How do we know Local Area Coordination works?

Over the past 30 years, there have been many evaluations that show, where it is designed properly with local people and there is strong, connected leadership there are very consistent positive outcomes.

The focus on exploring, listening and learning helps to understand what works well (and keep doing it, improve) and learn from what different people, communities and partners tell us about how things can improve or be even better.

These include:

  • Swansea University evaluation (2017) – a comprehensive study showing cost benefit of 2-3:1 in first year, anticipated to rise to 3-4:1. Increased relationships and connections, reduced dependence on/need for formal services
  • Southampton Solent University evaluation (2016) – a focus on the impact and outcomes through co production in the development of Local Area Coordination
  • Social Return on Investment (SROI) evaluations in Derby City (link) and Thurrock (link) showing 4:1
  • Derby City diverted costs/savings of £800k in first 12 months in 2 locations whilst operating at 40% capacity,
  • Thurrock Council found reductions in referrals/visits to GP, A&E, adult care, mental health and safeguarding services; avoided housing evictions,
  • Reduced dependence on day services and better health outcomes

Evidence and Outcomes

System impacts

Reductions in:

  • Isolation
  • Visits to GP surgery, A&E, falls, admissions
  • Dependence on formal health and social services
  • Referrals to Mental Health Team & Adult Social Care
  • Safeguarding concerns, people leaving safeguarding sooner
  • Evictions and costs to housing
  • Smoking and alcohol consumption
  • Dependence on day services
  • Simplifying system – local point of contact
    • Integrated
    • Joint outcomes

Swansea Uni (2017) Financial Benefit 2-4:1, increased networks, contribution, strengthening community.

Southampton Solent (2018) Financial Benefit 4.3:1

Wessex – Improved health outcomes (2018)

Leicestershire Financial Benefit £4.7m (2016)

Social Return on Investment £4 Return for every £1 invested (2015 & 2016).

Impacts for people

When asked about the impact of support from Local Area Coordination, people have reflected significant and consistent improvements in quality of life

  • Increased valued, informal, support relationships – reducing isolation,
  • Increasing capacity of families to continue in caring role,
  • Improved access to information,
  • BeCer resourced communities,
  • Improved access to specialist services,
  • Support into volunteering, training and employment,
  • Preventing crises through early intervention,
  • Changing the balance of care to the use of more informal supports and diverting people from more expensive services.
  • Improved health,
  • Accessing appropriate care and benefits,
  • Significantly less medical symptoms (Ed’h Napier 2017)
  • Significantly lower levels of psychological distress

“Making Haringey a Better Place…where everyone can thrive”

Gamsu, M and Rippon, S. (2019). Haringey Local Area Coordination Programme – A Formative Evaluation of Implementation.

Local Area Coordination: Summative Evaluation.

Lunt, N. and Bainbridge, L. (2019). University of York.