Substance Misuse Plan and updates

What will we prioritise in the next two years:

  • Work more closely with Southampton and across Hampshire to share learning and best practice. UPDATE March 2019  Public health teams from Southampton, Hampshire and IOW meet quarterly to develop working arrangements such as a pan Hampshire dangerous drug alert warning system. Best practice is shared in relation to preventing drug related deaths, drug and alcohol treatment and harm reduction.
  • Update our alcohol needs assessment. UPDATE March 2019Resource identified within PH but unable to complete. Further discussions required to take forward with current resources. We have however developed an alcohol focused team within our treatment system, separate from the drugs provision in order to better meet the needs of alcohol users.  We were also successful in bidding for Public Health England funds (£500k approx.) to develop a family support team, working with families where parents are alcohol dependant. Reduced capacity in the partnership support team has prevented further work at this stage. 
  • Whilst maintaining a focus on recovery, increase our focus on  harm reduction approaches which are evidence based to improve outcomes and save lives. UPDATE March 2019 Low threshold prescribing (LTP) was implemented in April 2018.  A Harm reduction outreach worker was recruited Both approaches are targeted at the drug users most at risk of harm or death. We currently have 16 high risk service users on LTP. Public Health and partners are developing guidance around best practice to reduce harm from drugs at festivals and the night time economy.
  • Continue to support Safe Space in the Guildhall Walk. UPDATE March 2019 Safe Space continues with funding from the CCG and University of Portsmouth
  • Work with partners to ensure best practice within licensed premises and the evening and late night economy to reduce crime. UPDATE March 2019 The multi-agency Licensing TCG (tasking and co-ordinating group) continues to meet and is now considered business as usual.
  • Work together to address drug related crime. UPDATE March 2019 Working relationships between police and drug services have developed through Operation Fortress, working together to protect vulnerable people from exploitation, violence and intimidation from criminal networks.  Evidence shows that engaging drug users in treatment can help to reduce crime. Drug service continues to work with drug using offenders to engage them in treatment.
  • Understand more about the increasing numbers of drug related deaths. UPDATE March 2019 An audit of drug related deaths was completed in July 2018 and presented to SPP.  A number of actions have been implemented such as harm reduction worker, low threshold prescribing,  naloxone distribution, monitoring, drug alert warning system.
  • Provide support and low threshold prescribing to drug users most at
    risk of overdose and drug related death. UPDATE March 2019 As above – low threshold prescribing in place for the highest risk drug users, at risk of overdose/death.  Currently (Jan 19) 16 on the scheme.
  • Provide Naloxone, the heroin antidote, to a range of settings, including a scheme to distribute through pharmacies. UPDATE March 2019 Naloxone has been made available to drug users and their carers for a couple of yearsIt has been provided to hostels ad supported housing where drug users live and training provided to staff There are eight pharmacies with high needle exchange footfall and these have been distributing naloxone since June 18. 
  • Improve joined-up/multi-agency working, particularly to engage the most complex/vulnerable/challenging people to meet their treatment and support needs and reduce risks to themselves and others. UPDATE March 2019 Substance misuse services actively engage with other partners working with complex individuals.  Our harm reduction worker engages with agencies around very complex individuals.  We are currently undertaking work to review and improve healthcare provision to homeless people and further exploring the possibility of an outreach team in line with NHS 10 Year Plan.
  • Make better use of buildings and develop co-location of services. UPDATE March 2019 The use of buildings has been rationalised use of within the substance misuse provision and co-location is being developed, for example our new family support team working with families with alcohol dependent parents will be based with and deliver from the city’s six family hubs as part of the early help offer.
  • Public Health to deliver population level behaviour change
    programmes. UPDATE March 2019 Capacity to deliver broad programmes has reduced in line with resources.
  • Develop the Drug and Alcohol Support Service (DASS) for young
    people in need of support with substance misuse. UPDATE March 2019 Reduced resources means that this service is only available for children with a high level of need and some help is available for T3 children via Early Help Team. 
  • Personal, Social, Health Education (PSHE ) Officer (new post) based
    in Public Health Team, will work with schools to deliver high quality
    support, guidance and advice to primary, secondary and special
    schools. UPDATE March 2019PSHE Traded Service Manager has been in post since Sept 2018 and is funded until September 2020. Further funding will be reviewed Jan-March 2020 in light of how much income the traded service is generating. The traded service is due to be marketed to schools from April 2019, and will be available to schools from September 2019. There will be a “free” minimum offer to all schools (including support in implementing mandatory RSE), and an additional offer which schools can buy into. This additional offer will include an audit of school need, tailored support, and quality assured training and resources. Through Public Health Transformation Funding the PSHE Traded Services Manager is due to be trained to deliver Youth Mental Health First Aid (MHFA) training, and will be in a position to roll out training to primary schools from June 2019 (as a free offer to schools). There is already national funding to fund MHFA training in secondary schools, though the Traded Services Manager can also deliver to secondary schools as required. The post-holder is working with wider partners to support schools to meet the requirements of statutory PSHE, which relate to all SPP Plan priority areas. 
  • Develop resources and materials which support the personal and
    health development of young people in schools and other settings. UPDATE March 2019 A framework to support schools deliver PSHE is being developed which will signpost schools to quality assured materials. Feedback from schools and pupils will inform the evaluation of the local PSHE Framework offer. Uptake of the PSHE Framework by schools from Easter 2019 and Ofsted inspections from September 2020 will give an indication of how well schools have adopted and used the Framework and support. The implementation of the new Relationships Education, Relationships and Sex Education, and Health Education in England (https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/780768/Government_Response_to_RSE_Consultation.pdf) is likely to be implemented in September 2020.
  • Re-establish and lead the PSHE school leads network. UPDATE March 2019 Established with second network meeting held in December 2018. Work underway to get better involvement from secondary schools.  
  • Develop a PSHE traded service for schools. UPDATE March 2019 On-going – see above
  • Explore options to provide targeted early support to young people
    identified as at high risk of exploitation. UPDATE March 2019 Successful OPCC bid to the Home Office for funding to support the development of a Hampshire-wide ‘Trusted Adult Workers’ programme including training. Likely to support between 10-20 young people identified by practioners (rather than inviting new referrals) through MASH. Procurement of collaborative contract with voluntary sector providers in progress with a view to work starting 4th February 2019 to run until March 2020.  Discussions with alternative funders to extend and sustain early intervention on-going.

This work is also reflected in the Health and Wellbeing Strategy.