Getting started – partnership, co-production and defining the problem
Coventry identified multiple and complex needs as one of three priorities in the city’s Health and Wellbeing strategy. A Multiple Complex Needs Board was formed, chaired by the police and with a range of local organisations to oversee the local work, as well as an operational group which has a growing membership of local services who have worked together to map the system locally. We have held an initial experts by experience meeting where professionals from both operational and strategic groups came together with local experts to begin to develop approaches to coproduction locally.
Designing your intervention
We are currently in the process of selecting a cohort and ensuring that it is representative of the multiple needs population locally. We are considering working with both people who are rough sleeping and women engaged in sex work. Currently we do not have a dedicated coordinator in post, and initially the case work will be overseen by the operational group and lead by a local branch of a homelessness charity in partnership with a local lived experience group. The operational group are also looking at how they best link the work with existing multi agency forums in the area.
Sustainability and system change
We are beginning the MEAM work without a dedicated coordinator, and it is hoped that this will mean coordination takes place as a partnership and becomes embedded; however, we are open to learning around this and the approach may demonstrate a need for a dedicated resource. Evaluation of the work around multiple needs is a key priority for Coventry, and the board’s priorities are to both oversee coordinated interventions, both MEAM and Steps for Change ( a project where individuals can access support from different agencies in the city centre) but also to look at long term impact of these interventions on future service design.