REDCAR AND CLEVELAND ADULT DRUGS JOINT COMMISSIONING GROUP
Minutes of meeting held October9th 2008
ATTENDED
Terry DoyleService User Co-ordinator
Peter PriceDirector of Public Health PCT (Chair of JCG)
Viki WhelanJoint Commissioning Manager, R & C PCT
Helen ArmstrongSCP Co-ordinator (Drugs)
John LiddellNTA Deputy Regional Manager
Susan PashleyService Development Manager, R & C PCT
Richard ParkerReducing Re-offending Manager
Mary MohanLocal Authority Commissioning (Mental Health)
1. APOLOGIES:
Simon DaleChair of R & C Safer Communities Partnership
Sue Cash PCT Public Health Lead PCT
Jacqui ParkerPCT Finance
Pauline LisleSupporting People
Rob OrrellYoung Persons Manager
Russell PortuesAssistant Director Probation
John StampPCT Mental Health
Ken McGladrieLocal Authority Commissioning (Mental Health)
2.MINUTES OF LAST MEETING
Agreed
- MATTERS ARISING / ACTIONS UNDERTAKEN
VW highlighted the discussion within the minutes regarding CRIs application for more funding towards their relocation. CRI will still be relocating but will be renegotiating the building work costs and absorbing them within the already allocated relocation budget and allowed shortfall budget. VW assured the group that CRI are performance managed regularly and have implemented all actions and areas fro improvement identified via the management process.
Commissioning team structure – PP reported that a meeting had taken place with Simon Dale and the LA regarding the Commissioning team structure.
Requests had been made to Middlesbrough DAT and Probation to secure extensions to VW and DW s secondments. VW will continue to be seconded as JCM until December 08. The JCG will be advertising and recruiting to the JCM post in the very near future and are confident the JCM will be in post by Dec 09. This will then allow the JCM to be instrumental in the development of the Commissioning team structure and recruitment.
PP then reported that we have been unable to secure further secondment of DW the data analyst. PP informed the group that we need to back fill this post on a temporary basis as soon as possible particularly due to the forthcoming needs assessment. VW has been looking at options to fill this post and will report back to next meeting.
Peter Price suggested that Viki Whelan engage with the Practice Based Commissioning Groups as an avenue to gain feedback. Viki Whelan has now been invited to the Langbaurgh and Eston Practice Based Commissioning GP meetings in October 2008.
Intensive DIP status – RPa informed the group that the SCP have agreed in principle to the application for intensive status, this will now go to the LSP on the 31st Oct 08
All other matters appear on this month’s agenda.
4.ELECTION OF NEW CHAIR
Peter Price Locality Director for Public Health Redcar and Cleveland will become the JCG chair.As the current vice chair is Sue Cash also from the PCT. PP suggests it would be more beneficial to the group to have a vice from another represented organisation, this will be discussed at the next meeting.
5.ALCOHOL PAPER
The paper was re-circulated for wider discussion within this month’s agenda.
PP agreed that the financing of a Alcohol model needed to be robust and we needed to gain an understanding of what we need to provide and at what cost, then we can fit into the PCT planning cycles who could then identify and allocate investment to resource the service.
VW to deliver a presentation to the next JCG covering Models of care for alcohol treatment and an overview of any evidence of effectiveness.
It was agreed that it would be likely that we would be extending the alcohol contracts as we are not in a position to re commission services at this point.
6.NEEDS ASSESSMENT
A brief for an external needs assessment was tabled, the group agreed that an external needs assessment would assist and add value to this years needs assessment and Treatment Plan. Comments on the tabled brief included:
It needed to be more specific in its outcomes and should include treatment naive clients.
As we had previously used Stuart Honour it was agreed that we would approach him once again also SP to discuss with NTA other possible consultants and formats for undertaking the needs assessment.
The group felt that this should be a priority as time lines were tight if we were to gain information that could assist with the Treatment Plan needs assessment.
ACTION; Susan Pashley to discuss with NTA. Source appropriate consultants, formats and questions to be asked and report back to next JCG.
7.BID FUNDING ALLOCATION
A number of bids had been received these had been split into 4 areas ;
3 Bids for Hep C improvement.
2 bids to improve unplanned discharges
2 Innovation bids
2 Young Persons bids.
Hep C bids included :
1 Bid form the Fulcrum Medical Practice requesting funding to pay for tests and staff time to undertake a ‘push’ on offering HEP C tests
1Bid form On Track to fund an extra clinic and to pay for tests undertake a ‘push’ on offering HEP C tests
1 Bid from Lifeline to undertake a research and campaign around HEP C
The JCG are committed to improve take up of HEPC testing however it was felt that the Clinical providers were already funded to test clients and the funds should be used to improve awareness and take-up.
The group were also aware that there was a lot of evidence and research around HEPC and further research was not required, however a campaign lead by Lifeline cutting across all providers would improve awareness and uptake of testing.
£22,000 was allocated to HEP C, VW to work with the providers to fund an awareness campaign.
Unplanned Discharge bids included.
2 Bids from CRI (Care Coordination)
1Bid for an assertive outreach worker and
1 Bid for Peer Mentoring
The JCG felt that in both cases the bids did not demonstrate how the proposed provision would/ could be sustained once the funding had ended. However saw merit in the proposals.
£22,000 was allocated and VW to work with CRI to develop a provision that would assist with unplanned discharges and engagement and could be sustained beyond March 2009
2 Innovation Bids included
1 Bid was received from Lifeline to add extra resources to the Stimulant Service these resources included complementary therapies including relaxation teas, gum, nuts etc. Lifeline based this bid on a previous project undertaken in the TeesValley which showed some success. The aim of the therapies is to alleviate cravings in stimulant users.
The 2nd bid was again from Lifeline and was for a research programme into stimulant misuse in Redcar and Cleveland.
The JCG felt that there could be some merit in the complementary therapies and some evaluation of that work with stimulant users. The JCG awarded £7000 to the project to provide the extra resources and undertake an evaluation of the therapies and the needs of stimulant users.
Young Persons Bids included
1Bid to assist with the YP budget shortfall
1Bid for a young person’s worker to work with the children of Drug using adults.
As the YP worker was a project already underway within the service the JCG awarded £22,000 to assist with the budget shortfall. A condition of this award was that the YP service improves it’s NDTMS recording.
8.TREATMENT PLAN – EXCEPTION REPORT
Copies of the updated treatment plan and exception report had been circulated. No concerns were raised.
10.PERFORMANCE MONITORING
TOPs
VW reported that the area was within target for TOPs starts however TOP reviews and Exits required improvements. Action planning has been undertaken with the providers to assist improvement in these areas.
The YP service stats are having an impact on our target achievement.
DIP CASELOAD AND COMPACT TARGETS
Intensive DIP status.
A report was given to the SCP Executive group who gave their support prior to RParker is to present the report to the LSP.
DIP
DIP caseload is now standing at around 100 clients which would be the maximum caseload that the team could work with this is being monitored
DRR
11.FINANCE
JP will attend the next meeting to give a full report , VW reported no issues
12.SERVICE USER UPDATE – TERRY DOYLE
Terry Doyle’s service user and co-ordinator report was circulated with the agenda. Terry gave an update against the report highlighting the following areas/issues.
12.AOB
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Daffodil planting in memory of Stephen Massey will take place at Grangetown Victoria Park on Oct 15th10 am
NEXT MEETING TO BE HELD AT 1PM ON THURSDAY 13THNOVEMBER 2008 IN THE BOARD ROOM AT LANGBAURGH HOUSE, GUISBOROUGH