Homelessness Strategy Stakeholder Day

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Homelessness Strategy Stakeholder Day

22 May 2009LACE CONFERENCE CENTRE
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Welcome

• Chris Ferns
• Development Manager
• Neighbourhood Services

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Introductions

• Rebecca Prichard CLG
• Neil Morland CLG
• Paul Connery Homeless Link
• David Green Divisional Manager, Housing
  Strategy Investment
• Councillor Fielding Executive Member, Safer
  Stronger Communities
• Can everyone introduce themselves to the person
  next to them around the tables

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House Keeping

• Toilets
• Emergency exits
• Fire Alarms
• Mobile phones
• Breaks/Refreshments

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Michaels story

• DVD FOOTAGE

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Purpose of the Day Chris

• To gain an understanding of the rough sleepers
  strategy
• To give an overview of what we are already doing
  in Liverpool
• To hear what our service users are experiencing
• To discuss what else we can do to eliminate rough
  sleeping by 2012
• To recognise that eradicating rough sleeping is a
  shared responsibility

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Update on general picture of homelessness in
Liverpool Anne

• Presentations
• Decisions
• Acceptances
• What the decisions are
• Main reason for homelessness
• Effects of the credit crunch on homelessness
• Rough Sleeping

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Temporary accommodation target Anne
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Homelessness Presentations Anne
Slight decrease in the last couple of years
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Homelessness Decisions Anne
Increase during 2008/09 after significant
decreases from 2004/05
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People we have accepted a legal duty to Anne
Increased this year after significant decreases
from 2004/5
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Breakdown of decisions during 2008/09 Anne
Large increase in non priority homeless
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Main reasons for homelessness Anne
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Main reasons for priority need Anne
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Effects of the credit crunch on
homelessness Anne

No significant impact at present
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Rough Sleepers Count figures 1998 to 2009 Anne
Decreased this year
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No one left out communities ending rough
sleepingImplementing the Rough Sleeping
Strategy
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Rough sleeping backgroundand progress

• 1980/1990s high numbers sleeping rough with
  large encampments in London e.g. the Bull Ring
  (Cardboard City) and in 1998 there were an
  estimated 1,850 people sleeping rough on streets
  of England on any one night
• Target set in 1998 to achieve a two thirds
  reduction in rough sleeping by 2002. In most
  areas the target was met and is being sustained
  but
• still people on the streets, so the new
  strategy signals the governments intent to make
  further progress and work with partners to end
  rough sleeping by 2012

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Key messages from No One Left Out Communities
Ending Rough Sleeping

• The Right Help in the Right Place at the Right
  Time
• Prevention (prevention, prevention) strategic
  approaches to deliver enhanced housing options
  services to people at risk, before they sleep
  rough
• Targeted outreach and pathways to help people
  off the streets as quickly as possible
• Improved opportunities and outcomes skilled
  help to ensure moves from the streets are
  permanent and improve health, tackle
  worklessness, rebuild lives
• Tailored services - to meet the complex needs of
  long term rough sleepers leaving no one out

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15 point action plan towards 2012

• 1. Promote prevention of rough sleeping in all
  areas through effective housing options and a
  strengthened safety net
• 2. Support best practice in commissioning
  services that prevent and tackle rough sleeping
• 3. Extend positive activities that motivate and
  empower people to take greater control of their
  lives
• 4. Promote and enable opportunities for homeless
  people to break out of worklessness
• 5. Further improve access to health and social
  care services for people with multiple needs who
  are sleeping rough or in hostels
• 6. Step up efforts across government and with
  partners to tackle rough sleeping among new
  immigrant populations
• 7. Use the web to promote knowledge of local
  services and resources that can address rough
  sleeping and social isolation
• 8. Develop a community training programme to
  build capacity and skills so local people can
  support isolated people to avoid sleeping rough

• 9. Promote more personalised services including
  testing individual budgets to increase the
  control people have over the services they need
• 10. Drive forward user involvement in services
  and active citizenship among people with
  experience of sleeping rough
• 11. Launch a new approach to help LAs monitor
  progress and track people sleeping rough,
  ensuring counts are not just an opportunity to
  identify need but to do something about it
• 12. Bring together existing data in new ways to
  understand and monitor outcomes for people who
  have slept rough
• 13. Launch a new Champions programme to support
  local areas and services
• 14. Encourage and support councils and regions to
  work strategically to end rough sleeping and work
  with Mayor of London to develop new approaches in
  the capital
• 15. Renew focus on driving, co-ordinating and
  monitoring progress through specialist advisers
  and regional resource teams

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Progress on Implementation

• Self assessment tool
• Good practice notes on providing emergency
  accommodation alternatives to night shelters and
  hostels
• Hospital discharge pilot (London)
• Commissioning Prevention Opportunities Mapping
  and Planning Tool (PrOMPT)
• GROW, Beyond a Helpline, SPARK and Sparklers
  amongst other skills development projects
• PRS development projects (Crisis and London PSL
  scheme)
• Street Needs Audit
• Good practice notes on preventing and tackling
  rough sleeping amongst A8 nationals and
  reconnections services
• Accredited training for front line workers
• Personalisation pilots
• London Mayors Delivery Board
• Champions programme
• Small grants programme

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Implementation A Strategic Delivery Framework

• 6 key elements
• Strategic Approach and Partnerships
• Early Interventions Services including
  proactive Enhanced Housing Options
• Prevention and Emergency Accommodation Services
  responsive services to divert people away from
  the street
• Contact and Assessment through Outreach -
  supporting people away from the streets as
  quickly as possible
• Accommodation and Support Pathways sustainable
  moves away from the street
• Specialist Interventions and Independence
  Pathways fulfilled lives

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Flows People at risk of rough sleeping
Rough Sleepers
Entrenched Rough Sleepers/ Returners
Transitions (from care, custody, forces,
prison, NASS, hospital)
Rapid diversion and sign-posting to mainstream
services for people with low needs (1 3
months)
Longer term/ complex needs
High Risk Low Resilience (loss of job, home,
relationship, drugs/ alcohol use, excluded from
school low skills and self esteem, limited
social support networks, poor mental health)
Assessed accommodation and support pathways for
people with higher needs (1 6 months)
Assertive outreach and enforcement, assessment
and personalised budgets, drugs and
alcohol, mental health and complex needs services
Crises (loss of relationship, job, home,
breakdown of migration plans)
Outreach, assessment, enforcement, reconnection,
accommodation and support services, independence,
employment and training
Prevention and early intervention services
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BROADWAY NATCEN MODELLING DATA (London)
Where planned actions to end rough sleeping impact
Flow people who move onto the streets for the
first time in the year under observation.
Returner
Stock people who were sleeping rough in the
previous year as well as the one in which the
analysis is being undertaken.
Stock
Returners people who have been seen previously
on the streets but not in the preceding year.
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FLOW

• Prevention mapping toolkit (PrOMPT) for local
  authorities to use
• Enhanced Housing Options trailblazers
• Roll out of pilot to reduce unplanned hospital
  discharges to the streets
• Protocols to reduce flow of ex-
  prisoners onto the streets
• Promotion of successful preventative work via
  small grants and Regional Champions approach
• Planned pilots of working hostels and
  supported lodging schemes

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Flow people who move onto the streets for the
first time in the year under observation.
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STOCK
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• Targeted and co-ordinated work to tackle
  entrenched rough sleeping
• Development of audit/quality standards for
  outreach services
• Piloting of personalised budgets for
  entrenched rough sleepers
• Reconnections work with rough sleepers
  (including A10s)
• Exploring soup run alternatives
• Various health initiatives to promote take up
  of primary care services
• Development of Street Needs Audits methodology
  

Stock people who were sleeping rough in the
previous year as well as the one in which the
analysis is being undertaken.
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RETURNERS
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• Roll out of pilot to reduce unplanned hospital
  discharges to the streets
• Prison discharge protocols
• Work on understanding and reducing unplanned
  departures from hostels Homeless Link research
  on reducing evictions
• Skills development, tackling worklessness and
  promoting community activities to enable
  tenancies to be better sustained
• Improved move on opportunities for hostel
• Personalisation pilots
• Mentoring and befriending work

Returners people who have been seen previously
on the streets but not in the preceding year.
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Act and plan

• (1) Quantify and understand needs
• Flows
• Stocks
• Returners
• (2) Bring together key partners
• (3) Use the tools and support available
• Champions
• Specialist Advisers
• Regional Resource Teams
• Homeless Link Regional Managers
• PrOMPT, SNA, MOPP, self assessment, protocols
• (4) Act and plan

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• Questions

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Tea and Coffee Break

• 10.45am 11.05am

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Pauls story

• DVD FOOTAGE

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Research/data collection/tracking Anne

• Purpose recognition that the official count info
  is limited
• Process multi agency approach
• The Basement Night Drop In
• The Big Issue In the North
• The City Council
• The Homelessness Outreach Team
• The Whitechapel Centre

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Research/data collection/tracking Anne

• Findings
• 224 people were identified as saying they slept
  rough during August 08
• Of these 88 were identified as entrenched rough
  sleepers
• After 3 months only 25 of the 88 were still rough
  sleeping
• After 6 months only 5 of the 88 were still rough
  sleeping

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Research/data collection/tracking Anne

• Research was repeated in March 2009
• Findings
• 105 people contacted the agencies 5 or more times
  during March
• At least 47 of whom had a solution by the end of
  March

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Local Measures to reduce rough sleeping Chris

• 15 homelessness agencies / related agencies (some
  of whom are here today)
• New Housing Options Service
• New expanded prison resettlement service
• Hospital admission and discharge protocol
• London visit

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Local Measures to reduce rough sleeping Chris

• Short presentations on the following
• Outreach David Carter
• Complex needs panel Julie Prendergast
• Cold Weather Provision David Carter
• Enforcement action Chris Ferns
• Use of resources Anne Doyle

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The Whitechapel Centre

• Outreach Service
• David Carter
• Chief Executive
• The Whitechapel Centre

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Service Objectives

• Prevent rough sleeping
• Reduce rough sleeping in Liverpool
• Meet the basic needs of rough sleepers
• Ensure coordination of services for rough
  sleepers from other agencies
• Monitor rough sleeping

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Service Provision

• Assertive outreach
• Harm reduction / minimisation interventions
• Intensive support (inc. joint, multi-agency
  interventions)
• Facilitation of the Complex Needs Panel

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Assertive Outreach

• Relationship Building
• Assessment of Need Support Planning
• Bringing People Indoors
• Accompanying Individuals Into Services
• Facilitating Access to Treatment Services
• Harm Minimisation

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What Can You Do To Help Reduce Rough Sleeping?

• Contact Lee Williams
• Tel [phone]
• lee.williams_at_whitechapelcentre.co.uk

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Complex needs panel
Julie Prendergast Services Manager The
Whitechapel Centre
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Who is the panel aiming to help?

• Multiply excluded from hostels or who lack
  ability to access hostels
• Chaotic or anti-social behaviour
• Pose risk to self through neglect
• Require a co-ordinated approach
• Repeatedly present as homeless
• Willing to engage and make changes

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Who sits on the panel?

• Merseycare representatives from both drugs and
  alcohol services
• Social Services
• Social Services Drug and Alcohol Team
• Whitechapel Centre
• Basement
• Housing Options Service
• HOTS (mental health)
• Homeless Nurse (physical health)
• Accommodation Providers (Ann Fowlers, New Start,
  LCC)

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Analysis

• 34 individuals discussed at panel since November
  07
• 22 successfully closed as accommodated
• 3 to rehab
• 14 to hostels
• 5 to tenancies or other accommodation
• 2 others who are now in accommodation but remain
  open to panel

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Referrals

• julie.prendergast_at_whitechapelcentre.co.uk
• 0151 207 8613

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Cold Weather Provision 2008/2009
David Carter Chief Executive The Whitechapel
Centre
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• Tier 1
• The operation of a Night Centre which opened when
• trigger temperatures were reached.
• Tier 2
• Provision of a dedicated cold weather outreach
  team who
• helped support rough sleepers to access
  ring-fenced
• hostel beds and offer intensive support to help
  these
• individuals to move into mainstream hostel
  provision.

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Ring-Fenced Beds

• YMCA
• Mens Direct Access Centre
• Womens Direct Access Centre
• First Place
• Mildmay House
• Anne Fowler House (Salvation Army)
• Salvation Army (Darbyshire House)

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Tier 1 Outcomes

• 142 different individuals accessed Tier 1
  provision for at least one night.
• 54 individuals were accommodated at least once
  during the cold weather period
• 26 individuals who accessed Tier 1 accommodation
  were subsequently accommodated in Tier 2 ring
  fenced beds
• 16 individuals accessed drug alcohol services
  14 accessed health care services and 10 accessed
  resettlement programmes

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Where are these 142 people now?

• Hostel 24
• Private Rented or RSL tenancy 26
• Other positive outcome (e.g rehab, return to
  family etc) 7
• Unconfirmed positive outcome (eg. thought to be
  with partner) 9
• Prison 2
• Deceased 2
• Rough Sleeping/NFA 23
• Not known 49

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Tier 2 Outcomes

• 52 individuals accessed ring fenced beds under
  the tier 2 provision
• Move-on from ring fenced beds
• Obtained mainstream bed in same hostel 37
• Obtained mainstream bed in another hostel 5
• Went straight to rehab 1
• Chose to leave bed 3
• Excluded 3
• Still in ring fenced bed 2
• Risks too great after 1 night 1

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Where Were These 52 people on 30 April 2009?

• Remains in a hostel bed 29
• Private rented (with or without support) 5
• Rehab 3
• Returned to family home 1
• Rough Sleeping or NFA 7
• Not known (disengaged/left city etc) 7
• This means that 73 of individuals placed in tier
  
• 2 provision have experienced a positive outcome
• related to their accommodation

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Enforcement action Chris

• Protocol Re Using enforcement to motivate people
  to accept support
• A clear message that rough sleeping is
  unacceptable in Liverpool
• Draft information sharing agreement with Police

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Use of resources
Anne

• Using funding flexibility around individuals, for
  example
• additional care / cleaning staff
• guaranteeing service charge payments
• reconnection
• rent deposit

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Table Exercise Chris

• Split up into groups
• Hostels (Hall 2)
• RSLs (Syndicate room off Hall 2)
• Floating Support Service Providers
• Health (physical and mental health)
• Other
• What do we need to do differently to eliminate
• rough sleeping by 2012?
• The more radical your ideas are the better

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Questions/Discussion
Chris
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Billys story

• DVD FOOTAGE

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Close

• Councillor Marilyn Fielding
• Executive Member, Safer Stronger Communities

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• LUNCH
• For further information about this event or
  anything discussed today contact
  anne.doyle_at_liverpool.gov.uk