« Previous | Contents | Next »
Listen
Chapter 8: Evaluations and Recommendations
8.1 Evaluations for Aberdeen JADAT Area
Area for Evaluation | Evaluation |
Key Outcomes | Adequate |
Impact on People who use Services and other Stakeholders | Adequate |
Key Processes | Adequate |
Strategic Management and Leadership | Weak |
Partnership Working | Weak |
Capacity for Improvement | Adequate |
8.2 Evaluations for Aberdeenshire ADAT Area
Area for Evaluation | Evaluation |
Key Outcomes | Adequate |
Impact on People who use Services and other Stakeholders | Good |
Key Processes | Good |
Strategic Management and Leadership | Good |
Partnership Working | Good |
Capacity for Improvement | Good |
8.3 Evaluations for Moray DAAT Area
Area for Evaluation | Evaluation |
Key Outcomes | Weak |
Impact on People who use Services and other Stakeholders | Adequate |
Key Processes | Weak |
Strategic Management and Leadership | Adequate |
Partnership Working | Adequate |
Capacity for Improvement | Adequate |
8.4 Recommendations - Individual Action Team Areas
Aberdeen City JADAT
Recommendation 3
Concerted action should continue to be taken to reduce waiting times and lists. As well as addressing capacity, Aberdeen should further consider redesign of services and set short-, medium- and long-term targets to reduce waiting lists.
Recommendation 7
The JADAT should review the balance of services in Aberdeen to make sure they meet the current identified need in the city.
Recommendation 9
The Fulton clinic should review its practice on home visiting by nursing staff to ensure that risk is assessed on an individual basis, and that resources are deployed effectively, based on clear agreed criteria. The assessment tool in use may be helpful.
Recommendation 10
Aberdeen City Council should review the level and role of its specialist substance misuse social work service in the context of a review of the balance of substance misuse services across the city.
Aberdeenshire ADAT
Recommendation 12
Aberdeenshire should continue to take steps to develop services in the south and central area of the county to the standard of those in the north, based on identified need.
Moray DAAT
Recommendation 13
The DAAT should put processes in place to ensure that all services have outcome indicators as a priority of delivery and development. This should be clearly reflected in care planning processes and staff should be supported to achieve and sustain this approach.
Recommendation 14
Health and Social work commissioners should examine contractual arrangements with providers to ensure that include clear statements that they have appropriate access to their files.
Recommendation 15
Moray should follow up its review of strategic and operational structures with a fundamental review of service need and develop services and staff accordingly.
Recommendation 16
Roles, responsibilities, and accountability in the integrated team should be clarified as a matter of urgency and joint working policies and procedures put in place.
8.5 Recommendations - All Three Action Teams
Recommendation 1
All three Action Teams should continue the work they are doing to develop and agree local outcome and performance measures and develop systems for collecting and analysing information to monitor performance against them. They should do so jointly rather than independently. The Scottish Executive should work with Action Teams to develop appropriate local outcome and performance measures.
Recommendation 2
NHS Grampian and the three Action Teams should review the role of users and cares in developing services, and create ways in which they can become more involved. The Action Teams should review the role of users and carers in the Action Teams and Forums.
Recommendation 4
All three Action Teams and NHS Grampian should ensure that the integrated assessment form for substance misuse is used across Grampian, by all relevant statutory and voluntary staff Regular auditing of the the forms should take place to ensure that the risk assessment section is being effectively utilised.
Recommendation 5
All three Action Teams should continue to ensure that staff who work with families where there are children are trained in screening for the impact of parental misuse on children, and in collaborative assessment procedures where this is judged necessary. This should be monitored by senior managers to ensure any risk to children is identified and appropriate action taken.
Recommendation 6
All three Action Teams should continue to work to develop and improve strategic links through relationships between strategic planning groups and the integration of substance misuse issues into appropriate plans. Reporting mechanisms from the Action Teams to the partner authorities should be agreed.
Recommendation 8
All three Action Teams should continue to develop management information systems to enable the appropriate sharing of information and the joint identification of performance information and unmet need. This information should be used to inform key planning and decision-making processes in the Action Teams.
Recommendation 11
All three Action Teams should continue to review their financial governance and put in place processes to enable them to improve their capacity to monitor and review spending on substance misuse in their areas.
8.6 Recommendations - Grampian-wide
Recommendation 17
NHS Grampian should ensure that Action Team partners are clear about their strategic intentions.
Recommendation 18
NHS Grampian should develop clinical governance arrangements for substance misuse. They should be supported by guidance, standards of performance and reporting requirements.
Recommendation 19
NHS Grampian should increase their efforts to promote enhanced contracts for GPs and provide support to GPs in order to develop more equitable services across Grampian.
Recommendation 20
NHS Grampian should review strategy and service delivery for people with co-occurring substance misuse and mental health problems. Clinical leadership and pathways of care should be clarified.
Recommendation 21
Action Teams should review pharmacists' representation to ensure that their important role is recognised and their experience contributes to the development of integrated substance misuse services of the best quality.
Recommendation 22
NHS Grampian and Grampian Police, in consultation with Action Team partners, should establish a standing group for the monitoring and prevention of drug-related deaths and should develop formal procedures for the review of drug related deaths where the person was known to services. The three Action Teams should agree a definition of alcohol related deaths and include those deaths with drug deaths.
Recommendation 23
Criminal Justice Social Work Services should review the current position of the Drug Treatment and Testing Orders in order to ensure that offenders and the courts have credible community-based intervention options. Any such review must include strategic partners and other key stakeholders.
Recommendation 24
Voluntary organisation providers in Grampian should conduct an internal audit of all files, focusing on critical areas of parenting assessment, risk assessment and care planning processes. The Action Teams should put measures in place through contract compliance processes to monitor progress on this.
« Previous | Contents | Next »