1. Marginalised Vulnerable Adults Service
Ben Solway & Alan Bramwell

2. Summary of Service
One of the key values of the CCG is to commission services that reduce the inequalities of disadvantaged people.
Ipswich & East Suffolk and West Suffolk CCG’s are planning to re-commission the MVA Service in This is an opportunity to tell you about our plans and get your feedback.
We know that people who are marginalised or disadvantaged experience poor health outcomes and higher health costs.
MVA Service engages with a wide range of disparate communities including Homeless, Refugee and Asylum Seekers, Roma, Gypsy and Travellers Communities, East Europeans, migrant workers and Ex-Offenders from across Suffolk including high costs complex individuals with chaotic lifestyles. They support integration with primary care and reduce admissions to the acute sector.
The people the service is currently working with generally fall outside existing services, have multiple and long term conditions and susceptible to physical and emotional behaviour.
MVA Service procurement process is due to start March 2016 leading to a new contract from February 2017 2

3. Proposed Changes to the service model
Revised specification focus and meeting the GAROD Needs Assessment recommendations
Proposed service outcomes
Improved data collection across east and west CCG’s to show activity and added value. This would include enabling CCG’s to strategically input with plans.
General;
Needs led service providing holistic assessment through a MDT approach
Provide intelligence and knowledge to the wider system.
Enable access to groups served
Expectation to increase referrals to existing services (e.g. Mental Health and Drug & Alcohol Services) through better joint working and communication
Service User
Patients are satisfied with the service received and experience a feeling of worth.
Service is cultural competent and language appropriate
Work collaboratively with GP Practices to ensure improved transition. This includes ensuring registrations is spread across urban practices and hangover is managed effectively.
Primary Care
Get support with complex patients
Access to specialist knowledge and expertise.
Reduce referrals to secondary care
Be part of a wider system response across health, social care and community initiated by SCC Public Health strategic group in 2016.
Wider system
Life expectancy improves
Reduced marginalisation
Support work across wider system
Refocus on scope of BME groups to East Europeans (growing population) 3

4. Experiences of working with the service, present and future?
Your feedback
Experiences of working with the service, present and future?
Key issues when treating disadvantaged groups
What outcomes would you expect to see from the service? 4