east sussex supporting people 5 year strategy revision · web view1.1 current supporting people...

East Sussex Supporting People Programme

5 Year Strategy Update

2007/08 – 2009/10

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East Sussex Supporting People Strategy 5 Year SP Strategy Updateand Commissioning Project

Contents

1 Introduction and Background.......................................................................31.1 Current Supporting People Strategy in Context...............................................31.2 Strategy Update Rationale and Process..........................................................41.3 Involvement of Stakeholders............................................................................5

2 Vision and Strategic Direction......................................................................72.1 Vision Statement..............................................................................................72.2 Strategic Aims..................................................................................................72.3 Strategic Direction for Supporting People Commissioning...............................92.4 ‘Strategic Model’ for Supporting People Commissioning................................10

3 Need for Housing Support...........................................................................133.1 Method...........................................................................................................133.2 Summary of Need Profile...............................................................................133.3 Key Issues......................................................................................................243.4 Future Process for Needs Mapping................................................................24

4 Links to other Commissioning Strategies.................................................25

5 Priorities 2007/08 – 2008/09.........................................................................35

6 Commissioning and Delivery Plan 2007/08 – 2008/09...............................37

7 Financial Plan 2007/08 – 2009/10................................................................457.1 Funding Position 2007/08...............................................................................457.2 Development of a 5 year financial model.......................................................457.3 Savings Planning............................................................................................477.4 Funding the Commissioning and Delivery Plan 2007/08-2008/09..................48

8 Procurement Policy......................................................................................49

9 Move - On Accommodation.........................................................................49

10 Service Performance and Quality...............................................................49

11 Access to Services.......................................................................................49

12 Diversity........................................................................................................50

13 Service User Involvement............................................................................50

14 Service Provider Involvement.....................................................................50

15 Review of the Strategy.................................................................................51

Appendix 1...............................................................................................................52

Appendix 2...............................................................................................................53

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1 Introduction and Background

1.1 Current Supporting People Strategy in Context

There is currently a 5 year Supporting People (SP) strategy for East Sussex that runs from 2005/06 – 2009/10. It was produced in 2004/05 in line with relevant guidance from the then ODPM. The strategy is comprehensive. The purpose of this document is not to replace the existing strategy but to provide an update for the period 2007/08 – 2009/10.

The East Sussex Health, Housing, Social Care and Probation Strategic Forum (the Strategic Forum) decided in 2006/07 to review the 5 year strategy in light of: Anticipated changes in need/demand for housing support services. Continuing changes in SP funding and on-going uncertainty about the

future of the SP grant as a funding stream. An anticipated national SP strategy subsequently published in June

2007. The development of and changes to a range of local commissioning

plans and strategies.

As part of the process of revising the 5 year strategy and ensuring that it is up to date and reflecting current local needs, the Strategic Forum (SF) commissioned the Core Strategy Group (CSG) to undertake an update of the needs of people in East Sussex for housing related support services. This updated need profile for housing support is set out in section 3.

This revision to the current strategy includes a financial plan for the SP programme that takes into account the real terms reductions in SP grant received by East Sussex, albeit with a slight cash increase in 2007/08, and the lack of clarity about the longer term future of SP grant as a dedicated funding stream. The financial plan is covered in section 7.

A national SP strategy was published by Communities and Local Government (CLG) on 20th June 2007. The strategy has four key themes: Keeping people that need services at the heart of the programme. The

update of the SP strategy has been informed by the views of a sample of service users particularly in relation to making services more flexible, with more consistent availability across the county and with support to move on from support housing where appropriate.

Enhancing partnership with the third sector, particularly including service providers. The Provider Forum set up a provider reference group specifically to input into the update of the strategy and ensure that the views of a range of service providers were heard and considered.

Delivering on the new local government landscape. The update of the strategy identifies the requirement to make stronger links with the LAA at the next refresh to ensure that the commissioning of and outcomes from SP services are focussed on delivering LAA targets and objectives. In addition a complementary work stream has been

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updating the governance arrangements for SP to reflect the anticipated greater integration of SP into the LAA approach.

Increasing efficiency and reducing bureaucracy. The strategy update has a clear commissioning and delivery plan which is focussed on the actions required to deliver changes and improvements to services for people who need support. A complementary workstream has been identifying opportunities to maximise the efficiency of the SP resources, including the work of SP team and other SP groups, and to focus attention of delivering improvements to services and outcomes for individuals.

There have been considerable changes in East Sussex since 2004/05. East Sussex Adult Social Care (ASC) is in the process of developing a comprehensive range of commissioning strategies, Children & Young Peoples Services (CYPS) has a comprehensive strategy for meeting children and young people’s needs. There are new community safety strategies. The District/Borough housing authorities are updating and refreshing their housing and homelessness strategies. The local NHS has been restructured into 2 PCTs with new local development plans being put in place.

The funding of the SP programme remains uncertain beyond 2007/08. The national SP strategy does not include future funding arrangements within its scope. Funding for the SP programme from 2008/09 has not been announced. Although East Sussex received a small percentage increase in the SP grant for 2007/08, however this does not allow for inflationary pressures. In this uncertain context, section 7 sets out the more detailed financial plan for the next 5 years for the SP programme.

1.2 Strategy Update Rationale and Process

To undertake a revision of the current SP strategy, the SF established a formal project to undertake the review. This project aims to achieve significant improvements in the East Sussex Supporting People programme, particularly in relation to strategic planning. A key driver is the desire of the partners on the Strategic Forum to collaborate further in implementing the commissioning priorities set out within the East Sussex Supporting People Strategy (2005-2010). It is recognised that the ‘strategic direction’ for the programme needed to be more clearly defined, that re-commissioning plans need to be more specific and more effectively aligned with the commissioning objectives of all partners.

The scope of the project is: A revised, updated and agreed Supporting People Strategy by 31 July

2007 that links effectively to other partners’ strategies that contains:o An up to date vision statement for the programmeo A clear strategic direction for 2007-2010o A commissioning plan for the delivery of the strategic direction and

strategic aims for 2007/08 and 2008/09. Improved accountability to Members and ownership of the Supporting

People Programme. A separate report sets out future governance arrangements.

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Integration of business processes for the Supporting People Programme within Adult Social Care. A separate report sets out an approach for maximising the efficiency of the delivery of the SP programme.

The expected benefits of the project include: A clear strategic direction for the SP programme for the period 2007/08 to

2009/10. Targeting investment into strategic priorities. A focus on meeting currently unmet needs. Better integration of the programme into the mainstream commissioning

activities of all partners.

The final bullet point above is important for the SF partners. Although the future of the national SP programme is unclear, there is recognition of the importance locally of the role of support services and a desire to see the commissioning of these services ‘mainstreamed’ as part of the core business of all SF partners. This revision to the 5 year strategy sets out in section 4 how commissioning of support services are being mainstreamed and embedded within other commissioning programmes.

1.3 Involvement of Stakeholders

The 5 year strategy involved extensive consultation with a very wide range of stakeholders including customers and potential customers of support services. The revision of the strategy has involved a wide range of stakeholders the following ways.

Through SP governance structures the process of revising the strategy has engaged: SF – in addition to regular meetings, a workshop to establish future

strategic direction and subsequent priorities. CSG – in addition to regular meetings, workshops to deliver a revised

picture of need for housing support services and future strategic direction and priorities.

East Sussex Chief Housing Officer Group – involvement as a strategic group of housing authorities and individually as authorities.

East Sussex County Council including ASC and CYPS – through established commissioning group meetings and with individual commissioners.

PCT – meetings with key commissioners. Probation – meetings with senior managers.

In addition a range of wider partnership groups and local forums have been utilised to discuss and consider the most effective way to use the commissioning resources of the SP programme to support wider commissioning activity. A list of these is shown at Appendix 2.

The process of revising the strategy has also involved: The SP Provider Forum. The revision of the strategy has been considered

at two meetings of the Provider Forum. A SP Provider ‘reference group’ was set up specifically to engage with

providers in a more detailed way on the revision to the strategy, 5


particularly in relation to the future strategic direction and the implications of this for service providers.

Service user groups. The SP team has meet with a range of groups of customers to discuss aspects of the revision to the strategy as well as using other forums that include customers and potential customers. These are shown at Appendix 1.

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2 Vision and Strategic Direction

The existing 5 year strategy has a clear vision and strategic aims. This update of the strategy retains the vision and aims set out in the existing strategy. What the SF has done through the process of updating the strategy is to clarify the strategic direction for the commissioning of SP services to achieve the stated vision and aims.

2.1 Vision Statement

The vision for commissioning housing support services in East Sussex is set out below.

The Supporting People programme aims to increase the opportunities and improve upon the life chances of vulnerable people in East Sussex by offering them accessible, high quality and affordable housing-related support services that promote independence, prevent crisis and complement existing and new housing, health and social care services.

2.2 Strategic Aims

The following table sets out the strategic aims of the SP programme. It includes aims from the existing 5 year strategy and some strategic aims that have been developed through the process of updating the strategy.

The commissioning and delivery plan (section 6) sets out how these aims will be achieved.

Key Strategic Aim Rationale1 To pursue a

stronger focus on preventative services

SP commissioned housing-related support services will help in preventing a wide range of events that may be experienced as a crisis by vulnerable people, including: homelessness and repeat homelessness; unnecessary or premature admittance to

residential care; acute hospital admission; relapse for drug and alcohol misusers; prolific and repeat criminal and anti-social

behaviour; rough sleeping; and the use of bed and breakfast and other temporary

accommodation

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Key Strategic Aim Rationale2 To ensure that the

outcomes of services maximise the independence of service users

Housing-related support services aim to help vulnerable people make their own decisions, learn new life skills and live as independent a life as possible in the community.

The role of SP commissioned services in promoting independence is consistent with a range of national policy such as Our health, our Care our Say and Strong and prosperous communities – the local government white paper.

3 To promote equalities and social inclusion

The Supporting People programme will commission services to support some of the most marginalised people. This includes groups whose needs have historically been less well met such as people from a black or minority ethnic (BME) group, women at risk of domestic violence, travellers, young people, offenders, people with complex needs and vulnerable homeless households.

4 To promote community safety

The Supporting People programme will commission services that help to underpin the aims of the Crime Reduction Partnerships, the Youth Justice Plan and the Drug & Alcohol Action Team Strategy (DAAT) by offering timely housing-related support to people who may cause, or be affected by, anti-social behaviour or crime in neighbourhoods. These groups include offenders, people who misuse alcohol and/or drugs and those who are at risk of domestic violence.

5 To enable resettlement and move on to mainstream housing

The Supporting People programme commissions services that support marginalised groups to obtain a new home and become part of the community. This includes people leaving institutional care, residential school or prison as well as homeless people.

The update to the 5 years strategy includes plans for promoting improved access to move-on accommodation.

6 To commission housing support services on the basis of need regardless of their housing situation or tenure

The SP programme will commission services that are available to people in need regardless of tenure or their housing circumstances.

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Key Strategic Aim Rationale7 To only

commission services that will help to deliver the 5-year Supporting People strategy aims and objectives

These are services that support the strategic direction of the Strategic Forum as set out in this update to the 5 year strategy and subsequent commissioning priorities.

8 To promote equality of access to supporting people funded services

SP commissioning will promote fair access and referral routes to services across the county. In particular we want to develop a consistent approach to access to low-level preventative floating support.

We want to ensure that Supporting People funded services for people from minority groups and communities are accessible

2.3 Strategic Direction for Supporting People Commissioning

The CSG and SF have held workshops to clarify the strategic direction for the SP programme in the context of the strategy project set out in section 1. There has been consultation with wider stakeholder groups and customer groups about the strategic direction of the SP programme. Key messages that have emerged from that process include: The need for stronger emphasis on preventative and wellbeing services. Stronger emphasis on floating support, whilst recognising the need for

some accommodation based services and generic services. Stronger emphasis on services that can be flexible to react to people’s

needs when they require support. Looking at ‘client group’ based services and making sure they ‘fit’ with

strategic direction, that is are they actually needed. There is a requirement to re-specify exactly what is needed in terms of

‘specialised’ services for particular client groups. Possibly retain some specialised accommodation services that need to be

kept because they cannot be provided by a ‘generic’ service. To deliver change there needs to be disinvestment and re-investment,

market management and a manageable pace of change. Ensuring that outcomes from services are incorporated into the plans for

customers and are relevant to individuals’ lives. Emphasis on preventing crisis but also ensuring there is still a focus on

risk, particularly in relation to value for money. Importance of SP not being used as a “gap filler” – having to provide

services that should be funded by the statutory sector. Better distribution across the County, more coherent distribution of

services across tenure, client groups and geography. Delivering more imaginative packages of service which included SP

among other services.

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2.4 ‘Strategic Model’ for Supporting People Commissioning

From the discussion within the SF and CSG and from feedback from other stakeholders and customers, a strategic model for commissioning housing support services in East Sussex has been developed. A diagrammatic form of the model is set out on page 12.

The model will be used as the basis for all future commissioning of housing support services in East Sussex.

The model is based on: Maximising the flexibility of support services to support individuals

irrespective of tenure. Being applicable across all of East Sussex to address uneven provision of

services. Providing ‘specialised’ services for specific client group needs only where

a more ‘generic’ floating support service is not appropriate. Developing a common access route into housing support services across

the county including an assessment of housing support needs. A way of ‘wrapping’ support around individuals that includes:

o Support to avoid using accommodation based services where possible.

o Where individuals do appropriately need a specialist accommodation based service, support to use that service for no longer than is required.

o When people move-on from accommodation based supported housing.

An approach to more actively manage the pathway for individuals through different housing and support options.

Recognition that some accommodation-based services need to have flexible access arrangements due to the nature of needs they serve, such as women at risk of domestic violence.

An approach that has a preventative function and seeks to promote the independence of individuals, in particular reducing dependency for people who use accommodation based ‘specialised’ services.

The model can be characterised as follows: Specialised services, typically accommodation-based services (and some

floating support services) including higher cost services, in the centre. It is anticipated that fewer of these will be required as some current ‘client group’ based accommodation-based services can be replaced with a generic floating support service.

The remainder of provision as a generic floating support service wrapped around the central specialised, higher cost services which would include preventative services, crisis management, assessment and support.

Customers to be referred to one central gatekeeper, assessed for need and then offered generic support or high level support according to need, but to be moved through the system as quickly as possible.

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The implications of applying this model of SP commissioning to current and future services are:

Moving from a ‘client group’ led approach to instead, commissioning support services across client groups except where there is a specific need for a specialist or ‘client need’ specific service response required.

Defining which current services need to be retained as ‘specialist’ services, either accommodation based or floating support. This will involve producing criteria to make this decision.

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Prevention/assessment/co-ordination

Monitoring/floating support

Move on support/sustained support

SpecialistFloating

Intensive accommodation based

SpecialistFloating

SpecialistFloating



Older P

ersons floating Support S

ervices


Defining existing services that can be replaced by a generic floating support service.

Developing a specification for the different aspects of the model includingo The assessment, prevention and coordination functiono The generic floating support serviceo The move on support

Producing a commissioning plan that sets out the transition from the current pattern of SP services to the pattern that is defined by the strategic model.

3 Need for Housing Support

3.1 Method

A key element of updating the existing SP 5 year strategy has been to identify the current need (and specifically unmet needs) for housing support services. The CSG with other stakeholders has undertaken an update of the position in relation to unmet needs for housing support services. The approach taken involved: Needs data was collected and supplied by partners to the SP

programme following meetings of the Core Strategy Group in February 2007 and March 2007.

Needs data was supplied using a standard ‘template’ provided by the SP team and supplemented with other sources of data already collected by partner organisations.

From this data, the gaps between current supply and identified need have been identified, and potential responses to those gaps proposed.

The CSG identified a range of issues that emerged from the updated need profile. These are summarised in section 3.3.

3.2 Summary of Need Profile

The table below summarises the key needs identified through the process of updating the need profile for housing support services.

A separate report for the CSG sets out the need profile in more detail.

From the work to update the need profile for housing support services the following key needs and gaps emerge: Designated accommodation for offenders Floating support for people who misuse drugs and alcohol Outreach/floating support for women at risk of domestic violence ‘Generic’ floating support that is available across ‘client needs’ that will

for example promote tenancy/home sustainment and reduce the risk of homelessness, support homeless households across all districts/ boroughs and complement anti social behaviour initiatives.

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Supported housing for vulnerable young people particularly 16-17 olds at risk of homelessness.

Extra care housing for older people More flexible, floating support for older people Floating support for young people with severe sensory impairment; for

people with long term neurological conditions such as Multiple Sclerosis, MND & Epilepsy; for young physically disabled adults; specialist floating support for people with an acquired brain injury focused on moving individuals to generic housing support services.

Additional support services for Gypsies and travellers Teenage parents service in Rother and Wealden Learning Disabilities particularly in Rother BME needs

The actions that address these gaps are set out in the commissioning and delivery plan, for example joint commissioning of a support service for people who misuse substances, and through the strategic linkages between SP and other commissioning strategies, for example the commissioning strategy for people with learning disabilities which includes joint commissioning with the SP programme for housing and support services.

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Summary of Need Profile

Client need SP supply Need profile Gap/potential responseOffenders No SP service specifically

designated for offenders.

Other schemes do house/support offenders egSeaview in Hastings

High proportions of offenders are recorded as NFA or in transient accommodation. Combined issues of suitability, permanence and suitability of location contribute to nearly half of all offenders in East Sussex having accommodation problems that are assessed as being a factor placing them at risk of offending.

Focus on high risk offenders and Persistent & Prolific Offenders.

Youth Offenders

33 units of floating support in Hastings (CRI)

Need on housing and support was surveyed over the period July - October 2006 as part of a south east survey of housing needs of YOS clients.

54 young people were identified as having housing and support needs during this period.

Improved access to existing supported housing.

Support for young people accessing independent housing.

Teenage Parents

23 accommodation based units in Eastbourne, Hastings and Lewes.

The 10 wards with the highest conception rates for under 18s cover all 5 districts (2001-2003 data).

Conception rates comparing 1997/98 and 2004/05 show: Hastings down by 5.4% Eastbourne down by 1.7% Lewes up by 0.14% Rother up by 6.99% Wealden down by 2.45%

Potentially additional small scale supported housing in teenage pregnancy ‘hotspots’.

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Client need SP supply Need profile Gap/potential responseYoung People at Risk

181 accommodation based units across county.

16-17 year olds who are at risk of homelessness.

Care leavers who need supported housing and opportunities to move on to independent housing with support available.

Floating support services that can work with young people, particularly 16-17 year olds, and their families in their homes to prevent homelessness.

Accommodation based supported housing for vulnerable young people.

Floating support that is available to assist young people who move on to more independent housing.

Drug & Alcohol Misuse

8 units of accommodation-based service specifically for drug misusers (Kenward Trust –Wealden).

Drug misusers could also access generic support services and alcohol misusers are a ‘secondary’ group for 5 units in Eastbourne (Heathercrest cottage).

42% of people in treatment have a housing related support need (2006 figures).

DAAT’s housing needs assessment estimated that housing related support would be needed by 724 people with a current or previous drug problem.

Development of SP floating housing support for this needs group is planned for 2007/8. An investment of £70K is expected to produce between 30-45 places.

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Client need SP supply Need profile Gap/potential responseDomestic Violence

46 refuge based units in Eastbourne, Hastings, Lewes, Rother and Wealden

26 floating support/outreach based units across the county.

Outreach support is needed for individuals who are at risk of domestic violence and for those individuals who need continuing support following a stay in a refuge.

It is estimated that approximately 30 (50%) cases to go through the DV panel for the Hastings area would benefit from the provision of a sanctuary type scheme.

Increased provision of outreach support services across the county.

Gypsy and Travellers

SP fund P/T worker to provide 3 floating support based units.

From the DCA report commissioned jointly with B&H in 2005: The Gypsy and Traveller survey for East Sussex and

Brighton & Hove found that the majority of respondents were Romany Gypsy or English Travellers (78.9%). 59.4% of the Romany Gypsy / English traveller community living in permanent accommodation.

There is instability of housing circumstances, as would be expected within the Gypsy and Traveller community. This is exacerbated by the high level of eviction and lack of suitable sites.

Higher than expected levels of disability and illness (31.7%), and a lower than expected level of adaptations provided across the sample as a whole. Households living on sites were less likely to have adaptations or to be registered with a doctor than those in permanent accommodation.

Increase in floating support services integrated with other welfare services that are available to all gypsies and travellers on official and unofficial sites.

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Client need SP supply Need profile Gap/potential responseBME No SP service specifically

for BME groupsFrom the DCA report in 2005 commissioned jointly with Brighton & Hove Council (NB figures are for East Sussex and Brighton & Hove jointly): The ethnic profile overall was 17.8% were Black

African, 17.8% were Asian Other and 17.8% were Chinese. The profile of the religion of respondents was 34.5% were Christian and 27.7% were Muslim.

The sample indicated that the ethnic population of East Sussex and Brighton & Hove is not particularly well established in the area. 23.3% of BME households have lived in East Sussex and Brighton & Hove for less than one year and 31.7% have been in their current home for less than a year. Having settled in area however 71.2% have no plans to move, and those who are moving within East Sussex and Brighton & Hove wish to remain in the same borough/ district.

Ensuring that SP services are accessible to BME groups through service specifications that require that providers ensure their services are accessible to all minority groups within the County and provide a service that is responsive to the needs of BME groups.

Risk of Homelessness

168 units Unmet needs include: Young people at risk, particularly 16-17 year olds Single homeless people who are not ‘statutory'

homeless acceptances People with multiple and complex needs Higher risk offenders People at risk of domestic violence People with drug and alcohol misuse problems. Addressing serious anti social behaviour with

individuals/families who have support needs

Floating support for: Young people Single homeless people

who are not considered to have a priority need by the local authority.

Drug and alcohol users, and those needing housing and support post-detox.

Victims of domestic violence, both male and female. A small amount of floating support exists for women, but not sufficient to meet the scale of need across the county.

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Client need SP supply Need profile Gap/potential response

Generic floating support for people with multiple needs or undiagnosed vulnerability.

Support for single persons to access private sector accommodation.

More accommodation-based support for people with medium to high needs, particularly: prolific and high risk

offenders whose risk is best managed with on-site support

people with high mental health needs, who are not yet ready to live independently with floating support

people with medium level learning disabilities,

people who are particularly vulnerable, such as 16 and 17 year olds and teenage parents who need regular support and reassurance and the companionship of their peers in the early months.

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Client need SP supply Need profile Gap/potential responseLearning Disabilities

92 accommodation based units across the county.

21 floating support units.

People with a LD known to ASC presently live in Res Care (48%) or within the family home (27%)

A large number of ASC service users currently live with older family / carers (c. 180 people).

Of the 700 adults with learning disabilities who continue to live in the family home, approximately 25% are over fifty years of age and may be dependent upon elderly carers.

50 units of extra care housing, 10 units per district/borough.

Clusters of flats with on site staffing providing up to 24 hr support.

‘keyring’ type models of support.

Mental Health 92 units of floating support service

333 units of accommodation based services across the county.

Many of those identified as having a mental health issue will also have additional multiple and complex needs. It is therefore necessary for supported housing to be equipped to deal not only with mental health, but with other associated problems

Need to move-on from supported housing schemes into independent housing.People with MH needs currently in residential care who could move to more independent accommodation if it were available: 30-40 – current snapshotPeople with MH needs who are psychiatric in-patient wards who need accommodation in order to leave: 15 – current snapshotStatistics from Shelter East Sussex of people with MH and accommodation needs who referred to them: in 0506 – 63 and in 0607 – 46 which represents an average of 10% of their caseload.SAT log for 12 month period Nov 05 – Dec 06. Summary of needs as extrapolated from recorded outcomes of referrals: Assessed as suitable but no vacancies: 9. Referred elsewhere because SAT not able to meet need: 31.Declined assessment or withdrew: 53’

More accommodation-based support for people with high mental health needs, who are not yet ready to live independently with floating support

A generic floating support service may assist with retention of tenancies in the private and social sectors.

A floating specialist support service which can flexibly maintain people with mental health needs, especially those who present a challenge and have complex needs.

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Client need SP supply Need profile Gap/potential responsePhysical and Sensory Disability

No SP service specifically designated for people with profound hearing/visual impairment. There is one SP funded alarm service for someone with a physical disability.

Profoundly hearing and/or visually impaired young adults.

There will be 20 young people with profound hearing impairments reaching 18 years between 2007-2011 who will need the types of support shown.

There will be 9 young people with visual impairment reaching 18 years between 2007-2011 who will need the types of support shown.

Supported accommodation or more accessible accommodation that is suitable for people with mobility problems

For the majority of cases, this is episodic support with a small proportion requiring long term support.

No SP service specifically designated for people with Acquired Brain Injuries.

No SP service accessible to people with long term neurological conditions in line with NSF for Long Term Neurological Conditions.

Acquired Brain Injuries

Annual emergency admissions 2003/04 – 2005/6 for acquired brain injuries were at least 486 people aged 18-64.

People with long term neurological conditions such as MND, MS, young onset dementia, need a range of housing related support such as planning an adaptation, maintaining their property or tenancy, finding and securing accommodation that will meet their changing physical needs. For rapidly deteriorating conditions housing related support must be flexible enough to provide intensive support for short periods of time.

Floating support for people with acquired brain injury.

Access to generic floating support services with ‘specific’ specialist input from relevant organisations such as the MS Society, MND Association, alzheimers society acting providing advice, information, training.

Generic floating housing related support services that are integrated into health and social care pathways so that for example, a single working female who suffers a stroke can access support to manage her home/tenancy.

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Client need SP supply Need profile Gap/potential responsePeople aged 18-64 who have been acquired a physical impairment through: a chronic condition

such as arthritis, COPD, coronary heart disease);

sudden onset of a condition that limits mobility such as pulmonary fibrosis etc.

acute episode (stroke, heart attack)

In August 2006, there were over 8,700 people in East Sussex claiming DLA of which 2,000 were eligible for a higher rate mobility award. It is estimated that 54% of these people are of working age.

In addition, over 19,000 people receive incapacity benefit, of which 2,300 claim severe disablement allowance. It is estimated that 86% are working aged adults.

On average, between 250 and 300 working aged adults have a stroke of varying degrees of intensity. The numbers are increasing due to high prevalence of stroke related risk factors such as hypertension, coronary heart disease, diabetes etc.

HIV/Aids No SP service specifically designated for people living with HIV.

Approx 320 people living with HIV in East Sx in 2005. Numbers increasing each year at an approximate rate of 40-50 people per year, with the largest increases in Eastbourne.

In over 90% of cases, the support is ‘episodic’ with short term input.

Some need can be provided for by generic housing related support services

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Client need SP supply Need profile Gap/potential responseOlder People 3807 units of sheltered

housing:Eastbourne 1099 unitsHastings 786 unitsLewes 782 unitsRother 319 unitsWealden 821 units

88 units of extra care

524 units of floating support20 units of outreach support

4 HIA services

Unmet needs include: Extra care for older people with support and care

needs Community based support for older residents in low-

income areas – cross tenure Support for older people with mental health needs; People with dementia

Based on the needs evidence the responses to these needs should be: Extra care Tenure neutral support for

people in low income/ deprived areas

Support for people with dementia

Support for older people with mental health needs

Independent accommodation with external support

Different forms of affordable retirement housing, including sheltered housing, for over 60’s with some support needs .

Assistance/advice for older people to move from their home if inadequate for their needs.

Support that can be episodic i.e. switched on and off in response to need/crisis.

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3.3 Key Issues

Through the process of updating the need profile for housing support services the CSG identified a range of issues. These issues relate both to the emerging unmet needs for housing support services from the updated needs profile, and the development of a new ‘model’ of commissioning housing support services.

These issues are summarised below: Support services should be commissioned on the basis of the

contribution that they make to SF partner’s strategies and commissioning plans and key performance indicators.

Sheltered housing is a major resource currently contracted through the SP programme. Work has started by some landlords to resolve unsustainable schemes, cease paying for support where customers do not need it, releasing resources into floating, community-based support. This process will need to continue. As a suitable housing resource, its relevance to other customer groups will be considered and agreements reached on future usage of schemes.

Generic floating support services should be commissioned to be accessible across all customer groups.

Eligibility criteria and prioritisation of customers for support services should be based on the impact that the support service will have on the outcomes for the customer, rather than a customer having a specific ‘client need’ (such as ‘mental health’ needs).

Specialist support services should only be provided for those needs that lie well outside ‘normal’ range of requirements. Specialist services will be combined wherever possible to provide economies of scale, flexibility of response and a more holistic service to the small group of customers.

In order to resolve move-on obstacles and release existing supported housing, the CSG should work, through the district/borough councils, with a range of housing providers to seek innovative solutions to maximising opportunities for move-on to independent housing. This is an integral part of the new 'model' of support commissioning.

3.4 Future Process for Needs Mapping

The CSG and SF recognise that it is desirable to develop an on-going method of identifying needs for housing support services.

It is proposed to undertake: Annual updates of the need profile for support services (similar to the work

done for this update of the 5 year strategy). Develop an on-going method of data collection potentially linked to the

assessment function of the new model of commissioning and delivering housing support services. This may remove the need to undertake an annual update of the need profile.

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4 Links to other Commissioning Strategies

One aim of updating the current 5 year SP strategy is to achieve better integration of the programme into the mainstream commissioning activities of all partners. The approach taken to achieve this is to strategically link commissioning through the SP programme directly to other local strategies and commissioning plans. Consistent with moving away from a ‘client group’ led approach, it is not the intention of the SF to develop separate SP commissioning strategies for each ‘client group’.

The table below indicates the key performance indicators that commissioning activity through the SP programme is aiming to contribute towards. Where possible this will include the joint commissioning of services with other organisations and agencies. It should be noted that not all areas of commissioning activity have national performance indicators.

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Links to other Commissioning Strategies

Area of Commissioning

Lead Strategy Strategic Links and Actions Related performance targets

Adult Social Care ASC 3 year Plan 2006-2009

ASC will continue to work in partnership on a range of developments arising from Supporting People, which aims to promote independence and prevention. This will include a range of support services, new approaches to delivery of adaptations, including use of Disabled Facilities Grants, joint approaches to aspects of homelessness and joint development of provision for adults with complex needs.

Commissioning through the SP programme will be directly linked with the new or developing commissioning strategies for mental health, learning disabilities, older people, and physical and sensory impairment.

Mental Health Mental Health Commissioning Strategy

The priorities for the MH commissioning strategy will be: To commission a floating specialist support service which

can flexibly maintain people with mental health needs, especially those who present a challenge i.e. dual diagnosis, personality disorder, chaotic behaviours in a variety of housing situations. In addition MH commissioners are looking to influence the supply of housing units for this client group. Being able to demonstrate that a specialist support service will be available to sustain people with mental health needs in their tenancies will remove a major concern from the landlord’s perspective, and will help us with this goal.

To look to build on the success of the SAT (Supported Accommodation Team) who undertake comprehensive accommodation assessments and place people in a range

PAFAO/C31(Adults with mental health problems helped to live at home)

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of supported accommodation. To collect accurate and updated information on housing

needs to inform our partners i.e. housing and SP colleagues, more precisely of the housing need and gaps for people with MH and dual diagnosis.

Learning Disabilities

Learning Disability Commissioning Strategy

To review existing SP expenditure on LD schemes to ensure appropriateness of grant use, specifically that SP grant is funding housing support services

Following the review of existing SP expenditure on LD schemes there will a process of joint commissioning, including a funding agreement, for housing and support services for people with LD.

To prioritise SP investment in supported housing services currently funded by NHS & Community Care,

To ensure supported housing is consistently monitored through the SP QAF irrespective of funding arrangements,

The identification of suitable sites for LD extra care

PAF AP/C30 (Adults with learning disabilities helped to live at home)

Older people Joint Commissioning Strategy for Older People’s Services

Local Older People’s Housing and Support Strategies – Eastbourne, Lewes, Wealden and Hastings/Rother

The development and implementation of Older People’s Housing Support Locality Strategies will be the mechanism for linking commissioning through the SP programme to the wider delivery of services for older people and housing and support services in particular.

All plans should address the social inclusion of older people and promote their role as active citizens

Aim long-term plans at the ‘baby-boomers’ as well as current retired.

Shift investment over time to prevention services Develop a wider range of ways of paying for specialist

BVPI – 54 (Older people helped to live at home)PAF AO/C26 (Admissions of supported residents aged 65 and over to residential/nursing care)

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accommodation and support needs to be developed Housing-related support services for older people will be

commissioned across tenure and to incorporate maximum flexibility of service delivery, services delivered in the home or close to home and some specialist provision for mental health and complex needs

Extra care housing will be developed to meet the needs of people with a range of care needs, including dementia, in their own homes within a non-institutional environment

Promotion of Telecare initiatives in specialist and general accommodation

Support for carers.

Physical disability, Sensory Impairment, HIV/Aids

Physical Disability Commissioning Strategy

For profoundly deaf young adults links are for supported accommodation where independent living skills can be taught. In addition: Support to access choice based lettings. Information, advice, communication support and advocacy

when negotiating with landlords. Support to manage tenancy Floating support for young people with severe sensory

impairment; for people with long term neurological conditions such as Multiple Sclerosis, MND & Epilepsy; for young physically disabled adults; specialist floating support for people with an acquired brain injury focused on moving individuals to generic housing support services.

For people living with and affected by HIV the development of a jointly commissioned social care and housing related support service

PAF AO/C29 (Adults with physical disabilities helped to live at home)

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Community Safety

Domestic Violence

East Sussex Domestic Violence Strategy 2006–2009

Providing safety from abuse through the provision of refuges and to consider the need whether further refuge spaces are needed.Develop jointly with Community safety team and CDRPs, floating/outreach support services to support people in their own homes and resettlement support following use of refuge or other safe place.

BV 225 (Local actions against domestic violence)

DAAT Alcohol Harm Reduction Strategy 2006 – 2008

The Supporting People Programme funds services that support vulnerable people with alcohol problems. These include generic services, for single homeless, people with mental health problems and services for young people at risk

DAAT Drug Strategy 2005 – 2008

To support activity in relation to treatment, commissioning a floating support service jointly with DAAT.

BV – 198 & PAF AO/60 (Participation in drug treatment programmes)

CDRPs Safer Communities Plan – Hate Crime

Ensuring commissioned support agencies provide effective casework to victims and that effective referral mechanisms are operating between services whilst publicising and promoting services to facilitate access to SP provision for all victims of this client group

CDRPs Building Respect & Reducing ASB

Commissioning ‘generic’ floating support that can support families causing or at risk of causing ASB in neighbourhoods.

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Reducing Offending

Sussex Probation Business Plan

Safer Communities Plan

Adult offenders and PPOs. The groups with highest priority for support services are high risk adult offenders and adult PPOs.

Develop an agreed approach to providing accommodation and associated support for adult PPOs on the ‘resettle and rehabilitate’ strand.

Develop ‘generic’ floating support that is accessible by offenders

Young offenders Youth Justice Plan Assist YOS to: Improve % of young people in appropriate accommodation

through joint working to increase suitable accommodation options for 16/17 year olds

Reduce reoffending in custody band by improving provision of suitable accommodation for young people on release from custody

% in suitable accommodation – YOS target is 100%

Housing & Homelessness

Hastings BCEastbourne BCLewes DCRother DCWealden DC

Housing and homelessness strategies

In relation to the housing and homelessness strategies of the district/borough councils, the SP programme will help vulnerable people to avoid homelessness in all district/boroughs by: Develop tenancy/housing sustainment services for people

at risk of becoming homeless Develop resettlement services for people moving on from

temporary and supported accommodation

In some cases this will be achieved by reshaping existing services.

It will also be addressed through the commissioning of flexible

BVPI 183 Average time spent in B&B accommodation and hostel accommodation by priority homeless households

BVPI 203The percentage change in the average number of

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floating support and move-on support services as part of the new 'model' for SP commissioning

The SP programme will: Ensure that support services used by homeless people or

people at risk of homelessness are effective in linking service users to health care, mental health care, drug & alcohol and training and employment services.

Assist other vulnerable people to obtain the support they need to live in the community through the provision of effective housing support services, promoting community safety and social inclusion

Support the development of the county youth homelessness strategy.

families placed in temporary accommodation.

Young People at risk

Children & Young People’s Plan

Fewer young people becoming homeless, or depending on temporary “sofa surfing” housing solutions including providing supported housing linked to practical help and guidance around education/training/employment and managing transition to independent living.

BV161PAF CF/A4 (Employment, education and training for care leavers)

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Teenage Parents Teenage Pregnancy Strategic Action Plan

The provision of accommodation with support in identified ‘hotspots’.

Arrangements are in place to support teenage parents to transition to independent living

Practitioners working with lone under 18 parents in supported accommodation have the skills and knowledge to ensure young parents access specialist advice on education, training, and employment.

Gypsies and travellers

East Sussex Traveller strategy 2006-2009

Developing and extending the current SP funded support services for Gypsies and travellers to all parts of the county for people using authorised and unauthorised sites

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Health Improvement

PCT LDPs The East Sussex Primary Care Trusts firmly supports a stronger emphasis on preventative and well-being services through the provision of a generic floating support service across all tenures. All future commissioning should embrace a vision of reducing health inequalities that exist between different groups of people in East Sussex.

This objective is a priority theme in the Regional Directors of Public Health's discussion document; The South East Health Strategy – A Strategy For Improving Health and Well-Being in the South East Region - June 2007.

To improve health and well-being the partnership working between the PCTs and SP commissioned service providers, will support service providers to inform their clients about how activity and exercise, ways to improve mental wellbeing, smoking cessation, healthy eating and sensible drinking can be incorporated into their lifestyles. SP services will be expected to: Utilise the expertise of the PCTs' health promotion team

and the East Sussex Health Promotion Resources Centre Participate in local and national health promotion

campaigns.

Assistive technology

ESCC Assistive Technology strategy

The SP programme will support the development and extension of telecare services through the funding of community alarms and through partnerships with service providers.

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Local Area Agreement

All Together Better Older Person elements of LAA:

Increase the number of people receiving services which enable them to live at home independently Target: The number of people receiving low level

preventative services which enable them live at home independently

Outcome 9/9.1

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5 Priorities 2007/08 – 2008/09

Based on the new model for commissioning housing support services, and the most significant gaps identified from the update of the need profile for housing support services, the following priorities for 2007/08 – 2008/09 are proposed.

Timescale Priority Action Lead2007/08 Substance misuse Commission floating

support serviceSPT/DAAT

2007/08 Domestic Violence Commission outreach service

SPT/Safer Communities team

2007/08 Gypsies and Travellers

Extend floating support service

SPT/Safer Communities team

2007/08 Offenders Improving access to existing supported housing and/or identifying designated accommodation for offenders

SPT/Probation

2007/08 & 2008/09

Generic floating support service as part of new commissioning model

Establish criteria Develop specification Identify ‘specialist’

services Initiate and deliver

commissioning and procurement plan

SPT/CSG

2007/08 & 2008/09

Vulnerable young people

Develop and implement a young people’s county homelessness strategy

CSG/CYPS/ Districts & Boroughs

2008/09 Older people Deliver extra care housing at Peacehaven

Commission further extra care housing in line with Older Person’s housing and support locality plans.

SPT/CSG

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Timescale Priority Action Lead2008/09 Older people Remodelling of

support services in sheltered housing where appropriate.

Remodel Home Improvement Agency services

Initiate and deliver commissioning and procurement plan where appropriate

SPT/CSG

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6 Commissioning and Delivery Plan 2007/08 – 2008/09

The commissioning and delivery plan sets out the actions to be taken by the SF to deliver the priorities and strategic aims set out in this update to the 5 year SP strategy. The SF will also be implementing the actions set out in the strategic linkages section of the strategy. These actions will be taken in partnership between the organisations represented on the SF and with other stakeholders including service users and service providers. The key actions are summarised in the table below.

The table also identifies: The strategic aims (as numbered in section 2) that will be

supported/delivered through the commissioning actions. The anticipated outcomes that relate to each commissioning action.

The core activity for 2007/08 and 2008/09 is to implement the new model of commissioning for housing support service, as set out in this update to the strategy. This is shown two ‘phases’. The first phase involves implementing the model for all non-older person services. This includes a ‘generic’ floating support service that will operate across tenures and potentially across local authority boundaries. The second phase involves the commissioning, and remodelling where appropriate, of support services for older people, specifically sheltered housing and HIA services.

It is anticipated that both of these phases will be treated as full projects, with a project management infrastructure, to reflect both the volume of activity involved in implementing these changes and the significance of these changes for support services in East Sussex over the next 2-3 years.

The commissioning of services for specific ‘client groups’ that are not already identified in the commissioning plan, will be managed in the way that the new model will be developed and implemented. The first activity of phase 1 is to identify the criteria that will determine which ‘specialist’ services should be retained, rather than replaced by a ‘generic’ model of support services. This will involve an analysis of the services currently funded through the SP programme against these criteria. It is likely that this process will lead to the remodelling and reshaping of some services that are to be retained as ‘specialist’ services to ensure that they are focussed on the strategic objectives of the SP partners and delivering positive outcomes for customers.

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Commissioning and Delivery Plan 2007/08 – 2008/09

Commissioning Activity

Summary of Actions Timetable

Outcome measure

Outcomes linked to Strategic Aims

Lead

Substance misuse floating support service

Produce service specification with DAAT

Identify performance and outcomes measures

Plan procurement process

Tender for service

New service commences

July 2007

Aug 2007

Sep 2007

Dec 2007

Apr 2008

20 units of floating support available

1;2;3;4;6;7 SPT/DAAT

Domestic Violence outreach service

Produce service specification with DV team



Tender for service

New service commences

April 2007

April 2007

May 2007

May 2007

Apr 2008

Provide 1800-2000 short-term interventions per annum.

1;2;3;4;5;6; SPT/Safer Comm team

Gypsy and Traveller floating support service

Revise service specification with ESCC Traveller Service & District/Borough councils

July 2007 Increase from 18 to 37 hours per week of floating support available

2;3;4;6;8; SPT

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Outcome measure


Lead


Review current contract performance.

Decide whether to extend or terminate the contract.

Additional service commences

Aug 2007

July 2007

July 2007

April 2008

Offenders Improving access to existing supported housing

Negotiate with existing service providers

Implement changes to service specifications

Identifying designated accommodation for offenders

Sept – December 2007

Jan – March 2008.

Jan – March 2008

Additional units of accommodation designated for offenders (number tbc)

1,2,3,4,5,7,8 SPT/Probation

Retendering for Extra care in Eastbourne and Hastings

Produce service specification with EBC, HBC & ASC

Identify performance and outcome measures

May 2007

May 2007

40 units in Hastings and 13 units in Eastbourne of additional extra

1;2;7;8 SPT/EBC/HBC/WDC/ASC

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Outcome measure


Lead


Tender for service

New service commences (Eastbourne & Hastings)

June 2007

June 2007

April 2008

care housing available.

Vulnerable young people

Develop a young people’s county homelessness strategy

Implement strategy

Sept 2007 – March 2008

April – Sept 2008

Joint strategy agreed between CYPS, SF and Districts/Boroughs

1,2,3,4,5,7,8 CSG/CYPS/Districts & Boroughs

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Outcome measure


Lead

Implement new commissioning model including ‘generic’ floating support service(s)

Produce PID for commissioning and procurement of new model

Establish criteria for which ‘specialist’ services should be retained.

Develop specification for all elements of the new model.

Determine funding available for commissioning new service.

Determine how/whether to divide the new service into geographical areas for procurement

Identify volume of service required across each district/borough area


Consult with providers, users and stakeholders

Identify and notify services that will be

Aug – Sept 2007

Sept – Dec 2007

Sept – Dec 2007

Oct – Dec 2007

Oct 2007 – Jan 2008

Oct 2007 – Jan 2008

Oct 2007 – Jan 2008

ongoing

Jan 2008

units/hours of floating support available across the county TBC1.

Access arrangements consistent across county.

Number of people helped to move on in planned way from ‘specialist’ services TBC.

1;2;3;4;5;6;7;8

SPT/CSG/SF/District/Boroughs

1 To be determined through the specification.40




Outcome measure


Lead

replaced by the ‘generic’ support service(s)

Initiate and deliver commissioning and procurement plan

Handover to new service(s)

Jan 2008

Sept 2008

Older peopleextra care housing at Peacehaven

Produce service specification with LDC & ASC


Plan procurement process for support & care services

Tender for care serviceNew service commences

June – Dec 2007

June – Dec 2007

Sept – Jan 2007

2008/092009/10

41 units of additional extra care housing available.

1;2;7;8 SPT/CSG/ASC/LDC

Commission further extra care housing in line with Older Person’s housing and support locality plans.

Identify extra care development opportunities in all districts/boroughs and plan delivery.

July 2007- April 2008

ASC/LDC/WDC/EBC/HBC/RDC/SPT

Older people

Remodel support

Produce PID for commissioning and procurement of new model of housing support for older people

Mar 2008 units/hours of floating support available across

1;2;3;6;7;8 SPT/CSG/ASC/District/Boroughs

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Outcome measure


Lead

services in sheltered housing where appropriate

Establish criteria for which ‘sheltered’ services should be retained.

Develop specification for new services

Determine funding available for commissioning new service.

Determine how/whether to divide the new service into geographical areas for procurement

Identify volume of service required across each district/borough area


Consult with providers, users and stakeholders

Identify and notify services that will be replaced by the flexible/floating support service(s)

Initiate and deliver commissioning and procurement plan

Apr 2008

May 2008

Apr 2008

May 2008

May 2008

May 2008

June 2008

June 2008

July 2008

the county TBC2.

Access arrangements consistent across county.

2 To be determined through consultation with stakeholders42




Outcome measure


Lead

Handover to new service(s) February 2009

Older people and disabled adults

Remodel Home Improvement Agency services

Identify best model of delivering HIA services consistently across the county to maximum number of clients

Revise service specification with ASC, PCT & District/Borough councils


Identify preferred approach to procuring changes to existing services

Consult with stakeholders

Deliver remodelled service.

Mar 2008

May 2008

May 2008

June 2008

June 2008

January 2009

Access to HIA services consistent across county.

Services provided by HIAs extended.

1;2;4;6;7; SPT/ASC/District & Boroughs

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7 Financial Plan 2007/08 – 2009/10

7.1 Funding Position 2007/08

The total funding available for 2007/08 is as follows:

£2007/08 ExpenditureContracted Commitments 11,473,000Contingency 116,000Developments to support the delivery of the SP Strategy

217,210

11,806,210

Funding Available2007/08 SP Grant 11,561,2102006/07 SP Grant underspend carried forward

51,000

HIA funding 194,00011,806,210

The Supporting People funding allocations for 2008/09 and 2009/10 have yet to be announced.

7.2 Development of a 5 year financial model

A 5 year financial model has been developed, see details below, that links to and supports the development of commissioning and service strategies for the future.

The model was presented to the Supporting People Provider Forum on 19 April 2007, Supporting People Team awayday on 3 May 2007, the Core Strategy Group on 9 May 2007 and the Strategic Forum awayday on 10 May 2007.

As with all forecasting models there are a number of assumptions that have to be made about future funding and expenditure levels which will be subject to change as and when fresh information is received or intentions change. The current assumptions are based on the worse case scenario: The long term funding of Supporting People will show a year on year

reduction in funding of 5%. This assumption will be subject to change when DCLG issues further funding guidance. Based on current allocations, a 1% reduction equates to a reduction in grant of £115,000. The outcome of the funding distribution formula consultation is still awaited, however, it would be prudent to allow for future reductions in funding, given that East Sussex was one of only two areas in the Southern region to receive a small increase in funding for 2007/08 and no increase in total national funding is expected.

Any underspend or overspend will be carried forward into the next financial year. This is particularly important for an overspending position as the Strategic Forum has not agreed for partners to fund in-

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year budget overspends. Contractual commitments at 1 April 2007 are the starting point for the

model. No provider inflationary uplift has been allowed for in the model. This

does not negate the requirement for a discussion, including consultation with the Supporting People Provider Forum, on inflationary uplifts during the financial year.

A contingency will need to be maintained. The increased pressure on Supporting People services resulting from reduced funding will increase the risk of service/provider failure.

Initial indications from the model are that the Supporting People programme will overspend as early as 2008/09 if actions are not taken to deliver savings – in 2008/09 savings of £72,000 are required.

This is the worse case scenario and any reduction in grant funding that is less than the 5% assumed will give the programme more flexibility, but what it will not reduce is the requirement for long term savings to be made. Even if funding remained at current grant levels the pressure on Supporting People and providers to meet service demands would require “savings” to be achieved.

There are a number of options available to the Strategic Forum to manage this potential long term financial situation and deliver savings in excess of £1.8m: Decommission services Recommission services differently No provider inflationary uplifts Charging for services Cross border working Use of Value for Money policy to deliver savings Identifying specific savings to be achieved

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A summary of the model is set out below.

Supporting People5 Year Financial Model

2007/08 2008/09 2009/10 2010/11 2011/12£'000 £'000 £'000 £'000 £'000

FUNDING AVAILABLE

SP Grant 11,561 10,983 10,434 9,912 9,417HIA (ESCC cont.) 194 194 194 194 194Unspent Contingency 0 116 110 104 99Underspend/(Over) 51 218 (0) 0 (0)Total Funding 11,806 11,510 10,737 10,211 9,709

EXPENDITURE

Commitments 11,721 11,473 11,401 10,633 10,112Contingency 116 110 104 99 94

Commissioning Strategy - Decommissioning (845) - Commissioning 597

Savings (72) (768) (521) (496) (1,857) Total SavingsTotal Expenditure 11,588 11,511 10,737 10,211 9,710

Under/(Over) 218 (0) 0 (0) (0)

NoteContingency equals 1% of Supporting People Grant funding

Assumption: 1.) SP Grant reduce year on year by 5% 2.) Commitments include no inflationary uplift

7.3 Savings Planning

From the savings options outlined above, the following options will be implemented to deliver savings. Decommission services – this will be done as part of implementing the

new commissioning ‘model’. Recommission services differently – this will be done where existing

services are being remodelled. No provider inflationary uplifts – this is the policy for 2007/08 and will

be reviewed annually in consultation with the Provider Forum. Charging for services – the charging policy for SP services is

scheduled to be reviewed during 2007/08. Cross border working – Through the south east Cross Authority Group

opportunities for cross border commissioning will be identified and implemented where appropriate and feasible.

Identifying specific savings to be achieved/Use of Value for Money policy to deliver savings – the SP value for money policy is being implemented for all services.

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The savings to be delivered are summarised in the table below.

Year Target (£000)(Full year effect)

2007/08 72

2008/09 768

2009/10 521

Total 1361

7.4 Funding the Commissioning and Delivery Plan 2007/08-2008/09

Funding for planned commitments within the commissioning plan includes:

Commissioning Activity SP Funding commitment(per annum)

Substance misuse floating support service

£70,000 (tbc)

Domestic Violence outreach service £93,000

Gypsy and Traveller floating support service

£50,000 (current commitment is £25,000)

Funding for the proposed ‘model’ of SP commissioning will come from existing SP resources. The precise level of funding will be determined by: The volume of funding currently attached to existing services that could

be replaced by a ‘generic’ service. The extent to which value for money efficiencies can be achieved

through the procurement of this model.

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8 Procurement Policy

The implementation of the commissioning plan within this update to the 5 year strategy will be undertaken in line with the agreed Supporting People policy statement. All procurement activity will be undertaken consistent with East Sussex County Council standing orders. In practice this applies to tendering exercises and remodelling of services.

9 Move - On Accommodation

The provision of and planning for move-on accommodation from accommodation-based services has been facilitated by the District/Borough council housing authorities as part of their strategic responsibilities in relation to the SP programme. The existing approach will be strengthened and improved through the implementation of the new ‘model’ of commissioning. A ‘move-on’ group has been established by Hasting BC which aims to prevent homelessness (reducing acceptances), ensure appropriate accommodation is accessed and utilised, to develop consistent referral procedure for floating support and have a quota system to enable move on with effective information sharing between all agencies to enable tenancy sustainment.

10 Service Performance and Quality

The commissioning of services and remodelling of services through the implementation of the commissioning plan will be subject to the current SP contract monitoring and review policy.

In addition, the linkages with other strategies and commissioning plans will develop outcomes that are shared across health, housing and adult social care to which SP funded services will contribute.

11 Access to Services

Access to services has been facilitated through a range of mechanisms. These include: Direct access where this appropriate. Access through the ESCC Supported Accommodation Team for mental

health and learning disability services. Access through specific panels for extra care housing. Access facilitated by the District/Borough councils for other supported

housing.

The implementation of the new commissioning ‘model’ will in effect streamline and improve access to support services funded through the SP programme by having an anticipated single point of access to services, typically by district/borough area which will improve consistency and transparency. However the ‘model’ will have sufficiently flexibility to allow for direct access arrangements to services where this necessary. In line with Independence and Opportunity we will consider the inclusion of housing support in the emerging Common Assessment Framework for adults.

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12 Diversity

The policy of East Sussex County Council is to conduct Equality Impact Assessments (EIAs) where there is a change in policy or a strategy. An EIA will be conducted at the outset of the commissioning and delivery plan.

The commissioning plan will be implemented in a way that is consistent with the SP Equalities Plan. All services will have targets to achieve in terms of access to services and use of the services in relation to the local BME population. These will be monitored through the Client Record data and the annual contract review process.

13 Service User Involvement

Service users will be involved in implementing the new commissioning ‘model’ in line with the SP service user involvement policy. This will include: A representative from the new service user group attending strategic

meetings such as the Strategic Forum; Consulting with service users on the specifications for new or re-

modelled services; Producing a summary sheet of the strategy update for service users; Communicating progress with the commissioning plan to all service

users through the service user newsletter.

We will discuss with service users and other stakeholders the extent to which choice of services can be improved and delivered; how service users can exercise control over the design, specification, delivery and management of services; and the development of charters for independent living. In line with Independence and Opportunity we will make use of the learning from the Individual Budget pilots and other choice led personal funding mechanisms to enhance service user choice and control.

14 Service Provider Involvement

The SF and CSG are committed to working with the providers of housing support services to implement the vision, strategic aims and commissioning plan contained in this strategy update. Service providers will be represented at all the groups within the governance arrangements for SP. Providers are currently represented through ROCC who attend these meetings on behalf of providers.

The SF supports the development of the independent provider forum as a means of supporting the provider sector in East Sussex. The SF will consult with service providers through the provider forum on the detail of how this strategy will be implemented and a range of other policies and developments in the SP programme.

The SF will also work with the wider third sector in implementing the strategy through the range of local partnership groups and forums at which third sector organisations are represented.

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15 Review of the Strategy

This update of the 5 year strategy will be reviewed in the final year of the strategy, ie 2009/10. The key requirement of this review will be to ensure that Supporting People commissioning has been fully ‘mainstreamed’ into the business of the SF partners.

The Supporting People 5 year Strategy Update was written by Ian Copeman, from the Housing & Support Partnership (www.housingandsupport.co.uk) working with the East Sussex Supporting People team, particularly Candice Miller.

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http://www.housingandsupport.co.uk/


Appendix 1

Service Users and other groups involved in developing the strategy update

Rye Seniors ForumSouthdown HA Tenants Consultative Panel1066 Sheltered Housing ForumSeaview Project service user groupLearning Disability Partnership Board reference groupWomen who have experienced domestic violencePeople with substance misuse problems

We have also made use of:Feedback on the Learning Disability Commissioning StrategyFeedback on the Older People’s Commissioning StrategyFeedback on the Older People’s Housing and Support Strategies

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Appendix 2

Stakeholders involved in developing the draft strategy update

East Sussex County Council

Safer Communities Team: Drug and Alcohol Action Team Domestic Violence team Traveller Liaison Service

Adult Social Care:Departmental Management TeamCommissioning managers for

Older People People with mental health needs People with learning disabilities People with physical and sensory impairments People living with HIV/AIDS Housing

Children and Young People's Services Youth Offending Team Teenage Pregnancy Service

Probation Service, Sussex Area

East Sussex Primary Care Trusts East Sussex Downs and Weald Primary Care Trust Hastings and Rother Primary Care Trust

District & Borough Councils: Eastbourne BC Hastings BC Lewes DC Rother DC Wealden DC

Service providers: East Sussex Provider Forum Provider reference group

Voluntary Organisations: Age Concern Eastbourne Age Concern Hastings Care for the Carers Alzheimer’s Society (Eastbourne and District Branch)

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east sussex supporting people 5 year strategy revision · web view1.1 current supporting people...

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