Local Area Coordination in Derby Phil Taylor, Roger Teague & Sam Clark.

Local Area Coordination started in Western Australia in 1988.

Approach to building individual, family and community capacity.

Focus on making services more personal, flexible, accountable and efficient.

Prevention & practical, local solutions – catalyst for reform of social care and health services.

History & Context

Putting People First 2007

Systems & processes

Pre-contact

Sources of information

Build on and build up people’s social capital / wealth

Sign-post to and maximise use of universal services

EXIT

Information, Advice, Advocacy and Support available to everyone (self-funders, non-FACS eligible and FACS eligible):• Commissioned by DCC from voluntary / 3rd sector / social enterprises etc (‘grant funded’)• Provided by voluntary / 3rd sector / social enterprises etc from their own resources – either ‘free’ or at a cost• Commercially available from independent providers, including micro-providers

Long Term Support

Self-directed support

Personal Budgets

In-Control 7 Steps

ReviewInitial Contact

Screening

Reablement, Recovery,

Rehabilitation

Initial / Crisis / Emergency

intervention

Assessment

Safeguarding

FACS eligibility

V2.0 3 May 2011

EXIT EXIT EXIT EXIT EXIT

Instead of asking –

“what services and money do people need?”

We ask –

“what makes a good life for each person and what are the different ways we can

get there?”

Defined geographical area (place based)

Conversation & joint work focused on a good life

Build on the assets and contribution of people and the community

Whole person, whole family

Voluntary relationship – introductions not referrals

Not time limited but avoids dependency

Connected to cross system and community leadership

What we hoped to achieve

• Identifying people not yet known to services to build resilience and remain part of their community.

• Supporting people at risk of becoming dependent on services to remain strong in their own community diverting the need for “formal service” responses.

• Supporting people already dependent on services become less dependent and more resilient in their own community.

Better outcomes

For the person – helping people achieve better solutions that are meaningful and that they have ownership over.

Financial – Solutions can be delivered through no cost/low cost community solutions.

Reducing Dependency - Where people have needed on-going support we have been able to minimise this by helping them take control of that support and need less of it.

Reform – LAC as a catalyst for wider service reform.

Local Area Coordination in Derby

Stories from the neighbourhoods…

Neighbourhood Dashboard

Derby’s Vulnerabilities Index

Combining Data Sets

Vulnerabilities Index + Experian data = Local intelligence to explore

LAC Approach

3 years of relationship, connections and networks. Local conversations , intelligence, opportunities

• Albert – Struggling to look after himself, getting hassle from his housing provider as his Autistic son was storing things in his property. Linked to local charity to use their pantry attended their lunch club, local resident donated hoover. Liaise to GP link to secondary MH services.

• Stephen – advice and support now moved nearer, to maintain caring role

• Bobby - Bobby was lending Albert her mobility scooter and has learning disabilities and issues with alcohol.

• Ian – terminal cancer and had been caring his wife who died two years earlier

• Rita & Theresa – two introduced through a lunch club, mental health and physical health

• Kevin – Bullied as a result of his appearance.

LAC Approach

Local intelligence re drug dealer stealing, using a vulnerable persons property to sell things from.

Sharing resources – zimmer

Linking with what exists already

Helping people set new things up

Unofficial neighbourhood watch – not just crime, when care agencies only do 3 minutes as opposed to 30. Permission to say hello t people

Improved safety/people looking out for each other.

Sustainable and resilient.

Helps more formal services tailor their response based on real information

Programme data.

820 level one contacts per month.

703 people supported on a regular basis.

30% of all introductions through Care Coordinators

40% of people supported are aged 60+

Isolation & loneliness primary issue (56%)

System impacts Impacts for peopleReduction in: Isolation Visits to GP surgery and ED. Dependence of formal health and

social services. Safeguarding concerns Evictions and associated housing

costs Smoking, alcohol consumption, drug

use. Out of area placements. Social Return on Investment £4

return for every £1 invested. £800k saved by the health and social care economy (Derby University, 2013).

Swansea University (2017) Financial benefits between 2:1 & 3:1, relationship networks & multiple level outcomes

When asked about the impact of support from Local Area Coordination, people have reflected significant and consistent improvements in quality of life: Increased valued, informal, support

relationships – reducing isolation, Increasing capacity of families to continue in

caring role, Improved access to information, Better resourced communities, Improved access to specialist services, Support into volunteering, training and

employment, Preventing crises through early intervention, Changing the balance of care to the use of

more informal supports and diverting people from more expensive services.

“ a range of roles that have often been kept separate delivered alongside local people in their community”.

“long term support through a light touch encounter”.

“if people are supported to stay strong through the development of practical local solutions the personal, family and community resilience grows”.

“The Practice has two sites one at Littleover and one at Sinfin. There is a noticeable difference in patients outcomes from Littleover, where there is no LAC”.

Feedback

What have we learnt?

“Any intelligent fool can make things bigger & more complex. It takes a touch of genius – and a lot of courage to move in the opposite direction”.

Einstein

What next?

Contact details

Samantha Clark - Chief Executive, Local Area Coordination Network CIC

07823 536603 Sam@lacnetwork.org @smclrk @LACNetworkUKlacnetwork.org

Roger Teague – Local Area Coordinator Derwent Ward, Derby

Roger.teague@derby.gov.uk@LACderby

Phil Taylor - Head of Service, Mental Health and Local Area Coordination

Phil.taylor@derby.gov.uk@LACderby