Examples of what this might involve:

1. 

• Non-specialist training to enable awareness, knowledge and skills in supporting co-occurring conditions.
• Career and training development pathways for those with interest and responsibility to help them promote improvement.
• Regular feedback and learning from Significant Adverse Event Reviews in a pro-learning environment that enhances other mechanisms (like email communication or occasional learning events). This should be embedded in local learning systems with opportunities for staff to present and learn from adverse events, allowing promotions of a non-judgmental culture.
• Mechanisms for regular feedback and communication jointly between mental health and substance use services. For example, to identify risks, improvement opportunities, and highlight good practice.

2. 

• Training to raise anti-stigma awareness.
• Support trauma informed practice.
• Foster a culture of trust across services that supports relationships between staff.
• Proactive engagement with, and working alongside, individuals with lived experience, including to co-deliver training.
• Consideration of the role of lived experience leadership.
• Broad communications plan with accessible language and narrative so public and wider society are part of change.

3. 

• Strategic planning to ensure different services are visible and valued across the whole system.
• Identification of influential staff who can play a leadership role within change programmes, as either leaders due to their role or champions within services.
• Identification and support for champions of care for co-occurring conditions.

4. 

Link in with governance structures and ensure accountability.