1. Welcome

2. Market Engagement and the Procurement Process

3. Creation of the Good Practice Guide for Commissioning, Contract Management, Grant Funding and Procurement A collaboration between Suffolk County Council and the Voluntary and Community Sector (VCS) Endorsement by Suffolk Chamber of Commerce & The Federation of Small Businesses. “In order to achieve the service user’s stated outcomes, good practice requires that each partner is involved in designing, specifying, contracting, funding and monitoring service delivery and improvement”

4. Testing the Guide  A review of a number of commissioning transactions  Market Engagement exercises to test how best to engage the market and key stakeholders

5. Market Engagement Assessing Need / Research Analysing Capacity / Development Designing the Service Service usersProvidersStakeholders Existing providers Wider market Market capability Specification Funding Outcomes

6. The Public Services (Social Value) Act 2012 Public bodies now have to consider how the services they commission and procure improve the economic, social and environmental well-being of the area. It also applies to pre-procurement because it can inform the whole shape and design of the service “social value is about maximising the additional benefit that can be created when procuring or commissioning goods and services, above and beyond merely the benefit of the goods and services themselves” (Chris White MP)

7. Models for Service Provision Consortiums Sub contracting Informal partnerships Formal partnerships Lead organisation Single provider www.ncvo.org.uk

8. www.suffolksourcing.co.uk

9. Suffolk Recovery Service (Adults) Michelle Paterson Health Improvement Commissioning Manager (Drug & Alcohol, Adults) Public Health Suffolk

10. Suffolk Drug and Alcohol Services August 2009 – Suffolk area adult alcohol services by Suffolk PCT (SATS - NSFT) April 2011 – County-wide adult drug services & Waveney area alcohol services (CRI and Open Road) 2011 – Existing Suffolk area adult alcohol services reconfigured around the SATS service (Phoenix + NORCAS) July 2010 – DIP services retendered (Westminster Drug Project) Oct 2010 – YP services retendered (Matthew Project)

11. Suffolk…..

12. April 2009: UK Drug Policy Commission Consensus Group statement…. ‘the process of recovery from problematic substance misuse is characterised by voluntarily-sustained control over substance misuse which maximises health and wellbeing, and participation in the rights, roles and responsibilities of society’

13. April 2009: Who for? Tailor treatment specifically different groups Stimulant users, Cannabis users Users of other substances such as steroids, over-the-counter medication, novel psychoactive substances (NB. Alcohol)

15. Alcohol in Suffolk Area Separate to drug services SATS: SPOC; Open access assessment; Brief interventions; 1-2-1 and group work; Community detox (with GP’s). Phoenix+NORCAS: 3 day a week day programme east & west; Access to IPD & RR;

16. Facts & Figures: Prevalence The latest prevalence estimates (2010/11) suggest that in Suffolk there are: –2,275 opiate and/or crack cocaine users (OCUs) Of which: –2,029 opiate users –1,229 crack cocaine users, and –892 injecting drug users. In 2012/13 there were an estimated 1,576 OCUs known to the treatment system (69%) 699 OCUs (31%) unknown to the treatment system over the last two years. Just over a fifth of those OCUs not known to the treatment system are known to the local Drug Intervention Programme. No prevalence figures for Non-OCU’s

17. Facts & Figures: Numbers in Treatment In 2012/13 in Suffolk there were: –Just under 1300 opiate and/or crack cocaine users in effective treatment –Almost 1500 adults in effective treatment (all drugs) –Just over 850 primary alcohol users in treatment Heroin was the primary problem substance for almost three quarters (number = 1142) of all those in drug treatment in 2012/13 Almost a quarter of these individuals also reported a secondary problem substance of crack cocaine (number = 267) Cannabis is the second most commonly recorded primary problem substance in Suffolk, followed by methadone (number = 152 for cannabis, 102 for methadone). The most commonly reported secondary problem substances are (in order of most reported, numbers reporting in brackets): –Crack cocaine (277) –Cannabis (149) –Alcohol (147) –Methadone (116)

19. Length of Time in Treatment Almost 1 in 7 (14.6%) people in treatment > 6 years. National average =23.8% Slightly higher (17.7%) in treatment between 4-6 years (National average - 14.2%). The average length of time in treatment in Suffolk is 3.2 years.

20. Challenges: Opiate-centric / attracting non-opiate users Complex needs/multiple services Dual Diagnosis Long-term clients Interfaces/seamless provision for client Rurality/meaningful ‘shared care’ Housing, employment, Recovery! Ipswich

21. Criminal Justice Services Suffolk Drug Interventions Programme

22. Westminster Drug Project Bringing the DIP service to Suffolk since July 2010! Core Contract SPOC Prison Link Alcohol IOM Drug Testing on Arrest

23. Accessing the Service Prison Release Court and Police Cell Sweeps Drug Testing on Arrest

24. The Future of DIP Funding Transforming Rehabilitation

25. Services for Young People Sharon Jarrett

26. Services for Young People Universal – community based youth clubs, schools, web sites Targeted – VCS youth worker provision, CYP youth workers Specialist – The Matthew Project Under 18 Suffolk

27. The Matthew Project County wide service Open access For any young person experiencing harm because of their use of drugs (legal / illegal / prescription); solvents; alcohol. Support for young people 15 years and over affected by a family member’s substance misuse

28. The Matthew Project Dedicated substance misuse workers co- located with Suffolk Youth Offending Service Dedicated outreach substance misuse workers working in the community Close working with other agencies to ensure holistic approach to meeting the needs of the young people accessing the service.

29. Interventions Offered Psychosocial Specialist Harm Reduction Clinical Family Support Joint working with adult services to support young adults engagement with treatment.

30. Service User and Family Carer Involvement Views and experiences…. Judith Bourne Suffolk Family Carers

31. Service User involvement is the participation by Service Users within the design, delivery and development of services that relates to their care and recovery. Also, that Family Carers should be involved where possible and/or as agreeable to the service user. Service User and Family Carer Feedback Surveys, visits to groups, specialist services Gain views on how drug and alcohol services are being provided. What things they like or dislike about the current system? What things would help with their recovery? such as, support, care, activities and so on

32. Themes of Feedback so far communication Care Support Marginalised & Vulnerable

33. Group Work Exercises