Teenage Pregnancy

Impact and effectiveness

Teenage pregnancy is a key inequality and social exclusion issue and there is also a strong economic argument for investing in measures to reduce teenage pregnancy, which places significant burdens on the NHS and wider public services[1]:

The Family Nurse Partnership caseload is highly vulnerable and challenging. The FNP team is able to bring forward a number of hugely successful stories about client experiences. FNP support has prevented clients from moving forward in the Public Law Outline Process and although they remained in the child protection arena, they have not progressed to care proceedings any further[2]. A Local Authority foster care placement costs in the range of £23,000 to £27,000, residential care placement costs in the range of £129,000 to £215,000 per year. This evidences the cost benefits of the FNP service.[3]

The cost of teenage pregnancy to the NHS alone is estimated to be £63m a year. This includes the average cost of a termination of pregnancy at £1008, the cost of vaginal delivery at £2880 and caesarean sections at £3790[4].

Benefit payments to a teenage mother who does not enter employment in the three years following birth can total between £19,000 and £25,000 over three years[5].

Teenage mothers will be much more likely than older mothers to require targeted support from a range of local services, for example to help them access supported housing and/or re-engage in education, employment and training[6].

The following information (Table 4) can be used to estimate the potential savings associated with reducing teenage conception rates.

Associated Risk Factor Service Average Cost
Table 4 - Potential long term cost analysis for Local Authority and Health Services. Source: Think Family Toolkit, 2009
Health Care
Mental Health issues including post natal depression Local Authority / Health Services a. Counselling Services - £40 p/hour. Ten session £400
b. CAMHS - £2,740 p/case
Alcohol and substance misuse Local Authority / Health Services a. Ten week intervention £567 p/case with local provider (local cost)
b. Counsellor £40 p/hour
c. Drug and Alcohol rehab unit - £717 p/week
Social Care
Social care support Local Authority a. Social worker £58 p/30 min contact
b. Group Parenting programme £500
c. One to one work in home £3,000
Living in care Local Authority a. £36,653 p/year
b. Residential placement £110,000 p/year
Crime
Youth Rehabilitation Order Local Authority Ranges £1,000 to £9,500 approx. dependent on intensity
Arrest Police £1,930.09
Education / Employment
Truancy Society £44,468 lifetime
Exclusions Local Authority £4,300 p/person. Cost to other services within LA including YOS, social services £1,200.
 

[1] Department for Education and Skills, Teenage Pregnancy: Accelerating the Strategy to 2010, DfES Publications, Nottingham, 2006.

[2] Family Nurse Partnership, The Family Nurse Partnership Report Safeguarding Children Boards Annual Report, Family Nurse Partnership, Bedfordshire, 2015

[3] Department for Education, Children in Care, National Audit Office, London, 2014.

[4] Department for Health, Teenage Pregnancy and Sexual Health Marketing Strategy, London, Department of Health, 2009.

[5] Department for Education and Skills, Teenage Pregnancy Next Steps: Guidance for Local Authorities and Primary Care Trusts on Effective Delivery of Local Strategies, Nottingham, 2006.

[6] Department for Education and Skills, Teenage Pregnancy Next Steps: Guidance for Local Authorities and Primary Care Trusts on Effective Delivery of Local Strategies, Nottingham, 2006.


Last updated Thursday, 20th October 2016