DUMFRIES AND GALLOWAY ALCOHOL AND DRUG PARTNERSHIP

Transcription

1 DUMFRIES AND GALLOWAY ALCOHOL AND DRUG PARTNERSHIP Minute of meeting held on 2 nd September at 10.00am in Lochar South Meeting Room, Crichton Hall, Dumfries Present: Apologies: Attending: Grahame Clarke (Chair), Stevie Craighead, Graeme Galloway, Mairi Dunn, Gordon Pattinson, Jackie Davies, Julie White and David Coulter Lillian Cringles, Jeff Ace, Alex McCallum, Kirsty McGowan, Marion McCutcheon Margaret Woodward, ADP Support Team (Minute) Item 1. Welcome and Apologies Apologies noted above. Introductions were made. 2. ADP Chair Grahame introduced himself as the new Independent Chair of the ADP. He sees this as a significant challenge and is aware of the challenges ahead. He expressed his desire to work closely with the members of the ADP and to working collaboratively with all partners to ensure that the Partnership delivered positive outcomes. 3. Minutes of meeting held on 19 th July 2016 Agreed 4. Matters Arising 4.1 ABIs As discussed at the last ADP meeting the Alcohol Liaison Nurse (ALN) post based at DGRI, which is funded by ADP has developed over time and no longer includes ABI delivery. It was agreed as the last meeting that ABIs should remain part of this post. Jackie has met with the NHS Specialist Drug and Alcohol Service Manager and it was agreed that ABIs would still remain part of the job description. Jackie has met with representatives from antenatal, who are conducting a large number of screenings. Although delivery of ABIs are very small, the antenatal team are following all the necessary guidance and there does not appear to be any issues with their recording. Jackie has arranged a meeting with Dave Pedley, ED Consultant and ALN to discuss ABI delivery in the EDs.

2 Noted that 80% of the ABI target should be met in priority settings with 20% in the wider settings. Action: Jackie to review wider settings and how to take this forward and arrange to meet with Carol Morton, Deputy Manager to look at pathways. 4.2 Performance Officer Post Jackie advised that there were 9 applicants with 4 shortlisted for interview and 3 interviewed. Graeme Galloway was the ADP representative on the interview panel, along with Jackie and Justin Murray, Service Manager, NHS Specialist Drug and Alcohol Service. The successful candidate has been appointed and it is hoped they will start, subject to disclosure etc, on 19 th September. 4.3 Third Sector David highlighted that he had still not received a reply from Jeff regarding the questions raised in his paper tabled at the last ADP meeting. Grahame agreed to raise this at the meeting being held on Monday with Jeff, Jackie, Mairi and Katy. Action: Grahame will write to the Third Sector after this meeting. 5. Budgets Grahame narrated that he had recently met with met with Julie, Jeff and Lillian to look at how and what ADP can deliver, in light of the reduction in the ADP budget for the year 2016/17. It was accepted that the ADP could not continue to deliver existing services within the reduced budget but that statutory partners had agreed to fund the shortfall for 2016/17. This had only recently been agreed and Grahame stated that members would wish to join him in expressing thanks to statutory partners for agreeing this funding. This meant that the ADP was now in a position to continue to fund both commissioned and statutory services for the last 6 months of the financial year. This funding would be delivered on the same basis as funding delivered during the first 6 months of the financial year. This meant that the important services delivered by partners in support of the work of the ADP could continue to be delivered until the end of March Grahame asked members to endorse this decision, which members were content to do. David Coulter welcomed this decision and felt that this would be warmly welcomed by third sector organisations, as it would remove any ambiguity about the delivery of their services for the remainder of the year. David queried how the third sector organisations would be informed of this and Grahame undertook to write formally to them as soon as possible, although, a brief would be sent that night providing brief details of the decision taken today. Action: Grahame to third sector organisations today informing them on the continued funding and follow this up with a formal continuation of

3 funding letter. Grahame continued that, while this decision had secured funding for the foreseeable future, this could not be sustained for the financial year 2017/18. As such it was imperative that a detailed review was completed ahead of 2017/18, in an effort to examine how services could be delivered in light of the budgetary shortfall. Grahame stated that this would mean a detailed a look at all of the services delivered on behalf of the ADP to see if they met current local and national priorities and delivered the required outcomes. Grahame stressed that this would not mean the wholesale reduction in certain services but rather would be that detailed examination to identify what was being delivered was required and delivered positive outcomes for service users and the wider community. Grahame stressed that this review would include both voluntary and statutory services and that no services would be ring fenced or excluded, ensuring openness and transparency. David Coulter welcomed this development, stating that this would bring a degree of clarity that would be welcomed by the third sector. Grahame continued that the review would be overseen by him, as Independent Chair of the ADP and once completed would be formally brought back to the ADP in order that members could fully consider the findings. Grahame stated that it would then be for the members of the ADP to make the difficult decisions about the services that could be provided within the existing budget for 207/18. Julie highlighted that it was clear that members would have to make some difficult decision but that the review should provide the evidence on which to base these decisions. Grahame then asked members to endorse in principle the review, which would then be reported back to the Group. It was agreed that the review would need to report back by December 2016, in order to give time for consultation with any service providers effected ahead of the new financial year. Members were content to endorse this decision. Grahame suggested that the best way forward, was to organise a half-day workshop for all ADP members in late September or early October, to agree a terms of reference for the review and a methodology. In addition it was agreed that a number of other topics could be covered during the workshop, such as: Review of membership What is role/induction for ADP members? Governance arrangements Action: Grahame to arrange a half-day workshop for ADP members covering the above topics in September or October Julie indicated that the ADP should become part of the Health and Social Care Partnership, with funding being directed through there. Jackie enquired who

4 the ADP would be reporting to in the future and whether the ADP Chair could become a member on the Health and Social Care Integrated Joint Board (IJB). Julie responded that the IJB was still in its infancy and ADP representative could be looked at in the fullness of time. Action: Julie to examine reporting/governance of ADP to IJB and IJB representation on the ADP and report back to next ADP meeting. 6. Annual Reporting Template Paper previously circulated. Jackie stated that this is due back to the Scottish Government by 12 th September Jackie still has some funding queries which need answered by the Council and NHS Finance Departments. Action: Margaret to circulate to ADP members. Action: All members to review document and send any comments including indication of satisfaction with current format to Jackie or Margaret by 9 th September. Action: Jackie to write to services asking them to confirm funding in kind and funding from other sources for the reporting template. 7. Children and Young People Needs Assessment Jackie updated that a copy of the summary report was not yet available. The full report should be completed in the next couple of weeks and Andy Rome will present to the ADP. Action: Jackie to circulate the needs assessment report to members once available Jackie also advised that the Care Inspectorate Report has been delayed, should have been ready by the end of August but anticipated now end of September. Action: Jackie to circulate the Care Inspectorate report to members once available 8. Third Sector Update David reported that the Third Sector meeting due to take place last week was cancelled due to members being on Annual Leave. He confirmed the Third Sector were holding an event on 29 th November 2016 in Easterbrook Hall and invited the ADP to speak at this event, highlighting that this may be an opportunity to engage about the review process Members agreed this would be worthwhile. Grahame said that this would be a good opportunity to engage, but that as the result of the review would most likely not be known, the engagement would be around the terms and methodology of the review.

5 Action: David to confirm the date and time and the Third Sector Dumfries and Galloway event and that an input from Grahame would be facilitated. 9. Drug Related Deaths Paper previously circulated Noted that drug deaths were down by 2 from 13 to 11 for calendar year 2015 in Dumfries and Galloway. It was also highlighted that drug deaths fluctuate between 9 and 13 deaths annually. Demographics of the deceased mirror that of national reporting and there are no local trends or patters that can be attributed to the deaths. There was discussion around drug using hotspots/areas in Dumfries and whether there were patterns of anti social behaviour linked to this. However it was noted that this was not part of the remit of the drug deaths group. It was highlighted that Pregabalin and Gabapentin are appearing more often in the toxicology results for drug deaths. An action has been completed to write to GPs to highlight the concerns that drug users are now asking GPs for Pregabalin. Local prescribing data indicated that there is a projected 50% increase for Pregabalin tablets prescribed for 2017/18. Detailed breakdown of the data was not available. Julie suggested Jackie contact the Prescribing Support Team to ask for this issue to be highlighted in the NOSTROM newsletter, which is circulated to GPs. Action: Jackie to contact Emily Kennedy/Gordon Lochran to highlight concerns and have these included in the newsletter. Action: Jackie to ask for further detailed breakdown of prescribing data and any other reason for the increase. Grahame stated that the Police Drug Trends Bulletin was no longer a restricted publication and that information from this could be included in the newsletter on a regular basis. Jackie agreed to take this forward. Action: Jackie to contact Emily Kennedy/Gordon Lochran to offer the Police Drug Trends bulletin for future newsletters. Jackie reported that she has received a Drug Deaths Baseline Toolkit, which forms part of the national drug deaths strategy and has to be completed by the end of September. This is a self-assessment and will help inform actions, which will be part of the local drug deaths strategy, which will be completed by 31 st December Action: Jackie and Scott to complete the Drug Deaths Baseline Toolkit with input from relevant stakeholders and send copy of template to ADP members for information, once submitted.

6 10. Dates for 2017 Meetings Action: Margaret to circulate possible dates for meetings for next 12 months. 11. Any Other Business Gordon Pattinson introduced himself as the new Public Protection Manager. His role is to be the strategic link across Public Protection. He is looking to conduct a full review of Public Protection structures and will doubtless be in touch with members Following discussion, it was agreed that Vikki Binnie, Community Justice Manager would become a member of the ADP. Jackie has met with Vikki and it was agreed that Vikki would also become a member of the ADP Partners Group. Action: Vicky Binnie to be invited to future ADP meetings. 12. Date and time of next meeting Meeting due to be held on Friday 9 th December 2016 at 10.00am in Lochar South has been cancelled and will be replaced with a meeting in November. Action: Margaret to circulate dates for a meeting to be held early November