people helping people - commissioning social action in practice workshop 2

Commissioning Social Action Approaches

People Helping People Conference

3rd September 2014

Peter Murray, Assistant Chief Executive – Transforming Rehabilitation Jayne Chadwick, Assistant Chief Executive – Communications, Engagement and Public Relations

The

Probation

Service

The Courts

The Prison Service

The ‘traditional’ Probation Landscape

PROBATION SERVICES

CRC

Private

Partnerships

3rd Sector

The New Landscape

NPS

Public

Desistance

Diversity

Mentoring P

ub

lic to p

rivate

Delivery model

Consumers

Compliance

Feed

ba

ck n

ot e

noug

h

Mentoring D

esis

tan

ce

Feedback not enough

Compliance Public to private

Consumers

The Drivers

De

sis

tan

ce

Diversity

Delivery model

It needs external experience and expertise

it’s more efficient, more cost effective and more likely to succeed

More than just another reference group

adds an extra dimension

it’s about the way we deliver our services

not so much about what we deliver but how it’s experienced

Co-production

Democratic approach

Service User Council

The Approach

Language Professional challenge

Context of engagement

Representation Mandate

Service Transition (Share Sale)

Service User Profiles

The Challenges

NPS and other partners

Measures of success

Stephen Boote

Liverpool Youth Offending Team

8

Nesta.

People Helping People: 3 September 2014

Commissioning Social Action

Approaches.

‘Streetdoctors’

9

YOUTH CRIME

ACTION PLAN 2008

To develop and improve reparation to

include Friday and Saturday evenings.

10

The problems:

• The culture of 9-5 working

• The need for reparation to be both restorative and beneficial to

young person

• To develop notion of citizenship

• To achieve ‘accreditation’ or certification

• High student population with low perceived input to community

• Low level of integration of young offenders into community

11

The offer-

‘medical students as a resource to deliver

training’

What training? Accreditation/Learning.

Will it be restorative?

How do we support this?

How can we ensure sustainability?

How it all started...

• Violence is the third leading cause of death of young people in Europe. Some of those deaths happen because the people present panic and don’t call for help.

• Through fun interactive training sessions StreetDoctors volunteers give young people the skills and confidence to act when someone is bleeding or unconcious.

• StreetDoctors is a network of medical volunteers with teams in major cities across England. We educate young people about the consequences of violence and discourage them from carrying weapons.

14

What we offered;

• Regular access to a high risk group of young people

ensuring public health model met.

• Safe environment

• Data analysis-Police/YOIS

• Success stories

• Transportation

• Safeguarding training

• Input into Youth Justice Board and other YOT’s/Secure

facility.

15

Strengths:

• Continual encounter with ‘high risk’ young people offering first hand

experience of their lives

• Peer mentoring

• Constantly evolving (learning approaches)

• Effective

• Cheap

• Support from judiciary

• Restorative

16

The difficulties:

• Organisational Culture- (volunteers)

• Press/media as drivers.

• Regional success to national.

• Adopting a strategic approach.

What happened next?

StreetDoctors expanded! We currently have 9 established teams of volunteers in Liverpool, Manchester, Sheffield, Leeds, Nottingham, and in west, south, east and north London.

We got organised! We formally registered as a charity (2013), wrote the Playbook (all you need to know to set up a StreetDoctors in your medical school), developed a business plan and raised funds to put the organisation on a firmer footing.

With the following results!

In 2013 over 700 young people were taught by 150 volunteers.

How it works – at a local level:

• StreetDoctors ‘champions’ form a core group at a medical school.

• Volunteers from existing branches provide support and mentoring.

• Links are made with youth offending teams and other providers for at risk young people in the local area.

• New volunteers are trained to deliver at our annual conference in October.

• They begin teaching in October / November.

• Local teams cover local expenses through fundraising, and making a small charge to local delivery partners.

How it works – nationally:

• StreetDoctors is led by volunteers, working in partnership with StreetDoctors HQ and trustees.

• HQ supports local team delivery across England – through strategy and training days, the annual conference, research and evaluation, and other core functions.

• Local teams send reps to 4 national task forces to drive continuous improvement, development and expansion.

• 4 national taskforces oversee Teaching and Development; Training and Expansion; Research and Evaluation; and, Fundraising.

What’s Next?

• By end of 2014: 4 more teams in Newcastle, Bristol, Warwick and Birmingham (13 in total). 180 volunteers delivering sessions to at least 1000 young people.

• By end of 2015: at least 16 teams in total, 240 volunteers delivering sessions to at least 2500 young people.

• 2014 – 15: Improved evaluation methods and processes so that we can more effectively measure impact and continue to improve delivery.

• 2014 – 15: Improved IT systems for coordinating volunteers, organising and scheduling sessions, data collection etc. across the organisation.

• Developing Stepwise: our peer mentoring programme to develop the skills and life chances of some of the brilliant young people we teach, and to further utilise the enthusiasm and dedication of some of our volunteers.

Stepwise Programme…

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Afterthought….

A typical session of reparation totaling four hours

for four young people would cost around £180 for

front line staff to deliver.

In 2013 Streetdoctors delivered over 4,200 hours to

700 young people.

Chris Drinkwater

Ways to Wellness

Chair Newcastle West CCG Partnership Forum

Way to Wellness Scaling up social prescribing for long term

conditions using a SIB Model

Professor Chris Drinkwater

Chair, Ways to Wellness

Condition specific care pathways COPD, Diabetes, Obesity, Mental Illness, Older People, Learning disability

Initial assessment/stabilisation

Annual care planning

Social

Medical

Menu of activities related to needs

Self care Minimal support Moderate support High support

Own

programme

Direct access to services with initial induction and

regular review

Link worker personalised

programme and intensive review

£££

£ £££

Social Prescribing - Outcomes

• Supportive social network • Increased self- esteem • More physically active • Better nutrition • Decreased alcohol/smoking • Better diabetic control

Social Investment Contracting and Referral Model

Where are we now?

• “In principle agreement for funding” - Launch date – January 2015.

• Contracts to be agreed and signed with investors, Big Lottery/Cabinet Office, CCG and four voluntary sector providers.

• Board in place, CEO to be appointed.

• Testing of IT systems

• Social marketing/Better Care Fund

Challenges – Managing Risk • Social Impact/Investment Bond Model

“…how savings are materialised and crystallised so WtW funded from savings …not an additional cost pressure for CCG?”

• Metrics – for repayment, performance management & evaluation.

• Procuring and managing providers using a shared management information system.

• Consistency in training and delivery from Link Workers.

• Marketing - ensuring referral push from GPs and stimulating a pull from patients

Thank you for listening

Questions, suggestions, comments?

Contact details:

Chris.drinkwater@gofo2.co.uk

http://www.vonne.org.uk/policy/waystowellness/

Sandra.king@vonne.org.uk