FUTURE POLICY IMPLEMENTATIONS
AFFECTED BY NTA CLAIMS
Payment by results: in a programme planned to affect the whole country, failure can be recorded as success, and there are no drug-free goals.
The most ambitious outcome in PbR is “free of drug(s) of dependency” – but not free of all drugs, thus allowing addictive behaviours to continue without the causes being addressed. The Drug Policy calls for “freedom from dependency” [all drugs]. The DoH diverted from policy, the NTA oversaw the terminology and refused to allow the Concordat of rehabs to participate despite their successful history in getting addicts off drugs.
Joint strategic needs assessments: the Health and Social Care Act 2012 requires local authorities and clinical commissioning groups in each area to jointly lead health and wellbeing boards to assess local health and social care needs through JSNA, and develop joint strategies to meet those needs. The NTA supplies information to those health and wellbeing boards, health undersecretary Earl Howe confirmed in response to an October parliamentary question.