Commissioning for Crisis Response: Creating a Position Statement for Homelessness Prevention in Newcastle Consultation event: Support for people with complex needs who are multiply excluded Pandon Room Newcastle Civic Centre 15 th August 2013

Agenda Arrival, registration and refreshments – 13.40Introduction from Neil Munslow, Housing and Welfare Rights Service Manager – 14.00Presentation: Louise Lane, Commissioner for Inclusion and Prevention – 15.15Round table discussions: Multiple Exclusion – Feedback and questions Next steps and close

 Proposed savings in commissioned services: 2013/14 - £0 2014/15 - £1.741 million 2015/16 - £0  Proposed savings in council directly delivered services (Housing and Welfare Rights Service): 2013/14 - £0.458 million 2014/15 - £0.085 million 2015/16 - £0 Crisis response budget proposal - a quick recap!

 Our Crisis Response proposal covers services for people who face financial and social exclusion and the risk of homelessness  This includes services directly delivered by the council (Housing and Welfare Rights Service) and services commissioned from Your Homes Newcastle (YHN) and voluntary and community sector organisations  The proposal includes reducing capacity in these resources, but also reorganising them to develop a more coordinated system which supports independence and for preventing and responding to people facing housing and financial related crisis  Contribution to prevention agenda and adopting a lifecourse approach

Purpose of the day  Part of on-going conversation to collectively refine and shape our commissioning plans  To discuss emerging Position Statement following event in May  Understanding the current market mix and utilisation of services  Holding 4 distinct sessions: this session is about the proposed service system for people with complex needs who are multiply excluded  Opportunity to help shape future service specification

 Builds on consultation to date and events held on 8th October, 21 November and 10th May, including: Opportunities to deliver ‘service systems’ rather than standalone provision Understanding the geographical implications Opportunities to collaborate to deliver outcomes Position Statement

 Following consultation to date, we have proposed four ‘service systems’ within which providers may wish to deliver services: Support for single homeless people and homeless families including those with multiple needs, including, but not limited to, those with problematic drug and alcohol use, offending behaviour, mental health problems, learning disabilities, refugees Support for young people aged at risk, including those with chaotic lives, young people who are leaving the care system, teenage parents and young LGBT people Support for people with mental health problems who need specialist housing related support associated with their mental health needs; Support for people with complex needs who are multiply excluded. Position Statement – Market place opportunities

The objectives we are seeking to achieve in commissioning ‘service systems’, rather than individual projects are:  A greater emphasis on prevention by creating opportunities which respond to people’s needs in more flexible ways and offers more opportunities for service innovation;  Improved outcomes from ‘service systems’ that better represent people’s support needs beyond accommodation;  ‘Service systems’ that better reflect individuals’ pathways;  Opportunities for innovation and for services to work together to improve outcomes for individuals;  A more effective allocation of resources that recognises that some people facing homelessness have greater or on-going needs

We anticipate that each ‘service system’ will include a range of practical responses in order to respond flexibly to individuals’ needs. This may include, but is not limited to service systems that:  prevent - and where prevention isn’t possible - respond to street homelessness  develop services and systems which prevent homelessness - particularly those that intervene early at life changing moments  prepare people for independence  sustain people in independence  support those who cannot sustain independence including interaction with other services that build resilience

 The purpose of today is for you to influence the development of the service specification for: People with complex needs who are multiply excluded Use this opportunity to say what you think this client group needs to prevent homelessness, respond to crisis and build resilience Other sessions exploring the specification for the other 3 ‘service systems’

Information on current service provision  Current housing-related support services commissioned, along with their service type and service capacity  A map showing the spread of current accommodation-based services across the city  Information on the utilisation of existing services, drawing upon data already published in Newcastle’s Future Needs Assessment.  Current spend on commissioned services.

1 service commissioned through the SP programme, however this service is supported by services commissioned elsewhere e.g. Day Centres and Housing First Multiple Exclusion: Current provision Number of services Service descriptionNumber of units / people supported at any one time 1 Assertive outreach to street homeless people and people in temporary accommodation/at risk of homelessness 30

For housing related support purposes, we describe individuals who are multiply excluded are those who:  Have experienced 3 or more episodes of rough sleeping  Have a substance misuse and/or alcohol problem  Have offending behaviour  Have had multiple admissions (3 or more) into emergency accommodation  Experience exclusion from mainstream and other specialist services e.g. health, drug and alcohol treatment, mental health services  Have limited opportunities to move on to more independent accommodation Definition

Multiple Exclusion: Needs information  Average of 8-10 rough sleepers per night, although on almost every occasion, accommodation was available but individuals were excluded  44 multiply excluded people have had 254 admissions to emergency accommodation since 2010  The likely outcomes for this group is eviction or abandonment from emergency accommodation  All of the entrenched rough sleepers have multiple needs – mainly addictions followed by offending then mental health problems  The police estimate that 20% of crimes in the city centre are committed by this group  91% of Drug Intervention Programme (DIP) cases have experience of rough sleeping

Multiple Exclusion: Reasons for rough sleeping Main reasons for rough sleeping09/1010/1111/1212/13 Evicted Abandoned Released from custody Asked to leave by family/friends Relationship breakdown Hospital discharge1210 Left rehab2200 No recourse to public funds Fire at property0010 Unknown Total

Round table discussions In groups, we would like you to discuss:  Whose needs are we are trying to meet? Do you agree with the suggested definition?  Core housing related support tasks – are these still appropriate/relevant to meet the needs identified? How should we prioritise these tasks for this client group? What things make ‘the’ difference?  Service mix: balance between accommodation based services and floating support – are there opportunities to better meet people’s needs in more flexible ways? How far should the specification specify this?  Service delivery: what good practice should be included (service users, staffing, accessibility)?  How should resources be targeted to prevent crisis and build resilience – life course approach?  Service outcomes: what are the agreed outcomes we want to achieve and how do we measure success?