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Total Place pilot - Birmingham

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Annual public expenditure £7.5bn

Focus of pilot Early intervention in children’s services, drugs and alcohol, gangs, learning disabilities and mental health. Total Community initiative showed how Total Place can work in a particular geographic area.

Cost of inspection Not included, although the council estimates its Audit Commission costs at £800,000


  • Developing a “Budget for Birmingham” which would align strategies and financial plans across the public sector.
  • Focus on symptoms rather than causes, eg, in health, 96% of spend is on treating illness and less than 4% on keeping people well.
  • Small number of people cost the most: only 2% of children are in care but they cost £35m per year; each of Birmingham’s 6,400 crack addicts averages £833k of social costs in their lifetime, while a majority of crimes (56%) are drug related.
  • Further work needed to use customer insight to re-design service systems.

Contact: 0121 303 4960

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