Appendix 'A'
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Business Case for Contribution to LDAAT Drug Intervention
Programme (DIP)
Outcomes to be Addressed:
Reducing Re-offending
Reducing the harm caused by drug and alcohol misuse
Drugs Intervention Program
The Drugs Intervention Program (DIP) is a key part of the UK strategy for tackling drug misuse. The Program engages drug misusing offenders involved in the Criminal Justice system, in formal treatment, reducing drug related harm and reduce offending behaviour.
The Conservative / Liberal Democrat coalition continues to support the DIP program and this is reflected in the 2010 drugs strategy “Reducing Demand, Restricting Supply, Building Recovery : Supporting People to Live a Drug Free Life”
Since its inception in the UK (2003), 4,500 enter DIP each month, with 80% retained in treatment for 12 weeks or more. Nationally since 2003, there has been a reduction in acquisitive crime of 32%
The Lancashire DIP program is county wide and operates in all Lancashire districts including the unitary partners. The DIP program is considered a “non intensive program”, which means that police stations do not drug test individuals arrested. The non intensive model is a voluntary process whereby class A offenders in the criminal justice system are identified and supported into treatment by established DIP teams.
Partners within DIP include Lancashire Drug and Alcohol team as well as the police, probation, courts, the National Treatment Agency and the Department of Health.
Substance misuse and the reduction of drug based offending are key priorities within the Sustainable Community Strategy for Lancashire, in particular under “Health and Wellbeing” – which aims to tackle alcohol related illness and drug dependency and also “Community safety” – the reduction of drug and alcohol related crime.
The Lancashire Dip programme is an excellent example of partnership working with a range of partners including Police, Probation, Community Safety
Partnerships, District and County Councils working together to break the cycle of addiction and offending. Without this initiative is likely that rates of acquisitive crime in Lancashire would increase which would have substantial implications for
Appendix 'A'
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a range of agencies and also of peoples’ perception of the safety of their communities. In addition the recovery of individuals from their addiction can make them once again contributing members of their communities.
Evidence to support prioritisation
• Delivery of Community Safety Agreement and Priorities
Substance misuse is a key cross cutting theme across all district community safety agreements and priorities. Reducing drug misusing offending is also recognised within the reducing reoffending agenda, with the DIP program playing an integral role in the delivery of the agenda.
• Added value to other key Lancashire plans and strategies
The DIP program is a key element of Integrated Offender Management (IOM). IOM as a strategic umbrella brings together agencies across government and local partnerships to priorities the interventions given to offenders who cause crime to their locality
The DIP program allows IOM to ensure that the right treatment intervention is provided to the right offender at the right time. It also ensures any specific intervention is targeted and meaningful to the needs of the offender and its local community.
• Consultation responses N/A
• Survey data to evidence need National programme
Currently Lancashire is performing well on acquisitive crime based on a comparison with the same period in 2010-11. Currently in the period between April and September there have been 3,037 acquisitive crimes in Lancashire (based on the Lancashire 14 Constabulary footprint) down 1% from the same period the previous year.
• Profile and Performance data to evidence need
Planned discharges are an important aspect of the treatment system and have an important bearing on crime and health. This indicator shows the proportion of all those exiting the treatment system in a care-planned way. This means that they no longer have a substance misuse issue. Looking at 2010-11 38% of
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people exiting the treatment system in Lancashire did so in a care-planned way. Effective treatment is also important as research shows that those in treatment for 12 weeks or longer are more likely to exit treatment in a care-planned way and those who do exit in a care-planned way are less likely to continue the patterns of behaviour exhibited before treatment, such as crime to fund a drug/alcohol misuse problem. In 2010-11 84% of adults entering the treatment system either exited in a care-planned way or remained in treatment for 12 weeks +.
The Treatment Outcome Plans (TOP) outcomes are important as they highlight the effectiveness of treatment services to address a range of issues with clients. Two particular indicators are important in looking at reducing the harm caused by drug misuse; the proportion of opiate and/or crack users exiting the treatment system as abstinent (currently 90% and 88% respectively) and the proportion of clients who no longer report against the crime set of questions on the TOP form.
Contribution to/from other thematic areas
As previously referred to the ethos of DIP and other commissioned treatment services is based on the principles of recovery and maximising the links and contributions that individuals can make to a range of thematic areas including housing, training and education, children and families, including safeguarding and employment.
Focus of commissioned activity
• Spatial Areas (e.g. neighbourhoods, districts, rural areas)
The DIP program operates across all 3 PCT footprints with localised delivery across all spatial areas. This includes all 12 districts across the Lancashire County footprint
• Communities of Interest (e.g. single parents, BME, disabled)
The DIP program works with offenders who are recognised as the hardest to reach and most problematic drug users and who have not in the past engaged with treatment in the past.
Impact Assessment
All the Service Specifications for the 3 PCT footprint based services were subjected to Equality Impact assessments.
4 Performance Management
• Data Source and Baseline
NTA – Successful completions – Baseline 2010-11 38% (Lancashire) NDTMS – Effective treatment – Baseline 2010-11 84% (Lancashire)
NTA – No longer reporting crime upon treatment exit – Baseline – Shoplifting (86%) and drug selling (100%)
NTA – clients abstinent from opiates and crack at treatment exit – baseline 90% opiates and 88% crack
MADE (via PNC) – Acquisitive crime – no baseline but a reduction on the corresponding 2010-11 figure
• Data Provider and Data Owner
LDAAT will provide the data on either a monthly or quarterly basis, depending on the indicator, when available. The data is owned by the NTA or the constabulary
• Indicator to be used to show improvement (Please identify the spatial level at which this will be assessed.)
Successful completions as a rate of all treatment exits – this is available on a Lancashire-wide level and will be reported monthly on a YTD basis.
Proportion of all new treatment journeys that are engaged in effective treatment – this will be reported monthly on a YTD basis for Lancashire as a whole. Due to the nature of “effective” there will be a 4-5 month delay on the data.
The proportion of clients exiting the treatment system in a planned way that are no longer reporting committing crime after reporting crime at treatment start – this will be reported on a quarterly basis via the TOP outcome report, which will be available around 6 weeks after the quarter end, for Lancashire.
The proportion of opiate and/or crack clients abstinent at treatment exit - this will be reported on a quarterly basis via the TOP outcome report, which will be available around 6 weeks after the quarter end, for Lancashire.
Reduction in acquisitive crime – this will be reported monthly on a YTD basis through MADE and will show the results for Lancashire Constabulary (Lancashire 14)
• Milestones to be achieved to measure progress of activity Successful completions – 50%
Effective treatment – 90%
No longer reporting crime at treatment exit – 100% Abstinence from opiates and/or crack – 100%
5 • Identified Activity Lead
LDAAT will report progress against the targets mentioned above either monthly or quarterly dependent upon NTA reporting timescales
Financial Support Requested
• Identify funding required and the breakdown of the spend in delivering activity
The funding required for the DIP programme is £234,870 in totality and the contribution sought from LCC is £74,939 based on a historical agreement at the DAAT Board. This compares to a historical contribution of £83,266 in 2010-11.
£ Criminal Justice Element of Inspire
Contract 80,092
Criminal Justice Element of Discovery 74,446 Alcohol Capacity (Addaction Contract) 40,000 National Probation Service Funding 10,704 Arrest Referral Contribution to Blackpool
DAT 11,349
Arrest Referral Contribution to Blackburn
DAT 18,279
Budgeted Expenditure 234,870
• If applicable identify match funding for this activity. Mainstream Resources
The Criminal Justice Main DIP Grant from the Home Office in 2011-12 is £1,079,464 and is supplemented by the external funding below:
6 Partners LDAAT contribution to the TOWER Programme) £ Total Funding Required 234,870
Probation 16,680 Constabulary 41,463 NHS North Lancashire 11,113 Wyre BC 5,802 Lancaster CC 6,294 NHS Central Lancashire 15,932 Preston CC 7,474 Chorley BC 5,114 South Ribble BC 5,802 West Lancs BC 6,196 Fylde BC 4,131 NHS East Lancashire 12,982 Burnley BC 4,917 Pendle BC 4,524 Rossendale BC 3,737 Hyndburn BC 4,918 Ribble Valley BC 2,852 Contributions Secured to Date 159,931 Balance Required from
LCC 74,939
The expenditure on Criminal Justice is over £2m per annum and hence the balance is sourced from our internal resources.
Risks and Opportunities
The current understanding is that DIP ring fenced funding will fall within the remit of the newly created Police and Crime Commissioners. This potentially has risksto the future commissioning of DIP. In order to minimise this risk LDAAT will work closely with Criminal Justice Partners to ensure continuity of commissioning
7 and provision.
• Identify opportunities to further enhance delivery, expand services, contribute
to or provide support to other themes / cross-cutting issues
The transfer of commissioning responsibility for all elements of prison drug treatment to DAATS provides a further opportunity to provide integrated services for offenders.
• What are the implications of not commissioning this activity?
Appendix 1 to the report sets out the implications of disinvesting in these services in terms of both cashable and non cashable savings. There are also implications as previously referred to in terms of meeting of targets re acquisitive crime and perceptions of community safety.
Date proposal prepared/updated 19th September 2011
By whom
Simon Smith, Head of Operations and Commissioning, LDAAT
Increasing Cost of Drugs to Economy It is estimated that:
1. Between a third and half of acquisitive crime is drugs related
2. Crime and health costs associated with Class A drug use is £15.4 billion a year nationally.
As a response to these statistics and due to the growing importance of VfM improvements across government, the NTA and the Home Office economists have developed a local VfM Tool to inform the Spending Review in 2010 and the new Drugs Strategy.
The National Treatment Agency’s VfM Tool
The National Treatment Agency (NTA) has developed a Value for Money Tool in 2010/11 for monitoring Adult Drug Treatment.
The VfM Tool is based on this national model but used local data by calculating the crime and health savings impact against investment in adult drug treatment
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budget. It helps partnerships to demonstrate value for money of drugs treatments and helps to see the impact of investment decisions on the economy such as investment needed to achieve a target number of successful completions in effective treatment or the impact of disinvestment on levels of crime. It allows the DAAT to make alterations to the investment in funds or the number of people accessing treatment and gives a prediction of the money saved or additional cost of these changes.
It also measures cost savings in terms of cashable and non-cashable benefits. Non cashable benefits are measured in QALYs (Quality Adjusted Life Years). So from a crime perspective, these are emotional costs for victims of crime or emotional wellbeing as a result of treatment; and from a health perspective, these are differences in emotional and physical well-being before and after treatment such as levels of pain, mobility, mood and comparison of mortality rates.
It should also be noted that in order to remove distortions, the model uses an average of 6 years of data.
Results for LDAAT
Our initial review of the results from the VfM Tool shows that Lancashire Cost-Benefit ratio is 1: 5.62 which indicates that £1 invested results in £5.62 of cashable and non-cashable savings. The national ratio is 1 : 3.34.
The VfM Tool also allows for additional funding investments to be model and their likely cashable and non-cashable benefits. This shows (Appendix 1), a recurrent £100,000 investment over four years will result in a benefit of £1,672,245 over four years, averaging a ratio of 1: 4.18. This can be further measured, in specific terms, savings within the community such as 1,812 shopliftings, 73 thefts from a vehicle, 24 vehicle thefts, 14 house burglaries over four year etc.
Appendix '1'
