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  • 25 July 2018
  • News

Good care, but inconsistent access to substance misuse services across Wales, say Inspectorates

Ourselves and Healthcare Inspectorate Wales (HIW) have today published a joint report following our recent review of substance misuse services in Wales.


Overall, ourselves and HIW found people receive good care from passionate and caring staff, but access to services is limited in rural areas and generally inconsistent across Wales. Specifically, people found it difficult to get the treatment they needed from substitute prescribing (e.g. methadone), detox, rehab and counselling services, because of long waits and a lack of capacity in services.

The review also identified weaknesses in oversight and regulation around the quality and safety of services. As such, Area Planning Boards may not be able to quickly identify, monitor and act on emerging themes and issues across all services in order to protect people’s safety. Welsh Government and Area Planning Boards need to reconsider the way they seek assurance about performance of services.

Although some progress has been made, many of the issues identified in this report are similar to those HIW identified in its previous substance misuse report in 2012. 

HIW and CIW have made 34 recommendations for Area Planning Boards and/or Welsh Government to consider.