SUBSTANCE USE NETWORK EDINBURGH (SUNE)

MINUTE OF MEETING of 21st January, 2014

1. PRESENTJohn Arthur – Crew (Chair)Carmen McShane – TPS Leith (Vice Chair)Beverley Hubbard – Castle ProjectRhona Hunter – The Harbour Project (Circle)Danny Campbell – NEDACJenny Nicolson – Rankeillor InitiativeAdele Hill – Access to Industry

In AttendanceKate Kasprowicz – EVOCNick Smith - CEC

2. APOLOGIESFiona Weatherall-Morris – PhoenixYanni Yannoulis – COMASMeichelle Walker – ELCAGlen Liddell – CrossreachEmma Crawshaw – CREWShirley Green - VOCAL

3. INFORMATION EXCHANGECASTLE PROJECT/SOUTH EAST – Bev reported that there has been a rise in the numbers injecting melatonin to induce a tan! The service is picking up after Christmas with people who lapsed over the festive period getting back in touch.

NEDAC – Danny has met with a representative from DWP re the issue of benefits being stopped for people deemed fit for work and the failure to acknowledge the possibilities of people in recovery lapsing and using again. DWP have no influence over the ATOS assessment process and Benefits Agency staff don’t like the system either. NEDAC is to provide input into High Riggs and City Centre Job Centre team meetings and hopes that other job centres will be in touch. NEDAC is providing a triage service for the Recovery Hub and the waiting room has been partitioned to provide two triage rooms. The Hub will eventually move into the old Craigroyston Medical Centre. The Harbour Project also has a worker attached to the Hub. Danny gave some feedback re the KAIZEN event planned for March. Various developments will be highlighted and there is likely to be more emphasis on treatment in the community.

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Danny also reported that he had been waiting months for a protocol to be devised to allow the delivery of naloxone. Dundee is much more open than Edinburgh. John Bird will write prescriptions for an hour on the first and third Friday of the month so careful planning is required to hit one or other of these slots.

HARBOUR PROJECT – Rhona advised that the Project works with children and families affected by parental substance use. In partnership with the Sunflower Garden, The Harbour Project received funding from the Early Years Change Fund – Development Fund which will support a worker in both the North East and South East Hubs to build on existing work. Rhona also reported briefly on staff recruitment to the Big Lottery funded Financial Inclusion Project. The Project Manager (currently working with CAB), admin worker and two out seven financial inclusion workers have been appointed subject to references and PVG checks. The 5 remaining financial inclusion worker posts have been readvertised, making the requirements of the post in terms of benefits knowledge less specific on the basis that gaps in knowledge can be addressed in training.

TURNING POINT SCOTLAND - The Care Inspectorate carried out an inspection of the Visiting Support Service in December and Carmen was pleased to support that the report was excellent with the Service receiving 5’s across the board. A suitcase of used needles was handed in and this posed difficulties in terms of getting these uplifted. Staff had to don gloves and use tongs to transfer the needles to Sin Bins. Service Users who lapsed over Christmas were drifting back in. Staff were phoning round people they haven’t seen for a while. Carmen reported that Lifeline (Manchester Based Organisation) was the preferred provider for throughcare/recovery orientated work in the prison

ADELE HILL reported on the programmes currently being delivered by Access to Industry. Funding from the Health Foundation supports the Live Life to the Full programme which targets healthy diet. The Healthy Living/Stress Management programme supports participants to be more confident in their handling of stress. Participants are encouraged to use available computers to carry out job searches after classes and to go on visits to business/colleges. Classes are busy with an average of 14 participants.

JENNY NICOLSON gave information on the Rankeilor Initiative which provides accommodation for 7 men in recovery and a visiting support service for men in recovery or seeking treatment. The project is based in the Cowgate.

4. MINUTE OF PREVIOUS MEETINGThe Minute was approved as an accurate record of the meeting, with one minor amendment – Agenda Item 6, Information Exchange, in relation to South East Hub, line 7 should read tanning aids and not tanninsProposed – Danny CampbellSeconded - John Arthur

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5. MATTERS ARISING5.1 REVISIT REPS ON GROUPS

Kate to circulate list of groups and reps for updating. It was greed that this issue would be returned to at the AGM. Kate will also compile a calendar of meetings then can prompt reps for feedback!

5.2 VISION FOR SUNETo be agreed at AGM. But we aspire to partnership working based on equal respect and reciprocity. The Hubs demonstrate that there is still an unequal power balance between the Sector and Health. There is progress in terms of partnership working but still a long way to go. We need proper integration not just co-location

6. GETTING READY FOR BETTER SERVICESJohn Arthur talked to his update (circulated) on the progress made by SUNE over the past year and in particular the work of the Shadow Governance Group and the work carried out under the auspices of Investing in Ideas – Getting Ready for Better Services, the report of which was circulated prior to the meeting. The pace had been fast and John apologised if some people had felt excluded from the decision making process. Responding to the Market Shaping Strategy and allied timescales had accelerated the need to provide an alternative to tendering services. Information had been circulated on a regular basis to keep people informed and there had been updating and discussion at SUNE meetings. The move to competitive tendering has been halted and a collaborative commissioning approach is being adopted. This approach has been approved by the EADP Joint Commissioning Group. At this point John handed over to Nick Smith to explain the collaborative commissioning concept more fully.

7. COLLABORATIVE APPROACH to Service Design, Alliance Contracting, Quality Standards – Nick Smith, EADP

In terms of developing a Recovery Orientated System of Care, Nick explained that we would not achieve what we need to unless all partners commit to doing things differently; more of the same won’t work. Demand on services is not reducing, so a key driver for exploring different approaches is looking at how to maximise the impact of spending. We need a system of care that is characterised by –

- Coproduction- Outcomes- Recovery and preventative focus- Flexibility- Services based on evidence of need (current needs assessment is 3 years old)- Managed reduction in investment- Clear responsibility for service design (Can be confusing; lines of responsibility in the

Recovery Hubs are not always clear)

The plan is to move to a Commissioning Collaborative, employing a suitably experienced consultant on a short term basis who is not allied to the public or voluntary sector to manage the process. This will help to ensure accountability, transparency and decision making.

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The Collaborative needs – - A commitment to co-production- Action focussed meetings- Strategic thinking across the board; the whole system of care from treatment to

recovery- Good evidence to drive change- Leadership and drive

The Collaborative will need to get down to work quickly – there will be savings to make, accountability to be sorted out etc.

SUNE members present raised the following points in response:-- We need a commitment to transparency and openness from all partners- Need to overcome difficulties in comparing data – not like for like. We need to

narrow it down to give a clear picture. (Nick assured those present that there was a commitment to do this)

- Integration of Substance Use Services - CEC/Health – Nick replied that there was an event planned to look at what Integration is/should look like

- Information Sharing/shared database – David Williams is working on thisNick also looked at the mechanism of developing Alliances

- Alliance membership criteria needs to be clarified as does- Alliance level capacity/performance targets- Organisational Quality Assurance – Consultant to adapt existing framework/s to

meet the needs of organisations- Need to identify levels of Alliance decision making- Identify shared resource- Adopt a culture of responsibility- Joined up complaints system addressed by all partners in the Alliance- Commitment to sourcing alternative funding – we need to more with less

Nick outlined the investment challenges - EADP reductions of £300K in 2015/16 and £400k in 2016/17. Other factors forcing the pace include the Market Shaping Strategy – we need a plan to secure delivery by April 2014.

It is hoped to appoint a consultant to facilitate development of the Collaborative by the end of February, with the Collaborative set up by July 2014

8. DATE, TIME AND PLACE OF NEXT MEETING – SUNE AGMMonday 24th February, 2014 Meeting will start at 12.30pm and be held at EVOC

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