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Sector Liaison and Sector Liaison and Diversion WorkshopsDiversion Workshops

February 2012

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Programme10:30 – 11:15 Opening remarks and ‘Vision’ for a National

Liaison and Diversion Service Richard Bradshaw

11:15 – 11:45 Liaison and Diversion Network Update Glyn Thomas / Sue Sylvester / Lin Houldershaw /

Debbie Parkin11:45 – 12:00 Alternatives Update Dave Marteau 12:00 – 13:15 Development activity presentations Service providers13:15 – 14:00 LUNCH14:00 – 14:30 Business case, data collection and feasibility study

Glyn Thomas /Sue Sylvester / Lin Houldershaw14:30 – 14:45 Youth Justice Liaison and Diversion Evaluation Report

Sue Sylvester 14:45 – 15:00 Offender Health Research Network Reports Glyn Thomas15:00 – 15:15 Communications Glyn Thomas / Debbie Goulding15:15 – 15:30 Closing remarks Richard Bradshaw

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Health and Criminal Health and Criminal Justice Transition Justice Transition

ProgrammeProgramme

Richard BradshawDirector of Offender Health (Department of Health /

National Offender Management Service

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A single liaison and diversion programme

• The youth and adult liaison and diversion workstreams are being more closely aligned at both national and local levels– Role of Centre for Mental Health

• A single business case will be developed to support implementation of liaison and diversion services for all ages

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Core principles• Liaison and diversion services will be available

for people of all ages• There will be different pathways for different

ages that will converge at police custody and courts

• Liaison and diversion services will be commissioned using the police footprint

• Commissioning liaison and diversion services for each police force area will be co-ordinated by an identified lead commissioner

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Commissioning arrangements

• From April 2013 (subject to the passage of the Health and Social Care Bill) the NHS Commissioning Board will have responsibility for commissioning services

• Funding will be provided directly to lead commissioners who will have the ability to determine local levels and configurations of service

• Future role of Police Crime Commissioners

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Core service features

• Entry point to service – contact with police, under suspicion of committing an offence

• To support offenders of all types and at all levels• To cover a wide range of health issues and

vulnerabilities– Mental health, learning disabilities, substance misuse,

physical health, social difficulties

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• External contractor to be appointed in February to collect data to build the business case building on the foundations provided by the youth sites.

• External contractor to be appointed to manage the network in April

• Strengthening communications out to NHS, criminal justice and external partners

• Continuing to involve external partners in Programme's development and implementation, currently via Louis Appleby - National Clinical Director who is leading on engaging external partners and the Bradley Group

Next steps

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Liaison and Diversion Liaison and Diversion Development UpdateDevelopment Update

Glyn ThomasSue Sylvester

Lin HouldershawDebbie Parkin

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National Development Network

• £19.4m investment for 2012/13– £6.25m development funding

• Pending approval of the business case we expect the level of investment to rise over the next two years of the programme

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Network members• 101 members of network, comprising:

– 54 adult sites, of which 20 pathfinders will support evaluation study

– 37 youth justice pathfinder sites – 10 police transfer early adopter sites

• We will work with Offender Health Leads and SHA Children’s Leads to identify new sites in 2012

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Network contractor

• We are in the process of appointing a contractor to run the network– Competitive tender process currently

underway– Successful contractors in place by April 2012

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Network contractor functions

• To run and develop a Liaison and Diversion Network providing support and advice to a range of pathfinders, test sites and early implementers

• To advise and support Offender Health Leads in the preparation of regional development plans to implement liaison and diversion services

• To produce a suite of good practice guidance and documents to support commissioners and providers in the implementation of liaison and diversion services

• To manage liaison and diversion development activity and alternatives activity and ensure that activity is undertaken in accordance with their respective delivery plans

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Liaison and Diversion for Children and Young People

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Pathfinder sites• 31 additional wave one sites selected with existing schemes. These

sites already have a strong triage or drugs and alcohol diversion programme

• Sites assigned to one of four cluster areas• Funding allocation developed with YJB• Bi-monthly cluster meetings and implementation support by police

and youth justice leads• Schemes responsible for developing local plans and systems for

outcome monitoring• Minimum dataset co-produced and monthly national, regional and

local reports available• Information hub developed on Chimat website –

• www.chimat.org.uk/youthjustice

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Cluster GroupsNorthern Southern Midlands London

Wakefield Brighton and Hove Sandwell Croydon

Sunderland Gloucestershire Staffordshire Harrow

Rotherham Medway Peterborough* Hounslow

Hull Oxfordshire Wolverhampton* Islington

North Lincolnshire   Luton Kensington and Chelsea*

Tameside   Leicestershire Lewisham*

Halton and Warrington*   Southend Camden

South Tees*   Thurrock Haringey

Bolton     Bexley

Newcastle     Hackney

North Tyneside      

Northumberland      

Sheffield      

Wigan      

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Vulnerabilities identified (Aug 2009 – Aug 2011)

Safeguarding Physical Mental Health Behavioural Relationships Developmental

LAC: 59Physical health

needs: 9Diagnosable MHproblem: 156

Anger/ Aggression:

6Association withgangs: 141

Poor schoolattendance:123

Homeless: 39Substance

misuse: 115Anxiety/ worry:

78Behaviouralproblems: 345

Family conflict:263

Learningdisability: 51

Sexual exploitation:35

Parent with MHproblem: 57

Poor peerrelationships: 95 SLCN: 19

Physical abuse: 15

Unhappy/ low self

esteem: 115

Victim of bullying:

42

Domestic Violence:57

Neglect: 71

Risk of self harm/suicide: 58

Sexual abuse: 35

Other Safeguarding:42

411 124 406 351 541 193

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YJLD Model• What these sites have done is:• Principles of original model, adapted

locally according to demographic need and will develop further in light of findings from Liverpool, data and cluster meetings

• Since October 2011 they have systematically completed data requirement to support the business case, 2244 in total

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Future Areas of Focus• Aligning youth and adult liaison and diversion services• Development of a holistic screening tool (CHAT) for

children and young people• Sustainability of programme in ‘New world’• Future funding non-ring fenced• Improving identification and pathways around LD and

SLCN, and identifying other gaps in provision• Linking this work to Restorative Justice, particularly in

the community• YJLD intervention with gangs• YJLD links to anti-social behaviour and young people.

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Development work• OHRN have conducted initial scoping work• Findings will be shared with development

network and contractor• All network services were invited to submit

expressions of interest• 112 expressions of interest received• 51 successful schemes to receive funding

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Development Funding

• £6,266,589 committed nationally for 51 projects during 2012/2013– £4,164,699 for 33 Adult L&D projects– £557,058 for 6 Youth L&D projects– £1,544,832 for 12 Alternatives projects

• £2,117,546 for 19 North sector projects

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Development funding next steps • Submit development plans and equality impact

assessments by end February• Enter into memorandums of understanding with

Offender Health by end March• Allocation of funds at first opportunity in new

financial year – payment via SHAs• Development activity to be managed by the

network contractor and supported by Offender Health Leads

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Future development funding

• We will work with the network contractor, Offender Health Leads and SHA Children Leads to identify new areas for development

• We hope to offer a further targeted opportunity to bid for development funds in Autumn 2012

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Police Custody Healthcare Police Custody Healthcare CommissioningCommissioning

• Debbie Parkin

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Police Custody Healthcare Commissioning

• 31 forces out of 39 engaged by April 2012 • Improvements in “in custody” healthcare• Improvements in connectivity to community

healthcare• Foundation to facilitate diversion and one

conversation• Ambition to transfer all forces in England by next

CSR• Ensure maintain communication with NHS

commissioners

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Alternatives UpdateAlternatives Update

• Dave Marteau

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Alternatives Update• Aim• Test alternatives to custody at point of sentencing • Interventions delivered within context of community sentences• Restricted to offenders with substance misuse and mental health

problems, whose index offence is of sufficient severity to attract a short-term prison sentence up to 12 months

• Next Steps - Produce Development Plans, including:• Identification of suitable cases for intensive interventions• Joint working with the Probation Service and Courts• Negotiation of combined offender management, treatment and

recovery approach to present to judiciary• Enhanced supervision and/or case management• Active involvement of other statutory and voluntary sector agencies

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• February 2012 Business case contractor in place•March 2012 Data collection in place for all sites • March 2012 Publication of youth justice evaluation• April 2012 Network management contractor in place• April 2012 Development / alternatives work starts • March 2013 Business case completed and ministerial decision on roll-out• April 2013 Commence roll-out• April 2014 Commissioners in receipt of full funding allocation•April 2015 Programme completed

Key Milestones

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LunchLunch

to return 2pm to return 2pm

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Business case, data Business case, data collection and feasibility collection and feasibility

studystudyGlyn ThomasSue Sylvester

Lin Houldershaw

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Building the business case• Need to establish economic case for roll out of

liaison and diversion services

• Funding for years 3 and 4 dependant on Treasury approval of business case and impact assessment

• Your assistance crucial in establishing national liaison and diversion coverage

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Your role as a pathfinder

• Selected because have the strongest foundations for schemes

• Contribution to building the business case– Collection of minimum data set

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Procurement process

• Procurement process underway

• Successful contractors expected to be appointed during February 2012

• Data set to be agreed with contractors by the end of February 2012 building on dataset for children and young people

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Wider evaluation process• We will undertake an evidence-based feasibility study

– providing research measuring the health, criminal justice, economic and wider impacts of liaison and diversion services within the criminal justice pathway (focusing on police and courts).

– Clear understanding of the ongoing information requirements to performance manage liaison and diversion schemes in the future

– Clear understanding of the information processes and technology required to deliver efficient and effective diversion services

• Followed by a full research study, informed by the findings of the feasibility study

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Youth justice liaison Youth justice liaison and diversion and diversion

evaluation reportevaluation report

Sue Sylvester

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Offender Health Offender Health Research Network Research Network

ReportsReports

Glyn Thomas

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CommunicationsCommunications

Glyn Thomas / Debbie Goulding

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Challenges• Strengthening communications with the

NHS, criminal justice agencies (youth and adult) and external / civil society partners

• Engaging service users and commissioners

• Maintaining focus and momentum in time of change

• DH restrictions for publishing and developing comms tools

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Current work• Mapping exercise underway to ensure we have

a realistic engagement plan for all of our stakeholders

• Draft implementation plan ready for when the Development Network contract begins in April

• New communications vehicle to facilitate an online community – NHS Networks

• Monthly Offender Health Bulletin to be re-instated

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NHS NetworksConnecting:

• Development Network to information• Development Network to each other• Development Network to Network Contractor• Development Network to central team• Linking development network to ChiMat www.ChiMat.org.uk/youthjustice

www.networks.nhs.uk [Invitation to join will be sent shortly]

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Closing remarksClosing remarks

Richard Bradshaw

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