Health Improvement Performance and Development Framework – briefing and discussion event

1. Addiction Health Improvement – Greater Glasgow and ClydeThursday 7th June 2007, 2-4pmConference Room, Dalian House Health Improvement Performance and Development Framework – briefing and discussion event

2. Part 1: AddictionHealth Improvement Framework • Organisational context, purpose & rationale • Wider policy and performance context • Main elements of the framework • Guidance on use / completion • Support and development opportunities, including Addiction Health Improvement Network & PEN

3. Mental Health Partnership:Health Improvement Roles • MHP has overall governance role in relation to mental health, addictions, homelessness and learning disability • Includes overseeing health improvement areas of mental health and addiction, hosting two dedicated Health Improvement Teams • Also important role supporting, resourcing and enabling high quality, evidence-based approaches to addiction health improvement across whole system

4. Addiction Health Improvement: Proposed Approach • Emphasis largely on self assessment, while raising awareness on national & local targets • Dominant focus on support, development and resourcing wider addiction health improvement efforts, in CH(C)Ps and allied structures • Encouraging mutual support, info sharing and debate on longer term direction of travel – “community of practice” • Encouraging further needs assessment, research and evaluation in order to “grow” the range of effective responses

5. Rationale and approach • Complex, often controversial, area with multiple contributory factors • Many challenges with monitoring of performance – data sets, “proving” cause and effect, timescales for action • Evidence base also complex and “emerging”, with many macro-political issues impacting (e.g. UK taxation policy, international market in illicit drugs)

6. Wider policy and planning context • Community Planning Partnership, local authority and pan-Board level actions planning – summarised in Corporate Addictions Plan submissions • Board & Scottish Executive development of H.I. performance management systems – in progress • CH(C)P level planning, include Development Plans • Multiple connections to allied planning – children’s services planning, employment, homelessness, equalities, criminal justice, community safety…

7. Elements of Framework - 1 • Outline of key policies, national and local targets; description of roles and responsibilities • Range of analysis tools (Appendix 2A and 2B) to facilitate structured work on health improvement planning and delivery • Provides examples of practical work programmes (2A) that can be implemented, and on which developmental support is available

8. Elements of Framework - 2 • Allows analysis by key priority and by setting, as appropriate • These are voluntary tools, but would encourage completion of summary pages (pages 1 to 2 of 2A) as a minimum • Seek your permission to share summaries – e.g. on addiction HI network systems • Further active support available in discussing frameworks, local plans and delivery issues

9. Elements of Framework - 3 Main categories of action • Addressing diversity and inequalities • Support and harm reduction for vulnerable groups • Population based harm reduction and early intervention • Prevention and education and young people • Culture change and communities

10. Addiction Health Improvement Network • “Communities of practice: groups of people informally bound together by shared expertise and passion for a joint enterprise”Etienne Wenger et al…

11. Addiction Health Improvement Network: Main Functions • Access to high quality written material – via web, email, print… • Evidence base • Needs information • Summaries of activity, experiences, reflections • Resources • Fostering people contact: • 1-to-1 contact • Supporting local groups • Supporting larger, more formal gatherings and events Stimulating effective action aimed at improving population health and well-being in relation to addictions

12. Addiction Health Improvement Network • Emphasis on connecting up people and resources • Will be participatory and about sharing practice, not top-down • Will use variety of communication methods, including web, newsletters and briefings, seminars, training events, workshops etc • Part of the developing Public Health Network for Greater Glasgow and Clyde

13. Part 2: Key addiction health improvement challenges and responses Main categories of action • Addressing diversity and inequalities • Support and harm reduction for vulnerable groups • Population based harm reduction and early intervention • Prevention and education and young people • Culture change and communities

14. Part 2: Key addiction health improvement challenges and responses Alcohol – main challenges • Binge drinking • Alcohol and young people • Alcohol and crime • Accident and emergency admissions

15. Part 2: Key addiction health improvement challenges and responses Alcohol – main challenges cont. • Children affected • Alcohol and older people • Alcohol and pregnancy • ARBD

16. Addiction health improvement challenges and responses Alcohol – main responses City centre initiatives • Community prevention trial • Glasgow matters community television • Nite Zone

17. Addiction health improvement challenges and responses Pricing and taxation policies • Irresponsible promotions policy Enforcement of existing laws • Custody card initiative • City Centre off sales campaign

18. Addiction health improvement challenges and responses Advertising and promotion • Best Bar None Award Scheme • Safer licensed premises • Indecision Project (North CHCP) Licensing new premises • Outlet density initiative • Supporting the implementation of the Licensing (Scotland) Act 2005

19. Addiction health improvement challenges and responses Education • Alcohol and drug education consultancy service for secondary schools • Play safe campaign • GEAAP interactive website – GENIUS (East CHCP) • Children affected - Project alcohol DVD • Home carers training on alcohol and older people (Glasgow City & South Lanarkshire) • Alcohol and pregnancy resource

20. Addiction health improvement challenges and responses Research • Alcohol and smoking • A&E • Alcohol and communities • Alcohol and older people needs assessment Others • Represented on the Alcohol Health Improvement Forum • Alcohol Initiatives Fund • Local communication strategies (West Dun. CHCP)

21. Addiction health improvement challenges and responses Drugs – main challenges • Drugs and young people • Children affected • Enforcement of existing laws • Increase opportunities to training, education and employment • Reduce drug related deaths • Reduce numbers of individuals being affected by Hepatitis C

22. Addiction health improvement challenges and responses Drugs – main responses Young people • Youth worker training the trainers new modules (East Dun. CHCP) Children affected • Re-launch of the Glasgow Association of Family Support Projects • Rollout of the ‘Family matters’ resource

23. Addiction health improvement challenges and responses Enforcement of existing laws • Continued promotion of the ‘Making Youth Drug Policy Guidelines Clearer’ resource pack Training, education & Employment • Development of a student resource • Policy development with employers

24. Addiction health improvement challenges and responses Drug relateddeaths • Staff training on overdose prevention in the hostels • Service user training on overdose prevention in the hostels • Pilot of the non-fatal overdose recording form in the homeless setting • Naloxone pilot • Resource developments via Overdose Campaign Group

25. Addiction health improvement challenges and responses Hepatitis C action plan initiatives • Represented on the BBV Prevention and Education Sub-Group • Safer injecting practices training for frontline staff • Peer led training pilot on safer injecting practices • Resource development & agreement on the types of paraphernalia to be made available to IDU’s in the pre-packs • Outreach / backpacking service pilot Others • Represented on the Scotland Future Forum Network

26. Addiction health improvement challenges and responses Alcohol and Drugs main responses NHSGGC specialist and primary care service • Acute action plan implementation • Community setting action plan implementation Young people • Diversionary activities – ex - Big Night In (South West CHCP) Homelessness • Joint training staff training brochure

27. Addiction health improvement challenges and responses Inequalities • Language line Education • Existing youth workers training the trainer programme • Teacher training – primary and secondary schools (East Ren.CHP) • Resource catalogues –addiction / youth Research • Research group via Greg Usrey (South West CHCP)

28. Addiction health improvement challenges and responses Joint working • Community Sub-Group - Glasgow Alcohol and Drug Awareness Week • Prevention and Education Model • Public Health Network Capacity building • Health Improvement staff (West CHCP) • Prevention and Education Practitioners • Alcohol and Drug Forum members