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Big Diversion Project

Big Diversion Project. Content. The Partnership Defining diversion? Context – National and Regional The Big Diversion Project. Our Partnership. Northumberland Tyne and Wear NHS Foundation Trust Revolving Doors Agency Tees, Esk and Wear Valley NHS Foundation Trust.

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Big Diversion Project

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  1. Big Diversion Project

  2. Content The Partnership Defining diversion? Context – National and Regional The Big Diversion Project

  3. Our Partnership Northumberland Tyne and Wear NHS Foundation Trust Revolving Doors Agency Tees, Esk and Wear Valley NHS Foundation Trust

  4. Defining Diversion “Diversion” is a process whereby people are assessed and their needs identified as early as possible in the offender pathway (including prevention and early intervention), thus informing subsequent decisions about where an individual is best placed to receive treatment, taking into account public safety, safety of the individual and punishment of an offence The Bradley Report: Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system (2009) p.16

  5. Policy Context

  6. Resulting national developments Govt commitment to make Liaison and Diversion schemes available nationally by 2014 Health care in Police custody to be commissioned by the NHS by 2015 Roll- out of both initiatives already started

  7. ....and local involvement Liaison and Diversion Services Pathfinders Newcastle North Shields South Shields Gateshead Cleveland, Durham and Darlington South Tees Bedlington Sunderland Police early adopters Northumbria Phase 1 Durham Phase 2 First Response Team Tees Middlesbrough and Stockton MIND Women Outside Walls Newcastle Alternatives to Custody

  8. BDP Task To research, review and make recommendations to shape the future development of liaison and diversion services and supporting care pathways in the north east region for offenders. To provide commissioners with an instrument for self-assessment and a toolkit to ensure levelling up between and within localities and organisations in the north east.

  9. Project Phases

  10. BDP Timeline Independent Evaluation of Services

  11. Analysis phase:Methodology and work to date Sarah Anderson, Senior Development and Research Officer, bigdiversionproject@revolving-doors.org.uk

  12. CJLD Services People with MH or a LD • Probation • e.g. • s.135/6 • Police screening • e.g. • Court reports • Information to courts • MHTRs • e.g. • Care pathways • MAPPA

  13. Priority issues Information flow Identification (screening & assessment) Care Pathways Training Partnership arrangements

  14. Priority groups Dual diagnosis Minority groups (Women) Young adults in transition Summary offenders Offenders subject to community sentences Short-term prisoners Other emerging priority groups

  15. Aims of the analysis • What is there currently? • Map current regional provision • What are the gaps? • Identify gaps in provision • How could we do things better? • Identify national and regional best practice

  16. Approach: the national picture • Literature review • Expert interviews

  17. Approach: the regional picture • Mapping stakeholders across the pathway • Stakeholder interviews • Focus groups of staff and service users • Surveys • Site visits • Documentary and quantitative evidence • Stakeholder events

  18. Work so far • 17 interviews with national experts • Site visits to CJLD services • 37 interviews with regional stakeholders • 1 focus group of prison mental health team managers • 2 service user focus groups • Surveys of probation staff and court staff

  19. Limitations Only five months available for analysis Large number of relevant stakeholders Focus on adults Limited resources in terms of what can be done next Changing service landscape nationally with significant uncertainty

  20. Emerging picture(Headline findings) Problems identifying LD throughout system Tension between police and health services over the use of s.136 Maximising coverage of CJLD services Out of hours provision of support for both clients and professionals Strengthening existing care pathways & opening new pathways Increasing provision of information to courts Sharing information across prison-community boundary and incompatible IT systems Overcoming barriers to release planning

  21. Any questions?

  22. Questions for discussion

  23. Next Steps with the Big Diversion Project Claire Cairns Regional Advisor (North East)

  24. What Next? Stock take of all information gathered Identification of unmet needs/gaps in provision Recommendations for Phase 2 to commissioners by 1 April 2012 Implementation of recommendations from April 2012

  25. Nature of Recommendations

  26. Staying in Touch Steve Moody – Project Manager Stephen.Moody@ntw.nhs.uk For the analysis phase bigdiversionproject@revolving-doors.org.uk Google – ‘Big Diversion Project North East’ for access to North East Offender Health BDP Website. This has latest information on BDP developments Comments forms for ideas/suggestions not already discussed in the focus group discussions

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