Cambridgeshire

Drugs and Alcohol JSNA

Val Thomas - Consultant in Public Health, CCC

Wendy Quarry - JSNA Programme Manager, CCCJon Moore - Public Health Analyst, CCC 

3/6/15

Welcome, introductions & housekeeping

Wendy Quarry

JSNA Programme Manager

What is the JSNA?

Joint Strategic Needs Assessments (JSNAs) are used to identify the health and well being needs of a local population and steer the commissioning of services to meet these needs.

They aim is to establish a shared, evidence based consensus on key local priorities to support commissioning to improve health and wellbeing outcomes and reduce inequalities.

Joint Strategic Needs Assessment (JSNA)

Commissioners & Local Authorities jointly describe health, care & wellbeing needs & service delivery

Focus on:• Outcomes• Partnership working• Consultation

Drives commissioning process

The JSNA Process

Val Thomas

Consultant in Public Health

Objectives of this WorkshopScope of the Alcohol and Drugs JSNA

Stakeholder contribution: Bring their knowledge and experience to the JSNA

Key issues: what are they?

Current work: its contribution?

The Evidence: data sources?

Drug Headlines 2.7 million people use an illegal drug and 300,000 people in England are

dependent on heroin and/or crack. (PHE 2014)

Increasing problems especially new psychoactive substances (so-called ‘legal highs’), image and performance-enhancing drugs, prescribed and over-the-counter medicines. (ONS CSEW 2013/14)

Around 1 in 11 (8.8%) adults aged 16 to 59 estimated to have taken an illicit drug in the last year. This proportion more than doubled when looking at the age subgroup of 16 to 24 year-olds (18.9%). (ONS CSEW 2013/14)

Around one-third of adults had taken drugs at some point during their lifetime. Of 16 to 59 year olds, 35.6% had reported ever using drugs. (ONS

CSEW 2013/14)

5.3 per thousand opiate/crack users estimated and there were 1,423 people in treatment for drug misuse in 2013/14. (ONS CSEW 2013/14)

Alcohol Headlines

9 million adults in England estimated to drink at levels harmful to their heath and 1.6 million are dependent.

Synthetic estimate of alcohol consumption in Cambridgeshire indicate that 26% of men aged 16 or over drink above government guidelines (n=64,000). Increasing to 30% in the 45-64 age group. For women the figures are 17%, (n=43,600) and 20%.

Public Health England NDTMS: Diagnostic Outcomes and Monitoring Executive Summary 2013/14

Impact of Alcohol and Drugs

Poor health - physical and mental Deaths among heroin users are 10 times higher

than those in the general populationLow birth weight babiesAlcohol associated deathsCrimeSocio-economic problemsFamily disruption

Costs of Drug Use

Society as whole:£15.4mCriminal justice costs for Heroin/Crack

users £26,074 NHS costs £488m.Care for children whose parents use

drugs: £42.5m.PHE 2014: Alcohol and drugs prevention, treatment and recovery : why invest

Costs of alcohol misuse

Criminal Justice: £11bn

NHS: £3.5 bn.

 Lost productivity: £7.6 bn.

PHE 2014: Alcohol and drugs prevention, treatment and recovery : why invest

Jon Moore

Public Health Analyst

Drugs & Alcohol – Evidence starting points

What data and information sources do we have?

What do you have?

Data and information sources

The Public Health Outcomes FrameworkPHE Local Alcohol Profiles for EnglandOther PHE Fingertips profiles & indicators

Substance misuse profiles Co-existing substance misuse and mental health

issues Liver disease profiles

PHE Alcohol Learning resources, NTA JSNA support packs

Drugs Alcohol Community Safety

Local public health data Alcohol and drug-related admissions and

mortality – local data Health Related Behaviour Survey

National Drug Treatment Monitoring System (NDTMS)

Domestic abuse needs assessmentsAlcohol needs assessments

Drugs Alcohol Community Safety

Data and information sources

Drugs Alcohol Community Safety

Community safety partnerships strategic assessments

Criminal justice / police dataChronically Excluded Adults service

Data and information sources

What do you have?

Session 1: What should the scope of this JSNA include?

Substance misuse is wide ranging. What should we include within the scope of this JSNA and why?

Prioritise

Have a look at the ideas for the scope of

this JSNA and why.Which are the most important issues

You have 3 sticky dots to put against the topics you feel are most important.

Refreshments!

Session 2: Exploring the issues

1. What are the underlying issues regarding prevention and treatment of services?

2. What are the gaps?3. What are the barriers?4. What cross cutting themes are important and

what aspects of these should be explored in greater detail?

5. What data sources and evidence can you provide to support the subject areas identified in session 1?

Session 3: Understanding local needs 1. Identify any project work, strategies which this

work may help to inform, together with the associated timelines.

2. Identify ways in which we can secure local community views and whether you/your organisation would be willing to support.

Next steps – producing the JSNA together Data capture and analysis (June 2015 – Jan 2016) Community Engagement (June 2015 – Jan 2016) Writing Final Report (February/March 2016) Key Findings Workshop (February/March 2016) Full report to Health and Wellbeing Board in May 2016 Dissemination to general stakeholders

Early dissemination of key findings (March 2016) Dissemination to wider groups from (May 2016 onwards)

Thank you for your time.

Let’s work together on this exciting piece of work.