Newcastle Futures Newcastle Futures

Linking Delivery to StrategyLinking Delivery to Strategy

• Background Background

• Links with Health and strategic Links with Health and strategic thinkingthinking

• Delivery responseDelivery response

• Going forwardGoing forward

Percentage of Working age Population claiming benefits

32,960, 19%

144,040, 81%

Benefit Claimants (Feb 2007) non claimants

Benefits Claimed

1,400, 4%

4,710, 14%

16,950, 52%

9,900, 30%

Incapacity Benefit Disabled Lone Parents Others

0 5 10 15 20 25 30

Easington

Middlesbrough

Wear Valley

Hartlepool

South Tyneside

Sedgefield

Sunderland

Redcar and Cleveland

Gateshead

Blyth Valley

Wansbeck

Newcastle upon Tyne

Derwentside

North Tyneside

Stockton-on-Tees

Darlington

Chester-le-Street

Great Britain

Durham

Berwick-upon-Tweed

Castle Morpeth

Tynedale

Alnwick

Teesdale

Unemployed

Sick and Disabled

Lone Parents

Other

Newcastle Futures Newcastle Futures • Strategic Co-ordination RoleStrategic Co-ordination Role

– Creating a wrap around service to Creating a wrap around service to mainstreammainstream

– Performance management of discretionary Performance management of discretionary funded partners in the Cityfunded partners in the City

– Lead partner for City Region, Information and Lead partner for City Region, Information and improving overall delivery partnership in cityimproving overall delivery partnership in city

• Central Delivery RoleCentral Delivery Role– Co-ordination of engagement activity Co-ordination of engagement activity – Customer case managementCustomer case management

Strategic CoordinationFinance, Outputs, Personnel, Communications, Intervention menu, Monitoring, Performance Management, IT

systems,

Menu of Support OptionsEmployment

Self Employment

Social Enterprise

Education

Volunteering

EngagementCommunity and Voluntary Sector

Jobcentre Plus

Newcastle City Council

Health & Social Services

Education/Justice

Marketing

Newcastle Futures Board

Newcastle Strategic Partnership

Skills

Health

Lifestyle

Customer Management

Diagnostic

Action Plan

Continuous Client Support (CBT)

‘Distance traveled’ monitoring

Support in Employment

Continued Client support

Workforce Development

Occupational Health

Local DeliveryLocal Delivery

• Wide local partnership Wide local partnership

• 18 Customer 18 Customer Coordinators (CC)Coordinators (CC)

• Cognitive Behaviour Cognitive Behaviour Interviewing techniqueInterviewing technique

• CC in partner CC in partner premises identifiedpremises identified

• 1924 people 1924 people registered 764 people registered 764 people into workinto work

• Key links with partnersKey links with partners

• Flexible funds Flexible funds

• Steps programmeSteps programme

• Partner PerformancePartner Performance

• Shared IT systemShared IT system

Health linksHealth links

• Director of Health on BoardDirector of Health on Board

• Strong link with DWP PathwaysStrong link with DWP Pathways

• Evolving link with PCT Psychology ServicesEvolving link with PCT Psychology Services

• Community Mental Health worker partnerCommunity Mental Health worker partner

99

Length of time on benefitLength of time on benefit

SicknessSickness WorklessnessWorklessness

At one year off work only I in 5 chance of returning to workAt one year off work only I in 5 chance of returning to work

Number of each client group on key benefits with durations

0

500

1,000

1,500

2,000

2,500

3,000

Unemployed Sick and Disabled Lone Parents Others

thousands

2+ years

1-2 years

6-12 months

3-6 months

0-3 months

Source: DWP Client Group Analysis, May 2001.

1010

Most people do not have severe Most people do not have severe conditionsconditions

• The large majority (75%) of people on Incapacity The large majority (75%) of people on Incapacity Benefits have mild to moderate conditions – Benefits have mild to moderate conditions –

e.g. mental healthe.g. mental health Mental/Behavioural Conditions

Alcohol

Drugs

Psychoses

Depression

Anxiety/stress

others

1111

BarriersBarriers to work to work• Inappropriate early interventionsInappropriate early interventions

insufficient help to retain current job – GP cited as key to managing early interventionsinsufficient help to retain current job – GP cited as key to managing early interventions

• Assumptions of un-employabilityAssumptions of un-employabilityClinical culture assumes illness/disability prevents employmentClinical culture assumes illness/disability prevents employment

• Stigma & discrimination by employersStigma & discrimination by employersEmployer’s negative attitudes particularly with mental health conditionsEmployer’s negative attitudes particularly with mental health conditions

• Loss of motivation and confidenceLoss of motivation and confidenceProfessionals, friends and family attitude very importantProfessionals, friends and family attitude very important

• Individual perceptionsIndividual perceptionsAbout ability to work, seeing themselves working, managing in the workplace etcAbout ability to work, seeing themselves working, managing in the workplace etc

• Interagency problemsInteragency problemsGPs/advisers/patient difficulty in navigating ‘the systemGPs/advisers/patient difficulty in navigating ‘the system ’’

Secker J, Grove B, Seebohm [2001] Kings College LondonSecker J, Grove B, Seebohm [2001] Kings College LondonArthur S et al [2000] NDDP early implementation DSS Research Report 106Arthur S et al [2000] NDDP early implementation DSS Research Report 106

Rationale to be differentRationale to be different

• Complexities of customer group – up Complexities of customer group – up skilling of advisersskilling of advisers

• Research on mental healthResearch on mental health

• Need to change culture (thinking)Need to change culture (thinking)

• Need to gain commitment for Need to gain commitment for sustained outcome for customersustained outcome for customer

• Build on evidence/good practice from Build on evidence/good practice from other pilots/medical professionother pilots/medical profession

• Lord Layard ‘Happiness’ researchLord Layard ‘Happiness’ research

What’s the difference in What’s the difference in delivery?delivery?• Cognitive Behaviour technique Cognitive Behaviour technique

interviewinginterviewing

• Case Management StrategyCase Management Strategy

• Supervision for advisers (Health good Supervision for advisers (Health good practice)practice)

• Better understanding of “we need to Better understanding of “we need to know how someone thinks BEFORE we know how someone thinks BEFORE we offer help”offer help”

What are initial findings?What are initial findings?

• Training can be customisedTraining can be customised

• Need to consolidate and maintain Need to consolidate and maintain supervisionsupervision

• Some advisers are reluctantSome advisers are reluctant

• Too soon to say if its making the Too soon to say if its making the differencedifference

• Better support system for the adviserBetter support system for the adviser

Going forwardGoing forward• Clinical Psychologist on teamClinical Psychologist on team

• Adviser StandardsAdviser Standards

• Retain links with community health Retain links with community health

• Brings health supervision to employability Brings health supervision to employability agendaagenda

• Transfer of knowledge and understanding of Transfer of knowledge and understanding of both agencies both agencies

• Action based research Action based research – Model Model – Mental health Mental health

Thanks for listeningThanks for listening

Discussion Time!!Discussion Time!!