Welcome

1. Welcome

2. Criminal Justice Liaison and Diversion Service New model of care launch 29 March 2019

4. Gemma McSweeney CJLDS, Service lead

5. You can post questions to our panel partners this afternoon using Slido. To be prepared to ask questions, follow the instructions below: Please take out your smartphones and connect to the hotel Wi-Fi. The code is internet Open the web browser Go to www.slido.com and enter the event code, which is #CJLDS Or download Sli.do through any app store and enter the event code #CJLDS

6. Vincent Badu Deputy Chief Executive Director of Partnerships and Strategy

7. Living the trust’s values

9. L&D The National Picture Ivan Trethewey Micheala Sonnen NHS England

11. Working in partnership The L&D programme is led by NHS England, with a programme board that includes members from Department of Health & Social Care, Ministry of Justice, Home Office and a number of arm’s length bodies The L&D service • Early intervention all vulnerability within the criminal justice system • Prompt response to concerns raised by police, YOTs, probation or court staff • Critical information to decision-makers in the justice system, in real time, to inform effective participation, diversion, charging and sentencing • Referral and assertive follow up, to ensure individuals access, and are supported to attend treatment and rehabilitation appointments. #LiaisonAndDiversion

12. National Service Specification • Early identification • An all age service - children, youths and adults • Targeting a range of vulnerabilities such as, Mental Health, Learning Disability, Substance Misuse, Housing, Education… • Operating in Police Custody, Courts and community settings • Hours to suit operational requirements • Range of supported referral pathways #LiaisonAndDiversion

13. The first 48 months… • Excess 90% of England has L&D coverage • Almost 188,000 adults and over 29,000 children and young people have engaged with L&D • 22% of cases involved women service users • A range of needs and vulnerabilities were identified, including mental health needs (in 69%of adult and 49%of children and young person’s cases), but also alcohol misuse (32%of adults and 11%of children and young people) and substance misuse (30%of adults and 23%of children and young people), accommodation and financial needs, learning disability, and social and communication difficulties • L&D intervention led to over 60,000 referrals into treatment and support services for adults, children and young people #LiaisonAndDiversion

14. Identified needs #LiaisonAndDiversion

15. Liaison and Diversion coverage by end of March 2019 National Model No cover #LiaisonAndDiversion

16. National roll-out plans • Roll-out plan to achieve 100% coverage by 2019/2020 • Consider opportunities for commissioning/operational integration: • Street triage, police custody healthcare, substance misuse • Greater Manchester and Cheshire delivering integrated police custody healthcare/L&D commissioning specifications • Local Authority in Essex, lead commissioner integrating L&D, street triage and prisons • Integrated L&D and substance misuse in Avon & Somerset #LiaisonAndDiversion

17. Evaluation • Independent RAND evaluation of long-term impacts and outcomes to answer the following HMT questions, reporting in 2019 • The impact of L&D services on the CJS including re-offending, levels of diversion from CJS into treatment and further savings to the CJS • How the service can be designed to maximise benefits and facilitate integration between the CJS and the health system • The level of sustained access to mental health treatment, and of recovery, of those referred by L&D services • Cohort of service users successfully recruited • Agreements in place to link with heath, public health, mental health minimum data set, IAPT and PNC data bases. #LiaisonAndDiversion

18. Current L&D developments • Out of court disposals • Women’s pathways • Peer support • Community treatment requirements • Enhanced Crown Court service in selected areas (SPJ) #LiaisonAndDiversion

19. Out of court disposals • Working with the NPCC to support the police in developing effective conditional caution schemes for vulnerable individuals • Undertaken a scoping exercise with Hampshire police to develop a model to test a range of delivery options • National programme team and regional commissioners are supporting L&D services and police forces to develop local conditional caution options for vulnerable individuals #LiaisonAndDiversion

20. Womens pathways • Appointment of a women’s lead for each L&D service • Women’s specialist worker • Choice of gender of practitioner offering on-going support • Gender-sensitive approach for case identification, screening and assessments • Links to wide range of gender-specific and gender-sensitive services #LiaisonAndDiversion

21. Peer support • A Peer support model as part of L&D has been co-designed by the national Lived Experience Team with support from the national team • The national model is being trialled in two pathfinders sites – Birmingham and Wiltshire; a further two sites (Wakefield and Berkshire) are also in the process of implementing the model • Revolving Doors Agency have undertaking an independent review of the model – their recommendation is a hybrid model • Peer support will become part of the national L&D service specification next year. #LiaisonAndDiversion

22. Community sentence treatment requirements • We are working closely with DHSC, MoJ and NHS England colleagues to develop an operating framework to support local areas to provide access to CSTRs • CSTRs • Mental health treatment requirements • Alcohol treatment requirements • Drug rehabilitation requirements • Five test bed areas, Birmingham, Milton Keynes, Northampton, Plymouth and Sefton • Independent evaluation, interim report due July 2019. #LiaisonAndDiversion

23. Future vision • To deliver services that provide a timely and effective response to voluntary attendees • To support integrated commissioning and delivery models for police custody healthcare, substance misuse and liaison and diversion services • To develop a court custody healthcare model • To explore supporting individuals criminal justice journeys, in the community, in custody and on release from custody into the community (ReConnect) • Veterans whole CJS pathfinder in East Midlands. #LiaisonAndDiversion

24. Current & Future developments • NHSE commissioned Criminal Court healthcare ! • First night remand prison screening in Criminal Courts • Medication • Information sharing police/courts/prisons • Thomas Patrick McCauley Reg 28 Coroner report 291018 • Healthcare information via (PER) (E Per) • Relationships with PECS contractors

25. Current & Future developments • HSCN connections • How could we improve assessment & reduce risk presented by “off Bailers” ? Is their a role for L&D • National police custody healthcare specification changes (Taser) • EMRS • GDPR

26. Contact us england.liaisonanddiversion@nhs.net Visit the L&D web pages at: www.england.nhs.uk/commissioning/health-just/liaison-and-diversion/ Sign up to our newsletter here: https://confirmsubscription.com/h/d/AE8AE9C2D0411A36 #LiaisonAndDiversion

27. Matthew ScottPolice and Crime Commissioner for Kent

28. Kent Police – Central Custody Command Chief Inspector Roscoe Walford CJLDS

29. Contents • Custody Mission • Vulnerability • County total detentions • Children in custody • Female detainees • Custody footprint (snap shot) • Chief Insp Walford details

30. Custody Mission

31. Custody Mission

32. 2018 Definition of vulnerability Vulnerable applies to any persons who, because of a mental health condition or mental disorder: • May have difficulty understanding or communicating effectively about the full implications for them of any procedures and process connected with: • Their arrest and detention; or (as the case may be) • Their voluntary attendance at a police station or their presence elsewhere for the purposes of voluntary interview and • The exercise of their rights and entitlements • Does not appear to understand the significance of what they are told, questions they are asked or their replies.

33. 2018 Definition of vulnerability • Appears to be prone to: • Becoming confused and unclear about their position • Providing unreliable misleading or incriminating information without knowing or wishing to do so • Accepting or acting on suggestions from others without consciously knowing or wishing to do so; or • Readily agreeing to suggestions or proposals without any protest or question.

34. Detentions: January 2018 – February 2019

35. Detainee vulnerability

36. Children in custody Child Centred Policing Plan 2018 Objective: We will ensure that the attendance of juveniles in custody is necessary and proportionate. We will consider all alternative interventions and disposals and use custody only for the most serious of offences and offenders. Where circumstances dictate that this is the correct response we will provide a safe environment for them to be detained and interviewed in and this will be conducted expeditiously with an emphasis on their welfare and wellbeing throughout.

37. Children in custody Comparison between 2016 / 2017 / 2018

38. Female offender strategy – Ministry of Justice • Female offenders can be amongst the most vulnerable people in society and these vulnerabilities can often contribute to their offending behaviours • Many experience chaotic lifestyles involving substance misuse, mental health problems, homelessness, and offending behaviour – these are often the product of a life of abuse and trauma • Diverting offenders from the CJS, where it is appropriate to do so, and addressing their needs to prevent reoffending, by: • Optimising liaison and diversion schemes • Supporting the police to work with vulnerable women • Improving use of out of court disposals • Promoting retail-based diversion.

39. Custody partnership footprint Other Forces BTP Virtual Court Port of Dover Police Crown Court Major Crime Border Force Estates HR Magistrates Court Serious Crime IT Divisions Districts HMRC CPS CSU Force Inspectorate CJLDS Criminal Justice Gateway NCA Solicitors PSD Custody Command Law Society NOMS Staff Safety Training PCC NHS National Strategy Kent Police Strategy Learning & Development PNCB Regional / National Collaboration KCC / Medway Finance CPN Drug Intervention Social Services ICV’s Crime Group CJU Performance Management Young Lives Foundation Big Word Special Branch CSI’s GeoAmey FCR CRU Contactors Medical Services Corporate Comms IPCC HMP Business Services Analysts Armed Forces HMIC

40. Outside of custody • Voluntary interviews • 400-700 per month • Vulnerability • Partnership working

41. Chief Inspector 9316 Roscoe Walford 07980 926373 roscoe.walford@kent.pnn.police.uk

42. Gemma McSweeney The new model

43. Liaison and diversion is a process whereby people of all ages with a vulnerability that contributes to inequality and subsequent offending behaviours are identified and assessed as early as possible as they pass through the criminal justice systems.

44. CJLDS provision • All 7 police custody suites across the county, 7 days a week between 8am-8pm • Six magistrates courts • Adhoc crown court • Adhoc youth court • Support time and recovery (STR) function in the community.

46. Liaison and diversion practitioners

47. Specialist liaison and diversion practitioners

49. Accessing CJLDS • All ages • In contact with the criminal justice system • Consenting to be referred • Has an identified vulnerability

50. Referral routes kmpt.cjlds@nhs.net 01622 722374 The CJLDS team is based at: The Red House, Oakapple Lane, Maidstone