Supporting People 1. Introduction Torbay Council needs to make around £22million savings in the next two years based upon the expected reduction in government grant. Proposals for how money could be saved over 2014/15 and into 2015/16 have been made for each directorate. This document sets out the proposals in relation to Supporting People services and seeks to gather your views about these proposals. 2. Background information Supporting People services provide: supported accommodation, support to enable people to remain living independently in their own home, and assistance in finding and resettling into a new home following a crisis such as homelessness or a period in hospital or residential care. Services are commissioned (selected and bought) by the Council and provided by external organisations such as Registered Providers, private companies and charities Services include: Youth homelessness prevention service- outreach support to young people living in the community to prevent homelessness Homeless assessment and resettlement service which helps people to settle into their new home following a period of homelessness Women’s Refuge provides shelter and support to women fleeing domestic abuse and their children Sheltered and extra care housing for older people Supported lodgings (with host families) for young homeless people and care leavers Supported housing - accommodation for people with a variety of support needs Floating support/ outreach- support for people who live in their own homes Supported employment service for people with learning disabilities or Autism Support is aimed at early intervention to prevent the need for more intensive services including admission to hospital, nursing or residential care. Services support recovery and independence for people with a range of needs including poor mental health, learning disability, physical disability or ill-health. Appropriate housing and supporting people to sustain their tenancies/homes is key to improving health and wellbeing, reducing social isolation and building more successful communities. Services are mostly short term (provide people with up to 2 years support) and aim to build connections and capacity in the local community to sustain independence and quality of life. Outcomes include supporting people to manage physical and mental ill health and long term conditions, to access employment, training or welfare benefits and to actively participate in their community. 1 People are referred to services by any number of professionals including GPs, mental health workers, care managers, housing providers and voluntary services. They can also self refer. Only people with a local connection to Torbay can access Supporting People accommodation based services, with the exception of the refuge. If you would like more information about Supporting People, please visit the website: www.torbay.gov.uk/supportingpeople 3. Current service provision Supporting People services can be categorised into the following groups: Children, families and young people Older people Adults (including people with learning disabilities, physical disabilities, mental health needs, sensory impairment, homeless adults, adults with offending behaviour, adults with drug and alcohol dependencies and people fleeing domestic abuse) 3.1. Short term services Short term services provide people with support for up to 2 years. However the average length of time in services is 9 months. People cease using services once they have achieved the outcomes set in their support plans. The number of clients who entered short term Supporting People services over the last 3 years is shown in the table below: Service type 2010/11 2011/12 2012/13 Children, families and young people, and domestic abuse 221 317 457 Older people 79 112 79 Other adults 708 593 708 Total 1008 1022 1244 Sources: Centre for Housing Research (https://supportingpeople.st-andrews.ac.uk) and Supporting People service providers The percentage of people achieving independent living from short term services is also measured. This looks at how services helps people move on to independent 2 living, more independent living, maintaining their independence, or achieving the level of independence most possible for their situation. In 2012/13, 89.67% of people (1218 out of 1358) achieved independent living, against a target of 86%. 3.2. Long term services Long term services provide people with support for over 2 years. The number of accommodation units (i.e. 1 or 2 bed flats/houses) available for people using long term Supporting People services such as sheltered housing and extra care for 2012/13 was 689. The percentage of people maintaining as much independence as possible within their long term service or moving on to a similar or further level of independence is also measured. In 2012/13, 96.78% of people achieved or maintained independent living, against a target of 98%. 3.3. Outcomes The table below illustrates the support needs of Supporting People clients who have left/finished with short term services and shows the outcomes achieved. % achieved the outcome Need and achievementTorbay Torbay England 151 of 152 99% 92% Develop confidence and ability to have greater choice and/or control and/or involvement 1092 of 1114 98% 90% Maximise income and collect the correct benefits 1064 of 1090 98% 91% Establish contact with external services and groups 1057 of 1074 98% 91% Establish contact with family and friends 461 of 471 98% 93% Better manage physical health 620 of 647 96% 87% Participate in leisure/ cultural/ faith and/or informal learning activities 447 of 466 96% 84% Minimise harm/ risk of harm from others 392 of 408 96% 88% Avoid causing harm to others 164 of 171 96% 79% Better manage mental health 587 of 628 93% 82% Comply with statutory orders relating to offending behaviour 206 of 223 92% 79% Outcomes in 2012/13- of short term services Use assistive technologies/aids and adaptations 3 % achieved the outcome Need and achievementTorbay Torbay England Better manage self harm issues 157 of 171 92% 85% Maintain accommodation and avoid eviction 772 of 854 90% 79% Reduce debt 595 of 664 90% 76% Participate in work-like activities, e.g. unpaid work/ work experience/ work-like experience/ voluntary work 293 of 329 89% 64% Better manage substance misuse issues 293 of 338 87% 66% Obtain settled accommodation 776 of 915 85% 74% Participate in training and/or education 368 of 431 85% 67% Participated in paid work while using the service 172 of 241 71% 35% In paid work at point of leaving service 153 of 241 63% 28% Outcomes in 2012/13- of short term services Sources: Centre for Housing Research (https://supportingpeople.st-andrews.ac.uk) England data contains Local Authorities using the Centre for Housing Research data collection system. This is approximately two thirds of Local Authorities. In Torbay the percentage of outcomes achieved in 2012/13 were consistently higher than those achieved within England as a whole 4 4. Proposal As part of Torbay Council’s budget setting process it has been asked that Supporting People propose savings of £3.2 million. The table below outlines all of the Supporting People contracted services, their current cost and what the proposal is in relation to that service. Where it is proposed that services are retained (i.e. there is no proposed reduction to the funding for this service) this proposal has been made because of the known direct cost impact a reduction would have on other local authority services. For example to withdraw all funding from a Supporting People service for young people who have experienced homelessness would have a direct financial impact on Children’s Services, creating an increased cost pressure for them, so such a withdrawal of funding has not been proposed. Further information about each service can be found in Appendix 1. Draft Equality Impact Assessments can be found at www.torbay.gov.uk/supportingpeople. Service Service description 1. Youth Homelessness Prevention Service Jointly commissioned service with Housing Options and Children’s Service. Annual Supporting People budget £ 10,000 Proposal Retain service Budget saving £ 0 Effective from date Not Applicable (N/A) Prevention service offering family mediation to support up to 250 young people (16 and 17 year olds) per year to avoid homelessness. 5 Service 2. Young Devon Supported Lodgings Service description Jointly commissioned service with Housing Options, Children’s Services and Plymouth City Council Annual Supporting People budget £ Proposal Budget saving £ Effective from date 80,900 Retain service 0 N/A 30 units of supported lodgings for young people aged 16-24 including emergency accommodation and move on from foster care 3. Young People Support & Accommodation service 45 units of accommodation for young people aged 16-24 and 14 units of outreach support for young people aged 16-24 246,900 Reduce by 55% 135,795 May 2014 4. Young Parents Service 12 units of accommodation and 12 units of outreach support for young parents aged 16-24 103,500 Retain service 0 N/A 5. Integrated Families Service Jointly commissioned service with Housing Options service.14 units of accommodation based support, 14 outreach and 6 emergency units for homeless families with support needs 131,000 Reduce by 100% 87,400 August 2014 6 Service Service description Annual Supporting People budget £ 6. Domestic Abuse Outreach Service: Support for people who have experienced domestic abuse to remain safe in their own homes. Currently includes Probation funded Partner Link Work 105,000 7. Domestic Abuse Refuge 7 units of accommodation based support for women fleeing domestic abuse 8. Cumberland 30 units of accommodation based support for people with complex needs including older people and adults with poor mental health and Learning Disabilities who have been excluded from other services Proposal Budget saving £ Effective from date Transfer of Public Health funds of £105,000 to support redesign and procurement of pathway of domestic abuse services 105,000 June 2014 105,000 Retain service 0 N/A 268,200 Retain service 0 N/A Note: No change to service provision as funds to be transferred by Public Health 7 Service 9. Supported Employment and Project Search Service description Supported employment for people with Learning Disabilities including those with Aspergers and others with Autistic Spectrum disorders. Annual Supporting People budget £ Proposal Budget saving £ Effective from date 338,000 Reduce Supported Employment contract and retain Project Search 300,000 May 2014 310,000 Saving proposal of 150,000 £150,000 subject to commissioner/provider discussions on provision of safety net with reduced budget May 2014 Project Search is a partnership between the Council, Torbay Hospital and South Devon College. The project supports 10 young people per year to gain experience working in a range of hospital departments. 10. Leonard Stocks Centre Assessment, engagement and referral centre for homeless people with complex needs including poor mental and physical health. Service includes outreach support for rough sleepers and 24 units of accommodation. 8 Service Service description Annual Supporting People budget £ Proposal Budget saving £ Effective from date 11. Jatis x2 25 units of accommodation based support for people in structured treatment for drug and alcohol issues. 239,800 Reduce by 100% 239,800 May 2014 12. Social Inclusion Floating Support Service (SIFS) Generic floating support for adults 350,000 to prevent homelessness or other crisis, and support to live independently in their own homes. Reduce by 100% 350,000 May 2014 13. Community Outreach Support Service (COSS) Generic floating support for adults 358,700 to prevent homelessness or other crisis, and support to live independently in their own homes. Reduce by 100% 358,700 May 2014 14. Criminal Justice Accommodation Service (CJAS) 10 units of accommodation for offenders with complex needs on licence. Reduce by 100% 60,000 May 2014 60,000 9 Service 15. Reaching Out South West Service description Partnership between Chapter one, Jatis, SILS, Homemaker, Folks at Home & Shekinah. Annual Supporting People budget £ Proposal Budget saving £ Effective from date 450,000 Reduce by 100% 450,000 April 2015 Pre- engagement and resettlement support mostly working with people with mental health issues at present. 16. Folks at Home Outreach service to older people including resettlement support for people moving from residential care to extra care housing. 198,345 Reduce by 48% 95,350 May 2014 17. Sheltered Housing Accommodation based support for older people living in the social housing sector. 305,700 Reduce by 100% 305,700 May 2014 10 Service Service description Annual Supporting People budget £ Proposal Budget saving £ Effective from date 18. Extra Care Newly developed schemes providing care and support to older people who require this as an alternative to residential and nursing care, enabling people to remain in their own homes with access to support & care on site. One scheme, Dunboyne, is operational with a further two (Hayes Road January 2014 and Hatchcombe 2015) in development. 71,000 Reduction by 15% already in progress through contract negotiation 11,000 May 2014 19. Link workers Two workers - one employed by Adult Social Care, the other by Devon Partnership Trust supporting the take up & monitoring of personal budgets for support and to provide a bridge between services and commissioning teams 39,400 Reduce by 100% 39,400 May 2014 11 Service Service description Annual Supporting People budget £ 20. 3 x individual contracts on sunset clauses 3 accommodation based services with 8 clients (with learning disabilities and mental health needs) in total who have long term social care needs met through their Supporting People support. 56,618 21. Personal budgets People with Learning Disabilities 250,000 and mental health needs who have medium to long term support needs were transferred to personal budgets. This was agreed with Adult Social Care. Personal budgets are also used to fund short term resettlement support to move people out of residential care into extra care resulting in savings to Adult Social Care budget Proposal Budget saving £ Effective from date Maintain services 0 N/A Reduce by 100% 250,000 May 2014 12 5. Consultation Plan Consultation will take place with a variety of stakeholders, these include the following: Service providers who currently hold contracts People who currently use Supporting People services or have done so previously South Devon Healthcare NHS Foundation Trust (including drug and alcohol services, Torbay hospital including hospital discharge team) Adult Social Care Torbay Council departments including; Children’s Services, Housing Needs and Options service, Public Health and Safer Communities Devon and Cornwall Probation Service Devon and Cornwall Police Clinical Commissioning Group National Associations including: MIND, Mencap, Chartered Institute of Housing (CIH), Shelter, Homeless Link Non service users / general public Department for Communities and Local Government All organisations will be provided with details of the proposals along with a set of questions for response. Targeted consultation will take place with people who currently use the services where there is a proposed change. This consultation will take the form of focus groups and one to one interviews; these will be facilitated by the Supporting People Team along with Torbay Voice and Quest (these are groups of people who use or have used support services who are involved in the development of services) members. People who use or have previously used services can also complete the questionnaire on the website. Consultation with the general public will also take place via an on-line survey and will form part of wider budget consultation. Consultation will ensure the proposals can be communicated and will enable Torbay Council to gauge views about the proposal and what stakeholders feel any potential impacts might be. The consultation will open on 21st November and close on 16th January 2014. 13 6. Consultation questionnaire Please return your completed questionnaire to: supportingpeopleconsultation@torbay.gov.uk or Supporting People Team, St Edmunds, Victoria Park Rd, Torquay, TQ1 3QH by 16th January 2014. The questions below relate to all the proposals above, however if you wish to comment about a particular proposal / service please state which service you are referring to in your response. 1. Do you agree with the proposals set out above? Yes / No 2. If you have answered yes to question 1 please tell us why you agree with the proposals. 3. If you have answered no to question 1 please tell us why you disagree with the proposals? 4. What impact do you think these proposals will have on service users? 5. Are there any particular groups which you feel will be adversely affected by these proposals? 6. What impact do you think these proposals will have on your organisation? 7. Do you have any comments / feedback you would like to provide about any specific proposals above? If so, please tell us below. 8. Please tell us (if applicable) below which organisation you are completing this consultation on behalf of. 14 7. Further representation If you wish to make further representations to Torbay Council regarding this proposal you can do so in writing via email or letter (supportingpeopleconsultation@torbay.gov.uk or Supporting People Team, St Edmunds, Victoria Park Rd, Torquay, TQ1 3QH). Any further representations must be received by 16th January. Representations received by the deadline will be taken into account and included as part of the consultation feedback. 8. Decision making process Following the closure of the consultation, all feedback will be collated and analysed. Related Equality Impact Assessments will be updated and a report in relation to all of the proposals for Supporting People will be put forward to Council as part of the budget setting process on 6th February 2014. 9. Data protection Data Protection: The information you provide on this questionnaire and other responses to the Supporting People budget consultation will be processed by the Supporting People and / or Policy, Performance and Review Team and the Residents and Visitors Team, Torbay Council in accordance with the Data Protection Act, 1998. Your responses will be stored as an electronic image and in a database, they will be only used to assist in the analysis of opinion, and will not be retained for longer than necessary. It may also be disclosed to other departments within the Council for such purposes. By giving us your personal data to complete this questionnaire, you acknowledge that you have read and understand this Data Privacy statement, and that you agree that Torbay Council may process personal data relating to you for the purposes detailed above, and in accordance with all applicable legislation. If you wish to access your personal information at any time please contact the Information Governance Team on 01803 201201. 15