Continuing gaps in north Wales in dual diagnostic treatment for people with mental health problems and substance misuse mean that the revolving door is tragically still alive and well. It’s a decade since a Welsh Government-commissioned report into tier 4 inpatient detoxification and rehabilitation services was leaked to me, having being buried, identifying people deliberately reoffending because of these gaps and the hospital admissions because of the absence of this treatment. The Welsh Government did come forward with a proposed model working with three third sector providers in north, central and south Wales. A decade later, where are we up to with that, so that those people desperately needing that dual diagnostic treatment can receive it in the region they live?