Big Diversion Project

Content

• The Partnership • Defining diversion? • Context – National and Regional • The Big Diversion Project

Our Partnership Northumberland Tyne and Wear NHS

Foundation Trust

Revolving Doors Agency

Tees, Esk and Wear Valley NHS Foundation Trust

Defining Diversion “Diversion” is a process whereby

people are assessed and their needs identified as early as possible in the offender pathway (including prevention and early intervention), thus informing subsequent decisions about where an individual is best placed to receive treatment, taking into account public safety, safety of the individual and punishment of an offence

The Bradley Report: Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system (2009) p.16

Policy Context

Resulting national developments

• Govt commitment to make Liaison and Diversion schemes available nationally by 2014

• Health care in Police custody to be commissioned by the NHS by 2015

• Roll- out of both initiatives already started

....and local involvement

Liaison and Diversion

Services Pathfinders

Newcastle

Cleveland, Durham and Darlington

North Shields

South Shields

Bedlington

Gateshead

Sunderland

Police early adopters

Alternatives to Custody

Durham Phase 2

NorthumbriaPhase 1

First Response

Team Tees

Middlesbrough and Stockton

MIND

WomenOutside Walls

Newcastle

South Tees

BDP Task • To research, review and make recommendations to

shape the future development of liaison and diversion services and supporting care pathways in the north east region for offenders.

• To provide commissioners with an instrument for self-assessment and a toolkit to ensure levelling up between and within localities and organisations in the north east.

Project Phases

Stage 1: Analysis

Stage 2: Service Development / new ways of working

Stage 3: Evaluation

Stage 4: Specification for service models (based on above)

BDP Timeline

• November 2011 – March 2012

Analysis

• May 2012 – April 2013

Service Development • July 2013 –

August 2013

Production of Service

Specifications Independent Evaluation of

Services

Analysis phase:Methodology and work to date

Sarah Anderson, Senior Development and Research Officer,

bigdiversionproject@revolving-doors.org.uk

Community Police Courts

Prison

Community

Probation

e.g.•s.135/6•Police screening

e.g.•Court reports•Information to courts•MHTRs

CJLD Services

e.g.•Care pathways•MAPPA

People with MH or a LD

Priority issues

• Information flow• Identification (screening & assessment)• Care Pathways• Training• Partnership arrangements

Priority groups• Dual diagnosis• Minority groups• (Women)• Young adults in transition• Summary offenders• Offenders subject to community sentences• Short-term prisoners• Other emerging priority groups

Aims of the analysis

• What is there currently?–Map current regional provision

• What are the gaps?– Identify gaps in provision

• How could we do things better?– Identify national and regional best practice

Approach: the national picture

• Literature review• Expert interviews

Approach: the regional picture• Mapping stakeholders

across the pathway• Stakeholder interviews• Focus groups of staff and

service users• Surveys• Site visits• Documentary and

quantitative evidence• Stakeholder events

Work so far• 17 interviews with national

experts• Site visits to CJLD services• 37 interviews with regional

stakeholders• 1 focus group of prison

mental health team managers

• 2 service user focus groups• Surveys of probation staff

and court staff

Limitations

• Only five months available for analysis• Large number of relevant stakeholders• Focus on adults• Limited resources in terms of what can be done

next• Changing service landscape nationally with

significant uncertainty

Emerging picture(Headline findings)

• Problems identifying LD throughout system• Tension between police and health services over the use of s.136• Maximising coverage of CJLD services• Out of hours provision of support for both clients and professionals• Strengthening existing care pathways & opening new pathways• Increasing provision of information to courts• Sharing information across prison-community boundary and

incompatible IT systems• Overcoming barriers to release planning

Any questions?

Questions for discussion

Next Steps with the Big Diversion Project

Claire CairnsRegional Advisor (North East)

• Stock take of all information gathered• Identification of unmet needs/gaps in

provision• Recommendations for Phase 2 to

commissioners by 1 April 2012• Implementation of recommendations from

April 2012

What Next?

Service developments/rec

onfigurations (pilots)

Partnership processes(service

improvements)

Nature of Recommendations

Staying in Touch • Steve Moody – Project Manager Stephen.Moody@ntw.nhs.uk

• For the analysis phasebigdiversionproject@revolving-doors.org.uk

Google – ‘Big Diversion Project North East’ for access to North East Offender Health BDP Website. This has latest information on BDP developments

Comments forms for ideas/suggestions not already discussed in the focus group discussions