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 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)
Source: West Yorkshire Multiple and Complex Needs Project Research and Evidence
Assessment, 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% of people who have Mental Health needs receive a service
• 53% of people who are offenders receive a service
• 45% of people with a housing need receive a service
• 70% Do engage constructively with services
• 17% 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 Evidence Assessment, Published by: DISC, Date: October 2013,
Editor: Dr. Mark Crowe.
How Many People?
Total number of people
with 3+ needs
Number the project will
work with
Bradford
563
263
Calderdale
221
105
Kirklees
352
158
Leeds
885
368
Wakefield
404
158
Total
2,425
1,050
Source: West Yorkshire Multiple and Complex Needs Project Research and Evidence
Assessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.
In Leeds
SP Data
Service Usage Peer
Data Research
Number
5236 3331 605
(total/ at least 1 of 4 needs)
605
68
68
3 or 4 Needs
(number/ %)
52%
37
74%
480
14.5% 314
Source: West Yorkshire Multiple and Complex Needs Project Research and Evidence
Assessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.
What does it cost?
Number
People in contact with
361
criminal justice system (4
contacts with police in
12 months)
GP usage
33
A&E Usage
17
Unit cost per contact
Total cost
£2,130 arrest
£993 magistrates
court
£74 night in custody
£4,616,468 per
year
£78.70 GP visit plus
prescription
£233 visit to A&E
£285 night in hospital
£78.70 GP follow up
plus prescription
£22,508 p.a.
£88,741 p.a.
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 Evidence
Assessment, 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 Model
Five Locality Navigator Teams
• Barca – Leeds
• Bridge – Bradford
• Community Links – Kirklees
• Foundation – Calderdale
• Spectrum CIC – Wakefield
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
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
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
How will it work on the ground ?
Staffing:
Leeds Navigator Team
Lead Navigator
Navigators
Paid Peer Mentors
Year 1
Year 2
End of
YR2
Review
Year 3
Year 4
Year 5
Year 6
1
1
1
1
4
3
Yr 3-6
1
4
3
1
4
3
1
4
3
1
1
3
4
1
14
1
1
20
1
1
20
1
1
20
1
1
6
1
1
Staffing
tbc
sessional @ 6hrs/week
Unpaid Peer Mentors ( volunteer)
Admin
Trainees: 1/year @ 18.5hrs/week
• Recruitment on going with start date of June 1st
• First referrals mid / late July
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
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