THE SUPPORTING PEOPLE PROGRAMME IN SALFORD- Future DirectionPresentation to Neighbourhoods Scrutiny Committeeon 20th 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 2007.

• “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

£0.00

£500,000.00

£1,000,000.00

£1,500,000.00

£2,000,000.00

£2,500,000.00

£3,000,000.00

£3,500,000.00

£4,000,000.00

Alcohol ProblemsDrug ProblemsGenericHIV/AIDSHomeless FamiliesSgle HomelessLDMHOffendersOPPhysicalTravellers Domestic ViolenceYP at RiskYP Care

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

32 52 77

12

129

44

196

14

21128

255

80

328

8

Alcohol Problems

Drug Problems

Homeless Families

HIV/AIDS

Single Homeless

Physical/sensory disability

Generic

Travellers

Offenders

Women at risk violence

Mental Health

Young People at risk

Learning Difficulties

Young People - care leavers

Key Issues by client group

Summary of Regional Needs Assessment for Supported Housing 2009

Key:

ABS = Accommodation basedNABS = Non accommodation basedCA = Community alarmHIA = Home Improvement AgencyMH = Mental HealthLD = Learning difficulties

* minus figure = oversupply

Client Group Supply Unmet Need *

Service Type ABS NABS CIA HIA ABS NABS CA HIA

Older People with support needs 1775 1108 1147 200 230 451 -627 -23

Older People with MH problems 10 0 0 0 10 40 15 3

Frail Elderly 237 0 0 0 100 391 100 36

Single Homeless 129 0 0 0 -39 34 0 0

Physical & Sensory Disability 20 20 0 0 3 6 98 7

Drug misuse 8 60 0 0 107 -9 0 0

Alcohol misuse 18 8 0 0 22 33 0 0

Domestic Violence 14 41 0 0 34 61 0 0

Teenage Parents 4 50 0 0 1 1 0 0

Young People leaving care 5 15 0 0 30 10 0 0

Young People at Risk 61 33 0 0 52 29 0 0

Rough sleepers 0 0 0 0 1 0 0 0

People with MH problems 140 109 0 0 -6 48 0 0

People with LD 318 6 0 0 -210 80 0 0

People with HIV/AIDS 0 12 0 0 11 13 0 0

Refugees and asylum seekers 0 20 0 0 2 -17 0 0

Travellers 0 14 0 0 8 -9 0 0

Offenders/at risk of offending 41 119 0 0 20 -71 0 0

Mentally disordered offenders 0 0 0 0 1 4 0 0

Homeless families 17 20 0 0 52 27 0 0

Totals 2797 1635 1147 200 429 1122 -414 23

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 2011.

• 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?