Oxfordshire County Council Supported Living and Daytime Support Service Consultation Paper B: Service Users, Carers and Representative Groups 1 Introduction The purpose of this document is to provide Service Users, Carers and representative organisations with details about the proposals for the Oxfordshire County Council’s (the Council) Supported Living and Daytime Support Services. It is proposed that: The Supported Living services are transferred to external organisations by October 2012 The Daytime Support services are transferred to external organisations by March 2013 The Council’s Cabinet met on the 21 June and took an in-principle decision that, subject to a proper and full consultation, the Learning Disability Services could be outsourced, i.e. transferred to provider organisations in the independent sector. The Director for Social and Community Services is to report back to Cabinet in October 2011 with the results of this consultation and to provide details of the process for procurement and the next steps. This decision directly affects all staff working for these services and the people receiving these services. The views of all consultees are extremely important. Proper and due regard will be given to all your responses and all staff, service users and carers are being invited to contribute their views and ideas. The consultation period is now open and will close on 30th September 2011, We would like to know: 1. 2. 3. 4. 2 What are your views on the proposal? If you have any, what are your worries or concerns? Do you have any alternative suggestions or ideas? Is there any more information you would like to know? Background There are two significant and linked developments in internal provision for people with a Learning Disability, which aim to improve cost efficiency. The first is a local management restructure proposal which aims to reduce service costs whilst supporting effective management of the services. The second is Page 1 of 18 the proposal to ‘outsource’ the services to independent sector provider organisations. This means that they would not be run by the Council in future. The developments should encourage a wider choice of services, giving people more control over their lives, including where they live and how they spend their days. 2.1 Supported Living and Daytime Support The Supported Living and Daytime Support services are well developed and highly regarded services directly providing a substantial element of services for people with a learning disability in Oxfordshire. They employ 284 staff supporting around 450 service users on a gross annual budget of £7.8m. This activity is divided into Supported Living and Daytime Support Services. Supported Living Service The Supported Living service employs 118 staff to support 105 Service Users, with a gross budget of £3.5m. This represents around 15% of Oxfordshire’s total supported living market. 85% of Oxfordshire’s Supported Living is already provided by external providers. Supported Living is arranged into four service areas: City Supported Living, Oxford South & Vale Supported Living, Abingdon West Oxfordshire Supported Living, Witney North Cherwell Supported Living, Banbury Daytime Support Service The daytime support service employs 166 staff to support 342 Service Users, with a gross budget of £4.3m. This service supplies around 65% of Oxfordshire’s total day support market and is arranged into the following service areas: South & Vale Daytime Support Abingdon Day Service Market Place Day Service Henley Day Service Didcot Day Service Wallingford Day Service Wantage Day Service North Cherwell Daytime Support Redlands Day Service, Banbury St John Day Service, Banbury Greenwood Day Service, Banbury The Garth Day Service, Bicester Kidlington Day Service Page 2 of 18 West Oxfordshire and Oxford Daytime Support Cowley Day Service City (Albion) Day Service Headington Day Service Moorland Day Service, Witney Caretaker House, Witney Carterton Day Service 2.2 Why is there a proposal to use only external providers? The main reasons why the Learning Disability Service is being remodelled are: Nationally all Local Authorities are reviewing their role and function to ensure best use of resources, meet increasing demand and support personalisation. The Council can be more efficient and focused if it concentrates on commissioning, monitoring and reviewing services rather than providing services itself. The Council is streamlining what it does across all directorates in order to reduce senior management costs and become more efficient. This is partly achieved by not duplicating the kind of services it can already buy from other providers. The Council has to make in the region of £155 million of savings over the next four years. External Providers usually charge less for their services, so over time we would expect the cost of this service to go down gradually. There is an established range of good quality, cost effective learning disability providers in Oxfordshire who have already been through a rigorous selection process and are able to take over the provision of these services. The changes proposed are in no way a reflection on the work, dedication and commitment of staff in the Council’s service. 2.3 Efficiency Savings In February 2011, the first phase of efficiency savings of £500k was approved by Council in the Business Strategy for 2011/15. These savings are being achieved by the restructure of the ILS management team. This will involve the reduction of 8 full time equivalent (FTE) posts in Daytime Support and 7.5 FTE posts in Supported Living services. Three additional Support Coordinator posts will be created in Supported Living, resulting in an overall net loss of 12.5 posts. There has been full consultation with UNISON and staff about these reductions. This phase is being managed separately, and does not form part of this consultation. Page 3 of 18 A second phase of additional efficiency savings of £500K was also approved by Council in the Business Strategy for 2011/15. These savings will be sought over time by outsourcing the Supported Living and Daytime Support services. 3 What is the Consultation about? 3.1 Proposal As outlined in the introduction, the Council proposes to transfer the Supported Living and Daytime Support services to external providers. Most of these services will be transferred to providers already approved by Oxfordshire County Council within a framework contract. The framework contract refers to a selection of providers who are approved, through a means of rigorous application and quality checking, to tender for and provide services and support in Oxfordshire. Some services could ultimately be provided by a ‘Social Enterprise’. Please refer to Section 5 ‘Social Enterprise’. 3.2 The purpose of the consultation To communicate to stakeholders the details about proposed service transfer. To communicate the processes and timescales involved. To gather the views and opinions of service users, staff and other stakeholders on the proposed transfer. To collate and review the consultation responses and report them to the Council’s Cabinet Committee in October 2011. The consultation is not… Trying to convince or bias people in favour of the proposed transfer. About the Learning Disability interim management restructure. About the service budgets agreed by Cabinet in February 2011. About the concept of self directed support. 3.3 The consultation process The consultation period began on the 18 th July 2011 with staff and will commence on 29th July 2011 for service users, their families, carers and representative organisations. The consultation will finish on or around the 14th September 2011. There is a list of all consultation event dates in Section 10. During this time staff, service users, their families and carers will be invited to submit their views and opinions on the proposed transfer of the service. A range of methods has been organised to enable people to submit their views: Large consultation events Page 4 of 18 Smaller discussion groups Feedback forms Telephone service Email Letter Provider Fair (November 2011) All responses will be collected throughout the consultation. Please see Section 10 for more information. 3.4 How consultation will be recorded and published All feedback, however it is submitted, will be recorded into a database of responses. From this we will be able to identify any emerging themes, including key concerns or opportunities. This information will form the basis for the report to Cabinet in October. Service users and carers will receive a mid-point report summarising the themes emerging from the consultation followed by the final report of findings at the end of consultation period. 3.5 What would you like to change? Through the consultation process we hope to be able to capture your views on the proposal to outsource, and what concerns or interests you about this. We would also like to hear about your ideas for changes or improvements to the services delivered and the reasons for your suggestions. This will enable us to develop a full picture of what is important to people using these services and those delivering them. 4 Selecting the New Providers If the proposal is agreed by Cabinet and goes ahead , this process would take place in two stages: Supported Living services will be tendered from November 2011, with a target for new services beginning by October 2012. Day Services will be tendered from March 2012 with the target for new services being in place by April 2013. More detail will be provided in due course, but the general process will be as follows: We will support Service Users and their families to choose from Providers who are already known to the Council through our ‘Framework Contract’. Most of the Providers are ‘not-for-profit’ organisations. They have all been thoroughly checked and offer good quality services. Further information about these Providers is contained in Annex 1. Providers will be given relevant Page 5 of 18 anonymised information about individuals within the service. They will be asked to show how they will provide a high quality service which meets individual needs using the personal budget. Service users and carers will be given the chance to meet Providers and discuss how they would meet individual needs. The County Council will support this process and assist people to reach a decision. Some of the decisions will have to be made as a group (for example we can’t normally have more than one Provider in each house, or each day service). We have a team of quality monitoring officers whose role it is to monitor the services to make sure they are safe and of good quality. If someone prefers to take their personal budget as a Direct Payment and choose a different service, they can do this as long as it meets their needs, is safe and affordable. 5 Social Enterprise The main proposal in this paper is that staff would transfer to external organisations which have already been awarded framework contracts. However, it is also possible that some of the Supported Living and Day Services could be provided by a 'Social Enterprise'. This type of provision is becoming more common, and has some advantages over conventional services. A Social Enterprise is a business whose objectives are primarily social. Any profits they make are used to improve services. Social Enterprises are different from traditional charities or voluntary organisations because they generate most of their income through trading of goods and services rather than through donations. This makes them more independent and in control of their own activities. One of the particular advantages is that they can create small or specialised services which are not otherwise available in a particular area. Some staff and Service User representatives have already expressed an interest in exploring the idea of Social Enterprise. The Council is willing to support the growth of this type of service. However, it can take a long time to set up a Social Enterprise, and there are some risks for staff and Service Users because the organisation is so small. A high level of interest and commitment from staff would be required to make it work. If a Social Enterprise is set up, it will initially only be possible to buy services from it using Direct Payments, because the Social Enterprise would not be one of the approved Providers on the framework. It may be possible to adapt the framework contracts to include a transition to Social Enterprise at a later date. Given the proposed dates for outsourcing, there may not be enough time to create a Social Enterprise for Supported Living in the next few months. It is more likely that a Social Enterprise could be created for some aspects of Daytime Support, because Page 6 of 18 there is more time to do this, and the external market is less well developed. As part of the consultation programme, we are seeking expressions of interest from staff, service users and other interested parties in Social Enterprise. If there is significant interest, we will arrange a workshop and provide support to help with development work. If you would like to discuss this option further, please send an email to ILSConsultation@oxfordshire.gov.uk in the first instance. 6 What does this mean for Service Users? If the proposal to outsource these services is agreed, this will affect all service users of Supported Living or Daytime services at the time the transfer takes place. The aim is to ensure continuation of services to people who rely on them, while opening up new opportunities for Providers to develop new services based on demand from individuals. The transfer of support to another organisation does not affect the tenancies of people living in supported housing because the provision of housing is completely separate. We expect most of the day services to continue where they are now and people who use day support services will help plan how they want them to develop in future. The Council is not using this transfer as a way to reduce the number of people it supports, or the level of support they receive. We have a duty to make sure people’s needs are properly met. We understand that people do not like to change their support and care. However, we are confident that there will be little change for the service users themselves, as our main goal is to ensure they get at least the same quality and level of support they receive now, with minimal disruption. In most cases the staff you know now will continue to work with you but they will not be employed by the Council. 7 Monitoring and Safeguarding The directorate has robust processes in place to protect the safety of individuals being supported by the external organisations which would take over the running of these services. They are all rigorously assessed during the procurement process, and meet the quality criteria to be awarded framework contracts with the Council. Part of this assessment evaluates their ability to support people to remain safe, through risk assessment, adherence to safeguarding processes, and recruitment, training and supervision practices. Once contracts are awarded, regular monitoring is carried out by quality Page 7 of 18 monitoring officers in the Commissioning and Contracting Team who have a good knowledge of each service and the people who use them. This involves the review of policies and records, and interviews with the service users, staff and families. Providers are required to deliver an action plan to address any improvements required and this is monitored by the Commissioning Team. The quality monitoring officers also provide support to providers to address areas of weakness and to continually improve their services. . 8 Project Timetable The timescales below are intended as a guide only to the key milestones and at this early stage will be subject to change as the project progresses. Cabinet approval ‘in principle’ of outsourcing Consultation of staff and service users Formal feedback to service user and carers from consultation Final Cabinet decision on any changes Supported Living transfer complete Day Services transfer complete 9 What will happen to staff? 9.1 Who is affected? 21 June 2011 July to September 2011 October 2011 18th October 2011 October 2012 April 2013 If the proposal to outsource these services is agreed, this will affect all employees working in Supported Living or Daytime services at the time the transfer takes place. 9.2 What it means for the staff When a service, provided by the Council, is re-commissioned and outsourced to another Provider, employees working in that service are protected under The Transfer of Undertakings (Protection of Employment) Regulations 2006 (TUPE). Council employees automatically become employees of the new provider on the same terms and conditions. Their continuity of service and any other rights are all preserved. This would include their rate of pay, annual leave entitlement, sick pay etc. Based on the current information we have about the proposals to recommission these services, it is anticipated that TUPE is likely to apply. Once new providers are identified and awarded the contracts, a second phase of consultation will take place with any staff affected and UNISON. This second phase will begin well before the transfer is due to take place and will allow reasonable time to ensure they have the opportunity to understand fully how the transfer is likely to affect them. This will include any changes the new provider would like to make that may affect their job. Page 8 of 18 Whilst we can offer no guarantees about job security in the current climate, redundancies are not anticipated as a result of these proposals. However, any redundancy would be negotiated with staff through Phase 2 of their consultation process with the new provider. 10 Where can you get more information make your views and ideas heard? There are a variety of ways in which you can make your voice heard: Consultation events Date Time Monday 22nd Aug 12.30 - 14.30 Tuesday 30th Aug 10.00 - 12.00 Thursday 8th Sept 14.00 - 16.00 Thursday 15th Sept 18.00 - 20.00 Venue Guildhall, Abbey Close, Abingdon, OX14 3JE Corn Exchange, Market Square Witney, OX28 6AB Town Hall, Bridge Street, Banbury, OX16 5QB County Hall, New Road, Oxford, OX1 1ND Views will be collected by facilitators at each meeting event. Feedback forms will also be available at all events. Transport support costs and replacement care costs can be claimed by completing a claim form available at the consultation events. Please keep any receipts which will need to be submitted with the form. Feedback forms If you are unable to make any of the meetings please complete the feedback form included in this pack, and return to us using the freepost envelope included. Phone - 01865 792422 Between 29th July 2011 to 30th September 2011 a consultation telephone service will be operational. This number is staffed between the hours of 8:30am and 5:00pm from Monday to Thursday. And 8:30am to 4:30pm on Friday. You may wish to let us know your views via telephone and staff will record these onto the feedback forms on your behalf. Outside of these hours a voicemail facility will be in operation. We aim to respond within 3 working days. Email ilsconsultation@oxfordshire.gov.uk Page 9 of 18 We aim to respond to you within 3 working days. Write to: Martin Bradshaw, Assistant Head of Service, Social and community Services, Oxfordshire County Council, County Hall, New Road, Oxford, OX1 1ND We aim to respond to letters within 10 working days. Please be assured any services you receive will not be affected if you do not wish to participate in the consultation. 11 Communication The project team will aim to keep you updated on the progress of the project including the consultation, by sending out regular newsletters and a Frequently Asked Questions sheet will also be produced following the consultation events and updated throughout the process for Service Users and their Carers Should you have a question that you feel has been missed or not adequately resolved please contact the team through one of the options listed above. 12 Annex Annex 1 - Summary of current framework providers Page 10 of 18 Annex 1 – Learning Disability Service Framework Contract Providers Introduction. The Learning Disabilities Framework was set up in 2009. The County Council offered providers the opportunity to bid for contracts in six areas: 1. Day Services 2. Respite 3. Supported Living – Non-specialist support for people with learning disabilities. 4. Supported Living – Specialist services for people with learning disabilities and autistic spectrum conditions 5. Supported Living – Specialist services for people with additional mental health needs and/or living chaotic lifestyles 6. Supported Living – Specialist services for people with high physical health needs. Process for being awarded a framework contract. Stage 1- Pre-qualifying questionnaire. This asked questions about the organisation’s ability to deliver services and examined issues such as finances, quality, person centred approaches, health and safety, and risk. Only those organisations who passed this questionnaire were selected for the next stage. Stage 2. Invitations to Bid. A total of 20 organisations were asked to submit a bid based on developing costings for anonymised services and providing detailed information about quality and finance. These bids were scrutinised by an evaluation team. The bidders were then invited to interview. The interview panel included service users and carers. Members of the evaluation team also visited services run by each bidder. The information from bids, interviews and visits were used to decide which organisations were offered framework contracts. This process considered quality and finance issues on a 40:60 ration. Fifteen organisations were successful in being granted framework status. (Further details in the appendices) Category 1 - Day Services Dimensions HFT Macintyre Mencap Ridgeway Partnership Styleacre Services Page 11 of 18 The Camden Society Category 2 - Respite Services Dimensions HFT Mencap Ridgeway Partnership The Camden Society Category 3 – Supported Living - Non specialist Advance Support Care UK Ltd (Care Solutions) Creative Support Dimensions HFT Life Path Trust Mencap Ridgeway Partnership Styleacre Services The Camden Society The Laurels Category 4 - Supported Living - Autistic spectrum conditions Advance Support Care UK Ltd (Care Solutions) Dimensions The Kingwood Trust Mencap Ridgeway Partnership Real Life Options Styleacre Services Category 5 - Supported Living - Mental health & chaotic lifestyles Advance Support Care UK Ltd (Care Solutions) Dimensions Mencap Ridgeway Partnership Real Life Options Styleacre Services Category 6 - Supported Living - High physical health needs Care UK Ltd (Care Solutions) Dimensions Mencap Ridgeway Partnership Styleacre Services United Response Page 12 of 18 About the framework providers. The information below has been copied from their respective websites: Advance Support Advance is a group of charitable organisations providing housing, support and employment services to meet the needs of people in the community who have either a learning disability or a mental health problem. Advance started in 1974 with its main offices located in Witney, West Oxfordshire, where we remain today 2 Witan Way Witney Oxon OX28 6FH Tel: 01993 772885 Fax: 01993 700258 email: info@advanceuk.org http://www.advanceuk.org The Camden Society The Camden Society runs services across London and Oxfordshire. We emphasise creativity, innovation and enterprise to generate new opportunities for people with disabilities to achieve greater equality. With an emphasis on human rights, we maintain a person-centred perspective in everything we do to make sure that we support people to develop their lives in whatever ways they choose. The Camden Society Employment & Learning Centre, 60 Holmes Road, London NW5 3AQ Phone: 020 7485 8177 Fax: 020 7267 9099 Email: admin@thecamdensociety.co.uk http://www.thecamdensociety.co.uk Care UK Care UK is a leading independent provider of health and social care services. Working in close partnership with local authorities and primary care trusts, we provide care and support for older people and those with learning disabilities as well as a range of healthcare services. These services include the operation of NHS walk-in centres, GP surgeries and treatment centres and the provision of a range of specialist mental health care including treatment for young people who self harm or have eating disorders. Care UK Connaught House 850, The Crescent Colchester Business Park Page 13 of 18 Colchester Essex CO4 9QB Telephone: 01206 752552 Email via website http://www.careuk.com Creative Support Creative Support is a high quality provider of person centred social care services for people with learning disabilities, mental health and other needs.To support our service users we provide a range of services to meet their differing needs, including supported living, supported housing, residential care, community and home support, floating support, extra-care and day services. Creative Support 5th Floor, Dale House 35 Dale Street Manchester M1 2HF Tel: 0161 236 0829 Fax: 0161 237 5126 Email: enquiries@creativesupport.co.uk http://www.creativesupport.co.uk Dimensions We support people with learning disabilities and people with autism. A not-forprofit organisation, we are a leader in our sector, supporting around 2,500 people and their families in England and Wales. Our aim is to enable people to be part of the community and make their own choices and decisions about their life. Our website shows how we support people to live the life they choose. Dimensions 9-10 Commerce Park Theale Reading RG7 4AB Tel: 0300 373 3730 http://www.dimensions-uk.org Home Farm Trust Hft is a national charity and creative thinking is our speciality. People with learning disabilities and their families use our inventive and often ground breaking support and advice to live the lives they want. Work with us and together we'll explore the choices you have for achieving your goals, no matter how big or small. You and your family naturally want the best possible outcome for the things you're working towards- we can lend a hand in getting you the best deal. Page 14 of 18 5/6 Brook Office Park Folly Brook Road Emersons Green Bristol BS16 7FL Tel: 0117 906 1700. info@hft.org.uk http://www.hft.org.uk/ Kingwood Kingwood helps people with autism and Asperger's to live the lives they choose. We make sure we learn what matters to the people we support, what they want to do with their lives and then we help them make this happen. Our philosophy is simple – we believe that people with autism and Asperger's can, like all of us, continue to develop and grow, make choices and be valued, active and contributing members of the community. That’s why our services are tailored to meet individual needs and are built around supporting people to live enjoyable, purposeful lives with a greater degree of independence in their own homes, within the communities in which they live. Kingwood Trust 2 Chalfont Court Chalfont Close Lower Earley Reading Berkshire & RG6 5SY Tel: 0118 931 0143 Fax: 0118 931 1937 Email via website http://www.kingwood.org.uk/ The Laurels The Laurels is an established support and Domiciliary care agency providing support in and around Oxfordshire for adults with a learning disability. We provide support in and around Oxfordshire, primarily for adults with a learning disability. We support people living in their own home or family home, enabling individuals to access the local community, employment, leisure and college activities. Unit 4B Spinners Court 53 West End Witney , Oxon OX281NH Phone: 01993708889 (Office) 07971225507 (24 Hour Contact Number) Fax: 01993 708889 E-Mail: thelaurels2@aol.com http://www.laurelssupport.co.uk Page 15 of 18 Lifepath Trust Life Path Trust is a charity and what we can do is set out in our constitution. We give more detail in our mission statement and strategy about what our aims are and how we are going to achieve them. Everything we do is to support people with a learning disability live the lives that they want. Our support is support for living. 511 Walsgrave Road Coventry CV2 4AG Tel: 024 7665 0530 Fax: 0845 458 9716 Email via website http://www.life-path.org.uk Macintyre Established in 1966 by Kenneth Newton Wright, the parent of a disabled child, MacIntyre has grown to become a leading national charity, highly respected and committed to setting standards and increasing choice.We provide learning, support and care for more than 900 children and adults with learning disabilities, at more than 120 MacIntyre services across the UK. Our diverse range of services includes registered care homes, supported living schemes, accredited training schemes and lifelong learning services, as well as residential special schools and a further education college. MacIntyre 602 South Seventh Street, Milton Keynes, Buckinghamshire MK9 2JA 01908 230100 customer.solutions@macintyrecharity.org http://www.macintyrecharity.org/ Mencap Mencap is the voice of learning disability. Everything we do is about valuing and supporting people with a learning disability and their families and carers. As the voice of learning disability, our brand identity is very important to us. It reflects who we are, and our dedication to supporting and representing everyone in the learning disability community. Mencap works with people with a learning disability to change laws, challenge prejudice and support them to live their lives as they choose. Mencap 123 Golden Lane London EC1Y 0RT Telephone: 020 7454 0454 Fax: 020 7608 3254 Email: information@mencap.org.uk http://www.mencap.org.uk/ Page 16 of 18 Real Life Options Real Life Options is a national, not-for-profit, voluntary organisation, with clear values about the rights of people with learning disabilities to determine their own future. Founded in 1992, we provide direct support for people with severe learning disabilities. The first services were opened in London in early 1993. From the outset we have been committed to the principle of separating personal support from the provision of accommodation. Our directors and staff are committed to a set of values, which recognise that: All people have the same human value and worth irrespective or ethnic origin or race, religious persuasion, gender, sexual orientation or physical or intellectual disability. http://www.reallifeoptions.org/ Ridgeway Partnership Ridgeway Partnership is one of the leading providers in the UK of specialist health and social care services for people with learning disabilities and other long term complex care needs. We specialise in providing services for adults with moderate to severe learning disabilities, but also provide services to people with milder disabilities along with community based services for children. The Trust offers a range of supported living, community teams, inpatient, step down and assertive outreach services across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Dorset, Bath and North East Somerset. Our headquarters are based in Oxfordshire and we currently support around 3,300 people. Slade House Horspath Driftway Headington Oxford United Kingdom OX3 7JH 01865 747455 Email enquiries@ridgeway.nhs.uk http://www.ridgeway.nhs.uk/ Style Acre Style Acre is a registered charity that provides supported living services, day opportunities, work development programmes, volunteering and community involvement for adults with learning disabilities across Oxfordshire.People choose Style Acre because it treats them as individuals and focusses on helping them to make choices about the lives they want to lead. Style Acre is a forward-looking organisation, committed to developing new services and working in partnership with individuals and their families. Style Acre is registered with the Care Quality Commission (CQC) and is an approved provider with Oxfordshire County Council. Evenlode House, Howbery Park, Crowmarsh Gifford, Wallingford, Page 17 of 18 Oxon OX10 8BA info@styleacre.org.uk 01491 838760. http://www.styleacre.org.uk/ United Response United Response is a national charity that supports people with learning disabilities, mental health needs and physical disabilities to take control of their lives. Founded in 1973 with just one service in West Sussex, we now work in over 200 locations across England and Wales and employ around 3,000 people. As well as providing support, we run campaigns on the latest social care issues, organise fundraising schemes and events, and provide guidance and information via our website, as well as through various publications. United Response is a charity registered with the Charity Commissioners No. 265249. A company limited by guarantee, registered in England No. 1133776.We believe that people with disabilities are equal participants in society and should have the same rights and opportunities as everyone else. United Response Vantage House 1 Weir Road Wimbledon Park London SW19 8UX Tel: 020 8246 5200 Email: info@unitedresponse.org.uk http://www.unitedresponse.org.uk Page 18 of 18