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: 35.5% 32% 29% 17% 30% 52% 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.

5. Service Access & Use 67% of people who experience Drug/ Alcohol misuse receive a service 48% 53% 45% 70% 17% of people 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 Evidence Assessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.

6. How ManyPeople? Source: West Yorkshire Multiple and Complex Needs Project Research and Evidence Assessment, 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 885 368 Wakefield 404 158 Total 2,425 1,050

7. In Leeds Source: West Yorkshire Multiple and Complex Needs Project Research and Evidence Assessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe. SP Data Service Usage Data Peer Research Number 5236 (total/ at least 1 of 4 needs) 3331 605605 68 3 or 4 Needs 480 (number/ %) 14.5% 31452%3774%

8. What does it cost? Number Unit cost per contact Total cost People in contact with 361 £2,130 arrest £4,616,468 per criminal justice system (4 £993 magistrates year contacts with police in court 12 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 up 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: West Yorkshire Multiple and Complex Needs Project Research and Evidence Assessment, Published by: DISC, Date: October 2013, Editor: Dr. Mark Crowe.

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. 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

14. 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

15. 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 ?

16. Staffing: Leeds Navigator TeamYear 1Year 2 End of YR2 Review Year 3Year 4Year 5Year 6 Lead Navigator11 Yr 3-6 Staffing tbc 1111 Navigators144441 Paid Peer Mentors sessional @ 6hrs/week 133333 Unpaid Peer Mentors ( volunteer)41420 6 Admin111111 Trainees: 1/year @ 18.5hrs/week 11111 Recruitment on going with start date of June 1 st 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