Vulnerability – a ‘complex' issue: A whole-systems approach to addressing vulnerability in Wiltshire
PHE ePoster Library. Mortimer H. Sep 12, 2019; 274418; 216
Hayley Mortimer
Hayley Mortimer
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Abstract
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Abstract Introduction
Vulnerability is a complex issue, affecting anyone at any time, with some individuals/communities at increased risk. It requires a multi-agency response to meet growing demands of an increasingly vulnerable population. Much of this demand is preventable. MethodWiltshire adopted a whole-systems approach. Multi-agency stakeholder sessions for 60 partners representing a range of services, organisations and local community groups, focused on: Why vulnerability?Impact across lifecourseLocal definition Vulnerability frameworkResultsWiltshire produced a system map of vulnerability across the lifecourse, highlighting the multi-layered complexities and inter-connectivity across push/pull factors. The map defined vulnerability risks by age, including early-years, young people, older people and transition from child to adulthood. This map visually represented the difficulties individuals' experience in navigating pathways out and how interventions could be better targeted. Wiltshire adopted a vulnerability framework: Home; a pivotal role in sustaining good health and wellbeing.Early identification and prevention; whole-family interventions, diverting people from statutory interventions, using place-based solutions; andRoot-cause; not just focusing on symptoms but asking ‘why' individuals behave that way, reduce multiple contacts with services and increase resilience.
Conclusions
Wiltshire needed to change its approach to improve health and wellbeing and community resilience, through better demand management, focusing on earlier intervention, prevention of ill-health and keeping people well for longer. Wiltshire agencies accept we cannot eradicate all negative experiences; however, through our whole-system approach and collaborative work, we can mobilise our resources to increase resilience and equip our people with the right skills to deal more effectively with adversity. External funding details
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