West Yorkshire – Finding Independence
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West yorkshire finding independence margaret lee barca leeds senior adult services manager

West Yorkshire – Finding Independence

Margaret Lee – Barca–Leeds

Senior Adult services manager


West yorkshire finding independence margaret lee barca leeds senior adult services manager

  • 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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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.


West yorkshire finding independence margaret lee barca leeds senior adult services manager

  • 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.


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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.


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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.


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

  • 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.


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

  • 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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

West Yorkshire Delivery Model

  • Five Locality Navigator Teams

  • Barca – Leeds

  • Bridge – Bradford

  • Community Links – Kirklees

  • Foundation – Calderdale

  • Spectrum CIC – Wakefield


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

How will it work on the ground ?

  • Staffing:

  • Recruitment on going with start date of June 1st

  • First referrals mid / late July


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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


West yorkshire finding independence margaret lee barca leeds senior adult services manager

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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