Sector Liaison and Diversion Workshops February 2012 1

Programme 10: 30 – 11: 15 Opening remarks and ‘Vision’ for a National Liaison and Diversion Service Richard Bradshaw 11: 15 – 11: 45 Liaison and Diversion Network Update Glyn Thomas / Sue Sylvester / Lin Houldershaw / Debbie Parkin 11: 45 – 12: 00 Alternatives Update Dave Marteau 12: 00 – 13: 15 Development activity presentations Service providers 13: 15 – 14: 00 LUNCH 14: 00 – 14: 30 Business case, data collection and feasibility study Glyn Thomas /Sue Sylvester / Lin Houldershaw 14: 30 – 14: 45 Youth Justice Liaison and Diversion Evaluation Report Sue Sylvester 14: 45 – 15: 00 Offender Health Research Network Reports Glyn Thomas 15: 00 – 15: 15 Communications Glyn Thomas / Debbie Goulding 15: 15 – 15: 30 Closing remarks Richard Bradshaw 2

Health and Criminal Justice Transition Programme Richard Bradshaw Director of Offender Health (Department of Health / National Offender Management Service 3

A single liaison and diversion programme • The youth and adult liaison and diversion workstreams are being more closely aligned at both national and local levels – Role of Centre for Mental Health • A single business case will be developed to support implementation of liaison and diversion services for all ages 4

Core principles • Liaison and diversion services will be available for people of all ages • There will be different pathways for different ages that will converge at police custody and courts • Liaison and diversion services will be commissioned using the police footprint • Commissioning liaison and diversion services for each police force area will be co-ordinated by an identified lead commissioner 5

Commissioning arrangements • From April 2013 (subject to the passage of the Health and Social Care Bill) the NHS Commissioning Board will have responsibility for commissioning services • Funding will be provided directly to lead commissioners who will have the ability to determine local levels and configurations of service • Future role of Police Crime Commissioners 6

Core service features • Entry point to service – contact with police, under suspicion of committing an offence • To support offenders of all types and at all levels • To cover a wide range of health issues and vulnerabilities – Mental health, learning disabilities, substance misuse, physical health, social difficulties 7

Next steps • External contractor to be appointed in February to collect data to build the business case building on the foundations provided by the youth sites. • External contractor to be appointed to manage the network in April • Strengthening communications out to NHS, criminal justice and external partners • Continuing to involve external partners in Programme's development and implementation, currently via Louis Appleby - National Clinical Director who is leading on engaging external partners and the Bradley Group 8

Liaison and Diversion Development Update Glyn Thomas Sue Sylvester Lin Houldershaw Debbie Parkin 9

National Development Network • £ 19. 4 m investment for 2012/13 – £ 6. 25 m development funding • Pending approval of the business case we expect the level of investment to rise over the next two years of the programme 10

Network members • 101 members of network, comprising: – 54 adult sites, of which 20 pathfinders will support evaluation study – 37 youth justice pathfinder sites – 10 police transfer early adopter sites • We will work with Offender Health Leads and SHA Children’s Leads to identify new sites in 2012 11

Network contractor • We are in the process of appointing a contractor to run the network – Competitive tender process currently underway – Successful contractors in place by April 2012 12

Network contractor functions • • To run and develop a Liaison and Diversion Network providing support and advice to a range of pathfinders, test sites and early implementers To advise and support Offender Health Leads in the preparation of regional development plans to implement liaison and diversion services To produce a suite of good practice guidance and documents to support commissioners and providers in the implementation of liaison and diversion services To manage liaison and diversion development activity and alternatives activity and ensure that activity is undertaken in accordance with their respective delivery plans 13

Liaison and Diversion for Children and Young People 14

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Pathfinder sites • 31 additional wave one sites selected with existing schemes. These sites already have a strong triage or drugs and alcohol diversion programme • Sites assigned to one of four cluster areas • Funding allocation developed with YJB • Bi-monthly cluster meetings and implementation support by police and youth justice leads • Schemes responsible for developing local plans and systems for outcome monitoring • Minimum dataset co-produced and monthly national, regional and local reports available • Information hub developed on Chimat website – • www. chimat. org. uk/youthjustice 16

Cluster Groups Northern Southern Midlands London Wakefield Brighton and Hove Sandwell Croydon Sunderland Gloucestershire Staffordshire Harrow Rotherham Medway Peterborough* Hounslow Hull Oxfordshire Wolverhampton* Islington North Lincolnshire Luton Kensington and Chelsea* Tameside Leicestershire Lewisham* Halton and Warrington* Southend Camden South Tees* Thurrock Haringey Bolton Bexley Newcastle Hackney North Tyneside Northumberland Sheffield Wigan 17

Vulnerabilities identified Safeguarding Physical Mental Health Behavioural LAC: 59 Physical health needs: 9 Homeless: 39 Substance misuse: 115 Sexual exploitation: 35 Physical abuse: 15 (Aug 2009 – Aug 2011) Relationships Developmental Diagnosable MH problem: 156 Anger/ Aggression: 6 Association with gangs: 141 Poor school attendance: 123 Anxiety/ worry: 78 Behavioural problems: 345 Family conflict: 263 Learning disability: 51 Parent with MH problem: 57 Poor peer relationships: 95 SLCN: 19 Unhappy/ low self esteem: 115 Victim of bullying: 42 Domestic Violence: 57 Neglect: 71 Risk of self harm/ suicide: 58 Sexual abuse: 35 Other Safeguarding: 42 411 124 406 351 541 18 193

YJLD Model • What these sites have done is: • Principles of original model, adapted locally according to demographic need and will develop further in light of findings from Liverpool, data and cluster meetings • Since October 2011 they have systematically completed data requirement to support the business case, 2244 in total 19

Future Areas of Focus • Aligning youth and adult liaison and diversion services • Development of a holistic screening tool (CHAT) for children and young people • Sustainability of programme in ‘New world’ • Future funding non-ring fenced • Improving identification and pathways around LD and SLCN, and identifying other gaps in provision • Linking this work to Restorative Justice, particularly in the community • YJLD intervention with gangs • YJLD links to anti-social behaviour and young people. 20

Development work • OHRN have conducted initial scoping work • Findings will be shared with development network and contractor • All network services were invited to submit expressions of interest • 112 expressions of interest received • 51 successful schemes to receive funding 21

Development Funding • £ 6, 266, 589 committed nationally for 51 projects during 2012/2013 – £ 4, 164, 699 for 33 Adult L&D projects – £ 557, 058 for 6 Youth L&D projects – £ 1, 544, 832 for 12 Alternatives projects • £ 2, 117, 546 for 19 North sector projects 22

Development funding next steps • Submit development plans and equality impact assessments by end February • Enter into memorandums of understanding with Offender Health by end March • Allocation of funds at first opportunity in new financial year – payment via SHAs • Development activity to be managed by the network contractor and supported by Offender Health Leads 23

Future development funding • We will work with the network contractor, Offender Health Leads and SHA Children Leads to identify new areas for development • We hope to offer a further targeted opportunity to bid for development funds in Autumn 2012 24

Police Custody Healthcare Commissioning • Debbie Parkin 25

Police Custody Healthcare Commissioning • 31 forces out of 39 engaged by April 2012 • Improvements in “in custody” healthcare • Improvements in connectivity to community healthcare • Foundation to facilitate diversion and one conversation • Ambition to transfer all forces in England by next CSR • Ensure maintain communication with NHS commissioners 26

Alternatives Update • Dave Marteau 27

Alternatives Update • • Aim Test alternatives to custody at point of sentencing Interventions delivered within context of community sentences Restricted to offenders with substance misuse and mental health problems, whose index offence is of sufficient severity to attract a short-term prison sentence up to 12 months • • Next Steps - Produce Development Plans, including: Identification of suitable cases for intensive interventions Joint working with the Probation Service and Courts Negotiation of combined offender management, treatment and recovery approach to present to judiciary • Enhanced supervision and/or case management • Active involvement of other statutory and voluntary sector agencies 28

Key Milestones • February 2012 • March 2012 • April 2012 • March 2013 • April 2014 • April 2015 Business case contractor in place Data collection in place for all sites Publication of youth justice evaluation Network management contractor in place Development / alternatives work starts Business case completed and ministerial decision on roll-out Commence roll-out Commissioners in receipt of full funding allocation Programme completed 29

Lunch to return 2 pm 30

Business case, data collection and feasibility study Glyn Thomas Sue Sylvester Lin Houldershaw 31

Building the business case • Need to establish economic case for roll out of liaison and diversion services • Funding for years 3 and 4 dependant on Treasury approval of business case and impact assessment • Your assistance crucial in establishing national liaison and diversion coverage 32

Your role as a pathfinder • Selected because have the strongest foundations for schemes • Contribution to building the business case – Collection of minimum data set 33

Procurement process • Procurement process underway • Successful contractors expected to be appointed during February 2012 • Data set to be agreed with contractors by the end of February 2012 building on dataset for children and young people 34

Wider evaluation process • We will undertake an evidence-based feasibility study – providing research measuring the health, criminal justice, economic and wider impacts of liaison and diversion services within the criminal justice pathway (focusing on police and courts). – Clear understanding of the ongoing information requirements to performance manage liaison and diversion schemes in the future – Clear understanding of the information processes and technology required to deliver efficient and effective diversion services • Followed by a full research study, informed by the findings of the feasibility study 35

Youth justice liaison and diversion evaluation report Sue Sylvester 36

Offender Health Research Network Reports Glyn Thomas 37

Communications Glyn Thomas / Debbie Goulding 38

Challenges • Strengthening communications with the NHS, criminal justice agencies (youth and adult) and external / civil society partners • Engaging service users and commissioners • Maintaining focus and momentum in time of change • DH restrictions for publishing and developing comms tools 39

Current work • Mapping exercise underway to ensure we have a realistic engagement plan for all of our stakeholders • Draft implementation plan ready for when the Development Network contract begins in April • New communications vehicle to facilitate an online community – NHS Networks • Monthly Offender Health Bulletin to be re-instated 40

NHS Networks Connecting: • Development Network to information • Development Network to each other • Development Network to Network Contractor • Development Network to central team • Linking development network to Chi. Mat www. Chi. Mat. org. uk/youthjustice www. networks. nhs. uk [Invitation to join will be sent shortly] 41

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Closing remarks Richard Bradshaw 43

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