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West Yorkshire – Finding Independence Margaret Lee – Barca–Leeds Senior Adult services manager. The Issue

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slide1

West Yorkshire – Finding Independence

Margaret Lee – Barca–Leeds

Senior Adult services manager

slide2

The Issue

  • “In every local area people with multiple needs and exclusions are living chaotic lives and facing premature death because as a society we fail to understand and coordinate the support they need”
  • Making Every Adult Matter website
slide3

West Yorkshire-Finding Independence (WY-FI)

  • Funded by the Big Lottery Fulfilling Lives: Supporting People with Multiple Needs Programme
  • £10 million over 6 years
  • Key involvement and input from partners and Experts by Experience
  • Detailed local data analysis and peer research
  • Integrated services supporting individuals to engage effectively with existing providers
slide4

Across West Yorkshire...

Peer researchers discovered that in the 6 weeks prior to interview:

arrested (2.4% >6 times)

spent time in the cells (2.6% >6 times)

appeared in court

spent time in prison

slept on the streets – 15% >6 times (63)

visited a GP or Walk-in Centre (6% >6 times)

travelled in an ambulance

were admitted to hospital

attended A&E (3% >6 times)

  • 35.5%
  • 32%
  • 29%
  • 17%
  • 30%
  • 52%
  • 18%
  • 18%
  • 26%

Source:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence

Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

slide5

Service Access & Use

  • 67% of people who experience Drug/ Alcohol misuse receive a service

•48%

•53%

•45%

•70%

•17%

ofpeople

ofpeople

ofpeople

who have Mental Health needs receive a service

who are offenders receive a service

with a housing need receive a service

Do engage constructively with services

Have been excluded from services

• Over 50% have positive outcomes from services (services would

include, for example, Probation, recovery services & VCS/HRS

agencies)

Source: West Yorkshire Multiple and Complex Needs Project Research

and EvidenceAssessment,Publishedby: DISC, Date:October2013,

Editor:Dr.MarkCrowe.

slide6

How

Many

People?

Total number of people Number the project will with 3+ needs work with

Bradford 563 263

Calderdale 221 105

Kirklees 352 158

Leeds 885 368

Wakefield 404 158

Total 2,425 1,050

Source:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence

Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

slide7

In

Leeds

SP Data Service Usage

Data

Peer

Research

Number 5236 (total/ at least 1 of 4 needs)

3331 605

605

68

68

3or4Needs 480

(number/%)

14.5% 314

52%

37

74%

Source:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence

Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

slide8

What doesit cost?

Number Unit costpercontact Total cost

Peopleincontactwith 361 £2,130arrest £4,616,468per

criminaljustice system(4 £993magistrates year

contactswithpolicein court

12 months) £74 nightincustody

GP usage 33 £78.70 GP visit plus £22,508 p.a.

prescription

A&E Usage 17 £233visit to A&E £88,741p.a.

£285night inhospital

£78.70 GP followup

plus prescription

slide9

What are the needs in Leeds?

  • Homelessness: 3,463 applications – 2,852 refusals
  • Re-offending: 2,511 re-offenders, average of 2.8
  • re- offences each, 361identified prolific re-offenders
  • Drug misuse: 5,592 in treatment, 876 with negative outcomes; 3,117retained in treatment
  • Mental ill-health: 254 acute admissions

Source:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence

Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

slide10

Defining Multiple Needs

Individuals not engaging or excluded from services who experience at least 3 of the following;

  • Homelessness
  • Addiction (problematic substance misuse)
  • Re-offending behaviour
  • Mental ill health
slide11

What Experts by Experience say...

  • Minimise waiting times, use mentors and befrienders
  • Motivated and passionate key workers with experience
  • Share information across agencies
  • More flexible criteria for service access
slide12

West Yorkshire Delivery Model

  • Five Locality Navigator Teams
  • Barca – Leeds
  • Bridge – Bradford
  • Community Links – Kirklees
  • Foundation – Calderdale
  • Spectrum CIC – Wakefield
slide13

West Yorkshire Delivery Model

  • Specialist Region-wide Delivery Partners
  • Together Women Project – Women’s Engagement
  • Touchstone – BME Engagement and ETE
  • Shelter – Advocacy and Prison Leaver Engagement
slide14

West Yorkshire Delivery Model

  • DISC Lead Organisation
  • Regional Support Hub Team;
  • Service User Engagement, Involvement and Co-production
  • Policy
  • Research and Evaluation
  • Media and Communications
slide15

How will it work on the ground ?

  • For clients who are not engaged with any existing services / projects
  • Must meet the requirements of the Chaos Index and MEAM
  • Must have a minimum of 3 out of the 4 needs
  • Service to supplement and support existing projects not to replace or duplicate them
  • Close links with all existing providers and partners
  • ‘Buy in’ from commissioners and stakeholders
slide16

How will it work on the ground ?

  • Staffing:
  • Recruitment on going with start date of June 1st
  • First referrals mid / late July
slide17

Numbers of clients :

Year 1:

Lead Navigator - 5

Navigator - 10

Year 2- 5 per year:

Lead Navigator - 8

Navigators - 60

Year 6:

Lead Navigator - 5

Navigator - 10

302 clients over the 6 years

slide18

Input from partners

  • Referral process / operational delivery - Working closely with all existing providers
  • Locality Group - Operational managers to look at difficult cases and review the service
  • Multi – agency review board - Key ‘difficult’ cases taken to the board made up of key commissioners to look at solutions and system change
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