January 2022

Current discussions and work-streams all link back to the key messages that emerged from recent local research involving people with lived experience.

1. Strengths-based approaches:
• A 5-week programme looking at Commissioning and Service Transformation through an ABCD Lens (Asset Based Community Development)
• 20 individuals involved from across system – commissioners & providers, NHS/Housing/Police/Public Health.
• Very powerful, challenging and thought provoking.
• Thinking about how to truly harness the talents and powers of individuals and communities.
• Explore next steps and linking up with a cohort from City of York Council who undertook a parallel programme.

2. Staff wellbeing/supervision and support across the system
• Mapped ‘as is’ arrangements for supervision/clinical supervision/reflective practice across system
• Keen to define our aspirations for arrangements across the system.
• What does ‘good’ look like? How might we fund/commission that moving forward
• Rough Sleeping initiative is funding a pilot – with 14 outreach worker staff
• TEWV colleagues are supporting the process. There will be trauma informed training session and a series of reflective practice sessions, both 1:1 and group sessions. The whole pilot being evaluated so that we can take the learning and understand the impact.
• Early feedback is very positive.

3. Data and definition
• We've continued to grapple with the question: ‘How do we define multiple complex needs in York?' It's important to understand this in order to inform what services and support we need to be commissioning moving forward.
• In October 2021, Chris Weeks and 5 managers from across resettlement pathway discussed 25 clients within the pathway using the Government’s ‘Changing Futures’ definition of multiple complex needs, i.e. experiencing three or more of the following five: homelessness, substance misuse, mental health issues, domestic abuse, and contact with the criminal justice system.
• We estimated that 90% of the individuals in the resettlement pathway as of today would meet the ‘Changing Futures’ definition of multiple complex needs.
• The Co-Commissioning Group agreed there is value in broadening the exercise to take a snapshot of individuals’ needs within the whole resettlement pathway.

4. Whole-system review of resettlement pathway and related services/support
• This included looking at provision from CYC, Changing Lives and Salvation Army. It was prompted by the Community Wellbeing Service contracts coming to the end of their initial term and the fact that the world has changed considerably since 2016 when they were last tendered.
• A Project Board (multi-agency) has now been established and met twice so far – intensive review period with conclusions/recommendations needing to go to CYC Executive by late June 2022
• Note - Rough Sleeper Initiative 2022-2025 funding bid is due into Government by 04/02/22.