2025 Local priority objectives

Performance measure(s)

Lead Organisation(s): Public Health & York Drug and Alcohol Children & Young People Service

S1.1, Establish a sub-group focused on children and young people

· Group established with participation from all relevant partners

· Action plan developed

S1.2, Rollout of The Gate’s ‘What’s the score’ conversation tool for young people in schools and young people’s services

· Number of professionals trained in use of ‘What’s the score?’

· Number of YP referrals received by The Gate

S1. Reduce drug use

There is an ambition over the course of the 10-year strategy that the rising trend in drug use will be reversed.

The D&A Partnership agreed that the focus for this year to enable the longer term aims of the strategy will focus on prevention for children and young people and decided a group to work towards the aims below would be created, with aims around:

Preventing the onset of drug use among children and young people; strengthening young people’s sense of belonging in society.
School-based prevention and early intervention; support local implementation of evidence-based approaches to reduce substance use through schools and the wider community.
Supporting families and young people most at risk of substance use; facilitating early intervention, increasing identification and support for young people at particulate risk of substance use harms.

An integral project to support this will be to roll out ‘What’s the Score’ conversation tool, along with other training for frontline staff working with families.

2025 Local priority objectives

Performance measure(s)

Lead Organisation(s): North Yorkshire Police, York & North Yorkshire Combined Authority, York Probation Delivery Unit

S2.1, Review of ATR and DRR targeting and delivery pathways to strengthen diversion approach and maximise delivery requirements.

· Review completed and recommendations for improvement being implemented

· Numbers of ATRs and DRRs imposed and successfully completed

· Re-offending among people who have ATR/DRRs

S2.2, Set up better quality data capture of criminal justice and OoCR referrals including intervention type to enable monitoring those who engage with YDAS

· Outcomes of Criminal Justice referrals tracked and analysed by OFPCC/NYP, including ‘reoffending’ data

S2. Reduce drug-related crime

It is well evidenced that drugs is a key driver of crime, with reoffending being largely linked to substance use. Criminal justice partners and focusing on ensuring those that meet the criminal justice system get support and referrals to the drug and alcohol treatment and recovery service.

S3. Reduce drug-related deaths and harm

2025 Local priority objectives

Performance measure(s)

Lead Organisation(s): Public Health and York Drug & Alcohol Service

S3.1, Establish York Hospital Drug and Alcohol Care Programme for the identification of, and optimal treatment and effective discharge planning for people at risk of drug or alcohol related harm.

· AUDIT-C / equivalent assessments for all patients reportable

· Number of referrals from hospital to York Drug and Alcohol Service

S3.2, Strengthen York and North Yorkshire Local Drug Information System and harm reduction activity

· Numbers of Naloxone kits distributed to people who use drugs and their friends/family who will be best placed to use it in the case of overdose

· Synthetic opioids preparedness testing exercise complete and learning taken forwards

Drug and alcohol related deaths and harm continue to increase nationally, and with the introduction of Nitazenes in the drug supply more to reduce harm will be the focus for the D&A partnership for this year.

Another focus includes early identification of those within secondary care at risk of drug or alcohol related harm to support effective discharge planning to enable referral to key services and/or provide harm reduction advice.

I1. Reduce drug supply

2025 Local priority objectives	Performance measure(s) Lead organisation(s); North Yorkshire Police
l1.1, Reduce the number of drug supply lines operating in North Yorkshire and the City of York	· Number of drug supply lines
l1.2, Work in Partnership to improve community resilience to drug supply line infiltration through the use of place-based approaches such as Clifton Clear, Hold, Build	· Intelligence feeds · APMIS Disruption Data Dashboard · Community survey data
l1.3, Increase the number of vulnerable adults and children safeguarded from exploitation by County Lines and drug traffickers	· NRM referrals · APMIS ‘Prevent and Protect’ data

North Yorkshire Police are a key partner to assist with the reduction of drug supplies within York. May operations have already taken place and closed county lines and other serious organised crime groups. This will continue throughout 2025 and will be monitored through within NYP and the D&A partnership.

I2. Increase engagement in treatment

2025 Local priority objectives

Performance measure(s)

Lead Organisation(s): York Drug and Alcohol Service

l2.1, Enhance gender-specific pathways for women into substance use treatment to better respond to distinct needs and remove barriers to access

· Number of women engaged in treatment with York Drug and Alcohol Service

l2.2, Increase the proportion of adults discharged from prison with substance use treatment need who are successfully engaged in community-based structured treatment following release from prison within 7 days

· Proportion of individuals contacted within 5 working days of referral from prison treatment service by YDAS

· Proportion of adults with substance use treatment need who are successfully engaged in community-based structured treatment following release from prison within 21 days (NDTMS and contract monitoring)

l2.3, Review of pathways into substance use treatment services by NYP/Out of Court Resolution (OoCR) Team

· Review has been completed and recommendations for improvement are being implemented

· Numbers of criminal drug and alcohol referrals and Out of Court Resolutions (if identified substance use need) into YDAS

l2.4, Increase number of young people provided treatment and support in relation to their own substance use by The Gate

· Number of young people under 18 in treatment for their own substance use

York Drug and Alcohol Service, (Change, Grow, Live as the contract holder) are the lead for this priority and continue to work with partners to ensure the service is meeting the needs of those that need specialist services.

The Clinical lead for Change, Grow, Live, Chairs the Clinical Leads meeting to ensure that strong pathways are identified and any issues that may be a barrier between services are worked through to safeguard the needs of individuals.

I3. Improve recovery outcomes

2025 Local priority objectives

Performance measure(s)

Lead Organisation(s): Recovery Community Groups & Public Health

I3.1, Open Community Recovery Hub as a central venue for promoting recovery and hosting activities which support ongoing sustainable recovery from substance use disorders and other addictions and people affected by a family member’s substance use

· Community Recovery Hub open

· Number of different groups and events hosted in the Hub each month

· Number of visits each month

I3.2, Establish strong IPS service within the treatment and recovery system

· Number of people supported effectively by the Individual Placement Support service to sustain employment

Recovery continues to be an integral element to the journey of those that access specialist treatment services. A key action for 2025 will be the opening of the Community Recovery Hub which will provide a venue for individuals to attend, supporting their ongoing journey.

I3B. Improve Mental Health outcomes

2025 Local priority objectives

Performance measure(s)

Lead Organisation(s): Public Health & Mental Health

I3.1B, Improved support for individuals being referred by mental health services to York Drug and Alcohol Service or being referred by York Drug and Alcohol Service to mental health services for assessment of need. The Provider will a) ensure individuals are supported during the time they are referred between services and b) facilitate successful engagement with the service receiving the referral and c) improve dialogue between services where joint-working or re-consideration of a referral is needed.

· Percentage of YDAS referrals to MH services who attend MH service assessment

· Percentage of MH service referrals to YDAS who attend YDAS assessment

I3.2B, Stronger multi-agency work between TEWV and York Drug and Alcohol Service, including attendance by relevant TEWV professionals at multi-disciplinary case meetings called by York Drug and Alcohol Service and joint pathway development

· Service Managers / Leadership Level Clinicians / appropriate substitutes participate in York Drug and Alcohol Clinical Leads meetings.

· Percentage of multi-disciplinary case meetings called by York Drug and Alcohol Service where TEWV are invited that are attended by relevant TEWV professionals.

· Percentage of joint TEWV-YDAS service-users whose care plan has been jointly developed with the service-user and both service

York D&A partnership recognises the role that mental health of individiuals, whether with a diagnosed mental health condition or not, can be instrumental to the care they may receive. It was decided to introduce an extra priority focusing on mental health as a separate element this is to ensure it isn’t lost within other priorities.