Getting started - partnership, coproduction and defining the problem
Cornwall became a MEAM approach area in early 2018, following a workshop held with commissioners from a range of agencies and directorates at which they committed to the approach. Our expression of interest was approved by the Community Safety Management Group and Partnership Board and multiple needs is referred to in our current strategy. The MEAM work is led by the housing department of the local authority in close partnership with public health/substance misuse. We are in the early stages of forming a partnership and are bringing together key partners in autumn 2018 and planning a wider stakeholder engagement conference for early 2019. Some complex needs services in Cornwall have a strong ethos of service user involvement, but we have not yet begun to coproduce the MEAM work with people with lived experience.
Designing your intervention
Cornwall’s MEAM work is building on a short term intervention that took place in winter 2016-17 in response to some people sleeping in a car park in Truro. That intervention involved a quickly formed multi-agency response offering intensive, flexible support to people and unblocking some of the barriers preventing them from moving on. We intend to build on this model to provide a long term intensive support and brokerage offer for people. It is likely this will focus on two towns in Cornwall.
Sustainability and system change
We are at an early stage in partnership development and planning a visioning day with stakeholders including commissioners, providers and people with lived experience of services in early 2019.