providing services for those with complex and multiple needs - the socially excluded adults psa ann...
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Providing services for those with complex and multiple needs - the socially excluded adults PSA
Ann Watt Deputy Director, Social Exclusion Task Force
Chaotic lives conference, Thursday 22 November 2007
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Social Exclusion Task Force
Based in Cabinet Office
Successor to Social Exclusion Unit
Working across government departments
Evidence based
Consults widely with service users and service providers
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Social Exclusion Task Force - aim
“To extend opportunity to the least advantaged so that they enjoy more of the choices, chances and power that the rest of society takes for granted.”
Much has been achieved, for example through investment in public services, tax and benefit change, national minimum wage
But most vulnerable individuals and families still need intensive support to get their lives back on track
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Current work programme
Adults New Public Service Agreement on socially excluded adults Adults facing Chronic Exclusion (ACE) pilots
Children and families Families at Risk Review and pathfinders Nurse Family Partnership (NFP) pilots Multi-Systemic Therapy (MST) pilots
Research New analysis of social exclusion over the life course
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ACE pilots - overview
12 pilots launched in June 2007 with three years’ funding (£6 million)
Aim is to test new approaches to tackling chronic exclusion amongst marginalised groups
Led by public and third sector organisations, often working in partnership
Three main themes: Systems change – simplifying the complexity of several
services working together Transitions – helping people get through difficult times in life Systems navigation – helping people access several services
at once National evaluation to learn lessons
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ACE pilots - examples
NOAH (Luton) – support workers will help clients engage with services to address their range of needs eg substance misuse, housing, employment
MCCH Autism (Kent) – individual support, mentoring and advocacy for adults with learning disabilities, autism or mental health problems to help them access services. Aims to help them towards employment
Tyneside Cyrenians (Newcastle) – using day and night outreach to engage rough sleepers, sex workers and other excluded adults. Providing single entry point for range of support
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Public Service Agreements – an overview
Public Service Agreements are the Government’s top delivery priorities
They are commitments to improve outcomes, eg Raise the educational attainment of all children and young
people Promote better health and wellbeing for all Make communities safer
Based on indicators with regular public reporting and scrutiny
Responsibility cuts across a number of government departments
30 new PSAs announced in the Comprehensive Spending Review in October 2007
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The aim of the PSA is to ensure that the most socially excluded adults are offered the chance to get back on a path to a more successful life, by increasing the proportion of the most socially excluded adults in settled accommodation and in employment, education or training.
New socially excluded adults PSA
The PSA:
• is one of only 30 PSAs agreed across Government
• is the first PSA that focussed specifically on the needs of the most vulnerable adults
• will be delivered by both the statutory and third sector
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What does the socially excluded adults PSA focus on?
Why these outcomes / groups? A home and a job are the key aspects of normal,
everyday life that all individuals should be able to aspire to
They provide excluded adults with the foundations for getting their life back on track
There is no composite measure of social exclusion, so we have to define it using a set of other indicators
Because there is an opportunity to make a difference with these groups - they are at crucial transition points in life that bring them in to contact with services, so they are within reach
Which at-risk groups? adults (young people aged 19)
leaving care adult offenders (aged 18+)
under probation supervision adults (aged 18+) in contact
with secondary mental health services
adults (aged 18+) with moderate to severe learning disabilities
All of these transition points are life events which affect those in significant difficulty:
Over 30% of care leavers are not in education, employment or training at age 19, compared to 13% of all young people
a third of prisoners about to leave prison said they had nowhere to stay
70,000 people with severe mental health problems are on incapacity benefit
10% of people with learning disabilities in touch with services are doing any form of paid work
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How will this PSA help?
• Encourage prevention and early intervention, by focusing on transition points when individuals can be helped to avoid long-term exclusion
• Promote joint working, by setting out a shared cross-Government commitment to tackling exclusion
• Focus resources, by sending a clear signal that helping these groups is a Government priority
• Incentivise and drive delivery, through a clear performance management framework for tackling social exclusion amongst adults and for monitoring and managing progress
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What numbers of people are involved?
Client Group
Latest Available Data
Estimated Size of Group
Outcome 1: Settled Accommodation
Outcome 2: Employment
Care Leavers
2005/6 5300 88% (4600) 62% (3300)
Offenders 2006/7 55,408 77% (42,664) 35% (19,393)
Mentally Ill
2004/5 464,780* N/A 21%**
Learning Disabled
2005/6 122,155 69%*** (83,918) 10% (12,095)
*364,760 on standard CPA + 120,730 on enhanced CPA**proxy data from HCC survey of community mental health services*** proxy data on % living in the community and receiving services
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Who will deliver the PSA?
Central Government level
• Cabinet Office (lead department)
• DWP
• CLG
• Ministry of Justice
• DH
• DCSF
• DIUS
Local level
• local authorities (particularly housing services, adult social services and leaving care services)
• Jobcentre Plus
• PCTs
• Mental Health Trusts
• Probation services
• Third sector
• Local employers
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Local Area Agreements – an overview
new arrangements for Local Area Agreements (LAAs) from April 2008, following Local Government White Paper
LAAs are about improving local services and increasing economic prosperity for local people
Three year agreements about priorities for the area Agreed between all the main public sector agencies working
in the area and central government Partners brought together under the umbrella of the Local
Strategic Partnership Local areas will report on all 198 indicators in National
Indicator Set Of these 198 indicators, new LAAs will include up to 35
targets for each area
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Prioritising socially excluded adults within Local Area Agreements
The new National Indicator Set:• The eight performance indicators for the PSA are included in the new National
Indicator Set for local government (NIS)• Local authorities will report therefore annually on each of the indicators as part
of the Comprehensive Area Assessment
Local Area Agreements:• The new National Indicator Set forms the basis of the new model Local Area
Agreements• Local areas will be able to prioritise excluded adults by including one or more of
the PSA indicators as LAA improvement targets. In developing LAA priorities, LSPs are encouraged to:
assess how the PSA priorities fit with the vision and the ambition of the area; consider the wider benefits of focusing on excluded adults; review the existing evidence base and patterns of performance; and build on the existing knowledge of both LSPs and GOs on key areas for
improvement
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Why focus on excluded adults at local level?
Prioritising the PSA outcomes can:
• Contribute to the achievement of wider priority outcomes, such as reducing reoffending and tackling worklessness
• Provide a strong impetus for improved joint working with service providers such as probation and mental health trusts, and with the third sector
• Lead to significant savings in the downstream costs associated with long-term and persistent exclusion
• Support improved community cohesion by addressing the negative external effects of a small number of highly excluded individuals
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Linking the social exclusion PSA to other priorities
Children and Young People
Safer and Stronger
Communities
Healthier Communities
and Older People
Economic Development
and the Environment
NI 18: Adult re-offending rates
NI 15, 16, 20, 28, 29: Local crime indicators
NI 79: Inequality gap in achievement of a level 2 qualification by age 19
NI 80: Inequality gap in achievement of a level 3 qualification by age 19
NI 117: 16-18 year olds who are not in employment education or training
The Socially Excluded
Adults PSANI 136: People supported to live independently through social services
NI 141: Vulnerable people achieving independent living
NI 141: Vulnerable people supported to maintain independent living
NI 151: Overall employment rate
NI 152: Working age people on out of work benefits
NI 156: Number of households living in temporary accommodation
NI 173: People falling out of work and on to incapacity benefits
NI 30: Reoffending rate of prolific and priority offenders
Improving outcomes for children in care
NI 106: Young people from a low-income background progressing to HE
NI 127: Self reported experience of social care users
Tackling crime
Reducing reoffending
Improving outcomes for vulnerable adults
Tackling homelessness
Tackling worklessness
LAA Blocks The New National Indicator SetLocal PrioritiesThe PSA
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Identifying key priorities: Baseline regional data
Important that LAA negotiations are built around a shared evidence base PSA includes new performance indicators so SETF have collated existing
data on each of the client groups The regional data packs identify current patterns of performance and provide
a starting point for LSPs to consider whether a focus on any of the PSA groups / outcomes should be reflected in LAAs
Client group Settled Accommodation EET
Offenders
Proportion of offenders under probation supervision in settled and suitable accommodation at the end of their order or licence
Proportion of offenders under probation supervision in employment at the end of their order or licence
Care leaversProportion of former care leavers aged 19 who are in suitable accommodation
Proportion of former care leavers aged 19 who are in employment, education or training
Adults with mental health problems
Proportion of adults in contact with secondary mental health services in settled accommodation
Proportion of adults in contact with secondary mental health services in employment
Adults with learning disabilities
Proportion of adults with learning disabilities in settled accommodation
Proportion of adults with learning disabilities in employment
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Headline regional data: Care leavers in EET and suitable accommodation at age 19 (2005/06)
7072
88
92 92
88
9698
89 90
100
8285
96
80
96
89
96
74
96
8790
82
94
100 100
96 97
91 92
79
9088
38
43
60
86
60
86
100
85
58
63 62
6764
69
80
67
75
60
70
6360
6967 67
62
75
100
71
57
71 71 71
67
62
0
20
40
60
80
100
120
% in
su
itab
le a
cco
mm
od
ati
on
/ E
ET
% in suitable accommodation % in EET
N/AN/A
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Headline Regional Data: Offenders under probation supervision in employment and settled & suitable accommodation (2006/07)
69
84
87
72
69
66
0
73
70
73 73
64
61
65
80 79
8482 82
43
80
76
64
77 78
90
78 77 78
7371 72
60
73
77
2426
55
32
40
16
0
33 32
18
40
21
34 33
43
46 46
53
21
24
51
31
23
46
34 34
22
32
47
2826
30
17
3436
0
10
20
30
40
50
60
70
80
90
100
% in
sett
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uit
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/ e
mp
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% in settled and suitable accommodation % in employment
20
Headline Regional Data: Adults with learning disabilities in employment and settled accommodation (proxy – 2005/06)
73
5759
68
75
78
75
61
66
81
60
69
58
76
55
52
80
72
63 63
57
6365
77
80
63 64
6967
58
61
6567
69
27
4341
32
25
22
25
39
34
19
40
31
42
25
45
48
20
28
37 37
43
3735
23
20
37 36
3133
42
39
3533
25
86
18
7
109
15
7
2
8 9
12
1 2
911
15
18
13
2
6
11
23
810
12
17
13
18
10 119
10
0
10
20
30
40
50
60
70
80
90
% in
acco
mm
od
ati
on
sta
tus / e
mp
loym
en
t
% living in community and receiving services % living in supported permanent residential care % in employment
21
Headline Regional Data: Adults in contact with secondary mental health services in employment (2006/07)
9
13
23
12
15
2019
1211
12
15
10 1011
12
6
16
20
36
25
12
17
11
2
1918
24
20
14 14
11
15
20
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5
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20
25
30
35
40
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N/AN/A
22
Next steps to support the delivery of the socially excluded adults PSA
The SETF will continue to support the delivery of the PSA through:
Workshops in each region of the country to explain the PSA
Guidance for Government Offices and local areas
Baseline data-pack to help local areas identify key priorities around social exclusion
Providing ongoing advice and support for local areas and service providers
Working with other government departments to address policy sticking points that make supporting socially excluded adults more difficult
For more information on the PSA please contact: [email protected]