Transcript Document

Feedback to Leicester City
from
Teenage Pregnancy
National Support Team
October 11th 2007
To be covered today
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Themes of Teenage Pregnancy
Overall Strengths
The Scale of the Challenge
Issues and Recommendations by Theme
Priority Actions
Summary of Support Offered
Plenary Session Discussion
NST Contact Details
Themes
Themes of Teenage Pregnancy
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Strategy
Data and Needs Assessment
Communication
Implementation
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Contraception/Sexual Health Advice and Services
Delivery of SRE/PSHE
Targeted work
Workforce training
Youth services
Raising aspirations
Work with parents
Overall Strengths
Overall Strengths
Leadership, Commitment and Infrastructure
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Renewed high level strategic and political commitment for
teenage pregnancy from Local Authority, PCT and other
partners with a recognition of the need to accelerate progress.
Enthusiasm and energy from front line workers for addressing
teenage pregnancy
We commend the Teenage Pregnancy Co-ordinator’s
commitment and hard work in driving the agenda forward.
We endorse the repositioning of the Teenage Pregnancy Team
within the Access, Inclusion & Participation Directorate.
The appointment of the Joint Strategic Commissioning Lead
for Children and Young People is positive and well placed as
Chair of Teenage Pregnancy and Parenting Partnership Board
(TPPPB).
Some good joint working around teenage pregnancy with
Leicestershire County.
Overall Strengths
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Strong and well established involvement of the voluntary and
community sector.
We welcome the intention to maintain Teenage Pregnancy as
an indicator in the Local Area Agreement (LAA).
The Local Strategic Partnership (LSP) have prioritised
improving the achievement of children and young people.
Implementation
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Good examples of local research and surveys e.g. De
Montfort University and Voluntary Action Leicester.
Development of independent nurse prescribers able to fit Long
Acting Reversible Contraceptive Implants.
Local Integrated Service Trial (LIST) has produced some early
indication of positive results.
Some good examples of targeted work with vulnerable
groups, including Nurture Groups in schools, Re-Ach, Stand
Up & Speak Out.
Overall Strengths
Implementation
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There is huge investment in the Building Schools for the
Future Programme (BSF).
The rate of increase of attainment at KS3 and 4 is better than
national average.
Big Match Roadshow to match Not in Education, Employment
or Training (NEETs) with offers of education, training or work
placements.
Good support for teenage parents with dedicated joint funded
posts e.g. the City PIPS (Parenting Information and
Pregnancy Support) team.
Young peoples’ active involvement through the Teenage
Pregnancy Strategy e.g. Peer Education Programme.
Scale of the Challenge
Leicester City Performance
2010
target
1998 baseline
Under 18 conception rate per 1000
70
Leicester UA
60
England
50
East Midlands
LA 2004 target
40
30
20
10
0
1997 1998 1999 2000 2001 2002 2003 2004 2005p 2006 2007 2008 2009 2010
Year
The Scale of the Challenge
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In 2005, Leicester City had an under-18 conception rate of
54.3 per 1000 females aged 15-17 – the 3rd highest rate in
the East Midlands and 32% higher than the England average
of 41.1 per 1000.
Leicester City has been given an ‘amber/red’ traffic-light
rating based on comparing its actual under-18 conception
trend against expected performance in 2005 to reach the
2010 target.
There is a more than a sevenfold difference between the
wards with the highest and lowest under-18 conception rates
in Leicester City. Nearly half (45%) of the Local Authority’s
wards are ‘hotspots’ with rates among the highest 20% in
England.
Highly mobile population.
Short term funded projects and posts contribute to instability.
The Scale of the Challenge
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Recent organisational change within PCT and Local Authority
has contributed to difficulties or delays in synchronising
organisational effort around teenage pregnancy.
One of the lowest school attendance rates nationally and high
levels of persistent absence.
High levels of free school meals.
Over 70% of pupils live in the areas that lie within the 30%
most deprived nationally.
Almost 50% of pupils are from ethnic minorities.
Some of the lowest scores in the country for 5 year olds.
KS1 results falling over the last two years in reading, writing
and mathematics.
Substantial regeneration with the potential to create
employment opportunities.
Raising aspirations is a huge challenge.
The issue is complex as there are a range of factors that are
associated with whether a teenager becomes pregnant
Looked after children /
young people leaving care
Behavioural
problems
Disengagement
from school / poor
attendance
Poor educational
attainment
Sexual abuse in
childhood
Social
deprivation
Lack of confidence
in resisting pressure
to have sex
Mental health
problems
Emotional
well-being
Low aspirations
Cultural influence
Low self-esteem
Peer influence
Parental
influence
Alcohol/substance
misuse
More likely to
have sex early
Teenage
Pregnancy
Less likely to use
contraception
Teenage
mother
Fear of
parents/carers
finding out
Parents and professionals
lack confidence to discuss
sex and relationship issues
with young people
Ethnicity
Poor and inconsistent
contraceptive use among
Lack of confidence young people
in mainstream health
services
Young people lack skills
and confidence to make
and carry through
positive choices
Lack of easy
access to
contraception
Poor knowledge and skills
among young people in
relation to sex, relationships
and sexual health risks
Low knowledge levels among
boys and young men
Educational attainment has an impact on conception
rates over and above the effects of deprivation
Deprived wards with higher educational attainment have lower teenage conception rates
2005 leavers who became parents within
12 months of leaving school.
16
14
12
10
8
6
4
2
0
No GCSE's
less than 5 GCSE's
5 or more GCSE's
5 or more A-C's st GCSE
54% left school with no GCSE’s a further 31% left school with less than 5 GCSE’s
… on sexual activity under 16
70%
60%
% sex under 16
60%
50%
47%
46%
Males
41%
Females
40%
30%
19% 20%
20%
10%
0%
no qualifications
w ith qualifications
Leaving school at 16
Source: NATSAL 2000
Leaving school at 17+
…and on non-use of contraception
% no contraception at 1st sex
40%
Males
34%
30%
Females
28%
20%
12%
11%
10%
6%
8%
0%
no qualifications
w ith qualifications
Leaving school at 16
Source: NATSAL 2000
Leaving school at 17+
Issues and Recommendations
Issues and Recommendations
Strategy
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We would recommend the establishment of a small executive
board including Chief Executive of the PCT, Director of
Children’s Services, Director of Public Health and the strategic
lead for teenage pregnancy. This group should be responsible
for driving the teenage pregnancy agenda, performance
managing the TPPPB and establishing a downward trend in the
teenage pregnancy rate.
There is a need to establish a clear vision for teenage
pregnancy in Leicester City. A visioning planning session for
Chief Executives and senior strategic staff would be beneficial.
An outcome of this could be a shared set of principles in
relation to the objectives of the strategy. - The NST can help
facilitate this.
Following the visioning process, we recommend a briefing
session for all elected members to ensure they are supported
to champion teenage pregnancy issues. – NST can help
facilitate this.
Issues and Recommendations
Strategy
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There is a need to review the membership, function and level of
seniority of the TPPPB and sub-groups to ensure representation from
Headteachers/Principals, Governors, Learning Services, Access,
Inclusion & Participation, midwifery, contraception and sexual health,
Drug & Alcohol Action Team (DAAT), and Further Education
Colleges. All members should prioritise their attendance. - NST can
advise on roles and responsibilities.
The TPPPB should define the long term strategy, performance
manage the action plan, monitor outcomes and make investment
decisions leading into commissioning and governance. – The NST
and RTPC can advise on this and provide support in developing
a performance management framework.
Following an evaluation of the impact of short term funded
interventions, partners need to address sustainability and
mainstreaming.
Utilise existing local research to inform commissioning and service
delivery e.g. the De Montfort evaluation.
Issues and Recommendations
Strategy
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The Teenage Pregnancy Executive Board and the TPPPB
need to foster a philosophy of reducing teenage pregnancy
being everybody’s responsibility, and avoid over-reliance on
the Teenage Pregnancy Coordinator to drive the agenda
forward.
The Teenage Pregnancy Co-ordinator post needs to be placed
at a sufficiently senior and strategic level to engage the
commitment of senior colleagues and partners and integrate
teenage pregnancy into the wider agenda. – RTPC and NST
can provide advice.
We recommend identifying teenage pregnancy champions
amongst elected members, Head Teachers, Principals and
school/college governing bodies.
Issues and Recommendations
Strategy
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There needs to be consideration of the effective involvement
of young people in the development, review and
implementation of the Teenage Pregnancy action plan.
We welcome the commitment to maintain teenage pregnancy
as an indicator in the Local Area Agreement.
Issues and Recommendations
Data and Needs Assessment
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•
There is a need to prioritise data collection and analysis and
review the capacity to ensure that this happens.
Prioritise the development of a common data set for use by all
partners based on the Teenage Pregnancy Unit (TPU) Data
Toolkit and building on the recommended East Midlands
teenage pregnancy data set. – NST can advise on this.
We would recommend the establishment of a data set for
every school and college that includes, for example, up-todate teenage pregnancy rates, terminations, ethnicity and post
codes - to inform School Improvement, headteachers,
principals, governors and the community. This should inform
and support appropriate Sex and Relationship Education
(SRE) and Personal, Social, Health & Citizenship Education
(PSHCE) programmes in schools and colleges. – NST can
advise on this.
Issues and Recommendations
Data and Needs Assessment
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•
There is potential for analysis combining data collected from
different local agencies to inform the targeting of interventions
e.g. combining Connexions, school level and other sources of
data. – NST can provide support with this.
There is a need for an up-to-date local young people’s sexual
health needs assessment to identify the most vulnerable
groups and hotspot areas. This should feed into the
commissioning process on an ongoing basis. We recommend
using the NST Sexual Health Needs Assessment ‘How to’
Guide. – NST can provide examples.
Issues and Recommendations
Data and Needs Assessment
•
The TPPPB have plans which are positive, to implement work
using the social marketing model in order to understand the
needs of young people in Leicester City. This work needs to
inform the commissioning of services for young people and
especially the most vulnerable. - The NST can further
support this work through the Social Marketing Unit in
the National Consumer Council commissioned by DH.
Issues and Recommendations
Communication
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It is important to develop a comprehensive teenage
pregnancy communication strategy. - NST can provide
examples of communication strategies and comment on
draft strategies.
There is a need for regular and systematic communication
between the TPPPB, subgroups and those delivering and
receiving services and interventions in a variety of
professional and service user settings.
The communications strategy needs to include an effective
reactive and proactive media handling strategy.
Clear and consistent messages need to be targeted at
parents, carers and young people most at risk, including those
in BME and faith communities.
Issues and Recommendations
Communication
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The communications strategy should include advertising the
availability of sexual health advice, information and services to
young people using different media and ensure materials are
regularly updated.
We would recommend using the national TPU communications
CD ROM “R U thinking campaign toolkit” to help
communication of the local strategy and publicise the
availability of national and local resources and services.
We would recommend making full use of the forthcoming
national media roadshow (13th December 2007, venue to be
confirmed by RTPC) to help with local implementation of the
national media campaign.
Issues and Recommendations
Implementation – Contraception/Sexual Health
Advice & Services
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There is an urgent need to improve access to sexual health
services for young people. There needs to be a clear
Contraception and Sexual Health Joint Commissioning plan
informed by a comprehensive needs assessment. - NST can
provide support with this.
We acknowledge that there are a range of community based
sexual health services for young people e.g. Community Safer
Sex Projects, Choices, Beaumont Leys and St Peter’s. We
recommend that you review these as part of the
commissioning plan and ensure a comprehensive range of
services.
Services need to be delivered to ‘You’re Welcome’ quality
standards, and with the flexibility to be delivered in a range of
settings e.g. through Extended Services, 14-19 sector, youth
services, community pharmacies and general practice.
Issues and Recommendations
Implementation – Contraception/Sexual Health
Advice & Services
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•
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We suggest integrating ‘You’re Welcome’ with the Information,
Advice and Guidance (IAG) quality standards which will
encourage multi agency working. –The Northwest is
developing this. The NST can link Leicester City with this
work.
All commissioned services need to have clear Service Level
Agreements and be performance managed. Regular
monitoring information needs to be provided to the TPPPB.
We welcome plans to involve young people, using existing
groups, in service development, design, review and
implementation, e.g. mystery shopper, patient panels. - NST
can provide examples.
The NST understand that the PCT and UHL is about to
purchase an IT system for the Genito-Urinary Medicine (GUM)
and contraceptive services. This is essential for improving the
reliability of data and therefore capturing the information
required for accurate demand and capacity calculations.
Issues and Recommendations
Implementation – Contraception/Sexual Health
Advice & Services
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There is a need to ensure that the extensive Building Schools
for the Future (BSF) programme is utilised to develop a range
of venues for delivery of contraception and sexual health
advice and services.
All pregnant teenagers and teenage mothers should be
automatically referred to, and followed up by contraceptive
services. - NST can provide examples
There is a need to ensure that the commissioning of
termination services includes contraception advice and
provision of a full range of contraceptives, including Long
Acting Reversible Contraception (LARCs).
Issues and Recommendations
Implementation – Delivery of SRE/PSHCE
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Senior management in the Local Authority should provide
clear, proactive direction and support to schools to deliver
quality PSHCE and SRE with confidence.
The partnership groups, including the 14-19 Partnership Group
and the Education and Improvement Partnership, offer a good
mechanism for working with secondary schools and colleges.
There is an over reliance on the Healthy Schools Coordinator
for the delivery of the Healthy Schools Programme. Healthy
Schools is a key delivery mechanism for SRE/PSHCE and this
aspect should be actively promoted and supported through all
schools and by every partner.
There needs to be clear management and lines of
accountability for the National Healthy Schools Standard
(NHSS) and SRE staff.
Issues and Recommendations
Implementation – Delivery of SRE/PSHCE
•
•
•
A comprehensive review of all SRE provision is needed to
ensure the wide range of SRE initiatives complement each
other, to develop practice and policy frameworks, to develop a
forward plan which utilises existing routes to schools/college
including Learning Services, NHSS, drug and alcohol
education. - NST can provide support.
As part of the review, the capacity to support SRE should be
looked at, including the capacity of the SRE consultant and
how SRE is being promoted by all agencies who support
schools, including Learning Services.
School nurses should play an integral role in the delivery of
SRE in line with national guidance. There is a need to review
the capacity of school nurses to fulfil this important role and
ensure that they have received training and development
opportunities to achieve this. - The NST can provide
examples of prevention work through schools nurses
from other areas.
Issues and Recommendations
Implementation – Delivery of SRE/PSHCE
•
•
•
We recognise that there are a number of local SRE policies,
e.g. Youth Services, Connexions, Children in Care. We
recommend that a Leicester City-wide SRE approach
incorporating policy, training and schemes of work, is
developed for schools, post 16 provision and all agencies
working with young people to ensure consistency and quality
standards. This should incorporate existing local and national
guidance. – NST and RTPC can help with this.
In accordance with government guidance, all SRE should be
culturally appropriate and all policies consulted upon with
parents and carers. – NST can provide examples from other
areas.
We suggest that it is important to formally recognise and
celebrate local examples of good practice.
Issues and Recommendations
Implementation – Targeted Work
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•
•
•
•
There is some evidence of work with Black and Minority Ethnic
(BME) groups and refugee and asylum seekers. This needs to be
developed further e.g. SRE with faith communities, addressing
female genital mutilation, forced marriage. – NST can offer advice.
There is a need to understand conception rates in vulnerable groups,
such as Children in Care and Care Leavers, in order to plan targeted
SRE and sexual health services and the prevention of second and
subsequent pregnancies. – NST can offer advice.
There is a need for a consistent co-ordinated approach to early
identification of young people at risk. Risk indicators for preventing
teenage pregnancy need to be incorporated into the Leicester City
Common Assessment Framework (CAF). – NST can offer advice.
There is a need to ensure that the Lead Professional addresses
teenage pregnancy issues.
There is an opportunity through the development of LIST to develop
targeted preventative work to address reducing teenage pregnancy.
Issues and Recommendations
Implementation – Workforce Training
•
•
All those working with young people, including the voluntary
sector and faith communities, should have ongoing skills
training in relation to talking about sex and relationships to
young people, ranging from basic sexual health awareness
and signposting training to more advanced training for those
working with the most at risk groups. This should be integrated
into the corporate workforce strategy and should be mandatory
where appropriate. - NST can provide models of training
including tiered training.
There is a need to review and develop the capacity of the
contraception and sexual health services workforce to deliver
universal and targeted access for young people.
Issues and Recommendations
Implementation – Youth Services
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Youth services have an important contribution to make in
terms of raising aspirations, building self-esteem and focusing
on positive activities for young people through Integrated
Youth Support Services.
We support the review of the Youth Service including planning
for Integrated Youth Support Services (IYSS) and Targeted
Youth Support (TYS). This should specifically address the role
of youth services to deliver the Teenage Pregnancy Strategy
and clearly define expectations, roles and responsibilities to
ensure a consistent approach across the city.
A more joined up approach between Youth Services,
Connexions and the Voluntary and Community sector is
needed to reduce teenage pregnancy.
There is a need to co-ordinate and build upon the good
examples of positive engagement and participation of young
people.
The issue is complex as there is a range of factors that are
associated with whether a teenager becomes pregnant
Looked after children /
young people leaving care
Behavioural
problems
Disengagement
from school / poor
attendance
Emotional
well-being
Poor educational
attainment
Social
deprivation
Mental health
problems
Low aspirations
Low self-esteem
Peer influence
Alcohol/substance
Parental misuse
influence
Teenage
Pregnancy
Teenage
mother
Poor and inconsistent
More
have s
Issues and Recommendations
Implementation – Raising Aspirations
•
•
•
•
It is important for the Local Strategic Partnership and all
partners to emphasise the interconnectedness between
teenage pregnancy, improving aspirations of young people
and the agenda for economic regeneration. This could be
incorporated in the local Community Cohesion Strategy
through the Community Strategy.
Lack of aspiration needs to be addressed through all
strategies currently targeting young people and parents and
carers.
Young people should receive consistent messages from all
professionals to raise their aspirations.
There is an opportunity to use Social & Emotional Aspects of
Learning (SEAL) in secondary schools as a vehicle for
developing this area of work.
Issues and Recommendations
Implementation – Work With Parents & Carers
•
•
•
The Leicester City Parenting Strategy and existing parenting
programmes need to incorporate SRE so that parents and
carers feel confident to address young peoples’ sexual health
issues.
We recommend that Children’s Centres, Early Years and
Extended Services prioritise education for parents and carers
on how to talk to their children and young people about SRE,
prevention of teenage pregnancy and raising aspirations.
The good work on support to teenage parents needs to
continue with a strong focus on prevention of second
pregnancies.
Priority Actions
Priority Actions
Strategy
•
•
Establish a small executive board; review the membership,
function and level of seniority of the TPPPB; and the
positioning of the Teenage Pregnancy Coordinator post. –
RTPC and NST can provide advice.
Following an evaluation of the impact of short term funded
interventions, partners need to address sustainability and
mainstreaming.
Data
•
There is a need to prioritise data collection and analysis and
review the capacity to ensure that this happens. This is
particularly important for schools and colleges. – NST can
advise on this.
Priority Actions cont…
Implementation
•
•
•
Develop a Contraception and Sexual Health Joint
Commissioning plan informed by a needs assessment with
clear SLAs and a performance management framework to
ensure a comprehensive range of services delivered to
‘You’re Welcome’ quality standards. - NST can provide
support.
Senior management in the Local Authority should provide
clear, proactive direction and support to schools to deliver
quality PSHCE and SRE with confidence.
Review all SRE provision to ensure the wide range of SRE
initiatives complement each other, to develop practice and
policy frameworks, to develop a forward plan which utilises
existing routes to schools/college including National Healthy
School Standard, drug and alcohol education. - NST can
provide support.
Priority Actions
Implementation
•
•
•
School nurses should play an integral role in the delivery of
SRE in line with national guidance. Review the capacity of
school nurses to fulfil this important role and provide training
and development opportunities to achieve this. - The NST can
provide examples of prevention work with schools
nurses from other area.
The review of the Youth Service including planning for
Integrated Youth Support Services (IYSS) and Targeted Youth
Support (TYS) should specifically address the role of youth
services to deliver the teenage pregnancy Strategy and
clearly define expectations, roles and responsibilities to
ensure a consistent approach across the city.
It is important for the Local Strategic Partnership and all
partners to emphasise the interconnectedness between
teenage pregnancy, aspirations and economic regeneration incorporate in the local Community Cohesion Strategy.
Summary of support
Summary of the Support Offered
Strategy
•
•
•
•
•
There is a need to establish a clear vision for teenage pregnancy in
Leicester City. A visioning planning session for Chief Executives and senior
strategic staff would be beneficial. An outcome of this could be a shared set
of principles in relation to the objectives of the strategy. - The NST can help
facilitate this.
Following the visioning process, we recommend a briefing session for all
elected members to ensure they are supported to champion teenage
pregnancy issues. – NST can help facilitate this.
Review membership, function and level of seniority of the TPPPB and subgroups to ensure representation from Headteachers/Principals, Governors,
Learning Services, Access, Inclusion & Participation, midwifery,
contraception and sexual health, Drug & Alcohol Action Team (DAAT), and
Further Education Colleges. All members should prioritise their attendance. NST can advise on roles and responsibilities.
The TPPPB should define the long term strategy, performance manage the
action plan, monitor outcomes and make investment decisions leading into
commissioning and governance. – The NST and RTPC can advise on this.
The Teenage Pregnancy Co-ordinator post needs to be placed at a
sufficiently senior and strategic level to engage the commitment of senior
colleagues and partners and integrate teenage pregnancy into the wider
agenda. – RTPC and NST can provide advice.
Summary of the Support Offered
Data
•
•
•
•
•
Prioritising the development of a common data set for use by all partners based on the
Teenage Pregnancy Unit (TPU) Data Toolkit and building on the recommended East
Midlands teenage pregnancy data set. – NST can advise on this.
We would recommend the establishment of a data set for every school and college
that includes, for example, up-to-date teenage pregnancy rates, terminations,
ethnicity, post codes, to inform School Improvement, headteachers, principals,
governors and the community. This should inform and support appropriate SRE and
PSHCE programmes in schools and colleges. – NST can advise on this.
There is potential for analysis combining data collected from different local agencies to
inform the targeting of interventions e.g. combining Connexions and school level data.
– NST can provide support with this.
There is a need for an up-to-date young peoples sexual health local needs
assessment to identify the most vulnerable groups and hotspot areas. This should be
considered as an ongoing process to feed into the commissioning process. We
recommend using the NST Needs Assessment Guide. – NST can provide examples.
The TPPPB plans to implement work using the social marketing model in order to
understand the needs of young people in Leicester City are positive. This needs to
inform the commissioning of services for young people and especially the most
vulnerable. - The NST can further support this work through the Social Marketing
Unit in the National Consumer Council commissioned by DH.
Summary of the Support Offered
Communication
•
There is a need to develop a comprehensive teenage
pregnancy communication strategy. - NST can provide
examples of communication strategies and comment on
draft strategies.
Implementation
•
•
There is an urgent need to improve access to sexual health
services for young people. There needs to be a clear
Contraception and Sexual Health Joint Commissioning plan
informed by a comprehensive needs assessment as current
provision for young people is limited and fragmented. - NST
can provide support with this.
We suggest integrating ‘You’re Welcome’ with the Information,
Advice and Guidance (IAG) quality standards which will
encourage multi agency working. –The Northwest is
developing this. The NST can link Leicester City with this
work.
Summary of the Support Offered
Implementation
•
•
•
•
We welcome plans to involve young people, using existing groups, in
service development, design, review and implementation, e.g.
mystery shopper, patient panels. - NST can provide examples.
All teenage mothers, pre and post natal, should be automatically
referred to, and followed up by contraceptive services. - NST can
provide examples
A comprehensive review of all SRE provision is needed to ensure the
wide range of SRE initiatives complement each other, to develop
practice and policy frameworks, to develop a forward plan which
utilises existing routes to schools/college including National Healthy
School Standard (NHSS), drug and alcohol education. - NST can
provide support.
School nurses should play an integral role in the delivery of SRE in
line with national guidance. There is a need to review the capacity of
school nurses to fulfil this important role and ensure that they have
received training and development opportunities to achieve this. The NST can provide examples of prevention work with schools
nurses from other areas.
Summary of the Support Offered
Implementation
•
•
•
•
We recognise that there are a number of local SRE policies, e.g.
Youth Services, Connexions, Children in Care. We recommend that a
Leicester City-wide SRE approach incorporating policy, training and
schemes of work, is developed for schools, post 16 provision and all
agencies working with young people to ensure consistency and
quality standards. This should incorporate existing local and national
guidance. - NST and RTPC can help with this.
In accordance with government guidance all SRE should be
culturally appropriate and all policies consulted upon with parents
and carers. – NST can provide examples from other areas.
There is some evidence of work with Black and Minority Ethnic
(BME) groups and refugee and asylum seekers. This needs to be
developed further. e.g. SRE with faith communities, addressing
female genital mutilation, forced marriage. – NST can offer advice.
There is a need to understand conception rates in vulnerable groups,
such as Children in Care and Care Leavers, in order to plan targeted
SRE and sexual health services and second pregnancy prevention. –
NST can offer advice.
Summary of the Support Offered
Implementation
•
•
There is a need for a consistent co-ordinated approach to
early identification of young people at risk. Risk indicators for
preventing teenage pregnancy need to be incorporated into
the Leicester City Common Assessment Framework (CAF). –
NST can offer advice.
All those working with young people, including the voluntary
sector and faith communities, should have ongoing skills
training in relation to talking about sex and relationships to
young people, ranging from basic sexual health awareness
and signposting training to more advanced training for those
working with the most at risk groups. This should be integrated
into the corporate workforce strategy and should be mandatory
where appropriate. - NST can provide models of training
including tiered training.
Plenary Session Discussion
• Local Authority and PCT to comment
• Questions to clarify feedback points
• Comments on Feedback
• Any comments on our process
• Next steps
Teenage Pregnancy National Support Team Contacts
Avril Howarth
National Delivery
Manager
[email protected]
07776 244 485
Sarah Carter
Associate Delivery
Manager
[email protected]
07884 473 182
Dane Wiig
Project Officer
[email protected]
020 7972 3051
NST Office address :
Room 221
Wellington House
Director’s Office address
Cathy Hamlyn
Room G18, Richmond House
133-155 Waterloo Road
Whitehall
London SE1 8UG
London SW1A 2NS
Fax 020 7972 4700
Fax: 020 7210 5438