1. SYSTEM CHANGE

2. Who are we? Big Lottery Fulfilling Lives programme One of 12 projects in England Funded for 8 years Working with multiple complex needs ON Nottingham is a Partnership of 17 agencies

3. Multiple complex needs? At least 3 out of 4 of the following needs: Substance misuse Mental health Homelessness Offending Nottingham City based The most chaotic people in the city Case co-ordination Long term approach

4. Aims: To empower people with multiple complex needs and support and enable them to take control of their lives. Change front line services and make them more effective by listening to what services users want and need To deliver change at strategic and commissioning level

5. Why system change? People with multiple complex needs can’t access many front line services Estimated 60,000 people in UK with multiple complex needs Massive use of front line services at great cost Many services are geared up to only deal with one problem Are not accessible for the client group

6. How do we change the system? Service shaped by beneficiaries by consulting, listening and acting Expert citizens at the heart of the process System change Board Buy in from providers, commissioners, politicians and everyone!

7. Challenges! Resistance from services Austerity Demands of: Commissioners Targets Payment by results

8. Progress so far System change workshops (partners, providers and expert citizens) The Pledge Single assessment

9. The plan…… System change plan… Access to services (including accessible information) Unified single assessment & data sharing Beneficiary-led person centred services & support A joined up pathway (prevention & early intervention) Recovery Sustaining change – commissioning, funding & policy Priority action plan………. Delivered by December 2015

10. Any questions?