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Impact Assessment DAAT (S02)

Cuts

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Description 

Homelessness and Substance Misuse Service

Removal of contribution to a local organisation that provides homelessness support services to ensure all provider staff are trained to, and carry out, screening, brief interventions, 1-2-1 support and appropriate referrals to the Recovery & Wellbeing Service, for those individuals presenting with substance use issues. The service is currently contracted to 31/03/2018, subject to annual extension approval, with a current extension approved by the Procurement Board and in place for 2016-17. The proposal would be not to apply for a further extension for the final year of the contract (2017-18).

Drug, Alcohol & Tobacco Commissioning Team

No specialist team. Posts to be deleted. Specialist partnership, intelligence, advice and strategic planning functions to be absorbed into Public Health team. Commissioning to be by DBC commissioning function. There would be no capacity to undertake local campaigns and limited capacity to support national or regional campaigns in Darlington.

Wider Alcohol Control

No contribution to BALANCE the regional office for the reduction of Alcohol Harm. There would be reduced availability of performance information, in particular around local, regional and national benchmarking, and legislation and policy change updates. There would be no capacity to undertake local campaigns and limited capacity to support national or regional campaigns in Darlington

Link

S2 - Impact Assessment DAAT

 


 

Keywords: voluntary sector VCS

Related FAQs

What will be the impact on voluntary organisations such as Citizen’s Advice, Age UK, GADD? What happens if they close?

What will be the impact on voluntary organisations such as Citizen’s Advice, Age UK, GADD? What happens if they close?

We fully support the work of our voluntary sector partners and hope to continue to work with them in the future. However, the financial situation is such that the Council is not able to continue funding these organisations at current levels. The likely impact of the budget proposals on these organisations is currently being identified, following discussions with the organisations most affected. We hope that they are able to continue their work by looking at where they can make further cost and efficiency savings, but we appreciate that in some cases this may not be possible and it will therefore mean a reduction in the support they can offer to the residents of Darlington.  It could lead to the closure of organisations if they are unable to make the necessary changes for them to be sustainable, which will be very regrettable. We want to avoid this happening and we will support organisations making grant applications where we can. We will also be undertaking work to understand the impact of any reductions in service on individuals accessing them. 

Your Say

6 comment(s)

This table lists comments from the public about this proposal

Comment

Cut S02 (DAAT and substance misuse)

I have been asked to by yourselves to upload this document here:
I am writing this report as First Stop Darlington’s (FSD) Chief Executive, on behalf of our clients, staff and trustees.
We acknowledge and recognise the difficult situation that any organisation can find themselves in when faced with budget cuts. We face this ourselves every year. We understand that it is a very complex piece of work to bring in a budget with £12m reductions in a Local Authority that has low reserves.
The aim of my report is to clarify for the Council the impacts that we know the proposed cuts to FSD’s budget will have on some very vulnerable people, on other services that will have more calls upon them as a result of withdrawal of our support services, and on the people of Darlington generally. We have no evidence that the Council has considered how it will replace these services effectively. It is our clear and considered view that, so far, the Council has not considered issues that it should take account of before reaching a decision on FSD funding.
We have worked with the Council both effectively and in a spirit of partnership for many years but have had no opportunity, until now, to inform the Council’s deliberations on these cuts. We would welcome the opportunity to discuss this and other aspects of the proposals as a matter of urgency.
First Stop Darlington has played a significant part in reducing homelessness, reducing rough sleeping, supporting those who are most vulnerable and with multiple complex needs. It has been first to stand up and fight for those less fortunate and has accepted and worked with everyone that comes through its doors. It does not ring the Housing Department stating that we can’t work with people because they are too “high risk”, too “high needs”, it does not wash its hands of people. It has stayed the course, keeps a low profile and has supported and championed the housing department and supporting people team over the years.
The removal of funding in the next financial year and the following year will cause destabilisation of the charity that everyone relies upon to take care of the people they don’t want to deal with, don’t have the capacity, skills, knowledge, patience, understanding and non-stop energy to deal with. All agencies refer the people who are most complex to deal with to First Stop. The withdrawal of KPA funding and Grant Funding (in 2016) will cause an £85k loss and DAAT funding in 2017 brings the total to £110k.
These cuts have a deep impact in our ability to offer our core services. Currently there is no funding provider looking to support core activities, the very activity that keeps our doors open 6 days per week, services accessible without an appointment. This is how we are able to give immediate response to people in a crisis, those who for a range of reasons prefer not to present at “official” premises, those with little or no confidence who won’t seek help in formal settings and those who are multi complex and are deemed high risk.
The charity have tried various ways to diversify funding, setting up Bike Stop, linking to local businesses and applying to as wide a funding audience as we can manage. However, the world of funding has changed so significantly and currently no funders want to fund core services. We have funding for some specialist work with small numbers of people but we see over 900 people a year, where will they go? As a charity we will fight tooth and nail to continue serving the people of Darlington but we are unable to give any assurances that we will still be here to fight beyond the next financial year and to achieve that will require significant redundancies from a team of 10.
How will very vulnerable people be affected, what is the Impact?
FSD has carried out 342 KPA assessments of people who chose not to present to DBC, 70 of whom are people with Multiple Complex Needs. To deal with these people requires specific skills and extensive time for them to be assessed thoroughly and with an understanding of how best to support them to improve their impact on the community. At First Stop we are able to provide an environment that supports the service user. The facilities available within the DBC are not set up to manage this side of the KPA service delivery and the DBC Housing Options Team do not have the knowledge, skills and experience to address and cope with Multiple Complex Needs clients. This is the element of the service that is referred to FSD, just as we do not have the right skills, knowledge to deliver the service to families or to individuals with physical impairments. KPA works because we cover all the skills required across both teams.
These individuals will not thrive if these cuts are applied, the majority will not be able to manage their behaviour in the formal setting of the council. DBC staff will be at risk due to the lack of information and through not sharing/joint working, as will our staff too, without access to the database of information we have both supplied. A rise in drug and alcohol related deaths will begin to occur as we head into 2017-18.
FSD is quite simply half of the KPA service, indeed the cheaper half; the KPA works because we are different services. The KPA has been held up as an example of what Partnership Working should look like. It is through this work that together DBC Housing Options and First Stop have had a significant impact on homelessness in Darlington. Sharing the workload and skills that we each offer has seen a huge reduction in homelessness of those who would otherwise be rough sleeping.
What will be the impact on other services?
FSD’s element of the KPA contract provides additional support to clients to ensure they are ready to enter into hostels, housing, other support services. FSD staff stabilise those who are chaotic, provide lifesaving services to many and work hard to ensure the other providers in the town feel supported and able to offer high risk clients a service. FSD provides all the pre-work with the most complex people, that helps make all the other support services have successful outcomes for their clients.
Statutory services will experience greater pressure on A & E, greater anti-social behaviour, increase in petty crime plus muggings and personal harm due to the complete isolation of complex people with no one supporting their increased mental health status. None of our current complex clients receive services from Darlington Mental Health Services as they deem them to be untreatable.
Will Darlington’ population notice the withdrawal of services? Will they feel an Impact?
A rise in rough sleeping back to the pre-KPA levels of 8-10 people sleeping rough on any given night will occur. FSD provides the outreach element of the No Second Night Out (NSNO) Protocol that DBC is required to provide. This will no longer be carried out by FSD as we will not have the capacity to support the Housing Options Team. FSD’s KPA Lead currently provides all the database access and statistics, plus substantial anecdotal evidence on behalf of DBC to the NE region NSNO Group.
Without First Stop remaining open, the 900+ clients that we support and look after each year will be out in the communities, there will be no activities going on that keep them inside FSD’s building, there will be no one checking up on them and keeping their difficult and disruptive behaviour at a minimum. This will all be seen on the streets and in all the local communities in Darlington.
How will the Council address the issues that these budget cuts will highlight?
Removal of all support contracts and FSD funding to support the most vulnerable will cause devastating impacts on the residents of Darlington. There will be the following gaps in services:
• No outreach support in communities teaching people how to live within their means and complete their duties as tenants and neighbours
• Nowhere to occupy the most chaotic people through the day to prevent an increase in anti-social behaviour in the streets and park areas
• Significant homeless applications as people who need support lose their accommodation
• Significant withdrawal of landlords prepared to accept vulnerable people as the tenant will not have an agency supporting them to prevent tenancy breakdowns or to monitor and affect behaviour within their properties.
• Increase in shoplifting and muggings due to significant number of individuals who will lose their benefits and have nowhere to support them in their application. (FSD provided this service for 269 people so far this year)
• Identify safeguarding issues for children and vulnerable adults who are homeless or living within an unsuitable environment.
• Protect women who present to FSD in various states of harm sometimes while being chased by their partner/perpetrator.
• Provide a safe environment where those who are victimised due to their circumstances can come to terms with their childhood traumas and begin the slow journey out of chaos, deprivation and self-neglect/harm
Impact on FSD’s financial position and staff
Through very prudent financial control we have maintained a healthy financial position. Like most charities we are finding it increasingly difficult to attract sufficient funds for our services and are budgeting for a substantial deficit for 2016/17. The withdrawal of around £110,000 of annual grant from the Council is a severe blow and we cannot survive at all in the medium to long term without it.
We are totally committed to the very vulnerable people we work with day-to-day and we are very concerned about the cumulative impact on our clients of all the Council’s cuts. We will be asking trustees to approve a deficit budget for 2016/17, using a substantial part of our reserves to keep service going in the short term.
Staffing
Our average salary is £19,000 (all full time working and excluding volunteers); excluding our chief executive, who runs both First Stop and Bike Stop on a salary of £33,600. We suggest that this is well below the Council’s equivalent grades. In addition, we do not have the pension scheme costs and benefits that LA employees enjoy.
Over the past 5 years our staff have received the following annual pay awards – note that they do not get annual increments: (1% in 2013 2% in 2015)
We are therefore very cost effective service providers.
The Council’s Impact Report on the KPA service states that no staff are at risk. We must highlight that the KPA grant to us funds 2.5 staff that will be directly at risk if the withdrawal of the grant happens. The loss of other grants equates to a further 2 posts.
Our financial prudence over several years means that we have healthy reserves that sit between the recommended guidelines for charities, however they could be wiped out very quickly if these proposals go through in their present form.
Impact on Bike Stop Darlington
Bike Stop is an amazing Social Enterprise that is playing its part in the town’s economy. Unfortunately the position that we are now in, means that it is at high risk of closure, with redundancies to commence in the first instance during March 16. If the charity remains at risk of closure due to lack of core funds then it will be forced to wind up Bike Stop to prolong the support we can give to homeless people in most need. This is not how Bike Stop’s story was meant to be but we cannot run a Social Enterprise if the charity becomes at risk of closure.
Closing remarks
We have closely scrutinised the various Council papers on the proposed cuts that will impact on FSD’s ability to provide its services to very vulnerable people. It is of significant concern to us that, so far as we can determine, the Council has not been presented with the cumulative impact of its various proposals on very vulnerable people.
We challenge the Impact Assessment that has been done in our absence and we request a full impact assessment to be carried out on the full KPA contract to find the best way to bring savings without putting people at risk of rough sleeping, the community at risk of increased anti-social behaviour, street begging etc. and staff put at risk through lack of knowledge of the individual who is presenting for help. We see both teams as being at significant risk in this way if First Stop is no longer part of the assessment process and as such will have no access to the KPA database.
All of our charities are important but First Stop has a special place. It stitches together the fabric at the most difficult end of our community - where people are struggling and hurting and often fighting to survive. It works with people who nobody else will deal with and sometimes have abandoned. Darlington is a better and more wholesome place because of the work of First Stop. Some other charities and organisations get more publicity than First Stop who work quietly and unseen and reach deep into our community. There is a reason why those who know designate First Stop as a rescue service - it is because it saves lives. The impact of the work of First Stop is profound and this needs to be truly understood before decisions to cut its local funding to the level that is shaping up to mean potential closure, are made.

Cut S02 (DAAT and substance misuse)

I have some views to express on the cuts. I am leaving the authority on voluntary redundancy at the end of March because it was clear from the changing demands that my job was no longer needed and my own personal circumstances meant I was ready to go. But I am heartbroken to be leaving Darlington in this state, knowing what the impacts are likely to be. I work for the Drug, Alcohol and Tobacco Team, part of Public Health. We commission drug and alcohol treatment services. They were never going to be the most popular of the council services and are not likely to be at the forefront of people’s minds when they are responding to the cuts. But the effects of cuts in this area will be widespread and they are likely to affect *all* the people who live in Darlington. They will affect adults and young people; those who drink too much; those who take so-called legal highs; those who take drugs; their families and their communities. The impact will be felt in rising costs elsewhere – in the criminal justice sector; in healthcare; and in adults and children’s social care. Considering first the cuts to the Drug, Alcohol and Tobacco Team. As a non-frontline service our main activities are around commissioning services and facilitating partnership working to address substance misuse. I would be the first to support cuts in this area when the alternative is cutting front line services – part of my reasoning for submitting my voluntary redundancy request is that I can’t justify my own post staying if it would mean cuts to services. But I am disappointed that the entire Team is to be cut; and that this cut has been made immediately rather than allowing a phasing out before 2020. It is unclear who will be monitoring the commissioned substance misuse treatment services and who will be responsible for future review and re-commissioning. As the commissioned services represent significant expenditure it is important that there is appropriate oversight. It is essential that individuals with a significant level of expertise and understanding in substance misuse are involved when the current contract is being reviewed. Moreover, the importance of the DAAT in facilitating partnership working should not be underestimated. In the absence of paid staff I really hope that strategic level meetings like the DAAT Board will continue to bring everyone together. A great example of how well this has worked is the success Darlington has had in tackling Novel Psychaoactive Substances (also known as legal highs). An NPS group which the DAAT implemented was instrumental in identifying best practice and tackling the sale of “legal” highs by recommending seizure and testing of substances at a high street shop. When illegal substances were detected the shop was closed down (http://www.darlingtonandstocktontimes.co.uk/news/12947919.Two_released_on_bail__another_charged_with_assaulting_police_after_raid_on_Darlington_legal_high_shop/ ) . This should be contrasted with recent serious issues in Newcastle due to supply of these substances which have impacted on ambulance services and police (http://www.chroniclelive.co.uk/news/north-east-news/legal-highs-taken-north-east-10705164) . We have received anecdotal feedback from the police that the early action on NPS / legal highs in Darlington was very timely. Novel psychoactive substances are an emerging issue which are likely to have a big impact across the country and it is concerning that there will be no central body in Darlington to spearhead this approach. Secondly, I am concerned about the cuts to the First Stop homelessness service. The DAAT contribution to this service, of around £29K, is small, but the cut could be significant in the context of other cuts being made. First Stop provide a very valuable service working with the most chaotic service users with multiple complex needs; who mainstream services struggle to deal with. They are effective in making referrals to the substance misuse treatment services; encouraging engagement; and re-engaging service users who drop out. They are consistently green on their performance measures. The impact of removing this service will be high – on the vulnerable individuals who they support; on the mainstream services including those run by DBC who are not experienced or effective in dealing with chaotic individuals with multiple complex needs; and on the wider community if; for example; the entire service closes and the drop in and positive activities no longer continue. The potential closure of this service is likely to impact disproportionately on protected characteristics including those with diagnosed co-morbid mental / physical health issues, pregnant, younger and older homeless substance misusers. Thirdly I am concerned about the cut to the Substance Misuse Youth Worker. This is a fixed term project, already paid for from previous year’s underspend, so the cut will not make a difference to the future financial position of the Authority. However it is part of the wider Drug and Alcohol floating support contract which is at risk. I would hope that the fixed term project can be continued in some format to contribute to improving existing service provision for young substance misusers; with the recognition that it will end prior to 2020. There is no benefit to the Authority in cutting this service early when it has already been funded. Fourthly, I am confused by the proposals to cut the street cleaning / Street Scene service and how this will impact on ability to collect drug related litter / needlefinds. I would anticipate that given the impact of other cuts e.g. reductions in grass cutting and park maintenance; reductions of supporting services for chaotic / homeless substance misusers there will if anything be an increase in drug related litter. Will there still be resources to collect used needles found by members of the public in public areas? I also have concerns about the cuts to Youth Offending / ASB, particularly around whether they will free up the anticipated savings. As the proposed cuts will impact on the ability of the service to deliver preventative programmes, pre-court restorative justice and non-statutory reparation work there is a high risk that young people who would have accessed these services will instead enter the criminal justice system as first time entrants and then the Youth Offending team will be statutorily required to work with them anyway. This will lead to a high risk of the Council being unable to deliver a statutory service for these individuals. I have concerns about the cumulative impact of the various cuts and whether these have been sufficiently considered; particularly in relation to any cumulative impact on those with protected characteristics; particularly the most vulnerable with comorbid psychiatric and physical health conditions. I would welcome a mapping exercise on the behalf of individuals who access more than one of the services affected by the cuts to determine cumulative impact. Finally; I am concerned enough about the current proposals. I am more alarmed about the potential for further cuts in the future; particularly any which impact on the integrated substance misuse treatment service. This service has already undergone significant restructuring and cuts in funding and resources – leading to reduced numbers in treatment; reduced numbers of individuals successfully completing treatment and increased waiting times. In my opinion if further reductions are made then the service will not be commercially viable and is unlikely to attract bids when it goes out for tender. The impact of 500 – 600 individuals no longer able to access treatment services cannot be overstated. There are strong links between opiates use and acquisitive crime – reduction in treatment will increase crime. There are strong links between alcohol and violent crime including domestic abuse – reduction in treatment will increase crime. Treatment has a very positive impact on health and wellbeing; reduction in treatment will increase premature mortality and pressure on both primary and secondary healthcare. The cost savings for a local area linked to successful engagement in treatment are staggering. My biggest fear is that when the service comes up for review and re-commission in 2017/18 the DAAT will no longer exist and there will no longer be experts in substance misuse available in Darlington to advise on the future requirements for the service. I would strongly urge you not to forget the potential consequences of any further reductions in this area. The following is an excerpt from a Value for Money report I wrote for Darlington Public Health. “Effective drug and alcohol treatment saves public money by reducing demands on adult social care, the welfare system, the criminal justice system and the health service. It saves the general public and businesses money, as victims of drug-related crime bear the majority of the costs of drug use. Disinvesting in treatment would lead to an increase in crime and increased economic and social costs. Impact on the Community • One problematic drug user is estimated to cost society £44,231 per year. 90% of these costs result from drug related crime, the majority of which are costs for the victims, rather than costs to the criminal justice system • Darlington is estimated to have approximately 780 problem drug users. If nothing was in place to tackle problem drug misuse the cost to Darlington would be around £34.5 million per year. • One problematic alcohol misuser is estimated to cost society £11,767 per year, including costs of crime, costs to the health service and lost productivity. • Overall, alcohol misuse costs Darlington an estimated £42.08 million per year - £9.26 million to the NHS, £15.46 million to Crime and Licensing, £14.17 million to Workplace and Economy and £3.19 million to Social Services. • In the absence of treatment, one young drug and alcohol user is estimated to cost around £4,000 per year due to crime, and a further £179 per year in healthcare costs. Longer term costs due to on-going substance misuse issues as an adult are likely to be £46,145 - £91,964 per individual. Additional long term costs for those who leave school without qualifications and who are Not In Education, Training or Employment (NEET) could be between £92,000 and £356,000 per person. Savings National research shows that: • £1 invested in adult drug treatment saves at least £2.50 in costs to society • £1 invested in adult alcohol treatment saves at least £5 in costs to society • £1 invested in young people’s drug and alcohol treatment saves almost £2 over a 2 year period and up to about £8 over the long term In Darlington it is estimated that: • For every £1 spent on the local drug treatment system £5.47 is gained in crime and health benefits • In 2011/12 around three quarters of problem drug users were known to treatment, with over 80% of these engaging in treatment during the year. Please bear this in mind when future decisions are made.

Cut S04 (Stop Smoking and Tobacco Control)
Cut S02 (DAAT and substance misuse)
Cut S13 (Social Fund Budget)

There are three proposals as part of the MTFP as follows: • Terminate the funding provided to First Stop Darlington by the Drug, Alcohol and Tobacco (DAAT) Team for the Substance Use Homelessness Service. This is a discretionary service, currently contracted to March 2018 (subject to annual review) and the proposal is to end it a year early, on the 31st of March 2017. • Disband the Drug, Alcohol and Tobacco (DAAT) Strategic Commissioning Team. Services for drugs, alcohol and tobacco control are part of the Council’s Public Health responsibilities but are defined as discretionary services. The proposal is for the whole team to be made redundant in 2016-17 and its functions to be split up and either terminated, absorbed into Public Health, or transferred to other Council departments. • Terminate the funding provided by the Council to the FRESH North East Tobacco Control Office and Balance North East Alcohol Office. These are defined as discretionary services and are currently jointly contracted, with the other 11 North East Councils, to March 2017. The proposal is for Darlington to end its contributions on the 31st of March 2017. Darlington LG Branch of Unison is concerned at the impact these proposals will have, not just for the immediate service users and the staff that deliver the services but for other, probably overburdened, services and staff that will have to deal with the fall-out. Whilst funding for First Stop and Fresh/Balance has funding secured for another year, DAAT is due to be disbanded much earlier. This will be a significant loss to the community because of the essential work DAAT does, particularly around prevention of harm to young people and its partnership working with other agencies. After speaking to [...], I believe [...] can put together a workable plan to deliver these services into the future, albeit in a different way, but they will need time to do this. I would suggest keeping DAAT going for a further year to allow [...] to put together a plan B.

Cut S02 (DAAT and substance misuse)

A letter on the DAAT proposals

Documents


Cut S02 (DAAT and substance misuse)

Feedback about First Stop

Documents


Cut C03 (Cease Floating Support for Domestic Violence victims)
Cut W13 (Street Cleaning and Environmental Crime)
Cut S06 (Contribution to Community Safety, Violence Prevention and Social Exclusion)
Core HP2 (Public Health 0-19 Years )
Cut S02 (DAAT and substance misuse)
Cut S14 (Strategic Grant Budget)
Core CYP5 (Youth Offending)
Core HP3 (Public Health Substance Misuse )

Response to Darlington MTFP from Durham Constabulary and PCVC

Documents