AGENDA ITEM 5

BOROUGH OF POOLE

LICENSING COMMITTEE

8TH APRIL 2009

PROGRESS UPDATE: pOOLE PARTNERSHIP’S ALCOHOL HARM REDUCTION STRATEGY 2007-10

1.PURPOSE OF THE REPORT

To update Licensing Committee on the implementation of Poole’s Alcohol Harm Reduction Strategy 2007-2010

2.PROJECT BACKGROUND

The Alcohol Harm Reduction Strategy has been developed as part of Poole’s Local Area Agreement to provide a local response to the National Alcohol Harm Reduction Strategy, published in March 2004. It sets out clear objectives, directions and actions describing how the problems of alcohol misuse within Poole will be addressed through joint working across agencies.

Membership of the Alcohol Harm Reduction Monitoring Group (AHRM) is structured around the Strategy’s Action Plan, and includes key representatives responsible for service delivery from both the statutory and voluntary sectors.

3. KEY OUTCOME AND STRETCH TARGETS

The following section provides explanation in support of the Alcohol Strategy Targets. Please refer to column ‘Achieved Jan 09’ in attached Key Outcome Target spreadsheet for associated figures.

CRI, Crime Reduction Initiative (BIT) Targets

NB. Delays in funding from GOSW and service initiation mean that this three-year target needs to be achieved in 18 months. CRI, have been commissioned to develop the Brief Intervention Therapy Service (BIT), and began work in Autumn 2008.

  1. Number of alcohol related offenders receiving Fixed Penalty Notices or conditional caution successfully completing BIT; CRI currently reporting 0 on this; in order for data to be obtained, there needs to be joined-up work between the police and CRI.
  1. A decrease in the number of offenders receiving Brief Intervention Therapies who re-offend within 12 months; this data will not become available until August / September 2009, however, as above there will need to be a close working relationship between CRI and the police in order for the correct data to be extrapolated.
  1. A cumulative increase in the number of hazardous and harmful drinkers successfully completing the Brief Intervention Therapies; with only 50 harmful and hazardous drinkers successfully completing the brief intervention therapies, on present projection CRI would struggle to achieve 10% of the 1221 2009/10 target. However the service has increased the screenings in Poole hospital from 167 in November 2008 to 268 in December 2008 and 829 in January 2009.

The number of people (aged 19+) presenting to A & E scoring 8-19 using the AUDIT successfully completing BIT’S; Again, as above, the number for this is very low, 9, with a target of 1108 for 2009/10. On present course CRI would struggle to reach 5% of the expected total. With the caveat that the service is still relatively new and numbers are expected to grow exponentially.

  1. A cumulative increase in the number of A & E clients successfully completing BIT’s reducing their drinking to low risk levels at a six month follow up (AUDIT); These figures will not become available until May / June 2009, due to the six month period between therapy and follow up.

YADAS Young People targets (including BIT)

  1. An increase in the number of young people admitted to hospital through A&E for alcohol related reasons referred to YADAS; This target is strongly ahead of schedule and a result of the hard work and strong link between the hospital and the young people’s service.
  1. Number of young people (11-18 years) successfully completing Brief Intervention Therapies (BITs); as above, target is strongly ahead of schedule and a result of the hard work and strong link between the hospital and the young people’s service
  1. Percentage of young people that are re-referred to YADAS within 12 months of successful completion of Brief Intervention Therapy; These figures will not become available until June / July 2009. / June 2009 due to the lapse between therapy and follow up.

Addiction Treatment Targets

  1. A decrease in waiting times for Tier 3 & 4 alcohol treatment services; A number of factors seem to have had an impact on the reduction of waiting times, from an average of 10 weeks in 2007 to an average of 3 weeks in January 2009, and on target to meet the 2009/10 benchmark. Poole treatment services have been operating an allocation meeting once a week, to more effectively meet the needs of its addiction community. There is also a low threshold clinic running from within the Specialist Team (PACT), which offers quick effective harm reduction treatment to the opiate population. These combined initiatives seem to have a significant effect on alcohol waiting times.
  1. A cumulative increase in the number of successful Tier 3 and 4 alcohol client discharges; Work in conjunction with both Commissioners and providers throughout the past few years has re-focussed the partnership on the effective planned discharge of clients. Recent figures show this to be on target.
  1. An increased number of people receiving treatment accessing training or employment; The data extrapolated for this comes from the Treatment Outcome Profile (TOPS), via halo. Although the target appears to be met, there requires further interrogation of this data to ensure its accuracy.
  1. An increased number of people receiving treatment in stable accommodation; as above, the data extrapolated for this comes from the Treatment Outcome Profile (TOPS), via halo. Although the target appears to be met, there requires further interrogation of this data to ensure its accuracy.
  1. An increased number of people receiving treatment in supported housing; With 30 clients over the year and 6 clients currently receiving floating tenancy support this figure is presently on target.

Reducing Crime

  1. A decrease in the proportion of residents who feel that people being drunk or rowdy in public places is a problem in the local area. This figure is collected via Poole Opinion Panel, and will not be measured again until Autumn 2009. However, the question was posed to residents via the ‘Place Survey’. Although this survey operates to a different methodology the results suggest a notable decrease.
  1. A Reduction in alcohol related wounding offences committed in Poole Town Centre (PPEC beat area). Figures for January 2009 suggest a notable reduction in offences from the previous year.
  1. 10% Alcohol related offenders not re-offending with 12 months. This target is being renegotiated with GOSW. Originally it related purely to offenders who had received BIT, but GOSW have suggested that this aspect may be removed to gain a more general measure.
  1. A decrease in the proportion of (off) sales of alcohol to persons under the age of 18, through test purchasing operations. Test Purchasing Operations are currently intelligence based – meaning that they are made on premises that have been reported for underage selling, so a proportion of underage sales is expected. Nevertheless, this indicator has been consistently achieved since implementation of the Strategy.

Reducing Road Accidents and Drink Driving

  1. An increased number of convicted drink drivers successfully completing Dorset Probation’s ‘Drink Impaired Drivers Programme’. 2008/09 data will not be available until April. However, feedback from the Probation Service suggests that the programme is continuing successfully and continues to be on track to meet targets.

4NEXT STEPS

In addition to ongoing work to reach the above target, identified priorities for the Alcohol Harm Reduction Monitoring Group over the next year are:

Developing information sources and dissemination to young people.

Tackling alcohol and Domestic Violence

Addressing alcohol issue amongst Older People

Public Health Messages around alcohol

Increased representation and involvement of the voluntary sector on the AHRM Group.

Contact Officer:-Kat Watters, Strategic Planning Services

Tel: 01202 633367 Email: .

1

Key Outcome Targets

CRI, Crime Reduction Initiative (BIT) Targets

Outcome Target / Baseline (2006) / Target 07/08 / Achieved Sep 07 / Achieved 07/ 08 / Target 08/09 / Achieved Jan 09 / Target 09/10 / Achieved Sep 09 / Achieved/ March 10
comments
1.
Number of alcohol related offenders receiving Fixed Penalty Notices or conditional caution successfully completing BIT’s
LAA 8 / 0 people /
C
/ 0 (service under dev’ment) / 0 (service under dev’ment) / C / 0 / 113 people / LAA 8 improved joined-up work between police and CRI to be undertaken
2.
A decrease in the number of offenders receiving Brief Intervention Therapies who re-offend within 12 months. / TBA / C / 0 (service under dev’ment) / 0 (service under dev’ment) / C / Data on this will not become available until August 2009 / 34 people / There will be a need to work with the police, in order to capture the data
3.
A cumulative increase in the number of hazardous and harmful drinkers successfully completing Brief Intervention Therapies. / 28 people / C / 0 (service under dev’ment) / 0 (service under dev’ment) / C / 50 / 1221 people / Not on target
4.
Number of people (aged 19+) presenting to A&E scoring 8-19 using AUDIT successfully completing BIT’s. (ST)
LAA 10 / 28 people / C / 0 (service under dev’ment) / 0 (service under dev’ment) / C / 9
(Dec 08 – Jan 09) / 1108 people / LAA 10, this target is currently looking very unlikely. Re-assess in June 09
5.
A cumulative increase in the number of A&E clients successfully completing BIT’s reducing their drinking to low risk levels at a six month follow up (AUDIT). (ST)
LAA 11 / 0 people / C / 0 (service under dev’ment) / 0 (service under dev’ment) / C / Figures not available until May 2009 / 336 people / LAA 11, need to re-assess in June 09, when first data comes in from this

YADAS Young People targets (including BIT)

Outcome Target / Baseline (2006) / Target 07/08 / Achieved Sep 07 / Achieved 07/08 / Target 08/09 / Achieved Jan 09 / Target 09/10 / Achieved Sep 09 / Achieved March 10
Comments
6.
An increase in the number of young people admitted to hospital through A&E for alcohol related reasons referred to YADAS. / 7 people / 20 people / 5 / 30 people / 28
(May 08 – Jan 09) / 40 people / Target on schedule
7.
Number of young people (11-18 years) successfully completing Brief Intervention Therapies (BITs). (ST)
LAA 1 / 0 people / C / 0 (service under dev’ment) / 0 (service under dev’ment) / C / 22
(May 08 – Jan 09) / 70 people / LAA 1
This target is on schedule
8.
Percentage of young people that are re-referred to YADAS within 12 months of successful completion of Brief Intervention Therapy. (ST)
LAA 2 / 0% / C / 0 (service under dev’ment) / 0 (service under dev’ment) / C / Figures not available until June 09 / No greater than 10% / LAA 2
Figures not available until June 2009

Addiction Treatment Targets

Outcome Target / Baseline (2006) / Target 07/08 / Achieved Sep 07 / Achieved 07/08 / Target 08/09 / Achieved Jan 09 / Target 09/10 / Achieved Sep 09 / Achieved March 10/
Comments
9.
A decrease in waiting times for Tier 3 & 4 alcohol treatment services. / 13 weeks / 8 weeks /
Average
10 weeks / 4-8 weeks / 6 weeks / Average1-3 weeks / 3 weeks / On target
10.
A cumulative increase in the number of successful Tier 3&4 alcohol client discharges. (DAAT effectiveness target) / 90 people / C / 117 planned discharges
Recorded Feb 08 / C / 215
Year total Jan 08 – Jan 09 / 162 people / On target
11.
An increased number of people receiving treatment accessing training
or employment. / TBA / Group tp lead on this work established / Period Jan-Jun08, TOPS review data. 24 clients in work, 1 ed / Period Jul08-Jan09, TOPS review data. 50 clients in work, 7 ed / 34 people / This total is being met, but there requires further interrogation of TOPS data
12.
An increased number of people receiving treatment in stable accommodation / TBA / Introduction TOPS October 2007 / Period Jan-Jun08, TOPS review data. 69 clients reporting no acute housing problem or risk of eviction / Period Jul08-Jan09, TOPS review data. 188 clients reporting no acute housing problem or risk of eviction / This total is being met, but there requires further interrogation of TOPS data
13.
An increased number of people receiving treatment in supported housing / 12 people / C / C / 30 alcohol clients over year 2007/08
6 alcohol clients currently receiving floating tenancy support / 24 people / On target

Reducing Crime

Outcome Target / Baseline (2006) / Target 07/08 / Achieved Sep 07 / Achieved March 08 / Target 08/09 / Achieved Jan 09 / Target 09/10 / Achieved Sep 09 / Achieved March 10/
Comments
14.
A decrease in the proportion of residents who feel that people being drunk or rowdy in public places is a problem in the local area. / 63% / 58.5% / 59% / 54% / 28%
NB: Place Survey data. / 49.5%
15.
A reduction in alcohol related wounding offences committed in Poole Town Centre
(PPEC beat area) / 413 / 2% reduction / 200 (Apr – Sept 2007) / 377 / 3% reduction / Apr-Dec 2008: 176 offences / 4% reduction / Police data not currently available for town centre
16.
10% alcohol related offenders not re-offending within 12 months
LAA 9 / 0 / C / C / Target recently re-evaluated / 10% / LAA 9,
This target re-evaluated February 2009. Discussion with police needed
17.
A decrease in the proportion of (off) sales of alcohol to persons under the age of 18, through test purchasing operations. / 25% / 23% / Test purchasing not taken place / 11% / 20% / 14% / 17%

Reducing Road Accidents and Drink Driving

Outcome Target / Baseline (2006) / Target 07/08 / Achieved Sep 07 / Achieved March 08 / Target 08/09 / Achieved Jan 09 / Target 09/10 / Achieved Sep 09 / Achieved March 10/
Comments
18.
An increased number of convicted drink drivers successfully completing Dorset Probation’s ‘Drink Impaired Drivers Programme’ / 16 people / 40 people / 45 / 69 (county-wide) / 50 people / Data available in April. Target on track / 50 people

1