Decision

The Director of Public Health approves the
expenditure of £480,000 In-patient Detox grant revenue - to
pay for additional detox placements for Cheshire and Merseyside
service users through the OHID grant funded In Patient Detox
Consortium during Q1 and Q2 2025-2026.

Estimated provider expenditure breakdown is as follows.
Adferiad Recovery £185,000
Kaleidoscope Project £295,000

Reasons for the decision

The Inpatient Detox
Consortium is undergoing transformation during financial year 2025
- 2026. The Consortium is changing the way it procures services and
moving from individual grant agreement arrangement with each
service provider, on to an NHS PSR ‘Framework.’ This
work will take place during Q1 and Q2 2025-2026, with the new
framework mobilised during Q3.

A separate Committee paper has been submitted for the new NHS PSR
Framework decision, due to be reviewed on the 10th of June 2025
Committee.

This ODN supports the interim agreement arrangements with service
providers during Q1 and Q2 of 2025-2026.

Delivery of the Inpatient Detox additional capacity programme will
strengthen Cheshire and Merseyside capacity to reduce drug related
deaths, hospital admissions and drug related offending. The grant
for 2025 - 2026 needs to be utilised within the financial year, and
this programme is important in contributing to the wider workplan /
strategy to address health inequalities.

Alternative options considered

All service providers
within appropriate geographical proximity of the Cheshire and
Merseyside footprint have signed an individual agreement to provide
services to the Cheshire and Merseyside Consortium.
In 2025-2026, the Consortium has 6 service providers offering
services across 7 detoxification facilities. Placements are
determined by the choice of the service user. Last year the
placements at Adferiad Recovery
and
Kaleidoscope Project between them amounted to over 90% of the total
placements that took place. Placements already taking place this
year are following a similar pattern. Funding is only paid over to
the providers on completion of placements, so the amounts
identified are indicative.