Integrated Social Needs Transport Paul Lucas Operational Service Planning Manager

1. Integrated Social Needs Transport Paul Lucas Operational Service Planning Manager

2. How did ISNT start? • Social Exclusion Unit – “Making the Connections” report • Audit Commission suite of reports : • Non-emergency patient transport • Social Services transport • Special Educational Needs Transport • Best Value Review

3. What was the review’s objective? • “to enhance social inclusion by providing better, more integrated and more cost-effective transport services to those people with special or social needs irrespective of the nature of the service originator, so that these people can travel where they need to go at the time that they need to be there.”or • “The provision of appropriate transport from where the client is now to where they want to be at the time when they need it.”

4. What did we find? • 572 vehicles in Greater Manchester • 31 separate agencies involved in provision • 2m+ journeys made annually • Population aged 60+ will increase from 511k to 579k by 2021 • Annual provision cost is in excess of £40m

6. Destinations

7. Other lessons we learned :- • Health service costs of “Did not attends” • Community Transport operators potential contribution • Pilot schemes • Comparative authorities • IT technology • Futures workshop

8. COSTS OF “DID NOT ATTENDS” AND OTHER LOCAL COSTS • Audit Commission 2001 : £900m • University of East London: £300m (DNA in England) • GMPTE BVR: £50M in Greater Manchester • Local Authority taxi budgets ****** • Rates vary: 5% to 15% (Ulster Hospital, Belfast Study) • Transport factors: Between 10% to 69% • Norwich University Hospital stated that if 10% was transport related • this would represent locally: • 3,033 DNA at a cost of £197,000 per year

9. Role of GMPTE Social Exclusion role Co-ordinator role Market making Other stakeholders Users “Commissioners” Providers Other deliveries eg consultants Role of Government Legislation Funding Other major considerations Working practices Cost model Independence agenda Mainstreaming of SEN pupils Local delivery of health services Driver qualification Major influences…..

11. Work already ongoing • Manchester pilot project • Sharing of premises • Sharing of work • Stakeholder engagement • Call Centres • It comparison • Trust Fund

12. Agency Operators - Shopping centres Community Transport - GMATL Mobility Authorities - Employment, ... - District Vehicles - Hospitals, ... • GMAS Mobility Activity Centres Authorities - Charities, ... - Voluntary Assoc., ... - Communities, ... Generic DRT Associations / Service User Groups Providers - Health services, ... - Social services, ... Greater Manchester ONE STOP SHOP CALL CENTRE - ... Social DRT Administration / Service Public Providers Organisations Transport End-Users Transport Service Providers Other Flexible Special DRT Transport.Service Service Users Providers GMATL Taxi Cabs Elderly People - Shared Taxi ... • Car Sharing • Arranged • Passenger • Transport Generic DRT - Service Users GMPTA ISNT Best Value Review Information on Low Floor Buses Bus information Ticket information General Enquiries

13. INTEGRATED SOCIAL NEEDS TRANSPORTPresent Customer access lines Retail Day Centre Education Hospital Private Sector Social Services PTS LEA R & R Community Transport Customer

14. INTEGRATED SOCIAL NEEDS TRANSPORTProposed customer access process Retail Day Centre Education Hospital One-stop shop Private Sector Social Services PTS LEA R & R Community Transport Customer