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partnerships for the planning of services have been developed. Information systems have improved and resources for drug treatment are planned to continue to increase until 2008.

2.8.3 Commissioning criminal justice services

PCTs are responsible for the commissioning of the healthcare needs of local prison populations, including the clinical element of drug treatment. The commissioning of drug treatment will be an important consideration for prisons. Responsibility for commissioning CARATs and prison drug treatment programmes will soon fall to the new National Offender Management Service (NOMS). Health performance management systems and PCT commissioners will need to work in partnership with NOMS wherever possible, to commission drug treatment for offenders. Currently, commissioning for Drug Rehabilitation Requirements (DRRs) in the community remains through the pooled treatment budget. DRRs are community orders, which have been in force since April 2005 and require the offender to have treatment to reduce or eliminate their drug misuse and undergo drug testing.

2.8.4 A step-change in commissioning is required

In most local areas, commissioning drug treatment is a multi- million pound business. In recognition of the complexity of the task, a step-change is required to develop local commissioning into local drug treatment systems management. Local drug treatment systems have done well to develop in line with Models of Care 2002. Now, Models of Care: Update 2006 calls for a greater focus on service users’ journeys and “flow” through drug treatment systems, and improvement in delivery of effective pathways of care. This will require improved strategic partnerships between health and criminal justice, as well as improved partnerships with those responsible for housing, education and employment services. Access to such mainstream provision is vital for drug misusers in treatment, to maximise treatment gains and prevent relapse into illegal drug misuse.


Models of care for treatment of adult drug misusers: Update 2006

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