LOCAL AREA COORDINATION VULNERABLE WELLBEING FRAIL SUPPORT CONTRIBUTION FAMILY STRENGTH NAVIGATION LEARN LOCAL AREA COORDINATION RELATIONSHIPS ASSETS TEACH SHARED GIFTS & SKILLS COMMUNITY NEIGHBOURS PERSON CENTRED NETWORKS INFORMATION FRIENDS PEOPLE LONELY DISABILITY HOPE ISOLATED MENTAL HEALTH ISSUES

Local Area Coordination in England and Wales City of York Derbyshire Leicestershire Derby City Suffolk Solihull Thurrock These are the areas currently developing or operating Local Area Coordination across England and Wales. In all areas, Local Area Coordination is embedded in the system, but delivered in the community alongside local people. This provides both opportunities for driving conversations and action around reform, systems change and cultural change within the system, whilst being embedded in the community alongside local people, families and neighbourhoods. WaItham Forest Haringey Swansea Neath Port Talbot Isle of Wight

Local Area Coordinators Defined geographical area Conversation & joint work focused on a good life Build on the assets and contribution of people and the community Whole person, whole family Voluntary relationship – introductions not referrals Not time limited but avoids dependency Connected to cross system and community leadership Currently, services can be very complicated, resulting in multiple interventions Local Area Coordination combines a range of traditionally separate roles and is delivered in the community alongside local people. A single point of contact support people of all ages, across service types – a local, integrated approach, focusing on supporting people to stay strong avoid services or reduce their dependency on services. Strong emphasis on partnerships with statutory services, community services and local people – building on the local resources and expertise Rather than asking what needs do you have or what services do you want, Local Area Coordination starts at a different place. It asks person by person, what is your vision for a good life and what are the range of ways we can get there. It focuses on gifts, skills, interests and local solutions first, but values services as a back up. It specifically aims to help people stay strong strong instead of waiting for crises In the community, Local Area Coordinators are skilled individuals that support individuals across age groups and service labels as a single point of contact in the local community. Rather than being parachuted in for a time limited intervention to fix people – they take time to get to know people and support local solutions and build resilience. Help people to stay strong in the future. It combines a range of traditionally separate roles and delivers alongside local people, families within the community including Identify gifts, strengths and needs Information advice Relationship building – circles of support Self advocacy Community building Planning for the future Community connecting Find practical non service solutions Access services, navigate and control services – care navigation, brokerage

Who do they support? Local Area Coordinators support: People not yet known to services to help build resilience and remain part of their community (staying strong – avoiding need for services) People at risk of becoming dependent on services to remain strong in their own community diverting the need for more expensive “formal service” responses. (reduce demand) People already dependent on services to become less so and more resilient in their own community. This slide reinforces the varied nature of the role. As part of simplifying the system and maintaining trusting relationships, Local Area Coordinators work alongside people before crisis (building resilience), in crisis at risk of becoming dependent on services ((diverting people from services to sustainable, natural solutions within communities) and people already dependent on services (reducing dependency and cost wherever possible). This is done in strong partnership with the person, their family and service and community partners It’s not just a preventive approach, but works alongside people across not only service labels and age groups, but also to build resilience, support at crisis (to build non service solutions wherever possible

Suffolk Local Area Coordinators are in Sudbury and Great Cornard – Imogen Sherwood Rural villages around Sudbury inc. Glemsford, Acton, Long Melford, Monks Eleigh Great and Little Waldingfield – Cally Boardman Ipswich – Chantry – Troy Shelton Ipswich Gainsborough, Priory Heath and Ravenswood – Steve Gray Saxmundham and Leiston (inc villages in between) – Holly Granville Beccles and Worlingham – Joseph Young https://www.suffolk.gov.uk/community-and-safety/localities-and-communities/#tab4 This slide reinforces the varied nature of the role. As part of simplifying the system and maintaining trusting relationships, Local Area Coordinators work alongside people before crisis (building resilience), in crisis at risk of becoming dependent on services ((diverting people from services to sustainable, natural solutions within communities) and people already dependent on services (reducing dependency and cost wherever possible). This is done in strong partnership with the person, their family and service and community partners It’s not just a preventive approach, but works alongside people across not only service labels and age groups, but also to build resilience, support at crisis (to build non service solutions wherever possible

Evidence and Outcomes Swansea Uni (2017) – Financial benefits 3:1, relationship networks SROI £4 Return for every £1 invested (2015 & 2016), Reduction in: Isolation Visits to GP surgery and A&E Dependence on formal health and social services Referrals to Mental Health Team & Adult Social Care Safeguarding concerns Evictions and costs to housing Smoking and alcohol consumption Dependence on day services Out of area placements Long term studies show that where designed effectively (according to core principles, values and approach) and driven by strong, connected, contributing leadership (including people with a lived experience), there are a range of consistent, positive outcomes – these include (see slide) ALSO Derby saved/diverted £800+k 2 small locations in first 10 months. SROI evaluations in Derby City and Thurrock showing £4 return on every £1 invested Start of systems and cultural change – single point of contact, building resilience to avoid service need or reducing dependency of people receiving services Joint funding Reform/re balancing of existing funding – from crisis and services/funding to prevention and capacity building Areas “disinvesting” or “cashing in” existing services/resources and bringing across to Local Area Coordination and prevention e.g. in Derby City, they cashed in 2 SW positions to fund expansion of Local Area Coordination Impact on Social Work – Thurrock Council showed people leaving Safeguarding earlier through integrated working with social work. Social Workers more able to focus on core social work specialist role alongside individuals, families with significant need, safeguarding etc Starting to impact/contribute to cultural change – focus on individual, whole family and community - looking at non service alternatives to need/aspirations - communities getting involved in recruitment of other professionals - people with lived experience leading training/induction of staff Other staff/organisations part of Local Area Coordination and strength based training Evidence of wider partnership working (alongside services and vol/3rd sector) leading to better outcomes Increased choice and control over supports and services Better resourced communities More inclusive and supportive communities Out of area placements – long term studies show people not having to move from local area and/or people able to return from high cost out of area placements

Outcomes for Individuals and Families Positive outcomes for individuals and families. When asked about the impact of support from Local Area Coordination, people reflected significant and consistent improvements in quality of life - Better access to information - feeling more in control, able to make choices/decisions - Developed supportive, informal relationships and networks (reduced isolation) - improved knowledge of resources and sources of support in the local community - Feeling more connected to and part of local community life - Improved health and well-being - Feeling safer and more confident in the future - The beginning of people feeling able to contribute to community – sharing their interests, passions

Keys to Success – what we are learning Importance of…….. “continuity, connections, mutual support, invest in learning, training – a community of practice” Strong design and strong connected leadership. The “slow fix” delivers quicker more sustainable outcomes. Staying true to Local Area Coordination throughout – resist the pull!! No diluting, cherry picking bits. Expect and welcome the challenges to ways of working/thinking. Inclusion, contribution, leadership, accountability Recruiting the right people, pay the right money.

The Local Area Coordination Network Connected learning & support Elected Members Network, Leaders, Managers, Local Area Coordinators Resources, peer support, access to evaluation & evidence Influence, partnerships and strategic partnerships

Local Area Coordination – think big, start small, get it right - GROW. Samantha Clark or Ralph Broad Local Area Coordination Network CIC Email Sam@lacnetwork.org or Ralph@lacnetwork.org Web http://lacnetwork.org Twitter @LACNetworkUK Facebookhttps://www.facebook.com/LACNetwork/