Councillor Heather Smith

Prevention

Co-production of Levels Event

2nd April 2012

Prevention Consultation July – September 2011

• Customers

• Providers

• Key stakeholders

• Local combined community access• Holistic approach to whole needs• A flexible and multi-skilled workforce• Improved working

• Improvements for customers• Maximising funding and income• Partnership, structure, governance and

accountability• Workplace development, learning and

growth• Joint efficiencies

Customer Feedback Opportunities

Customer Feedback Risks

• Local combined community access• Fear and anxiety about loss or changes to

services• Loss of access specialist staff• Consultation process

• Impaired customer experience• Loss of skill, knowledge and staff• Pace of change and transition• Partnership working• Anxiety – communities and funding• Anxiety – capacity and commissioning• Concern and hub approach

Provider feedback - Opportunities

Provider Feedback - Risks

What we found

Summary of Recommendations to Cabinet

• Extend Consultation for a further 3 months• Agree and support the development of area

based/locality model(s) • Authorise interim contract extensions or

variations• Approve the Draft Prevention and Demand

Strategy for the County 2012 – 2016 for consultation.

• Endorse a Fair and Equitable Funding methodology

http://www.northamptonshire.gov.uk/prevention4

Janet Doran

Prevention Consultation

Phase 2 – Interim results

Prevention Consultation December – February 2012

• Strategy

• Fair and Equitable Funding Model

• Locality Decision making

Interim Results

• Awareness raising

• Relating to 12 events

• Over 300 participants at events

• 1588 internet hits

Outline of Consultation

• Three areas

– Draft Strategy

– Local Governance

– Funding methodology

Results

• Draft Strategy

• 51% agreed with aims• 6% disagreed• 43% unsure/didn’t want to answer

– Written responses » 13 responses» 7 agreed» 3 disagreed» 3 didn’t know

Results Local Governance

• Diverse responses– Service users & carers– Providers– GP/Health– District and Borough– Police

Results Funding Methodology

• 76% of participants understood the methodology

• 24% of participants did not understand

• 55% felt the methodology was Fair/fair in principle

• 11% felt it was not fair• 34% Didn’t know

ProposedFair and Equitable

Resource Allocation Methodology

Early Years / Children’s Centres

Young People

Access - Rural

Deprivation

Adults - Vulnerable and Older People

Community Safety

Domains / Themes

Communities

Data sets for these Domains, see updated Fair and Equitable Funding Model Domains and Datasets document.

• The information from each dataset will contribute to the ranking for that Lower Level Super Output Area.

• With rank 407 being the most in need and 1 being the least

• An area will have a ranking for each Domain/Theme, (Similar to the IMD Domains)

For Example: Daventry 008D - E01027013

DeprivationAccess to Facilities

CommunitiesCommunity

SafetyAdults

Young People

Early Years

386 197 115 252 113 331 257

Example of Allocation of Funding per person

Deprivation (D):(area population X area’s domain rank )

Access to Facilities (AF):(area population X area’s domain rank)

Communities (C):(area population X area’s domain rank)

Adults (VAOP):(area population X area’s domain rank)

Community Safety (CS):(area population X area’s domain rank)

Young People (YP):(area population X area’s domain rank)

Early Years (EYCC):(area population X area’s domain rank)

+ +

++

+ +

(D) (AF) (C)

(VAOP)

(CS)

(YP) (EYCC)

+ +

+

+

+ +

This figure is created for each of the 407 Lower super output areas.

= Unique LSOA Figure

X = Each area’s Funding

Each area’s Funding

That area’s population=

Funding per person within

that area

Total Funding

All 407 of the Unique LSOA Figure

= Countywide Unit amount

Unique LSOA Figure

Countywide Unit amount

                             

  Funding amount    £        20,000,000                      

                             

                             

 Deprivation  

Access to Facilities

  Communities  Community

Safety  Adults

 Young People

 Early Years

 

                             

      Borough/Districts Allocations  Percentage of total funding      

Amount of funding per 

person      

                             

  Corby   £   1,975,072.52   9.88%        £               35.37       

                            

  Daventry   £   1,704,509.07   8.52%        £               21.59       

                            

  East Northamptonshire   £   2,038,678.06   10.19%        £               23.91       

                            

  Kettering   £   2,684,099.04   13.42%        £               29.62       

                            

  Northampton   £   7,612,758.35   38.06%        £               35.89       

                            

  South Northamptonshire   £   1,536,230.81   7.68%        £               17.30       

                            

  Wellingborough   £   2,448,652.16   12.24%        £               32.33       

                             

                             

Example Domain Ranking

Area Population D AF C CS VAOP YP EYCC SUM Unique LSOA Figure

Area 1 1000 1 2 3 2 2 3 1 14 14000

Area 2 500 2 4 4 1 3 1 4 19 9500

Area 3 500 3 1 5 5 4 5 2 25 12500

Area 4 250 4 5 1 4 5 4 5 28 7000

Area 5 250 5 3 2 3 1 2 3 19 4750

Total 3000 AVERAGE 105 47750

1 =Less need 5 = Most need

 (D) (AF) (C)

(VAOP)

(CS)

(YP) (EYCC)

+ +

+

+

+ + = Unique LSOA Figure

Area 1 - 1000 + 2000 + 3000 + 2000 + 2000 + 3000 + 1000 = 14000

All of the 5 Unique LSOA Figures added

together

Total Funding

The Countywide Unit amount=

Unique LSOA FigureArea1 14000Area2 9500Area3 12500Area4 7000Area5 4750

47750

All the unique LSOA figures added is: 47750

Therefore

“Countywide” unit amount = £10,000,000 / 47750

£209.42

The Countywide Unit Amount

Unique LSOA FigureX Each LSOA Funding=

For our example

Area 1 Funding = £209.42   X   14000   = £2,931,937.17

Area 2 Funding = £209.42   X   9500   = £1,989,528.80

Area 3 Funding = £209.42   X   12500   = £2,617,801.05

Area 4 Funding = £209.42   X   7000   = £1,465,968.59

Area 5 Funding = £209.42   X   4750   = £994,764.40

Total £10,000,000.00

Each area’s Funding

That area’s population

=Funding per person

within that area

RankArea 1 Funding per person = £2,931,937.17 / 1000 £2,931.94 5Area 2 Funding per person = £1,989,528.80 / 500 £3,979.06 3Area 3 Funding per person = £2,617,801.05 / 500 £5,235.60 2Area 4 Funding per person = £1,465,968.59 / 250 £5,863.87 1Area 5 Funding per person = £994,764.40 / 250 £3,979.06 3

Co-production of Levels

Levels/Tiers

UniversalLow (FACS) Adults 

Early ResponseModerate (FACS) AdultsShort Term/low level

Additional needs specialist (CYP)Lesser substantial (FACS) AdultsTargeted Prevention Services

Greater Substantial (FACS) Adults Intermediate care/reablementAdditional needs regarding SPEC or statutory integrated response inc. Safeguarding (CYP)

Critical (FACS)Level 5

Level 4

Level 3

Level 2

Level 1

Edge of Care/Custody

Co-production of Levels - Workshops

Universal Specialist