Integrated Substance Misuse Treatment Services - Changes to detoxification services

Closed 20 May 2018

Opened 19 Mar 2018

Feedback Updated 8 Jun 2018

We Asked

From 1 July 2018, there are changes to how drug and alcohol detoxification is provided in Surrey.  Inpatient services are moving out of Windmill House and a greater range of treatment options in the community is being offered.  Access to inpatient services is being offered out of county.

We provided details on the current home and community detoxifications and a new service, ambulatory detoxification (where people attend a clinic every day to receive detoxification medication and support), to be offered at two venues across Surrey, and new options for inpatient detoxification i.e. at Bridge House in Kent.

You Said

We had 87 online responses to the consultation survey during the consultation period which ran from 19 March 2018 until 20 May 2018. 56% agreed they had been given enough information to clearly understand the models of delivery, however, they did not feel confident that the changes would suit their needs. In addition we received responses from the four public meetings, attended by 36 individuals, and specific responses from Transform Housing and Ashford and St Peter’s Hospitals NHS Foundation Trust.

The main themes were:

  • What will replace the 28-day post detoxification structured support “Recovery Programme” offered at Windmill House? This was identified numerous times as the key to successful recovery.
  • Concern around support provision for those who are detoxifying out of hours for example during the evening, night time and at weekends
  • Concern regarding increased presentation at other health settings of people who struggle in the community directly after a detoxification
  • How will impact of the changes be monitored? (Equality and Impact Report, impact on A&E, GP feedback)
  • Transport support for:
    • access to ambulatory detoxification
    • travel to the out of county facility - Including travel support for family and carers to support them during detoxification
  • Reassurance that suitability for inpatient detoxification will continue to be based on clinical need, not financial factors
  • More detail of what is offered at Bridge House – including travel information https://www.kmpt.nhs.uk/services/bridge-house-at-fant-oast-inpatient-detox-unit/7187
  • Clear demand for readable and relevant information for carers and young carers
  • More involvement for service development with people who have used detoxification services and those with lived experience going forward
  • Concern about meeting the need of people with multiple disadvantages including people with co-occurring conditions i.e. mental health problems and substance misuse
  • Are the ambulatory clinic venues in the most suitable places?

We Did

Whilst we may not have always been able to fully address every concern, we have listened and will be putting in place a number of measures to mitigate and continue to offer the highest quality detoxification support for people, including:

  • Considering how we can enhance the community support available during and after detoxification
  • Continuing to ensure people are prepared and supported for detoxification
  • Planning transport support to ambulatory and inpatient detoxification for those people with the greatest need
  • Discussing with housing support partners what could be possible if we worked more closely together
  • Enhancing GP communications and ongoing feedback
  • Producing clear and informative Carer and Young Carer information about pathways and treatments
  • Continue communication with people who use detoxification services, those with lived experience, family and carers, and key partners via www.healthsurrey.org.uk, Surrey and  Borders Partnership NHS Foundation Trust and Catalyst websites and at further public meetings similar to those we held as part of the consultation
  • Planning an evaluation of the new detoxification options between July 2018 and March 2019, and a detoxification needs assessment for those who are not engaged with substance misuse treatment services.

More  information is available in the FAQ’s https://www.surreysays.co.uk/deputy-ceo/changes-to-detoxifcation-services/results/publicconsultationdocumentfaqsandgotrevisedv.3.pdf

Can I talk to someone to get more information?

If you would like to talk to us and have any questions or queries about the Integrated Substance Misuse Treatment service please contact:

 

public.health@surreycc.gov.uk

 

FAO Martyn Munro

Public Health

Surrey County Council

Room G55, County Hall

Penrhyn Road

Kingston-upon-Thames

KT1 2DN

Results Updated 18 Jun 2018

Please find a summary of responses to the consultation and an updated consutation FAQs that includes the mains themes and responses

Files:

Overview

Surrey County Council (Public Health) and Surrey and Borders Partnership NHS Foundation Trust (SABP) are consulting people about changes to drug and alcohol detoxification services for adults, including community and inpatient provision.

From June 2018, we are changing how drug and alcohol detoxification is provided in Surrey.  We are moving inpatient services out of the current facility (Windmill House) and providing a greater range of treatment options in the community.  Access to inpatient services if required will be offered out of county.

We want to make sure Surrey residents have access to high quality, evidence based care and support which considers both individual care and assessment needs and people’s personal wishes and aspirations.

 

If you would like this information in another format or another language please contact:

Email: public.health@surreycc.gov.uk

Call: 020 8541 7976

Textphone (via Text Relay): 18001 0300 200 1005

SMS: 07527 182 861 (for the deaf or hard of hearing)

Write: FAO Martyn Munro

Public Health , Surrey County Council

Room G55, County Hall

Penrhyn Road,

Kingston-upon-Thames

KT1 2DN

Why We Are Consulting

The aim of this consultation is to ensure anyone who could be affected by the changes we are proposing has the opportunity to review them and input to their development. 

We are consulting on your thoughts and concerns regarding the proposed provision of detoxification from June 2018 in Surrey, including location of services; access and individual support needs.  This will inform how we shape substance misuse treatment services in Surrey now and in the longer term.

Why are we transforming detoxification services in Surrey now?

The timing of the transformation of detoxification services is based on a number of factors:

  • The Public Health budget for adult substance misuse treatment services is being reduced by 24% from April 2018
  • Windmill House, which provides inpatient treatment, is a fixed structure which requires a significant proportion of the substance misuse treatment budget
  • Windmill House is currently situated on land at St Peter’s Hospital in Chertsey which is due to be sold in 2018. The significant reduction in funding available for substance misuse treatment services in Surrey means it is not possible to relocate Windmill House
  • There is an opportunity to provide more detoxification options in the community allowing for greater patient choice

Therefore, Public Health and SABP in partnership with clinicians and expertise from across Clinical Commissioning Groups and Adult Social Care have reviewed the options for delivery of this service to ensure it is proportionate, appropriate and flexible to the needs of Surrey residents.

 

What Happens Next

Throughout the consultation we will aim to respond to all queries within three working days if by email, or 10 working days of receipt, if by post.

All feedback will be reviewed and considered as we continue to co-design substance misuse services in Surrey.

If you respond to the survey and leave your email address we will send out a summary sheet which identifies how we plan to take your feedback on board, this will also be shared on Surrey Consultation Hub. All direct comments received during the consultation period will be considered and responded to.

 

Events

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