Decision details

Extension of Public Health Substance Misuse Treatment Service (lot 1)

Decision Maker: Cabinet Member for Family Services and Public Health

Decision status: For Determination

Is Key decision?: Yes

Is subject to call in?: Yes


Existing contract expires March 31st 2019 and there is an option to extend  for two year period from April 1st 2019  up to a value of £5,244,846.




That the Cabinet Member for Family Services and Public Health in WCC approved the option to extend Lot 1, for the Substance Misuse Treatment Service contract with Turning Point, from 1 April 2019, for two years up to a value of £5,244,846.




1)      There was provision for a two-year extension in the contract.  A review found that the provider, within the wider substance misuse system, was delivering a transformed service in line with expectations with many examples of innovative practice evidenced.

2)      The contract award allocated a five-year budget for Lot 1. See section 10 for financial implications.

3)      The WCC treatment system continued to deliver high outcomes for opiates users with the borough placed in the top quartile for local authorities with a similar complexity. Performance of Public Health Outcome Framework indicator, 2.15 successful completion of drug treatment, was in the top quintile for opiate clients among comparative local authorities. The Westminster drug and alcohol treatment system supported approximately 1,500 residents each year. Within six months of entering the service approximately 50% of residents accessing the service would be abstinent from, or have significantly reduced, their opiate, crack and or cocaine use.  Half had also stopped injecting and other health benefits had been achieved.

4)      The majority of other KPIs were meeting expectations or on track to achieve satisfactory performance.

5)      A detailed service outcomes and performance report was presented to a special Borough Integrated Commissioning and Contracts Board who found considerable evidence of good performance by the provider.

6)      A new primary care model had been developed following the contract variation in 2018 and work in general practice is now part of the main treatment system. More complex patients were now being transferred into specialist services to improve recovery rates

7)      Providers had moved services nearer to residents. The provider had modified the service offer in response to service user feedback and was now delivering a more effective personalised approach through variety of community settings and further developing peer-led recovery in communities.

8)      Employment opportunities had been successfully embedded within the    treatment offer and the service consistently over achieved in terms of numbers engaged; over 25% of opiate users, and a 33% of non-opiate users, gain paid employment or access volunteering opportunities by the time they leave the system.  Service users were encouraged to be ambitious for their sustainable recovery through the asset based and personalised service.


9)      The provider of Lot 1, Turning Point, received a positive report from CQC inspection in December 2017. The inspectors reported that the vast majority of areas inspected were good or outstanding with clear evidence of outstanding practice in many areas.


10)   There was excellent service user involvement and positive user feedback.


11)   Public Health England’s social return of investment modelling 2017-18 estimated that for WCC there is £10 million of social and economic benefit to the whole community from investing in drug treatment.

Publication date: 11/07/2019

Date of decision: 11/07/2019

Effective from: 19/07/2019

Accompanying Documents: