Liaison and Diversion Programme

Building on firm foundations:

substance misuse integration

Pauline Fisher

Public Health England

Substance misuse in L&D

• Substance misuse and offending

• Local substance misuse commissioning

• Operating models

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Local commissioning

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Substance misuse

treatment and

recovery services

Local Commissioning

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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

Place-based approach to public health

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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

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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

Operating model

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• 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

Operating model

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Workshop task

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List the challenges and possible solutions to

integrating substance misuse in L&D services

• At a strategic level

• At an operational level