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Imaginative approaches to improving access

At Turning Point Scotland (TPS), we believe in redefining service access through imaginative approaches. Our commitment to direct access ensures that no one is excluded and that we tailor services to meet individual needs. With examples like the Greater Drug Crisis Centre (GDCC) providing 24/7 support and rapid-response programs in locations such as Peterhead and Paisley, we focus on addressing real needs. From flexible hours to multi-agency collaboration, our strategies aim to retain and support vulnerable individuals effectively, fostering long-term recovery and well-being.

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Imaginative approaches to improving access

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  1. Imaginative approaches to improving access Netta Maciver www.turningpointscotland.com

  2. Imagine • Today is the day I’m going to go • I made it • They can see me in three weeks time • I really want to keep that appointment • What do you think? www.turningpointscotland.com

  3. Approach • TPS has no set way of providing service • TPS has a commitment to make service work for people • TPS has a commitment to direct access • TPS has a commitment to exclude no one • TPS has a commitment to a professional service www.turningpointscotland.com

  4. Access • Referrals take time • Some examples of direct access • GDCC • Peterhead • Paisley • Leith • Big River www.turningpointscotland.com

  5. GDCC • 24/7/52- 50,495 visits • An average of 150 people each day • 4/5000 vulnerable and chaotic • Waiting time is 5 minutes • Busiest day last year Sunday 23 June (164) • Hub working with many partners www.turningpointscotland.com

  6. Peterhead • Arrest referral and day programme • 24 hour call out system to police- attend within one hour • Same person sees them next day • One year 106 a/r (27 re-referrals)- 32 used the service 40% take up • Can help CAT to “hold” people • Sees 8% in the am, 20% 12-4, 71% 4-8pm www.turningpointscotland.com

  7. Paisley - Cactus • Fax referral system from Paisley Police • Everyone seen within 24 hours and sticks • 44% take up • Customise practice to fast track into prescribing clinic www.turningpointscotland.com

  8. Leith • Direct access – drop in service -641 people • Drop in for locality clinic, crisis, telephone, needle exchange, ear acupuncture • Locality clinic saw 179 • Above came from 15 different GP practices www.turningpointscotland.com

  9. Big River • Works across the Borders • Accessing means we come to you • Where and when will be agreed with you • Drop ins in Galashiels, Kelso or Eyemouth www.turningpointscotland.com

  10. Service • Range on offer within services • Retention is key to successful outcomes • Need to include the most challenging • Treatment is more than methadone • Begins in needle exchanges • Needs to focus on real needs- where to stay, what to eat, how to sort www.turningpointscotland.com

  11. Flexibility • Service opening hours- from 24/7 to 6 day opening to evening opening hours • Responses that cross generations • Ability to see individual needs • 1-1, group work, advocacy, alternative therapies, practical needs • Working with other providers www.turningpointscotland.com

  12. Barriers • Who runs first level services (who is capable of undertaking assessments) • Geographic rules- every person receiving a script must… • Compliant, stable users who block services • This is how it’s done here www.turningpointscotland.com

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