Local Area Agreements

							  Partnerships and Local
Communities: The Supported
   Housing Perspective


             Tom Surrey
    Housing Care & Support Division
   Communities & Local Government
          14 February 2008
                             What is the SP programme?

 It is a successful cross-cutting, preventative programme
  launched in 2003, to fund housing related support

 The Government has invested over £8.7bn since the
  Programme began, and is a key funding stream for tackling
  social exclusion

 Commissioned through local partnerships between local
  authorities, housing, health and probation service

 Delivered by statutory and voluntary sector
  o 6,000+ providers


 SP programme helps over 1m vulnerable people to live
  independently each year                                     2
                Avoiding the
                                    Investment in Prevention
                need for
                residential
                care




                            Care with
 Preventing                  support
                             62,000
 homelessness                 Units
 & rough                     £507m                         Preventing A&E
 sleeping                                                  admission for
                                                           frail older
                                                           people
                 Socially               Independence
                 Excluded                with support
                 159,000                843,000 Units
Teenage            Units                    £315m
parent back       £821m
onto path of                                            Based on 2006/7
                                                        spend data
success                                                                   3
                             Local Government White Paper

 Strong and Prosperous Communities set out the Government’s
  commitment to ensure more flexibility and responsibility to authorities
  and their partners to respond to local need and improve the quality of
  life for citizens.


 Supporting People will take forward this commitment by delivering the
  administration grant through Area Based Grant (ABG) from April
  2008, and conducting a “real world test” of delivering the programme
  grant through ABG, in time for April 2009.


 Delivery through ABG will remove the ringfence and so increase
  flexibility in how funds are used to meet local needs, as set out in
  Local Area Agreements, more effectively.


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                           Delivering in the new local government
                               landscape: Managing Performance

•   New national indicator set embeds delivery of housing support in the
    mainstream. Includes two current KPIs:
    o NI 141 Number of vulnerable people achieving independent living
    o NI 142 Number of vulnerable people who are supported to
      maintain independent living

•   Number of other indictors that are relevant to vulnerable people,
    including (but not limited to) those relating to:
    o domestic violence,
    o alcohol harm,
    o re-offending,
    o worklessness,
    o use of temporary accommodation and
    o the satisfaction of people over 65 with their home and
        neighbourhood.


                                                                        5
                                        Influencing local priorities


•   Evidence
    o SP KPI baseline
    o Audit Commission SP inspections
    o Client Records and SP Outcomes set
    o Service user groups can provide community voice

•   Front line information on changing local needs

•   Duty to involve

•   Identifying local targets (i.e. “non-designated” targets which can
    be within or outside the NI set but will still form a full part of the
    LAA)




                                                                        6
                    Links with Health and Social Services (1)

•   The DH White Paper Our health, our care, our say set out the
    direction to achieve:
    • better prevention and early intervention for improved health,
        independence and wellbeing
    • more choice and a stronger voice for individuals and
        communities
    • tackling inequalities and improving access to services
    • more support for people with long term needs


 SP supports and achieves delivery of these goals, and enables
  other specialised interventions to work – drug rehab programmes,
  health services, employment and training



                                                                      7
                   Links with Health and Social Services (2)

• Individual Budget Pilots, composing up to 6 different income
  streams (including social care, Disabled Facility Grant and
  Supporting People) are well under way in 13 local authorities.

• Focussed on people who need long term support services;

            •   People with physical disabilities
            •   People with learning disabilities
            •   Older people
            •   Mental Health

 Aim: - To put the person who is supported, or given services,
 at the centre of the process and to give them the power to
 decide the nature of their own support, how the support is
 delivered and who delivers it.

                                                                   8
                    Links with Health and Social Services (3)

• Integrated needs assessment - there are 3 aspects of health and
  social care that housing and SP can be aligned with:
   • the needs assessment process and form

   • support planning

   • the commissioning process

• DH leading on Common Assessment Frameworks.

• We are exploring the inclusion of housing support in this – to allow a
  person’s health, social care and housing support needs to be
  assessed at the same time.

• Pilot to include SP underway in Nottingham.
                                                                    9
                                   Assessing Local Needs

 Joint Strategic Needs Assessments, published by DH in
  2007.

 Data, for example on local needs assessment, from
  authorities’ 5 Year Supporting People Strategy can be
  used to inform the JSNA

 Cap-Gemini study: research into the financial benefits of
  the Supporting People programme:
   Investment in Supporting People services avoids costs
     elsewhere, and therefore produces a net financial
     benefit.

 Does your Joint Strategic Needs Assessment include
                Supported Housing?
                                                          10
                            Commissioning in Partnership
 SP commissions in partnership with local authorities, housing,
  health and probation service.

 11 national Value Improvement Programme pilots (VIPs)
  completed - we are now disseminating the lessons learned from
  the VIP pilots: 11% efficiencies, 200% return on investment.

    VIP working to address conflicts and tensions around
     commissioning and procurement
    Encourage the adoption of good practice approaches
     including use of single model contracts for joint
     commissioning of service between health and social care
     and SP teams

  Are you including service users in your commissioning
                         process?
                                                               11
                         Benefits of Supporting People

 Financial benefits - investing in packages of support that
  include SP avoids costs elsewhere. Specifically, an investment
  of £1.55bn produced an estimated net financial benefit of
  £2.77bn

 Outcomes evidence – national SP Outcomes framework
  developed and in use. Provides a measure of how successful
  housing support services are in meeting the needs of some of
  the most socially excluded individuals in England.
   E.g. 71% of people with drug problems who left housing support
     service between May 31st and Sept 07 were successfully
     supported to better manage their physical health.

 Better services – more tailored to meet local needs and
  priorities.
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                                           Discussion Points



Assessing Local Needs:
How would you include supported housing into your
Joint strategic Needs Assessment?



Commissioning in Partnerships:
Are you considering all partners, not just “named
partners”?



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                                      Find out more…



 The Communities and Local Government website:
  www.communities.gov.uk


 Capgemini Research:
  http://www.communities.gov.uk/publications/housing
  /supportingpeoplefinance


 Supporting People Strategy:
  www.spkweb.org.uk

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