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Commissioning for Crisis Response: Creating a Position Statement for
Homelessness Prevention in Newcastle
Consultation event: Support for people with complex needs who are multiply excluded
Pandon Room
Newcastle Civic Centre
15th August 2013
Agenda 13.15 - 13.30 Arrival, registration and refreshments
13.30 – 13.40 Introduction from Neil Munslow, Housing and Welfare Rights Service Manager
13.40 – 14.00 Presentation: Louise Lane, Commissioner for Inclusion and Prevention
14.00 – 15.15 Round table discussions: Multiple Exclusion
15.15 – 15.25 Feedback and questions
15.25 - 15.30 Next steps and close
Proposed savings in commissioned services: 2013/14 - £02014/15 - £1.741 million 2015/16 - £0
Proposed savings in council directly delivered services (Housing and Welfare Rights Service): 2013/14 - £0.458 million2014/15 - £0.085 million2015/16 - £0
Crisis response budget proposal - a quick recap!
Crisis response budget proposal - a quick recap!
Our Crisis Response proposal covers services for people who face financial and social exclusion and the risk of homelessness
This includes services directly delivered by the council (Housing and Welfare Rights Service) and services commissioned from Your Homes Newcastle (YHN) and voluntary and community sector organisations
The proposal includes reducing capacity in these resources, but also reorganising them to develop a more coordinated system which supports independence and for preventing and responding to people facing housing and financial related crisis
Contribution to prevention agenda and adopting a lifecourse approach
Purpose of the day
Part of on-going conversation to collectively refine and shape our commissioning plans
To discuss emerging Position Statement following event in May
Understanding the current market mix and utilisation of services
Holding 4 distinct sessions: this session is about the proposed service system for people with complex needs who are multiply excluded
Opportunity to help shape future service specification
Builds on consultation to date and events held on 8th October, 21 November and 10th May, including:
• Opportunities to deliver ‘service systems’ rather than standalone provision
• Understanding the geographical implications• Opportunities to collaborate to deliver outcomes
Position Statement
Following consultation to date, we have proposed four ‘service systems’ within which providers may wish to deliver services:
• Support for single homeless people and homeless families including those with multiple needs, including, but not limited to, those with problematic drug and alcohol use, offending behaviour, mental health problems, learning disabilities, refugees
• Support for young people aged 16-25 at risk, including those with chaotic lives, young people who are leaving the care system, teenage parents and young LGBT people
• Support for people with mental health problems who need specialist housing related support associated with their mental health needs;
• Support for people with complex needs who are multiply excluded.
Position Statement – Market place opportunities
The objectives we are seeking to achieve in commissioning ‘service systems’, rather than individual projects are:
A greater emphasis on prevention by creating opportunities which respond to people’s needs in more flexible ways and offers more opportunities for service innovation;
Improved outcomes from ‘service systems’ that better represent people’s support needs beyond accommodation;
‘Service systems’ that better reflect individuals’ pathways; Opportunities for innovation and for services to work together
to improve outcomes for individuals; A more effective allocation of resources that recognises that
some people facing homelessness have greater or on-going needs
We anticipate that each ‘service system’ will include a range of practical responses in order to respond flexibly to individuals’ needs. This may include, but is not limited to service systems that:
prevent - and where prevention isn’t possible - respond to street homelessness
develop services and systems which prevent homelessness - particularly those that intervene early at life changing moments
prepare people for independence sustain people in independence support those who cannot sustain independence
including interaction with other services that build resilience
The purpose of today is for you to influence the development of the service specification for:
People with complex needs who are multiply excluded
•Use this opportunity to say what you think this client group needs to prevent homelessness, respond to crisis and build resilience
•Other sessions exploring the specification for the other 3 ‘service systems’
Information on current service provision
Current housing-related support services commissioned, along with their service type and service capacityA map showing the spread of current accommodation-based services across the cityInformation on the utilisation of existing services, drawing upon data already published in Newcastle’s Future Needs Assessment.Current spend on commissioned services.
1 service commissioned through the SP programme, however this service is supported by services commissioned elsewhere e.g. Day Centres and Housing First
Multiple Exclusion: Current provision
Number of services
Service description Number of units / people supported at any one time
1Assertive outreach to street homeless people and people in temporary accommodation/at risk of homelessness
30
For housing related support purposes, we describe individuals who are multiply excluded are those who:
Have experienced 3 or more episodes of rough sleepingHave a substance misuse and/or alcohol problemHave offending behaviourHave had multiple admissions (3 or more) into emergency accommodationExperience exclusion from mainstream and other specialist services e.g. health, drug and alcohol treatment, mental health servicesHave limited opportunities to move on to more independent accommodation
Definition
Multiple Exclusion: Needs information
Average of 8-10 rough sleepers per night , although on almost every occasion, accommodation was available but individuals were excluded
44 multiply excluded people have had 254 admissions to emergency accommodation since 2010
The likely outcomes for this group is eviction or abandonment from emergency accommodation
All of the entrenched rough sleepers have multiple needs – mainly addictions followed by offending then mental health problems
The police estimate that 20% of crimes in the city centre are committed by this group
91% of Drug Intervention Programme (DIP) cases have experience of rough sleeping
Multiple Exclusion: Reasons for rough sleeping
Main reasons for rough sleeping 09/10 10/11 11/12 12/13
Evicted 82 58 74 28
Abandoned 103 96 45 26
Released from custody 61 55 26 16
Asked to leave by family/friends 40 41 50 17
Relationship breakdown 17 22 9 17
Hospital discharge 1 2 1 0
Left rehab 2 2 0 0
No recourse to public funds 10 11 5 5
Fire at property 0 0 1 0
Unknown 54 58 41 30
Total 370 345 252 139
Round table discussionsIn groups, we would like you to discuss: Whose needs are we are trying to meet? Do you agree with the suggested definition?Core housing related support tasks – are these still appropriate/relevant to meet the needs identified? How should we prioritise these tasks for this client group? What things make ‘the’ difference?Service mix: balance between accommodation based services and floating support – are there opportunities to better meet people’s needs in more flexible ways? How far should the specification specify this?Service delivery: what good practice should be included (service users, staffing, accessibility)? How should resources be targeted to prevent crisis and build resilience – life course approach?Service outcomes: what are the agreed outcomes we want to achieve and how do we measure success?