Substance Misuse Services

The contract for Substance Misuse Services in South Gloucestershire is spilt into three core elements as follows: Element 1: Engagement & Primary Intervention Delivering the following services: • Health advice and risk management approaches to both voluntary clients and statutory criminal justice clients. • Active management of service users during transitions from the prisons, courts, and young people services into the adult treatment system. • Proactive engagement with hard-to-reach users with emerging trends, such as the Novel Psychoactive Substances (NPS), steroids, and stimulants. • Act as a gateway into recovery services and provide outreach services • Offer harm reduction interventions, which includes needle exchange for both community and pharmacy. This will include managing a dedicated budget where the spending will be monitored on a quarterly basis. • Act as a crisis intervention support service for clients throughout the treatment journey of the service user and wrap around the entirety of service provision to assist in minimising unplanned discharges and improving the opportunities for achieving the ultimate goal of sustained abstinence. • Deliver Naloxone programme. • Assist community partners, particularly those who are considered as priorities in South Gloucestershire, in developing themselves as effective points of information • Manage a dedicated budget for Travel and Subsistence of service users. This budget is not part of the funding envelope for this contract. The spending will be monitored on a quarterly basis. Element 2: Integrated Primary Care Services, including Single Point of Contact • Offer a rapid triage assessment and refer service users to the appropriate services. • Operate between Monday and Friday, 09:00am – 17:00pm. Out of office hours can be agreed in advance. • Establish the data and performance hub, of which there will be a dedicated team of data specialist whose work is ring-fenced to the local treatment system. The team will be expected to embrace proactive use of performance data to inform the service delivery across the treatment system. • Manage the chosen case management system that complies with NDTMS core datasets, with the ability to submit the data into DAMS. This will also include training all users of the system and making appropriate investments to improve data accuracy as well as have the capacity to generate insights in a swift manner. • Abide by the data sharing protocols, which includes, but is not limited to the death in service reviews, the Multi Agency Risk Assessment Conference (MARAC), Families in Focus (the local version of the Troubled Families Agenda), and Safeguarding Children and Adults. • Attend to routine and ad hoc data requests from the DAAT. b) Integrated Primary Care Services • Build on the previous shared care and biopsychosocial service by fully integrating into the satellites GP surgeries and becoming part of the care team. • Offer a range of different threshold substance misuse treatments with the aim of engaging service users into the core recovery service, achieving abstinence, and progressing into the throughcare service. • Provide inpatient stabilisation and detoxification treatment with a 365 day coverage. • Offer specialist assessment based on individual need; group based interventions; complementary therapies; 1:1 key work sessions and longer term support groups. • Ensure the availability of rapid access and specialist interventions which include rapid prescribing, community detox. • Provide a range of clinical interventions to those most at risk and those requiring enhanced clinical management prior to transferring into the integrated recovery service model within GP surgeries. • Deliver intervention and brief advice services for alcohol in the North Bristol Trust and primary care establishments to reduce the costs associated with secondary care. • Blood-borne virus (BBV) elements of delivery as part of the specialist service. Please note that the successful provider of this contract will be absorbing a funding of £40,000 per annum from July 2018 to deliver the current Opioid Analgesics Dependency (OAD) Pilot Project. Element 3: Throughcare Services • Assist social reintegration of the service users through provisions of education, employment, training, and volunteering. This will include, but is not limited to, proactive joint working with statutory and non-statutory providers, such as the JobCentre Plus, local work programme providers, and further education establishments in the South Gloucestershire area. • Work with service users who successfully gain employment (paid or unpaid) to sustain their ongoing employment and support their recovery journey. • Address the barriers for service users’ ability to access and sustain suitable accommodations, and develop a range of their life skills. • Oversee the management of a dedicated budget on the Access Scheme (previously known as the Deposit Bond Scheme). This budget is not part of the funding envelope and will be monitored on a quarterly basis. • Support peer support groups and activities such as mutual aid. • Lead in the recruitment, training, supervision, and ongoing support of peer support workers, and ensure that they are given opportunities to work across services to make recovery visible. • Develop key pathways and protocols with the existing VCSE in South Gloucestershire to maximise the available opportunities.