DDN Magazine July/August 2021 | Page 9

‘ I ’ m optimistic because I think this is a pivot moment and providers are ambitious and poised to push to new heights ... But we do need to invest now .’
DR LINDA HARRIS
recovery walks . ‘ If you ’ d said 20 years ago there ’ s going to be 500 people with drug problems marching down the street most people probably would have locked their doors . Now they come out and applaud . Seeing people who they previously might have crossed the street to avoid as successful parents , workers , citizens is very powerfully destigmatising and hope-inspiring .’
KEY INGREDIENTS To deliver high quality , wellled services needed three key ingredients , said Dr Linda Harris , chief executive and clinical director of Spectrum Community Health CIC and chair of the health and justice clinical reference group at NHS England . ‘ But they ’ re huge . We need a positive culture , a capable workforce with the capacity and headspace to care safely and with compassion while being able to train and supervise the workforce of the future , and we need a team of teams . There ’ s no one agency that can solve this issue , so we need to collaborate to continually improve and innovate .’
There was also a ‘ post-
pandemic societal context ’, she added , with the move to remote and flexible working and the digitisation of service offers . Competition for talent was a key issue , with an ongoing health and social care workforce crisis – ‘ we really have to get those sharp elbows out .’ Successful recruitment and retention meant competitive rewards and competitive terms and conditions . ‘ We want substance misuse services to be that great place to work , and that also means training and development .
‘ I think we can market our strengths ,’ she told the event . ‘ COVID has shone an enormous light on health inequalities and their root causes , and I think we can take our rightful place leading some of these population health interventions . I ’ m optimistic because I think this is a pivot moment and providers are ambitious and poised to push to new heights in quality improvement and achievement in the sector . But we do need to invest now .’
THE NEXT CHAPTER ‘ We ’ re really at the start of the next chapter in the history of our field ,’
agreed director of Collective Voice , Oliver Standing . There was not only the second part of the Black review , but also technological innovation and the fact that the sector was becoming much more informed about the links between trauma and addiction .
‘ We ’ ve had the £ 80m in funding , the Black review ’ s dominating all of our thoughts , PHE has been cut in twain with the senior jobs at the Office of Health Promotion being recruited at the moment ,’ he said . ‘ Then there ’ s the Comprehensive Spending Review in the autumn , the NHS reforms , and an addiction strategy probably at the start of next year .’ And all were contingent on each other to a greater or lesser extent , he stated .
‘ Politics is all about momentum and we ’ ve got a window of opportunity here , but we need that political leadership . We need a robust political response to the review , and we need the funding to continue to support the work . We mustn ’ t forget we ’ re in the middle of a drug-related death crisis . This is a morally catastrophic thing , and we can ’ t ever forget that .’ DDN
findings in social support literature is that giving support is probably as good for our health as receiving it .’
Crucially , these services were also free , he said , or operated on a voluntary ‘ coin in the basket ’ model . ‘ That makes them available to anyone , regardless of their economic situation .’ While some had a designated programme or philosophy , others were more general and by no means all were abstinence-orientated . ‘ It ’ s good that there ’ s so much diversity , so people can find something that works for them . And it ’ s not just all about services , it ’ s also about cultural and political influence . We had a saying in the White House – “ if you don ’ t have a seat at the table , you ’ re probably on the menu .” It ’ s very important that people in recovery are at the table in all discussions , and Dame Carol did a huge amount of outreach and involvement of people in recovery throughout her work . We need that expertise and that wisdom .’
The public component was also vital , he said , as could be seen with
PROFESSOR DAME CAROL BLACK
PROFESSOR DAME CAROL BLACK DBE FRCP FMedSci chairs the boards of the Centre for Ageing Better and Think Ahead , the government ’ s fast-stream training programme for Mental Health Social Workers . She is expert adviser on health and work to NHS England / Improvement and Public Health England and until August 2019 was principal of Newnham College Cambridge . She is a member of Rand Europe ’ s Council of Advisers , the board of the Institute for Employment Studies , the board of UK Active , and the advisory board of Step up to Serve .
She has authored three independent reviews for the UK government : of the health of the working-age population in 2008 as national director for health and work ; of sickness absence in Britain in 2011 as co-chair ; and of employment outcomes of addiction to drugs or alcohol , or obesity , in 2016 . She is currently working on a fourth independent review for government , of illicit drugs in England .
Dame Carol is a past-president of the Royal College of Physicians , of the Academy of Medical Royal Colleges , and of the British Lung Foundation , and past-chair of the Nuffield Trust for health policy . The centre she established at the Royal Free Hospital in London is internationally renowned for research and treatment of connective tissue diseases such as scleroderma . She has been a trustee of the National Portrait Gallery .
As principal of Newnham , Dame Carol was on several committees in Cambridge University , and she remains a patron of the Women ’ s Leadership Centre in the Judge Business School , and a member of the university ’ s advisory board on student mental health . In 2018 she was appointed chair of the British Library Board . Biography at bl . uk / people / experts / carol-black
Katy Blackwood / commons . wikimedia . org
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