Presentation at "Building on firm foundations: Making effective liaison and diversion services a reality" conference by Pauline Fisher, PHE

1. Liaison and Diversion Programme
Building on firm foundations:
substance misuse integration
Pauline Fisher
Public Health England

2. Substance misuse in L&D
• Substance misuse and offending
• Local substance misuse commissioning
• Operating models
2

4. 4 Presentation title - edit in Header and Footer

5. Local commissioning
5
Substance misuse
treatment and
recovery services

6. Local Commissioning
6
Treatment and recovery services
• Directors of Public Health
• NHS England
• L.A. Children’s services
Criminal justice pathways
• PCCs
• Community Safety Partnerships
• National Probation
Service/Community Rehabilitation
Companies

7. Place-based approach to public health
7
Public health advice
Health and wellbeing boards
Local government CCGs
PHE
centre
NHSE
area team
• EPPR
• Screening and immunisation
• Offender public health programmes
• Specialised commissioning
• Primary care public health programmes
and population healthcare
NHS
providers
Non-
statutory
providers*
People and communities
*Including voluntary and community sector

8. 8
PHE
provides
expert
advice
to local
government
DsPH have
influence
across all
local
government
spend
PHE provides expertise
in local area teams
Embedding ‘making
every contact count’
Influence on wider
spending in
commercial and
voluntary sectors
Clinical
Commissioning
Groups
And
NHS England
Leverage from the public health ring fence

9. Operating model
9 Presentation title - edit in Header and Footer
• all-age response;
• available to all points of intervention in the youth and
criminal justice pathway;
• addressing a wide range of health issues and
vulnerabilities;
• entry point - comes into contact with the police
under suspicion of having committed a criminal
offence;
• intervention at earliest possible point on justice
pathway

10. Operating model
10

11. Workshop task
11
List the challenges and possible solutions to
integrating substance misuse in L&D services
• At a strategic level
• At an operational level