Supporting People Review Presentation for NIFHA Care and Support Conference – 3 June 2015 Stephen Martin, Deputy Director, Housing Policy Delivery

Overview The review – what, why and how What we’ve found What’s next Towards 2020

Why a review? Over £800 million spend on SP since 2003 No VFM or policy review in that period Value of solid evidence to support future resource bids Support continuous improvement

What? Terms of reference on DSD web-site: housing/hsdiv- publications/promoting_social_inclusion.ht m

What? Objectives of the review: i.provide an overview of existing provision and current expenditure broken down by category of service, and an assessment of the extent of which needs are being adequately met; ii.evaluate the Supporting People policy and programme and the extent to which it has met its core aims in an economic, efficient and effective way since its launch in 2003;

What? iii.consider whether an adequate strategic, legislative and administrative framework is in place for the efficient and effective delivery of the Supporting People policy and programme in future; iv.And where appropriate, make recommendations to improve the efficiency and effectiveness of the service.

Where are we? Evidence gathering almost complete. June / July – Further engagement events with SP providers on the evidence. – Completion of outstanding evidence August / September – Analyse feedback – Draft final report

How have we got here? Provider workshops and feedback Visits and meetings Range of papers produced by DSD and peer reviewed. Reports commissioned by NIHE / DSD.

Papers produced by DSD Original aims and objectives of the Supporting People Programme and its legislative base; Lessons learned paper, highlighting developments and relevant learning from elsewhere in the UK and in Ireland; a PEST and SWOT analysis on the wider policy, political, financial, social and environmental factors impacting on Supporting People and the opportunities and challenges provided by this context; a paper outlining the findings of key relevant studies, reviews and research to date and the effect of implementing recommendations from these on policy outcomes and improving value for money; and an analysis of the commissioning arrangements within Supporting People.

Reports commissioned by NIHE / DSD Strategic review of Supported Accommodation in Northern Ireland funded by SP (2011) Evaluation of the effectiveness of floating support (2012) Bamford Review: the experience of learning disabled people resettled from long-stay hospitals in NI (phase 1, 2014) Review of the efficiency and effectiveness of accommodation-based services funded by SP (pending).

Objective 1 – existing provision, expenditure & need Target – to assist 17,000 vulnerable people every year Over £700 million in revenue spend and £150 m in capital. Capital – almost 1700 new units of supported accommodation. Needs met?

Objective 1 – existing provision, expenditure & need

Over £150 m in capital and almost 1700 new units of supported accommodation. 45% of spend – older people 25% of spend – learning disability

Objective 1 – existing provision, expenditure & need Current systems of needs assessment fit for purpose? Homelessness √ Other client groups? Capital development? Strong case for more robust approach

Objective 2 – economy, efficiency & effectiveness Some of the key strengths: Preventative value – but hard to quantify this accurately Floating support – key role in early intervention, prevention and extending services geographically.

Objective 2 – economy, efficiency & effectiveness Some key areas to build on: Outcome measurement – an improving picture Partnership working – but depth and quality? User and provider involvement. Desire for innovation – but how best to capture?

Objective 2 – economy, efficiency & effectiveness Some key areas to address: Wide variation in scheme costs High costs of Bamford schemes

Objective 3 – strategic, legislative & administrative framework Some of the key strengths: Ring-fencing of overall SP budget – critical to focused delivery Work has started on streamlining regulation.

Objective 3 – strategic, legislative & administrative framework Lessons from other places: Commissioning: – Clear, simple, transparent Clarity of roles – housing and health & social care. Competitive tendering – opportunities?

Objective 3 – strategic, legislative & administrative framework Opportunities: On capital side – what are the best models going forward? – Bespoke solutions? – More generic, flexible models? – Some of both? How to fund and share risk?

What’s next? June / July – Further engagement events with SP providers on the evidence. – Completion of outstanding evidence August / September – Analyse feedback – Draft final report

Towards 2020 Next PfG - targets and bids Better assessment of housing needs – both accommodation and services Flexibility Finding a capital model that works and is affordable Harnessing technology Embedding continuous improvement