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					Blackfriars Road Residents Response to the Restructuring of Drug and
Alcohol Services Consultation



Introduction

This response represents the views of representatives of local residents from
estates and properties on and around Blackfriars Road to the consultation on
the re-structuring of drug and alcohol services in Southwark.

Since late 2008 residents have been meeting on a quarterly basis with local
councillors, council officers, the police and other agencies to share
intelligence and seek solutions to crime and anti-social behaviour problems
associated with drug dealing, drug taking and alcohol associated ASB in the
local area. These meetings are referred to as the Blackfriars Road ASB,
Drugs and Alcohol group.

This response has been put together following a presentation by Mark Allen,
Director of Specialist Services, at South London and Maudsley NHS
Foundation Trust, to the Blackfriars Road ASB, Drugs and Alcohol group
meeting on the 7th September and a further meeting of the group on the 7th
December to consider the consultation document.

Residents who live on and around Blackfriars Road have a particular interest
in the restructuring proposals as one of the 2 sites currently used for clients
with complex drug and alcohol problems is the Community Drug and Alcohol
Team (CDAT) on Blackfriars Road. They also have strong concerns that any
changes to drug and alcohol services or to client profiles or numbers at CDAT
could increase or add to existing crime and ASB problems in the local area.

Response to the content and questions in the consultation document

Residents felt strongly that any changes to the service should guarantee 2
things

-that there is no negative impact on the quality of life of local residents in and
around Blackfriars Road as a result of any proposed changes

-and that any changes lead to improved outcomes for the service users


In relation to the consultation document residents made the following
comments

-that they would have liked more references to the source of the figures in the
background section on page 4




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-that the strategic objectives on page 5 appear not to have the welfare of the
community as a priority.

-that there is no indication of how the successes of delivering against the
strategic objectives are measured


The Substance Misuse Primary Care Strategy

Residents have serious concerns, and in general did not support any strategy
that leads to more substance misuse clients being referred to local GP
practices. Residents made the following points

-that referring substance misuse clients to local GP practices will have a
negative impact on the time availability of doctors to see other patients
-that not all GP’s will take these clients
-that they were concerned about whether the views of GP’s would be taken
into account?
-that the safety of other patients could be compromised
-were interested to know whether GP’s would get extra money?
-that GPs are not qualified to provide the specialist treatment that Marina
House and CDAT are able to provide

Distribution of clients by postcode for existing services

Residents did not feel that the % distribution of clients by postcode from the
north of the borough was significant enough to add weight to option 3 being
the preferred option.

A further comment was made that there was no analysis of the existing
effectiveness of treatment services in the consultation document.


What we are proposing

In regards to the possible options residents had the following views

1) Making no changes to SLAM service and finding the savings
   elsewhere

Residents felt that this option should be considered but were opposed to the
suggestion that any alternative savings should be found by reducing alcohol-
related programmes. They believe consideration should be given to finding
the savings elsewhere in NHS Southwark’s budgets.

2) Maintaining SLaM services at both sites but downgrading provision

Residents did not support this option




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3) Locating all SLaM staff at CDAT and locating the Integrated Offender
   Management Service at Marina House

Residents have concerns about this option, which have already been
articulated in this response. If, however, option 3 was likely to be adopted
residents would

-support the use of more satellite clinics
- and would want new and more robust measures and arrangements to be put
in place to better manage and reduce any associated crime and ASB issues
with clients being seen at CDAT. These arrangements should be agreed and
include ongoing involvement from local residents.

4) Accommodating SLaM staff at Marina House and locating the
   Integrated Offender Management Service at CDAT

There was no support for this option

5) Accommodating all SLaM staff at a new site that would be centrally
   located within the Borough and locating the Integrated Offender
   Management Service at Marina House

Residents believed this option should be considered on the basis that the new
site was centrally located, as this would beneficial for service users wherever
they live in the borough. Residents did not suggest a location for the new site.

6) Accommodating all SLaM staff at a new site that would be centrally
   located within the Borough and locating the Integrated Management
   Service at CDAT

There was no support for this option

Summary

Residents have strong concerns about the possible negative impact on the
quality of life for local residents of any proposed re-structuring of drug and
alcohol services and on the effectiveness of the treatment services for service
users.

Furthermore, although the figures in option 3 show the numbers of clients
attending CDAT being reduced, the consultation document does not address
or provide any measures or reassurances that the new model of services will
reduce or improve crime and ASB problems associated with clients in and
around Blackfriars Road.

For these reasons residents are unable to support option 3 and have asked
that options 1 and 5 should be considered as the preferred options.




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Mike Tuppen, Octavia Hill resident
Maxine Walker, Chair of Nelson Square TRA
Jenny Marquis, Chair of Peabody Blackfriars
Jill Goddard, Chair of Webber Row and Quentin
Maria Sayers, Administrator of Applegarth TMO
Chris Hartup, Nelson Square resident
Joe Beckles, Chair of Lant TRA
Zoe Bulmer, Styles House resident
Karen Illingworth, Chair of Styles House
Pat Notton, Chair of L’sborough and Scovell TRA
Jean Bates, Tadworth House resident
Doris Ottley, Applegarth TMO resident
Rosina Humphreys, Applegarth TMO resident
Deborah Stewart, Blackfriars Peabody resident




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