The parliamentary group discussion moved to Zoom for its first meeting since the crisis hit services, as DDN reports.

The issue around deprivation and inequality is going to come out really strongly.’ Speaking at the Drugs, Alcohol and Justice Cross-Party Parliamentary Group’s first Zoom meeting, Karen Tyrell, executive director of Humankind, was the first of the treatment providers to give an update on the situation since COVID-19 had turned ways of working upside down.

With two-thirds of clients falling into the ‘vulnerable’ category, the organisation was pleased with the way many had switched readily to online support. Staff and commissioning teams had risen to the challenge, but one of the main worries was the drop-off in people coming into treatment – Humankind had seen a third fewer people entering services, and exits were also down as the organisation was trying to keep people in treatment during this unpredictable time.
Laura Bunt, deputy chief executive at We Are With you echoed that the move to remote working overnight had been ‘astonishing’, but that many people who weren’t accessing support were deterred by fear of putting pressure on the NHS as well as contracting COVID. There had been impressive collaboration within the sector, and some innovative developments including trialling a ‘click and collect’ model for needles and other essential harm reduction equipment. But there was also an increase in mental health issues from the boredom, loneliness and a situation that ‘has been really tough for everybody’.
‘We’ve had to put our thinking caps on,’ said WDP’s chair Yasmin Batliwala. Collaboration and communication – between staff, service users, commissioners and other services – had been key to carrying on, including more training through webinars. ‘We’re speaking more to each other than we ever did,’ she said. The crisis had shown that there were opportunities to do more online in the longer term.
Beyond the immediate crisis all the organisations were deeply worried about funding, redirection of resources and the threat of services being decommissioned.
The vital need for sector funding was underlined by Niamh Eastwood, executive director of Release, which had set up a monitoring network to hear about changes in the drugs market.

‘We’ve already had a public health crisis with drug-related deaths,’ she said. ‘If fentanyl arrives it will be a catastrophe.’ The network had been identifying regional issues, such as fluctuations in heroin purity in the north and north east of England and reports of ‘really poor’ quality ketamine.
There was increased use of Xanax, especially among young people, increased use of psychedelics, and a reduction in MDMA use (‘not a drug for physical distancing’).
Diversion was not happening, as ‘people are holding onto their meds’ (mainly methadone) during the crisis. The move to longer-term prescribing had been helpful in making people ‘feel more in control of their treatment’.
A reduction in opportunities for shoplifting and begging had led to increased use of benzodiazepines to replace other drugs. Meanwhile patterns of policing ‘were not proportionate in lockdown’, she said, with an increase in stop and search for low level offences.
Dr Richard Piper, chief executive of Alcohol Change UK, gave a snapshot of the effect on drinking culture. A national survey on lockdown drinking had tested the hypothesis that people would be drinking more, but findings contradicted this. While 21 per cent of people were drinking a greater volume of alcohol (‘binge drinkers’ continuing to binge), many (35 per cent) were found to be drinking less (DDN, May, page 5).
‘Some have decided to protect their immunity, take care of themselves and only drink when out,’ he said, adding that the disruption had enabled people to break drinking routines. There were five times as many people coming to Alcohol Change UK’s website looking for information and five times as many searches around alcohol and health on Google, suggesting that people were receptive to the opportunity to make healthier choices.

Participating in the group discussion, most felt that there were lessons for working smarter after the crisis, particularly around more intelligent prescribing options, tech solutions and web-based support.
But there was also a note of caution about moving to a world of teleconferences and losing face to face contact.
‘The recovery community has responded very strongly with some great web-based support,’ commented Dr Ed Day. ‘But it is no replacement for real face-to-face contact and some people must be falling through the cracks.’




The lockdown has changed my working day. As an outreach worker in Devon I can travel up to 60 miles a day to see my clients. We’re a very rural county, so I work from a number of Together/EDP hubs as well as GP surgeries and community locations.




We are proud to work in partnership with many of the leading charities and treatment providers in the sector.
Around 90 per cent of rough sleepers have been housed in temporary accommodation in response to COVID-19, providing a ‘unique opportunity to eradicate rough sleeping in England for once and for all’, says the committee. It wants to see at least £100m a year dedicated to long-term housing support to avoid the thousands of people in temporary accommodation ending up back on the streets, and warns of a ‘looming homelessness crisis’ as more tenants struggle to pay their rent and the three-month ban on evictions expires.
An Early Day Motion has been tabled to recognise the essential role of treatment services and thank the ‘unsung heroes’ on the frontline of drug and alcohol service provision.



Thank you for booking the DDN National Conference on 23 June in Birmingham. We can’t wait to see you!
MHCLG has since responded via Twitter stating that ‘any suggestion that the government is reneging on the commitment set out at the start of this national emergency is entirely wrong’, and that the department had been clear that councils ‘must continue to provide safe accommodation for those that need it’. Suggestions that funding is being withdrawn or that people are being asked to leave hotels are ‘unfounded’, it says.
St Mungo’s has launched a campaign, 

Users of the WDP Capital Card earn points by engaging in drug and alcohol treatment and can then spend their points on positive activities and products in their local community at Spend Partners, such as cinemas, gyms or eateries. However, many Capital Card Spend Partners are closed due to the current lockdown.

The helpline is provided by the Humankind charity from 10am to 4pm, Monday to Friday, on 0800 731 2072. It can also be 



Other measures include £1.9m to support people on OST while in prison to switch to a prolonged release injection of buprenorphine (Buvidal), and an ‘enhanced offer of residential rehab’ for people leaving prison during the outbreak in order to reduce pressure on local services. 







Simon Morgan, 57, from Norton Lindsey, Warwickshire, died after a road accident on Friday 3 April. He was out cycling when the accident involving a tractor happened, near Balsall Common. He was taken to hospital but died later that evening.
Aligned with government guidance – and as with other registered care homes – our residents are currently unable to receive visits from their loved ones. We know that these connections are really important; in a recent study, more than 60 per cent of our residents told us that repairing relationships with loved ones is one of the most important and motivating factors behind their recovery. 



Pharmacies and treatment services can submit weekly updates, which are then shared through the lead organisations’ websites and social media channels. The database can also be accessed in the form of a user-friendly map, to allow people to see what is available close to them.
While testing patients remains the government’s priority, the Department of Health and Social Care (DHSC) has expanded the list of professionals who can be tested to include all NHS, social care and community pharmacy staff, as well as people working in voluntary sector organisations providing substance misuse support, prison and probation staff, and people working with the homeless, rough sleepers, vulnerable children or vulnerable adults.







Until the Pandemic is over, we will be welcoming people who are being discharged from Guys and St Thomas hospital and are recovering from COVID-19 into our 




Public health experts had been saying for years that a pandemic on the scale of ‘Spanish flu’ in 1918 was long overdue, and there were fears that it had arrived with avian flu and later with the SARS coronavirus in the early 2000s. When COVID-19 hit, however, it was the real deal. The final impact may prove to be far less deadly than 1918, but only time will tell. In the meantime the situation is changing at breakneck speed, with society’s most vulnerable – as always – at particular risk.


Originally published in 2016, the aim of the document is to ‘develop and expand effective, evidence-based and ethical treatment for drug use disorders’, with the updated version containing input from service user and advocacy groups. The publication stresses the importance of joint working with health, social care, criminal justice and housing bodies, as well provision across community, in-patient and residential rehab settings. It also promotes the use of evidence-based interventions, provision of trauma-informed women-only services and the importance of using non-stigmatising language.






Drugs work is fundamentally an optimistic occupation. It seeks to reduce harm, reverse overdoses, promote and achieve recovery, help people reach their turning point, to change and grow, to rise phoenix-like.


‘To be joined on this new adventure by such an extraordinary panel of judges feels like a fitting tribute to the legacy of our founding artistic director, whom the award is named after. We hope this accessible commissioning opportunity encourages established and first-time playwrights to think imaginatively about issues related to addiction. I can’t wait to read what they come up with!’
For those with housing instabilities, mental or physical health conditions and substance misuse issues we can offer a safe environment with all aspects of care accessible under one roof. The residential services offer 24-hour staffing and peer support in a safe, abstinent environment.
By providing a safe space for these vulnerable people, we are supporting the services in our communities who face an increased demand for their support. Rehab has always provided a comprehensive package of support for the most vulnerable, and continues to be a valuable resource for helping reduce the risk to individuals and their families throughout this difficult period.
We never shut Build on Belief (BoB) services. Never. We’re open every weekend of the year across London, the only exception being if Christmas falls over a weekend, and only then because there’s no public transport. We pride ourselves on always being there – the one constant in the lives of people for whom chaos is so often the norm. Yet here we are, closed for the first time in our history. It’s like losing a limb.

We’ve set up WhatsApp groups for volunteer teams and the staff (the staff one is hilarious) and are trying to muddle our way through the technicalities of Microsoft Teams and Zoom so we can communicate face to face and do some online training. We update our Facebook and Instagram feeds daily and are working on recovery stories and tips to post on our website. We’re going to join the digital world as best we can and continue to look after each other.
Staff like myself are the lucky ones, able to work from home (although I’m married to a paramedic so my chances of avoiding the virus are even less assured). The frustration of frontline workers at Kaleidoscope, and across social care, has been the lack of available safety equipment, and we are doing all we can to resolve this. So as we try to keep ourselves safe, equally we must help our clients to survive amid impending lockdown, adapting our service delivery at pace, and offering increased virtual support to ensure our service users remain connected.











Key workers are able to continue sending their children to school if they are unable to be kept safely at home. While only one parent needs to be a key worker for children to receive school-based childcare, if the children can stay safely at home they should, the guidance states, to ‘limit the chance of the virus spreading’. Charities and workers delivering ‘key frontline services’ have been designated as key public services, the guidance continues.




The public health grant 2020-21 has been set at £3.279bn, the government has announced – an increase of £145m on the 2019-20 figure. Health organisations and local authorities had been urgently calling on the government to announce the new allocation, particularly in light of the coronavirus outbreak.

Service Updates
Online Support




Sales of no-alcohol and low-alcohol – or ‘nolo’ – beers have increased by 30 per cent since 2016, according to a report from the Society of Independent Brewers (SIBA). More than 40 per cent of independent brewing industry leaders now saw ‘nolo’ products as the sector’s main emerging trend, adds 


Online gambling company Betway will have to pay £11.6m for failings relating to a number of high-spending customers as well as its money-laundering responsibilities, the Gambling Commission has announced. An investigation by the commission found ‘a lack of consideration of individual customer affordability and source of funds checks’, with one ‘VIP’ customer losing more than £4m over four years and another almost £200,000 in two days. A third customer was allowed to lose more than £700,000 in three years, despite being unemployed.
June Letters and Comment
Letters may be edited for space or clarity.
Serious stress
I was pleased to read Victoria Hancock’s article about secondary traumatic stress (DDN, May, page 14), especially her call for this to be taken more seriously by senior management. I must confess that although it’s an issue that’s concerned me for a long time, I wasn’t even aware that it had an official name.
I’ve worked in this sector and associated fields like homelessness and mental health Ð for close to two decades, and some of the stories I’ve heard from clients have been truly horrific. Hearing about this kind of trauma and abuse, and witnessing its often still-raw effects on clients, is something that can be extremely difficult to switch off from or forget Ð and I’m not sure what it would say about me if I was easily able to do that.
In my experience it’s not something that necessarily gets any easier, either. I remember asking a colleague how they coped with it early on in my career and being light-heartedly assured that I’d soon ‘toughen up’ Ð the implication being that if I didn’t then I’d probably be better off in some other line of work. Obviously things have moved on since then, but this is still an under-discussed issue and it’s good to see it getting some attention.
Name and address supplied
Best buddies
I read with interest the article about Lancashire’s Recovery communities working together during COVID-19 (DDN, May, page 8) and thought you may be interested in our ‘sobriety buddy’ initiative.
For members of any detox community meetings are a cornerstone of recovery, but this is just not an option for anyone leaving a detox facility right now. So at our Birchwood residential detox centre community in Birkenhead we’ve created a new initiative – each member can have their own personal ‘sobriety buddy’ (see news, page 5). The idea is to provide support for people while they undertake a detox programme, so that support can continue when they return home too.
We realised extra support is needed under current conditions, and so we set about finding volunteers to help service users in this difficult time and be that person on the other end of the telephone with some good sobriety time under their belt.
Research shows that coping with stress and isolation can make a relapse more likely, especially in the early stages of sobriety. When our coping skills are tried, we often revert back to behaviours that are not necessarily serving us.
We offer people this service before they arrive for their detox. During their first telephone consultation with our office we ask if they would like a sobriety buddy to support them. Their buddy will then text first to introduce themselves, and they can move onto talking daily if that support is wanted. There is no better way to learn than from someone who has been there and is happy to share their experience; we are able to guide people on how to deal with difficult life events without resorting to past behaviours and it’s been getting great results.
It’s already been such a success we are going to continue running this after lockdown as the support people have received has made all the difference.
Jo Moore, manager at Birchwood (a Kaleidoscope Project facility), Birkenhead
In solidarity
When I was at school I always thought that I’d make something of my life, do something exciting and follow my dream of helping others. However, it turned out I’d end up on a different path.
I joined the ambulance service the day after my 18th birthday and worked for them for over ten years as a paramedic. Six years ago I developed a brain problem and ended up needing multiple surgeries over the following two years and during this time I was prescribed Oramorph. It turned out that I’d become addicted to it and I never thought I’d end up becoming one of the people I previously cared for. I then began injecting the Oramorph when taking it orally wasn’t working quickly enough. When my prescription was abruptly cut off I went into withdrawals and ended up swapping to injecting heroin and crack cocaine.
After getting myself clean I decided to start a blog to help those who are in my previous shoes and the family and friends of those with an addiction. The blog can be found here at: www.drink-n-drugs.com or on Facebook and Twitter ‘Drink ‘n’ Drugs’. I hope it helps others as writing it helps me!
Dave Richens, by email
In memory of Kevin Knott
Kevin was a great guy who was very popular and loved by all – such an inspirational, funny, caring and genuine individual, fantastic at his job and able to instil confidence in anyone he met. He was a proper character who loved a laugh and was a true legend. It was such a pleasure to have known him over the years and his legacy and treasured memories will last forever.
Gerard Smyth and all his colleagues in Bradford