The Adults facing Chronic Exclusion pilots provide front line services to individuals with complex needs (and which are not conventionally met by statutory services) with the aim of improving local delivery while reducing the total cost of providing support. Each pilot has a different service delivery model; however, all are based on the idea that an effective response to chaos and entrenched deprivation is a consistent, trusted adult who can advocate between local services and service users.
Main findings and implications
The main findings of this report are:
These findings demonstrate implications for the pilots, local commissioners and policy makers (see change below) in central and local government. The implications for each are described below.
Pilots need to ensure that their services fit with local priorities and commissioning strategy and that they demonstrate the value of the consistent, trusted adult.
Local commissioners need to recognise that Adults facing Chronic Exclusion clients are entitled to services and benefits and that by allowing these clients to work with consistent, trusted adults, their staff are better supported to provide the service to this difficult group and allow them to access services appropriately.
For policy makers, while there is little evidence that costs are shifting from centrally-funded emergency services to locally-funded health services, it is apparent that these services are being used more appropriately. The Adults facing Chronic Exclusion programmes have demonstrated the value of the consistent, trusted adult that can be applied to move individuals to employment and improved accommodation.