Memorandum from Wolverhampton City Council (SPP 78)

 

 

This is Wolverhampton Supporting People's response to the Communities and Local Government Select Committee call for evidence. The response is formed of four parts based on the Committee inquiries' considerations:

 

a) what Wolverhampton feel are the key achievements/benefits and areas that could have been improved in relation to the Supporting People programme in general

 

b) the extent to which Wolverhampton has, so far, delivered against the commitments and expectations of Local Authorities contained in Independence and Opportunity, and our views on how far the Government has delivered on its commitments

c) what Wolverhampton consider to be the implications (both opportunities and risks) of the removal of the ring fence and grant conditions

d) what Wolverhampton is doing to drive forward housing related support in the new arrangements

 

Summary

 

 

 

 

 

 

 

a) What Wolverhampton feel are the key achievements/benefits and areas that could have been improved in relation to the Supporting People Programme in general

 

 

Key Achievements/Benefits

 

Wolverhampton believe the main benefit of the Supporting People programme has been the significant successful outcomes that have been achieved for people accessing Supporting People services. This is evidenced through the National Outcomes information.

 

The Supporting People programme has been successful in helping to build the capacity of the Third Sector, both through contracting arrangements, partnership working and training initiatives.

 

The Quality Assessment Framework has been a valuable tool for both commissioners and providers. In Wolverhampton, this has been recognised as an example of good practice and forms the basis for the development of a new quality assessment framework which will be used for all services commissioned through the Joint Commissioning Unit.

 

Key areas that could have been improved

 

The level of bureaucracy involved in administering the Supporting People programme could be considered as disproportionate to the level of funding, with significant amounts of information required from both providers and local authorities in comparison to the grant value.

 

From Wolverhampton's perspective, it is felt that the redistribution formula for the Supporting People grant should have been implemented, as this would have helped to ensure that Local Authorities were receiving an appropriate level of funding.

 

b) The extent to which Wolverhampton has, so far, delivered against the commitments and expectations of Local Authorities contained in Independence and Opportunity, and our views on how far the Government has delivered on its commitments.

 

Wolverhampton believes it is delivering, or has delivered, 19 of the 20 expectations, placed on Local Authorities, contained within Independence and Opportunity. Details in relation to the key activities undertaken are given below.

Expectations of Local Authorities

 

Theme 1: Keeping people that need services at the heart of the Programme

 

Expectation 1: 'Work collaboratively; to plan services at the sub-regional and regional levels - which is vital if they are to successfully meet the needs of mobile groups and deliver housing support services more efficiently.'

 

Wolverhampton is a member of the West Midlands Regional Information Group (WMRIG) and contributes to the development planning of services across the region. We are currently working in partnership with Birmingham, Dudley and Walsall Supporting People teams to commission a service for people with chaotic lifestyles and complex needs.

 

Wolverhampton is also co-ordinating a sub-group of the WMRIG which specifically focuses on developing cross-authority services where there is an identified need in order to improve outcomes for service users and value for money of the services commissioned.

 

 

Expectation 2: 'Engage with, and learn from, the Individual Budgets pilots and other choice led personal funding mechanisms, and to consider how they might take forward a similar approach across the relevant service and funding streams in their area.'

 

Wolverhampton Supporting People is actively engaged in the local Putting People First programme, leading on the needs analysis work stream. Commissioning Board have approved proposals to change the ways in which Supporting People services are contracted for in order to move towards a more personalised approach to the services that are commissioned.

 

 

Expectation 3: 'Work with us [CLG] to develop a template for charters to enable independent living

 

Whilst Wolverhampton have local documents and activities in place in relation to involvement of service users and consistent standards for services, we are not aware of any national template being developed for charters to enable independent living.

 

Expectation 4: 'Ensure that there is effective communication with service users and to explain changes properly to service users.'

 

We have a full time Participation Officer, who is responsible for ensuring that service users are actively engaged in all aspects of the Supporting People programme and to ensure that communication is effective. The key activities that take place are:

 

- Experts by Experience panel and related sub-groups (Inform sectorial reviews and strategic/policy development)

- Pre-Commissioning Board meeting to inform CB decisions

- Lay Assessors (assist reviewing officer with validation visits)

- Website pages (regularly updated)

- Newsletter (available for general public)

- Information Leaflets (distributed widely to public buildings)

 

 

 

Expectation 5: 'Consider how services will need to respond to local demographic changes within their regional housing strategies and sustainable community strategies.'

 

The Housing Futures Plan in Wolverhampton considers how we will respond to local demographic changes. The plan has a specific partnership commitment in relation to housing support (Partnership commitment 22: We will support a move to giving people greater choice in how their housing and support needs are met.).

 

 

 

 

 

Theme 2: Enhancing partnership with the Third Sector

 

Expectation 6: 'Pass on three year funding certainty to Third Sector providers, explicitly including Supporting People contracts.'

 

The majority of Wolverhampton's providers are from the Third Sector. Steady State contracts are in place for a duration of 3 years in most cases with an option to extend for a further 2 years.

 

Expectation 7: 'Comply with their commitments under the Compact, and with full cost recovery - commissioners and funders should be prepared to meet the full costs and reasonable overheads associated with Third Sector Delivery.'

 

Wolverhampton's value for money methodology for Supporting People recognises the need to ensure overhead costs are covered, using SITRA recommended levels as a guide.

 

Expectation 8: 'Continue to support innovation, challenge and benchmark processes and costs against each other, to identify potential areas for further improvement.'

 

 

 

 

 

 

 

 

 

 

 

 

Wolverhampton have developed two pilot services in areas where innovation was required. No housing support services were previously commissioned in the areas of HIV/AIDS or Acquired Brian Injury. A need had been identified but it was not clear exactly what the configuration of the services would need to be. Commissioners worked with relevant partner organisations, from both statutory and third sector organisations to undertake two pilot projects (one for HIV/AIDS and one for Acquired Brain Injury). The outcomes achieved during the pilot period helped to evidence the need and appropriate service configuration were confirmed. Further funding has now been identified to continue with these services for a longer period.

 

Wolverhampton has undertaken a Value for Money assessment of each Supporting People service, which involved an assessment of:

 

- Strategic Relevance

- Eligibility & Support Levels

- Outcomes

- Quality and Performance

- Price

 

The outcomes of these assessment ensured that similar services were of a comparable price for the quality provided. The value for money assessments used regional benchmarking data to establish acceptable cost ranges.

 

Wolverhampton is a member of the West Midlands Benchmarking Group, which collates and analyses regional information collected in relation to Supporting People in relation to the quality, cost and performance of services to inform service monitoring and development.

 

Expectation 9: 'Ensure that their [LA's] providers have the level of support they need, including capacity building.'

 

The Wolverhampton service review process identifies areas where providers can learn from each other in order to improve the service delivered. The review officer will signpost providers who can improve their service in a particular area to a provider who is performing well in order for them to share good practice.

 

Providers routinely work together through the Provider Forum to share good practice with each other. There have been several examples of larger providers working with smaller voluntary sector providers to help them improve their services.

 

Wolverhampton Supporting People subsidise a Provider Training Programme, delivered by SITRA trainers. Providers work with commissioners to identify the courses that will be held and the Local Authority undertake all the administration in relation to the courses.

 

Wolverhampton also provide regular free training for providers, delivered by Local Authority experts on key areas such as Safeguarding and Welfare Rights.

Expectation 10: 'Continue to work with national organisations such as the National Housing Federation, HACT, Foundations and Sitra to support and build capacity in the sector.'

 

As well as working with SITRA to deliver a comprehensive training programme for Providers, we ensure Providers are made aware of external training sessions provided by national organisations. We also ensure providers and other stakeholders are made aware of the outcomes of research undertaken by national organisations.

 

Theme 3: Delivering in the new local government landscape

 

Expectation 11: 'Bring together and lead the wider range of commissioners, providers and stakeholders whose contributions are crucial for effectively delivering Supporting People.'

 

The Supporting People commissioning function in Wolverhampton is part of Adults and Communities and is located in the Joint Commissioning unit. This enables a close working relationship with commissioners across both the Local Authority and PCT.

 

A broad range of stakeholders are represented at both Strategy Implementation Group and Commissioning Board level, including Service Users, Providers (both RSLs and voluntary sector), Probation, Housing, Social Care, Health, Children & Young People, Police, Youth Offending Team.

 

In addition to this, Supporting People is represented throughout the Local Area Agreement governance and delivery structure which ensures the cross cutting nature of Supporting People is meaningfully reflected in a range of different contexts.

 

 

Expectation 12: 'Ensure that the remit and responsibilities of the Commissioning Body remain clear and up to date, and that the Commissioning Body is receiving timely and accurate information.'

 

The Commissioning Board in Wolverhampton has clear Terms of Reference. The Board meet every two months and routinely receive information from the Strategy Implementation Group and Provider Forum. The Board also receive information on any wider initiatives affecting Supporting People.

Expectation 13: 'Make housing support part of their [LA's] coordinated approach to delivering for the most disadvantaged and vulnerable people in their areas - which means ensuring that Supporting People is integrated within their future Local Area Agreement frameworks.'

 

Wolverhampton secured the inclusion of NI142 within our LAA in 2007/08, agreeing 3 year stretch targets in line with CLG requirements. Supporting People is represented throughout the LAA governance structure.

 

Supporting People is leading on the delivery of two actions within the LAA Delivery Plan for Supporting Inclusion, working with city-wide partners to improve social inclusion and reduce vulnerability in Wolverhampton.

 

A mapping exercise of the contribution Supporting People makes to several indicators within the National Indicator set has taken place and has been reported to partners and wider stakeholders across the city, in order to raise awareness of the cross cutting benefits of Supporting People.

Expectation 14: 'Adhere to full cost recovery principles for service providers in commissioning services.'

 

Wolverhampton SP recognises that organisations commissioned to deliver SP services should not be required to subsidise the services commissioned from their own resources. It is accepted that core management and administration costs need to be met if organisations are to operate efficiently and effectively. Wolverhampton SP works closely with providers through value for money assessments in order to ensure a service price acceptable to both parties is agreed.

 

Expectation 15: 'Prepare to deliver their Supporting People programmes through their new area based grant by April 2009, subject to CSR and pilot evaluation.'

 

Wolverhampton has ensured that the Council and it's partners are aware of the changes in relation to Supporting People through reports and presentations at a wide range of partnership boards.

 

Evidence has been presented to partnership boards and scrutiny panels in relation to how housing related support can help to deliver a wide range of cross cutting initiatives to achieve LAA targets.

 

The Commissioning Board have ensured effective communication takes place with the Local Strategic Partnership in order to manage a smooth transition following the removal of the ringfence.

Theme 4: Increasing efficiency and reducing bureaucracy

 

Expectation 16: 'Make appropriate use of their local work to include and take forward the objectives set out in the SPVIP, particularly in relation to maximising value for money, and encouraging local projects where none are yet in place.'

 

The application of the Value for Money methodology in Wolverhampton assessed services against 5 criteria; Strategic Relevance, Eligibility & Support Levels, Outcomes, Quality and Performance and Price. The savings realised equated to over 5% of the Supporting People programme grant in Wolverhampton.

 

Two new local support projects in relation to HIV/AIDS and Acquired Brain Injury have been set up through Supporting People.

 

Expectation 17: 'Recognise the costs associated with their [LA's] information requirements, and to think about whether they really represent best value for money.'

 

Wolverhampton SP have worked closely with providers and stakeholders to develop a new Contract Monitoring and Review Framework. Now in place, this framework pulls together monitoring and review requirements in a co-ordinated way. The framework includes, Contract Compliance, Performance Management, Quality Assessment and Value for Money.

Expectation 18: 'Benchmark service costs, to identify areas where further potential improvements could be made.'

Expectation 19: 'Work together regionally to benchmark administrative requirements and costs, to try to minimise these costs and free-up more money for frontline delivery.'

 

Wolverhampton is represented at the West Midlands Regional Benchmarking Group in order to ensure that regular benchmarking activity can be undertaken with the most recent information.

 

Benchmarking information is used to identify areas of good practice and underperformance in order to improve frontline delivery of services, as well as addressing high service and administration costs.

 

 

Expectation 20: Consider how they could improve efficiency and administration through the application of Business Process Improvement and mobile technology

 

The integration of the Supporting People commissioning function within the Joint Commissioning unit has enabled improvements in joint working processes. Other areas of the Supporting People programme, such as contracting and monitoring have also been embedded within mainstream teams in order to ensure processes are efficient.

 

Commissioners have worked with providers through the value for money process to explore how their business processes could be further improved in order to realise efficiencies.

 

Government Commitments

 

 

We feel that the government has delivered, or is delivering the majority of commitments identified in Independence and Opportunity.

 

Within the commitments not delivered, Wolverhampton feel that there are key areas which haven't been achieved, which would have provided significant benefit to the SP programme had they been implemented. These are:

 

'Work with Local Authorities and providers to encourage the development of service user involvement plans, and 'Charters for Independent Living' to provide clear and accessible standards for Supporting People services.'

 

'Develop a model to help Local Authorities target people who would benefit from preventative services.'

 

'Minimise obstacles preventing good quality providers from across public, private and Third Sector organisations from competing fairly to deliver housing related support.'

 

'Invest in the skills of commissioners, improve commissioning from third sector, develop cross-Whitehall models for joint commissioning to ensure the sector can be certain of high quality commission, as set out in the OTS Third Sector Action Plan.'

 

 

c) Considerations Wolverhampton feel need to be taken account of in relation to the removal of the ring fence and grant conditions

 

 

The future of Supporting People will vary greatly in each LA area, unless central government give some direction or requirement of Local Authorities to deliver such services.

 

Removal of the grant conditions will enable, in the long term, more innovative services to be developed and will increase flexibility. However, the removal of the ringfence could be a risk as well as a potential gain in relation to funding allocated to supporting vulnerable people through housing related support.

 

There is a need to consider the long term gains of Supporting People, as highlighted in the research undertaken in 2008 in relation to the financial benefits of Supporting People. It should be noted that this is not just about finances, it needs to be considered in the context of the people concerned. If the vulnerable people concerned are not requiring higher cost services, this means that their wellbeing has been maintained for longer than it would have been without Supporting People in place. The sustained wellbeing of vulnerable people will be at risk without Supporting People services.

 

Wolverhampton feel that key areas that need to be retained are:

 

· The continuation of adequate funding for housing related support services from Area Based Grant

 

· Maintaining the current focus of housing related support (continuing to be centred around excluded groups)

 

· Grasping opportunities to develop more innovative services through housing related support, following removal of grant conditions

 

· Maintaining some national direction in relation to the aims of housing related support, to retain some consistency in delivery

 

· Maintaining mechanisms for evidencing the overall benefits and outcomes achieved through housing related support

 

 

 

 

 

 

 

 

 

 

 

 

d) What Wolverhampton is doing to drive forward housing related support in the new arrangements

 

The commissioning function for Supporting People is located in the Joint Commissioning Unit in Wolverhampton. This ensures that even in the new arrangements, there is a specific commissioning team dealing with housing support and social inclusion.

 

Supporting People is included in the mainstream commissioning activity in Wolverhampton, including work in relation to the Putting People First concordat.

 

'Supporting Inclusion' is a key theme in the Local Area Agreement, evidencing the city's commitment to social inclusion and preventative services. Supporting People is a key partner in the delivery of this theme - leading on two principle activities within the plan.

 

Commissioning Board are in communication with the Local Strategic Partnership in relation to the ongoing funding allocation for Supporting People from the Area Based Grant. No confirmation has been received to date in relation to funding from 2010/11. It continues to be a priority for the Commissioning Board to establish the level of funding to be made available.

 

 

 

 

 

 

May 2009