LOCAL AREA COORDINATION VULNERABLE WELLBEING FRAIL SUPPORT CONTRIBUTION FAMILY STRENGTH NAVIGATION LEARN LOCAL AREA COORDINATION RELATIONSHIPS ASSETS TEACH SHARED GIFTS & SKILLS COMMUNITY NEIGHBOURS PERSON CENTRED NETWORKS INFORMATION FRIENDS PEOPLE LONELY DISABILITY HOPE ISOLATED MENTAL HEALTH ISSUES

Building on Learning Starting at the Start Turning the system upside down - simplifying Building individual, family, community resilience & contribution Strengths, relationships, local solutions Building social capital and mutual support More local, personal, flexible, integrated services

Local Area Coordination in England and Wales City of York Kirklees Derbyshire Leicestershire Derby City Suffolk Solihull Thurrock These are the areas currently developing or operating Local Area Coordination across England and Wales. In all areas, Local Area Coordination is embedded in the system, but delivered in the community alongside local people. This provides both opportunities for driving conversations and action around reform, systems change and cultural change within the system, whilst being embedded in the community alongside local people, families and neighbourhoods. WaItham Forest Haringey Swansea Neath Port Talbot Isle of Wight

Local Area Coordinators Defined geographical area Conversation & joint work focused on a good life Build on the assets and contribution of people and the community Whole person, whole family Voluntary relationship – introductions not referrals Not time limited but avoids dependency Currently, services can be very complicated, resulting in multiple interventions Local Area Coordination combines a range of traditionally separate roles and is delivered in the community alongside local people. A single point of contact support people of all ages, across service types – a local, integrated approach, focusing on supporting people to stay strong avoid services or reduce their dependency on services. Strong emphasis on partnerships with statutory services, community services and local people – building on the local resources and expertise Rather than asking what needs do you have or what services do you want, Local Area Coordination starts at a different place. It asks person by person, what is your vision for a good life and what are the range of ways we can get there. It focuses on gifts, skills, interests and local solutions first, but values services as a back up. It specifically aims to help people stay strong strong instead of waiting for crises In the community, Local Area Coordinators are skilled individuals that support individuals across age groups and service labels as a single point of contact in the local community. Rather than being parachuted in for a time limited intervention to fix people – they take time to get to know people and support local solutions and build resilience. Help people to stay strong in the future. It combines a range of traditionally separate roles and delivers alongside local people, families within the community including Identify gifts, strengths and needs Information advice Relationship building – circles of support Self advocacy Community building Planning for the future Community connecting Find practical non service solutions Access services, navigate and control services – care navigation, brokerage

Contributors not clients Local Area Coordinators support: People not yet known to services to help build resilience and remain part of their community (staying strong – avoiding need for services) People at risk of becoming dependent on services to remain strong in their own community diverting the need for more expensive “formal service” responses. (reduce demand) People already dependent on services to become less so and more resilient in their own community. This slide reinforces the varied nature of the role. As part of simplifying the system and maintaining trusting relationships, Local Area Coordinators work alongside people before crisis (building resilience), in crisis at risk of becoming dependent on services ((diverting people from services to sustainable, natural solutions within communities) and people already dependent on services (reducing dependency and cost wherever possible). This is done in strong partnership with the person, their family and service and community partners It’s not just a preventive approach, but works alongside people across not only service labels and age groups, but also to build resilience, support at crisis (to build non service solutions wherever possible

Evidence and Outcomes System impacts Reductions in: Isolation Impacts for people Reductions in: Isolation Falls, visits to GP surgery, A&E, admissions Dependence on formal health and social services Referrals to Mental Health Team & Adult Social Care Safeguarding concerns, people leaving safeguarding sooner Evictions and costs to housing Dependence on day services Simplifying system – local point of contact Integrated Joint outcomes Swansea Uni (2017) Financial Benefit 2-3:1, increased networks, contribution Social Return on Investment £4 Return for every £1 invested in 3 separate SROI in 3 areas (2015 & 2016)   When asked about the impact of support from Local Area Coordination, people have reflected significant and consistent improvements in quality of life Increased valued, informal, support relationships – reducing isolation, Increasing capacity of families to continue in caring role, Improved access to information, Better resourced communities, Improved access to specialist services, communities Support into volunteering, training and employment, Preventing crises through early intervention, Changing the balance of care to the use of more informal supports and diverting people from more expensive services. Improved health, well being & confidence Accessing appropriate care and benefits, Significantly less medical symptoms (Ed’b Napier 2017) Significantly lower levels of psychological distress

Keys to Success – Tinker or Reform? Importance of…….. National Network – “continuity, connections, mutual support, invest in learning, training – a community of practice” Strong design and strong connected leadership. The “slow fix” delivers quicker more sustainable outcomes. Staying true to approach throughout – resist the pull!! No diluting, cherry picking bits. Expect and welcome the challenges to ways of working/thinking. Inclusion, contribution, leadership, accountability Recruiting the right people, pay the right money.

The Local Area Coordination Network Connected learning & support Elected Members Network, Leaders, Managers, Local Area Coordinators Resources, peer support, access to evaluation & evidence Influence, partnerships and strategic partnerships

Local Area Coordination – think big, start small, get it right - GROW. Samantha Clark or Ralph Broad Local Area Coordination Network CIC Email Sam@lacnetwork.org or Ralph@lacnetwork.org Web http://lacnetwork.org Facebook https://www.facebook.com/LACNetwork/