1. Substance Misuse in Neath Port Talbot 2016/17
Steve Adie
Head of Substance Misuse Strategy and Development
Western Bay Area Planning Board

2. Working Together to Reduce Harm, The Substance Misuse Strategy for Wales 2008-2018
Action Areas
Preventing harm
Support for substance misusers to improve their health and to aid and maintain recovery
Supporting and protecting families
Tackling availability and protecting individuals and communities via enforcement activity.

3. Measuring Performance
Key Performance Indicators
NKPI 1 – To reduce numbers of clients who DNA post assessment – Target <20% (Actual latest 31.30%)
NKPI 2 – Waiting time less than 20 working days between referral and treatment – Target > 80% (Actual latest 94.39%)
NKPI 3 – Substance misuse reduced for problematic substances – Target 67% (Actual latest 71.16%)
NKPI 4 – Quality of life improved – Target 56% (Actual latest 64.64%)
NKPI – 5 – Cases closed as treatment complete – Target 72% (Actual latest 50.13%)

4. AREA PLANNING BOARDS (APB’s)
Created by Welsh Government in 2010
To deliver the substance misuse strategy – “Working Together to Reduce Harm”.
To strengthen partnership working and strategic leadership for substance misuse issues
To enhance and improve key functions of planning, commissioning and performance management.

5. WESTERN BAY APB MEMBERSHIP
Full Members (ABMU HB, 3 X Local Authorities, Public Health Wales, South Wales Police, Wales Probation Trust)
Invitee’s (Police and Crime Commissioner, service providers, service user, elected members, National Offender Management Service, sub-group chairs, plus a number of others)
Advisors (Welsh Government, APB Regional Commissioning and Support Team)

6. WESTERN BAY APB STRUCTURE

7. APB REGIONAL COMMISSIONING AND SUPPORT TEAM
3.8FTE Staff, Employed by NPTCBC as Host Authority
Contracting and Commissioning substance misuse services
Performance Monitoring
Liaison and Engagement
Development of Services, Initiatives
Budget and data monitoring
Secretariat for the APB and it’s Sub-Groups

8. WESTERN BAY AREA PLANNING BOARD BUDGET
£3.6M via Welsh Government Substance Misuse Action Funding (SMAF).
£721K via partner joint contributions (ABMU, Bridgend CBC, Neath Port Talbot CBC and the City & County of Swansea).
Total Revenue Budget £4.3m
Also SMAF Capital budget for Wales (£5m).

9. ALL WALES TREATMENT PROFILE 2015/16
23,980 Referrals for Substance Misuse Services
Reduction of 14.6% against 2014/15 figures
52.1% - Alcohol Referrals
43.7% Drugs Referrals
Males – Account for 62.8% of Alcohol Referrals and 71.8% of Drug Referrals.
9,654 Referrals for Alcohol
8,093 Referrals for Drugs (Heroin, 3,400; Cannabis 1,943)
(Source: Treatment Data – Substance Misuse in Wales 15/16)

10. WESTERN BAY TREATMENT PROFILE
ABMU AREA – 3,500+ Referrals per year
Most Self Refer – 2000+
31-50 Age Group Largest Source of Referrals (1900+)
Females – Referrals
Males – Referrals
Alcohol Top Substance Misuse Category (1600+)
Heroin (400+); Cannabis (300+); Other Drugs (300+)
Breakdown of prevalence against population –APB (0.66%); Bridgend (0.61%); NPT (0.68%), Swansea (0.68%).

11. NEATH PORT TALBOT TREATMENT PROFILE
2004 Referrals 14/15 (957 Unique)
503 Self Referred
516 Aged 31-50; followed by 246 Aged 18-30
737 Females; 1267 Males (against 2004 Referrals)
Average Age – Females 41, Males 41 (in line with APB Area)
Alcohol Referrals 459
Heroin 200
Cannabis 98

12. SERVICES IN NEATH PORT TALBOT
WCADA – (Welsh Centre for Action on Dependency & Addiction), Victoria Gardens, Neath (x2); Port Talbot (x 2) and Cymmer. Adults and Children’s, family member services, Domino Project, Change Step, Cyfle Cymru (Out of Work Scheme); Training and Volunteering. (

13. SERVICES IN NEATH PORT TALBOT
Community Drug and Alcohol Team, Tonna Hospital. Home and inpatient detox; maintenance prescribing, shared care, relapse prevention, psychology, social work and midwife support.
Detox Ward (Calon Lan, Neath Port Talbot Hospital). Providing a 5 bed residential detox service for Western Bay, therapies, diversionary activities and relapse prevention.
NPT FORUM – Service user support group.

14. RANGE OF SERVICES AVAILABLE
Advice and brief interventions
Harm reduction, including needle exchange
Diversionary activities
Counselling and therapy based services
Dental services
Prescribing services
Home; inpatient and residential rehabilitation

15. Data extracted from published recorded crime statistics
DRUG OFFENCES
Recorded Crime Neath Port Talbot
Nov13-Oct14
Nov14-Oct15
Nov15-Oct16
Drug trafficking 80 72 57
Cannabis 50 46 35
Heroin 10 9 8
Amphetamine 4 5
Other Class C 3 2
Cocaine
Other Class A
Cathinone derivatives (mephedrone) wi supply 1
MDMA
Other Class B
Acquisition, possession or use of proceeds of drug trafficking.
Crack
Other drugs offence
249
239
285
157
166
182 25 27 14 17 16 29 7 24 11
Supply of intoxicating substance
Supply etc articles for administering or preparing controlled drug
Class A&B Practitioners/pharmacists contravening directions
Piperazines
GHB
Methadone
Grand Total
329
311
342
Data extracted from published recorded crime statistics

16. DRUG OVERDOSES Overdoses Neath Port Talbot Nov13-Oct14 Nov14-Oct15
Non-Fatal Overdoses 26 43 27
Fatal Overdoses 3 10
Note: Based on initial reporting circumstances, not confirmed by toxicology

17. POLICE AND TRADING STANDARDS
Roadshows at all Secondary Schools – New Psychoactive Substances (NPS)
Diversionary activities during school term breaks
Seizure of NPS products.
Test purchasing exercises
Community Alcohol Partnership (Pontardawe) to tackle underage sales and anti-social behaviour.

18. SWOT ANALYSIS STRENGTHS Well established services.
Depth ofknowledge amongst service providers
Generally centrally based services
Volunteering, training and peer mentoring.
Little or no waiting times
Active service user group
WEAKNESSES
Lack of fixed services in remote communities.
Inconsistent, inequitable service provision.
Rises in drug overdoses
Generally week day services
Lack of choice for service users
Contracts held separately and some have lapsed.
OPPORTUNITIES
Learning from others.
Joint service provision with other APB's.
Shared buildings amongst similar services
Collaboration
Greater pooling of resources
Re-commissioning
THREATS
Reduced SMAF funding.
Reduced partner contributions.
Lackof S.33 Agreement
Local Government Regional Working Review
Increases in substance misuse

19. SOURCES OF INFORMATION
Western BCU Crime Data 2016/17
Welsh Government – Working Together to Reduce Harm
Welsh Government – Treatment Data – Substance Misuse in Wales 2015/16
Paris, Substance Misuse Statistical Overview Western Bay 2014/15
Joint Work Summary – Western BCU and NPT Trading Standards 2015/16

20. APB Team – WBAPB@NPT.GOV.UK
CONTACT DETAILS
Steve Adie
Head of Substance Misuse Strategy and Development, Civic Centre, Neath. SA11 3 QZ
Telephone
APB Team –