Dec 23 950 1103 Jan-Mar 24 959 1129 Apr – Jun 24 NA 1152 Jul – Sep 24 NA 1178 Oct – Dec 24 NA 1192 Jan – Mar 25 NA 1220 Total 3 Year Increase Figure for IA 77 338 Target achieved Target achieved
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4 This report outlines Naloxone kits supplied in the community and reported through the Shared Addictions Management System (SAMS) Locality Q1 Q2 Q3 Q4 Total North 210 162 136 233 741 East 68 95 89 121 373 South 72 90 109 168 439 HMP Kilmarnock 29 18 19 21 87 **North Ayrshire have set a target of 480 kits, as a minimum, to be supplied during 2024/25** Ayrshire and Arran Quarterly Naloxone Report 1st April 2024 – 31st March 2025 Total Naloxone kits 1640 426 Prenoxad + 1214 Nyxoid kits
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5 Demographics 70% 30% Gender* *Where this data was recorded Who supplied the kits? Age* Scottish Families supply kits to Ayrshire and Arran residents via their ‘Click and Deliver’ service. 207 kits were delivered within this reporting period. 2% 22% 40% 26% 10% 25 and under 26 - 35 36 - 45 46 - 55 56+ Who received the kits? *Where this data was recorded 139 394 256 27 266 8 24 31 34 87 139 13 6 121 15 47 33 EA RADAR service NADARS START Ward 5 PSST Homeless Nurses We Are With You South Ayrshire We Are With You East Ayrshire Turning Point Scotland (P.E.A.R) HMP Kilmarnock South Ayrshire ADP EA Single Point of Access Alcohol and Drug Liaison Team North Ayrshire ADP NA H&SCP (Kirsty Gibson) East Ayrshire Recovery Matters Harbourside (Pan Ayrshire)
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6 There was a minimum of 73 lives saved through community Naloxone use in Ayrshire within this reporting period. Many saves go unreported. Save story - “Residents had alerted staff that the individual was unresponsive in his wheelchair outside. Staff moved him to the reception area onto the floor and administrated naloxone. An ambulance was called, and staff were informed that he had used Heroin, Valium & Alcohol. He was transported to hospital” Saves Number of reports of Naloxone uses in the community to reverse overdose Education 70 individuals completed the Naloxone Learnpro module 1225 individuals received overdose awareness training 428 individuals attended a PSST virtual or face to face Naloxone awareness course 9 Training for trainers’ sessions were delivered Lives saved
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7 AYRSHIRE AND ARRAN DRUG RELATED DEATHS INFORMATION 2024 annual summary report National Records for Scotland - Drug Related Deaths In September 2025, the National Records of Scotland published its annual report titled ‘Drug Related Deaths in Scotland 2024’. 1,017 people across Scotland died from a Drug Misuse Death (DMD) in 2024, a decrease of 13% (155 deaths) compared with 2023. Ayrshire and Arran Health Board saw a decrease of DMDs last year, from 83 deaths in 2023 to 64 deaths in 2024. North Ayrshire saw a decrease from 36 deaths in 2023 to 23 deaths in 2024. Published confirmed deaths: East North South Total 2019 41 41 26 108 2020 36 39 31 106 2021 38 39 23 100 2022 30 37 15 82 2023 31 36 16 83 2024 21 23 20 64 Locally services monitor and report all suspected DMDs, with the number being confirmed nationally through verification of the cause of death, hence there is a delay in confirmation of the verified number of DMDs each year. Sadly in the first 6 months of 2025, the locally reported number of suspected (but unverified) DMDs, exceeds the total number of verified DMDs for 2024. Public Health have issued communications in partnership with the ADPs that this may be linked to the presence of Nitazines, a synthetic form of heroin, in the illicit drug supply in Ayrshire. The ADP are working alongside Public Health and addictions services to help reduce risk and harm, with a focus to refreshing our actions to reduce the number of deaths in North Ayrshire. These include but are not limited to: • Continued delivery of the Medication Assisted Treatment (MAT) Standards • Ensure quick access to MAT support (during 2024, the time from point of referral to receiving prescribed medication was 1 day) • Continue to prioritise Blood Borne Virus (BBV) testing, Harm Reduction interventions and mental and physical health assessment and support • Ensure access to staff with lived experience to provide person centred recovery support. • Promote family involvement and offer housing, welfare and advocacy support • Continue to meet and exceed all local and national ‘access to treatment’ waiting times’ targets and standards. • Increase the number of individuals being supported to access Ward 5, Woodland View and external residential rehabilitation support • Continue to offer increased choice across the various Opiate Substitution Therapy medications Please follow this link to access the report: : Drug-related deaths in Scotland, 2024 - National Records of Scotland (NRS)
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8 PREVENTION AND SERVICE SUPPORT TEAM Annual summary report: 1st April 2024 – 31st March 2025 Alcohol & Drug training and education sessions Calendar courses with 815 participants Additional Training Requests (ATR) with 3137 participants 135 102 Training Delivery The team continue to provide a wide range of education and training initiatives which focus on improving awareness, competence and knowledge of those affected by alcohol and drug use, and those working in the field. Due to the COVID-19 pandemic the team introduced virtual training; this continues to be offered as well as face to face training. PSST currently issue upcoming training courses on a quarterly basis. What did our participants say? "Loved the whole training, being provided with real life examples is also beneficial" “Enjoyed all of it. It was very well put together; confident presenter made it interesting and maintained people interest” "I have gained knowledge on females and why they take drugs/don't stop some of the barriers to sustaining treatment. This will help me going forward with volunteering with the end goal of getting employment and working closely with females” “I enjoyed everything about the session, I felt the trainer was very informed on the subject matter and this in turn made it an enjoyable training session” “Both trainers were very knowledgeable and delivered the content well. It was clear and concise, and the interactive elements kept you engaged" 52 sessions delivered within Ward 5 Attended 11 stalls/events Additional training requests and health information events by locality area Alcohol Brief Interventions Annual target set by Scottish Government in priority settings (2023/24) – 3420 Total ABI delivery in priority settings (as at 31/03/2024) – 5940 Annual target set by Scottish Government in wider settings – 855 Total ABI delivery in priority settings (as at 31/03/2024) – 1325 Follow our social media pages to keep up to date with our activities in the Prevention and Service Support Team Prevention and Service Support Team – NHS Ayrshire and Arran @PSST_NHSaaa 29% 37% 11% 23% East North South Pan-Ayrshire
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9 Ayrshire College Alcohol and Drug Liaison Officer 146 workshops were delivered to 1746 students 46 1-1 supports with students 5 staff supports 7 health events with an estimated 590 contacts Naloxone 70 staff completed the Naloxone Learnpro module Minimum of 73* lives saved in the community *lives saved across Ayrshire and Arran as reported on the Shared Addiction Management System (SAMS). Many saves go unsupported. 9 Train the trainer sessions delivered 35 Naloxone awareness sessions delivered Service Support Service Support facilitate service development activity which supports the implementation and delivery of the quality improvement agenda for Alcohol and Drug Services which meets national, local and strategic objectives. 15 Audit and evaluation activity 9 Guidelines reviewed and updated Get our NHS Ayrshire and Arran Alcohol and Drug App Download the NHS Ayrshire & Arran app from your Apple or Android app store. Then search for Alcohol and Drugs. 28 Drug and Alcohol groups supported Support to implementation of MAT standards and reporting Support to development of local pathways and operational procedures Gathering, collating and presenting client satisfaction and client stories ABI Heat Standard recording and reporting Support to START and RADAR service Support to local Adverse Incident review processes and reporting
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10 INFORMATION MANAGEMENT AND TECHNOLOGY (IM&T) Annual summary report: 1st April 2024 – 31st March 2025 The Information Management and Technology Team are responsible for the development, training and monitoring of the Shared Addiction Management System (SAMS) and the training and monitoring of Drug and Alcohol Information system (DAISy). These systems are used to record drug and alcohol information, which enables the team to provide national and local reports. SAMS updates Admin section on SAMS being updated Substitute Prescribing Change Sheet added to SAMS Physical Health section on SAMS was updated. Ongoing updates to Substitute Prescribing Application. DAISy support • Attendance at various DAISy workshops and training • DAISy Quality Checks, Reports and Updates • Working with PEAR to ensure accuracy on DAISy. Training • 50 individuals received SAMS training • 54 individuals received DAISy training Support Approximately 50 SAMS/ DAISy support calls per month IM&T are also responsible for the collation and reporting of Drug Related Deaths and the completion of the National Drug Death database. Drug related death reporting Reporting • Quarterly reports including ASPIRE report, (29 individual performance reports), Naloxone quarterly reports, Scottish Governance reports, ADP reports and local performance and planning reports • Development of reports and audits for MAT standards and submission of MAT 1 – 10 numerical data • Monthly reports including 10 current OST reports, MAT Target Report, SAMS Data Quality Reports and Psychological Therapy Waiting Times • Weekly DAISy quality data checks for Waiting Times, Assessments and Reviews for all Alcohol and Drug services • Monthly substitute prescribing audit • Drug related death report • Various pan-ayrshire residential rehab reports • Approximately 10 – 15 ad hoc report requests per month
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11 IMPLEMENTATION OF MAT STANDARDS WITHIN NORTH AYRSHIRE Annual summary report 2024 - 25 In April 2021, the Scottish Government introduced 10 new Medication Assisted Treatment (MAT) Standards for implementation by Alcohol and Drug Services. There is evidence that rapid access to MAT meets the needs of highly vulnerable groups and reduces mortality1, therefore new approaches were required within North Ayrshire to support rapid access to MAT: • A local test of change was carried out to evaluate the new model of care to establish effectiveness prior to roll out • An Improvement Implementation Plan, was implemented, evaluated & updated with regular progress reports submitted to the Scottish Government. • Quarterly Updates on MAT developments were submitted to the national MAT support Team – MIST. • An explicit delivery plan was put in place for delivering trauma informed practice. • Guidelines and clinical & care pathways of support were put in place to ensure consistency and support the staff to deliver the interventions. Results/outcomes (2024/25) • Improvement in the waiting time from referral to commencement of appropriate Opiate Substitution Therapy medication - 75% of individuals were offered a first MAT assessment on the same day as engagement with the service (improvement from previous year) • 100% of individuals were supported to make an informed choice on MAT medication and the appropriate dose • 75% of notified high risk events to the multi-agency assessment team for assertive outreach were contacted on the same day (improvement from previous year) • 86.49% of individuals were retained in service for more than 6 months (improvement from previous year) • 186 individuals have shared care with Primary Care (improvement from previous year) • 100% of individuals received a mental health assessment • 100% of individuals were offered BBV testing, Harm Reduction interventions and a physical health assessment • Improvement in satisfaction and experience of clients (improvement from previous year) 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 Plan during 2025/26 • Sustain a green RAG rating for standards 6 to 10 • Move to a RAG rating of blue during the next year for MAT Standards 1 to 5 (as the definition of a final blue RAG rating is to be able to evidence 2 years of sustained implementation of a green RAG rating and evidence of benefit to people plus ongoing monitoring of the standard across all MAT services)
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12 RESIDENTIAL REHABILITATION EXPANSION • Ward 5 - Access to residential support across Ayrshire and Arran 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 P.E.A.R service for the first week following discharge). During 2024/25 • 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 and 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 2024/25 NADARS supported 3 applications into Harper House with all 3 starting the programme. Additionally NADARS supported 4 families who relocated to North Ayrshire from other areas in Scotland following completing the Harper House residential programme • 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 2024/25, 57 referrals were received for ERR. Following assessment, 16 individuals were suitable for ERR and funding was approved, 41 individuals were not suitable or declined further ERR intervention at this time and were offered alternative community supports. 10 individuals commenced ERR with 9 completing the agreed programme. 5 5 Detoxification Rehabilitation 135 individuals (NA = 72) 87 individuals (NA =51) Detoxification support Rehabilitation support
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13 Utilising client and family/carer feedback for continuous service improvement within North Ayrshire Drug and Alcohol Recovery Service (NADARS) A robust process is in place within NADARS to gather client and family/carer feedback within the service. Feedback is collected via various methods, such as: • Structured questionnaires for clients/family/carers • Attendance at focus groups • Formal comment cards – client and family/carer • Remote feedback tools such as the NHS Ayrshire and Arran Alcohol and Drug App • External platforms such as Patient Opinion • Unsolicited feedback such as thank you cards and letters Feedback is collected throughout the financial year and collected by: • Staff members gathering feedback from active clients within their caseload who they have provided any treatment or support to within the reporting period • Service Support staff attending various recovery groups within the community to gather individual views on the service and ways in which it could be improved • Service Support staff attending inpatient areas, such as Ward 5, Woodland View to facilitate focus groups with individuals who are currently receiving this service • Targeted approach feedback for specific interventions such as MAT Standards, Non- Fatal Overdose pathways Prior to any intervention, individuals should be made aware how they can give feedback, what the feedback will be used for and that the feedback provided will be anonymous when written into feedback reports. Results provided via feedback are collated, analysed and shared via appropriate platforms within the “you said, we did” format. Any improvements identified for the service are populated within a local improvement plan, evidenced appropriately and updated through the continuous improvement cycle. ADP experiential feedback The MAT programme requires ADPs to gather experiential feedback to ensure that services are responsive to the needs and experiences of individuals who are accessing them. To compliment existing data collection methods, semi-strucutred interviews are carried out with individuals accessing services and lived and living experience panels. Patient stories and short conversations are captured within clinical settings to ensure real-time experiencies fit into service improvement. A thematic analysis is carried out on all data collected to identify areas of good practice, identify areas for improvement and inform improvement plans for continuous service delivery
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14 Charter of Rights for People Affected by Substance Use The Charter of Rights has been created by individuals who are affected by substance use, including family members and carers, service providers and national organisations. The charter aims to help people know their rights and to know what support they can expect to receive. The Charter sets out some of the most important rights for people affected by substance use. Right to life – everyone’s right to life is protected by law. Right to the highest attainable standard of physical and mental health – everyone has the right to get health and care services that are available, accessible, acceptable and are of sufficient quality. Everyone should be treated fairly and equally, without stigma and discrimination. Right to an adequate standard of living - the right to adequate food, clothing and housing with the goal to keep people out of poverty, ensure that their basic needs are met and that they are able to take part in the life of their community. Right to private and family life - Everyone has the right to respect for their private and family life. This protects people’s dignity and right to make decisions about their own life. Right to a healthy environment - This right means that you should have access to clean, safe air, water, land and soil free from pollution. It also means the place you live should make you feel safe. Freedom from torture and other cruel, inhuman & degrading treatment or punishment - This right protects people from treatment that causes them a lot of pain, physical or mental suffering or which makes them feel worthless or hopeless. Freedom from arbitrary arrest or detention - People should not be detained solely based on their substance use. Diversion from prosecution should be prioritised for minor substance related offences. Advocacy Advocacy services provide information, support and representation. Advocacy can support you to get your voice, views and wishes heard and explain more about your rights. If you need support in North Ayrshire, contact Voiceability on 0300 303 1660 or visit www.voiceability.org/in- scotland/northayrshire The full version of the charter can be found by scanning the QR code.
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15 Applying the FAIR model approach to MAT implementation in North Ayrshire In order to provide continuous quality improvement and to align the implementation of the MAT programme with the Charter of Rights for People affected by Substance use. The FAIR model, AAAQ framework and Panel Principles were used to appraise the experiential component of the standards. A more systematic analysis of the effectiveness of implementation was undertaken using the AAAQ framework to ensure that services are provided in a way that respects human rights and promotes equality. AAAQ sets out the 4 essential elements of the right to health: • Availability • Accessibility • Acceptability • Quality The PANEL priniciples framework was used to ensure that individuals rights were central to policies and practices, the five key human rights principles underpinned by the framework are: Participation: People should take part in decision making and have a voice. Policies and practice should support widespread participation. Accountability: Organisations and people are accountable for realising human rights Non-Discrimination and Equality: Everyone has the same rights (regardless of their ethnicity, gender, income, religion etc) Empowerment: People, communities and groups should have power. They need to know and claim their righs in order to make a difference. Legality: Rights must be legally enforceable. All decisions should comply with human rights legal standard. In North Ayrshire the FAIR model approach has been carried against 6 of the 10 MAT standards with improvement actions identified. What is the experience of individuals involved and what are the important facts to understand? FACTS ANALYSIS Analyse rights: Develop an analysis of the human rights at stake. Identify responsibilities. IDENTIFICATION FAIR REVIEW Identify what needs to be done and who is responsible for doing it Make recommendations for action and later recall and evaluate what has happened as a result
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16 ADP Annual Reporting Survey to the Scottish Government The ADP Support Team received, collated and submitted the annual reporting to survey to the Scottish Government on the 13th June 2025. The report covered a range of topics in relation to treatments services, residential rehab, support to children and families, justice, and developing recovery communities. If anyone would like more information on the reporting survey, please get in contact with the ADP Support Team on: adp@north-ayrshire.gov.uk South West of Scotland Residential Rehabillitation Hub North Ayrshire (NA) ADP have engaged with other local ADPs to be part of a South West of Scotland collaborative with a focus on residential rehabilitation. The NA ADP, with support from Health Improvement Scotland (HIS) have completed a self- assessment and have then developed an action plan to further improve our external residential rehabilitation pathways and support. The action plan aims to address four high level themes: 1. Certain demographics are disproportionately affected by substance use 2. Vulnerable communities have higher rates of unmet need in relation to substance use 3. Lack of integration within the wider health and social care system means that individuals do not receive the rights care at the right time to support their recovery from substance use. 4. Detrimental effects on families/carers and friends in relation to (their loved ones) alcohol and/or drug use. A working group has been formed to support the implementation of the action plan over the next 2 years. The ADP, SMT and IJB will receive a progress report at the end of year 1.
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17 FINANCIAL INFORMATION ADP 24-25 Forecast Spend
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18 Additional funding streams Agreed Projects 24/25 MAT Standards £489,252.99 Other Projects £5,871.94 Residential Rehab £140,335.78 Whole family Approach framework £109,763.46 Grand Total £745,224.17 The ADP has accumulated a reserve balance due to underspend in previous financial years. There are plans in place to utilise the reserves and they are committed in future years.