Suporting People Update

1
Supporting People Draft National
Strategy Creating Sustainable Communities Support
ing Independence
2
Why do the ODPM need a strategy?

• Audit Commission Report on the programme
• To further explain Supporting People
• To get the views of stakeholders
• Make the case for the spending review

3
ODPM Draft SP Strategy

• Supporting People helps people to
• Develop lifeskills
• Access services and benefits
• Access training and employment
• Stay at home e.g. wardens and alarm services
• Challenges for the future
• Prevention
• Integration
• Designed for users
• Individualised budgets
• Most effective use of resources

4
Strategic context

• Sustainable communities
• Tackling disadvantage and social exclusion
• Increasing choice
• Reducing hospital admissions
• Reducing re-offending
• Reducing and preventing homelessness
• Reducing substance misuse
• Preventing and addressing anti-social behaviour
• Reducing health inequalities
• Supporting teenage parents

5
Funding

• Funding settlement for next two years
• SP Distribution Formula out for consultation
• Possible future funding scenarios
• Flexibility for funding services that are mainly
  care
• Low level support individualised budgets
• Social exclusion performance incentives (LAAs)
• Teenage parents and young people Childrens
  Trusts
• End the ring-fence, but contain other incentives
  e.g.
• Outcomes, cross-authority working

6
Administration

• Future management and decision-making
• Role of Commissioning Body? Effect of LAAs? Local
  Strategic Partnerships?
• Service reviews
• Local monitoring requirements
• Procurement
• e-Supporting People
• SP Directory of Services
• Workbooks for monitoring services
• Outcome mapping tracking of service users?

7
Key consultation questions

• Strategic context
• How could we ensure outcome measures for
  housing-related support at the national level?
  How could outcomes be set at a local level?
• Focusing support
• How can we build upon steps already taken to
  create a user focus within Supporting People?

8
Key consultation questions

• Funding
• To what extent should redistribution of funding
  between authorities be carried out, and over what
  period?
• How can the balance be struck between providing
  flexibility and ensuring ongoing investment in
  support?
• Administration
• What approach should local authorities develop
  for future performance and contract management?
• e-Supporting People
• What more might we do to facilitate exchange of
  information between Supporting People and other
  services?

9
Practical arrangements

• Strategy can be found at
• http//www.spkweb.org.uk/Subjects/ODPMSupporting
  PeopleStrategy/CreatingSustainableCommunites-
  SupportingIndependence.htm
• Closing date for comments
• Tuesday, 28th February 2006
• Comments to
• Henry Demaria
• Henry.demaria_at_odpm.gsi.gov.uk

10
Models for Integrating Support
11
Integrating support
12
Integrating support

• Care with support
• SP underpins care services and maximises
  independent living
• Frail older people, severe learning disabilities
• People living independently with support
• Maintaining independence and preventing decline
• Older people, low level learning disabilities,
  low level mental health problems
• People experiencing or at risk of social
  exclusion
• Preventing and dealing with crises
• Homeless families and single people, fleeing
  domestic violence, ex-offenders, young people,
  teenage parents etc.

13
Groupings

• Designed to simplify SP for Ministers
• Sets the direction for SP to travel
• Provides clearer focus for services delivering
  support
• Individuals and groups can fit into two or more
  categories
• Helps SP to create synergies with other
  stakeholders
• Are they useful to others?

14
Care with support

• Working with people to prevent decreases in
  independence
• May be within Supported Housing or in own home
• Supporting people with high needs, often
  long-term
• SP underpins broad package of support
• Maximise Value of care services
• Prevents costly interventions
• E.g. Providing a Community Alarm service to a
  frail elderly person as part of extra-care scheme

15
Challenges

• Risk that funding could be diverted to statutory
  duties
• Improving choice and control for users
• Individualised budgets
• Direct payments
• Include housing related support needs within
  assessment models
• Integrated commissioning of care and support
• SP part of service continuum

16
Work so far

• Commissioning with LD
• Joint Contracting
• Work with Vulnerable Practitioners Group
• Establishing continuum of Support
• Extra Care
• Joint Commissioning

17
Questions

• What more can Government, authorities and
  providers do to focus services more effectively
  on individuals to create better choice and
  control?
• What more can be done to focus on support to
  enable people with care needs to stay in their
  own homes?

18
Independence with support

• Many vulnerable people are able to sustain
  independence with a small amount of support
• Long term low level support
• HR Support will usually be the main regular
  service
• SP will have lead responsibility for integrating
  and co-ordinating services
• Floating support is key to allowing people to
  exercise their preference
• Important role for Home Improvement Agencies

19
Challenges

• Key challenge to make this support available to
  people in their own homes
• No strong reason why low level support should be
  tied to tenure
• Current imbalance between availability of
  accommodation based and floating support
• Local Authority should play a key role in
  ensuring the correct mix of services
• SP Commissioning Plans
• Regional and Local Housing Strategies

20
Work so far

• Later Years Partnership
• Commissioning with Mental Health Team
• Clearer range of Support
• Local SP Model of Care and Support
• Services with varying levels of support

21
Questions

• What more can be done to focus on support to
  enable people to stay in their own homes?
• What more can be done to focus more effectively
  on individuals to create better choice and
  control?

22
Socially Excluded

• Preventing or dealing with a crisis
• Life-skills Building Independence
• Short term - Often intensive support
• Broad and diverse grouping
• Supporting People to contribute to and Support
  local agendas
• E.g. Support to assist refugees to settle and
  integrate into the community whilst gaining new
  life skills

23
Challenges

• Mobile Populations Local Programmes
• Cross Authority working
• Fully Integrated Services
• Contributing to City agendas
• Dealing with complex needs
• Tackling Anti-Social Behaviour
• Early Interventions
• Building Life-Skills
• Preventive Services

24
Work so far

• Supporting People contribute to agendas
• DAT Commissioning Team
• Homeless Strategy Steering Group
• Teenage Pregnancy Partnership Board
• Cross Authority Working
• Jointly Commissioned service for ex-offenders
• Protocols to support homeless people

25
Questions

• What more can be done to ensure that authorities
  make proper provision for socially excluded
  groups?
• What can be done to ensure that services for
  mobile groups are planned across local authority
  boundaries?
• What are your thoughts about these groupings? Are
  they useful to you?