fit for purpose

Fit for purpose?

Assess your service’s capacity to respond tochildren young people and families affected by substance misuse

Acknowledgements

Fit for purpose? was written by Sara Crowe and RosShrubb with support from Mark Lee, Sally Weeks,Jacqui Sirs and Julie Wilkes, Barnardo’s.

Special thanks to the Department of Health forfinancial support, to colleagues from NationalChildren’s Bureau, National Society for Preventionof Cruelty to Children, NCH,The Children’s Societyin the Children’s Charities working together fordrug prevention and to Barnardo’s colleagues:particularly Moira Oliphant, Scotland; Brendan Nellis,Northern Ireland and Laura Tranter, Cymru.

Barnardo’s helps over 120,000 of the UK’s mostvulnerable children and young people to have abetter start in life, and the chance of a better future.

www.barnardos.org.uk

Fit for purpose? – Assess your service’s capacity to respond to children young people and families affected by substance misuse

Introduction 1-2

Defining categories of services 3 - 5Primary categorySecondary categoryTertiary category

Self assessment checklists 6 -12All servicesSecondary and primary servicesPrimary services

Action plan 13 - 19Guidance notes Action plan

Resources 20 - 21Local resources and substance misuse

Detachable poster 22

Government policy & initiatives 23 - 26

Fit for purpose? – Assess your service’s capacity to respond to children young people and families affected by substance misuse

Contents

This pack has been developed by Barnardo’s with support from theDepartment of Health as part of the Children’s Charities working together on drug prevention project.

Throughout this pack:DAT – Drug Action Team is also commonly known as:SMAT – Substance Misuse Action Team – in CymruDACT – Drugs & Alcohol Co-ordination Team – in Northern Ireland

Does your service have some involvementwith alcohol and/or substance misuse issues?

Are you confident that all your staff areup-to-date and confident about handlingsuch issues in the most effective way?

If you answered ‘yes’ to the firstquestion, then this pack is for you.

Fit for purpose has been developed to help managers answer ‘yes’ to the secondquestion too. Ultimately, it has been developed to improve services to children,young people and families affected by substance misuse.

The pack’s aim is to enhance and complement your organisation’s service andworkforce planning system(s) by providing a simple method to ensure substancemisuse issues are addressed and not neglected.

It has been developed to ensure your staff are able to access the best possible help for children, young people and families affected by substance misuse.

For the purpose of this pack, services affected by substance misuse have beenclassified into three broad groups:

These are:–– primary category services – those that routinely encounter alcohol and

substance misuse-related issues

–– secondary category services – those where alcohol and substance misuserelated issues regularly arise

–– tertiary category services – those where alcohol and substance misuse related issues occasionally arise.

Who is the pack forFit for purpose is aimed at managers and their teams to help them to:

–– classify their service into one of the three categories

–– assess the current position of their service

–– identify staff, including volunteers knowledge of substance misuse and theindividual and group skills required

–– design an action plan to meet any gaps in knowledge and skills

–– direct services to valuable external resources which are available to help meet workforce development needs.

Introduction

1 Fit for purpose? – Assess your service’s capacity to respond to children young people and families affected by substance misuse

?

2Fit for purpose? – Assess your service’s capacity to respond to children young people and families affected by substance misuse

Introduction

The information and resources materials were originally produced in October 2005 and may need updating.

How to use this pack This pack can be used by a team, a small group from within a team or a service manager.Teams are likely to find it helpful to involve a learning anddevelopment specialist, but this is not essential.

The pack should be completed as part of regular service and workforce planning and review.

To use the pack, follow the steps below:

Section 1

Use the criteria to identify your service category: primary, secondary or tertiary.

Section 2

Complete the self assessment checklists. Section one should be completed by allcategories of services; section two by secondary and primary category services;and section three by primary category services only.

Section 3

Confirm or revise your service category.

Section 4

Complete an action plan using the service category criteria, and local and national resources information. Guidance notes are provided.

Section 5

Implement the action plan.The local resources information can be displayed as a poster available for staff.

Section 6

Review the development work.

For the purpose of this pack, services have beendivided into three key areas. Please note that theexamples given are indicative rather thanprescriptive. It is quite possible that a particularservice’s situation and ambition will dictate that it fitsinto a category other than that suggested.

Primary categoryDefinitionA service where substance misuse related issues are routinely encountered andinfluence its work. All or part of the workforce has the required skills, knowledgeand experience to deal with alcohol/substance misuse issues that arise during thecourse of the work.

Examples of services–– specialist substance misuse services providing treatment, advice and information,

health education

–– sexual exploitation services

–– young carers – where substance misuse is a primary problem

–– young people’s advice and support services

–– teenage pregnancy services

Requirements1. There is a service policy in relation to drug and alcohol use which is known by

staff and visible to service users via a public notice and information provided toservices users.

2. There are clear lines of accountability for any incidents and these areincorporated into local safety rules.

3. Drug and alcohol information, which is age and language appropriate, is visibleand available to all service users and staff.

4. An identified member of staff is responsible for updating information.5 The service provides information on local and national services including

FRANK, local treatment agencies and other support services.6. There is knowledge of referral agencies and processes.7. There is a referral policy and procedure with a clear process in place for referral

with regards to what, when and how, in relation to children, young peopleincluding young carers, adults, family, friends.

8 There are clear processes in place for joint working with regards to informationsharing and monitoring.

9. There are links with local DAT (Drug Action Team)* systems to receive andinput information and participate on local substance misuse groups.

10. The staff know and understand what is meant by a harm minimisation approachto drugs and alcohol and this is addressed through service and workforceplanning and development.

11. There are appropriate screening processes and tools in use.12. There are appropriate assessment, intervention and exit/discharge processes.13. The service has knowledge of national and local guidance in relation to

drugs/alcohol.This knowledge is disseminated to the staff team and incorporatedinto the provision of the service

Defining categories of service


Harm reductionTo reduce the harm caused by the use of drugs/alcohol, the service providesinformation, education and advice about the risks of using substances and aims tosupport and protect those who are vulnerable to substance misuse and its effects.

Harm minimisationThe service provides information, education and advice about reducing the variousforms of drug related harm (including social, medical, legal and financial problems)until the drug / alcohol misuser is ready and able to come off drugs (Departmentof Health et al 1999).

Secondary category DefinitionA service where substance misuse related issues regularly arise and the workforcehas the competence and confidence to tackle these issues themselves and /or theknowledge and understanding to refer on to the appropriate services.

Examples of services–– services for care leavers

–– concerning and harmful sexual behaviours services

–– HIV/AIDS services

–– education support services

–– fostering and adoption services

–– community development services

–– family support/ parenting services

–– young carers – where substance misuse is an associated problem

–– looked after children services

–– services dealing with issues of abuse (emotional, physical, sexual)

–– homelessness services

–– offending and social exclusion services

–– domestic violence services

–– SureStart services

–– under fives’ services

–– family group conferencing

Requirements1. There is a service policy in relation to drug and alcohol use, which is known by

staff and visible to service users via a public notice and information providedto services users.



4. An identified member of staff is responsible for updating information.5. There is information on local and national services available in the service

including FRANK, local treatment agencies and other support services.6. There is knowledge of referral agencies and processes.



7. There is a referral policy and procedure with a clear process in place forreferral with regards to what, when and how, in relation to children, youngpeople including young carers, adults, family, friends.

8. There are clear processes in place for joint working with regards toinformation sharing and monitoring.

9. There are links with local DAT systems to receive and input information andparticipate on local substance misuse groups.

10. The staff know and understand what is meant by a harm minimisationapproach to drugs and alcohol and this is addressed through service andworkforce planning and development.

11. There are appropriate screening processes and tools in use.

Tertiary categoryDefinitionA service where substance misuse related issues occasionally arise.The service is enhanced by the workforce being able to identify when substance misuse may be impacting on lives and have the confidence to refer/signpost to theappropriate services.

Examples of services–– disability services

–– special needs services

–– children’s rights services

–– young carers

–– services for the seriously ill

Requirements1. There is a service policy in relation to drug and alcohol use which is known by

staff and visible to service users via a public notice and information providedto services users.



4. An identified member of staff is responsible for updating information.5. There is information on local and national services available in the service

including FRANK, local treatment agencies and other support services.6. There is knowledge of referral agencies and processes.7. There are clear processes in place for joint working with regard to information

sharing and monitoring.



The following checklists have been developed to help:

–– assess the current position of their service

–– identify staff knowledge of substance misuse and the individual and groupskills required

–– design an action plan to meet any gaps in knowledge and skills.

The forms should be completed as follows:

–– Section one should be completed by all services.

–– Section two should be completed by secondary and primary category services.

–– Section three should be completed by primary category services.


Self assessment

Self assessment


Self assessment for services working with children, young people and families to identifyservice and workforce development needs inrelation to substance misuse

Service name

Initial assessment of service category

Date

Final assessment of service category

Date

Completed by

Date


Self assessmentSection one – to be completed by all services

Drug and alcohol policiesDrug/alcohol information is disseminated to staff team

When there is an incident, roles andaccountability for taking action andreporting are properly defined andunderstood by those involved

The drug and alcohol policy is visible toall users of the service

Drug & alcohol informationAccurate / up to date drug and alcoholinformation is available and visible to allusers of service and staff

Staff and users of the service have access to and knowledge of accurate andup to date information on:

- FRANK

- local treatment agencies

- support services

n Agenda item in team meetings/minutes of meetings

n Information circulated via communication systems

n Incorporated into safeguarding and protectingchildren learning and development

n Included in new staff induction

n Local safety rules incorporate response todrugs/alcohol and related incidents/risks

n Included in service information supplied to serviceusers. Policy displayed in service public areas

n The information is age and language appropriate

n Information/availability of information displayed inservice/public areas

n A member of staff is nominated to be responsiblefor updating the information

n Information available and easily accessible

n Information is up to date

n Staff are aware of information


n Users of the service are aware of the information

Criteria Evidence Yes/No Comments

Self assessment


Section one (cont.) – to be completed by all services

Referral processesA clear process is in place for referral on to appropriate agencies and this isknown and understood by thoseinvolved

Joint working arrangementsClear processes are in place for joint working

n Staff know what, when, where and how to refer :children, young people (incl. carers), adults (incl. parents) family, friends

n The referral process is included in new staff induction

n There is a referral policy and procedure

n Information sharing policy and/or protocol is known and understood by those involved

n Monitoring arrangements are in place and practiced

n The process for joint working information isincluded in new staff induction

n Joint care planning policy and procedures are known and understood by those involved



Self assessmentSection two – to be completed by primary and secondary category services only

Link to Drug Action Team* systemThere is a clear process for the input and receipt of information to and fromthe DAT* structure

A harm reduction approachThe service, through its systems andpractice, takes a harmreduction/minimisation approach todrugs and alcohol

n The service is represented on local substancemisuse groups

n The service receives regular information from thelocal DAT*

n The service has access to the local DAT* and thoseinvolved have knowledge of how to feedinformation into DAT* structure

n Knowledge base/attitude of staff

n References in service plans

n References in learning and development plans

n References in annual reports


Self assessment


Section three – to be completed by primary category services only

National & local substancemisuse strategiesNational and local strategies andguidance are disseminated to staff teamand incorporated in to the provision ofthe service

Care pathwaysThere is a clear process for screeningchildren, young people and adults

Care pathwaysPractitioners apply interventionsappropriate to the needs of the service user

n Agenda items in team meetings/minutes of meetings

n Information circulated via communication systems

n Incorporated into annual safeguarding children'slearning and development


n Screening tools are available, known and applied byappropriately trained practitioners

n Practitioner competencies are determined and any learning and development needs incorporatedin to annual learning & development plan

n Screening process is integrated within referral and key worker allocation processes

n A range of interventions are delivered byappropriately trained practitioners

n Practitioner competencies are determined and any learning and development needs incorporatedinto annual learning & development plans

n Practitioners maintain core competencies anddevelop new knowledge and skills



Self assessmentSection three – to be completed by primary category services only

Care pathwaysThere is a clear exit / dischargeprocess

Care pathwaysThere is a clear review / follow upprocess

n Exit / discharge tools are available, known and applied by appropriately trained practitioners

n Practitioner competencies are determined and anylearning and development needs incorporated in toannual learning & development plan

n Exit / discharge process is integrated in to jointworking arrangements

n Review / follow up tools are available, known andapplied by appropriately trained practitioners

n Practitioner competencies are determined and anylearning and development needs incorporated in toannual learning & development plan

n Review / follow-up process is integrated in to jointworking arrangements


Action plan


Guidance notes for completing the action planHaving completed the self assessment checklist, you may now have identified areas of concern or in need of improvement if your service is to meet the needs ofchildren, young people and families affected by substance misuse issues.

It is not anticipated, that a service should write additional procedures as a result of this process. Drug and alcohol issues should be an inclusive part of the service’swork rather than ‘an addition’ to it.

However additional information may be needed to enable existing procedures to be applied to substance misuse work.

Here are some suggestions for obtaining further information.

Referral processLocal treatment and support services will provide information about their referralprocess and who is appropriate for referral to their services.They should be willingto discuss any possible referral to them and provide guidance as to how to bestsupport those referred into their service.

Joint working arrangementsLocal services will provide information required on the basic level to be able toprocess a referral and their expectations in relation to joint working. Joint careplanning is then implemented on the same basis as in other areas of work wheremulti agency work is required.

Link to DAT* systemIt is not envisaged that each service should be individually represented on localsubstance misuse groups.This may be via assistant directors or stakeholders such aschildren’s services, who already sit on these groups.

A harm reduction approachContact your local DAT* for information about training available in your area.This may well be available through local treatment services.

Core components to the training should include;

–– harm reduction approaches to substance misuse

–– understanding why people use/misuse substances

–– categories of substances, their effects and risks.


Action plan

Complete the local resources information sheet and display it prominently in your service

Further guidance for primary category servicesThis category includes both specialist treatment services and non-treatmentservices that routinely encounter substance misuse issues.

National and local strategiesUp to date information and developments can be provided through the local DAT / CMAT / DACT information sharing and planning systems.

Care pathways – non treatment servicesScreening Tool – contact your local treatment service for their screening tool.Youngpeople’s treatment services should have a screening tool in place.They shouldprovide guidance on how to use the tool and may provide training workshops. Adulttreatment services operate on a triage basis upon receipt of a referral.

Practitioner competencies/interventions – these refer to the delivery of serviceswhich the practitioner is responsible for within the care plan and not for specialistdrug and alcohol treatment interventions.

Action plan


A

A


Action plan

Drug & alcohol policiesDrug and alcohol information is disseminated to staff team

When there is an incident,roles and accountability for taking action and reporting is properly defined and understood by those involved

The drug and alcohol policy is visible to all users of the service

Criteria Evidence gap Action to be taken By whom When

A

A to be completed by ALL SERVICE CATEGORIES

A

A

A

Action plan


Drug & alcoholinformationAccurate and up to date drug and alcohol information is available and visible to ALLusers of service and staff

Staff and users of the service have access to and knowledge of accurate and up to date information on:- FRANK- Local treatment agencies- Support services

Referral processesA clear process is in place for referral on to appropriate agencies and is known and understood by those involved


A to be completed by ALL SERVICE CATEGORIES

B

B

C

A


Action plan

Joint working arrangementsClear processes are in place for joint working

Link to Drug Action Team systemThere is a clear process for the input and receipt of information to and from the DAT* structure

A harm reduction/ minimisation approachThe service, through its systems and practice, takes a harm reduction/ minimisation approach to drugs and alcohol

National & localstrategiesNational and local strategies &guidance are disseminated tostaff team & incorporated into the provision of the service


A to be completed by ALL SERVICE CATEGORIES B to be completed by

SECONDARY and PRIMARY CATEGORY SERVICES C to be completed by PRIMARY CATEGORY SERVICES

C

C

C

C

C

Action plan


Care pathwaysThere is a clear process for screening children, young people and adults

There is a clear process for assessment of children, youngpeople, adults

Practitioners apply interventions appropriate to the needs of the service user

There is a clear exit/ discharge process

There is a clear review/ follow up process


C to be completed by PRIMARY CATEGORY SERVICES


Resources

Information on substance misuse strategy and policy development

Information on substancemisuse strategy and policydevelopment can be found at:

Alcohol Concernwww.alcoholconcern.org.uk

Drugscopewww.drugscope.org.uk

National Treatment Agencywww.nta.nts.uk

DATwww.drugs.gov.uk/dat/directory

Cymruwww.wales.gov.uk/subicsu/content/substance/sub-misuse-e.htm

Releasewww.release.org.uk

NCCDPNational Collaborating Centre for Drug Preventionwww.drugpreventionevidence.info

ADFAMwww.adfam.org.uk

Drug and alcohol information and resources can be found at:

Alcohol Concernwww.alcoholconcern.org.uk

Drugscopewww.drugscope.org.uk

Frankwww.talktofrank.com

Gordon Goodsense GuidesThe Orchard CentreLower Hillmorton RoadRugbyWarwickshire CV1 3SRTel: 01926 493 491 These guides are suitable for preteens. Samples available on request.

HITwww.hit.org.uk

Lifeline Publicationswww.lifelinepublications.org.uk

Re-solvwww.re-solv.org

Tacadewww.tacade.com

Wired for HealthResources for children aged 5-16www.wiredforhealth.gov.uk

Resources



Local resources and substance misuse

Drug Action TeamYour local Drug Action Team (DAT) and treatment services will be able to provideadditional information and guidance to help you develop your service and team.

For information on contacting your local DAT go towww.drugs.gov.uk/dat/directory

Local DAT* contact:

The DAT* will be able to give you information about both adult and youngpeople’s treatment services in your area.They will also provide information aboutall services in your area that have a role in meeting substance use/misuse needs forchildren and young people, adults and communities.

Young people’s treatment services:

Adult treatment services:

Support services for family and friends:

Support services for children of drug/alcohol using parents:

Community support services (eg environmental health)

Detach and display

As of October 2005, here is a list of government policies and initiatives with regard to substance misuse.

Government policy and initiatives

Fit for purpose? – Assess your service’s capacity to respond to children young people and families affected by substance misuse23



Government policies and initiatives

As of October 2005, here is a list of government policies and initiatives with regard to substance misuse.

Advisory Council on the Misuse of Drugs (ACMD)Hidden Harm report, Home Office 2003

This report estimated that between 200,000 and 300,000 children in Englandand Wales have one or both parents experiencing serious drug problems.Parental drug problems are associated with a range of poor outcomes forchildren and young people, including early onset of drug use and misuse. Inaddition to adult drug services having a key role in identifying the needs of thechildren of their service users, children and young people’s support services alsohave a vital role to play.

Further information is available atwww.homeoffice.gov/drugs/misuse/acmd

In Scotland there are an estimated 40,000 – 60,000 children and drug usingparents and 80,000 – 10,000 children affected by parental alcohol misuse.

The ‘Hidden Harm Agenda’ is part of government priorities across the UK.

Drugs strategies

England, Home OfficeNational Drugs Strategy, 1998, 2002In 1998, the government publishedits ten year strategy and updated it in 2002.The strategy sets out arange of policies to reduce the hamcaused by Illegal drugs.

The strategy sets a target ofreducing the use of Class A drugsand the frequent use of any illicitdrug among all young people,particularly the most vulnerable.

Further information available atwww.drugs.gov.uk/NationalStrategy

Northern IrelandNI Drug Strategy 1998

New Strategic Direction for Alcoholand Drugs 2006-11, publishedFebruary 2006 for consultation

ScotlandScottish Executive Drugs Strategyand drugs action plan, 2000 updatedPlan for Action on Alcohol to bepublished in 2006.

CymruWelsh Assembly GovernmentStrategy “Tackling Substance Misusein Wales – a Partnership Approach”covers substance misuse — alcohol,drugs, prescription only drugs, overthe counter medicines and volatilesubstances, launched in 2000 and isan eight year strategy.

Every Child Matters: Change for children,young people and drugs.

Linking Every Child Matters withNational Drug StrategyTo support delivery of Every Child Matters: Change for Children and the NationalDrug Strategy, the Department for Education and Skills, the Home Office andDepartment of Health have agreed a joint approach to the development ofuniversal, targeted and specialist services to prevent drug harm and to ensure thatall children and young people are able to reach their potential.

The approach has three main objectives:

n Reforming delivery and strengthening accountability: closer links between theNational Drug Strategy and Every Child Matters: Change for Childrenprogramme locally, regionally and nationally.

n Ensuring provision is built around the needs of vulnerable children and youngpeople. More focus on prevention and early intervention with those most at risk,with drug misuse considered as part of assessments, care planning andintervention by all agencies providing services for children, including schools.

n Building service and workforce capacity. Developing a range of universal,

targeted and specialist provision to meet local needs and ensure delivery of workforce training to support it.

The development and provision of effective services for children and youngpeople will require increases in service and workforce capacity.

The joint approach is being implemented nationally. All local authorities inEngland and their partners are expected to make significant progresstowards meeting its objectives from April 2005.Every Child Matters: Change for Children.Young People and Drugs.

Further information is available at: www.everychildmatters.gov.uk



Health Advisory Service (HAS) — Substance ofyoung needs, Department of Health

In 1996, HAS published its strategic approach to the commissioning, provision and delivery of services to young people.This guidance was reviewed and updated in 2001.

The HAS report outlined a four tier model which describes the different levels ofsubstance misuse intervention which may be required to meet the various levels of need that children and young people might have.

Tier 1 – ensure universal access and continuity of advice and care to all youngpeople, and identify and screen those with vulnerability to substancemisuse. All young people have substance misuse education needs thatrequire interventions at this level.

Tier 1 interventions include accurate information and advice, health promotion and support for young people and their families, with referral if necessary.

Tier 2 – the aim and purpose of this tier is to reduce risk and vulnerabilities tosubstance misuse and to reintegrate and maintain young people inmainstream services. This tier aims to meet the needs of all young people, but particularly those who use substances combined with other vulnerabilities.

Tier 2 interventions include pro-active outreach, practical support and advice on a range of associated issues (housing, income, education, sexual health and crisis support).

Tier 3 – the aim and purpose of this tier is to meet the needs of children andyoung people with tobacco, alcohol and drug problems and thosewith multiple underlying problems.

Tier 3 interventions are provided by young people’s specialist drug services andother specialised services that work with complex cases which require a multi-disciplinary team approach.

Tier 4 – This tier provides very specialist interventions and settings for aspecific length of time for a particular function. Young peoplereceiving tier 4 interventions have complex substance misuseproblems requiring specific interventions and/or care and protection.

All young people, whether or not they use substances, should receive a level ofintervention as described in the HAS 4 tier model.

The receiving of services at a higher tier does not mean that a young person nolonger needs interventions related to a lower tier. A young person receiving tier3 services will still require tier 1 and 2 interventions.

It should be noted that the service categories: primary, secondary and tertiary,used in this pack are not the same as the HAS Tiers.

Further information and copies of the HAS tiered model are available at:www.hascas.org.uk/publications/reports.htm


Fit for purpose? – Assess your service’s capacity to respond to children young people and families affected by substance misuse 26



England

Every Child Matters, 2004 Departmentfor Education and SkillsPublished in 2004, the government’svision for children’s services identifiedfive outcomes for all children and youngpeople, to be achieved through thebetter integration of children’s services.

– be healthy

– stay safe

– enjoy and achieve

– make positive contribution

– achieve economic well-being

Choosing not to take illegal drugs is an aim within the be healthy outcome.

Further information is available atwww.everychildmatters.gov.uk

Northern Ireland

R WRLD 2 in consultation and to bepublished in March 2006

It states that every child lives in asecure and peaceful community

– is free from poverty– has the opportunity to realise

his/her maximum potential

– is enabled to exercise his/herrights and fully participates asan active citizen

– experiences being valued, respectedand understood

– is free from commercial exploitation

– has a voice in how he/she is cared for

– feels happy, safe, cared for andsupported by family, community,government and wider society

Scotland

Scottish Ministers have agreed a visionfor Scotland’s children that providesthe overarching context for thedevelopment of policy.

Scotland’s children should be:

– Safe

– Healthy

– Nurtured

– Achieving

– Included

– Active

– Respected and Responsible

Cymru

In Cymru, the Welsh AssemblyGovernment Children and YoungPeople: Rights to Action set out thevision for all its policies and programmesfor children and young peopledeveloped through seven core aims:

– having a flying start in life

– have a comprehensive range ofeducation and learning opportunities

– enjoy the best possible health and tobe free from abuse, victimisation andexploitation

– have access to play, leisure, sportingand cultural activities

– are listened to.Treated with respect,and have their race and culturalidentity recognised

– have a safe home and communitywhich supports physical andemotional wellbeing

– are not disadvantaged by poverty

Change for Children Agendas

Head OfficeTanners Lane, Barkingside,Ilford, Essex IG6 1QG.Telephone: 020 8550 8822.

Northern Ireland542/544 Upper Newtownards Rd,Belfast BT4 3HE.Telephone: 028 9067 2366.

Scotland235 Corstorphine Road,Edinburgh EH12 7AR.Telephone: 0131 334 9893.

Cymru/WalesTrident Court, East Moors Road,Cardiff CF24 5TD.Telephone: 029 2049 3387.

www.barnardos.org.uk Registered Charity No. 216250

fit for purpose

Devices & Hardware