Dundee Alcohol and Drug Partnership (ADP)
Delivery Plan
2015-2018
All aspects of the Dundee ADP Delivery Plan adhere to the ethos of Recovery
captured in the ADP Statement on Recovery below:
STATEMENT ON RECOVERY
This Recovery Statement Is Underpinned By The Principle That Every Individual Is
Capable Of Recovery.
Recovery is about individuals improving their personal strengths and abilities to help them
“live well” through both the good and hard times.
Within the alcohol and drug field, Recovery is about an individual’s journey beyond a life
that is defined by substance use.
Recovery is driven by the individual but firmly based within their family and community.
Recovery is most effective when families and communities help support this process.
1
Dundee Alcohol & Drugs Partnership (ADP)
1.
Introduction
This delivery plan sets out the vision and key priorities for the Dundee Alcohol and Drugs
Partnership (ADP) and the key deliverables in achieving our goals. This plan is focused on
ensuring that the population of Dundee lives in a City where fewer people experience
problems associated with alcohol or drugs and that for those individuals with substance
related problems, recovery is a viable and easily accessible option.
The key focus for the Dundee ADP is to continue reducing the problems experienced by
individuals, families and communities due to substance misuse and, crucially to prevent
any problems from developing in the City. The ADP is committed to progressing evidence
based prevention activities and continuing to improve our recovery-based care pathway by
involving all key stakeholders in the City. Most importantly, this will also involve changing
the culture and the approach to the provision of interventions to ensure service providers,
the individuals who use services, their families and communities embrace the recovery
approach.
In addition, the Dundee ADP will continue to develop our partnerships to ensure early and
effective interventions are available to families affected by substance misuse. We will
continue to facilitate the joint-working between adult and children services to ensure
children affected by parental substance misuse receive timely and effective interventions.
We will also ensure that families, including Kinship carers, are supported to progress in
their recovery journey.
Our priorities are based on delivering better outcomes within available resources which will
be achieved by: prioritising needs, providing joined-up services that give value for money
and ensuring fair access within all localities in Dundee City. In addressing health and
social care inequalities, our plan is consistent with the community planning outcomes in
the Dundee City Single Outcome Agreement (SOA).
As part of the Dundee Community Planning Partnership (CPP), the Dundee ADP will
assist in addressing the root causes of social and economic exclusion by
contributing to the creation of a community that is healthy, safe, confident,
2
educated and empowered. A community where people are able to gain control over
their circumstances, realise their potential and enhance their wellbeing.
More specifically, the Dundee ADP will continue to develop a recovery-focused care
pathway based on closer links with generic services and local communities. In addition, we
aim to ensure that available services are delivered by a highly qualified and motivated
workforce. In recent years, the Dundee ADP has increased its focus on developing
prevention interventions. These interventions include both those aiming to prevent and
delay the onset of substance misuse, and those focusing on early intervention and the
prevention of substance-related problems.
Dundee currently has a strong recovery based system of care. However issues related to
substance use are constantly evolving and a commitment to continuous improvement is
essential to ensure needs are met. Crucially, as highlighted above, there is also a
commitment within the City to ensure resources are targeted to help prevent problems
from occurring in the first place.
To create the conditions necessary to achieve these aims the ADP is committed to the
following aspirations:

Embedding preventative solutions - commissioning services to support individuals
and families at the earliest opportunity to meet current needs and prevent needs
emerging and escalating.

Securing the best range and quality of service provision to meet the current and
future needs of individuals who are experiencing problems associated with
substance use.

Strategic commissioning will be driven by identified need.

Individuals and families receive services appropriate to their needs to help promote
recovery.

The best use of resources is made across all services.

Consistent approaches to collating and analysing data across partner organisations.

Commissioning and service provision will be informed by the evidence base

Ensuring a robust interface with integrated children’s services and the health and
social care agenda
3
The ADP seeks to create seamless services that ensure needs are easily met without
stigma or barriers. Research suggests stigma can be addressed positively by increasing
the ability of mainstream services to respond to the needs of people affected by substance
use and in turn reducing the concentration of specialist ‘stand alone’ services (Ormston et
al, 2010); (UKDPC, 2010).
Good quality and current information is required to help achieve our aims and objectives.
To meet this requirement, the Dundee ADP has developed a rolling program of local
research which provides a “real time” evidence-base informing our activities which support
continuous improvement. This process involves people who use services, local
communities, staff (from both specialist and generic services), and strategic leaders.
In partnership with the Angus and Perth and Kinross ADPs, we have developed a Needs
Assessment (NA) programme. The NA has to date covered; individuals affected by
homelessness and substance misuse, children affected by parental substance misuse
(CAPSM) and issues related to the use and access to new psychoactive substances
(NPS). On completion of each priority area, the NA programme extends to cover other
identified priorities and over the 2015/16 period the Tayside NA will address the
population’s attitudes to alcohol to assist us to more accurately gauge beliefs and
perceptions around the consumption and sale of alcohol.
The Dundee ADP commissioning process involves the active participation of all the
relevant ADP partners. In partnership with Dundee City Council and NHS Tayside, we
have also developed a robust and coherent system to monitor all the services
commissioned to deliver substance misuse interventions and ensure that positive
outcomes are being realised.
Dundee has an active and well attended Substance Forum that works very closely with the
ADP. This Forum now includes representation from people who use services, local
communities, carers groups, as well as a wide range of service providers. The Substance
Forum has taken the lead in developing SMART recovery Groups across the City and is
also helping to lead on the implementation of the review recommendations (see section on
the alcohol and drug review below)
4
We have adopted an asset based approach to working and we actively seek the
contribution communities can offer when involved in the work of the ADPs. Evidence also
demonstrates that this type of community involvement not only increases community
efficacy but also increases their likelihood and capacity to promote recovery in local areas.
The asset-based approach also helps to develop community understanding and
appreciation of socially excluded people and marginalised groups which in turn helps to
improve overall wellbeing
2. Priority actions & interventions to improve outcomes
To fully appreciate the extent of change currently undertaken in Dundee and how
this change has and will continue to impact on priorities and future delivery, a
detailed description of the review process is required as follows:
2.1 Alcohol and Drug Review
In October 2012 the ADP arranged a development event to discuss issues related to the
increasing priority of substance misuse for the broader partnership and the growing sense
of the negative impact substance misuse was having on individuals, families and
communities.
This event focused on:

Discussing methods to enable the ADP to positively impact the landscape of substance
misuse in Dundee.

Exploring options regarding the most effective methods to adopt in delivering recovery.

Considering the role of individual partners in effecting positive change in the system.
Following discussion at the event, it was agreed there was a need for an overall shift in
approach from a focus on treatment toward a focus on recovery and prevention. This
would also involve a greater emphasis on the needs of individuals, families and
communities affected by substance misuse. ADP members agreed that this would require
a review of the entire area of substance misuse, and appreciated that this could involve a
process of de/re-commissioning to support this change in approach. It was also agreed
that this review process would be based on evidence of the levels and nature of need, and
effectiveness of the responses. In particular the following was accepted as crucial to
ensure progress:
5

Work on re-modelling should link to the partnership’s focus on inequalities

Change would be considered as a partnership project

The commissioning process required to take to account specific duties of partner
agencies

Crucially there was a need to involve mainstream services more effectively with
substance misuse issues
It was also agreed the ADP needed to develop a more comprehensive and shared
understanding about the scale of the problem in Dundee. This would help the ADP to reevaluate how resources should be used and help create a vision of future direction.
Plans for the Alcohol & Drugs Review
Following from the development event, the Dundee ADP agreed to undertake a review of
all substance misuse issues in the City, including quantifying the level of resources
required to provide high quality services. This decision was based on a commitment to
increase effectiveness, reduce duplication in service provision and ensure that the City
was best placed to deliver recovery-based services to those in need.
More specifically the review aimed to:

Develop the focus on recovery and prevention with the intention of increasing
provision on preventative measures. (see prevention section below)

Ensure services maintain and further develop person centred approaches

Ensure a comprehensive range of options are available to meet the needs of
individuals seeking to recover from substance misuse

Establish what we needed to prioritise, what could be improved and what no longer
met priority needs

Identify and enhance the role of people who use services, their families and local
communities in the recovery process.
2.2 The Review Process
Phase 1: Information Mapping (completed May 2013)
The review began by collating and analysing available information in report form to help
describe the current situation around substance misuse in Dundee.
The report included:
6

An outline of the range of available (local and national) substance misuse
information documents

A brief summary of the key points / findings within each source of information

Broad analysis of the emerging issues relating to substance misuse in Dundee
Phase 2: Consultation and Improvement Event
The second phase of the review produced a detailed change-plan. The change plan was
developed through consultation with the individuals that use services, carers, service
provides (at all levels) and local communities. The ADP decided to adopt the LEAN
Methodology and its approach to change. This included running a week-long Improvement
Event (see details below) and organising a range of consultation events in preparation.
Round-table discussion on prevention (October 2013):
Given the importance placed on prevention within the review, the need to develop clarity
on prevention and our approach was crucial. Professor John Davies (Strathclyde
University) led a round-table multi agency discussion to explore all aspects of the topic.
Information from the round-table discussion was used to inform a larger event on
prevention which included community representatives, people who use services, carers
and staff.
Event with local communities (October 2013)
The aim of the event was to gather relevant information from local residents to feed back
and inform the week-long Improvement Event in early December. Issues addressed
included:

Stigma of individuals and families affected by substance misuse

How substance misuse affects local communities

The role of local communities in the recovery process
Focus groups and questionnaire with people who use services (November 2013)
Specialist substance misuse services organised focus groups with people who use
services which included individuals at various stages of recovery.
Discussions focused on:

what works well for individuals and families

what hasn’t worked well and where there are gaps

how could communities be more involved
7

what could be effective in terms of prevention approaches
A questionnaire survey also gathered information about potential improvements which
could improve the recovery journey.
Focus group with homeless / housing staff
The focus group with staff from housing / homeless services along with the needs
assessment report on homelessness/housing informed the Improvement Event.
Additional information from services
All specialist substance misuse services provided additional information, including:

The demands placed on the service

The capacity of the service

Activities undertaken by the service

The individuals accessing the service
Improvement Event (2nd – 6th Dec 2013)
Improvement Events provide an exciting opportunity to carry out a problem-solving
process with help from trained facilitators. Improvement Events include participation from
all the services required to populate an effective recovery pathway including
representatives from local communities and individuals who were currently using or had
used services. The main purpose of Improvement Events is to develop a plan for change,
including specific actions that can be implemented almost immediately.
A Core Group of 26 individuals was set up to participate in the Improvement Event in
Dundee. The role of this team was to develop a plan for change during the Improvement
Event week, and lead on the implementation of this plan in subsequent months.
Ahead of the Improvement Event, information was gathered about the views and
experiences of the individuals that use services, families / carers and communities. The
views and experiences of staff members working within alcohol and drug services were
gathered through meetings with the ADP Lead Officer. In addition, during the Improvement
Event week, visits were made to a range of services to seek the views of front-line workers
2.3 What was achieved?
8
The review process and the Improvement Event which took place during 2012-2013 (see
details in section 3 below) resulted in the development of a change-plan that outlined the
agreed overall direction and approach to change. The process of implementing this plan
began in 2014 with a number of ‘tests-of-change’ aiming to identify and establish the
operational details of the new approach.
The Model for Dundee
The agreed overall model for the delivery of the recovery-focused system included: a
range of specialist and generic services delivered jointly from a number of easily
accessible locations in Dundee. This model also includes input from volunteers / peer
mentors to provide an additional layer of support across the recovery journey.

A multi-agency assessment and review system, was developed and information
sharing protocols were piloted.

A form of Lead Professional (or Support & Connect) Approach was developed to
ensure one professional has overall view of an individual’s progress through their
recovery journey.

A Learning & Workforce Development (LWD) programme was commenced to
ensure all the staff, volunteers and peer mentors are skilled, knowledgeable and
experienced to provide high quality services. This also included the development of
an agreed list of core competencies for staff in the field of substance misuse.
2.4 Implementation
Multi-agency Hubs
The multi-agency hubs have been developed to integrate treatment services (including
methadone prescribing / harm reduction) together with children & family services, and all
the other support (housing, benefits, mutual aid and counselling) individuals and families
require to achieve recovery and well-being.
Two hubs are already operating and a third will be developed by 2016. These hubs have
been developed as a direct response to issues highlighted by individuals using services,
carers, staff and community members, including:

the stigma affecting individuals and families affected by substance misuse (acting
as a barrier to people progressing in their recovery)
9

inaccessible services that are not delivered at the required time and location

lack of communication between services, creating duplication and a disjointed
recovery process

individuals experiencing difficulties maintaining engagement with services

individuals collecting methadone from community pharmacies on a daily basis, but
not engaging with any other recovery-focused services and struggle to progress
with their recovery.
Piloting of the Hub Concept
Community Hub @ Albert St Boots
Set up in May 2014, this Community Hub includes a multi-agency virtual team based at the
Albert St Boots Pharmacy, bringing together services from the NHS, Dundee City Council,
voluntary organisations and the private sector. Located at the heart of the community and
within a Pharmacy building, this Hub offers non-stigmatising easily accessible services
delivered from the one location. The multi-agency team of professionals is able to respond
immediately and effectively to the specific needs of individuals. The team also engages
with the general population accessing the pharmacy, around a variety of issues including
alcohol consumption and offers Alcohol Screenings and Brief Interventions. Individuals
with caring responsibilities for a family member affected by substance misuse can also
access support and advice from the Hub.
Cairn Centre hub
Set within a specialist substance misuse centre (the Cairn Centre), this Hub brings
together a range of specialist and mainstream services to support individuals’ recovery
journeys. The aim is to ensure that specialist substance misuse services (specifically NHS
Tayside Substance Misuse Service and Eclipse Moving On) develop robust joint working
which is also extended to effective collaboration with mainstream / generic services. This
range of interventions is delivered as part of a joint process from the Hub and forms a
recovery focused approach responding directly to the needs of individuals and families. To
support this approach to service delivery, a Recovery Cafe has been set up at the Hub
operating twice a week when individuals can drop in without the need for formal
appointments.
10
The specific services / organisations involved in the Cairn Centre Hub include: Care
Scotland, NHS TSMS, Tayside Council on Alcohol, Children 1st, Aberlour, Addaction,
Connect (welfare rights), North Law (Legal Advice), Dental Van.
The Hub is supported by a layer of peer mentors and volunteers working closely with
individuals and staff to support the recovery process. Eight support workers are based
permanently at the Cairn Centre and the input from nurses is delivered through a rota
system. The support workers are responsible for assisting individuals to engage in the
range of activities from within and outwith the Hub, to support them in their recovery. The
nursing staff carry out a range of tasks and this requires their role within the hub to
maintain a degree of flexibility which enables them to respond to any situation that may
arise.
Both support and nursing staff encourage individuals to engage with the activities within
the Cairn Centre, including SMART recovery groups.
All the staff working within the Cairn Centre Hub received training from Children 1st around
delivering family-focused work. In addition, Figure 8 Consultancy provides targeted
learning opportunities and support to all staff.
Lochee Community Hub
Following extensive community consultation (during summer 2014) on what is required in
the area, the Lochee Community Hub will offer a wide variety of community provision in
addition to the alcohol and drug components. The aim is that community members,
including families with children, will access the facility and help reduce the stigma
associated with stand alone alcohol and drug provision.
Integrated Children’s Services will take the lead on the development and establishment of
this Hub and it will provide a ‘one stop shop’ for anyone in the community, providing
information and support on anything pertaining to individuals’ personal, family or
community life. Located on the Lochee High Street, this Hub will be an integral part of a
wider campus of community facilities and services including the Lochee Library, Lochee
Leisure Centre, West District Housing Office, Lochee Health Centre and Lochee Parish
Church.
11
The Hub Approach to the provision of services will encourage community members to
access services at one location on their doorstep and service providers will be able to
directly engage with communities. Resources will be better shared; planning will be more
effective and will be based on early intervention, sharing of intelligence, involvement of
communities and greater delivery of preventative services that are easily accessible to
communities. Agencies will be working collaboratively with one another, and together with
the Lochee community.
Where appropriate, integrated support plans that take a holistic approach to addressing
needs will be developed for Individuals and there will be complete confidentiality about the
services they access. The benefits of this approach will include:

Increase the involvement of local people

Empowering local people / ending dependency culture

Increase the accessibility of services and help individuals maintain engagement
with services

A range of services will be available at a local level and from the one facility

Greater focus on the specific needs of local communities

Providing a resource for the whole community without isolating specific groups

Reducing the stigmatisation of specific groups within the community

Will encourage service providers to integrate and remove the ‘silo approach’ to
service provision (improve communication, end duplication)

Build on and expand resources already available in Lochee

Improve the social inclusion of some groups
Volunteers / peer mentors
An additional layer of support, including volunteers and peer mentors, has been
developed. Their role is to support individuals to access interventions by providing a link to
and between services. When accessing a community hub, an individual’s first contact with
services is likely to be with a volunteer or a peer mentor who will build a rapport with them
and will also have a good knowledge base of existing services to ensure individuals
receive the support they need. Together they identify the individual’s own priorities and
volunteers / peer mentors will provide information and support on accessing services.
12
This additional layer of support aims to provide a friendly face to break down the barriers
between the person requiring support and the agencies providing interventions. Mentors
also link individuals to mutual aid groups and other activities to support recovery.
More specifically, the role of volunteers and peer mentors assists individuals with attending
meetings, form-filling, speaking with professionals and overseeing the person’s progress.
They support the assessment process by working with individuals to complete an initial
assessment and help people create their own Recovery Action Plan.
In addition, volunteers / peer mentors act as a “link person”, helping individuals identify
their own priorities and the best way to address these. They provide a meaningful helping
relationship that supports individuals to make links with services. Where an individual does
not see their primary concern as drugs or alcohol, or when an individual may not be ready
to address these issues, their Action Plan focus on other areas (including housing,
parenting support, welfare benefits etc). Mentors also provide advocacy support, ‘buddy’
people to appointments if necessary and help them manage attendance at various
appointments. This ensures continuity of support for individuals and prevents people being
‘lost’ in the system
Lead Professional (Support & Connect)
The Alcohol & Drugs Review process identified that, as a person navigates their journey
through services there were often a number of different professionals involved in
managing their care. Moreover, the referral processes sometimes acted as a barrier to
engagement (with a high rate of non-attendance), parallel assessment processes, and
agencies did not communicate well with each other (sometime despite of co-location). In
addition, there seemed to be duplication between services, and a lack of coherent roles
and responsibilities. It was felt that the development of clear practices which encouraged
the sharing of information and joint work was crucial in the effective implementation of any
Recovery Oriented System of Care.
The Support & Connect / Lead Professional Approach will ensure that, where appropriate,
individuals accessing substance misuse services will be assigned a professional who,
together with the individual, will have overall responsibility for their recovery journey. They
will identify appropriate agencies and interventions, co-ordinate care and support and
generate a recovery plan. By doing so professionals would facilitate an individual’s
13
journey, accompanying them along well-defined recovery pathways, incorporating
validated tools and interventions.
Lead Professionals may deliver part of the care-plan, and their role would include ensuring
that the other professionals involved deliver their section of the plan. This could include
liaison between professionals and services, providing regular reviews, optimising care,
highlighting when people are not progressing with their recovery and modifying the
approaches taken by the virtual team. Communication would be an important element of
this role. Professionals will be encouraged to become more familiar with what support is
available to help progress an individual’s recovery.
It is expected that this approach will improve communication and understanding between
services, and encourage them to utilise specialist support from the variety of services
available across the City. People who use services will have a sense that there is a virtual
team around them.
The ADP is committed to introducing the Lead Professional role through the review pilots
with the intention of the role becoming the norm within services by 2017
2.5 Workforce Development to support the review implementation
Enhancing our workforce is critical to success in delivering effective recovery pathways.
Meeting this challenge, will require investment in a skilled and knowledgeable workforce
that is fit for the future, across health and social care, including the third sector and
independent provider agencies. Any investment must also take account of the contribution
of carers and volunteers to supporting people in the community. Our commissioning will
focus on working with all sectors to enhance the capability, flexibility and capacity of the
workforce to meet changing needs, demands and expectations. It will also take account of
developments in leadership at all levels, self management, personalisation of care and self
directed support which will give greater control and choice to individuals in how they
receive their care and support. We have established a Workforce Development Group with
key partners to work collaboratively to agree and implement sustainable solutions to the
enhancement of our health and social care workforce across all sectors in the City.
National Support assisting with Workforce Development
14
The ADP has commissioned STRADA to work in collaboration with the partnership to
develop a strategic workforce development plan to ensure the continued growth of the
Recovery Oriented System of Care (ROSC). Workforce planning should encourage local
workforce development to become an integral part of local planning in Dundee City, which
will increase the capacity and improve the competence of the workforce. In turn this should
promote best practice in competence development.
Stages of the Project

The project will involve five broad phases:

An assessment of need within Dundee City for service provision in relations to the provision
that is required for the ROSC

What is currently in place for those experiencing alcohol and drug problems in the Dundee City
ADP (including within the multi-agency Hubs)

What needs to be put in place, taking into consideration Recovery Principles

Mapping and auditing the stages and interventions Dundee City ADP would expect to see in a
ROSC onto local services and provision to identify gaps and duplication.

What are the workplace development and planning implications of model
Stage Plan
Stage 1 Assessment of need within Dundee City ADP Hubs Service Provision
Stage 2 Identification of services provided to meet these needs
Stage 3 Workforce Development needs required to support Hub Service Provision
Outcomes
Stage 4 Current Workforce Planning and Development
Stage 5 Workforce Planning and Development Gaps
Stage 6 Analysis of data and focus groups
Stage 7 Reports with Recommendations and Implementation Plan
Stage 8 Review Progress (1 year on)
Developments have already taken place across City of Dundee ADP and this project will
build on the work that has already taken place. We have allocated around 18 months to
develop and complete the work (target date for completion Dec 2016).
4. DUNDEE FOCUS ON ALCOHOL (FOA)
Having developed the Dundee Focus on Alcohol project, the ADP will continue to work in
partnership with local communities and other key partners to strengthen the populationwide approach aiming to bring about a culture-change in alcohol use.
15
The FOA project will continue to contribute to the work on overprovision in the City by
supporting local communities and residents to participate in the licensing process. This will
include informing communities about forthcoming areas for licensing discussions and
assisting local communities to correspond with the Licensing Board regarding licensing
applications. An alcohol awareness campaign for Dundee University staff will be
developed by late 2015 and an e-learning program about safe and responsible alcohol
consumption for Dundee City Council staff will be in place by summer 2016. FOA projects
will be expanded in partnership with the Dundee Local Community Planning Partnerships
to all areas of the City by 2016. Over the next 3 years FOA will have responsibility to plan,
organise, co-ordinate and measure the impact of the national and local campaigns
including: Alcohol Awareness Week and the Dry-January campaign.
5. Partnerships
The Dundee ADP is a crosscutting theme group responsible for providing the strategic
direction across the whole of the Dundee CPP and enabling all theme groups to follow a
coherent response to substance misuse. The ADP is involved in the implementation and
monitoring of the Dundee Single Outcome Agreement (SOA) Framework and works
closely with a range of both strategic and crosscutting themes, including the Children &
Young People Protection Committee (CYPPC), Violence Against Women Partnership
(VAW) the Adult Protection Committee and the Community Safety Partnership. The ADP
has a crucial role within both the Health and Social Care partnership and Integrated
Children’s Services. The ADP has commissioning responsibilities, initially in respect of
ring-fenced alcohol and drug funding, and aims to ensure its commissioning process
reflects the needs and interests of the Dundee CPP. In addition to the above the Dundee
ADP is committed to work within the Dundee CPP to tackle deprivation in the City and
ensure health inequalities are reduced.
Health and Social Care Integration – Integrated Children’s services
Health and Social Care Integration in Dundee presents staff with an opportunity to explore
new and innovative ways of working. Groups of staff from across Health, Social Work, the
Voluntary Sector and Independent Providers have been involved in helping to shape
integration including within the alcohol and drug field. The focus of this work has been on
16
creating the “vision” for working in an integrated way. Areas addressed through integration
events have focussed on the following topics:

What needs to be done differently?

How is this going to happen?

What are the shared values and roles we have across our different professional
backgrounds?

Where can we work more efficiently together?

How can we minimise duplication and maximise opportunities for change that
improves outcomes for people and patients who use services?
Some of the themes that have emerged from this work include:

Creating Joint Training Opportunities

Exploring Co-Location

The Development of a more joined up, “cooperative” assessment process

Guidelines re locality working

Regular opportunities for staff to meet “face to face”

A “shared consent” protocol
The findings and recommendations from the alcohol and drugs review are perfectly
consistent with the future of Health and Social Care Integration and will complement both
the current position and future progress of the Integration agenda.
Integrated Children’s Services
Our vision for all children and young people in Dundee is very clear. We want Dundee to
be the best place in Scotland for children and young people to grow up. We want to create
stronger and safer communities with lower levels of re-offending. To achieve this we need
to be ambitious, inspirational and well placed to deliver consistently high quality outcomes
with a focus on reducing inequalities, closing the poverty attainment gap, promoting early
intervention and supporting all children, young people and families. This will require
effective partnership working, the further development of integrated services and greater
flexibility in delivery approaches.
A Children and Families Service is currently being established which involves a merger
between Education, Integrated Children’s Services and Community Justice. The new
17
service will build on the strong interfaces between public and child protection and youth
and adult justice and also recognise the impact that offending and imprisonment has on
families and the potential for preventative and targeted work with vulnerable families
including hard to reach parents and at risk children. It will be developed during the course
of 2015-16 with the full implementation of a revised service structure and joint budget
arrangements from April 2016. The creation of the new service, with a focus on children
and families and community justice, will embrace and implement the range of national
policy agendas around supporting children, young people, families and reducing
reoffending. The new service will focus on the delivery of improved outcomes for children,
young people and families and will minimise duplication of effort, enhance integration and
extend the existing culture of quality partnership working across council services and with
NHS Tayside, Police Scotland, the Third Sector and private sectors.
The key issues to be addressed can be summarised as the need to:

promote a culture of early intervention;

close the attainment gap between children from the richest and poorest households;

embed the Getting it Right for Every Child approach (GIRFEC) to ensure that the
needs of all children and young people are met fully;

provide a quality educational experience to meet the needs of all learners;

improve the attainment and achievement of children and young people;

improve educational, health and employment outcomes;
6. Increase and improve community engagement
As highlighted above and throughout the reporting of the review, the aims and objectives
of the Dundee ADP cannot be fully achieved without effective community engagement. All
the partners of the ADP are committed to enhancing engagement with our local
communities and ensuring their voice is heard equally when discussing current service
provision or new initiatives. Over the next three years, the Dundee ADP will:

Strengthen the engagement with local communities that enhances the overarching
Dundee Partnership and Community engagement model

Continue to support and expand Community Cafés across the City
18

Continue to develop the role of the Dundee Substance Forum ensuring the Forum
represents the views and experiences of people who use services, their families,
community groups and service providers

Through Local Community Planning Partnerships (LCPP) involve communities in
developing local solutions in relation to their concerns regarding substance misuse

Enhancing local skills and knowledge to enable communities to deliver local services

Improving mental wellbeing through increasing the resilience of residents in dealing
with the negative impact of substance misuse

Engaging and involving young people in substance related planning processes

Creating opportunities to build capacity in individuals and community groups
6. Core and local outcomes to be achieved
The Dundee ADP will ensure that progress in the City with respect to substance use
addresses the key themes outlined in Scottish Government Strategic Priorities. The
National Core Outcomes to be addressed are:
1.
HEALTH: People are healthier and experience fewer risks as a result of
alcohol and drug use
2.
PREVALENCE: Fewer adults and children are drinking or using drugs at
levels or patterns that are damaging to themselves or others
3.
RECOVERY: Individuals are improving their health, well-being and lifechances by recovering from problematic drug and alcohol use
4.
FAMILIES: Children and family members of people misusing alcohol and
drugs are safe, well-supported and have improved life-chances
5.
COMMUNITY SAFETY: Communities and individuals are safe from alcohol
and drug related offending and anti-social behaviour
6.
LOCAL ENVIRONMENT: People live in positive, health-promoting local
environments where alcohol and drugs are less readily available
7.
SERVICES: Alcohol and drugs prevention, treatment and support services are
high quality, continually improving, efficient, evidence-based and responsive,
ensuring people move through treatment into sustained recovery
To help achieve the core outcomes locally, the Dundee ADP has developed a list of
specific local outcomes. These outcomes were developed in consultation with service
providers and people who use services – (see full list of local outcomes in the page
below). We will also ensure that important current information regarding outcomes will be
included in any analysis of performance. This will include information regarding drug
deaths and overdose, SMR 25 information
19
and individual agency’s data gathering.
Local outcomes for Dundee
Category
Outcomes
Substance misuse behaviour







Not using illicit drugs
Reduction in the use of illicit drugs
Person becomes drug free
Reduction in risk-taking behaviour
Changes in the method of use
Not consuming alcohol
Reduction in the consumption of alcohol
Physical and psychological health



Improvement in physical health
No deterioration in physical health
Improvement in psychological health/
emotional wellbeing
No deterioration in psychological health

Social functioning and life context











Reduction in criminal activity
Improved personal safety
Improved employability skills
Moved into employment
Improved parenting
Improved personal relationships
Improved accommodation status
Improved financial situation
Improved independent living skills
Improved supportive living environment
Improved engagement with
education/training
Personal Development


Increased motivation
Increased feeling of appropriate
personal responsibility
Increased confidence and self-esteem
Higher personal and career aspirations


Prevention & Education



Reduce the prevalence of substance
use amongst young people in Dundee
Reduce the problems associated with
substance misuse
Improve the effectiveness of substance
misuse education
20
7. Promoting Recovery
The concept of Recovery as an overall philosophy of care focuses on developing personal
strength and resilience (see Dundee Statement on Recovery). The focus on strengths
rather than problems is widely accepted as a more effective model than more traditional
models focussing on the alleviation of deficiencies.
There are however, a variety of challenges to the Recovery agenda becoming embedded
in service delivery and in individual worker’s practice. These challenges are predominately
centred on the creation of a genuine partnership with people who use services, carers and
community members and joint ownership of the Recovery ethos. Nonetheless, embracing
the principles of recovery also offers professionals, communities and users of services a
framework within which service delivery and improvement can be monitored alongside an
individual’s progress through services.
The nature of the Recovery process demands that services offer greater openness to, and
input from, users of services, carers, and local communities. It is therefore crucial that
users of services, carers, and communities are placed at the centre of the process.
The ADP is committed to the following actions to assist the progress of recovery in
Dundee City:

Through the findings of the Alcohol & Drugs Review, and information obtained from
focus groups and community consultations, the ADP will continue to develop the
Recovery care pathway for all service provision in the City

The ADP will work with Tayside colleagues to progress the ongoing Needs
Assessment program

We will develop the research program designed to identify the position Recovery holds
with service providers, people who use services, carers and communities in the City

Through the provision of Hubs, and by developing the role of Lead Professional and
the support and connect approach we will increase the range and level of support for
young people affected by alcohol/ substance misuse

We will continue to improve the outcomes-reporting framework for substance misuse
services
21

The Hubs (especially in Community Hub in Lochee) will improve the engagement on
Recovery by reducing stigma and encouraging the involvement in the recovery agenda
of community groups, family support groups and individual community members.
8. Increase the focus on prevention interventions
A primary focus for the Alcohol & Drugs Review was to explore methods of shifting
resources with increased emphasis on a more preventative model.
A short-life Prevention Steering group was formed and an action plan drafted. The first
task of the action plan was to conduct a survey aiming to provide a snapshot and an
understanding of the prevention interventions currently being delivered in the Dundee.
More specifically, the aims of the survey included:

To develop an understanding of what is already in place, including: the focus of
interventions (e.g. general health & wellbeing / substance misuse / mental health
etc.) and their approach to prevention

To find out the reach of interventions

To identify who is delivering the interventions

To identify the available evidence of the impact of interventions

To identify the key individuals / organisations in Dundee that are involved in leading
on prevention work

To identify examples of partnership working within the context of prevention

To find out to what extent the interventions currently delivered in Dundee are
evidence based.
The results of the survey will help inform the next stage of the process to develop a
coherent plan for investment in prevention interventions. The aim of this next stage is to
develop an approach that will examine how the principles in the Prevention Framework
can be developed and implemented to achieve the desire strategic shift to prevention.
Underlying the work being undertaken in Dundee are the following aims

We will reduce the prevalence of substance use amongst young people in Dundee

We will improve the effectiveness of substance misuse education at schools including
the support of peer-led education and prevention interventions
22

We will provide support and extend to other settings the future delivery of Alcohol
Screening and Brief Intervention.
In addition to the above we will work to ensure that all workers that are likely to come into
contact with substance using parents are skilled and appropriately trained about the
impact substance misuse has on families. We will also ensure that support plans identify
the broad spectrum of appropriate agencies to assist the recovery of adults and ensure the
safety of children.
9. Prevention of overdose, drug deaths and support for the Naloxone Program
The Tayside Drug Death Review and Working Groups (TDDRG & TDDWG) were set up in
2008 to enable a greater understanding of the circumstances around drug deaths and non
fatal overdose.
The aim of the Tayside Drug Death Review Group and Working Group is to work
collaboratively to reduce the number of drug deaths across Tayside and also to improve
the response to non-fatal overdoses of drugs of misuse.
Both Tayside wide groups are chaired by the Consultant for Public Health and the
membership includes all key services involved in the prevention of drug deaths and
overdose incidents.
NHS Tayside leads on the production of an annual Tayside-wide Drug Deaths Report. The
principal aims of the report are to summarise the results of data collection and analysis
pertaining to the demographic, social, criminal offending, substance misuse, physical,
psychiatric/psychological and service use characteristics as well as the specific
circumstances, of drug deaths in the Tayside area. The ongoing review of drug deaths
throughout the year and the findings of these reports have enabled both the Tayside Drug
Death Review and Working Groups to set forth recommendations to facilitate the reduction
of drug deaths and inform policy and practice at a local and national level (see below)
The Drug Death Groups act as expert reference groups to the three ADPs in Tayside ,
making recommendations to the ADPs for them to take forward in conjunction with the
wider CPPs.
23
The Tayside group provides quarterly reports to ADPs on drug deaths and, when data
collection is in place, on non-fatal overdoses. Some of these data are provided on a
Tayside-wide level where numbers are small.
In addition, the Tayside Overdose Prevention (a subgroup of the Drug-Deaths groups)
develops and oversees the implementation of an overdose-prevention work plan. This plan
includes the training and dissemination of the Tayside take-Home Naloxone programme.
The following recommendations from the TDDWG will be implemented in 2015/16

Focus on early intervention: improve identification, assessment & intervention for
vulnerable children & young people affected by parental or own substance use

Ensure the provision of holistic care to individuals is a priority for local services and
improve communication between services

Improve access to general medical care for substance users and improve
assessment of risk (work with primary Care)

Conduct an audit of prescribing data to identify issues and risk in practice

Develop a pathway for individuals that have experienced a non-fatal overdose

Deliver targeted OD-Prevention & Naloxone training (including to those under the
supervision of court-enforced restriction – e.g. DTTO and Community Payback
Orders).

Specialist Substance Misuse Services and Primary Care will collaborate to provide
holistic care and also undertake a pilot to reduce poly pharmacy.

Reducing alcohol deaths by evidence based interventions of delivering Alcohol Brief
Interventions, supporting measures to reduce availability and accessibility of alcohol
and providing treatment to those with alcohol dependence

Co-morbidity/co-existing health conditions: Extend the current support for people to
attend Primary Care to those NHS secondary care services that are not part of the
substance misuse or mental health services.

The National Institute for Health and Care Excellence (NICE) Pathway for Alcohol
will be fully implemented by 2016 and audit cycles are underway to monitor
compliance. All NICE recommended prescribing interventions for alcohol and
opiate use will be incorporated into the NHS Tayside Formulary.
24

Pathways to support intervention in a situation in which there has been a non-fatal
overdose are being developed within each locality as best fits locality need and the
resources.

Criminal Justice and Offending: Ongoing work within Criminal Justice system to
include those who are under court enforced supervision in overdose awareness and
prevention.

A comprehensive care pathway will be developed by end of 2015 for responding to
non-fatal overdoses that allows information from police and ambulance services to be
passed on to other agencies that can offer an appropriate intervention to reduce the
risk of future deaths

Continue to provide Overdose Prevention training and continue to extend the
programme to people who use services, carers and community members, keeping
under review the issue of incorporating the use of take-home Naloxone in this provision

Continue to extend the take home Naloxone Program to include all key partners
ensuring wide availability in all communities in the City
10.
New Psychoactive Substances (NPS)
In 2014 NHS Tayside undertook a Needs Assessment on behalf of the three Tayside
ADPs to ascertain the current impact of NPS on the Tayside population. The aim of the
work was to improve our understanding of what is happening with regards to NPS in the
Tayside area and make recommendations as to how the help and support offered to
people who either take NPS or know others who do could be improved.
The report considered existing evidence and presented currently available routinely data;
the results of quantitative and qualitative data analysis of online survey results; and the
thoughts and experiences expressed by public and professionals with regards to NPS.
From the results of this work we have been able to identify issues, concerns and needs of
people who either take NPS themselves, or are affected by others’ use. Recommendations
regarding improving support available to people affected by NPS and the raising of
awareness of the potential harms associated with NPS more widely. In Dundee the
following recommendations for action have been prioritised:

Develop NPS-specific focus within existing services (specialist and generic) and
facilitate collaborative working and information-sharing between services
25

Improve sign-posting to appropriate services for professionals working in areas where
presentation of NPS-related issues may be encountered

Improve awareness of NPS in the general public through advertisement and local /
national campaigns

Ensure information on NPS is included in prevention & education sessions for young
people (including information to parents)

Work with Police Scotland to do whatever possible to minimise the sales of NPS from
‘head shops’ and put pressure on the Scottish Government to restrict the ability of
shops to sell NPS

Support the development of a webpage (including the use of social media e.g. Twitter
or Facebook) to disseminate NPS-related information and how to access services and
support.

Support services to develop robust methods to routinely measure the incidence and
outcomes related to NPS
11.
Safer Communities, Enforcement and Availability
11.1
Work on Overprovision of Alcohol in Dundee
To support the Dundee Licensing Board with its ongoing work and to develop a statement
on overprovision, the Dundee Alcohol and Drug Partnership (ADP) co-ordinated a shortlife experts’ group to gather, analyse and present information on overprovision in the City.
The resulting report (available on: http://www.dundeepartnership.com/content/alcohol) brings
together information on the availability of alcohol (both off- and on-sales) and the
health/social harm caused by the consumption of alcohol. The report also shows a clear
correlation between deprivation and alcohol-related harm.
This was a challenging process through which the ADP was successful in working with the
Dundee Licensing Board to develop, adopt and implement a policy on overprovision. Most
significantly, this process included local community groups and local residents who
participated in the process of developing the policy and its subsequent implementation.
The result was that in 2014 the Dundee Licensing Board declared the entire City (with the
exception of the Waterfront Development Area) as overprovided for in respect of both off-
26
sales and on-sales alcohol licensed premises. This decision was based on the evidence
presented to the Board within the 2014 Overprovision report linking the availability of
alcohol to levels of consumption and associated harm.
The declaration on overprovision includes both the granting of applications for new
premises licences and applications for the increase in capacity of existing premises
licences for the entire City (with the exception of the Waterfront Development Area). This
means that the responsibility lies with every applicant to prove that their specific
application would not contribute to the situation of overprovision.
11.2
Priorities for action
The ADP will also continue to focus on agreed priorities below:

Work with partners to increase youth diversionary activities for young people engaging
in substance misuse

Continue to support the Dundee Licensing Forum in its role of promoting responsible
drinking in the City

Support enforcement activity in respect of individuals and groups concerned in the
supply of illegal drugs, in particular Class ‘A’ Drugs
12.
Performance Measurement
The Dundee Community Planning Partnership has adopted the Balanced Scorecard as a
method of measuring progress and performance across all theme groups. The Scorecard
is an agreed set of measures that provides a comprehensive, and timely, view of
performance. The main function of the scorecard approach is to enable a robust set of
performance measures to be developed that will provide a comprehensive view of overall
performance which is also visibly linked to key strategies and priorities.
The approach begins with agreed goals and priorities and ensures that the key strategic
actions required to achieve these goals have been identified and provide the foundation for
planning processes. The scorecard helps to develop a comprehensive view of
performance in the context of these plans by establishing measures across four interrelated areas:
27

the individual receiving services

internal processes

continuous improvement

financial performance.
12.1
Core indicators
The national indicators used by Dundee ADP include:

Rate of drug-related hospital stays (over last 5 years)
General acute inpatient & day case stays with a diagnosis of drug misuse in any position
(2009/10-2013/14)
average rates per 100,000 population
107.6
116.6
117.6
107.9
124.6
2009/10
2010/11
2011/12
2012/13
2013/14
Source: ISD, SMR01 Admissions from non-obstetric and non-psychiatric hospitals
https://isdscotland.scot.nhs.uk/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/2014-10-28/2014-1028-DrugsHospitalStatistics-Tables.xlsx

Rate of alcohol-related hospital stays rates (over last 5 years)
General acute inpatient and day case stays with an alcohol-related diagnosis in any
position (2009/10-2013/14)
average rates per 100,000 population
771.6
759.6
749.8
697.0
696.9
2009/10
2010/11
2011/12
2012/13
2013/14
Source: ISD, SMR01 Admissions from non-obstetric and non-psychiatric hospitals
http://www.isdscotland.org/Health-Topics/Drugs-and-Alcohol-Misuse/Publications/2014-11-25/2014-11-25ARHS-FY2013-14-Tables.xls

Rate of alcohol-related mortality (over last 5 years)
Alcohol related deaths (underlying cause) 2009-2013
average rates per 100,000 population
39.3
36.1
35.8
27.8
22.4
2009
2010
2011
2012
2013
Source: ISD (NRS) https://scotpho.nhsnss.scot.nhs.uk/scotpho/spineChartAction.do

Prevalence of hepatitis C among injecting drug users
28
Percentage of injecting drug users testing positive for HVC antibody (% is based on all injecting
drug users tested)
ADP
2011/12
Dundee City
40.0%
Scotland
53.0%
Source: HPS, HCV antibody prevalence: data from the Needle Exchange Surveillance Initiative (NESI),
2011/12
12.2
Local indicators
Following a comprehensive consultation process, each individual agency in Dundee has
developed specific indicators to reflect the interventions they deliver. Below is a list
providing examples of the indicators currently in use (please note, these indicators are
used individually by each service to provide information to the ADP.

Person stopped injecting

Person appears less chaotic

Person turning up to meetings sober

Person no longer involved in criminal activities

Person engages with the project/with staff members

Parents able to recognise and respond to children’s needs

Parents setting boundaries, and guidance for children

Improved budgeting skills

Improved school/nursery attendance

Improvement in basic interpersonal and communication skills

Improvement in literacy and numerical skills

Higher personal and career aspirations

Improved ability to plan and prioritise

Person has acquired paid employment

Person successfully engaging in voluntary work, training or educational programme.

Improvements to person’s eating or sleeping patterns

Improved timekeeping, attendance & reliability

Person takes more responsibility over own actions.

Person shows greater ability to work on own initiative

Increased feelings of personal responsibility

Person is more confident in a group work situation

Person is able to better express personal views
29
13.
Governance and financial accountability
The ADP is committed to ensure that drug and alcohol services in Dundee are
based on an assessment of local needs and that services are evaluated to ensure
value for money. Through its partner agencies, the ADP will ensure that service
specifications are in place for all drug and alcohol services and that requirements relating
to service activity and quality are clearly set out. In order to establish clear criteria of
effectiveness and expected outcomes, the ADP will continue to engage with all drug and
alcohol services and with the relevant CPP theme groups. Where services are contracted
on behalf of the ADP, the ADP will ensure the above specifications are part of the formal
contract.
Regular monitoring of drug and alcohol services in Dundee takes place through the
Dundee SOA Delivery Framework, as well as through the collation and reporting
information in respect of HEAT Targets A11 (access to services) and H4 (Alcohol Brief
Interventions). The ADP will continue to use the Audit Scotland Self-Assessment checklist
to identify gaps in its performance and shape the delivery and actions plan to address
these gaps.
Scottish Government Funding - Each year the Scottish Government confirms the local
funding allocation available to enable the ADPs within the Health Board area to deliver
improved outcomes for alcohol and drugs. This funding is routed through NHS Boards for
administrative purposes, it is a partnership resource and the full allocation must be
directed to ADP level for decision-making informed by robust needs assessment and in
line with the recognised evidence base. Investment decisions should be transparent and
made on a partnership basis in pursuit of locally agreed strategies and delivery plans
which seek to deliver nationally and locally agreed outcomes.
Overall accountability of these resources rests with the NHS Board. Reporting on the use
of these funds must be included in the ADP annual report to the Scottish government.
Any underspend of the delegated funds are carried forward as deferred expenditure at
year end by the NHS Board and remain available to the ADP where the underspend
occurred to deploy as a non-recurring fund. Such “carry forwards” are included in the
financial reports prepared for the ADP.
30
Delegated Funds - The use of the delegated funds will be determined by the ADP
strategy group in line with identified needs and strategic plans. Any unsolicited requests for
funding should be submitted via an ADP Funding request form to the Commissioning SubGroup. As with development funding the request must be aligned to the ADP strategic
themes and include clear anticipated outcomes, timescales etc. The Commissioning SubGroup will then either:
a) Where the amount requested is within a limit set by the ADP approve/refuse the
request and the chair will sign the funding request form, or
b) Where the request is for a sum above the limit set by the ADP recommends that the
request is granted/refused and passed to the ADP Strategy Group for a decision.
Partner Agency Funds - This allocation represents the minimum amounts that should be
spent on tackling problem alcohol and drug use. Significant additional resources are made
available by NHS Tayside, Dundee City Council and other ADP partners for prevention,
treatment, recovery and dealing with the consequences of problem alcohol and drug use.
The allocation of such funds and the governance of their use is the responsibility of the
partner organisation allocating such funds. The ADP will seek to map the use of such
funds and reflect these within strategic and commissioning plans and reports.
Scheme of Delegation - ADP has a scheme of delegation which is a framework to enable
partnership officers to effectively implement the decisions and policies of the ADP whilst
adhering to the relevant governance and accountability arrangements of each partner
organisation. It is designed to ensure effective governance arrangements are in place
which protects the ADP, partnership officers and their employing authority.
Expenditure on Drug and Alcohol Services 2013/14
Set out in the tables below is a summary report of expenditure on dedicated substance
misuse services during the financial year 2013/14. The report has been compiled from
information provided by finance officers from Dundee City council and NHS Tayside. More
detailed financial information is available which outlines specific spend on service
providers and in relation to activities (i.e. prevention support and treatment)
The expenditure included in the report relates to services provided or procured by the
Local Authority Social Work Department and NHS Tayside on services or activities that
31
were described as relating directly to drug, alcohol or substance misuse. It does not
include the wider costs of providing services to people with substance misuse problems
e.g. attendances at A&E.
The equivalent expenditure in the previous year is shown in the shaded columns to the
right and the bottom rows in each table to allow a comparison to be made.
In tables 1 to 3 below each row shows the organisation that provided or procured the
services. Table 1 shows the source of funding in each column.
Table 1: Agency expenditure by Funding Source
2012/13
2013/14 Expenditure
NHS SG
Ringfenced
£000s
NHS Tayside Dundee
specific
Dundee Council
Mainstream
Funding
£000s
1,527,592
777,465
2,052,413
1,158,776
Criminal
Justice
£000s
Total
£000s
3,580,005
504,813 2,441,054
Total
£000s
3,024,404
2,449,252
Table 2 shows expenditure described as drug service, alcohol service, and combined drug
and alcohol services or on management or administrative functions e.g. ADP support
teams in each column.
Table 2: Type of Service by area
Drugs
£000s
NHS Tayside
Dundee specific
Dundee Council
2013/14 Expenditure
Alcohol Combined Infrastructure
£000s
£000s
£000s
2,726,328 843,765
1,017,530 385,191
914,224
Total
£000s
2012/13
Total
£000s
9,912 3,580,005 3,024,404
124,109 2,441,054 2,449,252
Table three shows expenditure on services dedicated to either children or adults in each
column.
Table 3: Age Specific Services by area
Children
£000s
NHS Tayside Dundee
specific
Dundee Council
2013/14 Expenditure
Adult
Both
£000s
£000s
0 3,499,241
663,945 1,363,341
32
Total
£000s
2012/13
Total
£000s
80,764 3,580,005 3,024,404
413,768 2,441,054 2,449,252
Table 4 returns to showing the organisation that provided or procured the services in each
row and the service function in each column.
Table 4: Function of service by area
Intervention
£000s
NHS Tayside
Dundee specific
Dundee Council
3,570,093
1,017,822
2013/14 Expenditure
Prevention Int & Prev Infrastructure
£000s
£000s
£000s
0
0
17,685 1,251,252
Total
£000s
9,912 3,580,005
154,295 2,441,054
2012/13
Total
£000s
3,024,404
2,449,252
Table 5 shows the type of organisation who provided the services in each column and in
which geographical area they were provided in each row. The column described as other
includes organisations such as University, and independent sector providers.
Table 5: Area of Expenditure by Provider
NHS
£000s
NHS Tayside
Area wide
Dundee
1,586,316
3,597,213
2013/14 Expenditure
Vol Org
Council
Other
£000s
£000s
£000s
0
1,326,333
0
1,072,457
Total
£000s
0 1,586,316
25,056 6,021,059
2012/13
Total
£000s
2,689,931
5,473,656
National support requirements
The Dundee ADP has worked closely with STRADA to deliver a range of basic training
courses. STRADA has also worked with us to develop and deliver courses responding to
the specific need of agencies in the City. Currently STRADA is involved in supporting the
development of the local Recovery Oriented System of care delivering a bespoke training
programme to a new layer of support developed to strengthen the ROSC. STRADA have
also worked with the ADP and partners to develop a strategic workforce development plan
to ensure the continued growth of the ROSC. During 2015/2016 STRADA will map the
current environment of service delivery and the workforce and identify workforce
development needs and requirements (see workforce development section above)
33
APPENDIX 1: DUNDEE ADP MEMBERS
David Lynch, (ADP Chair) Chief Officer, Dundee Health & Social Care Partnership
Stewart Murdoch, (Vice Chair) Director, DCC, Leisure & Communities Department
Elaine Zwirlein, Director, DCC, Housing Department
Michael Wood, Director, DCC, Education Department
Neil Fraser, Strategy & Performance Manager, NHS Tayside
Peter Allan, DCC, Community Planning Manager
Fraser Munro, Governor, HMP Perth
Martin Tait, Tayside Fire and Rescue Service
David McIntosh, Police Scotland
Diane McCulloch, DCC Social Work
Drew Walker, Public Health, NHS Tayside
Fiona Cowden, NHS Tayside
Ingrid Hainey, Substance Forum
Jane Martin, DCC, Social Work
Mike Burns, Cair Scotland
34