Transcript Slide 1
Newcastle Futures Linking Delivery to Strategy • Background • Links with Health and strategic thinking • Delivery response • Going forward Percentage of Working age Population claim ing benefits 32,960, 19% Benef it Claimant s ( Feb 2007) non claimant s 144,040, 81% Benefits Claimed 9,900, 30% 16,950, 52% 4,710, 14% 1,400, 4% Incapacit y Benef it Disabled Lone Parent s Ot hers Teesdale A lnwick Tynedale Castle M o rpeth B erwick-upo n-Tweed Durham Great B ritain Chester-le-Street Darlingto n Sto ckto n-o n-Tees Unemployed No rth Tyneside Sick and Disabled Derwentside Newcastle upo n Tyne Lone Parents Wansbeck Other B lyth Valley Gateshead Redcar and Cleveland Sunderland Sedgefield So uth Tyneside Hartlepo o l Wear Valley M iddlesbro ugh Easingto n 0 5 10 15 20 25 30 Newcastle Futures • Strategic Co-ordination Role – Creating a wrap around service to mainstream – Performance management of discretionary funded partners in the City – Lead partner for City Region, Information and improving overall delivery partnership in city • Central Delivery Role – Co-ordination of engagement activity – Customer case management Newcastle Strategic Partnership Newcastle Futures Board Strategic Coordination Finance, Outputs, Personnel, Communications, Intervention menu, Monitoring, Performance Management, IT systems, Engagement Community and Voluntary Sector Customer Management Diagnostic Menu of Support Skills Jobcentre Plus Options Employment Support in Employment Self Employment Continued Client support Social Enterprise Workforce Development Action Plan Newcastle City Council Health & Social Services Education/Justice Marketing Continuous Client Support (CBT) ‘Distance traveled’ monitoring Health Education Volunteering Lifestyle Occupational Health Local Delivery • Wide local partnership • 18 Customer Coordinators • • • (CC) Cognitive Behaviour Interviewing technique CC in partner premises identified 1924 people registered 764 people into work • • • • • Key links with partners Flexible funds Steps programme Partner Performance Shared IT system Health links • • • • Director of Health on Board Strong link with DWP Pathways Evolving link with PCT Psychology Services Community Mental Health worker partner Length of time on benefit Number of each client group on key benefits with durations thousands 3,000 2+ years 1-2 years 2,500 6-12 months 3-6 months 2,000 0-3 months 1,500 1,000 500 0 Unemployed Sick and Disabled Lone Parents Others Source: DWP Client Group Analysis, May 2001. At one year off work only I in 5 chance of returning to work Sickness Worklessness 9 Most people do not have severe conditions • The large majority (75%) of people on Incapacity Benefits have mild to moderate conditions – e.g. mental health Mental/Behavioural Conditions Alcohol Drugs Psychoses Depression Anxiety/stress others 10 Barriers to work • Inappropriate early interventions insufficient help to retain current job – GP cited as key to managing early interventions • Assumptions of un-employability Clinical culture assumes illness/disability prevents employment • Stigma & discrimination by employers Employer’s negative attitudes particularly with mental health conditions • Loss of motivation and confidence Professionals, friends and family attitude very important • Individual perceptions About ability to work, seeing themselves working, managing in the workplace etc • Interagency problems GPs/advisers/patient difficulty in navigating ‘the system’ Secker J, Grove B, Seebohm [2001] Kings College London Arthur S et al [2000] NDDP early implementation DSS Research Report 106 11 Rationale to be different • Complexities of customer group – up skilling of advisers • Research on mental health • Need to change culture (thinking) • Need to gain commitment for sustained outcome for customer • Build on evidence/good practice from other pilots/medical profession • Lord Layard ‘Happiness’ research What’s the difference in delivery? • Cognitive Behaviour technique interviewing • Case Management Strategy • Supervision for advisers (Health good practice) • Better understanding of “we need to know how someone thinks BEFORE we offer help” What are initial findings? • Training can be customised • Need to consolidate and maintain supervision • Some advisers are reluctant • Too soon to say if its making the difference • Better support system for the adviser Going forward • Clinical Psychologist on team • Adviser Standards • Retain links with community health • Brings health supervision to employability agenda • Transfer of knowledge and understanding of both agencies • Action based research – Model – Mental health Thanks for listening Discussion Time!!