1. THE BIG DIVERSION PROJECT NORTH EAST Charlotte Winter – Project Manager North East Offender Health Commissioning Unit

2. Aims of today: Introduce you to the Big Diversion Project (BDP) Provide you with the opportunity to think about where you as a stakeholder could potentially inform/support the future development of diversion and liaison services Inform you of the latest developments nationally in relation to the national diversion programme Welcome & Introduction

3. What is the NEOHCU? NEOHCU hosted by NHS County Durham & Darlington Commissions offender healthcare services on behalf of All Commissioning Primary Care Organisations in the north east

4. The BDP National Drivers Corston Report (Corston, 2007) Bradley Report (Bradley, 2009) Improving Health Supporting Justice (DH, 2010) No Health without Mental Health (HMG/DH, 2011) Breaking the Cycle (MOJ, 2010)

5. The BDP Regional Response & Vision Shifting the conceptual model from ‘prison health’ to the development of an ‘offender health’ pathway The ‘Big Diversion Project’ relates to the whole criminal pathway from pre-arrest through to arrest and charge, to court appearances and sentence. Our vision is to ensure that people with mental health problems or learning disabilities who enter (or are at risk of entering) the criminal justice system are identified and provided with appropriate health services, treatment and any other support they need at the earliest possible stage.

6. What do we know now? Varied level of provision for those with MH/LD in contact with the CJS in the north east What are we trying to achieve? An understanding of how diversion and liaison can be best offered to different populations in terms of : Offender Needs The geographical setting Specific target groups All criminal Justice Pathway Stages

7. Phase 1 Initiation & Scoping A literature review Initial consultation with regional stakeholders Formed a multi-agency advisory group with senior representation Phase 2 The Development Phase We have contracted with NTW/TEWV/RDA to: provide analysis of existing diversion service provision, propose and test where possible new ways of working evaluate those new ways of working produce recommended service specifications to be market tested and delivered in phase 3 Phase 3 Implementation The service specifications produced in phase 2 will be used by the NEOHCB to develop diversion and liaison services in the north east The BDP Strategy into Action How are we trying to get there?

8. The National Diversion Programme Government commitment to make liaison and diversion schemes nationally available by 2014, subject to business case approval DH have set up the National Diversion Network –101 members (54 adult sites/37 Youth justice sites/10 police early adopters) This network : Collect evidence to measure health / economic impact Evaluate standard diversion model Improve understanding of the information processes and technology required Clarify the shared role of key partners Advise and test on alternatives to custody.

9. Police Early Adopter Programme Only stage in adult criminal justice pathway where healthcare is not NHS-commissioned In March 2011, Home Office and Department of Health Ministers agreed to establish a voluntary framework to enable Police Authorities to opt into local commissioning partnerships with the NHS – with the formal transfer of commissioning and budgetary responsibility for police detainee healthcare to the NHS expected in 2015 The NEOHCU are currently working with Northumbria Police, who are one of the first10 police force early adopters nationally, on the shadow transfer of the commissioning of their detainee healthcare to the NEOHCU as the lead NHS Commissioner.