This presentation was delivered at People Helping People - The future of public services - 3rd September 2014. For more information on the event visit http://www.nesta.org.uk/event/people-helping-people-future-public-services

1. 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

2. The
Probation
Service
The Courts
The Prison Service
The ‘traditional’ Probation Landscape

3. PROBATION SERVICES
CRC
Private
Partnerships
3rd Sector
The New Landscape
NPS
Public

4. Desistance
Diversity
Mentoring
Public to private
Delivery model
Consumers
Compliance
Feedback not enough
Mentoring
Desistance
Feedback not enough
Compliance
Public to private
Consumers
The Drivers
Desistance
Diversity
Delivery model

5. 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

6. Language
Professional challenge
Context of engagement
Representation
Mandate
Service Transition (Share Sale)
Service User Profiles
The Challenges
NPS and other partners
Measures of success

7. Stephen Boote Liverpool Youth Offending Team

8. 8
Nesta. People Helping People: 3 September 2014
Commissioning Social Action Approaches.
‘Streetdoctors’

9. 9
YOUTH CRIME
ACTION PLAN 2008
To develop and improve reparation to
include Friday and Saturday evenings.

10. 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. 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?

12. How it all started...

13. •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. 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. 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. 16
The difficulties:
•Organisational Culture- (volunteers)
•Press/media as drivers.
•Regional success to national.
•Adopting a strategic approach.

17. 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.

18. 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.

19. 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.

20. 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.

21. Stepwise Programme…

22. 22
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.

23. Chris Drinkwater
Ways to Wellness
Chair Newcastle West CCG Partnership Forum

24. Way to Wellness Scaling up social prescribing for long term conditions using a SIB Model
Professor Chris Drinkwater
Chair, Ways to Wellness

25. 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
£££
£
£££

26. Social Prescribing - Outcomes
• Supportive social network
• Increased self- esteem
• More physically active
• Better nutrition
• Decreased alcohol/smoking
• Better diabetic control

27. Social Investment Contracting and Referral Model

28. 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

29. 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

30. 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