SPH recently completed a substance misuse needs assessment. This included identifying national and local policy for substance misuse provision, identifying the local prevalence of substance misuse conditions and quantifying proxy measures for the burden of drug and alcohol misuse. SPH also mapped existing substance misuse services and facilitated a workshop with commissioners, service providers and service users and conducted telephone interviews with stakeholders. The needs assessment also included a literature review on primary prevention for substance misuse. A number of recommendations were made around gaps in service provision and capacity, including recommendations for specific groups of service users.