ADP ANNUAL REPORTS : Scottish Government Analysis and Feedback. NHS Grampian

Transcription

1 ADP ANNUAL REPORTS : Scottish Government Analysis and Part 1 Aberdeenshire ADP NHS Grampian RAG Status Evidence Full, Partial, ne Analyse Plan Deliver Review A A A A G G R A A- A- -G G A G A- -G -A A- A- G F F F F F F F F F F F Formatted: Justified : General Sense From the report received from Aberdeenshire ADP there was a number of elements that did not have a RAG status. Evidence of progress on a number of key developments and acknowledgement of areas required for development. National Commissioned support requested as well as SG national support team. Request to implement SG row tool. Report feedback given that will be discussed internal and feedback given. Clear progress been made on ministerial priorities around naloxone and NPS. ADP have set up Drug Related Death Group to monitor local statistics, reasons, and trends. Sorry all the RAG scores were not in I have now provided above. I have not completed as this request was for numbers and specifics, if you need a rating then they would all be amber as we did not have the full information required. 1

2 Part 2 1. Does the Report evidence Joint Strategic Needs Assessment being undertaken? Health Needs Assessment for Alcohol and Drugs completed May ISD and Salsus were utilised. Community Forums and networks were included as well as questionnaires to a range of partners. 2. Does the Report evidence Integrated Resource Framework Process? 3. Does the Report evidence Integrated Resource Framework Outcomes? Cognisance should be taken of local, political sensitivities. Commitment secured for financial changes in new delivery plan. Finances to be split across prevention and early intervention, protection and harm reduction, treatment and recovery and community involvement. Part 3 4. Does the Report evidence a shared vision and joint strategic objectives which are aligned to local partnerships? Connections with SOA, HSCP across a number of plans and strategies. 5. Does the ADP Report evidence the formal relationship with the local: Child Protection Committee? Adult Protection Committee? 6. Does the Report evidence how the ADPs planned strategic commissioning work is linked to Community Planning and local integrated health and social care plans, preparing to support improved outcomes, priorities and processes? For links to CPP For links to H & Sc Child and Family Protection Committee. Although no clear note regarding APC. Links to Adult Protection is through our relationship with Social Work department within the Local Authority. This extends also to criminal justice to ensure those leaving prison are also covered. Aberdeenshire have a range of committees that are structured within Community Safety Partnership and include ASB & Violence; Gender-Based Abuse and Unintentional Injuries with a focus on early intervention and prevention around substance misuse and underlying causes of Home, Fire and Water Safety. This information is helpful and adds to the links created locally to ensure coherent partnership working. Through a range of structural and strategic mechanisms. 2

3 7. Does the Report include a copy/link to the ADP Commissioning Plan or Strategy? 8. Does the ADP Report detail the formal accountability route for Planning and Reporting? Final draft form and will be presented to ADP in December Community Planning Partnership Board subset of indicators from Delivery Plan is incorporated into the SOA. 9. Does the Report evidence the route and frequency the ADP reports to their governance arrangement? 9b) Did the ADP receive feedback on this Report from their accountability route? 10. Does the Report evidence Service Users and Carers are embedded within the partnership commissioning process? 11. Recovery Orientated Systems of Care (ROSC) 11b). Does the Report evidence Recovery Outcomes for all Individuals within the ADPs alcohol and drug treatment system 12. Does the ADP Report evidence that statutory requirements for Equality Impact Assessments have been addressed during compilation of ADP Strategy and Delivery Plan? Route: Frequency: : In Place In Development In place and enhancing further CPPB 2/3 months. All strategies and plans are submitted for approval. 2 part time service user involvement coordinators. SFAAD member of staff covering Grampian. Local forum has ex-service user as vice chair. Progress made on the features of ROSC. Person centred, family inclusive, broader services including education and employability and community service connections. SG ROW Tool. Currently being assessed by Public Health colleagues. Local challenges re recruitment have been identified as a problem in this area of work. date as to when work will be completed. 3

4 Part Does the Report evidence Workforce activities? It is encouraging to note that Aberdeenshire ADP have continued to progress workforce development activity as outlined in the Delivery Plan. From the report it is evident that the ADP is strategically focused on how workforce development and related activity fits into and contributes to local plans, national policies and operational service delivery. Providing a strategic focus to workforce development based on the Scottish Government Statement (2010) and National Support (2014) allows Aberdeenshire ADP to engage and collaborate with a number of partner whilst ensuring a clear connection to local deliver plans and outcomes. It is clear that Aberdeenshire ADP have worked alongside national partners and local services to increase attendance a local learning and development events and this is evidenced by a training uptake rate of 82%, which was higher than the SDF national average of 73.8%. Creating a sustainable approach to workforce development can also be seen with local service providers contributing to multi-agency inputs on drug awareness and NPS. In addition to this, having the ADP support team develop and deliver awareness raising and skills training indicates the range of competency within the team and integrated nature of Aberdeenshire ADP into the local delivery landscape. In terms of quality assurance, accountability and governance it is reassuring to see that a Workforce Development Reference Group has been established to oversee the strategic workforce report and recommendations. It would be interesting to note the progress on the ABI Training for Trainers local capacity building work, but as this is part of the Delivery Plan it is acknowledged that it may only be at an early stage. Also it would be helpful to note the direct Formatted: Highlight resources allocated by Aberdeenshire ADP to support workforce development activity. Do we want to say anything about this, don t want to contradict other parts of the report.? 14. Does the Report evidence the ADPs provision to demonstrate the range of Prevention, treatment/recovery & support interventions (including early interventions) commissioned by the ADP and delivered in the reporting period? 15. Does the Report evidence a summary of ADP interventions delivered to support their community? 16. Does the Report evidence a transparent It may be helpful to broadly identify, if possible, the budget allocated to workforce development provides baseline for ADP. Thank you for outlining the range of your ADPs provision, your report has provided a good sense of your activities in this area, this particularly helpful for our ADP National Support Team. Reviews are undertaken with all services. common outcome tool in place as yet but plan to use ROW tool. 4

5 performance framework for all ADP Partner organisations who receive funding through the ADP, including statutory provision? 16b). Does the Report evidence how all partners contribute to delivering outcomes identified in the Joint Strategic Needs Assessment? Part Does the Report evidence that the ADP Delivery Plan is reviewed on a regular basis, which includes the review of the provision of prevention activity, recovery, treatment and support services (ROSC)? 18. Does the Report evidence the ADPs progress towards outcomes focussed contract monitoring arrangements being in place for all commissioned services? Treatment services and health improvement provide quarterly updates on the A11 target and H4 standard and Lead Officers attend quarterly ADP Chairs strategy group meetings to account for performance and agree future actions. We have an ADP Joint Financial Framework in place which requires outcome performance reporting via the development of service specifications/service level agreements. Governance structure in place. A standardised reporting template has been developed to assist services in producing quarterly reports for the ADP and CPF groups. Third Sector commissioned services have a SLA that sets out measures for monitoring performance. CPF (Commissioning, Planning and Finance) Group is developing a Commissioning strategy and will advise the ADP on its introduction and development. This will be key in improving our activity on this as the process will highlight specific outcomes prior to services applying for the funding. We have received a new funding agreement letter which allows us to be clearer in setting our expectations of services 19. Does the Report evidence a schedule for service monitoring and review which includes statutory provision? 20. Does the Report evidence how Service Users and their Families are playing a central role in evaluating the impact of statutory and 3 rd sector services? Every 6 months. Next due in October Service user feedback included in monitoring visits. Further development is taking place in this area of work. 5

6 Through analysing data collected by all services we are now in a position where we can start reviewing services in regards to identifying value for money. This is something we will be taking forward in 15/16. We have also approached SG resources to help with this. 21. Does the Report evidence the robust Quality assurance system in place which governs the ADP and evidences the quality, effectiveness and efficiency of service? Aberdeenshire ADP has started to evaluate the implementation of Quality Principles by conducting a survey of service users. This survey was carried out to obtain views of the service users in order to develop and evaluate the service. 85 responses were received direct from service users and families. The questionnaire was created around the 8 Quality Principles. All responses were recorded by the Scottish Health Council. The final report has not been published yet but early indications are very positive. Once the final report is available the results will be assessed and any actions required will be taken forward by our Service Delivery Group. The implementation of quality Principles also form part of the service monitoring procedures and all services will be asked what they have done to ensure they are adhering to the Quality Principles guidance. 22. Does the Report evidence when how and the ADP Plans/has to undertake and assessment of local implementation of the Quality Principles? As Above. 23. Does the Report evidence the progress being made by the ADP in taking forward the recommendations from the ORT report? 24. Does the ADP Report evidence how the ADP and Partners are delivering a Whole Population Approach for alcohol? With regards the work being done to address the recommendations made in the ORT report, there is limited evidence in the ADP report of progress on these, however your report state s that your ADP is committed to its provision in a safe and effective manner. Some additional detail on the progress made following the recommendations would be useful if it were included in the next annual report. It would also be useful if a key aim statement could be developed and included in the next annual report. Finally, the information provided on ORT prescribing is useful, and if they were able to gather any additional data on this, for example length of time in receipt of prescription and size of dose, it would be beneficial for both the ADP and Scottish Government. t sure if Bruce wants to comments on this As part of the national ADP support programme, ADPs are being supported by the Scottish Government and Alcohol Focus Scotland to implement whole population approaches to implement alcohol harm. It is encouraging the see the increase in both the range of activity and level of detail provided by ADPs on whole population approaches within this year s reports. Tackling availability and licensing remains a strong focus of this work, with many ADPs continuing to work with their local licensing board, licensing forum and other local partners. ADPs are also continuing their comprehensive ABI programmes, and running education campaigns. Other activity beginning to increase in prominence is workplace initiatives addressing alcohol use; workforce development on WPA; planned engagement work with community planning 6

7 and elected members; and activity targeted at addressing older people s drinking. In order to continue this good work, we would encourage you to make use of the range of resources available on the Alcohol Focus Scotland website, such as their briefing on local implementation of whole population approaches. ( Will this be a standard response in All ADP feedback? Highlights the resources available to ADPs re WPA. We would like to commend your ADP for the continued good work it has undertaken on whole population approaches over the past year, and in particular the range of different ways you have taken forward whole population activity. We would encourage you to continue this good work and keep us abreast of the progress being made and any support you may require. Field Code Changed 25. How many service users are in receipt of prescriptions for problem alcohol use? 26. How many service users are receiving counselling/support through ADP commissioned services? 27. How many service users received treatment for Alcohol related Brain Damage (ARBD) in the reporting period? Thank you for providing strong detailed information. We appreciate the information requested was difficult to obtain in a number of ADPs. We will consider these questions along with the feedback from the ADP event in vember as part of the review of ADP Planning and Reporting. Part Does the Report evidence Financial information as requested on the Standard Reporting Template for ? 29. Finance: Does the Plan set out how the ADP identified the resources utilised in prevention, treatment, recovery or dealing with the consequences of problem alcohol and drug use in their locality? We have been unable to draw conclusions at a national level, as 6 did not financial information as requested. Ministers wish to understand the financial investment and expenditure through ADPs and in particular the spend from the Scottish Government s investment. Thank you for sharing your financial information. We could see the Scottish Government investment and spend in your annual report. To enable us to advise Ministers on the National Picture of financial investment, it is essential that the Scottish Government investment and spend continues to be clearly identified in future annual reports. 7

8 Part Does the Report evidence the progress made in taking forward the 5 ADP commitments made for ? 31. Does the Report evidence the ADPs 5 key commitments for ? 32. Does the Report evidence progress made with the Ministerial Priorities? 33. Does the Report evidence SMART Improvement Goals for Ministerial Priorities? 34. Is there evidence of the ADP working with commissioned organisations? If so which ones? 35. Please copy and paste any requests for support from SG ADP National Advisors. 36. on NPS 37. Please copy and paste any feedback from the ADP around the Standard Reporting Template [Part 5 of Standard Reporting Template] [Part 3 of Standard Reporting Template] SFAAD, ROW Tool support and performance framework. Your report provides a good overview of how your ADP is tackling NPS. The on-going risk assessment and the education initiative to engage directly with the schools are to be commended, alongside the forum to investigate deaths involving NPS. It would be helpful if you could provide an update on the plans to tackle the sale of NPS after any action is taken. It is anticipated that the implementation of the Psychoactive Substances Bill will be April However, legislation alone will not solve the problem of NPS and ADPs should prepare for these new challenges. We would expect to see evidence of this in the report. We will certainly cover this in our next report but we may have failed to include information about working with Trading standards and departments within the Local Authority e.g.cleansing to establish appropriate actions that could be taken regarding sale and distribution of NPS. Outcomes and actions from these discussions will be part of our 15/16 plan. That would be helpful and helps identify the work that is taking place locally re NPS. Thank you for your comments on the standard reporting template, we will consider these along with feedback from the ADP event in vember as part of the review of ADP Planning and Reporting. Part 8 Performance Framework 8

9 38. Does the Report evidence a performance framework? 39. Do you consider it to be robust? (e.g. based on logic models demonstrating how activities link to outcomes) 40. Does the performance framework include all core outcomes and Indicators? 41. Does the performance framework include any local outcomes? 42. Does the performance framework include any local Indicators? 43. Are SMART Improvement Goals in place for all core indicators? Are they clear & ambitious? Report notes that the performance framework operates at a number of different levels: a. Outcome monitoring for strategy outcomes (incorporating the 7 national core ADP outcomes). b. Outcome monitoring for operational service delivery (Via ADP service agreement letters). c. The function of the Commissioning, Performance and Finance Group (CPF) to manage the ADP s commissioning, performance and finance activity on behalf of the ADP Committee. d. The Delivery Plan and tactical group roles reports received at each ADP meeting from each group highlighting progress against action plans. e. Evaluation of activities and consultation with providers through self-assessment of their work. Activities are linked to outcomes and indicators, with a range of data being used to monitor progress. Reporting would be strengthened if the report included additional baseline data. The baseline is often the most recent data available and that doesn t allow recent progress to be assessed. Ideally a number of previous data points would be used, particularly for key indicators. Targets are generally clear and most appear suitably ambitious. 43b) Are SMART Improvement Goals in place for all local Indicators? Are they clear & Targets are generally clear and most appear suitably ambitious. 9

10 ambitious? 44. Have SMART Improvement Goals been achieved as expected? Very much mix between green and amber but progress looks generally fairly good. 45. Are planned activities linked to planned outcomes? For most indicators / outcomes. Additional detail in places would be helpful. 46. Does the performance framework make use of baseline data? 47. Benchmarking: Has this been undertaken? If yes, is the comparison against Scotland or another ADP(s) or both? In places but it would be helpful if this could be expanded. There s an over-reliance in the most recent data, which makes progress difficult to assess. For a relatively small number of indicators only. Comparison generally with East Dunbartonshire and Scotland (note position relative to Scotland for some of the key indicators but don t tend to use this to benchmark progress over time). 48. Performance Framework Generic Comments for to ADP. A good performance framework but would be strengthened with enhanced use of baseline data (and potentially benchmarking) to help monitor progress over time. We anticipate this will be improved in the 15/16 plan and have highlighted out outcome recording as what we feel is our greatest weakness. National support will be available in relation to ROW Tool. 10