We do not seek to prescribe a single uniform model for delivering drug services locally, and we recognise that structures and terminology in Scotland, Wales and Northern Ireland will differ somewhat from those pertaining in England, which we mostly cite. All that is required is that in every area of Britain there should be a single body tasked specifically with identifying the scale of the local drugs problem and organizing a multi-agency solution: measuring the scale of existing substance misuse, encouraging individual agencies to accept their responsibilities, coordinating these agencies’ efforts and monitoring the effectiveness of the systems that are devised.