Transcript The health of children and young people

The health of children and young people
in Gateshead
Lisa Dodd
Children’s Commissioning
Lead
Aims of the presentation
• Provide key information / statistics describing the health
of children and young people in Gateshead and how we
compare to statistical neighbours
• Identify key priorities for commissioning to improve
health outcomes and reduce health inequalities
• Provide an overview of key targets / outcomes
framework which we are assessed against and how we
measure progress
• To discuss opportunities for health and education to work
jointly to improve outcomes – considering the future
Health statistics – what do we know?
•
Population of 0-19 year olds approximately 45 800 with approximately 2300
live births per year (ONS 2009)
•
Infant mortality (deaths under one year) - currently an average of 12 deaths
per year has recently fallen after a continues rise (higher than the England
and North East average)
•
There is a continued challenge to increase the proportion of children who
are completely immunised
•
There are around 80 hospital admissions each year due to self harm
•
In 2009/10
– over 20% of 10 and 11 year olds in Gateshead are obese and the proportion has
risen over the past three years (England prevalence 18.7%)
– 10% of Gateshead children in reception year are obese – slight downward trend
between 2006 - 2010
Health Statistics – what do we know?
• There were 145 conceptions among females aged 15-17 years – the
rate of conceptions between 2005-2008 increased with a decrease
in 2009.
• The number of children killed or seriously injured in road traffic
accidents in Gateshead has fallen since the 1990’s – Between 1994
and 1998, an average of 27 children living in Gateshead were killed
or seriously injured in road traffic accidents each year. Between
2007 and 2009 the annual average was 11.
• In 2010 20% of year 10 boys and 33% of year 10 girls reported that
they smoke occasionally or regularly. 4% of primary pupils reported
that they would definitely smoke when older. 11% said maybe
• 20% of year 8 boys and 30% of year 10 boys drank between 4 and
20 units of alcohol in the 7 days before surveyed.
How do we compare?
•
The Health Related Behaviour Questionnaire (HRBQ) provides a comparison with
other areas who are statistically comparable
•
The Joint Strategic Needs Assessment (JSNA) provides a comparison with South
Tyneside, Sunderland, the North East and England
•
Examples from the HRBQ
–
Year 5 - 35% of pupils said they had been bullied in the last 12 months compared to 28% in a
reference sample
–
Year 5 – 74% of pupils reported that their school cares whether they care happy or not
compared to 67% in the reference sample
–
13% of secondary school pupils bought their lunch at a shop or takeaway compared to 7% of
the reference sample
–
42% of secondary pupils reported having an alcoholic drink in the last week compared to
34% of the reference sample
Priorities for commissioning
•
The PCT strategic operating plan and commissioning intentions for children
and young people are divided into
– Improving the best start in life
– Child health 0-5 and 5-19 years (Healthy Child Programme)
– Improving outcomes for children with complex additional needs
•
Key priorities for 2011/12 within these include:
– Improving maternity services
– Supporting more women to breastfeed and reducing risk taking behaviours in
pregnancy
– Increasing the number of Health Visitors and Family Nurses in line with national
trajectories
– Reviewing therapies – commencing with Speech, Language and Communication
therapy
– Reducing risk taking behaviours such as drug and alcohol misuse and improving
access to sexual health services
– Developing a universal preventative model to reduce demand on specialist
services
– Review Child and Adolescent Mental Health Services and Learning Disability
Services across all tiers
Key targets and the new NHS
outcomes framework
• Liberating the NHS set out a vision of an NHS that
achieves health outcomes that are among the best in the
world. To achieve this, it outlined two major shifts:
– a move away from centrally driven process targets which get in
the way of patient care; and
– a relentless focus on delivering the outcomes that matter most to
people.
• Commissioning utilising NICE quality standards and
evidence base
• The new outcomes framework covers 5 key domains:
effectiveness, patient experience and safety
Key targets and the new Public
Health outcomes framework
•
•
•
Vision: To improve and protect the nations health and well being and to
improve the health of the poorest fastest
Linked these outcomes to the development of the new local healthy school
programme
Outcomes across 5 key domains include:
– Population vaccination coverage
– Children in poverty
– School readiness: foundation stage profile attainment for children starting Key
Stage 1
– Rates of adolescents not in education, employment or training at 16 and 18
years of age
– Truancy rate
– First time entrants to the youth justice system
– Prevalence of healthy weight in 4-5 and 10-11 year olds
– Hospital admissions caused by unintentional and deliberate injuries to 5-18 year
olds
– Under 18 conception rate
– Rate of dental caries in children aged 5 years (decayed, missing or filled teeth)
The future…..
• Research links health and well being to educational achievement
• The Joint Strategic Needs Assessment in Gateshead provides some
data at a neighbourhood / ward level. Children’s profiles for each of
the 5 neighbourhood management areas utilising this data are in
draft format
• The new local Healthy Schools programme requires school level
needs assessment to inform priorities. How can we utilise this
programme to ensure we can demonstrate improvements in
outcomes – supporting Gateshead wide priorities and local
priorities?
• What mechanisms should we put in place to ensure priorities for
Gateshead are clearly communicated?
• How can we support each other in the commissioning of future
services to ensure we improve outcomes and reduce health
inequalities?
Questions and thank you
[email protected]
Tel: 497 1462
Gateshead PCT