Transcript Slide 1

All children are
equal…..but
outcomes are
not.
Peter Lauener
Director, Local Transformation
DCSF
Health inequalities
conference
20 May 2008
“children wish for so much but can
arrange so little of their own lives
which are so often dominated by
adults without sympathy for
children’s priorities ”
Bruno Bettleheim, recollection and reflections (1990)
CSR07 Performance Framework
Be Healthy
Stay Safe
Enjoy &
Achieve
Positive
Contribution
Economic
Wellbeing
PSA 14
PSA 9
Increase the
number of
CYP on the
path to
success
Halve child
Poverty by
2010.
Eradicate by
2020 (HMT)
PSA 10 & 11
PSA 12
Improve the
health and
wellbeing of
CYP
PSA 13
Improve CYP
safety
Raise
educational
achievement
and narrow
achievement
gap
National Indicator Set
Local Area Agreements
Outcomes for looked after children
•
60,000 looked after at any one point in time
•
two thirds in foster care
•
66% looked after as a result of abuse or neglect
•
half 5-17 yr olds with a mental health disorder
(4 times higher than all children)
•
46% of children in prison have been looked after
•
one in ten children in care attained 5 good GCSEs
in 2005, compared with more than half of all
children
•
6% of 19 year olds go into higher education
compared with 40%+ of all young people
Many of the major challenges for children’s health in England are particularly problematic
for children from more disadvantaged backgrounds
Priority health challenges for children and young people in England
Health inequalities issue?
Accidents
Oral health
Obesity
Substance misuse
Low birth weight and infant mortality
Sexual health
Life chances for children with disabilities
Outcomes for acute episodes of illness
Communicable disease
Mental and emotional health
Life-limiting diseases
Long-term conditions
And while these conditions may not always be
more prevalent in poorer families, poorer
families often find them harder to manage
Rank
NI
ref
no
Top 20 Indicators in LAAS
LAA
s
1
117
16 to 18 year olds who are not in education, employment or training (NEET)
117
2
112
Under 18 conception rate
107
3
186
Per capita reduction in CO2 emissions in the LA area
103
4
155
Number of affordable homes delivered (gross)
103
5
56
6
163
7
Obesity among primary school age children in Year 6
99
Proportion of population aged 19-64 for males and 19-59 for females qualified to at least Level 2 or higher
97
16
Serious acquisitive crime rate
96
8
154
Net additional homes provided
90
9
123
Stopping smoking
89
10
1
% of people who believe people from different backgrounds get on well together in their local area
86
11
4
% of people who feel they can influence decisions in their locality
83
12
120
All-age all cause mortality rate
83
13
8
Adult participation in sport and active recreation
80
14
30
Re-offending rate of prolific and other priority offenders
80
15
20
Assault with injury crime rate
80
16
130
Social Care clients receiving Self Directed Support per 100,000 population
79
17
135
Carers receiving needs assessment or review and a specific carer's service, or advice and information
78
18
110
Young people's participation in positive activities
77
19
39
Rate of hospital admission per 100,000 for alcohol related harm
76
20
171
New business registration rate
75
Top 10 Indicators for children in LAAS
1.NI 117 – 16 to 18 year olds who are not in education, employment or training
(NEET) = 115
2.NI 112 – Under 18 conception rate = 108
3.NI 56 – Obesity among primary school age children in Year 6 = 98
4.NI 120 – All-age all cause mortality rate = 88 (DH indicator, with a DCSF
interest)
5.NI 110 – Young people's participation in positive activities = 77
6.NI 111 – First time entrants to the Youth Justice System aged 10 – 17 = 74
7.NI 19 – Rate of proven re-offending by young offenders = 48 (MoJ indicator,
with a DCSF interest)
8.NI 116 – Proportion of children in poverty = 48
9.NI 51 – Effectiveness of child and adolescent mental health (CAMHs)
services = 43
10.NI 79 – Achievement of a Level 2 qualification by the age of 19 = 36
Integrated Working
• Children’s Trusts “to have in place by 2010 consistent high quality
arrangements to provide identification and early intervention for all
children who need additional help”
• Essential features
• targeted early intervention services integrated with universal
settings, e.g. through multi-agency teams in and around schools
• more specialist services easily available and accessible from
universal settings
• processes and pathways connecting up services, e.g through
embedding the CAF
• schools and other universal settings knowing the children they
work with and, if necessary, assessing needs though CAF and
engaging targeted/specialist services
• universal settings and staff in wider services working together to
provide joined up support coordinated by a lead professional
Specialist
Targeted
Children’s Trusts
0
a continuum of support and opportunity
19
Children’s Trusts
Health
Schools
Youth
Services
Specialist
Targeted
Early Years
and
Children’s
Centres
Specialist Services
0
a continuum of support and opportunity
19
Children’s Trusts
Health
multi-agency
locality teams
Youth
Services
Third sector
Targeted
Schools
integrated
Parents
Specialist
extended
CAF
ContactPoint
Lead
Professionals
Early Years
and
Children’s
Centres
Specialist Services
0
a continuum of support and opportunity
19
Integrated Working
Key Delivery Challenges
• Improvement Support – where it’s needed with the
right expertise
• School of the 21st century
• Co-location of services and integrated working
• Development of the whole children’s workforce
• Children’s Trusts
• Better commissioning