Calderdale Drugs Alcohol Niamh Cullen Public Health Manager

Calderdale Drugs & Alcohol Niamh Cullen Public Health Manager February 2020

Prevention Community *CIR* Business Community Intelligence CSP *Town Centre management* Corporate Equalities *YOT Board* Homelessness Strategy Group* Anti Poverty Group* Primary Care Network* Social Prescribing* Licensing Enforcement* Foster Panel* Suicide Prevention* Reducing Reoffending *STP* PHE* PCC* Gambling VRU Drug & Alcohol specific (All Age) Strategy *Treatment delivery* System change * Partnership development

How have we changed how we work? • • • Utilise what we have and maximising resources Trust, including that of Chief Officers Regular formal and informal communication (no surprises) Regular meetings and task and finish Working in an agile way to adapt to continuous change Shared problems, shared solutions

What do we set out to achieve? • Mutual respect and equality • To share risks, sometimes big ones • Continuous improvement and change – working outside the specification • Value for money • Dynamic and coproduced service specification • Increased capacity for strategic work to futureproof our system • Improved outcomes, both ‘traditional’ and new

Data Headlines Unmet need Drugs • OCU 52% • Opiate 45% • Crack 50% Alcohol 84% That’s a lot of people out of treatment! • Pakistani presentations Drugs -3% Alcohol 1% • Hospital Referrals 1% (D&A) • Mental Health Need 62% D 59% A • Club drug presentations 12! • Female Liver Disease admissions –RED • Hospital admissions GREEN • Mortality RED

Alcohol

What worries us at the moment – Discuss! • • • The system response to multiple and complex needs Drug related deaths/street deaths Reducing numbers in treatment BAME access Cocaine –West Vegas Suicide YP Drug use (ketamine Xanax etc. ) Harm reduction all age The Dark Web Needles on the streets Drug user infections Fragmented partnership and information sharing