Deloitte UK screen 4:3 (19.05 cm x cm) Employment Support Services for ‘Deaf’ Users Understanding the current system 25 September 2014

Deloitte UK screen 4:3 (19.05 cm x cm) Approach 2 How we will seek to understand the current system Programme Level Cohort Level Knowledge gaps ‘Deaf Users’ as part of the wider Access to Work (AtW) programme ‘Deaf Users’ as a distinct cohort Suggested additional information required to inform development of options for change

Deloitte UK screen 4:3 (19.05 cm x cm) Programme level 3 ‘Deaf’ Users in the context of the wider Access to Work programme 35,000 total users supported annually 5,600 ‘Deaf’ users supported annually over £100m annual spend (All users) £33.8m or 32% of total annual spend (‘Deaf’ users) £33.8m or 32% of total annual spend (‘Deaf’ users) Data sources: data provided by DWP officials plus response to oral Parliamentary Question dated 11 June 2014 (as recorded in Hansard column 168W)

Deloitte UK screen 4:3 (19.05 cm x cm) Cohort level - people ‘Deaf’ users in more detail (1 of 4) 4 People who ‘have trouble hearing’ Of the total working age population in general that ‘have trouble hearing’ Majority (65%) are in work Significant number not in work or economically active (35%) Less than 6% receive AtW support Available data cannot support more detailed analysis of the 5,600 ‘deaf’ users receiving AtW support Nor do we know how many would be working were they to have on going significant support Data sources: Data taken from Office for National Statistics Labour Force Survey Q Access to Work currently supports less than 6% of all employed people who ‘have trouble hearing’

Deloitte UK screen 4:3 (19.05 cm x cm) Cohort level - financial ‘Deaf’ users in more detail (2 of 4) 5 Access to Work ‘Deaf’ User spending 74% of spend is on BSL interpreters 18% of spend is on support workers 92% of total spend is on ‘person centric’ services (e.g. interpreters and support workers) ‘Technology centric’ services (e.g. Specialist Aids & Equipment) account for less than 1.5% of spend Available data cannot support more detailed analysis of costs Data source: 2013/14 data as provided by DWP officials [NOTE: as provided the headline spend of £34m cannot be fully reconciled with the breakdown of spend by areas (the sum of which is £32.45m)] Key: BSLI* – British Sign Language Interpreters; Support Workers* = other support workers (e.g. drivers, note takers etc); and Other Services*** = Specialist Aids & Equipment, Travel to Work, Assessments and Communications Support at Interview £m

Deloitte UK screen 4:3 (19.05 cm x cm) Cohort level - financial ‘Deaf’ users in more detail (3 of 4) 6 40% of awards are for less than £1,000 77% of awards are for less than £10,000 Available data cannot support more detailed analysis Data source: 2013/14 data as provided by DWP officials Number of awards Value of awards

Deloitte UK screen 4:3 (19.05 cm x cm) Cohort level - services ‘Deaf’ users in more detail (4 of 4) 7 Person centric– providing BSL interpreters and other support workers (e.g. drivers, note takers etc) Technology centric– providing access to supporting technology (e.g. digital translation software and hardware) Financial support – providing support funds (e.g. to meet the costs of transporting specialist equipment to a new job location) Available data is unable to support further analysis of each service category Access to Work provides three broad categories of services

Deloitte UK screen 4:3 (19.05 cm x cm) Knowledge gaps What are they and what data is needed to close them? 8 What is being purchased? From whom? How? How are services selected? How are costs calculated? How are benefits calculated? Demographic breakdown (e.g. age profile) Employment type (e.g. FT/ PT) Geography (e.g. dispersed or concentrated) Industry/ sector (e.g. specialist or generalist roles) Who are they? What are they doing? Where are they doing it? Category Areas of focusData examples Users Spending Support Services Purchase breakdown (e.g. how many BSLI hours?) Direct or indirect (e.g. % of spend via 3 rd parties?) Commercial model (e.g. how is spend managed?) Quantitative analysis (e.g how often is mix of IT & human supports delivering maximum efficiency ) Qualitative analysis (e.g. user satisfaction?) Evidence of trade-off choices (e.g. how calculate the optimum service choice for an individual user?)

Deloitte UK screen 4:3 (19.05 cm x cm) Conclusions What we don’t know may be more significant than what we do… 9 We know AtW spends over £100m supporting over 35,000 ‘users’ each year £34m is spent supporting 5,600 ‘deaf’ users Implication is per capita support costs are higher for ‘deaf’ users than other categories which given they are by definition on going needs is not surprising 92% of spend on ‘deaf’ users is ‘person centric’ – e.g. BSL interpreters and other support workers We don’t know How diverse the ‘deaf’ user cohort is – e.g. what % have long term complex support requirements? How the individual awards break down between different users How the money flows between AtW and users – e.g. what % of spend goes via 3 rd parties? How might different types of support services be mixed – e.g. how are choices made between a person or technology centric solution – or mixed? How benefits are calculated – e.g. how are quantitative and qualitative costs and benefits accounted for? More and better data is needed to inform options and choices for the future operation of the AtW programme for ‘Deaf’ users.

Deloitte UK screen 4:3 (19.05 cm x cm) 10 Important Notice Deloitte LLP (“Deloitte”), is providing this draft document as pro bono support to the Business Disability Forum (“BDF” or the “Client”) to serve as an input into the future options workshop to be held on 25 September 2014 This draft document has been prepared at short notice at the request of “BDF”. The sole purpose of this draft document is to provide further context for the discussion at the workshop on the 25 September The information contained in this draft report in its entirety is derived from the sources as listed. Deloitte has not conducted any independent research, analysis or validation of the information contained within this draft report. No party is entitled to rely on this draft for any purpose and we accept no responsibility or liability or duty or care to any party whatsoever in respect of the contents of this draft document No reliance may be placed for any purposes whatsoever on the contents of this draft document or on its completeness. No representation or warranty, express or implied, is given and no responsibility or liability is or will be accepted by or on behalf of Deloitte or by any of its partners, employees, agents or any other person as to the accuracy, completeness or correctness of the information contained in this draft document or any other oral information made available and any such liability is expressly disclaimed. This draft document and its contents are confidential and may not be reproduced, redistributed or passed on, directly or indirectly, to any other person in whole or in part without the prior written consent of Deloitte..

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