Drug misusers left out in the cold

Drug services need to reform if they are to be more effective and reach a wider range of drug misusers, a new report from the Audit Commission says.

Changing Habits: the commissioning and management of drug treatment services for adults warns that in some areas drug services may need to be commissioned from new providers to improve quality. Audit Commission controller Sir Andrew Foster said: 'The current pattern of service means too many drug misusers still struggle to get the help they need, when they need it.'

Problems identified include waiting lists for treatment - in one area up to five months; poorly co-ordinated care with a lack of clarity around agencies' roles; and care that did not meet the individual's whole range of needs.

The report calls for more information on the costs and performance of drug treatment schemes, to inform commissioning and service development and a revised national funding framework.

It spells out the need for better support and training for GPs and other primary healthcare workers.