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Imaginative approaches to improving access

Imaginative approaches to improving access. Netta Maciver. Imagine. Today is the day I’m going to go I made it They can see me in three weeks time I really want to keep that appointment What do you think?. Approach. TPS has no set way of providing service

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Imaginative approaches to improving access

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  1. Imaginative approaches to improving access Netta Maciver www.turningpointscotland.com

  2. Imagine • Today is the day I’m going to go • I made it • They can see me in three weeks time • I really want to keep that appointment • What do you think? www.turningpointscotland.com

  3. Approach • TPS has no set way of providing service • TPS has a commitment to make service work for people • TPS has a commitment to direct access • TPS has a commitment to exclude no one • TPS has a commitment to a professional service www.turningpointscotland.com

  4. Access • Referrals take time • Some examples of direct access • GDCC • Peterhead • Paisley • Leith • Big River www.turningpointscotland.com

  5. GDCC • 24/7/52- 50,495 visits • An average of 150 people each day • 4/5000 vulnerable and chaotic • Waiting time is 5 minutes • Busiest day last year Sunday 23 June (164) • Hub working with many partners www.turningpointscotland.com

  6. Peterhead • Arrest referral and day programme • 24 hour call out system to police- attend within one hour • Same person sees them next day • One year 106 a/r (27 re-referrals)- 32 used the service 40% take up • Can help CAT to “hold” people • Sees 8% in the am, 20% 12-4, 71% 4-8pm www.turningpointscotland.com

  7. Paisley - Cactus • Fax referral system from Paisley Police • Everyone seen within 24 hours and sticks • 44% take up • Customise practice to fast track into prescribing clinic www.turningpointscotland.com

  8. Leith • Direct access – drop in service -641 people • Drop in for locality clinic, crisis, telephone, needle exchange, ear acupuncture • Locality clinic saw 179 • Above came from 15 different GP practices www.turningpointscotland.com

  9. Big River • Works across the Borders • Accessing means we come to you • Where and when will be agreed with you • Drop ins in Galashiels, Kelso or Eyemouth www.turningpointscotland.com

  10. Service • Range on offer within services • Retention is key to successful outcomes • Need to include the most challenging • Treatment is more than methadone • Begins in needle exchanges • Needs to focus on real needs- where to stay, what to eat, how to sort www.turningpointscotland.com

  11. Flexibility • Service opening hours- from 24/7 to 6 day opening to evening opening hours • Responses that cross generations • Ability to see individual needs • 1-1, group work, advocacy, alternative therapies, practical needs • Working with other providers www.turningpointscotland.com

  12. Barriers • Who runs first level services (who is capable of undertaking assessments) • Geographic rules- every person receiving a script must… • Compliant, stable users who block services • This is how it’s done here www.turningpointscotland.com

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