West Yorkshire – Finding Independence Margaret Lee – Barca–Leeds Senior Adult services manager

1. West Yorkshire – Finding Independence Margaret Lee – Barca–Leeds Senior Adult services manager

2. 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

3. 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

4. Across West Yorkshire... Peer researchers discovered that in the 6 weeks prior to interview: arrested (2.4% >6 times) spent time in the cells (2.6% >6 times) appeared in court spent time in prison slept on the streets – 15% >6 times (63) visited a GP or Walk-in Centre (6% >6 times) travelled in an ambulance were admitted to hospital attended A&E (3% >6 times) • 35.5% • 32% • 29% • 17% • 30% • 52% • 18% • 18% • 26% Source:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

5. Service Access & Use • 67% of people who experience Drug/ Alcohol misuse receive a service •48% •53% •45% •70% •17% ofpeople ofpeople ofpeople who have Mental Health needs receive a service who are offenders receive a service with a housing need receive a service Do engage constructively with services Have 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 Research and EvidenceAssessment,Publishedby: DISC, Date:October2013, Editor:Dr.MarkCrowe.

6. How Many People? Total number of people Number the project will with 3+ needs work with Bradford 563 263 Calderdale 221 105 Kirklees 352 158 Leeds 885 368 Wakefield 404 158 Total 2,425 1,050 Source:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

7. In Leeds SP Data Service Usage Data Peer Research Number 5236 (total/ at least 1 of 4 needs) 3331 605 605 68 68 3or4Needs 480 (number/%) 14.5% 314 52% 37 74% Source:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

8. What doesit cost? Number Unit costpercontact Total cost Peopleincontactwith 361 £2,130arrest £4,616,468per criminaljustice system(4 £993magistrates year contactswithpolicein court 12 months) £74 nightincustody GP usage 33 £78.70 GP visit plus £22,508 p.a. prescription A&E Usage 17 £233visit to A&E £88,741p.a. £285night inhospital £78.70 GP followup plus prescription

9. 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:WestYorkshireMultipleandComplexNeedsProjectResearchandEvidence Assessment,Publishedby: DISC,Date:October2013,Editor:Dr.MarkCrowe.

10. 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

11. 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

12. West Yorkshire Delivery Model • Five Locality Navigator Teams • Barca – Leeds • Bridge – Bradford • Community Links – Kirklees • Foundation – Calderdale • Spectrum CIC – Wakefield

13. West Yorkshire Delivery Model • Specialist Region-wide Delivery Partners • Together Women Project – Women’s Engagement • Touchstone – BME Engagement and ETE • Shelter – Advocacy and Prison Leaver Engagement

14. 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

15. How will it work on the ground ? • 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

16. How will it work on the ground ? • Staffing: • Recruitment on going with start date of June 1st • First referrals mid / late July

17. Numbers of clients : Year 1: Lead Navigator - 5 Navigator - 10 Year 2- 5 per year: Lead Navigator - 8 Navigators - 60 Year 6: Lead Navigator - 5 Navigator - 10 302 clients over the 6 years

18. 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