Getting started – partnership, co-production and defining the problem
Hackney's Multiple Needs Service launched in 2016 due to an increasing awareness of the need to provide holistic support for those experiencing multiple disadvantage. Our programme is based within the Council’s Public Health team, and a core aim of the service is to improve the health and wellbeing of clients. The service is part of a wider operational partnership which includes local housing and hostel providers, substance misuse services, mental health services and criminal justice services. We are planning to focus on coproduction this year in more detail to ensure that our service is informed by people with lived experience.
Designing your intervention
Hackney’s Multiple Needs Service is coordinated by the service manager and delivered by our team of three practitioners. Each practitioner works with eight clients, and at any one time the service works with up to 24 individuals who often experience all four of the severe and multiple disadvantages as well as domestic violence. We work closely with partner services and have agreements on joint working with all referring services. We meet every week for clinical overview of the client’s support and hold a monthly operational partnership meeting to ensure local services are working together to the meet client's needs.
Sustainability and system change
We aim to address systems issues from the ground up with our practitioners working to identify and unblock issues that affect our clients on a daily basis. Information on systems issues and blockages will also be collected from our wider operational partnership and will feed up directly into senior strategic partnership structures with a view to resolve. We are seeking to eventually embed the service into our commissioning structure, drawing on a rigorous evaluation process.