Service User Involvement…A Partnership Approach

Substance Misuse Partnership Commissioning Team

Caroline AbbottDiane Lee

Caroline MarshallCatherine Piper

Jez MitchellPamela Kennett

Strategic Overview of the Commissioning Team

• What do we do as a team ?

• Who do we commission ?

• What services are provided ?

Caroline AbbottHead of Public Health

Substance Misuse(NTA commissioningand treatment lead)

Diane LeeSubstance Misuse

Programme Manager(PCT commissioning and

criminal justice lead)Pam Kennett

BusinessCoordinator

Caroline MarshallProject Development

Manager

Catherine PiperServices Coordinator

Jez MitchellDevelopment Worker

(secondment)

Commissioning Team

Substance Misuse – our current position 2008/09

• Annual Needs Assessment• 2764 Problematic Drug Users (PDUs)• 1905 (69%) engaged in treatment over past 2

years• 859 PDUs not accessing services• Increasingly ageing population

Needs Assessment 2008• Key treatment planning priorities- IDTS & HMP & YOI New Hall- Safeguarding agenda- Improving social re-integration- Improving treatment journey- Improve TOP compliance- Improve commissioning of Tier 4 treatment- Maintain service user involvement

SERVICE

USER INVOLVEMENT

Why do we need SU involvement? 

Service users tell us they do better in substance misuse treatment when they are directly involved in defining their needs and in the development, delivery and evaluation of the treatment they have offered to them.  They are a vital member of the partnership approach we take to offering the best substance misuse treatment and care we can in the Wakefield District.   

Service User Involvement

• Involvement increases people’s choices and control in their lives and most people want a say in the delivery of services that affect their lives.

• Involvement leads to services that people want to use and results in needs-led services.

• • Involvement reduces discrimination and makes

services more accessible

Local Picture

In May 2006 informal research was undertaken by the Project Development Manager with services users within substance misuse treatment services to determine their views and suggestions for service improvement around service user involvement and harm reduction provision in Wakefield.

This was the start of a partnership journey which has enabled commissioners, providers and service users to evolve and develop processes which are integral to the service user involvement framework.

This led to Commissioners developing a partnership:

• Service User and Carer Strategy

• Service User Action Plan

• Service User Involvement Model

Local Picture

• From the Action Plan we developed a Service User Forum consisting of service user representatives from the treatment system who are the voice and link for all service users. The reps are instrumental in supporting the different levels of service user involvement we see today:

This is the Forum’s official logo created by the service user representatives and used on all

documentation

Local Picture – Service User Forum

The Service User Forum has it’s own:

• Constitution• Terms of Reference• Model• Budget• Personal Development Plans

Success within field: • 6 Reps have progressed and are employed as Substance Misuse Workers • 2 Reps have progressed and are Support Workers specifically around service user

involvement

• Used as an example of good practice in the PCT PPI Toolkit

Service User Forum

Operational Level

• Coordinate service user groups and activities• Lead on peer led research• Produce service user magazine• Support client participation surveys• Facilitate peer led training i.e. overdose and safer injecting• Participate public health training courses including

participatory appraisal training

Service User Forum

Strategic Level

• Consult and participate in the delivery of service user improvement and delivery within commissioning and provider functions

• Members of commissioning and provider work groups

Service User Involvement Model

• Service user involvement – at all levelsProgression:

• Service User RepresentativeProgression:

• VolunteerProgression:

• Skills and knowledge to apply for paid employment

Service User Model

• The Model has developed over the last 2 years with a partnership approach.

• Service users have the opportunity and support to gain confidence, skills, knowledge by participating at different levels of the Model

• Alternative pathway leading to Job Centre plus employment/training programmes

Future plans• Balance Scorecard – Measurement outcome

tool for service users• Development Personal/Professional Files• Peer Led training and facilitation• Peer Led research• Increase number Service User Representatives• Increase Volunteer roles• Service users participating interview panels

Caroline Marshall

Project Development Manager

Substance Misuse

Public Health

Email – Caroline.Marshall@wdpct.nhs.uk