Expansion of Individual Placement and Support (IPS) services Proposal Guidance for Wave 1 Funding

Expansion of Individual Placement and Support (IPS) services Proposal Guidance for Wave 1 Funding

Expansion of Individual Placement and Support (IPS) services proposal guidance for Wave 1 funding Version number: 1 Prepared by: Mental Health Clinical Policy & Strategy Team, NHS England

1 Contents 1 Introduction... 4 1.1 Overview... 5 2 Guidance for submitting a proposal for Wave 1... 6 2.1 Overview of the process... 6 2.2 Uses of funding... 7 2.3 Level of sign-off and commitment... 7 2.4 IPS services within wider employment services... 7 2.5 Additional information... 8 3 Support for implementation... 8 4 Next Steps... 9 4.1 Successful sites... 9 4.2 Timescales... 9 Appendix A.... 10 Appendix B.... 11

1 Introduction Doubling of access to Individual Placement and Support (IPS) by 2020/21, helping those with serious mental illness (SMI) to find and retain employment, is one of the objectives set out in the Five Year Forward View for Mental Health and associated Implementation Plan. Rates of employment are lower for people with mental health problems than for any other group of health conditions. IPS is an evidence-based approach to providing employment support for people experiencing serious mental health problems, shown to be twice as effective as vocational rehabilitation, and associated with reduced utilisation of other services, including use of inpatient admissions. IPS is based on eight principles, with increased fidelity to these principles correlated to better outcomes for service users. The indicative trajectory for delivery of this key objective was outlined in the Implementation Plan as: 2016/17 2017/18 2018/19 2019/20 2020/21 Baseline audit STP areas 25% increase 60% increase 100% increase of IPS selected for in access to in access to in access to provision targeted IPS IPS IPS undertaken funding NHS England will be monitoring this trajectory on a national level over the next three years. Please see Appendix A for more detailed information on national targets based on the NHS Benchmarking baseline data collection undertaken in 2017. An amount of funding was allocated to the IPS expansion as part of the Spending Review settlement for the delivery of the Five Year Forward View for Mental Health. The precise amount of funding to be allocated to IPS expansion will be confirmed once proposals have been received and assessed. This guidance has been prepared to support Sustainability and Transformation Partnership (STP) footprints to submit funding proposals, working collaboratively with Clinical Commissioning Groups (CCGs), NHS mental health trusts, voluntary sector organisations, and local authorities to develop the proposals.

1.1 Overview In order to distribute the transformation funding for increasing access to IPS, NHS England will conduct a targeted allocation process in partnership with regional teams. The primary purpose of the Individual Placement and Support (IPS) fund is to enable investment in: The expansion of existing IPS teams within an STP geography; or Setting up new IPS teams in STP geographies with limited or no provision. This will be done via two separate waves of funding. We are looking to award funding in two targeted waves: Commencing 2018/19: Wave 1: Expansion at pace within an STP area that already have high performing IPS services; Commencing 2019/20: Wave 2: Increasing provision in STP areas that do not have any IPS service provision. NHS England has decided that Wave 1 monies will be targeted at those areas where there is an existing commitment to, and knowledge base around IPS, in part because of the long timescales needed to develop services from scratch. By encouraging areas without any existing provision to apply for Wave 2 funding, we envision that this will allow services to do development work in the interim around thinking and planning, and laying the groundwork before Wave 2 funds are committed. NHS England has committed to implement specific recommendations from the Five Year Forward View for Mental Health within specific timeframes and therefore our plans need to take into account what can be achieved and by when on a year-by-year basis. This guidance relates specifically to Wave 1 funding. STPs are invited to come together to plan their expansion of IPS services and consider submitting a proposal to either or both waves. If multiple STPs would like to come together to produce a combined proposal, this may be considered provided the reasons for doing so are clearly outlined in the form. STPs who submit a proposal for Wave 1 funding will be expected to outline how they continue to demonstrate fidelity to IPS principles within newly expanded services. Areas that have other types of employment support which isn t considered IPS would not be eligible to apply for Wave 1 funding. STPs are advised to use the NHS Benchmarking data as well as any other local knowledge to assess current levels of IPS provision and therefore to inform a

decision about whether they are able to submit a proposal to Wave 1 as well as Wave 2 funding. Please note that in instances, where an STP is unable to submit a proposal for Wave 1 funding because they do not currently have an IPS service, but then are able to establish an IPS service before the process is launched for Wave 2 funding, this STP would not be excluded from submitting a proposal for Wave 2 funding to assist expansion of their new services. Diagram 1. Strategy for expanding access to IPS 2 Guidance for submitting a proposal for Wave 1 2.1 Overview of the process The associated form is for those STPs submitting proposals for Wave 1 funding only. NHS England intends to launch the process for Wave 2 funding at a later date. Use the attached form to outline your proposal both 2018/19 and 2019/20 funding. Please note that the Wave 1 funding available is for transformation funding in 2018/19 and provisionally in 2019/20, subject to later confirmation. We would expect proposals for Wave 1 Funding to be in the region of 200,000-350,000 depending on the scale of the expansion being planned. Please note that depending on the size of the overall pot of money requested by STPs, there may be a need to negotiate on the amount of funding allocated to individual areas. Proposals received on behalf of multiple STPs are eligible to request more than this, as required. However, it is important that proposals submitted by localities include plans that demonstrate the longer term sustainability of the developments. Such plans should be jointly agreed by CCGs and appropriate partners and providers.

Assurances about ongoing funding are critical to long term sustainability of services and will inform NHS England s final decisions about allocations. 2.2 Uses of funding We would hope that submissions would clearly outline the intended use for funding. This could include, but is not restricted to: Frontline staff including employment specialists and team leaders, including associated office materials e.g. laptop, phone as necessary. Staff training (both IPS workers and clinical teams). Project management capacity. 2.3 Level of sign-off and commitment NHS England would expect that any proposal is signed off by the Mental Health Lead (or equivalent) of each STP. It would be expected that all content within the form should be pre-approved by all relevant partners listed in your proposal. All proposals will require appropriate level of Executive sign off. NHS England would expect all proposals to demonstrate a sincere and true commitment to the information which is submitted. If there is reason to suggest that awarded funding is not being spent on what was indicated in the successful proposal, NHS England reserve the right to revoke funding at any time. 2.4 IPS services within wider employment services The funding given by NHS England to fund this IPS expansion is for the predominant purposes of expanding IPS services in secondary care. The funding is intended for provision to support fully integrated services with secondary NHS clinical care, but delivery through third sector providers based within the NHS with access to shared clinical records is equally welcomed. Your proposal should outline how these services would fit within any other employment provision that you may have locally, this can include for primary care, other mental health conditions, job retention services, voluntary services etc. It may be useful to put the IPS provision into the context of a wider support offer when submitting your proposal. The IPS model includes ongoing support as required to retain a job found through an IPS service, but does not include accepting referrals of people already in work, at risk

of losing employment. We therefore expect this new NHS England transformation funding to be spent on support into new paid work, not on referrals for job retention. NHS England does recognise the need for a range of employment services which cater to a range of needs; however IPS has been demonstrated to be the most effective model for many people under secondary mental health service provision with a serious mental health problem. Services should therefore consider the additional need of other employment support and job retention programmes which may be suitable for a variety of service user pathways. 2.5 Additional information Proposals should outline which partners will be working together to successfully implement the plan. As part of each proposal submission a breakdown of funding required per CCG should be clearly stated. NHS England would strongly encourage that experts by experience are involved in proposal preparation and service development. 3 Support for implementation An independent consortium 1 has been commissioned in 2017/18 by the Joint Work and Health Unit to support the growth of IPS services. The consortium is currently in the discovery phase of the IPS Grow project. The IPS Grow vision is that more people in the UK are able to achieve job outcomes, through the growth of consistently high quality IPS services. Some of the outputs to be generated as part of this project include: Commissioner Guidance, Operational Manual, Employment Specialist and Supervisor Job Description and Competency Frameworks and Outcome Reporting Templates. We hope these tools and templates will be useful in assisting services with both development of new services and expansion of existing ones. The intention is that these will be available for sharing from April 2018 and further information will be disseminated via NHS England regional teams. 1 The consortium is led by Social Finance and includes Centre for Mental Health, Central and West London NHS Foundation Trust, West London & St George s Mental Health NHS Trust, down Housing, and amptonshire Healthcare NHS Foundation Trust, in partnership with the Work and Health Unit and NHS England.

NHS England also intends to invest in a comprehensive support programme in 2018/19 for new and expanding services. 4 Next Steps 4.1 Successful sites Successful sites will be expected to submit quarterly progress reports to NHS England to provide assurance of monetary spend against expected outgoings, based on what is submitted in the proposal. These reports should be seen as an opportunity to update NHS England on the progress your team/service is making with the allocated transformation funding. The template of these progress reports will be finalised at a later date, and communicated to successful areas. Funding will likely be allocated in quarterly increments in line with these quarterly monitoring returns. 4.2 Timescales Date Task 31.01.2018 Application period launches. 28.02.2018 Application process closes. w/c 5 th March NHS England to review proposals. w/c 12 th March Expert panel to decide on successful proposals (for Wave 1). w/c 26 th NHS England national team to confirm successful proposals and March send out communications. April onwards Successful sites awarded funding.

London Appendix A. Baseline provision of IPS services as measured in 2016/17 (as determined by the NHS Benchmarking baseline data collection). We would expect these areas to consider submitting proposals for Wave 1 funding. Region STP # accessing IPS Total London Central London 40 London East London 246 London West London 772 London West London 510 London Total 1568 The Black Country 31 Bedfordshire, Luton and Milton Keynes 101 Nottinghamshire 123 amptonshire 139 Shropshire, Telford & Wrekin 141 Lincolnshire 196 Staffordshire 328 Suffolk and East Essex 1417 Mid & Essex 1965 Herefordshire & Worcestershire 155 Total 4596 Greater Manchester 39 Cheshire and Merseyside 142 West Yorkshire 790 Total 971 Devon 110 Frimley 119 Bath, Swindon & Wiltshire 174 Cornwall & Isles of Scilly 435 Somerset 596 Sussex & East Surrey 1206 Total 2640 National Total 9775

Appendix B. STPs which did not report provision of IPS services in 2016/17, to the NHS Benchmarking baseline data collection (N.B. These areas may have other types of support employment). Region London Total STP East London Birmingham & Solihull Cambridgeshire & Peterborough Coventry & Warwickshire Derbyshire Hertfordshire & West Essex Leicestershire Norfolk & Waveney Durham, Darlington, Teesside, Hambleton, Richmondshire and Whitby Humber, Coast & Vale Lancashire & Cumbria umberland Yorkshire and Bassetlaw West, & East Cumbria Bristol, Somerset and Gloucestershire Buckinghamshire Dorset Gloucestershire Hampshire & IoW Kent & Medway Surrey Heartlands 21 STPs