THE SUPPORTING PEOPLE PROGRAMME IN SALFORD - Future Direction Presentation to Neighbourhoods Scrutiny Committee on 20 th December 2010 By Sarah Clayton/Glyn Meacher

Contents Strategic Overview Current spend Current Supply Key Issues by client group Performance against the 2010/11 Business Plan Current financial projections and issues

Strategic Overview The Government’s strategy for Supporting People “The Supporting People programme, created in 2003, provides the means through which Government ensures that some of society’s most vulnerable people receive help and support to live independently”. “It makes an important contribution to our objective of promoting equality of opportunity and enabling vulnerable people to participate fully in the social and economic life of their communities”.

Salford’s delivery of Supporting People Salford Strategy signed off in 2009 Four priority themes:- Commission Strategically Led Services Deliver Continuous Improvement Deliver Positive Outcomes Increase Choice & Control for Service Users

Underpinned by a new local eligibility criteria agreed by Commissioning body in February 2009 “Services whose primary focus is on delivering housing related support which will enable vulnerable people to:- Develop skills in order to be able to move into independent living Be supported to make a successful move into independent living Remain living in independent situations in the community”. Salford’s delivery of Supporting People continued…

Salford's delivery of Supporting People continued? Strategic goals have been to –Prioritise joint commissioning arrangements –Maintain stability within the sector –Deliver a more balanced programme through new commissioning based on 50% of available new funding going into socially excluded groups –Explore the introduction of personalisation

Spend by Client Group

Current supply Pie chart – units for each client group (excluding older people)

Key Issues by client group

Summary of Regional Needs Assessment for Supported Housing 2009 Key: ABS = Accommodation based NABS = Non accommodation based CA = Community alarm HIA = Home Improvement Agency MH = Mental Health LD = Learning difficulties * minus figure = oversupply Client GroupSupplyUnmet Need * Service TypeABSNABSCIAHIAABSNABSCAHIA Older People with support needs Older People with MH problems Frail Elderly Single Homeless Physical & Sensory Disability Drug misuse Alcohol misuse Domestic Violence Teenage Parents Young People leaving care Young People at Risk Rough sleepers People with MH problems People with LD People with HIV/AIDS Refugees and asylum seekers Travellers Offenders/at risk of offending Mentally disordered offenders Homeless families Totals

Supported accommodation single homeless people Current provision predominantly delivers 24/7 staffed accommodation based services All projects meet needs of single homeless people with other needs Mental Health, Offending, Drug and Alcohol Nature of provision is expensive to run with joint commissioning not an option New Places for change model of provision due to open in Core provision Places for Change and Women's Only emergency accommodation – 36 bed spaces Current supply consists of 129 bed spaces contained within 5 projects and an outreach services of 31 units

Floating Support Current provision consists of 6 services offering 329 units to all vulnerable client groups Referrals to services through single access point – Housing Support Link All contracts running to September 2010 Plan is to strategically commission floating support services on a generic basis, thereby, delivering opportunities for efficiencies and reconfiguration of services to meet need

Specialist provision – Drug and Alcohol Current supply 94 units consisting of 26 bed spaces of supported housing and 68 units of specialist floating support linked to people in treatment All services jointly planned with DAAT and jointly commissioned where appropriate Strategic review underway which will recommend core services to be accommodation based support linked to recovery and linked specialist floating support

Specialist provision – Homeless Families Current supply Homeless Families Unit, floating support to families linked to Family Intervention projects, 2 refuges for Women at risk of domestic violence and 4 units of accommodation for teenage parents Total Units 55 All the above are core services with model of delivery being explored for the first three with opportunity for delivering efficiencies incorporated within them

Specialist provision – Learning Difficulties Current supply is 316 units delivered in 78 services All services are jointly commissioned with Learning Difficulties New Direction service Agreed funding in place of £3.6 million, which represents a £1.25 million reduction All services considered to be core due to the fact that they provide support to people in receipt of statutory services, however, the level of funding has been based on historic funding patterns.

Specialist provision – Mental Health Current supply is 140 units All services to be jointly commissioned with PCT and Community Health and Social Care. Strategic review underway reconfiguring all services to meet the personalisation agenda Projected efficiencies 17% of current spend

Specialist provision – Older People Current supply 1775 units of Sheltered Housing services in 31 schemes 1847 units of Community Alarm services, by large provider jointly funded with range of partners Housing Choice service 5 Extra Care Housing schemes Core Services – housing related support delivered in existing sheltered housing, with Community Alarm provision to those who need it

Specialist provision – Physical and Sensory Disability Current supply consists of 18 units of supported accommodation and 20 units of floating support for people with dual sensory loss Services considered to be core and recent procurement exercises have delivered efficiencies

Specialist provision - Offenders Current supply 211 units - Salford Offender Service, Cross Authority commissioned GMOP, Supported accommodation project and floating support Core service – Salford Offender service jointly commissioned with Probation Key issue – Significant overlap between Single homeless provision, also meeting needs of people with an offending background

Specialist provision – Young People Current provision 81 bed spaces of supported accommodation, supported lodgings scheme, floating support for care leavers, service for young people with moderate learning difficulties Limited joint commissioning with Children's Services Plans in place to reconfigure services based on assessment centre model will require additional funding to deliver it.

Delivery against the Supporting People Business plan – 2010/11 Commissioned a range of new services:- –Gypsy and Traveller floating support –Salford Offender service –Supported Lodgings –Support to people with dual sensory loss

Delivery against the Supporting People Business plan – 2010/11 Revised Supporting People governance structures including membership of Commissioning Body and new Commissioning framework Improved performance in both Supporting People National Indicators Enhanced joint commissioning processes with a range of partners Undertook a number of strategic reviews Delivered significant efficiencies without widespread project closure

Current financial projections and issues In year savings required for 2010/11, have been met with limited service closures Likelihood of significant financial savings needed next year is high. Initial options for savings have been drawn up, and been shared within the Council and with key partners Revised proposals based on savings of approximately 10% of the budget have been developed, and are currently being considered assessed.

QUESTIONS?