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Integrated Social Needs Transport Paul Lucas Operational Service Planning Manager. How did ISNT start?. Social Exclusion Unit – “Making the Connections” report Audit Commission suite of reports : Non-emergency patient transport Social Services transport Special Educational Needs Transport - PowerPoint PPT Presentation
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Integrated Social Needs Transport
Paul Lucas
Operational Service Planning Manager
How did ISNT start?
•Social Exclusion Unit – “Making the Connections” report
•Audit Commission suite of reports :
Non-emergency patient transport
Social Services transport
Special Educational Needs Transport
•Best Value Review
• What was the review’s objective?• “to enhance social inclusion by providing better, more
integrated and more cost-effective transport services to those people with special or social needs irrespective of the nature of the service originator, so that these people
can travel where they need to go at the time that they need
to be there.” or• “The provision of appropriate transport from where the client is now to where they want to be at the time when they
need it.”
What did we find?
•572 vehicles in Greater Manchester
•31 separate agencies involved in provision
•2m+ journeys made annually
•Population aged 60+ will increase from 511k to 579k by 2021
•Annual provision cost is in excess of £40m
DestinationsMost common destinations
Hospitals or welfare centres
7%
Social Services day centre or
club24%
Leisure outings15%
School or college
17%
Work destinations
7%
Shopping destinations
12%
Home (private dwellings)
13%
GPs5%
Other lessons we learned :- Health service costs of “Did not attends”
Community Transport operators potential
contribution
Pilot schemes
Comparative authorities
IT technology
Futures workshop
COSTS OF “DID NOT ATTENDS” AND OTHER LOCAL COSTS
• Audit Commission 2001 : £900m
• University of East London: £300m (DNA in England)
• GMPTE BVR: £50M in Greater Manchester
• Local Authority taxi budgets ******• Rates vary: 5% to 15% (Ulster Hospital, Belfast Study)
• Transport factors: Between 10% to 69%
• Norwich University Hospital stated that if 10% was transport related
this would represent locally:
• 3,033 DNA at a cost of £197,000 per year
Major influences…..
• Role of GMPTE– Social Exclusion role– Co-ordinator role– Market making
• Other stakeholders– Users– “Commissioners”– Providers– Other deliveries eg
consultants
• Role of Government– Legislation– Funding
• Other major considerations– Working practices– Cost model– Independence agenda– Mainstreaming of SEN
pupils– Local delivery of health
services– Driver qualification
COMPARISON OF CORE AND SPARE CAPACITIES
020406080
100120
1 2 3 4 5
Provider
Per
cen
tag
e
Spare
Core
• Work already ongoing– Manchester pilot project
– Sharing of premises
– Sharing of work
– Stakeholder engagement
– Call Centres
– It comparison
– Trust Fund
GMPTA ISNT Best Value ReviewGMPTA ISNT Best Value ReviewGMPTA ISNT Best Value ReviewGMPTA ISNT Best Value Review
Greater ManchesterONE STOP SHOP
CALL CENTRE
MobilityAuthorities
CommunityTransport
Generic DRTService
Providers
Social DRTService
Providers
Other FlexibleTransport.Service
Providers
Generic DRTService Users
Special DRTService Users
Administration /Public
Organisations
Associations /User Groups
Activity Centres
Agency Operators
Tra
nsp
ort E
nd-U
sers
Tran
spo
rt Service P
rovid
ers
- GMATL- District Vehicles
-GMAS
- Shared Taxi-Car Sharing-Arranged -Passenger-Transport
Mobili
ty A
uthorit
ies
- Shopping centres- Employment, ...
- Hospitals, ...
- Charities, ...- Voluntary Assoc., ...- Communities, ...
GMATLTaxi Cabs
Elderly People ...
-
- Health services, ...- Social services, ...- ...
Information on Low Floor Buses
Bus informationTicket informationGeneral Enquiries
INTEGRATED SOCIAL NEEDS TRANSPORTPresent Customer access lines
Retail Day Centre
Hospital Education
Community Transport
R & RSocial
ServicesPTS LEA
Private Sector
Customer
One-stop shop
INTEGRATED SOCIAL NEEDS TRANSPORTProposed customer access process
Retail Day Centre
Hospital Education
Community Transport
R & RSocial
ServicesPTS LEA
Private Sector
Customer
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