Medical equipments, pharmaceuticals and personal care products

Tender description

Bristol City Council's substance misuse team are commissioning substance misuse community services and are holding a number of events, these are detailed at this website.https://www.bristol.gov.uk/social-care-health/substance-misuse-treatment-services-tender In order to reflect the increasing levels of complexity for substance misusers at both a local and national perspective, this complex needs provision will be required to identify and case hold the most vulnerable and chaotic clients across the city who are affected by substance misuse. This service will need to demonstrate how it can provide an enhanced offer to those most severely affected by physical and mental health needs that are unable to engage in mainstream substance misuse provision and have multiple barriers to working towards recovery. Key to this success will be how the service proactively links in with local physical and mental health services to collaborate and optimise the treatment offer for complex clients. This service will need to demonstrate how it intends to meet the needs of ‘dual diagnosis’ clients, particularly around trauma and post-traumatic stress disorder in relation to their substance misuse. The Community Recovery Centres (CRC) will need to deliver a range of psychosocial interventions in line with best practice to support individuals in their recovery, including 1 — 1 provision and a range of groupwork interventions, including those suitable for service users referred from criminal justice e.g. Drug Rehabilitation Requirements (DRR). The use of digital interventions should also be utilised where appropriate at all stages of an individual's recovery journey. The CRC will play an essential role in ensuring there is enough capacity to deliver relapse prevention support for all individuals who undertake detoxes within ROADS. Facilitating access to mutual aid and linking in with wider recovery support across the local community will also be key in delivering this element successfully. The substance misuse liaison service (SML) will operate out of GP practices participating in the Alcohol Detox and/or OST primary care local enhanced contracts. The SML will care coordinate primary alcohol and opiate clients attending their GP practice for pharmacological interventions, deliver appropriate psychosocial interventions commensurate to need and facilitate pathways with the Recovery Centres. It is intended that this will be an integrated service with practitioners' caseloads comprising primary alcohol and primary opiate clients to maximise capacity and ensure the greatest geographical coverage. Following referral and triage the SML is expected to carry out assessment of need for clients allocated to the service. The Early Engagement and Intervention service will operate across Bristol in order to engage with drug and alcohol users, including those who are not in contact with ROADS services. Interventions to improve health and reduce the harms associated with drug and alcohol use will be delivered as well as supporting those furthest away from services to access treatment in a timely manner. Interventions will need to include Outreach/early engagement, facilitating access to treatment, Needle and Syringe Provision (NSP), Naloxone supply to individuals at risk of overdose and developing pathways for key health needs. We are keen to jointly commission a sub-regional Families and Carers service alongside neighbouring local authorities South Gloucestershire and B&NES. This service will work with adults who are affected by someone else's substance use, including significant others and close friends as well as families and carers. The Family and Carers service will help affected others learn more about substance misuse and treatment, and give them new skills to better cope with problems as they arise. The service will also offer opportunities for peer support, and promote affected others' involvement in treatment services where appropriate. A joint regional service will need to have a strong local offer with good links to community organisations and area based support. To increase accessibility we expect that the Families and Carers service will offer a wide range of support e.g. information and training, advice and signposting, support groups, one to one support, online and telephone support.