Supporting People Health Pilots – The Context Andrew Kean Head of Policy and Strategy, Supporting People, ODPM 6 September 2006 Andrew Kean Head of Policy and Strategy, Supporting People, ODPM 6 September 2006

Supporting People Strategy: Core Principles Sustained prevention and enabling independence Integration with other services User focused services and user choice Appropriate flexibility for local authorities Better informed commissioning Recognition and support for the role of the VCS Sustained prevention and enabling independence Integration with other services User focused services and user choice Appropriate flexibility for local authorities Better informed commissioning Recognition and support for the role of the VCS

Reducing Reoffending Supporting DV Victims Tackling Substance Misuse Delivering Respect DCLG (Supporting People) Home Office Education and Skills DCLG Work and Pensions Health Supporting independence for people with learning disabilities Supporting people out of hospital Supporting Young People Supporting teenage parents Supporting people into education Tackling and preventing homelessness Supporting sustainable communities Supporting people into work Supporting independence for older people Supporting Objectives across Government

Key Policy Linkages Creating Sustainable Communities Our Health Our Care Our Say Prevention and Independence (e.g. POPPs) Joined up services for all Opportunity Age Improving Life Chances for People with Disabilities Creating Sustainable Communities Our Health Our Care Our Say Prevention and Independence (e.g. POPPs) Joined up services for all Opportunity Age Improving Life Chances for People with Disabilities

The Glue Source : Salford City Council

The Theory / Vision Strategic oversight and commissioning through a partnership of authorities, Probation and Primary Care Trusts (Commissioning Body) Collaborative working with broader health and other partners on local strategies for SP and for client groups (Core Strategy Group) Joint commissioning, procurement, management and delivery of service Integrated packages of housing, housing-related support, social care and health care Strategic oversight and commissioning through a partnership of authorities, Probation and Primary Care Trusts (Commissioning Body) Collaborative working with broader health and other partners on local strategies for SP and for client groups (Core Strategy Group) Joint commissioning, procurement, management and delivery of service Integrated packages of housing, housing-related support, social care and health care

The Benefits A positive impact on: improved health and mobility; reducing admissions to hospital; reducing length of stay and delayed discharge from hospital; reducing visits to A&E; improving access to primary care services for vulnerable people; increasing use of treatment services (for example, drug treatment services); promoting stability in lives which gives the chance to plan ahead, which can reduce psychological distress; and freeing up of capacity to treat other groups and meet other health targets. A positive impact on: improved health and mobility; reducing admissions to hospital; reducing length of stay and delayed discharge from hospital; reducing visits to A&E; improving access to primary care services for vulnerable people; increasing use of treatment services (for example, drug treatment services); promoting stability in lives which gives the chance to plan ahead, which can reduce psychological distress; and freeing up of capacity to treat other groups and meet other health targets.

The Practice Patchy PCT attendance at Commissioning Body meetings generally 1/5 of meetings missed* approx. 17 Commissioning Bodies have only seen a PCT representative once across the last 12 months* Approx. 4 Commissioning Bodies have not seen a PCT representative at all within that period* Feedback indicates difficulty in getting understanding, engagement, etc. But also growing evidence of positive working and experiences * approximate data, based on Administering Authority Milestones returns to DCLG Patchy PCT attendance at Commissioning Body meetings generally 1/5 of meetings missed* approx. 17 Commissioning Bodies have only seen a PCT representative once across the last 12 months* Approx. 4 Commissioning Bodies have not seen a PCT representative at all within that period* Feedback indicates difficulty in getting understanding, engagement, etc. But also growing evidence of positive working and experiences * approximate data, based on Administering Authority Milestones returns to DCLG

The Picture Where it is not working, we tend to hear : SP and health planning timescales did not always fit in PCTs only focus on their DoH targets SP budget is small compared to health PCTs are struggling under initiative overload PCTs do not understand how Supporting People can contribute to meeting their targets AND SP teams do not understand how to get health partners engaged Where it is not working, we tend to hear : SP and health planning timescales did not always fit in PCTs only focus on their DoH targets SP budget is small compared to health PCTs are struggling under initiative overload PCTs do not understand how Supporting People can contribute to meeting their targets AND SP teams do not understand how to get health partners engaged

The Response Health pilots - 6 projects to gather evidence of effective joint working and of SP support for health objectives Doncaster On Track Northampton Swan Nest North Lincolnshire SPIDERS Sure Footed in Salford Southwark and Lambeth Housing Support Outreach Waltham Forest Place to Live Health pilots - 6 projects to gather evidence of effective joint working and of SP support for health objectives Doncaster On Track Northampton Swan Nest North Lincolnshire SPIDERS Sure Footed in Salford Southwark and Lambeth Housing Support Outreach Waltham Forest Place to Live

The Learning

Health Pilots: Even More Valuable than Ever Learning and examples from health pilots is helping us To demonstrate what works To inform decisions on what to do next To illustrate what we want everyone to do To shape further improvements to services for vulnerable people Learning and examples from health pilots is helping us To demonstrate what works To inform decisions on what to do next To illustrate what we want everyone to do To shape further improvements to services for vulnerable people