A Case for Investing in Prevention– The Thurrock Edge of Care and Reunification Service
PHE ePoster Library. Umeh E. Sep 12, 2019; 274327; 136
Mrs. Elozona Umeh
Mrs. Elozona Umeh
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Abstract
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Abstract Introduction
There are growing opportunities and challenges for local authority public health teams to influence across other areas of council work. The 2017 Thurrock Annual Public Health Report considered the increasing pressures facing the Council's Children Social Care System – with a focus on formulating a sustainable system that gives every child, in Thurrock, the best possible life chances.MethodA system dynamics modelling approach was used to explore the increase in demand for Children Social Care services using two core datasets. Thurrock specific forecasts produced as part of the Strategic Housing Market Assessment (SHMA) and the 2016/17 Thurrock Social Care data with particular interest in the average cost and length of placement in social care, combined with an extensive literature review on preventive approaches to reduce a child's entry into social care.
Results
Thurrock model predicts a 27% increase in activity (17% population growth and 10% increase in LAC rates) and £6 million (15% growth in LAC related cost) of extra funding required in 10 years (2017 – 2027). The findings informed a series of business cases and agreement to invest in a preventative approach, including a £1.2m investment for an Edge of Care and Reunification service.
Conclusion
The report and modelling has led to a shift in the balance of investment towards services which reduce demand and is a good example of how public health expertise can be used to influence investment and service design in children's social care and promote a prevention approach across all council services. External funding details
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