1. Integrated Social Needs Transport Paul Lucas Operational Service Planning Manager

2. How did ISNT start? Social Exclusion Unit – “Making the Connections” report Audit Commission suite of reports :  Non-emergency patient transport  Social Services transport  Special Educational Needs Transport Best Value Review

3. What was the review’s objective? “to enhance social inclusion by providing better, more integrated and more cost-effective transport services to those people with special or social needs irrespective of the nature of the service originator, so that these people can travel where they need to go at the time that they need to be there.” or “The provision of appropriate transport from where the client is now to where they want to be at the time when they need it.”

4. What did we find? 572 vehicles in Greater Manchester 31 separate agencies involved in provision 2m+ journeys made annually Population aged 60+ will increase from 511k to 579k by 2021 Annual provision cost is in excess of £40m

6. Destinations

7. Other lessons we learned :- Health service costs of “Did not attends” Community Transport operators potential contribution Pilot schemes Comparative authorities IT technology Futures workshop

8. COSTS OF “DID NOT ATTENDS” AND OTHER LOCAL COSTS Audit Commission 2001 : £900m University of East London: £300m (DNA in England) GMPTE BVR: £50M in Greater Manchester Local Authority taxi budgets ****** Rates vary: 5% to 15% (Ulster Hospital, Belfast Study) Transport factors: Between 10% to 69% Norwich University Hospital stated that if 10% was transport related this would represent locally: 3,033 DNA at a cost of £197,000 per year

9. Major influences….. Role of GMPTE –Social Exclusion role –Co-ordinator role –Market making Other stakeholders –Users –“Commissioners” –Providers –Other deliveries eg consultants Role of Government –Legislation –Funding Other major considerations –Working practices –Cost model –Independence agenda –Mainstreaming of SEN pupils –Local delivery of health services –Driver qualification

11. Work already ongoing –Manchester pilot project –Sharing of premises –Sharing of work –Stakeholder engagement –Call Centres –It comparison –Trust Fund

12. GMPTA ISNT Best Value Review Greater Manchester ONE STOP SHOP CALL CENTRE Mobility Authorities Community Transport Generic DRT Service Providers Social DRT Service Providers Other Flexible Transport.Service Providers Generic DRT Service Users Special DRT Service Users Administration / Public Organisations Associations / User Groups Activity Centres Agency Operators Transport End-Users Transport Service Providers - GMATL - District Vehicles -GMAS - Shared Taxi -Car Sharing -Arranged -Passenger -Transport Mobility Authorities - Shopping centres - Employment,... - Hospitals,... - Charities,... - Voluntary Assoc.,... - Communities,... GMATL Taxi Cabs Elderly People... - - Health services,... - Social services,... -... Information on Low Floor Buses Bus information Ticket information General Enquiries

13. INTEGRATED SOCIAL NEEDS TRANSPORT Present Customer access lines Retail Day Centre Hospital Education Community Transport R & R Social Services PTS LEA Private Sector Customer

14. One-stop shop INTEGRATED SOCIAL NEEDS TRANSPORT Proposed customer access process Retail Day Centre Hospital Education Community Transport R & R Social Services PTS LEA Private Sector Customer