1. Grant Everitt Evaluation and Learning Lead

2. Project update…

3. What are multiple needs?
Mental health
Substance misuse
Homelessness
Offending

4. And so what happens…
People experiencing multiple needs often have ineffective contact with services, as in most cases they are designed to deal with one problem at a time and to support people with single, severe conditions. This can mean that people experiencing multiple needs are more likely to access emergency, rather than planned services, such as going to A&E rather than the local GP. They also have a lot of contact with Criminal Justice Agencies.

5. Nottingham has the eighth highest incidence of people with multiple needs in England (Hard Edges – Lankelly Chase -2015)

6. It’s about people…not just a set of needs…
As children, many experienced trauma and neglect, poverty, family breakdown and disrupted education. As adults, many suffer alarming levels of loneliness, isolation, boredom unemployment, poverty and mental ill-health. (Hard Edges – Lankelly Chase 2015)

7. 322 Beneficiaries have joined the programme since July 2014

8. Opportunity Nottingham
England
Men
73%
80%
Women
27%
20%
White British
BAME 6%
25%
28%
36%
39%
23%
14%
National Data from Hard Edges (Lankelly Chase 2015)
Opportunity Nottingham Data to end Q2 17

9. And of the 322 who have engaged so far…
163 are current Beneficiaries
31 moved to other areas before completion of programme
66 disengaged from the programme
22 have died
8 moved to other support not funded through the project
25 successfully completed the programme
7 other (hospital, prison, unknown)

10. What does a positive outcome look like?
The Beneficiary considers they are leading a fulfilled life in the community, so that they can see a future which includes their positive goals - and have the motivation to seek to achieve these goals.

11. We’re setting the bar quite high…
Is living in stable housing and a plan is in place to enable this to continue
Is not offending and is unlikely to return to offending
Has addressed or is managing mental and physical health issues and consider this can be sustained without the need to return to Opportunity Nottingham
Is abstinent or positively controlling substance misuse and is unlikely to relapse, or - if relapse occurs, will be able to obtain the necessary support themselves without further need for support from Opportunity Nottingham

12. And what about the people who didn’t complete the programme?

14. Karan

15. What works in the way PDCs operate?
Being available at critical moments in the lives of Beneficiaries
Reaching out to the persistently elusive
Giving time and space to listen to Beneficiaries’ stories
Being prepared to do what is needed in the interests of recovery
Standing alongside Beneficiaries as they confront the world of welfare bureaucracy
Showing that they care in meaningful ways
Being trustworthy
Letting Beneficiaries shape their own priorities
Not giving up on anyone

16. AWAAZ

17. Multiple Needs Tenancy Support (MNTS)
Total Interventions in Qtr
Budgeting skills 16 22 35 31
Housing related debt 9 21 33 15
Other debt 18 20
Housing benefit 10 24
Council tax 32 27
Other utilities 30
Non-financial tenancy related issues e.g. repairs 23
Negotiation with landlord or letting agent 25 19
Support with tenants’ rights and responsibilities 14
Day to day living skills e.g. cooking and cleaning
Dealing with formal communications e.g. letters from landlord, local authority or utilities provider 12 26
Participation in local community or engagement in meaningful occupation
Access to a specialist agency 13 29 37
Key Service Outcome:
Maintaining own tenancy at end of Qtr 43

18. How does MNTS work
Long-term offers of support which do not have a fixed end date
Recovery takes time and varies by individual needs, characteristics and experiences
Eligibility is not contingent on any conditions other than willingness to maintain a tenancy
Supported through person-centred planning. Goals are not set by the service provider.
The service is based on people’s strengths, goals and aspirations

20. System Change Priorities
• Access to services & accessible information
Unified Single Assessment and Data Sharing
Beneficiary-led person-centred Services and Support – including Treatment
A Joined-up & simplified Pathway – starting with prevention and early intervention
Recovery
Sustaining Change – commissioning, funding and policy
Ensure change at local level - influence change at national level