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You First

The Improving Lives, Saving Money local evaluation report highlights the service both improved outcomes for people with multiple needs and delivered a 34% cost saving, through reduced crises.

Having led the initial mobilisation of the service and mid-project review which set the direction for the next phase of the project, Resolving Chaos worked with the Big Lottery Fund and our partners to establish arrangements for the delivery of the next steps of the You First Programme in Lambeth, Southwark and Lewisham. The You First programme is now led by Certitude, with the You First team being managed by Thames Reach, both have been core partners within Lambeth, Southwark and Lewisham Fulfilling Lives programme since its inception.

Since the programme began beneficiary outcomes improved, alongside the cost of the service use, which reduced by 34%. Most cost reduction has been a consequence of fewer incidences of crisis, alongside greater engagement in community support services.

The report found that You First engagement led to reduced demand for mental health assessments, less ambulance use, reduce A+E attendance and fewer hospital in-patient stays. There has also been a reduction in nights spent in prison, with fewer prosecutions for criminal behaviour orders, arrests and police call-outs.

As well as a cost benefit there have been overall improvements in beneficiaries’ outcomes, measured by both Outcomes Stars and New Directions Team assessments.

The report, approved by a partnership including all three local authorities, South London and the Maudsley NHS Trust, Thames Reach, Certitude and the Lambeth Clinical Commissioning Group, said: ‘You First is achieving the aims set out in its original business plan of improving lives and saving money through making better use of resources.’

Resolving Chaos are privileged to have been part of setting up such an innovative initiative and of all the achievements delivered by the You First team to this point. We wish the team and the Lambeth, Southwark and Lewisham Fulfilling Lives partnership continued success.

For further details about the You First programme, the agencies who lead the partnership, the You First team and the Expert Service User Reference Group (ESURG), visit youfirst.london to find out more.