Mental Health Supported Living | Provider Hub

Market Context

ECC’s outcomes include young people, adults and families having access to a stable place called home where they can maximise and maintain their independence and wellbeing.

ECC aims to improve outcomes and to promote and improve individual recovery, remove delays in the accommodation pathway and prevent admission to acute services, hospital inpatient provision, and residential care.

Through taking a co-production approach working with people with lived experience and wider stakeholders we know that having a decent place to live supports individuals’ recovery, independence and wellbeing.

However, the ultimate ambition is for people to be living independently in their own homes with little or no support because they have recovered so move on from supported accommodation is a key area of focus. To enable move-on, ECC wants to explore the private landlord accommodation market and not rely on City, District and Borough Councils. As a wider health and social care system we need to improve the community offer and increase connections to maximise community resources.

Market Rating

Market Quality	Market Supply	ECC Demand
Moderate	Moderate	High

ECC Ambition	Market Workforce	Market Maturity
Manage Supply	Low/Moderate	Established

ECC rating of the market, assessed on the 31st March 2024

ECC has commissioned a new model of mental health supported accommodation, within a whole system view and providing an improved pathway, allowing people to move towards independent living.

ECC has commissioned a new model of Mental Health Supported Accommodation delivering different levels of services allowing people to move towards independent living however some existing services remain during mobilisation. Services are therefore commissioned through a variety of different arrangements:

Contracted Intensive Assessment Bed (IAB) Services
Contracted Complex Services
Contracted Intensive Enablement (IE) Services
Contracted High, Medium and Low Services
Framework for Supported to Independence
A small number of spot contracts and block arrangements

Supported Accommodation in the market is meeting existing need through a mixture of shared housing and self-contained units. Accommodation standards are variable however are improving through ECC’s compliance checks.

There are some accommodation gaps in particular geographical areas resulting in people having been placed outside of their areas.

Essex Market
No. Placements	210
Spend	£4.5m
Units	354

The information shown in the table(s) above is correct as of 30th September 2024.

Commissioners are currently working on the implementation of a new transformative model of mental health supported accommodation across the County. The new tiered model, which includes Intensive Assessment Beds, Complex, High and Medium and Low level provision is mobilised in North, West and Mid Essex with mobilisation continuing across South Essex during 2024.

Accommodation gaps in particular geographical areas resulting in people having been previously placed outside of their areas of local connection has been considered during the implementation of the new model and pathway.

Accommodation standards have been introduced as part of the new model. There are some remaining gaps in current provisions which are being addressed through ECC’s compliance checks, working collaboratively in partnership with providers and landlords.

There has been some impact within accommodation over the last two years, with staff and clients becoming unwell and needing to isolate. However, at present the impacts are being managed within the system.

The commissioning of the new mental health supported accommodation pathway has led to a phased implementation of the model across the county. Due to this phased approach, the South area of the County will continue with existing accommodation arrangements whilst we continue through mobilisation during 2024.

Additionally, ECC will continue to review the demand and need of mental health supported accommodation in partnership with Essex Partnership University NHS Foundation Trust (EPUT) and service outcomes.

ECC’s area of focus will remain mobilising the new commissioned mental health supported accommodation model and pathway and that accommodation meets ECC’s minimum standards.

Our drivers are to ensure that people are in the most appropriate place to support their needs with the goal that they live as independently as possible in the community.

ECC will also focus on improving outcomes for people in services, particularly in relation to move on to full independence, connections to their communities, access to education and training and also to volunteering and employment.

Last updated: 30/09/2024

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