Local Commissioning Plan - Wrexham County Borough Council
Transcription
Local Commissioning Plan - Wrexham County Borough Council
Supporting People Local Commissioning Plan 2016/17 to 2018/19 1 Accessible Formats This document is available on request in a variety of accessible formats including large print, Braille, BSL DVD, audio-CD, on audio cassette or computer disk. It can also be made available in easy read format and languages other than English and Welsh. To request an alternative format please use the contact details below. Email: [email protected] Telephone: 01978 292000 2 Wrexham County Borough Council: Council Plan Our Purpose: ‘To ensure that Wrexham and its people are supported to fulfil their potential and prosper’ 3 Contents 1 Introduction ......................................................................................................................5 2 Strategic Priorities ...........................................................................................................6 3 Current Funding by Client Group .................................................................................18 4 Service Development - Progress Since 2015/16 Local Commissioning Plan ............19 5 Need and Service Gaps .................................................................................................21 6 Priorities and Proposals for Service Planning.............................................................32 7 Action Plan Year 1 ..........................................................................................................37 8 Equality Impact Assessment .........................................................................................38 9 Funding ...........................................................................................................................38 4 1 Introduction Wrexham County Borough Council delivers, and enables the delivery of, services to people who live in, work in and visit the County Borough. The services provided include education, social services, housing, planning, environment and leisure. The Council continues to face reducing resources and is reshaping services to best support and enable local people to prosper whilst prioritising our most vulnerable residents. The Supporting People Programme The Supporting People Programme provides housing related support to vulnerable people to help enable them to live as independently as possible. This could be in people’s own homes, in hostels, sheltered housing or other specialist supported accommodation. It can provide complementary support for people who may also need personal or medical care but it cannot fund care provision. What is the Supporting People Local Commissioning Plan? The Wrexham Supporting People Local Commissioning Plan (LCP) provides a summary of the Council’s Supporting People commissioning intentions for the coming years, along with a Spend Plan. The LCP outlines the need for housing-related support funded through the Supporting People Programme Grant (SPPG). The LCP was developed taking into consideration a number of factors: A reducing Supporting People Programme Grant and WCBC Contribution making up the Supporting People Budget in Wrexham Evaluating services against guidance issued by Welsh Government in 2012 Reviewing all contracts funded through the Supporting People Programme Grant Implementing and ensuring compliance with any changes to the Supporting People Programme Guidance Continued monitoring as to the impact of Welfare Reforms on housing-related support services What happens next? The LCP will be submitted to the Regional Collaborative Committee (RCC) for North Wales, established as a requirement of the Supporting People Programme Grant (SPPG) Guidance (Wales) 2012. The RCC is responsible for analysing local authority plans and developing a regional plan for the area. The Wrexham SP team remain committed to ensuring that vulnerable citizens continue to receive the support they need to enable them to: have a good quality of life feel safe and secure in their homes enjoy a healthy and active lifestyle feel valued and able to contribute to the communities in which they live be supported to live as independently as possible for as long as possible With the continuing prospect of significant budget reductions, this remains a challenge. We will continue to ensure that the programme commissions services which are strategically relevant, of high quality and will deliver value for money. 5 2 Strategic Priorities The strategic approach underpinning this Local Commissioning Plan (LCP) is linked to local and national frameworks for housing and support such as the Welsh Government National Housing Strategy, the Local Housing Strategy for Wrexham, the strategic priorities in the Council Plan 2015 2017 and the priorities set by the Local Service Board in ‘Our Wrexham’ Plan 2013 – 2024. The LCP also contributes to the Welsh Government’s objectives for tackling poverty as outlined in ‘Building Resilient Communities: Taking forward the Tackling Poverty Action Plan’ and updated in The Tackling Poverty Action Plan Annual Report 2015; and is responsive to the provisions of the Housing (Wales) Act 2014 and Social Care and Wellbeing Act 2014. Supporting People Outcomes The LCP provides a framework for the commissioning and procurement of housing-related support schemes through the Supporting People programme. These schemes are required by Welsh Government, in accordance with the Supporting People Programme Grant Guidance to deliver outcomes for the individuals that they support, in the following key areas: Promoting personal and community safety 1. Feeling safe 2. Contributing to the safety and well-being of themselves and others 3. 4. 5. Promoting independence and control Managing accommodation Managing relationships Feeling part of the community 6. 7. 8. Promoting economic progress and financial control Managing money Engaging in education / learning Engaging in employment / voluntary work Promoting health and well-being 9. Physically healthy 10. Mentally healthy 11. Leading a healthy and active lifestyle Supporting People Links to Strategic Priorities Strategy/ Plan/ Framework Welsh Government National Housing Strategy Section The Welsh Government National Housing Strategy Improving Lives and Communities: Homes in Wales (2010) identifies three priority strands: Links to Supporting People The LCP contributes chiefly to the third of these national priority strands by ensuring appropriate and effective housing-related support services are provided to meet identified needs, Providing more housing of the right type including those of vulnerable and and offering more choice minority groups within the local Improving homes and communities, community including the energy efficiency of new and existing homes Improving housing-related services and support, particularly for vulnerable people and people from minority groups 6 Strategy/ Plan/ Framework Local Housing Strategy Section Links to Supporting People The Wrexham Local Housing Strategy 2013 – 2018 reflects the three priority strands of the National Housing Strategy within the overarching theme of building sustainable communities. The Supporting People team were actively engaged with the development of the Local Housing Strategy, and continue to ensure that the LCP remains abreast of local strategic housing priorities. The three priority strands are: 1. More housing more choice 2. Improving homes and communities 3. Better services to improve people’s lives Our Wrexham Plan 20132024 As with the National Housing Strategy, the LCP chiefly contributes to the third theme of the Local Housing Strategy by enabling the provision of supported housing services in response to identified need in the local community. These services can enhance or maintain independence; improve safety, well-being and prosperity; and prevent homelessness. Through the review and, where necessary, the reconfiguration of services, the LCP will ensure optimum use of Supporting People funding to achieve value for money and the most appropriate service provision to meet identified local needs. Our Wrexham Plan 2013 -2024, produced by the Local Service Board (LSB) sets three core priorities: Making Wrexham a place where people The LCP supports the provision of can live independently and are healthy schemes that enable people to attain independence and control over their and active lives and lead a healthy and active lifestyle. Making Wrexham a place with a strong, The LCP supports the provision of schemes that promote economic resilient and responsible economy progress by encouraging people to engage in education, training and employment. Making Wrexham a place that’s safe and The LCP supports the provision of schemes that help people to feel safe where everyone feels included and included in their community and contribute to their own and community safety. The Council The Council Plan identifies priorities within the Plan 2015 - three strands of economy, people, and place. 2017 7 Strategy/ Plan/ Framework Section Links to Supporting People Economy: creating a vibrant, diverse and The LCP provides a framework for the inclusive economy commissioning and procurement of housing-related support schemes that E1: People want to live, work, learn, visit and will enable economic progress and invest here financial independence by assisting people to manage their money well E2: Businesses can locate and grow here and to engage in education, training, and paid or voluntary work. This will E3: People can prosper as individuals in their enable people supported by the communities schemes to prosper and make a positive contribution to the local economy. People: raising aspirations, creating confidence The LCP contributes to the People strand of the Council Plan by enabling and promoting opportunity the provision of housing-related support schemes that promote PE1: All children and young people have optimum independence, safety, wellpositive aspirations, learn and achieve their being and opportunity for a range of potential people, including older, younger and vulnerable people. Schemes procured PE2: Children and young people are through the LCP will be expected to safeguarded encourage personal and financial independence; enable access to PE3: People feel, and are, safe and secure education and employment; support integration and participation in the life PE4: All people are enabled to make healthy of the community; and promote health, choices well-being and safety. PE5: All vulnerable older people are safe, and have optimal health, independence and wellbeing PE6: Welsh language and culture is promoted and supported Place – investing in attractive, safe and inclusive communities PL1: Homes that meet people’s needs and aspirations PL2: An environmentally responsible place The LCP contributes to the Place strand of the Council Plan by supporting the provision of schemes which assist people to care for their own homes, to feel safe and included in their communities, and to contribute to community safety and well-being. PL3: Communities with sustainable, attractive settlements, neighbourhoods, buildings and spaces PL4: Well-connected communities 8 Strategy/ Plan/ Framework Tackling Poverty Section Links to Supporting People In Building Resilient Communities: Taking forward the Tackling Poverty Action Plan the Welsh Government (WG) refreshes the original Tackling Poverty Action Plan (2012-2016), and identifies Supporting People as having a role in mitigating the impact of poverty by helping to ensure fair access to healthcare, housing, financial and digital services. Nationally, Supporting People grant funding assists 70,000 people to live independently and sustain their accommodation; and helps to provide employment by funding 10,000 full-time equivalent jobs in support services. Building Resilient Communities identifies the Communities First programme to empower communities as WG’s starting point for achieving change. In order to make communities healthier, wealthier, more skilled and better informed, this programme identifies three main objectives: 1: Prosperous communities The LCP helps to build prosperous communities by supporting services that enable people to manage money; engage in education and learning; and engage in employment. In addition, through the appropriate management of funding provision to support services, the LCP will help to enable employment within these services. 2: Learning communities The LCP will support services that enable people to engage in education, learning and training, thus helping to invest skills into the community. 3: Healthier communities The LCP contributes to healthier communities by assisting the provision of services that support physical and mental health and promote healthy and active lifestyles. In addition, services commissioned through the LCP will enable people to feel part of their community; and will promote community well-being by helping people to feel safe and to contribute to their own safety and well-being and that of the community. 9 Strategy/ Plan/ Framework Section Links to Supporting People The Tackling Poverty Action Plan Annual Report 2015 adds new commitments to the Plan in response to two new objectives added to the revised Child Poverty Strategy published by WG in March 2015. These new objectives are: To use all available means to create a strong economy and labour market in Wales to reduce in-work poverty To help families increase their household income through effective financial and debt advice. The LCP supports the revised commitments of the Tackling Poverty Action Plan by assisting the provision of services that support people to engage with employment and training; maximise their income and their employment potential; manage money and attain or sustain financial independence; and engage positively with the community. By assisting support provision in these areas, and promoting partnership working with housing providers and other services, the LCP contributes to mitigate the impacts of welfare reform. The commitments added to the Tackling Poverty Action Plan in response to these new objectives include measures to support a strong economy and sustainable employment opportunities; mitigate the impacts of welfare reform; improve the quality and supply of affordable housing, particularly smaller (1 bed or 2 bed) units; and address food poverty, inwork poverty and rural poverty. Wrexham’s Tackling Poverty Strategy 2015 - 18 The LCP supports the outcomes of Wrexham’s Tackling Poverty Strategy sits Wrexham’s Tackling Poverty Strategy within the context of the national Tackling 2015-18 by: Poverty Action Plan, and of the Local Service Board (LSB) Plan, Our Wrexham Plan 20132024; and contributes to the outcomes of these Assisting the provision of Plans. Wrexham’s Tackling Poverty Strategy is schemes that promote focussed on four outcomes: economic progress and financial control – including 1. People in Wrexham are prosperous engagement with training learning and employment. 2. People in Wrexham are healthy Assisting the provision of schemes that promote health 3. People in Wrexham are engaged in and wellbeing learning Assisting the provision of schemes that promote personal 4. People in Wrexham feel and are safe and community safety The high level strategy aims to improve the way the LSB and other organisations in Wrexham work together to understand, prevent and combat poverty. The LCP promotes partnership working between support providers, housing providers and other agencies to provide services that promote economic progress and help to The Communities First Programme (see below) address the causes and effects of is recognised as a starting point for delivering poverty. Tackling Poverty strategic outcomes. 10 Strategy/ Section Plan/ Framework Communities Communities First is a community-focused, tackling poverty programme from Welsh First Government. WCBC is the Lead Delivery Body for administration of the programme in Wrexham. Links to Supporting People Supporting People will work alongside Communities First to support Tackling Poverty priority themes by commissioning services that: Communities First includes the three priority themes of the national and local Tackling Poverty Strategies: Promote economic progress and financial control Support engagement with training and learning Promote physical and mental health and wellbeing and support healthy and active lifestyles Prosperous Communities Learning Communities Healthy Communities The main activities of the programme include: employability and employment support; financial capacity; digital inclusion; essential skills; lifelong learning; and physical and mental By commissioning and funding services that promote and encourage health. engagement with training, learning, It is anticipated that the programme for 2016 – volunteering and employment 17 will need to demonstrate a greater focus on opportunities, the Supporting People programme will support and employability and working to assist people complement the aims of Communities towards employment. In addition a First and Communities for Work Communities for Work programme will initiatives. commence in Communities First clusters in early 2016: this programme is supported by the European Social Fund through WG and will work to increase employment for both long-term unemployed and economically inactive adults over the age of 25; and young people aged 1624 not in employment, education or training. Supporting People will look to work WG has indicated that Communities First Lead closely with Communities First to develop commissioning and funding Delivery Bodies will need to accommodate a approaches that make the best budget reduction of at least 10% in 2016-17 possible use of all available funding resources. WG’s Vibrant and Viable Places regeneration framework invests in Communities First areas, town centres and coastal communities to develop vibrant, viable and sustainable communities with a strong local economy and good quality of life. £10.5m has been secured from WG for a variety of physical regeneration projects in Wrexham that will help to tackle poverty, improve employment and learning opportunities, increase housing supply and strengthen communities. 11 Strategy/ Plan/ Framework Families First Section Links to Supporting People Families First is an innovative programme that promotes the development, by local authority areas, of effective multi-agency systems and support, with a clear emphasis on prevention and early intervention for families, particularly those living in poverty. Families First is a key response to the Welsh Government’s Child Poverty Strategy. The strategy has three strategic objectives: Supporting People can assist and complement the work of Families First through the provision of housingrelated support services to single parents and couples with children that will enable them to: reducing the numbers of families living in workless households; improving the skills of parents/carers and young people living in low-income households, so they can secure wellpaid employment; and reducing inequalities that exist in health, education and economic outcomes for children and families by improving the outcomes of the poorest - with a focus on supporting families to achieve better outcomes for children. Families First must demonstrate that it can improve population outcomes in relation to tackling child poverty and four national outcomes have been identified: Manage their money Engage with training, learning and education Access employment and volunteering opportunities Feel safe and keep themselves and others safe in their community Be physically and mentally healthy and have a healthy and active lifestyle Look after their home Manage relationships with others and be part of the community. Supporting People will look to work working age people in low income with Families First where possible to families gain, and progress within enable the most effective use to be employment; made of available funding children, young people and families, in or at risk of poverty, achieve their potential; children, young people and families are healthy, safe and enjoy well-being; and families are confident, nurturing, and resilient. The local programme in Wrexham consists of five projects focusing on activities to support young people in education, support for parents including parenting, family support and tenancy support, employment support, welfare rights and debt advice, play services and a range of services for children with disabilities. 12 Strategy/ Plan/ Framework The Housing (Wales) Act 2014 Section Links to Supporting People The Welsh Government has made it clear that they expect planning for the use of Supporting People funds to focus upon the delivery of efficient and effective services to prevent homelessness. Much of the support delivered through the SP Programme Grant prevents or reduces the need for more costly interventions by other services such as Homelessness, Health, Social Services and Criminal Justice agencies. This was emphasised in November 2014 in a letter to Heads of Housing and Supporting People Lead Officers from the Minister for Communities and Tackling Poverty. The LCP prioritises homelessness prevention. It is committed to the provision of schemes that prevent homelessness by reducing the risk of tenancy failure or mortgage default; and by equipping people from diverse vulnerable groups with the skills they need to sustain independent living in their own homes, across all housing tenures. The Minister re-iterated the need for evidence that housing-related support planning and commissioning are focused on homelessness prevention as well as the wider policy agenda and where there are opportunities for savings and service reconfiguration that these increase the availability of preventative support. This indicates a move away from funding statutory services, i.e. adult social care to more homeless prevention. In light of other budget reductions this will have a major impact on services. It is therefore essential that good quality commissioning and procurement be central in meeting the needs of service users and providing the best value for public money. The Housing (Wales) Act 2014 includes significant reforms to homelessness legislation; places a stronger duty on local authorities to prevent homelessness; allows local authorities to use suitable accommodation in the private sector to discharge homelessness duties; and requires local authorities to ensure that both suitable accommodation and satisfactory support are available for people who are or may become homeless. The Act makes particular reference to the need for local authorities to ensure that suitable provision is made for certain vulnerable groups with regard to homelessness. These groups include: People leaving prison or youth detention accommodation Young people leaving care People leaving the regular armed forces of the Crown People leaving hospital after treatment for mental disorder as an inpatient 13 Strategy/ Plan/ Framework Section Links to Supporting People People receiving mental health services in the community. In addition to homelessness reforms, the Act places a duty on local authorities to provide sites for Gypsies and Travellers where a need has been identified. The Violence Against Women, Domestic Abuse and Sexual Violence (Wales) Act 2015 The Violence Against Women, Domestic Abuse and Sexual Violence (Wales) Bill received Royal Assent and became an Act on 29 April 2015.The Act aims to improve the Public Sector response in Wales to such abuse and violence by: Improving arrangements to promote awareness of, and prevent, genderbased violence, domestic abuse and sexual violence; and to protect and support victims. Introducing a needs–based approach to developing strategies which will strengthen strategic direction and accountability Ensuring strategic level ownership by appointing a Ministerial Adviser to advise Welsh Ministers and improve joint working amongst agencies across the sector. Improving consistency, quality and joinup of service provision in Wales. The LCP supports the aims of The Violence Against Women, Domestic Abuse and Sexual Violence (Wales) Act 2015 by continuing to support the provision of housing-related support services to domestic abuse survivors and by promoting and encouraging partnership working to enable effective, joined-up service provision to this client group. 14 Strategy/ Plan/ Framework The Social Services and Wellbeing (Wales) Act 2014 Section Links to Supporting People The Social Services and Wellbeing (Wales) Act received Royal Assent on 1st May 2014 and will be implemented in April 2016. The Welsh Government is drafting the Regulations, guidance and Code of Practice for the new Act prior to its implementation. The new Act repeals most of the existing Community Care legislation; however, this legislation will remain in place in Wales until the new Act is implemented. The LCP will support the requirements of the Social Services and Wellbeing (Wales) Act 2014 by enabling the provision of preventive housing-related support services. These services will complement and work alongside health and social care services to strengthen the preventive agenda and help to reduce dependence on statutory care services. The LCP will promote and support partnership working and will include joint tendering and contracting arrangements where these will support effective service delivery to vulnerable client groups. The fundamental principles of the Act are: • People: putting an individual and their needs, at the centre of their care, and giving them a voice in, and control over reaching the outcomes that help them achieve well-being. • Well-being: supporting people to achieve their own well-being and measuring the success of care and support. • Earlier intervention: increasing preventative services within the community to minimise the escalation of critical need. • Collaboration: strong partnership working between all agencies and organisations. The Act includes a requirement for services such as housing, health and social care to work effectively in partnership to deliver comprehensive and joined-up care and support. To avoid confusion, overlap or duplication of services in this context, the Act clarifies the distinction in law between housing and social care duties and services, and affirms that a local authority cannot discharge a social care duty by delivering services that are required under housing provisions. 15 Strategy/ Plan/ Framework Welfare Reform Section Links to Supporting People The UK Welfare Reform Act 2012 received Royal Assent on 8th March 2012. The Act makes radical changes to the benefits system in the UK, which are expected to be completed by 2017. Further changes are proposed in the Welfare Reform and Work Bill 2015-16 with additional measures announced in the Budget on 8th July 2015 The Welfare Reform legislation increases and tightens limitations and restrictions around welfare benefits and social housing. These include changes specifically affecting welfare provision for social housing tenants, people with disabilities, young people, and families with children. These changes have significant implications for people who are in receipt of state benefits or on low incomes. The LCP supports the provision of services that will enable people to engage with education, training and employment; to maximise their income and manage their money; and to achieve and sustain financial independence. The LCP supports partnership working with housing providers to address the challenges arising from welfare reforms affecting access to housing for vulnerable and disadvantaged people. Supporting People funds housing related support to a range of vulnerable people including people with physical or learning disabilities; people with mental health needs; young people; and families with children. Through the Outcomes Framework, Supporting People encourages and enables people to engage with training and employment and increase their financial independence; however, at the point of engaging with SP services, many clients will be reliant on benefits to some extent, in particular Housing Benefit. The impact of Welfare Reforms upon SP clients and services are therefore likely to be significant. Some exceptions to the reforms have been made for supported accommodation schemes and for ‘vulnerable’ claimants, but the reforms are likely to affect both the availability of moveon accommodation, and the ability of some client groups, particularly young people, to access independent housing when they are ready to move on from supported schemes. 16 Strategy/ Plan/ Framework The Ageing Well in Wales Programme 2014-19 Section Links to Supporting People Ageing Well in Wales was launched in October 2014 and is a 5 year partnership of national and local government with major public and third sector agencies in Wales. The Programme contributes to, and complements the Welsh Government’s Strategy for Older People (Phase 3) 2013-23. The LCP contributes to the key themes of the Ageing Well in Wales Programme by supporting the provision of housing-related support services for older people that sustain and enhance independent living; and that promote positive engagement with the wider community and with learning, volunteering and employment. Ageing Well in Wales includes 5 priority themes: Age Friendly Communities Falls Prevention Dementia Supportive Communities Opportunities for Learning and Employment Loneliness and Isolation 17 3 Current Funding by Client Group There are over 40 schemes in Wrexham which are funded or partially funded through Supporting People which supported over 3200 people in 2014/15. The following charts show the percentage of funding and numbers of scheme places available in Wrexham County Borough for each of the Welsh Government Supporting People client support categories. 18 4 Service Development - Progress since 2015/16 Local Commissioning Plan 2015/16 saw the Supporting People Programme Grant in Wrexham cut by 10.37% and the corporate contribution to Supporting People services cut by 75%; as a result we have reduced our contracted spend in excess of £400k and work is ongoing to look to further reduce our commitments for 2016/17 and beyond in preparation for further reductions in Supporting People Programme Grant and Local Authority contribution to the Programme in Wrexham Despite these significant funding cuts, Supporting People in Wrexham have achieved the following: We have been able to negotiate additional units of support by working with providers to identify efficiencies and increase capacity. Whilst every effort is made to mitigate any potential negative impact, as the budget continues to reduce, this is becoming increasingly difficult and Service Providers report that there will come a point where this will become unsustainable particularly for third sector organisations that are facing significant cuts from other public sector funding streams. Strategic reviews of services have been carried out resulting in the de-commissioning and final closure of some services where they have been found to be ineligible in parts of their delivery and where service users can be supported elsewhere. These have been difficult but necessary pieces of work due to the cuts to the budget; Service Providers have responded professionally and with the best interests of service users in mind to mitigate the impact on vulnerable people. The Supporting People team have been part of the Reshaping Services Group at WCBC. This group is looking at all third sector spend across the organisation and seeks to impact assess any planned cuts holistically to mitigate the negative impact on the Third Sector in Wrexham. We are working closely with the Housing Options team to identify duplication of services and possible ways in which the teams can have more influence to determine who services are provided to. The Supporting People Template Contract for Housing-Related Support Service provision has been reviewed and updated to enable in term contract negations and variations as a result of Welsh Government funding reductions and the need to respond efficiently to changes in Supporting People Programme Grant Levels. Work is ongoing with WCBC Procurement Department to negotiate extensions and exemptions to tender where appropriate in line with the SPPG Guidance and in accordance with WCBC Financial Regulations. This has resulted in the development of new contract terms and service specifications for services affected to cover any exemption or extension period. Working closely with regional colleagues we have contributed to the RCC work streams, attending workshops and the North Wales Contract and Reviewing Officers Group to take forward regional priorities. The Referral Gateway Officer was appointed in October 2015. The Gateway is designed to ensure the co-ordination of Housing-Related Support services for people who are homeless, at risk of becoming homeless, or who have community safety housing support needs across the whole of Wrexham County Borough. The Gateway will ensure that those presenting to the service are signposted to the most relevant service and avoid the duplication of support for individuals across different agencies. It will ensure that those with complex needs are supported in a way that enables them to maximise their independence and access 19 opportunities relevant to their needs. The service will be managed by a Gateway Co-ordinator who will sit within the Housing Options team. Continued remodelling of Learning Disability Services has taken place. There remains growing evidence that people with mild to moderate learning disability who are accessing generic support services are unable to sustain their tenancies or places on schemes. Welfare Reform, the introduction of Personal Independence Payments and Universal Credit, have added to a growing need for support in this area with service users and providers reporting that people are often struggling to understand new processes. Working with colleagues from ASC we have been able to progress the work required to continue in our three year plan to reduce the funding contribution to people with low level learning disabilities and target the support more appropriately. In addition, external LD contracts which come to an end in 15/16 have been issued notice and a new Learning Disability Supported Accommodation plus Floating Support Network is currently in development and will be tendered for before the end of 15/16 in line with WCBC Financial Regulations and the Supporting People Programme Grant Guidance. We completed our work to remodel our older persons’ services. Following the review of and de-commissioning of existing, internally provided older persons’ services in 2014/15, the Supporting People team completed a successful tender for a two-tier older persons floating support service. Wrexham Include was launched in April 2015 offering short-term enabling support and signposting for up to 12 weeks at tier one and longer term, more intensive support for people with higher level housing-related support needs at tier two. 20 5 Need and Service Gaps Wrexham County Borough Council Supporting People team gathers needs information from a variety of sources. The main source of information is via the Needs Mapping Exercise (NME) which records a person’s own assessment of their housing-related support and accommodation needs at the time of presenting to services, whether or not they are able to access them. It is acknowledged that the information received can be biased according to the organisations which submit forms for their clients and careful analysis along with supplementary information is needed to inform decision-making. In addition to NME evidence, WCBC’s SP team looks at evidence supplied by schemes via their Performance Monitoring and Outcomes returns which show demand (referrals), unmet need (waiting lists) and equality monitoring data. The Council’s homelessness statistics provide information about need and we also note anecdotal evidence from providers and stakeholders. In June we held a very successful consultation event (see section on Consultation Evidence) where opinion was sought from service users and stakeholders about their perceptions of service gaps and areas for prioritisation. Performance Monitoring Data 2014/15 WCBC’s Supporting People team gather Performance Monitoring (PMR) data from service providers at the end of each quarter as part of a programme of contract monitoring activity. By considering PMR data and comparing to supply it is clear that demand for services far outstrips the supply with waiting lists for services for all client groups. Needs Mapping Exercise (NME) Data Work led by Denbighshire Supporting People team resulted in the development of a concise NME form which is being used across all six North Wales Local Authorities and a web-based system which collates the information centrally. During the last full financial year, April 2014 to March 2015, 913 forms were received for Wrexham County Borough. A wide range of provider organisations and other stakeholders participated in the Needs Mapping Exercise and their submissions represented a variety of client groups, as well as generic support providers, a Black, Minority Ethnic Group organisation and housing provider organisations. One third of people completing a form were not of a fixed abode. Half of those of no fixed abode were accommodated in a night shelter or hostel. 32 people were sleeping rough. The remaining two thirds of people completing a form were of a fixed abode, with half of these living in Council accommodation. 21 Just over 30% of people considered themselves homeless at the time of completing their form and 12% at risk of homelessness within the next 2 months. 9% of people said that they had nowhere to stay that night. The most frequent reason given for homelessness/risk of homelessness was family or relationship breakdown. Accommodation and Support Needs 85% of people completed forms in relation to accommodation and/or support needs. Just under 15% were completing a form in relation to their accommodation needs only. 594 people of the 913 who completed forms stated that they would like ordinary accommodation and 509 stated that they would like supported accommodation/floating support (support delivered to people in their own home). For those seeking the ordinary accommodation options, Council accommodation was the most popular, followed by Housing Association and home ownership. For the support options the most favoured was self-contained supported housing, followed by floating support and shared supported housing. The NME form lists a number of client support categories based on the Welsh Government’s client groups for Supporting People services. People completing the form are asked to choose which of the options are relevant to them and are also asked to pick which option is most important or “Lead Need”. 22 As can be seen from the chart above, the support needs identified as most important to people were: vulnerable older person, mental health, and vulnerable young person. When asked to identify all of their relevant support needs, the most frequent support needs were also vulnerable older person, mental health and vulnerable young person. Mental health was the most common with 38.9% of respondents indicating that they had support needs in this area, followed by vulnerable older person (21.9%) and vulnerable young person (21%). Client Support Need Category Vulnerable older person Mental health Vulnerable young person Domestic Abuse Learning disabilities Generic Drug issues Offending Alcohol issues Physical/sensory disabilities Chronic illnesses Refugees Unspecified Number of forms completed Lead Support Relevant Support Need Needs Number % Number % 156 17.1% 200 21.9% 110 12.0% 355 38.9% 102 11.2% 192 21.0% 78 8.5% 161 17.6% 61 6.7% 145 15.9% 59 6.5% 100 11.0% 58 6.4% 176 19.3% 52 5.7% 141 15.4% 45 4.9% 156 17.1% 34 3.7% 98 10.7% 20 2.2% 60 6.6% 4 0.4% 12 1.3% 134 14.7% 0 0.0% 913 Outcomes Return Data Supporting People providers are required to submit an outcomes return for each client at the start of support, every 6 months and/or when a person exits a Supporting People service. At the start of support, the person in receipt of the Supporting People service is asked which client support categories are relevant to their support needs. The person is also asked which of those areas are considered as main/lead need, secondary and third need. The following chart and table below show client support categories relevant to people at the start of their support for outcomes returns completed from April 2014 to March 2015. 23 Client Support Category Single people with support needs not listed above (25-54) Young people with support needs (16-24) Women experiencing domestic abuse Generic/Floating Support/Peripatetic People with mental health issues Alarm Services People over 55 with support needs Single parent families with support needs People with alcohol issues People with substance misuse issues People with criminal offending history People with physical and/or sensory disabilities People with learning disabilities Families with support needs Men experiencing domestic abuse People with developmental disorders People with chronic illnesses People with refugee status Young people who are care leavers Number of starting data records Lead Support Need Number % 2nd or 3rd Support Need Number % Support Need Relevant Number % 114 16.17% 18 2.55% 152 21.56% 107 15.18% 41 5.82% 163 23.12% 84 11.91% 14 1.99% 110 15.60% 80 11.35% 75 10.64% 73 10.35% 44 6.24% 85 12.06% 99 14.04% 9 1.28% 17 2.41% 187 26.52% 214 30.35% 91 12.91% 62 8.79% 21 2.98% 25 3.55% 55 19 2.70% 41 5.82% 92 13.05% 17 2.41% 78 11.06% 127 18.01% 15 2.13% 38 5.39% 90 12.77% 15 2.13% 44 6.24% 67 9.50% 14 9 8 1.99% 1.28% 1.13% 29 24 6 4.11% 3.40% 0.85% 59 22 13 8.37% 3.12% 1.84% 3 0.43% 5 0.71% 14 1.99% 3 2 2 0.43% 0.28% 0.28% 9 3 5 1.28% 0.43% 0.71% 15 4 16 2.13% 0.57% 2.27% 7.80% 705 The chart shows that the most frequently occurring lead client support categories at the start of support were: single people 25-54 (with support needs not listed in other categories), young people 16-24 with support needs, and women experiencing domestic abuse. When all relevant needs are considered the most prevalent was mental health with almost a third of people stating that this was relevant to their support needs, followed by generic/floating support and young people with support needs. Consultation Evidence Consultation with Service Users Methods used to engage and consult with service users include: • • • • At an individual level, Reviewing and Contracts Officers consult with service users about their experiences of the support provided to them as part of the reviewing process through interviews and questionnaires. Service user satisfaction forms are used during scheme reviews and when people leave the service. Consultation with service users during the development phase of new projects and remodelling of existing schemes. Attendance at as many scheme consultation events as possible provides an additional opportunity to speak to service users about their support. 24 • • • • Reviewing processes may include an opportunity for SP officers to shadow project staff and as a consequence have the opportunity to talk to service users and potential service users. Attendance at Programme Groups which include service user representation. LCP Consultation events On-line survey Consultation with Provider Organisations and Stakeholders All Supporting People providers in Wrexham are invited to a bi-monthly Provider Reference Group. The Terms of Reference for this group were reviewed by group members in 2014 and the Association of Voluntary Organisations in Wrexham (AVOW) now provide an independent Chairperson. The Chair of this group also sits on the Wrexham Supporting People Planning Group. This has enabled providers to raise items needing discussion including service delivery improvement suggestions and commissioning plans and other SP programme issues. Supporting People officers regularly meet with provider managers and staff during the reviewing and monitoring process, remodelling of existing schemes or when planning the development of new projects to help inform plans for future service improvements and development. Consultation Event A consultation event held in June 2015 provided an opportunity for service users, providers, and other stakeholders to provide feedback on a number of aspects of how the Supporting People Programme operates in Wrexham and how it might look in future. In addition to the event service users, providers and other stakeholders were given the opportunity to respond after the event via either a paper or online questionnaire. A wide range of provider organisations and other stakeholders participated representing a variety of client groups, including people experiencing domestic abuse, people with learning disabilities, mental health issues, substance misuse issues, criminal offending history, older people, families, as well as generic support providers, and housing provider organisations. A total of 119 responses to the questionnaire were received, 53 from people who were receiving or had received a Supporting People Service and 66 from service providers and other stakeholders. Funding Priorities Respondents were asked: The amount of funding that we receive from Welsh Government is reducing over the next few years. We need to ensure that we manage our remaining funding to ensure that the most vulnerable are protected and that services are focussed on preventing homelessness. Which areas should we be making a priority for Supporting People funding? Funding Priority Areas* People with mental health issues People with learning disabilities Families Women experiencing domestic abuse People with physical and/or sensory disabilities People with alcohol issues People with drug issues Young people Single parent families People with criminal offending history Young people who are Care Leavers Number* 73 46 45 44 43 41 41 40 37 35 33 as a % of respondents 61.3% 38.7% 37.8% 37.0% 36.1% 34.5% 34.5% 33.6% 31.1% 29.4% 27.7% 25 People over 55 years of age People with Developmental Disorders (e.g. Autism) Men experiencing domestic abuse People with chronic illnesses (including HIV, AIDS) People with refugee status Other area - Homelessness Alarm services Other area - People aged 25-55 Other area - Young Carers Other area - People with gambling issues Other area - Widows Other area - People who are struggling to make ends meet Other - Some of the most vulnerable people I support do not fit into boxes for other services. Tenancy support type services need to be flexible about who they support 30 29 27 19 12 8 7 1 1 1 1 1 25.2% 24.4% 22.7% 16.0% 10.1% 6.7% 5.9% 0.8% 0.8% 0.8% 0.8% 0.8% 1 0.8% * Respondents were able to choose more than one priority area Savings Ideas A number of options were presented which were derived from suggestions put forward at our consultation event and by respondents to WCBC’s Difficult Decisions budget consultation in September/October 2014. All respondents (providers, stakeholders and people in receipt of a Supporting People service) were asked to select any of the options that they agreed with. Savings Ideas Pool some services together More short term intense support to be able to see more people Work to increase the speed that people are moved on into tenancies Work closely with private and volunteer services Review where support is available from elsewhere and avoid duplication Look at joint funding through the Health Board etc. Ensure that services spend more on delivering support and less on management Increase the number of services tendered out Increase the focus on homelessness prevention * Respondents were able to choose more than one idea as a % of Number* respondents 25 21.01% 44 36.97% 30 20 25.21% 16.81% 34 28 28.57% 23.53% 40 7 42 33.61% 5.88% 35.29% Other Themes from the LCP Consultation In addition to the ‘savings ideas’ identified above, respondents were given the opportunity to make any other suggestions. Regular themes raised by respondents to the consultation were: Re-modelling/increasing funding for mental health services and substance misuse services Work on increasing the range of provision for homeless Improving communication and partnership working including regional/sub-regional working Consider group support A single point of contact for referrals is needed 26 Providers and stakeholders were asked what Supporting People should be thinking about so that the right services can be delivered, what are the gaps. They were also asked what barriers they have faced in supporting people to achieve positive outcomes and their thoughts on local and national factors that could affect the need for housing related support. People who were receiving or who had received a Supporting People service were asked how they thought their support service could be improved. The main themes emerging from the replies to these questions are as follows: The effects of funding cuts for example reduction in staff numbers affecting quality of service, de-commissioning of services where there is increased demand for housing-related support. New prison opening in Wrexham and its effect on the demand for housing, housing-related support services and other services. Lack of affordable housing, one bed/smaller accommodation, lack of move-on options for people leaving supported accommodation. Specialist mental health services – shortage of, difficulty in accessing. Changes to homelessness legislation. Gaps in the range of homelessness services. The effects of welfare reform, benefits changes, job losses, low incomes, increased poverty in Wrexham, concerns about lack or loss of advice services, and shortfall in training in this area. The need for more multi-agency working and co-operation. The administrative burden to SP funding, too much staff time taken up with paperwork and recording rather than service delivery both from Supporting People and organisations. More long term support, support to be available after move-on and in private accommodation. Homelessness Homelessness Statistics Homeless statistics supplied to the Welsh Government for 2014/15 show that out of a total of 435 decisions taken, 190 households were accepted as being eligible, unintentionally homeless and in priority need. For those accepted as homeless (190), the reasons for the loss of their home were:- Reasons for loss of home Parent no longer willing or able to accommodate Relatives/friends no longer willing/able to accommodate Relationship breakdown (partner) - non-violent Relationship breakdown (partner) - violent Violence and harassment Mortgage arrears (including repossession) Loss of rented or tied accommodation Current property unsuitable In institution or care (hospital, prison etc.) Unknown/data not available/not published 2014/15 25 10 10 35 5 5 45 0 45 10 Change since 2013/14 +5 +5 -5 +5 No change No change +10 -10 No change +10 WCBC’s Housing Options/Homelessness service enquiry numbers remain fairly constant. However, the new homelessness provisions in the Housing (Wales) Act 2014 which came into effect on 27 April 2015 include new duties on Local Authorities to help all eligible applicants to keep or find a home. As a result, the number of new assessments carried out by the Housing Options team has doubled with almost as many assessments completed in the first 6 months of 2015/16 as in the whole of 2014/15. 27 Number of enquiries Number of new assessments 2013/14 1687 - January to June 2014/15 2015/16 1825 866 413 405 Rent Arrears and Evictions Data supplied to Welsh Government on rent arrears and Social Landlord stock and rents shows that, at the end of 2013/14, 22.67% of social rented tenancies in Wrexham County Borough were in rent arrears, 4.22% were in 13 weeks or more of arrears. The trend of the last few years has been a steady increase in the number of tenancies in rent arrears. During the financial year 2014/15, 80 households were evicted or abandoned their tenancies with WCBC. 47 of these were evictions due to rent arrears and 9 were evictions due to anti-social behaviour. Given that the full impact of Welfare Reform, the introduction of universal credit and reduction in housing benefit payments is yet to be fully realised, we could see further increases in the number of people in rent arrears and at risk of eviction which is likely to impact on the demand for housingrelated support services. Homelessness and Rough Sleeping There is continued demand for Wrexham’s Ty Nos night shelter managed by Clwyd Alyn Housing Association. The night shelter provides emergency accommodation for 16 people (12 male, 4 female) who may find themselves homeless and are in need of emergency accommodation. In 2014/15 an average 14.6 people per night were accommodated with an average of 1 person per night being turned away due to lack of a bed space. St John’s Project is a homeless hostel provided by The Wallich, providing 18 units of supported accommodation to homeless people across two sites in the town centre. 11 of the units are direct access and are over subscribed; an average of 11 people per night were accommodated in the 11 direct access units in 2014/15 with an additional 92 enquires from people seeking accommodation during the same period. Information from The Wallich shows that there is an average of 15 people waiting for direct access units at the Project at any one time. As part of the Wrexham Young Persons’ Project, CAIS (Drug and Alcohol Agency) provides the Soup Dragon and Outreach Van with other voluntary and charitable organisations continuing to provide food and other services for street homeless and roofless people in Wrexham. The Soup Dragon has seen an increase of 14% in the number of clients accessing the service and the Outreach Van has seen an increase of 34% since the previous year. At total of 2108 clients accessed the Soup Dragon project in 2014/15 and 53 accessed the Outreach Van. Ty Croeso is a purpose-built, Tier Two centre (open access drug and alcohol treatment services which provide accessible drug and alcohol specialist services for a wide range of drug and alcohol misusers) which opened in 2013 to provide support and treatment for adults with issues in their lives including substance misuse and homelessness. A range of services are provided at a central location including breakfast clubs, drop-in services, advice, needle and syringe exchange, information and support groups work, and structured treatment from nurses and health professionals. 776 individuals used the drop-in service in 2014/15 across 14,300 visits and as part of the drop-in service to homeless clients, 100 homeless packs were provided. The experience of staff at Ty Croeso is that changes to the benefits system and the use of sanctions appear to have driven the increase in homelessness. Whilst the centre is primarily resourced to support clients with substance misuse issues the staff are finding more and more individuals in crisis seeking assistance with their benefits and housing. 28 One third of people completing a Needs Mapping form were not of a fixed abode. Half of those of no fixed abode were accommodated in a night shelter or hostel. Numbers of people stating that they were sleeping rough or that they had nowhere to stay have increased since 2013/14. Number Sleeping Rough Number with nowhere to stay 2013/14 28 43 2014/15 34 82 Responses to our consultation indicate gaps in the range of services for homeless people including more homeless accommodation for those over 25, the need for more night shelter spaces/a purpose built night shelter and a homelessness resettlement service. Older People One quarter of people consulted at our event and through our online questionnaire thought that this should be a funding priority area in order to protect the most vulnerable and prevent homelessness. Vulnerable Older Person was the most frequently occurring lead support need for those who completing Needs Mapping forms. However, this may be in part due to the organisations which completed forms. Also, Needs Mapping data relates to 2014/15 and since then our new Older Persons Floating Support service has commenced. Mental Health Needs Mapping data for 2014/15 shows that 12% of people presenting to services classed Mental Health as their main support need and almost 40% of respondents classed Mental Health as a support need. Outcomes Data provided at the start of receiving a Supporting People service shows that almost three quarters of people with Mental Health as their lead support need were being supported by services which are not Mental Health specific. Almost two thirds of those who responded to our consultation questionnaire considered this to be a funding priority area in order to ensure that the most vulnerable are protected and that services are focused on preventing homelessness. When providers and stakeholders were asked what Supporting People should be thinking about so that the right services can be delivered, they indicated that there are gaps in Mental Health provision with specific comments as follows: Specialist mental health support. Short term, intensive support. Gaps in support for first time tenants and people leaving mental health services to get a sole tenancy. Early intervention is key, particularly as many individuals who have listed needs often have mental health somewhere in the mix. If we are not getting to individuals early enough and providing the right kind of intervention at an early stage where they may just need a little input as their needs are quite low, without any input those needs will soon grow and they will find themselves needing a big package of care to support them. Gaps in support for Families and Young People who require extra time/support due to their mental health/wellbeing. I can only speak from a mental health perspective and there are gaps across all age ranges. These can be identified and prioritised. Difficulty in accessing specialist mental health services was also seen as a barrier in supporting people to achieve positive outcomes. Mental health also featured strongly in provider and 29 stakeholder comments on national and local developments which could affect the need for housingrelated support. Lack of Mental Health treatment services/assessment services. Not enough support with Mental Health available. There are lots of issues with Mental Health, alcohol and drug issues in this area. Lack of mental health/behavioural resources. Cut backs in mental health services. Prison opening is going to put a big strain on all services but in particular mental health services as some statistics show that over 60% of prisoners have some kind of mental health issue. Vulnerable Young People Almost one third of people consulted considered ‘young people who are care leavers’ a priority area for funding and just over one third considered young people a priority funding area. 11% of people presenting to SP services stated ‘vulnerable young person’ as their lead support need. 21% of people identified support needs at some level in this area. Comments from consultation There is simply increased demand on all services for housing-related support. This is complicated by the increasing complex needs of young people in transition, who need a different/approach model to help them move on from young people’s to adult services. Closure of service supporting families of young carers. During 2013/14 Supporting People worked with colleagues in Housing Options and Children & Young People Service and with an existing supported accommodation provider to identify a bed space for short-term emergency accommodation. There is continued demand for this service with a total of 11 young people accessing this provision in 2014/15. A total of 170 people accessed our other 50 units of supported accommodation for young people in 2014/15. There were over 380 referrals to these projects in 2014/15. Domestic Abuse According to our Needs Mapping data, domestic abuse was the fourth most common lead support need for people presenting to services and the fifth most common overall support need. Over one third of service users, stakeholders and providers consulted stated that they considered this a funding priority area for Supporting People. Further details on our priorities in this area can be found in the Priorities and Proposals for Service Development section of this document. Learning Disabilities Over one third of respondents to our consultation considered this as one of the priority areas for funding. From our Needs Mapping data, around 7% of people presenting to Supporting People services considered Learning Disabilities as their lead support need and 16% identified some level of support needs around Learning Disabilities. Work on reviewing and remodelling existing learning disability services is ongoing. Further details on our priorities in this area can be found in the Priorities and Proposals for Service Development section of this document. 30 Criminal Offending The effect of the new prison opening on the need for housing-related support and other services was a common issue in our consultation responses. Almost one third of our consultation respondents considered ‘people with criminal offending history’ as a priority for Supporting People funding. From our Needs Mapping Data over 15% of people presenting to services had support needs around criminal offending. Substance Misuse Our Needs Mapping data for 2014/15 shows that almost 20% of those presenting to services had support needs at some level around drug issues. Just over 17% stated that they had support needs around alcohol issues. Over one third of service users, providers and other stakeholders responding to our consultation considered drug/alcohol issues a priority for Supporting People funding. Move-on Accommodation PMR data from service providers and consultation with service users and providers alike strongly indicates that moving on from supported accommodation is still an issue in Wrexham. Service providers are asked each quarter for numbers of service users who are ready to move on but were unable due to no suitable accommodation available for them to move in to. Our data shows an average of 30.75 ‘blocked beds’ each quarter. Period Quarter 1 2014/15 Quarter 2 2014/15 Quarter 3 2014/15 Quarter 4 2014/15 Number unable to move-on 26 21 41 35 The experience of our service providers is that there is an extreme shortage of single person accommodation in particular. Responses to a survey carried out as part of WCBC’s Local Housing Market Assessment indicate that recent changes in the economy and welfare reform have had an effect on the demand for smaller properties. Those looking to rent are taking the “Bedroom Tax” into consideration and are looking to secure smaller properties. Fewer young people entering the housing market are able to obtain a deposit to purchase a property of their own and are looking to rented accommodation instead which has also increased demand for smaller private rented properties. Conclusion Whilst a decreasing budget makes it difficult to address all the gaps and suggested priorities, the following section takes into account the consultation responses in the context of the strategic priorities outlined at section two and the identified needs and gaps outlined in this section so that we make best use of limited resources over the next three years. 31 6 Priorities and Proposals for Service Planning Public services in Wales are under increasing pressure to do more with less in the current economic climate. The Local Authority is facing severe financial challenges over the next few years, as the UK Government is looking to all councils across the country to achieve savings and provide services with less funding. Wrexham County Borough Council needs to reduce their annual budget by at least £45 million over the next three years. This will inevitably impact on the Supporting People Programme. Although ‘ring fenced’, the Supporting People Programme in Wales has been and will continue to be cut significantly as part of the UK Government’s austerity measures. 2015/16 saw the Supporting People Programme Grant in Wrexham cut by 10.37% and the corporate contribution to Supporting People services cut by 75%. Welsh Government are likely to see a further cut to their funding from Westminster in 2016 and have suggested that Local Authorities need to prepare for further significant cuts; in addition, WCBC corporate contribution will be ceasing. As a result, WCBC have to prepare to make further, significant cuts to its Supporting People Programme. It remains WCBC’s view that services to the most vulnerable in our community must be safeguarded as far as possible; however, in order to do this and sustain services for the future, we have to make some tough decisions given the significant financial challenges faced. We have developed approaches which set out a clear picture of how we will work with service providers to be able to achieve the reductions required to balance the funding. It remains our position that we are committed to implementing cuts in a way which minimises as far as possible any negative impact on vulnerable people needing support. Any decision to de-commission, remodel or impose a reduction in funding will be predominantly based upon the following: Findings from reviews of existing services Evaluation of alternative options to decommissioning, to better meet the needs of service users whilst achieving required savings, including: - reconfiguring existing services - regional working and contracting - working collaboratively to maximise other funding sources Equality impact assessment of all decommissioning proposals, making use of the WCBC Reshaping Services Group where appropriate Risk assessment of any decisions made Consultation and involvement of stakeholders on how to implement decommissioning plans effectively Informed Service Planning Service Planning over the coming three years will be informed by the following work: Analysis of quarterly PMR data, 6 monthly Outcomes Reports and needs mapping data collated regionally. Regular monitoring meetings at schemes which are used to qualify qualitative analysis and inform ongoing action planning. Initial and three yearly contract reviews, following the nationally agreed framework. Regional and sub-regional collaborative working and information sharing. In order to mitigate the impact of the continued cut to the SPPG budget in Wrexham, the following steps will continue to be taken: 32 Looking at average void levels (vacancies) in schemes and cutting contract capacity accordingly (each service will be considered on its merits) Informing providers that they should be prepared for further significant funding cuts A review of currently funded services to evaluate and consider reconfiguration of funding in line with Supporting People Programme Grant eligibility Consider contributions and possible funding duplication from other WCBC departments Seek opportunities to develop regional/sub regional services where appropriate Decommission services which are no longer assessed as being eligible or a priority Priorities In addition to supporting, reviewing and monitoring existing services, the following have been identified as priorities following consideration of the issues raised throughout this document. Priorities and updates carried forward from 2015/16 Rough Sleeper Outreach Worker User Group – Homeless/ Roofless Model of Service Provision – The service will deliver outreach support to people who present at the Ty Nos Night Shelter or have been identified as rough sleeping. A worker will assist homeless people to access the services they need to enable them to research possible solutions to source suitable accommodation, signpost to specialist agencies and to offer support to attend appointments critical to their health and wellbeing. Reason – There is evidence that the number of rough sleepers is growing; by offering support at the point of contact i.e. the night shelter, soup dragon etc., some issues may be addressed at the earliest point and prevent the situation worsening. Progress 15/16 – Given the significant cut to the budget, this priority was put on hold during 15/16. Quarterly meetings with the Night Shelter provider still take place to ensure the new SP contracted service is delivering outcomes for people at risk of rooflessness. In addition, the Supporting People team regularly attend the Services of Wrexham Action Group meeting which seeks to find solutions as to how best to support some of the most vulnerable, often roofless people of Wrexham. Complex Needs Scheme for Young People User Group – Young single people and care leavers who can be high risk and who have complex needs Model of Service Provision – A 24 hour, 7 days per week supported accommodation scheme for high needs, high risk young people, comprising a 4 bedroom shared ‘core’ house and 4 satellite flats. Reason – There are currently 51 units of support for this client group, provided mainly in large units where service users must possess a certain level of life skill in order to live with others. The need for supported accommodation for this target group has been discussed and approved in previous Operational Plans and also with the Young Persons’ Accommodation Needs Group which consists of members from Strategic Housing Services, Landlord Services, Children and Young People Leaving Care Team, Youth Justice Team, etc. Following the Southwark Judgement, there is currently an emphasis on young persons’ supported accommodation needs. Progress in 2015/16 - This development has been identified in previous Supporting People commissioning plans; however, with significant budget cuts to the Supporting People programme over the next few years funding will need to be identified through efficiency savings made elsewhere to progress this scheme development. 33 What we still need to do Priorities for Action in 2016 – 2018/19 1. Homelessness Referral Gateway Following their appointment in 2015, the newly appointed Referral Gateway Officer will be expected to develop and deliver a robust plan for implementation of the Supporting People Referral Gateway, working closely with service providers, service users and stakeholders. Sitting with the Housing Options team, the Officer will be able to ensure a renewed focus on homeless prevention which was identified as a need by consultation respondents. Implementation of Housing Wales Act 2014 The Supporting People team will work with colleagues from the Housing Options service to implement the Housing Wales Act and Renting Homes Bill. Work will include, but is not limited to, the introduction of the Referral Gateway for Supporting People services and working as part of the Housing Strategy service to support the development of a Local Lettings Agency. In addition, the Supporting People team will seek opportunities to work with Providers to be able to support tenants placed in the Private Sector as a result of changes set out in the Housing Wales Act. Furthermore, the team will monitor the impact of this legislation through their ongoing contract monitoring work with Providers. 2. New service for people with learning disability 2016/17 will see the completion of a three year piece of work with WCBC Adult Social Care Department to reduce and target SPPG funding more appropriately. The Supporting People team will continue to monitor, review and support the implementation of these changes with the Adult Social Care team beyond the initial completion of the changes. In addition, we will be working with the Provider awarded the Learning Disability Supported Accommodation and Floating Support Network contract to implement the new service and ensure a smooth transition for any existing service users. The new service will see two existing services pooled together into one service delivery contract which was a suggestion for priority from consultation respondents and will enable a more joined-up approach to service delivery in this area. 3. New services for people with drug and alcohol issues and/or with criminal offending behaviours Evidence collated by Supporting People demonstrates a continued need for support in this area, with significant numbers of people accessing services with support needs in this area (see ‘Need, Supply and Service Gaps’). In addition, consultation respondents identified the need to support people with drug and alcohol issues within the top five areas for spending priority. The latter part of 2015/16 will see the re-tender for supported accommodation for people with drug and alcohol issues and/or criminal offending behaviour. Three existing contracts will be de-commissioned in preparation for the re-tender for the delivery of one joined-up supported accommodation service to support vulnerable people who have drug and/or alcohol and/or criminal offending behaviour with housing-related support issues. Implementation of the scheme is scheduled for April 2016 allowing for a seamless transition from the existing services which come to an end at the end of March 2016. In addition there will be a specific tender for a supported accommodation plus floating support contract for people with criminal offending behaviours during late 2015/16. This service will 34 replace an existing service whilst offering additional units of support to help meet the anticipated increased need for housing-related support for offenders as Wrexham welcomes the development of a new prison in the town. The new service will be delivered from April 2016 and will be robustly monitored and reviewed in line with Supporting People Programme Grant Guidance. Furthermore, a regional Prison Liaison Officer is to be appointed. The post will work with the Housing Options team and Support Providers to deliver co-ordinated housing options and support services for prisoners and ex-offenders with a range of complex and non-complex housing and support needs in order both to alleviate homelessness and maintain support thereafter to enable the best chance of housing solutions being maintained. The role will ensure a comprehensive advice and signposting service to resettlement colleagues in prisons, preventing homelessness by facilitating access to appropriate permanent accommodation and making appropriate Supporting People referrals, to enable ex-offenders to sustain and effectively manage their tenancy. The Supporting People team will work closely with the postholder to ensue effective service delivery and monitoring of outcomes. 4. Strategic input in Service Development There are a number of key areas where Supporting People can have a strategic input into service development to improve housing and related services for people across Wrexham. Older Persons Extra Care housing WCBC are developing further Extra Care Housing in Wrexham; the Supporting People team will work as part of the Housing Strategy Department to ensure the new housing scheme works to complement the aims of Supporting People Programme by enabling independence and preventing or delaying the need to access social care and health services. Armed Forces Veterans Supported housing for veterans is also an area of service development within the Housing Strategy section; the Supporting People team will work with colleagues to ensure that the new service works in partnership with the Supporting People Programme, preventing homelessness and ensuring long-term, sustainable housing solutions for people in housing need who have served in the armed forces. This will help the local authority meet its obligations under the new Housing Wales Act to ensure suitable provision for ‘people leaving the regular armed forces of the Crown’. Domestic abuse The Supporting People Programme funds a number of schemes working with people who have experienced domestic abuse; there remains evidence of a continued requirement for such support with high numbers of people accessing Supporting People services with support needs in this area (see ‘Need, Supply and Service Gaps’). Consultation evidence also supports continued spend in this area with support for women experiencing domestic abuse being identified within the top five funding priority areas. The ‘Violence Against Women, Domestic Abuse and Sexual Violence (Wales) Act 2015’ aims to improve ‘consistency, quality and join-up of service provision in Wales’. In partnership with other departments within WCBC, the Supporting People team aim to work toward delivering a more co-ordinated approach to ensure a more efficient use of decreasing public funds and ensure the long-term feasibility of such services. 35 5. Investigate how best to meet the needs of people with lower level mental health issues There is a growing need for provision for people presenting with mental health issues. Our needs mapping and outcomes data evidences a growing need for support in this area (see ‘Needs, Supply and Service Gaps’). This was further reinforced through the consultation process; support for people with mental health issues was identified as the number one funding priority (by a significant number). The Supporting People team aim to work with partners and stakeholders to identify the nature and scale of the gap in terms of housingrelated support and work to develop a plan for tackling the gap in service provision to best meet the needs of people in this area. This will enable the local authority to meet their obligations under the new Housing Wales Act to ensure provision for ‘people receiving mental health services in the community’. 6. Evaluate the barriers and solutions to accessing move-on accommodation Providers are continually reporting to us that moving people on from supported accommodation can prove the most difficult aspect of support with an apparent lack of appropriate move-on accommodation to blame. Consultation evidence supports this with move-on identified as a priority for addressing service gaps, barriers and ensuring service savings by enabling move-on at the appropriate time. Statistical evidence backs up this position (see ‘Need, Supply and Service Gaps’), suggesting a huge problem in terms of supported accommodation being ‘blocked’ by people who are ready to move on but are unable to. The Supporting People team aim to work with Service Providers and stakeholders to investigate the problem further and assess what action is within our control which we can work collectively to overcome. 36 7 Action Plan Year 1 Outcome contributing to SP Referral Gateway New Service for People with Learning Disability Implementation of Housing Wales Act 2014 and the Renting Homes Bill New services for people with drug and alcohol issues and/or with criminal offending behaviours Strategic input in Service Development Action Action Plan for implementation complete. Consultation with existing Supporting People Providers and stakeholders complete Initial pilots launched Review of implementation of changes to the funding of Adult Social Care Learning Disability Service Initial contract review of Learning Disability Supported Accommodation and Floating Support Network Contribute to the Housing Options 12 month Action Plan Initial contract review of the Supported Accommodation/ Floating Support for Substance Users and Offender Initial contract review of the Supported Accommodation plus Floating Support Service for Offenders Options Appraisal for additional day services for rough sleepers Explore feasibility of an emergency bed for Housing Options placements at Wrexham Night Shelter Advise on the development of an implementation plan for a new Extra Care Housing Development Advise on the development of an implementation plan for a new Supported Housing Scheme for Veterans Develop an integrated contract for support provision at Wrexham Refuge and Drop-in services for people experiencing domestic abuse. Investigate how best to meet the Complete an evaluation of the gaps in service and an needs of people with lower level options appraisal for meeting them mental health issues Host a workshop with providers and stakeholders to Evaluate the barriers and solutions to accessing move-on investigate the scale and scope of barriers to move-on and share good practice regarding solutions tried accommodation Responsible Officer Gateway Officer Gateway Officer By When March 2017 March 2017 Gateway Officer Supporting People Officers March 2017 March 2017 Supporting People Officers July 2016 Supporting People Officers July 2016 Supporting People Officers August 2016 Supporting People Officers September 2016 Policy and Projects Officer March 2017 Supporting People Officers March 2017 Supporting People Officers July 2016 Supporting People Officers March 2017 Supporting People Officers March 2017 Supporting People Officers March 2017 Supporting People Officers/ Providers March 2017 37 8 Equality Impact Assessment An Equality Impact Assessment (EIA) on the content of the of the Wrexham SP LCP 2016-19 was undertaken in accordance with WCBC EIA Protocols. This will be reviewed periodically throughout the life of the LCP. In addition, all service remodelling and de-commissioning decisions taken forward have undergone or are scheduled to undergo individual EIA in partnership with relevant stakeholders. The chair of the WCBC Reshaping Services Group has been consulted with the aim of making use of this protected characteristics forum to table remodelling, commissioning and de-commissioning proposals where appropriate in order to better inform EIAs and service development work. 9 Funding Indicative figures for Supporting People Programme Grant (SPPG) for Wrexham for 2016/17 have not been issued at the time of producing this Plan; however, we are preparing for further significant cuts during the life of this commissioning plan as a result of Welsh Government funding reductions from Westminster. It should be noted therefore that the spend plan will be subject to change once final settlement figures have been received from Welsh Government. The following spend plan has been developed using 2015/16 Supporting People Programme Grant (SPPG) amount. Due to the timing of the outcome of the UK Government’s Spending Review, the Welsh Government will not be able to publish a draft budget until 8 December with details of the indicative SPPG amount for Wrexham for 2016/17 to follow. 38 Spend Plan collection period Local Authority Spend Plan 2016-17 Regional Collaborative Committee: North Wales Local Authority: Wrexham SPPG Annual Allocation: £4,980,684.73 Service Type Fixed Site (Accommodation Based) Client Units Less than 6 Months Client Units Client Spend Category (The category to which Numbers £ Numbers the service is primarily focused) Women experiencing Domestic Abuse 8 141,063.76 2 Total Units Local Authority 24 (exc LA contribution Months cont) plus Floating (Community Based) 6 to 24 Months Client Units £ Numbers 24 Months plus Client Units £ Numbers Less than 6 Months Client Units £ Numbers 6 to 24 Months Client Units £ Numbers £ £ Numbers Total (exc LA cont) Units funded solely by LA Contrib £ Numbers 26,827.75 0 0.00 0 0.00 20 74,202.78 0 0.00 12,905.93 30 242,094.29 0 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 97 1,328,211.20 0 0.00 45 96,465.47 0 0.00 140,613.49 152 1,461,125.59 5 25 67,675.91 Men experiencing Domestic Abuse 0 0.00 0 0.00 People with Learning Disabilities 0 0.00 10 36,448.92 0 People with Mental health Issues 0 0.00 16 149,567.62 13 298,611.06 0 0.00 25 114,430.75 33,600.22 79 630,285.34 0 People with Substance Misuse Issues (Alcohol) 0 0.00 2 22,911.44 0 0.00 0 0.00 18 53,198.34 0 0.00 4,057.38 20 76,109.78 0 People with Substance Misuse Issues (Drugs and Volatile substances) People with Criminal Offending History 0 0.00 2 22,911.44 0 0.00 0 0.00 18 53,198.34 0 0.00 4,057.38 20 76,109.78 0 0 0.00 14 67,187.13 0 0.00 0 0.00 6 11,076.21 0 0.00 4,172.18 20 78,263.34 0 People with Refugee Status 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 People with Physical and/or Sensory Disabilities 0 0.00 0 0.00 21 91,804.09 0 0.00 0 0.00 0 0.00 4,894.03 21 91,804.09 0 People with Developmental Disorders (I.e. Autism.) 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 People with Chronic Illnesses (including HIV, Aids) 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 Young People who are Care Leavers 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 11 118,544.18 40 415,337.77 0 0.00 0 0.00 25 56,963.12 0 0.00 31,497.69 76 590,845.07 0 Young People with Support Needs (16-24) Single parent Families with Support needs 0 0.00 4 43,106.99 0 0.00 0 0.00 0 0.00 0 0.00 2,298.01 4 43,106.99 0 Families with Support Needs 0 0.00 0 0.00 0 0.00 0 0.00 15 119,287.29 0 0.00 6,359.15 15 119,287.29 0 Single people with Support Needs not listed above (25-54) People over 55 years of age with Support needs (this category must be exclusive of alarm services). 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0 0.00 0 0.00 770 557,677.93 70 110,762.00 50 79,115.71 150 13,329.41 153,943.35 1,040 760,885.05 54 Generic Floating support to prevent homelessness (tennacny support services which cover a range of user needs but which must be exclusive of fixed site support) Alarm Services (including in sheltered/extra care). 0 0.00 0 0.00 0 0.00 0 0.00 205 394,606.66 0 0.00 33,941.48 205 394,606.66 12 0 0.00 0 0.00 101 10,832.86 0 0.00 0 0.00 0 0.00 2,130.22 101 10,832.86 40 16 172,427.87 24 232,900.73 0 0.00 0 0.00 0 0.00 0 0.00 21,607.88 40 405,328.60 0 175 81,005.32 456,078.39 1,823 4,980,684.73 111 Expenditure which does not directly link to the spend plan categories above. TOTALS 35 432,035.81 114 1,017,199.79 1,002 2,287,137.14 70 110,762.00 427 1,052,544.67 39