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:

•35.5%•32%•29%•17%•30%•52%•18%•18%•26%

arrested (2.4% >6 times) spent time in the cells (2.6% >6 times)appeared in courtspent time in prisonslept on the streets – 15% >6 times (63)visited a GP or Walk-in Centre (6% >6 times)travelled in an ambulancewere admitted to hospitalattended A&E (3% >6 times)

Source: West Yorkshire Multiple and Complex Needs Project Research and EvidenceAssessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.

Service Access & Use

• 67% of people who experience Drug/ Alcohol misuse receive a service• 48%• 53%• 45%• 70%• 17%

of peopleof peopleof people

who have Mental Health needs receive a servicewho are offenders receive a servicewith a housing need receive a service

Do engage constructively with servicesHave 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 Researchand Evidence Assessment, Published by: DISC, Date: October 2013,

Editor: Dr. Mark Crowe.

How Many People?

Source: West Yorkshire Multiple and Complex Needs Project Research and EvidenceAssessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.

Total number of people Number the project will with 3+ needs work with

Bradford 563 263

Calderdale 221 105

Kirklees 352 158

Leeds 885 368Wakefield 404 158

Total 2,425 1,050

In Leeds

Source: West Yorkshire Multiple and Complex Needs Project Research and EvidenceAssessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.

SP Data Service UsageData

PeerResearch

Number 5236 (total/ at least 1 of 4 needs)

3331 605 605 68 68

3 or 4 Needs 480(number/ %)

14.5% 314 52% 37 74%

What does it cost?

Number Unit cost per contact Total cost

People in contact with 361 £2,130 arrest £4,616,468 percriminal justice system (4 £993 magistrates yearcontacts with police in court12 months) £74 night in custody

GP usage 33 £78.70 GP visit plus £22,508 p.a.prescription

A&E Usage 17 £233 visit to A&E £88,741 p.a.£285 night in hospital£78.70 GP follow upplus 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: West Yorkshire Multiple and Complex Needs Project Research and EvidenceAssessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.

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 ModelFive Locality Navigator Teams

• Barca – Leeds

• Bridge – Bradford

• Community Links – Kirklees

• Foundation – Calderdale

• Spectrum CIC – Wakefield

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

West Yorkshire Delivery Model

• 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 ?

How will it work on the ground ?Staffing:

Leeds Navigator Team Year 1 Year 2 End of YR2

Review

Year 3 Year 4 Year 5 Year 6

Lead Navigator 1 1 Yr 3-6

Staffing tbc

1 1 1 1 Navigators 1 4 4 4 4 1Paid Peer Mentors

sessional @ 6hrs/week

1 3 3 3 3 3

Unpaid Peer Mentors ( volunteer) 4 14 20 20 20 6 Admin 1 1 1 1 1 1Trainees: 1/year @ 18.5hrs/week 1 1 1 1 1

• Recruitment on going with start date of June 1st

• First referrals mid / late July

Numbers of clients :

Year 1:Lead Navigator - 5Navigator - 10

Year 2- 5 per year:Lead Navigator - 8Navigators - 60

Year 6:Lead Navigator - 5Navigator - 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