West Yorkshire – Finding Independence
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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 (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


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.


  • 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.


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.


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.


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


  • 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.


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


  • 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 Delivery Model

  • Five Locality Navigator Teams

  • Barca – Leeds

  • Bridge – Bradford

  • Community Links – Kirklees

  • Foundation – Calderdale

  • Spectrum CIC – Wakefield


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 Delivery Model

  • DISC Lead Organisation

  • Regional Support Hub Team;

  • Service User Engagement, Involvement and Co-production

  • Policy

  • Research and Evaluation

  • Media and Communications


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


How will it work on the ground ?

  • Staffing:

  • Recruitment on going with start date of June 1st

  • First referrals mid / late July


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


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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