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There is no summary of this meeting yet. Summaries are written once the council publishes the minutes, which are its official record of what a meeting decided. They usually appear a few weeks after the meeting.
The Chair welcomed everyone to the meeting.
Cllr. Stephanie Grimshaw, (Item 3A) – Personal, Works at Welsh Womens Aid and a report written by Welsh Womens Aid is referenced.
Members considered items from the Scrutiny Committee Forward Work Programme.
Members thanked the Commission and Professor Wulf Livingston and Andy Perkins for their work in producing the report. The Director of Social Services, Health and Housing introduced staff from the Area Planning Board (APB) and provided an overview to the background behind the formation of the commission. It was acknowledged that the Area Planning Board partners have fully accepted the findings of the report and have already commenced work to facilitate changes to improve service delivery across the region. Officers summarised the key findings of the report, as contained within the agenda pack. Members raised the following questions: •Some individuals have turned to drugs as a way of coping with wider challenges, what work is being undertaken with departments outside of Social Services to address underlying issues. •What are the gender specific issues that were referenced under recommendation three. •Concern was raised over the use of the term sex work/workers within the report. Members commented that The All Wales Operational group on sexually exploited women have highlighted that substance misuse and alcohol dependency can shape pathways into sexual exploitation as a means to finance substance misuse. The report does not mention adult sexual exploitation, modern slavery or human trafficking at all as potential risks and impact factors. What work is being undertaken to ensure that those at risk or experiencing adult sexual exploitation in Neath Port Talbot are identified and supported. Officers acknowledged members’ comments and confirmed that the Area Planning Board (APB) operates as a multi-agency partnership, including representatives from the Health Board and housing services. A recent partnership development day was held to review the recommendations of the Drugs Commission report, during which senior leaders explored collaborative approaches to ensure a whole-system response and seamless service pathways for individuals requiring support. It was noted that the APB has developed a Co-occurring Strategy, led by the Health Board and supported by all partners, aimed at improving access to mental health services for individuals with substance use needs. This strategy focuses on early assessment and timely support. Additionally, the APB continues to deliver the Cwtch Project, a psychology-led, trauma-informed service designed to support individuals with complex needs, including co-occurring mental health and substance use issues. The project has been operational for two years and reflects the APB’s commitment to integrated, person-centred care. Officers provided an update on the development of a new alliance model, which will underpin a newly commissioned service approach. This model moves away from piloting individual projects, instead embedding a whole system trauma-informed and trauma-enhanced principles across all commissioned services. The aim is to ensure that all individuals accessing support receive appropriate and specific interventions. Housing partners are actively involved in decision-making within the alliance and participate in the Commissioning panel. The new service model is designed to reflect a whole-system approach, addressing not only substance use needs but also housing and any co-occurring mental health issues. Officers confirmed that Housing Support Grant funding has been secured from both Swansea Council and Neath Port Talbot Council, enabling pooled budgets to support the commissioning of integrated services. In response to the question regarding gender specific issues. Officers emphasised the importance of incorporating gender-sensitive approaches into substance use services, particularly in response to findings from the Drugs Commission. Understanding the experiences of women within the system is seen as critical to shaping service delivery. Over the past two years, the APB has operated a Rapid Access Prescribing service specifically designed to engage vulnerable women, including those at risk of coercion, and support their entry into treatment. This initiative has focused on improving accessibility, recognising the need for flexible service provision for women who may be primary carers. Officers confirmed that service specifications have been developed with direct input from women with lived experience, ensuring that services are designed both with and for women. The commissioning approach prioritises innovative practice and consistent support for women across all services. South Wales Police, Superintendent informed the committee that there were a number of areas of governance which contribute to and support the work of the APB. These include the Serious Organised Crime Boards and the Violence Against Women and Girls (VAWG) Prevention Boards. A problem-solving approach is being adopted, acknowledging that many women involved in criminality and substance misuse are, in fact, victims of adult exploitation. This perspective aligns with concerns raised by Members during the meeting. The importance of adopting a holistic and victim-led approach when women come to police attention in circumstances involving criminality and substance misuse was discussed. It was noted that such cases often involve elements of human trafficking and modern slavery. Members were advised that, while criminal offences such as drug possession may be present, consideration should be given to whether individuals should be penalised or instead treated as victims. The approach mirrors existing practices for child victims of exploitation, with an emphasis on identifying vulnerability and signposting individuals to appropriate support services. The need to flag such cases to the Home Office was also highlighted. The committee received an update on the governance structures supporting the APB, with emphasis on a multi-agency, problem-solving approach. It was noted that diversion schemes such as the Women’s Pathfinder are being explored to support the rehabilitation of women drawn into substance misuse, often as a result of adult exploitation and domestic abuse. It was acknowledged that substance use is frequently a consequence of prolonged victimisation, and that governance processes—particularly within policing—must complement the APB’s work. Effective information sharing across forums dealing with modern slavery, serious organised crime, and domestic abuse was identified as a key priority. It was highlighted that many individuals discussed across these separate governance groups are the same, and a coordinated approach is essential to ensure victims receive the best possible support. Members expressed concern over the handling of gender sensitive issues within the report as the issues have not been clearly defined. Members welcomed the police response indicating a shift from the criminalisation of survivors, recognising this as a significant problem. Members expressed strong concerns regarding the language used in the report, particularly in reference to survivors of adult sexual exploitation. It was reiterated that survivors should not be described as sex workers, especially in the context of drug and substance misuse. Members emphasised that recognising individuals as victims or survivors of exploitation ensures they are treated appropriately and with the necessary sensitivity. Officers thanked the member for bringing this issue to their attention. These issues will be addressed through the development of the APB strategy and delivery plan. Officers emphasised the importance of open and honest dialogue with partners and service providers, particularly in relation to language and framing. The committee was informed that future services commissioned under the APB will be trauma-informed, as specified in service requirements. This approach aims to reduce barriers to disclosure and ensure that individuals affected by exploitation and substance misuse receive appropriate, compassionate support. The Cabinet Member for Housing and Community Safety highlighted the crossover between the report, the work of the APB, and wider social issues such as housing, homelessness, and economic disadvantage. It was noted that addressing the complex needs of individuals requires support from colleagues across the local authority and partner agencies, as set out in the Council’s strategic framework. The Cabinet Member also emphasised the relevance of economic development initiatives, including town strategies, in improving the economic circumstances of individuals and mitigating social disadvantage. It was acknowledged that substance misuse is a complex issue not solely linked to deprivation, and that efforts to build resilient communities and improve economic outcomes must be undertaken in partnership with government and development agencies. The importance of integrated working to improve lives and communities was strongly reinforced. The Cabinet Member advised the committee that following the meeting the link to the meeting recording would be shared with members of the partnership. Members raised the following questions: •On receipt of the report, was a written response sent to the commission and if so, could members receive a copy. •What obstacles do you envisage in implementing the recommendations of the report? •In terms of working together within the APB, are there the necessary powers to implement the recommendations? •Why is there no representative from the Health Board at the meeting. •What are the plans to implement the changes within the APB? •Members referred to page 61 and 62 of the report and the reference to independent partners and asked for clarification regarding funding. •Members referred to page 62 of the report in relation to ‘an independent learning partner should be considered to design and deliver an appropriate framework’. Members asked for clarification. •What comments have been received from Welsh Government on the report. Officers provided members with an outline of the immediate next steps following the receipt of the report. Officers advised that implementation of the new service model, commissioned through an alliance, is progressing as planned. The model specification addresses key service delivery recommendations outlined in the report. Implementation remains on track for 1 April, and Members have previously received information on the model, including the business case and its integrated service aspirations. Officers confirmed that work on the action plan has commenced. A draft strategy was circulated for consultation ahead of the Partnership Day held on 30 September, with input sought from key stakeholders, including individuals with lived experience. Feedback from the event is being used to revise and refine the action plan. Members enquired who was consulted; officers confirmed that the consultation was shared widely to all APB stakeholders. There will be further opportunities for comment once the action plan has been refined, before the draft is finalised, and this will be circulated to the scrutiny committee. It was noted that the action plan is being co-produced, with a strong emphasis on lived experience. The APB has accepted the report and is leading on the implementation of its recommendations. The plan will also support accountability for the APB. Immediate next steps include preparing for future check-ins with the Neath Port Talbot and Swansea Scrutiny Committees, the Health Board, and voluntary sector partners, people with lived experience and wider stakeholders, with ongoing engagement planned. As part of this early work there is a need to prioritise immediate actions in alignment with wider strategic outcomes of reducing drug related deaths and improving access to treatment. In relation to governance and powers to implement, there have been structural changes to the APB over the last 18 months and there is now more stability. The Officer reported that transparency in decision-making has been enhanced through the implementation of new systems and robust quarterly monitoring. Regular engagement takes place with Community Safety Partnerships and both Public Services Boards (PSBs). An annual partnership event has now been established to review progress and maintain accountability. The Officer acknowledged the challenges of partnership working across multiple regional and local bodies. Successful implementation of the strategy and action plan relies on strong collaboration. The alliance has already strengthened relationships with the Council, Health Board, Police, and voluntary sector, while also establishing a legal and contractual framework to support joint working. The Officer emphasised the importance of listening to the voices of people who use services. As part of the alliance, several workshops have been held to engage individuals with lived experience. A Lived Experience Alliance Forum has been established, with members actively involved in service development and commissioning through participation on the commissioning panel. Members enquired if a written response was sent to the commission following receipt of the report? Officers confirmed that a formal written response was not issued to the Commission. The agreed process involved receiving the report during a collaborative partnership event held on 30 September, which brought together public service leaders, frontline staff, and individuals with lived experience. The event served as the initial forum for collective reflection on the report’s recommendations and to begin discussions on future actions. Officers emphasised the importance of developing a long-term, strategic approach rather than issuing a rapid response. The APB is currently collating feedback from the event to inform a comprehensive strategy, ensuring that actions are co-produced and widely consulted upon. The next steps include assigning responsibilities for specific actions and establishing accountability mechanisms. It is proposed that the resulting strategy will be accompanied by a delivery plan that will be reviewed on an annual basis, with a yearly partnership event to review progress, assess impact, and adapt to emerging trends in substance use and community needs. A discussion was held, Members were mindful that within the report, there is reference to the length of time for change and suggested that there was a need for the APB to move quickly. Other members suggested there may be need for a short term and a long term strategy. The Scrutiny Chair suggested that it would be useful for the committee to have more in depth knowledge and experience of meeting staff and clients of services going forward. Members asked if a representative from Health was at the meeting. The Director of Social Service, Health and Housing advised members that the Chair of the APB was unable to attend due to another urgent commitment. The Chair will come before the committee when the committee review. Members agreed that the Chair’s attendance would be appreciated at a future meeting and commented that a substitute would have been useful for the meeting. Members asked for clarity around the governance structure in relation to the accountability of the APB and who would monitor the outcomes. Members also enquired in which way had some models already been changed? Officers provided an update on governance arrangements for the APB. It was confirmed that the APB reports to the Community Safety Partnerships and the joint meeting of Public Services Boards. Each partner organisation is represented on the APB and is responsible for progressing documentation and reports through its own governance processes. The annual report will be presented to Scrutiny, along with commissioning arrangements within the alliance. The transformation programme will also be subject to Scrutiny and Committee oversight. Officers emphasised that a governance framework is in place to ensure the APB remains accountable both as an alliance partner and as an individual body. Members were advised that, prior to finalising the report, verbal feedback from the Commission had been incorporated into ongoing transformation work. This approach ensured that actions were informed by emerging findings rather than awaiting formal recommendations. As a result, significant progress has already been achieved, and further developments are imminent to support the Commission’s recommendations. Officers reiterated plans for commissioning services through an alliance model. The proposed approach will integrate existing substance use services across Swansea and Neath Port Talbot into a single, seamless system. This will involve pooling funding streams and adopting a whole-system commissioning model to ensure consistent access to support for individuals, families, and communities affected by substance use. Officers noted that this approach addresses concerns highlighted in the Drug Commission report regarding fragmented service delivery. Significant progress has already been made towards implementing recommendations, including the development of a Lived Experience Alliance Forum. Initially in its early stages, the forum now has active members contributing to the work of the Area Planning Board and informing service design. While substantial progress has been achieved, particularly in relation to service integration, officers acknowledged that further work remains. Officers highlighted longer-term priorities. Developing psychologically informed environments and ensuring appropriate estates will require consideration of new buildings and longer-term planning. Officers noted that while these elements will take time to implement, a range of short-term actions and ongoing work are already in progress. Members commented that it would be useful to have a written model concerning the robust and rigorous monitoring that was discussed, in order that members could see the process. Members reiterated the question concerning comments from Welsh Government. Officers confirmed that Welsh Government attended the APB Partnership Day and are fully aware of the recommendations and are supportive of our transformation program. At present, there has been no formal response from Welsh Government. Members expressed surprise that given the depth and the significance of this report, that a formal response has not been received and questioned whether the APB had requested a formal response. Officers confirmed that Welsh Government have acknowledged that they will respond to the recommendations that are directed to them in the report. Officers provided reassurance that Welsh Government were fully briefed on a quarterly basis on the ongoing work that is being undertaken. In relation to members comments relating to the communication of the strategy progress monitoring, a lead action from the partnership day is to develop a communication plan, to clearly document how communication will be undertaken. The importance of reporting progress to members, partners and regional partners was acknowledged. Members welcomed this information, when it became available, and also requested that the committee received the response from Welsh Government, when available. The Scrutiny Chair commented on the changing types of drugs available and the length of time that drugs have been available, however Government responses have not reacted in line with this. As a committee this will be a priority agenda item going forward due to the harms caused by this issue. It was acknowledged that drugs can affect individuals regardless of their background. The use of understandable language when communicating with members of the public is key. Members asked what are the future plans to improve drop in centres to encourage an open door policy and how will these services be promoted? Officers acknowledged concerns regarding the perceived lack of openness in current drop-in centres, referencing feedback from the Commission’s recent visits. It was noted that physical barriers such as keypad entry systems contributed to a sense of exclusion and limited accessibility. Officers outlined future plans aimed at enhancing access and promoting a more inclusive environment. A new commissioned service model is being developed with a strong emphasis on open access. This approach extends beyond physical premises and includes digital and remote access options. Bidding groups have been asked to propose innovative solutions to widen service accessibility, such as online chat functions, 24-hour support, and self-help tools integrated with professional services. The service aims to build upon existing provisions, including freephone numbers, and is exploring the development of integrated hubs. These hubs would offer support for a broad spectrum of needs, not limited to substance use, thereby reducing stigma and encouraging wider community engagement. It was confirmed that these requirements have been embedded within the current tendering process, and there is optimism that the new model will deliver significant improvements. The overarching goal is to create welcoming, supportive environments that are easily accessible to individuals at critical points in their lives. Members commented on a recent visit to Adferiad and provided feedback on how welcoming staff were but stated that the building facilities were not welcoming. Members referenced the findings in the report concerning the stigma felt by some people when accessing services and suggested that community hubs and local libraries should be utilised. It was important for people to be known by their name rather than by a label and a culture shift is needed. Officers emphasised that a key feature of current and future service delivery is the commitment to outreach and in-reach approaches. Rather than expecting individuals to attend physical service locations, the model prioritises taking services directly to people—whether in their homes or in places they regularly visit. Providers have been instructed to operate on an outreach basis, ensuring that support is delivered in a timely and responsive manner, tailored to individuals' immediate needs. This approach is central to improving accessibility and reflects the strategic direction for future service provision. Officers expressed appreciation for the involvement of councillors in the transformation process, describing their role as a "critical friend" and welcoming their continued engagement. It was noted that having councillors observe and understand ongoing work is valuable, and officers committed to providing updates on progress as services and estates undergo transformation. The current phase was described as an opportunity to maintain ambition, respond constructively to recommendations, and improve outcomes for the community. Officers reiterated their commitment to ongoing collaboration and transparency throughout the transformation journey. The Superintendent responded to a question regarding anticipated barriers to implementing recommendations, highlighting outdated legislation as a significant constraint. Specifically, the Misuse of Drugs Act was cited as a barrier to progressive harm reduction measures, such as the distribution of safer inhalation devices and the establishment of safe consumption spaces. These practices, while explored in other parts of the UK such as Scotland, remain illegal in Wales, limiting the scope of intervention despite ongoing engagement with the Home Office and government ministers. In response to these limitations, the APB has considered alternative, innovative approaches not currently addressed in the Commission report. One such initiative is the development of stigma training within South Wales Police. This training aims to equip frontline workers with a deeper understanding of the underlying causes of substance use, fostering compassion and reducing stigma. The programme has been informally shared with health colleagues and has received positive feedback, with early discussions underway to expand it into a multi-agency training package. The intention is to deliver consistent training across all frontline roles within Western Bay, including paramedics, social workers, and emergency department staff. It was noted that this approach is unique within England and Wales. The Superintendent outlined a tactical initiative currently in operation within Western Bay aimed at reducing drug-related fatalities. A practitioners panel has been established to identify and support individuals assessed as being at high risk of fatal overdose. This work aligns closely with the objectives of the Commission report, which focuses on reducing drug-related deaths. It was reported that, to date in the current calendar year, thirty-four individuals have died due to drug use in Western Bay—a reduction from fifty and sixty-four deaths in previous years. The panel currently supports a cohort of fifty-eight individuals, providing intensive interventions including prescribing support, housing assistance, and enhanced engagement with caseworkers. These practical measures are designed to divert individuals from high-risk behaviours and improve overall outcomes. The panel has been operational for 18 months, predating the publication of the Commission report. Officers emphasised that this proactive approach demonstrates the region’s commitment to innovation and progressive practice in tackling substance misuse. The Scrutiny Committee was assured that efforts to reduce harm and improve support are already well underway. The Chair expressed gratitude for the work of the police partners. A query was raised by members regarding how police determine the underlying causes of antisocial behaviour when responding to public reports, particularly in cases where mental health issues, substance misuse, or abuse may be contributing factors. Reference was made to the Commission report’s emphasis on the lived experiences of individuals affected by drug misuse in their communities. Concerns were expressed about the challenges faced by police in distinguishing between mental health crises, drug-related behaviour, or instances of abuse, especially given that officers are not formally trained to act as mental health practitioners. The question highlighted the complexity of frontline decision-making and the importance of appropriate triage and referral pathways when responding to such incidents. The Superintendent addressed the Committee regarding the challenges faced by frontline officers when responding to individuals exhibiting violent behaviour. It was acknowledged that, in certain circumstances, custody remains the only viable option to ensure public safety and facilitate investigation. However, in situations where the immediate risk has subsided and no criminal offence or possession of drugs is evident, officers are encouraged to consider alternative pathways under the "Right Care, Right Person" framework. The preferred approach in such cases is to ensure the individual receives appropriate medical attention in a suitable setting, ideally outside of the custody environment. The police work closely with health colleagues to identify and access facilities where individuals can be safely assessed and supported. These decisions are made on a case-by-case basis, with the aim of addressing the underlying causes of the incident. It was emphasised that despite best efforts, some individuals inevitably enter custody due to the severity of their behaviour. The importance of post-custody intervention was highlighted, particularly for those who have committed offences. Ensuring access to support, diversion, and rehabilitation services at this stage is critical to preventing repeat incidents and reducing re-entry into the criminal justice system. Members referred to recommendation eight of the report, and commented that the police, by the nature of their role, engage with individuals at crisis point. Members asked for clarification regarding how the police referred individuals who were not responding but had not committed criminal activity, Is the risk to the individual flagged and who is it referred to? The Superintendent advised members of the Public Protection Notices (PPNs) process, which are completed by officers and subsequently assessed by multiple agencies. This multi-agency approach enables the identification of individuals requiring intervention and support. Collaboration with the local authority harm reduction lead was highlighted, who has been granted access to the system to proactively identify individuals in need of assertive outreach. This approach shifts the responsibility away from individuals to seek services, instead enabling coordinated outreach efforts to ensure appropriate advice, guidance, and support are provided directly. The importance of information sharing was emphasised, noting that coordinated efforts across agencies help manage demand more effectively. Reference was made to a previously discussed panel, where bringing together professionals from various disciplines facilitates the development of effective support options for individuals generating significant demand across services. Members asked about the differences in accessing services between residents in rural areas and those living in towns across the authority. Officers confirmed that currently, there is a whole-system approach focused on supporting individuals. For example, if someone enters a police custody suite or has contact with policing, the first step is to identify what support they need and whether they can be diverted into appropriate services. Commissioned Substance Use services are trauma-informed and include enhanced assessment and triage at the earliest point of police contact. Resources in custody suites allow individuals to be assessed and referred quickly into treatment and support. This could involve psychosocial support, prescribing, both, or simply advice and assistance. This approach continues through the court system. If an individual requires assessment at the court stage for a potential community order or custodial sentence, factors such as substance use, mental health, or other factors contributing to offending behaviour are considered. This creates opportunities for interventions such as alcohol or drug treatment requirements as part of a community order. In prison settings, it is equally important that individuals receive assessment and support to enable safe reintegration into the community upon release. These interventions ensure continuity of care and reduce the risk of reoffending. In short, commissioned services aim to provide support wherever individuals are—whether in the community or within the criminal justice system. In relation to the accessibility of services. Officers agreed that access to services in rural areas is an issue. Providers have been actively advised in the new specification that services must be accessible for rural communities. It was noted that services should be innovative with an assertive outreach element within community hubs. Officers explained that a key part of improving our services is engaging with our primary care partners. GPs play an integral role in substance use treatment and support. Ideally, every community should have access to a GP or pharmacist nearby, so individuals can receive the treatment they need for any condition or issue. Work is being undertaken with experts across Wales who have successfully implemented similar shared-care schemes with GPs. Their experience will help in engaging with local GPs, which is essential for improving access, particularly in rural communities. In relation to information sharing, whilst work is undertaken within partnership, it was acknowledged that there are still silos in how information is held. To address this, several forums have been established—particularly with the police and criminal justice services—that enable information sharing through agreed protocols. Welsh Government has recognised the APB as best practice in this regard, especially for the approach to non-fatal overdoses. When someone experiences an overdose, there is live access to police data through the case review coordinator. Under the 72-hour protocol, the individual receives a welfare check from a recognised partner—either a service provider or the police and are offered brief information and invited to access support services, if required. The APB is unique in Wales in operating this system. Officer highlighted that information-sharing practices are strong compared to many other areas. Members commented on the condition of the Adferiad building and enquired on staff well-being and sickness within the team. Members also returned to the issue of referrals and asked if the signposting service was limited to office hours. The Superintendent confirmed that drug services will visit individuals at the custody suites whilst they are in detention, the morning following the incident, if the incident occurred outside of usual office hours. It is recognised that there is a gap to accessing help outside of office hours. It is hoped that this gap will be addressed as part of the alliance model where it is planned that services would be more accessible. Officers reiterated that the ability to have 24 hours, 7 day a week response are features of the new model and is fundamental to the transformation of services going forward. As part of the commissioning of a new service model, there will be buildings as part of that new offer. Work will be undertaken with providers and the bidding groups that are trying to deliver the new service model. A request has been made to consider what new psychologically informed buildings will look like, how they will be open, how they will ensure accessibility. There are challenges with moving any new building and it does take time to have a new building open. Officers noted that the authority has the ability to access capital government funding for estates for substance use. Thought will be given as to how strategically the funding can be applied. There are opportunities to work with regional partnership board to develop the use of estates regionally so that people can access multiple services. The Strategic Lead for Substance Misuse and Mental Health, from the Police Commissioner’s Office, advised members that there is focus on good workforce support within the Commission services to ensure that no matter where people access support, that confidence is held that there will be a warm welcome from staff. Officers acknowledged the mention in the report of staff wellbeing with high levels of sickness and the challenges of working in this environment is recognised. Trauma informed care should also be extended to front line staff to ensure the workforce are developed and supported to manage complex cases. Work has commenced with existing providers around monitoring and supervision. Templates have been provided to support our providers to ensure that staff are supported and fully skilled. There will be a request for new model providers to deliver a workforce development plan. The Chair of Scrutiny noted that undiagnosed neuro divergent individuals can often self-medicate and there are also links between self-medicating and domestic abuse and the prison and justice service. Another issue is the gaps in mental health support services, there is a need for infrastructures across the board to be reset. Officers acknowledged existing research supporting these concerns, referencing studies indicating that individuals with autism may be up to four times more likely to engage in alcohol or drug use as a coping mechanism. It was emphasised that support models must include assessment and tailored approaches for neurodivergent individuals. The importance of assertive outreach to address social exclusion was reiterated, with reference to the partnership day presentation which aimed to raise awareness of the disproportionate impact on neurodiverse individuals. The need for trauma-informed, inclusive services was stressed, alongside ensuring access and training for staff and commissioned services in neurodiversity. Officers confirmed that work has commenced to explore opportunities for psychological input into services, providing specialist knowledge and accessible expertise. It was agreed that training and access will be critical components of the strategy and future actions. The Chair of Scrutiny commented on deaths related to drug use by suicide, as deaths are not always linked to fatal overdoses, sometimes there are other factors. and asked if this is being investigated. Officers confirmed that Social Services have an internal mechanism for reviewing suicides, which operates independently. Additionally, the APB conducts reviews of drug-related or suspected drug-related deaths involving illicit substances. There is a recognised crossover between these two review processes. If, during a suicide review, substance use is identified as a contributing factor—though not the direct cause of death—services and officers from the APB team are engaged to establish connections and ensure appropriate follow-up. Outcomes from these reviews inform service provision and are used to develop recommendations and lessons learned. Officers acknowledged that while further work is required, existing links between review mechanisms are in place and functioning. The Chair of Scrutiny requested that future data reports include information on deaths by suicide alongside statistics on deaths resulting from fatal overdoses. Officers confirmed they would liaise with colleagues to consider incorporating this data in future reporting. The Police Commissioners Office, Strategic Lead for Substance Misuse and Mental Health, noted that there are significant opportunities for improved collaboration and integration, both within the local APB and across regional and national boards. Officers referenced the Welsh Government’s recently published Suicide Prevention and Self-Harm Delivery Plan, which outlines priorities for the next three years and includes considerations for supporting individuals with substance misuse issues. The plan presents opportunities for shared learning and strategic alignment, enabling more effective linkage between local initiatives and broader delivery frameworks. Officers expressed hope that the new plan would inform future work and enhance coordination across services. Officers further noted that the APB has invested in a dedicated Data and Information Officer. This role provides the expertise required to enhance the Board’s capacity to overlay and analyse data from multiple sources. It was emphasised that this development offers a valuable opportunity to better understand trends and patterns, thereby informing more effective responses and continuous learning. The Scrutiny Chair welcomed this information and stated that the appointment of a data officer would ensure that members and the public would be better informed, which is key. Officers confirmed that as part of the communications strategy, the APB has developed a dedicated website, which will share information with partners and the public. Officers emphasised the importance of transparency and accessibility, confirming that data, plans, annual reports and updates will be openly published on the APB website. This initiative supports the wider aim of ensuring stakeholders are informed and engaged with the work being undertaken. The Cabinet Member for Housing and Community Safety commented that there is difference in the way data is collected across different parts of Wales. It was acknowledged that high numbers across the Western Bay area were a huge cause for concern. These figures have decreased, and it is hoped that this is a longer term permanent trend. The Cabinet member agreed with the Chair, regarding data on different types of harms that have led to substance related deaths and the work of new data analysis will be key in terms of the accuracy of reporting, and also in informing how services need to be adapted and improved to meet the need. Members referred to page 36 of the report which provided an example of difficulties in an individual obtaining their preferred prescription. The Cabinet Member for Housing and Community Safety emphasised that ensuring unobstructed access to a full range of services was a key priority moving forward. While acknowledging the significant resource implications, the Member stressed the importance of progressing in this area. Officers further noted that service transformation must encompass not only commissioned services but also clinical and prescribing pathways. The discussion centred on the need for improved accessibility, engagement, and support for individuals requiring clinical treatment. Members were informed that close collaboration was ongoing with Health Board colleagues to develop a rapid access prescribing model. This would enable individuals to receive support through GP shared care services, underpinned by an assertive engagement approach to prevent disengagement from services. The importance of designing clinical services in partnership with service users was highlighted, ensuring continuity of both clinical and psychosocial support throughout their treatment journey. It was reiterated that redesign efforts must address both psychosocial and clinical elements to ensure individuals receive timely and sustained access to the treatment they require. The Committee was informed of developments in the service model aimed at improving continuity and reducing fragmentation. Under the newer system, individuals entering services—whether from the criminal justice system or the community—would access support through a single point of entry. Each person would be assigned a key worker responsible for guiding them through their entire treatment journey, including medical and psychosocial appointments. This approach was designed to minimise the risk of individuals disengaging or being passed between services, by ensuring consistent support from one dedicated worker. It was acknowledged that the report referenced an earlier stage of service development, and that progress had since been made towards a more integrated model. The aim is to establish a fully holistic service that provided seamless care across all relevant pathways. The meeting was adjourned for a five minute break. The Scrutiny Chair advised the committee that the recommendations from the report would be considered at a meeting in March 2026 where officers could provide an update on each of the recommendations. In the meantime, further consideration will be given to how scrutiny can support the strategy going forward and this will be feedback at the meeting. Members expressed praise for Social Services staff, for their enthusiasm and their willingness to go the extra mile. Members questioned what funding implications arise from the report's recommendations and are additional resources required. Will there be opportunities to budget share or pool resources? In response, it was confirmed that the APB is undertaking a transformation of services, supported by a range of funding streams from APB partners and Welsh Government. The current budget, which includes funding from the Welsh Government’s Substance Misuse Action Fund, totals approximately £9 million per annum. This funding is used to commission services across the region. The budget for the forthcoming financial year is expected to be confirmed by Welsh Government in December, which will then allow for regional apportionment. It was acknowledged that financial pressures across the public sector necessitate a focus on efficiency and effectiveness, while maintaining service quality. To achieve this, the APB is committed to pooling budgets and commissioning services through a whole-system approach. This includes shared use of estates and joint training across staffing groups, enabling economies of scale and improved service delivery. Opportunities to increase funding are actively pursued, including successful bids for Housing Support Grant (HSG) funding and complex needs funding from Welsh Government, which support the co-occurring needs model. Capital funding is also received to support infrastructure and buildings. Looking ahead, the importance of exploring joint capital funding opportunities with the Regional Partnership Board was emphasised, with the aim of developing community-based facilities that offer access to multiple services. While additional funding would be welcomed, the current financial position was outlined, and it was noted that any concerns regarding financial constraints are escalated to Welsh Government. All expenditure plans are developed collaboratively within the APB and require Welsh Government approval. Members enquired whether consideration has been given to sharing buildings with the Fire Authority in rural areas. Officers advised members that the Fire Service is a partner within the APB, and discussions on shared facilities are ongoing. The Committee was informed that there is openness to utilising buildings with available capacity to host services, whether on a full-time basis or through scheduled sessions across different communities. These discussions are facilitated through various governance structures, including the APB, Regional Partnership Boards, Community Safety Partnerships, and the Health Board. It was noted that the aim is to achieve value for money and reduce duplication of services, which currently exists due to inherited arrangements. Over the ten-year duration of the current contract, efforts will be made to realise efficiencies while maintaining service quality. The allocation of resources is being reviewed to ensure optimal use, acknowledging the financial constraints and reliance on Welsh Government funding. The Committee was advised that shared funding arrangements, although new, are expected to be beneficial in supporting collaborative service delivery and addressing funding challenges. Members outlined the importance of lobbying. Members raised the following questions: • Are volunteering or work schemes available to provide individuals with a sense of purpose. • How closely does the safeguarding team work with drug and alcohol partners and what feedback has been received; if there were concerns raised what is the process? • What measures will be taken to reduce waiting times for treatment, particularly for opioid substitution therapy and move towards same day prescribing as recommended. Officers confirmed that treatment services do offer opportunities for people to volunteer and there were wider volunteering opportunities within communities for volunteering outside of substance use services. The work of local area coordinators is important to make those links. It was acknowledged that structured treatment and finding fulfilment through activities was an important aspect of the recovery process. Work is ongoing with providers to make those links with local groups. There are formal volunteering opportunities within our services where individuals can receive training to work with people within treatment services. Volunteers with the LEAF forum and have stated that it has provided a sense of purpose and the opportunity to speak to new people and learn new skills. Links have been developed with the Department for Work and pensions in relation to training opportunities and employability and it is hope that this link can be developed further as part of the alliance. Officers advised members that a rapid access prescribing pilot has been undertaken. This assertive outreach aims to provide support and prescribe on the same day. Lessons have been learnt from the pilot, there is a need to determine what resources are required and work is ongoing with the health board. Workshops have been held in relation to this, and feedback has been gained form people with lived experience. Consideration has been given to the experience of other areas who deliver rapid access prescribing and to the experts in those areas. Currently, the process of defining the staffing, funding and the requirements to enable us to develop that rapid access prescribing is being explored, which will have an impact on waiting times. Members noted that the successful outcome of the Commission recommendations rely heavily upon resources. Members requested that any future reporting to the committee included full costings in order that a proactive stance can be taken with Welsh Government. It was noted that budgets are tight in both local authorities, so there was a need to know what proportion Welsh Government are providing. Members discussed obstacles and noted that lobbying needed to be undertaken in relation to challenges from certain legislation. A particular obstacle is data sharing and this needs to be addressed. Members acknowledged the role that Welsh Government had to play and requested that within the next report that challenges not related to legislation were outlined. Officers commented that time was needed to allow officers to undertake necessary work and to provide members with the requested information and detail. A commitment was given to report further detail to committee. Members commented that City & County of Swansea may also require the same information. Officers agreed that there may be some duplication of information and there may be an opportunity for a joint meeting if this was beneficial to members. The Cabinet Member for Housing and Community Safety thanked members and officers for the discussion and welcomed progress being reported to committee over the coming months. The work of the Commission needed to be a catalyst for change and this work has already started. There are many challenges ahead, but the report does provide several examples of good practice within services in Neath Port Talbot. Gratitude was given to the individuals who used services, their families and dedicated frontline workers and volunteers who contributed to the report. It was acknowledged that there are huge challenges for all organisations in this field and within Western Bay, there are many lessons to learn. The work of the Commission and the response to the issues is beginning to make a difference, but there is more work to undertake. It was agreed that an update report would be scheduled for scrutiny in March 2026 Following scrutiny, the report was noted.
There were no urgent items.
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