Another aspect of the panel process was to share and discuss the challenges that made service provision for rough sleepers more difficult and the opportunities for improvement. This highlighted areas for development including challenges for Government, for partner organisations and for councils themselves. The following sections summarise the main propositions.
A call for longer term funding
Whilst councils were clear about how much they welcomed the current increased funding and accountability, participants highlighted challenges with short-term funding timescales. In a follow up questionnaire conducted by the LGA, when asked about their top concerns, 73 per cent identified the need for longer term funding to aid the recruitment and retention of high calibre staff and support long-term strategic planning. Panel participants called for longer term funding solutions to provide more certainty when planning and commissioning local services.
Common observations included:
- small operational teams needing to divert resources away from frontline delivery to write multiple bids
- the lead time necessary for effective recruitment does not fit well with truncated funding cycles
- challenges associated with the recruitment and retention of staff who have the skills and experience to work with this complex client group where only short fixed-term contracts are offered
- the administrative burden associated with multiple grant funding applications can sometimes appear to be disproportionate
- the challenge of very short deadlines in peak holiday months (inhibiting collaboration with partners)
- the inefficiency of multiple and unaligned pots of funding.
A voice from the front line: Increased local decision making and more joined up funding processes (unitary council)
Everyone has welcomed the support, including financial support, from Government to support those sleeping rough and those at risk of sleeping rough. Moving forward there is an opportunity to achieve more, with greater efficiency, through more flexible approaches.
Our council was unsuccessful in funding applications for a number of critical projects as they did not meet programme criteria. Councils and homelessness partnerships have a good understanding of their local housing demand pressures and services required to end rough sleeping in their areas. Every area has locally specific issues to solve, accommodation support needs and gaps. These often require bespoke resources to address. Grant programme criteria can sometimes be restrictive to meeting those needs over the medium term. Careful consideration of future programme design, allowing greater acknowledgement of locally identified needs and the wider single homeless pathway, coupled with a more streamlined, less arduous application process would be welcomed.
Funding programmes need to take account of wider local systems and pathways. For example, our local pathway has several critical interventions and projects. The absence of resources for one or more of those interventions has significant impact on the relative success of the pathway and ultimately people’s outcomes. Funding ad-hoc projects without this acknowledgement can reduce the desired impact and is challenging to monitor.
There is an excellent opportunity to sustain many of the excellent outputs for people who rough sleep though targeting resources where local evidence and data demonstrates success. Failure to address this without long-term committed resources may see a return to pre-pandemic practices, a less resilient skilled workforce living on short-term employment contracts and a return to increased rough sleeping.
Head of Service, unitary council
Delivering an integrated approach to dual diagnosis to improve access
Over half of councils responding to the follow up questionnaire identified dual diagnosis (clients experiencing both mental health and addiction issues) as a key barrier to service provision, where the ability to navigate and access mental health services was a particular challenge. Whilst there were some examples of good practice shared, most participants said there are opportunities to strengthen approaches and develop more integrated responses with mental health services to support those with multiple and complex needs.
Addressing the wider challenges in the partnership environment
Partnership working was highlighted as a key consideration in the effective provision of services to rough sleepers. Councils recognise the need to build holistic, integrated approaches to address complex needs. During the pandemic, there have been many examples of strong and effective partnership working to deliver ‘Everyone In’. However, within some councils, there are opportunities to strengthen approaches to match the acute vulnerability of the client group.
Common issues included:
- how to support staff in navigating local partnerships to ensure clarity of understanding about respective roles and responsibilities of public health, primary care, clinical commissioning groups and provider trusts
- variable experience of engagement with NHS mental health trusts; there are opportunities to strengthen partnership working to support those with complex needs. In some cases, often correlating with trusts deemed to be poorly performing, mental health services need to be more visible in local rough sleeping responses
- examples of robust gatekeeping by adult social care services, setting access thresholds that did not always immediately reflect the complex and acute needs of the client group. Within some councils, this had been effectively resolved by better technical awareness of the Care Act on the part of rough sleeper services
- in some areas, there are opportunities to strengthen engagement with non-commissioned voluntary services and develop new ways of working together that do not perpetuate rough sleeping (food provision, clothing etc)
- importance of place-based leaders/commissioners co-designing integrated systems that meet the complex needs of rough sleepers.
Case study: Partnership working in Nottinghamshire (county council and district councils)
The seven districts and boroughs of Nottinghamshire have a long history of partnership working and have jointly received Rough Sleeping Initiative (RSI) funding since 2019. The Nottinghamshire County Council Public Health Team are a vital part of this partnership, providing match funding in 2019-21 to maintain an assertive outreach substance treatment service.
The Public Health Team also commission a significant number of supported housing bedspaces and housing-related support across Nottinghamshire and hold an influential role within the wider health, care and housing system. By working closely with the Public Health Team, we have built strong relationships with partners in social care, primary care, clinical commissioning groups, specialist secondary care services such as tissue viability, mental health and substance misuse services.
There are several task and finish groups in operation across the system of health, care and housing to ensure that workstreams are aligned and the needs of the rough sleeping population are fully understood and addressed. One outcome of these groups is that services are delivered at a time and place to suit the population, and also that specialist health and care databases can be accessed by the relevant professionals and information shared as required with others to enable a multi-agency response.
As homelessness is more than just rooflessness, ensuring individuals can access the health and care services they need is crucial to successfully tackling their homelessness.
Contact: Emma Lindley, Housing Strategy Lead, Ashfield District Council
[email protected]
Case study: Luton's Partnership Resettlement Meeting (unitary council)
In 2019 an opportunity arose to open a building that had seven ‘pods’, each with four beds, for winter accommodation. This opened on 2 January 2019 for three months. Because this was a short-term, cold weather project, focus was instantly on move-on and the first Partnership Resettlement Meeting was held in the same building on 4 January. Right from the beginning, the partnership buy in was strong.
The terms of reference for the Partnership Resettlement Meeting were jointly agreed. The primary aim was to ensure no-one returned to rough sleeping at the end of the cold weather provision. All supported accommodation providers attended the meeting on weekly basis to discuss:
- individuals in cold weather provision who require move-on in four weeks or less
- individuals who are not doing well in current accommodation
- individuals who have abandoned their properties (for different reasons)
- individuals who are facing eviction or have been evicted since the last meeting
- individuals who are known to rough sleep who will be discharged from hospital or acute unit
- individuals who are due for prison release
- provider voids.
Because of the strong partnership working developed through the Resettlement Meetings, no person was evicted, and no person left the cold weather provision back to the street during this period. When the cold weather provision ended, partners continued to meet.
In August 2019 the provider that delivered the cold weather provision opened a Homeless Assessment Rapid Rehousing Pathway (HARRP) with five ‘somewhere safe to stay’ beds and an additional 27 short term move-on beds. The provision provides first stage accommodation and so the Resettlement Meeting moved back to HARRP.
All providers continue to send a representative to the Resettlement Meeting and there is a real harm reduction and partnership approach. When people relapse or are struggling with one provider, they will be discussed at the meeting and another provider will agree a move-on for the person. Plans are made for people approaching hospital discharge or prison release, so no-one must end up rough sleeping. Partners are also able to discuss any voids coming up in their buildings so providers can work together and use any opportunities to move people on and ensure that people are in the right place.
The Partnership Resettlement Meeting is going strong to this day with high attendance rate and a strengths based, problem solving approach.
Contact: Yvonne Jackson (Housing), Luton Borough Council, [email protected]
Managing the impact of the lifting of the evictions ban
When asked about the future, participants expressed a concern about the future volume of (particularly family) evictions pending in the court system and the potential impact this will have on the current focus on rough sleeping. This was reflected by nearly 40 per cent of respondents in the follow up survey. The general view in panel discussions is that the imperative of the ‘Everybody In’ initiative, combined with the moratorium on household evictions, has created a breathing space where it has been possible to work in depth with more challenging clients. Once the moratorium is lifted, the concern is that there will no longer be the capacity to do everything, and it will be inevitable that work to support vulnerable families (with children) will be prioritised over work with some rough sleepers who have complex support needs and require more intensive support.
Sustaining the current rough sleeping approach
As stated earlier, councils welcomed government support and increased resources for working with rough sleepers and those at risk of rough sleeping. However, concern was expressed about the sustainability of the current approach. Just over a third of councils prioritised this in the follow up questionnaire. Comments included:
- The current response relies on short term/annual funding at an uncertain time for public funding. If the funding were reduced or withdrawn in the future, this would have a rapid detrimental effect on rough sleeping numbers.
- Will the current focus on rough sleeping be possible once the moratorium on household evictions is lifted? Does the system have the capacity to work with the rough sleeping cohort in addition to a potential increase in families facing homelessness?
- Whilst it has been possible to be very proactive with measures to bring about ‘Everybody In’ there is a fundamental lack of supply for long-term move on accommodation, especially for those with high support needs.
Strengthening the approach to prison discharge
Some areas reported difficulties with the implementation of the Homelessness Reduction Act ‘Duty to Refer’ involving prisoner discharges. This involved poor communication between prisons and councils, typically manifesting on the day of release when ex-prisoners arrive on the streets with no plan in place for accommodation. Some areas have tackled this by developing their relationship with local prison institutions and establishing discharge protocols.
Case study: Doncaster Departure Lounge (metropolitan borough council)
The Departure Lounge is a multi-agency response by the Doncaster Complex Lives Alliance to support those who are discharged from prison.
The Alliance plays a crucial role in supporting some of the most disadvantaged and vulnerable people in Doncaster and incorporates in practice services from Doncaster Council, NHS Community Foundation Trust, Doncaster and Bassetlaw Teaching Hospital NHS Foundation Trust, Primary Care Doncaster, St Leger Homes (Doncaster’s Arms-length Housing Management Company), other supported housing providers, Community Rehabilitation Company, National Association for the Care and Resettlement of Offenders (NACRO), National Probation Service, South Yorkshire Police, Department of Work and Pensions (DWP) and other community and voluntary sector partners.
Doncaster has four prisons, one of which is located within walking distance of the town centre. Data has shown that there are on average six prison releases weekly involving people who are homeless and over double this who are homeless with no connection to Doncaster.
The Departure Lounge was set up as a pilot initially for the Christmas period of 2020 at HMP Doncaster, in preparation for residents due to be released on Christmas Eve and New Year’s Eve. Residents can face challenges on the day of release, particularly on a bank holiday when there are limited/no access to services due to closure.
Release planning was discussed at the Complex Lives Multi-Disciplinary Team meeting prior to day of release to ensure all planning was in place including:
- continuation of any prescriptions including GP and substance misuse services and all appointment times planned
- most suitable accommodation sourced prior to day of release
- any further support needs identified, and services agreed.
On day of release the visitors centre hosts the Departure Lounge with partner agencies working together to ensure residents have access to:
- mobile phones and charging
- DWP to ensure benefits set up and in place
- dynamic accommodation placements to avoid unnecessary waiting
- taxis to accommodation or train station if leaving the area supported by British Transport Police
- advice and guidance on other support available including peer support and voluntary agencies
- all further appointments agreed prior such as probation, substance misuse and benefits so resident fully aware.
Contact: Debbie Mckinney, Complex Lives Manager, Doncaster Council, [email protected]
Improving access to social housing
Councils shared different experiences in their ability to access social housing for rough sleeper clients. In stock-holding areas, the experience was generally positive, and housing management colleagues were often predisposed to work closely with rough sleeper services. There were some good examples of joint working with Registered Social Landlords (RSLs) to support rough sleepers. However, most panel participants said there are opportunities to strengthen joint work with RSLs to support and accommodate those sleeping rough or at risk of sleeping rough. It was also acknowledged that, in many areas, there is a need to boost the supply of affordable housing.
Case study: Waverley and Guardian Properties (district council)
Prior to COVID-19 Waverley had been exploring ways to manage the challenge of having properties subject to future demolition standing empty and resulting in loss of rental income. A solution we developed was the introduction of a ‘Guardian Property Scheme’ where some council employees who were struggling with accommodation issues could potentially act as property guardians.
With the onset of COVID-19 and ‘Everyone In’ we decided to adapt this model to see if some rough sleepers who were engaging positively with the housing options team during ‘Everyone In’, would be suitable to be offered guardian licences. In some ways this was a bit like a ‘housing first’ model with support from the local housing officer. Since the pandemic four homeless clients have been assisted in this way and have sustained their accommodation. The value of the scheme is it gives a further period for a client to demonstrate that they can sustain accommodation and start to rebuild their lives.
The following is the case study of one such client (referred to as ‘X’):
X has been street homeless for many years and has an addiction to drugs. At the beginning of the pandemic, he was helped into a local hotel as part of ‘Everyone In’ alongside his pet dog. As the hotel was around 60 miles from Waverley, X left the accommodation after a few weeks, partly due to his addiction. However, he did continue to engage with the housing team and was up front and honest about his challenges.
Given X’s engagement we agreed to move him and his dog into a guardian property in May 2020. X has never had to deal with bills and Housing Benefit, so the housing team helped set him up with Council Tax Support and Housing Benefit and a referral to the local drug treatment service.
The local housing officer has helped support X to manage important post and deal with bills including gas and electric meter readings. X has struggled to set aside money for bills and the housing officer is now helping to set up direct payments from his benefits to help him.
X engages well with his neighbours and the community, including putting elderly neighbours’ bins out for them. He has a part time job as a gardener and has reduced his drug use (he did try a medical substitute, but this didn’t work for him). He has applied for a bank account and passport now that he has an address.
The property has been kept in good condition and X has proven that although he has an addiction, he can maintain a tenancy/licence with the right support in place.
As a result of the above and given his current property is due to be demolished, we have agreed to offer X another property in the same area. He will move on a 12-month licence and if all is good after the 12 months, we will offer him an ‘introductory tenancy’ with ongoing support from the housing officer.
X has been made aware of this move and he recently said:
“I am very excited to be able to move across to the other property. I will be forever grateful for the help and support I received. This time last year I was on the streets and out in the cold; Waverley Borough Council have saved my life and given me and my dog a home. I feel very grateful for the council giving me the opportunity and believing in me.”
Contact: Michael Rivers, Housing Needs Manager, Waverley Borough Council
[email protected]
Clarity of guidance for rough sleepers with no recourse to public funds
Councils in affected areas said clearer guidance on whether councils can support homeless adults with no recourse to public funds is urgently needed. It had been possible to work with those clients during the pandemic, but the mood of the sector was that a return to the previous policy framework was imminent. A small minority of councils did not think any of their rough sleepers were part of this group of clients. Practical dilemmas shared included:
- concern about the numbers of rough sleepers currently accommodated who are foreign nationals with no legitimate immigration status and who may have been trafficked into the country for the purposes of modern-day slavery
- for those clients who are citizens of the European Economic Area, the usual option of assisting with reconnection has been made very challenging because of lockdown restrictions on travel (eg to embassies in London, suspension of foot passengers on ferries etc)
- many clients who might have reasonably never expected to be rough sleepers have lost employment and tied accommodation without any immediate prospect of turning this around through alternate employment
- where councils have approached MHCLG and the Home Office to seek solutions for this client group, there is a perception that there is a lack of clear ownership. There is also a perception that despite the risk residing with local government, there is limited ability to influence the national policy on eligibility and those with no recourse to public funds
MHCLG have indicated that since panels were convened, there has been some proactive engagement from Home Office, as well as communications from MHCLG, outlining clear expectations about the need to exhaust all legal options with this cohort.