Agenda and draft minutes

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The ongoing need for substance misuse treatment services was addressed, as estimates from the Office of Health Improvement and Disparities (OHID) for 2019/20 indicated 3,869 residents used opiates and/or crack cocaine, and 3,147 had dependent alcohol consumption. The Public Health directorate within the Council remained responsible for commissioning effective services to meet these needs, which included:

-          Lot 1: Grove drug service (run by BEH)

-          Lot 2: HAGA alcohol service (run by Humankind charity)

-          Lot 3: Haringey Recovery Service (HRS, run by Humankind charity)

These core services were supported by the peer-led Bringing Unity Back into the Community (BUBIC) program and funded through the Council’s Public Health Grant. The Council set annual performance targets for these services in agreement with OHID. By the end of Quarter 2 in 2024/25, Haringey had surpassed its target of 1,803 residents in treatment, with 1,811 residents participating, reflecting a 17% increase from the 2023 baseline.

The Grove drug service reported higher numbers of opiate users accessing treatment, partly due to its co-location with Mulberry Junction and collaboration with criminal justice services. This increase was particularly critical amid the UK’s synthetic opioid crisis, which posed significant overdose risks. Additionally, the Grove’s non-opiate service achieved a 30% growth, with 333 residents receiving support for substances such as cannabis, cocaine, ketamine, and prescription drugs through partnerships with GPs, mental health services, hospitals, and a new digital platform.

HAGA, Haringey’s standalone alcohol service, was rated “GOOD” by the Care Quality Commission in 2023, with “OUTSTANDING” ratings in responsiveness and leadership. HAGA met its target of treating 475 primary alcohol users.

HRS played a significant role in relapse prevention and social reintegration, serving 1,500 residents in 2023/24 through self-help groups, social activities, counseling, welfare rights, and employment support. Notably, 160 residents attended the Recovery Pride event celebrating addiction recovery.

Recognizing that 72% of those in treatment were men, services ensured women had access to female-only sessions, reflecting their preference. Trauma-informed care and collaborations with domestic violence and sexual health services were also prioritized. Women contributed to co-producing services, which enhanced empowerment and recovery. In 2023, women in the program organized the first International Women’s Day event to address and celebrate issues affecting women in Haringey.

The Cabinet Member stated that all the good work that had been produced by the team should be echoed to residents. It was queried whether lot 3 was humankind charity, in response to query the officer confirmed lot 3 was humankind charity.

RESOLVED:

Recommendations

3.1. For the Cabinet Member for Health, Social Care and Well-being to approve extension of the contracts for the provision of integrated adult substance misuse treatment and recovery services across all 3 service lots, as listed below, for a period of two years commencing on 1st February 2025:

-          The Lot 1 Specialist Drug Treatment Service is provided by Barnet Enfield and Haringey Mental Health Trust and the estimated cost of the service for duration of extension period will be £4,592,898.00. The aggregated value of the contract  ...  view the full minutes text for item 12.