Supported Employment A Creative Solution September 2012 Welfare to Work

Our Vision: Equality of opportunity for people disadvantaged in the labour market to access paid employment Our Purpose: SUSE is the lead body for supported employment in Scotland, working with all who have a professional interest in supported employment, to develop the understanding, adoption and quality of supported employment. SUSE

A consensus supported employment works Current Developments: – Supported employment is being professionalised – Creative tools and programmes being piloted Supported employment fills a gap, and evidence it is cost effective More needs to be done to redesign existing services and increase supported employment. Key Messages

“ At every qualification level, disabled people are more than three times more likely than non-disabled people to be without a job but want to work ” The Perfect Partnership, EHRC The Current Situation

Supported Employment Services provide individualised support to secure people with disabilities, long term conditions and multiple barriers to work a sustainable, paid job in the open labour market. Supported Employment Works

Scotland: Local authorities should establish supported employment services (Scottish Parliament, 2006) The Supported Employment Framework for Scotland (COSLA and The Government 2010) UK Valuing People Now (2009, England) Review of specialist employment services (Sayce for DWP, 2011) DWP Work Choice Supported Employment in Policy

Supported Employment in Practice Success Factors: Meeting the needs of individual and employer Job matching Ongoing support Employers say: “ suits her, suits us” “know what our requirements are” “amazing during redundancy consultations

Current Developments Clydeside Community Initiative – Scottish Business Diversity Winners 2011

EUSE Standards The Supported Employment Framework SQA PDA in supported employment practice, level 7 and level 8 National Occupational Standards. S.E. Professionalisation

PDA in Supported Employment Practice at SCQF level 7 – Values and Principles – Engaging with Clients – Promoting Equality and Diversity in the Workplace – On and Off the Job Support. A pilot of the PDA is being offered by Stow and Motherwell colleges from November New Qualification

PDA in Supported Employment Advanced Practice at SCQF level 8 Knowledge and skills to : – manage staff and resources in supported employment services – develop and sustain relationships with employers and relevant partner agencies 4 component Units: 2 mandatory and 2 optional Units. New Qualification

DWP Work Choice DWP Innovation Fund – Social Impact Bonds – Perth YMCA and Greater Merseyside Connexions Right to Control Pilot in Stockport – Mix of DWP and Local Authority Money – Personalised Budget Pilot. Paid 3*£2,000 Delivering SE – Payment by results

Self Directed Support Self Employment Individual Placement and Support (IPS) in Scotland Project Search Promoting enhanced Access to Work Delivering SE – current initiatives

Partnership between college, employer, se provider 2 Existing Sites in North Lanarkshire 1 New Site in South Lanarkshire Sept New Sites starting in 2013 Aberdeen, Glasgow, East Ayrshire, Falkirk 3 Additional Sites in the development phase The Scottish Centre fore Learning Difficulties Project Search

Evidence based supported employment for people with mental health issues Recommended in the Mental Health Strategy Employment support workers within CMHTs IPS Pilots Sites run by SAMH with 3 NHS Boards; The Works in NHS Lothian; NHS GGC and NHS Highland. IPS

It costs to get people into work but it pays. Supported employment Health and social care Cost Benefit

Estimated cost per employment outcome between £7,000 and £10,000: – North Lanarkshire Supported Employment cost per job was £7,216 (2007) – Kent Supported Employment Service £9,900 per person – Real Job cost per job £8,725 per job Cost per job outcome

For the individual: – People with learning difficulties £62.30 per week better off in work For Local Authorities: – £11,200 pp for day services. £9,910 pp for S.E. For the Health Service: – Spending pp on MH Services declined by 60% (Schneider et al). For Government: – Potential saving of 12p for every £1 invested Benefits are greater than the costs

Providers: delivering quality, overcoming fears, delivering within a personalised marketplace Commissioners, health and social care professionals: The presumption of employment Commissioners: reconfiguring services in line with the evidence base Policy makers: promoting existing policy The Challenge

Supported employment: Reduces need for adult health and social care Focuses on improving outcomes: – Securing employment for disabled people – Tackling inequality – Tackling poverty Contributes to a vision of a Wealthier, Healthier, Safer and Stronger Scotland. A Creative Solution

Pippa Coutts Scottish Union of Supported Employment Contact

Do you commission/operate a supported employment service locally? – Is it external or internal What are the job outcomes? (%age of people into work ) Who is it targeting? (learning disability only?) How long is the service funded for? Discussion

How have you been doing? “Recommendation 16 Same As You?”: Local authorities need to give much greater priority to developing a range of employment opportunities for people with learning disabilities. And, with Health Boards those authorities should lead by example in employing more people with learning disabilities. Section 26 of the Mental Health Act (2003): Local Authorities shall provide services for wellbeing and social development including: assistance for such of those persons as are over school age in obtaining and in undertaking employment.

Burns, T., Catty, J., Becker, T. et al. (2007) The effectiveness of supported employment for people with severe mental illness: A randomized controlled trial. The Lancet, 370, DWP, “Realising Ambitions”, Crown Copyright 2009 Kilsby M., Beyer S. “Financial Cost:Benefit Analysis of Kent Supported Employment” Interim Report March 2010 Radar “Supporting Sustainable Careers”, 2010 Sainsbury Centre for Mental Health, Briefing 41 “Commissioning What Works. The Economic and Financial Case for Supported Employment” Office for National Statistics (2009), Labour Force Survey Schneider et al., Impact of supported employment on service costs and income of people with mental health needs (Journal of Mental Health, 2009). References