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Reducing teenage pregnancy and improving sexual health of disadvantaged young people? What are the statutory duties and benefits to Local Authorities?. Alison Hadley Director Teenage Pregnancy Knowledge Exchange University of Bedfordshire [email protected]. - PowerPoint PPT Presentation
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Alison Hadley
Director
Teenage Pregnancy Knowledge Exchange
University of Bedfordshire
Reducing teenage pregnancy and improving sexual health of disadvantaged young people?
What are the statutory duties and benefits to Local Authorities?
Reaching disadvantaged young people: aan overarching statutory duty
▪ A new statutory duty for Local Government, shared by the NHS, the NHSCB and the Secretary of State to reduce inequalities in health when they undertake their public health responsibilities in 2013.
▪ Health and Social Care Act. 2012
Teenage pregnancy: an illustration of inter-connected and generational inequalities
• 11% of all young people who are not in education, employment or training (NEET) are teenage mothers or pregnant teenagers
• 20% of teenage parents are more likely to have no qualifications at age 30
• 22% are more likely to be living in poverty at 30, and much less likely to be employed or living with a partner
• Teenage parents have 3 times the rate of post-natal depression – and a higher risk of poor mental health for up to three years after birth
• Children of teenage mothers have a 63% increased risk of child poverty – and adult unemployment/low income and are more likely to have childhood accidents and behavioural problems
• 3 times more likely to smoke throughout their pregnancy, and 50% less likely to breastfeed
• 21% higher risk of pre-term birth and 93% higher for second births -25% higher risk of low weight babies
• The infant mortality rate for babies born to teenage mothers is 60% higher
Progress on teenage pregnancy will impact on at least 20% of the PHOF indicators
▪Under 18 conception rate
▪Chlamydia diagnosis (15-24)
▪ Sexual violence
▪ Children in poverty
▪ Child development at 2-2.5 years
▪ School readiness
▪ Pupil absence
▪ Rates of adolescents not in education, employment or training (NEET)
▪ Proportion of people in long term unemployment
▪ Infant mortality rate
▪ Incidence of low birth weight of term babies
▪ Maternal smoking prevalence (including during pregnancy)
▪ Breastfeeding initiation and prevalence at 6-8 weeks
▪ Hospital admissions caused by unintentional and deliberate injuries to under 5s
Other statutory duties and relevant priorities
Child Poverty Strategy: statutory duty on local government to undertake a needs assessment and have a plan to reduce child poverty
Raising the Participation Age: a statutory duty on local government to support all young people to participate in education/training until the end of the academic year in which they turn 17, from summer 2013 and until their 18th birthday from summer 2015; and identify young people not participating
Looked After Children: statutory duty to promote the educational achievement of LAC
Child Sexual Exploitation Action Plan: Recommendation for Local Safeguarding Children Boards to put in place a robust preventative strategy for CSE
Ending gangs and serious youth violence – 29 areas receiving Home Office funding & 13 young people sexual violence advocates
Troubled Families Programme:- all LAs involved in appointing a TF coordinator, identifying the families and coordinating multi-agency intensive support
Levers on schools...
New Ofsted Inspection Framework: i) achievement ii) quality of teaching iii) quality of leadership and management iv) behaviour and safety of pupils
Contribution of PSHE to behaviour and wellbeing: PSHE Association briefing
Ofsted criteria for judging quality of PSHE
http://www.pshe-association.org.uk/news_detail.aspx?ID=1242
▪
Pupil destination measures – a new measure to be included in school performance tables from summer 2013
Using local data to make the case: conceptions in the school year (Sandwell)Sandwell PCT combined birth data from the child health system with data from local abortion providers to identify timing of teenage conceptions during the school year
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09~01
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10~07
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11~10
12~01
12~04
12~07
12~10
13~01
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13~07
13~10
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14~07
14~10
Abortions
Births
End of year 11
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09~01
09~04
09~07
09~10
10~01
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Abortions
Births
End of year 11
Results showed increasing conception rates (especially those leading to birth)in months after end of year 11
Mapping the services and practitioners supporting young peopleUnder-18 conception rates (02-04) & secondary schools in Leeds
Barw ick and Kippax
Halton
Cookridge
BramleyPudsey North
Weetw ood
Kirkstall
Pudsey South
Wortley
City &Holbeck Richmond
Hill
Moortow n
Garforth &Sw illington
Morley South
Morley North
Bingley Rural
Thornton
Wyke
Brighouse
Rastrick
Tow n
Cleckheaton
Deighton
Heckmondw ike
Mirf ield
Spen
Thornhill
Aireborough
Armley
Beeston
Burmantofts
Chapel Allerton
HarehillsHeadingley
Horsforth
Hunslet
Middleton
NorthOtley and Wharfedale
Rothw ell
Roundhay
Seacroft
University
Wetherby
Whinmoor
Pannal
Caw ood w ith Wistow
Whitley
Bradford
Calderdale
Kirklees
Wakefield
Harrogate
Selby
Ward under-18 conception ratesper1000, 2002-04
Over 6050 to 6040 to 5030 to 40Under 30
The benefits of joint working to reach disadvantaged groups...
▪ Moves prevention upstream and promotes early intervention
▪ Strengthens care pathways for vulnerable young people into sexual health – and other support services - services
▪ Contributes to a range of inequality measures
...and makes maximum use of limited resources
Links to data and further information
Reviewing progress on conception data (including trends on maternity and abortion)
http://www.education.gov.uk/childrenandyoungpeople/healthandwellbeing/teenagepregnancy/a0064898/under-18-and-under-16-conception-statistics
Connecting to other relevant data
ChiMat Teenage Pregnancy Snapshot Reports and Child Health Profiles: including other relevant LA data e.g. on NEET, secondary school exclusions, alcohol related hospital admissions, infant mortality.
http://atlas.chimat.org.uk/IAS/profiles/servicereports
www.chimat.org.uk/profiles
Link to list of all LA statutory duties on children and young people:
http://www.education.gov.uk/childrenandyoungpeople/strategy/a00198443/statutory-duties-of-local-authorities
University of Bedfordshire 13
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