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					                               UNAPPROVED MINUTE

                ABERDEEN ALCOHOL AND DRUGS PARTNERSHIP

                      Meeting held Monday, 17th August, 2009
                        at Summerfield House, Aberdeen


Present:-    Richard Carey (Chair); Councillors James Kiddie, Gordon Leslie; and
             Willie Young, Bert Donald and Andy Imray, Grampian Police; Paul
             Hannan, ACVO; Senga MacDonald, Aberdeen Alcohol, Drug and Blood
             Borne Virus Forum;      Chris Stewart, Depute Manager, Aberdeen
             Community Health Partnership; Simon Rayner, Karen Gunn, Sandy
             Kelman, Jennie Biggs and Fraser Hoggan, NHS Grampian; Fred
             McBride, Rhona Jarvis and Mairi-Anne Macdonald, Aberdeen City
             Council; and Fiona Gardiner (Note).



APOLOGIES

Apologies for absence were submitted on behalf of Lesley Wilkie, Director of Public
Health; Pat Greenhough, Scottish Drugs Forum; and Audrey Mooney, Scottish Prison
Service.



MINUTE OF PREVIOUS MEETING

The minute of the meeting held on 11th May, 2009 was approved. As a matter arising
Councillor Kiddie was disappointed to note that there was no update at today’s meeting
on proposals to improve engagement including the development of Advocacy Services.

Action
Sandy Kelman agreed to enquire into this and ensure that an update is provided
for the next Alcohol and Drugs Partnership meeting.



PRESENTATION – QUAY SERVICES

Richard Carey introduced Luan Grugeon of Quay Services by referring to a previous
meeting he had already had with representatives of the organisation where he had
learned about the potential to add to the service provision to help people combat
substance misuse. Richard Carey and Fred McBride are both of the view that there is a
need for a strategic framework for commissioning of services which will enhance efforts
to demonstrate that decisions to fund or not fund service elements are undertaken
within a robust framework and in a clear and transparent manner.

Ms. Grugeon advised that Drugs Action have been providing Quay Services for 15
years and have been running a drop in centre for five years. There is a close working
relationship with the City Council and Grampian Police as well as other public agencies.
Feedback from Grampian Police has confirmed that the services offered and the
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contacts made reach the vast majority of sex workers operating in Aberdeen city centre.
In 2008 the service made more than 700 referrals to other agencies for advice and
assistance. She said that the service has an effective management information system
which ensures that outcomes can be monitored and it is clear the services are making a
difference to the physical and mental health of clients and there is evidence of changes
in behaviour and attitudes over time.

Ms. Grugeon highlighted three key developments which the organisation would wish to
launch. One is a diversion from prostitution scheme which has been welcomed by
Grampian Police. It would offer a quick route out of prostitution before women become
too involved in the activity and the associated lifestyle. One of the aims would be to
have former sex workers undertaking case work with women new to the industry.

The second developmental project would be to fund a GP and a nurse practitioner to be
in the drop in centre one evening per week. This facility has been offered elsewhere in
Scotland and has proved successful as physical and mental health issues can begin to
be treated when they first arise rather than waiting until the women present with serious
health problems. The final initiative is to build social capital as women who lack
effective social networks, an employment history and a supportive family struggle to
overcome problematic drug use and the prostitution activities often associated with it.
The scheme would involved a volunteer co-ordinator training buddies to work with
women involved in the sex industry to encourage them to undertake social and
volunteering activities, attend evening classes and develop the confidence to raise their
aspirations and pursue goals to change their lifestyles.

On behalf of the Partnership Richard Carey thanked Luan Grugeon for her informative
presentation.

Action
At the suggestion of Councillor Kiddie, it was agreed to request the Clerk to the
Aberdeen Community Health Partnership to arrange for Ms. Grugeon to make her
presentation at a future CHP meeting.



PRESENTATION – STREET PASTORS

Richard Carey introduced Martin Hill of the Aberdeen Street Pastors Scheme. Mr. Hill
advised that the scheme presently has 50 volunteers working in teams of three on
Friday and Saturday nights in the city centre. They have already built up good working
relationships with Grampian Police, NHS emergency staff, door stewards and taxi
marshals. City Council officials with community safety responsibilities are also linked
into the work of the pastors. The pastors talk to vulnerable people on city centre streets
at the weekends and their informal approach has helped defuse potential trouble and
has in some cases encouraged people to seek help from mainstream services. Mr. Hill
explained that volunteers pay £300 from their own funds or from their church in order to
undertake the training programme. The training programme involves a total of 12 days
and at least four days training must be undertaken before a volunteer can begin to take
part in street patrols.

On behalf of the Partnership Richard Carey thanked Mr. Hill for his presentation.
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Action
The Partnership noted the information from the presentation on Aberdeen Street
Pastors and Bert Donald, Grampian Police, took the opportunity to emphasise
that the scheme has already made a significant contribution to improving safety
in the city centre at the weekends.



DRUGS TREATMENT AND REHABILITATION

Simon Rayner referred to the key improvements reflected in the performance report for
the first quarter of 2009/2010 in respect of the strategic priorities of (1) reducing waiting
times for drug treatment and rehabilitation services, (2) increasing the number of drug
misusers in contact with treatment and care services, (3) increasing the number of drug
misusers successfully completing treatment and (4) increasing the number of people
recovering from drug problems who enter training, education and employment. It was
noted that only the first quarter data is available for the community rehabilitation service
and therefore no trend comparison is possible at this stage. The statistics show an
overall improvement in performance and Simon confirmed that planned discharges
from services was used as a proxy indicator of successful outcomes. In relation to
progress to work the aim is to have 200 clients per year participating in employment or
education.

It was noted that at the first quarter of 2009/10 235 people are waiting for drug
treatment services in Aberdeen city, with some of them actually receiving methadone
through a treatment programme via their GP. However these clients need to be
included in an appropriate rehabilitation programme in order to fulfil the Scottish
Government’s drug strategy. The meeting was pleased to note progress in relation to
the site of the premises for the integrated drug service and they were informed that
Nicola Sturgeon Cabinet Secretary for Health and Wellbeing was visiting Aberdeen
later today and would be at the Timmer market site.

Action
Simon Rayner will arrange to speak to Paul Hannan on further details to be
included in future reports so that the Partnership can be assured that a complete
picture of the pathway to services is reported. Simon will contact Senga
MacDonald to discuss admin support for organisations involved in
implementation of the electronic SMR 25 form.



HEAT READINESS

The meeting noted the progress report in relation to HEAT targets for access to drug
treatment services. It is understood that in 2010/11 work will begin on establishing the
equivalent HEAT targets for alcohol services. Measures are likely to be on the
percentage of people seen within 21 days from referral to assessment and on
percentage of people who have commenced treatment within 14 days of assessment.
Simon Rayner advised the meeting that locally notional targets had been set and the
quarterly performance reports benchmarked against them.               It is anticipated
representatives from our services will be invited to discuss the proposed HEAT targets
with government representatives.
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Action
it was agreed to note the position in relation to HEAT targets.



PILOT PROJECT – INTEGRATED DRUG SERVICE AND HMP CRAIGINCHES

Simon Rayner advised the meeting of a proposed six month pilot project to work with
20 prisoners suitable for initiating onto substitute prescribing treatment while within
prison who will be able to see the same doctor on release at the clinic within the
integrated drug service. The aim would be to move the patients onto their GP once a
16 week stabilisation period has been completed with an appropriate care plan and
community rehabilitation support. It was confirmed that where the patient’s GP practice
is not involved in methadone prescribing then the integrated drug service will retain
responsibility for them to ensure there is no break in the continuity of care and
treatment.

Simon Rayner confirmed that the results of the pilot project will be evaluated and a
feedback report submitted to a future Partnership meeting. In relation to some
concerns that prisoners and ex prisoners would be seen to be having priority over
potential clients in the community it could be successfully argued that prisoners by
definition are very vulnerable people and present a high risk profile. There is evidence
that a high number of people going into prison are relatively stable on methadone and
there is an opportunity for community based criminal justice services to undertake
reducing offending work with them on their release.

Action
Councillors Kiddie and Leslie as members of the Aberdeen Prison Visiting
Committee welcomed the proposal as they and their colleagues have been
making representations for some time to have such services available to
prisoners on release into the community. They indicated they would use the
briefing paper to inform their colleagues on the Prison Visiting Committee of this
significant progress. The Partnership welcomed the proposal and noted that the
evaluation report will be submitted to a future meeting.



RECOVERY STRATEGY UPDATE

Mairi-Anne Macdonald advised that the City Council’s approach within its redesigned
services is to develop a whole service delivery method by aligning and working more
closely with partner organisations. Key components of the recovery strategy are (1) to
expand input into the integrated drug service to meet the needs of more clients by
enhancing staff resources in respect of social work and administration and develop
stronger links with Criminal Justice Social Work services, (2) to expand social work
contacts to all GP practices for the purposes of joint care planning, (3) to expand
community rehabilitation and (4) to have Family Centre staff working more closely with
the Substance Misuse Service in assessment, care planning and targeting services to
assist substance misusing parents and children and young people who are themselves
misusing substances or are affected by parental misuse of substances.

The City Council and NHS Grampian are holding a rapid improvement event on the
recovery strategy at the end of August and other partners will be invited to further
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improvement events to be held in September and October. Simon Rayner advised the
meeting that invitations had recently been issued for a benchmarking seminar on
access and delivery on 30th September, 2009 from 10.30am to 4.30pm. The seminar is
being held in Aberdeen and is targeted at senior practitioners, clinicians and service
managers. The seminar chair is Neil Hunter, General Manager of Glasgow Addiction
Services. Participants from Edinburgh, Glasgow and Ayrshire and Arran will be
attending and the event provides a good opportunity to learn about best practice in
other parts of Scotland.

Action
The meeting noted progress in relation to the Recovery Strategy and that a
summary of the outcomes of the benchmarking seminar on 30th September, 2009
will be submitted to the next meeting of the Partnership.



STRATEGIC COMMISSIONING FRAMEWORK

Fred McBride, Director of Social Care and Wellbeing at the City Council and Richard
Carey advised the meeting that the briefing paper on a joint commissioning strategy is
part of much larger document which is regarded as a work in progress as thinking on
the strategy develops. The Aberdeen Community Health Partnership has arranged a
workshop to discuss the strategy in more detail. Councillor Kiddie welcomed the fact
that the framework for commissioning includes collating and analysing views of users
as recent experience within the City Council shows the value of that approach. There is
clearly a need to develop individual and collective advocacy. He commended to
officers a book on advocacy by Professor David Donnison of the University of Glasgow.
Sandy Kelman advised that he was in the process of trying to recruit a part time
information officer for the Alcohol and Drugs Partnership and he envisages part of their
duties involving obtaining information from service users and carers. It was noted that
the Partnership’s Sub-Groups would have the opportunity to be involved in the
development of the detail of the commissioning strategy.

It was agreed it would be useful to have the commissioning strategy in place for the
start of the financial year 2010/11 as it will be a key part of efforts by commissioning
organisations to demonstrate to the public that resources are being used as effectively
as possible in a constrained financial climate.

Senga MacDonald offered the assistance of her Forum as they would welcome the
opportunity to help in the development of the strategy.

Action
The meeting noted progress made in having a joint commissioning strategy.
Sandy Kelman agreed to contact Councillor Kiddie to discuss in more detail his
proposals in relation to the proposed role of part time Information Officer in the
Support Team.



PLANNING STRUCTURE

Simon Rayner reminded the meeting that one of the required actions from the Scottish
Government is to have a Joint Service Delivery Plan for Drug and Alcohol Treatment
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Services. The meeting noted the proposed structure of Groups and Simon and Mairi-
Anne Macdonald advised that in addition throughout the year rapid improvement events
would be held which would provide opportunities for involvement by the voluntary
sector. The meeting was advised that service providers are already meeting regularly
with NHS Grampian and Aberdeen City Council officers and that this paper just deals
with a narrow aspect of the wider issue of engagement with the voluntary sector and
other partners. For instance there would need to be a consultation process to review
and update the Drugs Strategy so that it also covered issues such as prevention, harm
reduction and long term recovery.

Action
The meeting welcomed the proposed structure and Fred McBride agreed to
discuss with Paul Hannan ideas and options to strengthen the involvement and
engagement of the voluntary sector in a representative and strategic way.



ABERDEEN CITY DRUGS, ALCOHOL AND BLOOD BORNE VIRUS FORUM

Senga MacDonald referred to her report which reflects the success of the seminar on
19th June, 2009 which effectively relaunched the Forum.        Since the meeting the
Forum’s website has been developed and Laura Gray, Head of Communications, NHS
Grampian agreed to assist in arranging for relevant documents to be added to the site.

In relation to the Action Plan drawn up at the seminar it was noted that access to
services and attitudes of professionals to clients would be two of the issues to be
addressed by the Children’s and Young People’s Sub-Group of the Partnership.
Sandy Kelman advised that the Grampian Medicines Management Group is examining
the issue of the use of the drug Naloxone and there is already strong support for
training to administer it. Senga advised the meeting that a research review had not yet
revealed any evidence that availability of this drug led to an increase in risk taking
behaviour and experience in Glasgow has shown the positive benefits of the availability
of Naloxone.

Action
The Partnership welcomed the positive feedback in relation to the Forum and
Laura Gray will contact Senga MacDonald regarding assistance in relation to the
Forum’s website.


CHILDREN AND YOUNG PEOPLE’S ISSUES

Mairi-Anne Macdonald as Chair of the Children’s and Young People’s Sub-Group
provided an update. There will be an introductory open forum meeting focusing on (1)
prevention, (2) children and young people who are involved with substance misuse
looking at access to services, and (3) the impact of parental substance misuse. Work
has already commenced on improving the integration between children’s and adult
services including devising an integrated assessment framework. It was confirmed
that clients who are parents can be identified as they access services.
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Action
The meeting noted progress and Simon Rayner agreed to check relevant service
specifications to ensure that all relevant data on clients who are parents is
recorded.



SWIA UPDATE

Sandy Kelman advised the meeting that the SWIA report will be published in
September, 2009. Informal indications are that the report will be largely positive with
no further recommendations. Any further follow-up action by the Inspectorate will be
taken forward as part of the standard inspection regime.



      DECLARATION OF INTEREST

      Councillor Leslie declared an interest in the subject of the undernoted item
      by virtue of his membership of the Board of Alcohol Support Limited.
      Councillor Leslie did not feel it necessary to withdraw from the meeting
      during consideration thereof.



ALCOHOL ISSUES

In relation to commissioning Simon Rayner advised the meeting that the retendering
exercise has reached the stage of the service specification being placed on the NHS
website at the end of this week. Interested parties will have six weeks to submit
proposals and presentations from potential providers will take place on 14 th and 15th
October, 2009. The meeting was assured that the current provision will continue to be
funded meantime and any change will be undertaken in a managed process. Simon
Rayner confirmed that the commissioners were looking at alternatives to hostel
accommodation in addition to commissioning a place of safety.

Action
The meeting noted the update.


ALCOHOL TASK GROUP

Jennie Biggs advised that good progress was being maintained in relation to the
Alcohol Strategy and a formal launch/sign-up event will take place on 24th November,
2009 (subject to confirmation). The Task Group has been successful in securing a
commitment to a significant contribution to the objectives of the Strategy from
Children’s Services and there has been increased recognition of alcohol issues being a
priority in their own right in addition to being seen as a golden thread running through a
number of service Plans.

Action
The meeting noted the progress report.
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FINANCIAL ALLOCATION FOR ALCOHOL AND DRUGS MISUSE 2009/10

Richard Carey referred to his letter of 10th July, 2009 sent to the Chairs of the three
Partnerships in the North East and pointed out that the meeting referred to which was
due to take place on 16th July, 2009 had been postponed.          However, there is a
commitment to meet with the Chief Executives of the three North East local authorities
to agree on the disbursement of funding which makes best use of the available
resources. Richard Carey also referred to one of the recommendations in the report
from Neil Whyte (Financial Update) and confirmed that the Chief Executives would also
be asked to agree on a recommended process that allows for financial issues to be
addressed timeously during the financial year.

Action
Richard Carey will be contacting the three local authority Chief Executives to
take forward the actions in his letter of 10th July, 2009 and the broader issue of
having an agreed robust process to address financial issues timeously.



FINANCE REPORT

Neil Whyte referred to his report which sets out overall funding and out-turn information
in respect of the Partnership’s budget as at July, 2009. The meeting agreed with his
assessment that there is a need for a process to have a more in-depth examination of
the use of resources. The meeting was assured that there were sound reasons for the
reported underspending of non-recurring funds.        Officers explained that problems
arising from delays in recruitment and available office accommodation had been
overcome. The Partnership was reminded that the Substance Misuse Service has
been enhanced and the Scottish Government Minister for Community Safety, Fergus
Ewing, recently commended the progress he had noted when he visited Aberdeen.

The meeting accepted that the financial constraints served to emphasise the
importance of having a strategic commissioning framework in place with agreed
Partnership priorities which reflect appropriate involvement of voluntary sector
representatives.      The Partnership is confident that this can be achieved and any
potential conflicts of interest overcome.

Action
The Partnership approved the recommendations as set out in the Finance
Manager’s report but noted the need to await the outcome of the discussions
between Richard Carey and the Chief Executives of the three North East local
authorities on their proposals for a robust process to address financial issues.



PARTNERSHIP MEMBERSHIP

The meeting noted the request from the Aberdeen City Civic Forum to have a
representative join the Partnership. Sandy Kelman explained that the Civic Forum has
representatives on all Challenge Forums and the Partnership is such a Forum for
community planning purposes.
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Action
It was agreed to invite the Civic Forum to nominate one representative to serve
on the Partnership and to suggest that it may be in their interest to try to ensure
that the representative is also their representative on the Aberdeen City
Community Health Partnership.



POLICE REPORT

Andy Imray, Grampian Police, highlighted the main points from the statistical report and
advised that the report should include details of an additional significant recovery of
controlled drugs as a result of a successful police operation. He pointed out a change
in the level of reporting of licensing offences and this is the result of an initiative to focus
on these crimes and record them as such rather than treat them as common law
offences. Jennie Biggs advised that the refinement in reporting in this respect was
welcomed and had already been noted at the Aberdeen Local Licensing Forum. Andy
Imray advised that Grampian Police were making ten submissions to the Licensing
Board in relation to offences which could lead to the suspension of licences as a result
of misconduct by managers or staff within licensed premises.

The meeting noted that the Unight Scheme involving licensed clubs was due to be
launched later today and that the successful Best Bar None Scheme will recommence
in October. The meeting was advised that the Criminal Justice Community Safety
Sub-Group of the Partnership will discuss the information contained in this report in
more detail.

Action
Andy Imray was thanked for his informative report and it was noted that future
reports will include figures on the number of calls received by the police in
respect of drug overdoses.



MANDATORY DRUG TESTING – EVALUATION REPORT

The meeting noted the main findings of the research into the pilot Mandatory Drug
Testing of Arrestees and that there had been a recent announcement by Kenny
MacAskill, Justice Secretary, that this approach will not be rolled out as the results of
the pilot do not demonstrate sufficiently effective use of resources to have confidence
that continuation would impact on vulnerable and at risk drug users.



CAMPAIGNS

The meeting noted information on Alcohol Awareness Week 2009 and on the campaign
in relation to Volatile Substance Abuse.

In relation to the evaluation report on the 2008 Alcohol Awareness Week, it was noted
the Fraser Hoggan could be contacted if information was required in relation to the local
campaign as the circulated evaluation report relates only to the national campaign.
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Action
The information was noted.


SAADAT MINUTES

Action
The meeting noted the minutes of SAADAT meetings held on 21st January and
20th May, 2009.



ROAD TO RECOVERY- ONE YEAR ON

The members of the Partnership were asked to note the availability of a document on
progress which can be accessed at www.scotland.gov.uk/Resource.Doc/273739/
0081808.pdf.



NEXT MEETING

It was confirmed that the next Partnership meeting will take place on Monday, 9th
November, 2009 at 10.00am at Summerfield House.

				
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