PHE has published the latest alcohol, drugs and tobacco joint strategic needs (JSNA) resource pack to help local areas develop joint strategic needs assessments and local joint health and wellbeing strategies that effectively address public health issues relating to alcohol, drug and tobacco use. The support pack consists of eight resources covering young people's substance misuse and adult alcohol, drug and tobacco use. For each topic area there are good practice evidence-based prompts to support local areas assess need, plan and commission effective services and interventions. The second component for each topic is a bespoke data pack for every local authority to support needs assessment and commissioning. The resources are available here and tailored data packs will be sent to each local authority.
Payment by Results (PbR) was first introduced in the NHS in 2003/04.
This was a move away from sweeping block contracts that supported NHS hospitals up to that time and a move towards payment for the activity they delivered.
Mental health has actively been implementing PbR over the past several years. However, one group served by Mental Health Trusts that has been outside of PbR to date has been patients receiving alcohol treatment.
Over the past 24 months, we have been creating and testing some products and currencies to address this group. The approach for alcohol treatment follows the approach developed in mental health for working age adults and older people - currencies that clusters service users based on their characteristics and their overall level of need. Packages of care, based on NICE guidance have been developed to support each cluster and treatment outcome measures are being explored. Four pilot areas have been testing out these products and how they can report costs for treatment based on the currencies / clusters.
From April 2013, local authorities have new public health responsibilities including responsibility for commissioning alcohol prevention and treatment services. Local authorities will finance these service through the Public Health Grant and be supported by their Public Health Director and the local public health teams.
During this time of transition, we will review our next steps to better understand how this PbR approach can best support the developing system. We will continue to refine the currencies, clusters, packages of care and outcome measures. When they are fit for purpose, we will make them available for future use by local authorities and alcohol treatment providers.
Click the link below to learn more about Alcohol Treatment PbR and to view some of the tools being used in the pilots
See our Resources for Commissioners for useful weblinks
Guidance for services to meet local alcohol-related need.
A brief look at the measures available and the issues for service providers and commissioners of alcohol services. The DH and Baker report's below are accompanying documents and should be read together.
Putting People First provides commissioning resources for Social Care including 'Think Local, Act Personal - Next Steps for Transforming Adult Social Care' which, "sets out how councils, health bodies, providers and other community organisations will work more closely so individuals, their families and carers have greater choice and control over their care and support."
SCIE (opens new window) (Social care Institute for Guidance) is a large online resource for Social Care and hosts e-learning, good practice frameworks and a variety of online tools.
Amongst others these include:
The Alcohol Systems Model. A computer simulation tool that enables commissioners / service planners to envisage the likely impact of making changes in service configuration. The model represents a geographical area equivalent to a PCT or Local Authority, with an adult population of 250k (and rising). It is capable of scaling to cover a different local, regional or national picture if required
- Data tools for Commissioners (Ready Reckoner, Rush, Purple etc)
- Alcohol Profiles and Hospital admissions etc
- GP Computer System Templates