1. Drugscope Beyond the drug intervention programme? Involving PCCs in local pathways into drug and alcohol treatment 1

2. Aim and principles of workshop To develop an action plan to support the drug and alcohol sector to develop a business case to PCCs for continued delivery and investment. The principles of the workshop were: – To provide an interactive session where workshop participants are encouraged to set, own and develop the agenda. – Make rapid progress through a set of given issues towards a consensus – Generate practical solutions which can be owned and actioned by participants. 2

3. Generating and evaluating the key issues Participants were asked to reflect upon the input subsequent discussion from the first part of the morning and individually to make a note of the key areas to be addressed in any action plan then as a large group ordered all similar key areas together into the following 4 ‘themes’ which were then named by the group 3

4. Mission About processes not people – high numbers seen, low numbers of outcomes For ‘other’ drug users in the CJS, what are the realistic/appropriate outcomes a local DIP might seek to deliver? Working out and measuring the right outcomes - judging systems not services against them Making frequency (of reoffending) politically friendly PCC mandate + drugs as a high/low local priority- political considerations + image 4

5. Transition Maintaining the +ive achievements/programmes that may have become taken for granted while developing/gaining support for new individually and locally tailored programmes that suit the new challenges How to carry over the good aspects of DIP over to new localised system without replicating the bad ambivalence 5

6. Local leadership and influencing Difficult to manage 43 local conversations + priorities Commissioners need to understand the the need and opportunities and have ‘muscle’ to pull agencies together Commissioning between PCC/Health will be key but complex. Needs to be simplified locally Integrated approach to commissioning whole system Join up between CJ & Health(eg PCC, HWB, Offender Health) Make a local case to local commissioner – data and communications 6

7. Delivery Drug testing – is there still an appetite or is there another way? Need to link custodial services to community services (involve prison service population management) Treatment for drug and alcohol misusing offenders 7

8. Prioritising By a voting process participants decided to focus upon 3 themes for the rest of the workshop, these were: Mission Transition Local leadership In 3 syndicate groups participants used a problem-solving approach top defining issues, threats and opportunities and were asked to come up with at least one recommendation to kick off an action plan and suggest who could work alongside Drugscope on taking this forward. 8

9. Transition issuesthreatsopportunitiesaction Retaining skills basedisinvestmentSpeaking to other local priorities Different arguments for different PCCs Understanding how local commissioning systems will be organised Impact of disinvestment on clients Opportunity for ‘new’ kinds of drug use – new arguments to new stakeholders Now is a good time to lobby ( SF Communities) Staggered transition – what happens in 2014 Many voices and priorities (speaking to different agendas) Drugs remain a national priority Mapping local need Want volume quickly v complex – PCCs expect a ‘bigger bang for buck’ Invest to save argument Developing local evidence base Developing local strategic partnerships Local strong points (e.g. child safeguarding) 9

10. Recommendations *National evidence base adaptable for local use *Brokerage + influence of relationship between PCC – PH – HWB Less bureaucracy – local offer that can do more for money Bring in other issues; DV, alcohol hospital admissions Running for political office ‘ the history is lost’ – educate/ inform about what is helping Guidance on how to approach the right people at the right time with the right data * Given priority by syndicate 10

11. Local leadership and influencing issuesthreatsopportunitiesactions Cross border issues – how you pitch your case – is DIP relevant Substance misuse/drug related offending falls off the agenda of individual partners and partnerships Also an opportunity – wider joint action across partnerships Use of DIP data to provide evidence around interventions in CJS PCC priorities – joining up agendas community safety/health Finding the evidence from across government PCC commissioning role – place in the landscape – levels of knowledge Using the evidence of where interventions work most effectively & targeting work locally to match this with local services 11

12. Recommendations Build a case for intervening on substance misusing offenders to the benefit of all parties and using evidence to show these benefits 12

13. Mission issuesthreatsopportunitiesactions Got to be attractive to PCCs – meet their needs. Joined up across commissioners Health/CJS differences in commissioning – LAs/PCCs IOM Liaison & Diversion across interventions/ disciplines It’s about treatment – streamlining of ‘process’ Time Focus upon ‘Troubled Families’ But, lower OCUs and do what?..... Police like testing – alcohol? Alcohol & Community Safety 13

14. Recommendations Local needs assessment - avoid usual assumptions Local cost benefit analysis – ‘toolkit’ (method) - CJS/health 14

15. Action planning missionleadership and influencingtransition actionWho?actionWho?actionWho? Local needs assessment and local cost benefits analysis PCCs/LAs Role for HO to advise on template/data Build a case for intervening on substance misusing offenders to the benefit of all parties and using evidence to show these benefits Negotiate local champions. Provider/ commissioners National evidence base adaptable for local use HO/ NTA/Drugscope Brokerage + influence of relationship between PCC – PH – HWB Providers working together. Other local VCS sectors/residents association 15