2015 Report details for project: Liaison and Diversion Programme

Project name: Liaison and Diversion Programme - there are 4 reports for this project: 2014, 2015, 2016, 2017
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2015 (data is from Sept 2014)
Category: Transformation - see all reports for this category
Description: The aim of the Liaison and Diversion programme is to improve health and criminal justice outcomes for offenders (or suspected offenders) with mental health, substance abuse, personality disorder, learning disabilities and other vulnerabilities. This should be achieved by investing in Liaison and Diversion services to screen, assess and refer offenders at the earliest possible point of the criminal justice system into relevant treatment and support, so that information from assessments is subsequently fed into the criminal justice process and can be used to inform decisions about justice outcomes, charging, prosecution and sentencing. This fits with the strategic aims and objectives (offender rehabilitation to support reduced offending, and improved health and wellbeing outcomes) of each of the departments involved. It is accepted by the Coalition Government that this direction of travel supports the business needs, as it was anticipated that early intervention and investment in health services for offenders across England will save money through reduced ongoing impacts on the criminal justice system. The programme is led within NHS England, which has responsibility for commissioning L&D services. Policy work is being taken forward by a cross government programme, funded through the SR settlement to DH and involving DH, Ministry of Justice and the Home Office, working with NHS England and Public Health England. HM Treasury approved the Outline Business Case in 2013 and trials of a standard service specification commenced in April 2014 (the programme transferred to NHS England on 1 April 2014).
DCA (RAG): Amber
DCA text: The MPA RAG rating was Amber at Q2 2014. At the last review MPA found that considerable progress had been made and noted a number of key developments. These included approval by HMT of the OBC and subsequent ministerial announcement about the programme in January 2014, successful achievement of the key milestones to establish the pilots, developing the data strategy and smooth transition of the programme team from DH to NHS England. There was noted to be visibly stronger commitment at all levels to the programme which was assessed to be in good shape, and the review team sensed that the team was much better placed to successfully deliver the policy goals. Despite the significant degree of challenge and complexity associated with this programme, the review team found that all recommendations from the previous review had been addressed. It was recognised that more work is still required, particularly regarding ICT, workforce planning, communications and stakeholder engagement to ensure that these areas do not negatively impact the chances for successful delivery. The AAP Review Team noted that if active management attention was paid to them, there was no reason why the delivery confidence rating should not continue to improve further. In response to recommendations an ICT and data strategy has been produced, and detailed ICT and data requirements are in the process of being developed with the Health and Social Care Information Centre; a workforce planning project has been initiated with Health Education England to validate workforce assumptions, and to address skills and workforce supply issues; communications and stakeholder engagement have been strengthened with the production of a series of films focusing on service user experiences, which is published on the NHS England website; service user focus groups and a service user committee have also been put in place. A further review is planned, to assess the team's readiness to develop and present a Full Business Case (FBC) to HM Treasury later in the year. A Gateway 3 review is planned for August 2015 to assess the FBC immediately prior to its submission to HM Treasury.
Start date: 2011-04-01
End date: 2014-04-01
Schedule text: Since the programme was re-configured in July 2013, the schedule has remained stable. At that time, a plan was agreed that Liaison and Diversion services would be rolled-out in increments each year until full coverage in England could be achieved, by April 2017. This remains the plan, and to this end, the first wave of services went live in April 2014, with a further wave of services due to go live in April 2015. Together, these first two waves will provide population coverage of Liaison and Diversion services to over 50% of the population of England. All of these services will conform to the national commissioning specification for Liaison and Diversion services that was first agreed in September 2013. Planning commenced in January 2015 for the commissioning of the final waves of Liaison and Diversion service rollout, at the same time that drafting of the Full Business Case commenced.
Baseline: £50.00m
Forecast: £25.40m
Variance: -49.20%
Variance text: The original financial plan for the rollout of Liaison and Diversion services was developed in 2011, prior to the creation of NHS England or the definition of the Mandate funding formula. The Liaison and Diversion programme was originally expected to rollout services by 2014. However, the requirement for a Full Business Case to be presented to HM Treasury, and the lack of a suitable evidence base to support it, led to the re-configuration of the programme in early 2013. This included a re-baselined plan for expenditure on services, with incremental rollout from 2014/15 to 2017/18. The new plan is for incremental growth in the expenditure on Liaison and Diversion services over that period.
Whole Life Cost: £213.17m
WLCost text: Budgeted whole-life costs for the Liaison and Diversion programme will be finally confirmed during Summer 2015 when the Full Business Case is developed and as the outcomes of the Spending Review negotiation for the NHS England are confirmed. The slippage in budgeted expenditure in 2014/15 could be offset by increased expenditure in the final two years of the programme, depending on the full rollout costs agreed with HM Treasury.
Sourcefile: IPA_2015.csv

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