Thursday, July 13, 2017

Child and maternal health and wellbeing knowledge update

Child and Maternal Health Knowledge Update



Child and maternal health and wellbeing knowledge update
13 July 2017


This fortnightly knowledge update on maternal, children and young people's health brings together the latest resources about physical and mental health from a range of organisations. This eBulletin is produced by the National Child and Maternal Health Intelligence Network, Public Health England as a current awareness service for professionals working in child and maternal health. We do not accept responsibility for the availability, reliability or content of the items included in this eBulletin and do not necessarily endorse the views expressed within them.

This email includes a summary and link to each resource below.
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National Child and Maternal Health Intelligence Network news

Annual update to pregnancy and birth indicators

On 4 July, the National Child and Maternal Health Intelligence Network published annual updates to a number of indicators related to pregnancy and birth in the child and maternal health section of PHE's Fingertips tool. As a result, many of the indicators in the breastfeeding profile have now been updated, including demographic information about mothers, caesarean sections, admissions of babies under 14 days as well as information about admissions for gastroenteritis and respiratory tract infections. Data is available at county council, unitary authority and clinical commissioning group level.

New Perinatal Mental Health Fingertips profile

A new Perinatal Mental Health Fingertips profile has been published. This profile was developed by the National Mental Health Intelligence Network. The project is supported by NHS England and draws upon previous work undertaken in collaboration with the National Child and Maternal Health Intelligence Network. It is designed to support planners, providers and stakeholders to plan services, undertake needs assessments and benchmark against similar populations. It brings together available metrics around mental health in pregnancy, the postnatal period and babies aged <1 year. It includes metrics at local authority, CCG and acute trust level, organised across four domains: demographics; risk and related factors; prevalence; and identification and access. 

Revised Children and Young People's Mental Health and Wellbeing Profile published

Public Health England's National Mental Health Intelligence Network (NMHIN)  has published a revised version of the Children and Young People's Mental Health and Wellbeing Profile, available on PHE's Fingertips tool. The revised structure of the profile follows a pathway approach with publically available data on prevalence, protective factors, primary prevention (adversity and vulnerability) and spend on children's education and social care services. Further developments to the profile are expected later this year, including new domains for early intervention, services and clinical outcomes.

2017 Health Profiles

The 2017 Health Profiles from Public Health England provide a snapshot of health and wellbeing for each local authority in England. They pull together existing information in one place and contain data on a range of indicators for local population. They include a section about children's and young people's health, covering risk factors and wider determinants. Health Profiles are intended as 'conversation starters' to highlight local issues and priorities for members, and for discussion at Health and Wellbeing Boards. To find your local 2017 Health Profile, visit the Health Profiles introduction webpage and insert a postcode, town or local authority in the 'Find your Health Profile' search box, located in the top left of the Health Profiles introduction webpage.


This eBulletin includes links to content from a range of different organisations. We do not accept responsibility for the availability, reliability or content of the items included in this eBulletin and do not necessarily endorse the views expressed within them.

Guides and practice

The complete routine immunisation schedule

This guidance from Public Health England gives the complete routine immunisation schedule information for health professionals and immunisation practitioners.

Immunisations for young people

These leaflets from Public Health England explain the HPV, Td/IPV and MenACWY vaccinations given to young people between 11 and 19 years of age (school years 7 to 13).

Childhood immunisation: quick guide for parents of premature babies

These leaflets for parents from Public Health England describe the immunisations offered to premature babies.

Whooping cough: vaccination in pregnancy programme resources

This information leaflet and poster from Public Health England support the whooping cough vaccination in pregnancy programme. The leaflet provides in-depth information on why the vaccine is needed, how maternal pertussis vaccination helps to protect babies from whooping cough, when expectant mothers can have the vaccine, vaccine safety and efficacy. The poster has been designed to promote the need for maternal pertussis vaccination which is now recommended from week 16 of each pregnancy. It is suitable for GP surgeries, hospitals, maternity units, nurseries, child care centres and libraries.

Pre-school vaccinations: guide to vaccinations from 2 to 5 years

These leaflets from Public Health England give details of immunisations for children between 2 and 5 years, before they start school.

Immunisations at one year of age

This leaflet from Public Health England is to remind parents to get their child immunised at one year of age.

Preventing bullying

This guidance produced by the Department of Education is for schools on preventing and responding to bullying. The main guidance document is for school leaders, school staff and governing bodies. It applies to all schools and may also be useful for further education and community settings. The additional guidance documents cover: how schools can prevent and respond to cyber bullying aimed at headteachers and staff and how parents and carers can prevent and respond to cyber bullying aimed at children and young people.

Start active, stay active: infographics on physical activity

These infographics from the Department of Health outline the duration, frequency and type of physical activity required to achieve general health benefits for different age ranges. The infographics relate to the report by the UK's 4 Chief Medical Officers for the NHS, local authorities and a range of other organisations designing services to promote physical activity. Separate infographics with guidance about physical activity have been produced for pregnant women, for babies and children (birth-5 years old) and for children and young people (5-18 years old).  

National child measurement programme operational guidance

Guidance from Public Health England for local commissioners, providers and schools on running the national child measurement programme (NCMP).

Female genital mutilation (FGM): migrant health guide

Advice and guidance provided by Public Health England on the health needs of migrant patients for healthcare practitioners. This guidance includes information about female genital mutilation (FGM), types of FGM, prevalence, associated health risks, treatment and further resources available. The procedure is generally carried out on girls under the age of 15 years, but the actual age varies and can take place anytime from birth up to labour with their first child.

Help and support for young disabled people to find and stay in work

This guidance from the Department for Work and Pensions provides links to websites that help young disabled people find and stay in work. It is aimed at young disabled people, their parents and the professionals who work with them.

Against the odds: Evaluation of the Mind Birmingham Up My Street programme

Three Birmingham-based projects (the Up My Street programme) were commissioned by Mind to improve young black men's resilience. This evaluation from the Centre for Mental Health sought to ascertain whether the programme was successful, and what elements were especially effective. The Up My Street projects reached out to young men with a range of relatable male role models and created culturally informed safe spaces. Young men had experiences of co-producing activities to strengthen their self-esteem, self-belief, personal development and skills.

Spatial planning for health: evidence review

This review from Public Health England provides public health planners and local communities with evidence informed principles for designing healthy places. The report provides the findings from an evidence review examining the links between health, and the built and natural environment to help inform policy and support local action. The review concentrated on 5 built environment topics: neighbourhood design, housing, access to healthier food, natural and sustainable environment and transport. The guidance includes information on how the environment that children grow up in affects their level of physical obesity and looks at how this can be changed to increase mobility and reduce obesity. The report also includes a case study which looks at how housing improvements affect childhood asthma.

'Stockport family' children's services project

This report from the Department of Education evaluates the 'Stockport family' project, which looked to improve outcomes for children and families using children's services. The project aimed to change the ways children and families use children's services and reduce the number of family breakdowns.

Newcastle city council's family insights programme

The family insights programme aims to support social workers and improve their capacity by:- improving direct intervention and specialist support, improving the collection and analysis of data, a commitment to teaching and learning. This report from the Department of Education evaluates the effects of the programme on social workers.

New Orleans intervention model: early implementation

This report from the Department of Education assesses the effectiveness of the project at providing support to families of in foster care up to the age of 5. The report includes recommendations about adoption or permanent return of children to birth families.

Daybreak family group conferencing

This report from the Department of Education looks at the effect of family group conferencing (FGC) on families who had received a letter of intent to start care proceedings. The Daybreak project aimed to: improve the quality of FGCs, reduce court costs and delays, include children in decision making and divert children from care when safe to do so.

'No Wrong Door' innovation programme: evaluation

This report from the Department for Education reviews this programme's effect on improving support for young people who are in care or on the edge of care. No Wrong Door aimed to improve accommodation, education, employment and training (EET), and to reduce high-risk behaviour in young people

'Signs of safety' practice in children's services: an evaluation

This report from the Department of Education is an evaluation of a project to transform children's services in 10 local authorities by implementing signs of safety (SoS) practice. The project aimed to improve:- the quality of direct social work with children, young people and their families, partnership work with parents and families that recognises their strengths and uses these as part of any intervention, the quality of planning to support the safety of children and young people and the skills and confidence of the social work workforce.

Creating strong communities in north-east Lincolnshire

This research from the Department of Education evaluates the creating strong communities programme's effect on changing the way local practitioners and partners work together to safeguard vulnerable children. The report looks at the programme's success in reducing the numbers of individuals and families requiring intensive support, and its sustainability.

Family safeguarding Hertfordshire: an evaluation

Family Safeguarding Hertfordshire is a reform of children's services that aims to improve how these services work with families, and outcomes for children and their parents. This report from the Department for Education evaluates the 'whole-system' reform project and presents local and national lessons.

Social care: 'Pause' programme

This report from the Department of Education gives an evaluation of Pause, a voluntary programme for women who have experienced, or are at risk of, repeat removals of children from their care. The project aimed to reduce the number of children being removed into care and improve the health and wellbeing of the women in the programme.

Islington 'Doing What Counts: Measuring What Matters' evaluation

This report from the Department for Education evaluates the success of the project which aimed to improve social work practice and outcomes for children and families and involved a statutory assessment of need in the London Borough of Islington.

Durham County Council's Families First programme: an evaluation

This report from the Department of Health evaluates the impact of the 'Families First' intervention programme for improving children's social care practice in Durham. The Families First programme aims to improve outcomes for children and their families and reduce the costs of children's social care in Durham.

Cornerstone adoption support programme: evaluation

The Cornerstone adoption support programme aimed to improve the likelihood that children approved for adoption would get timely access to confident, skilled and well-supported adoptive parenting. This report from the Department of Education reviews the effects of the programme on children and adoptive parents, and overall adoption services.



Social media and children's mental health: a review of the evidence

In this report, the Education Policy Institute (EPI) has examined the evidence of the impact of using social media on young people's mental health and emotional wellbeing. The analysis scrutinises the latest evidence on the digital lives of young people, the benefits and risks associated with using social media, and the evolving nature of technology.

Being mindful of mental health - The role of local government in mental health and wellbeing

This report from the Local Government Association explores how councils influence the mental wellbeing of our communities and how council services, from social care to parks to open spaces to education to housing, help to make up the fabric of mental health support for the people in our communities. Chapter 3 focuses on the mental health of children and young people.

Know your normal: young people with autism's experience of mental health

This report from Ambitious about Autism, the national charity for children and young people with autism, found that four out of five young people with autism have experienced mental health issues. The research forms part of a project undertaken by a group of young people with autism working with the Centre for Research in Autism and Education (CRAE) to promote an understanding of what wellbeing looks like for children and young people with autism. In particular the project focuses on how a 'normal day' for someone with autism might be very different from that of a neurotypical person. The project promotes the idea that when anyone's behaviour changes from their own normal that could be a sign that something is wrong, and an indication that you should seek help.

Mental health challenges within the LGBT community

This issue of Public Health England's Public Health Matters blogs look at the mental health challenges experienced by lesbian, gay, bisexual and trans individuals. This review includes evidence of issues affecting young LGBT people.

Social mobility policies between 1997 and 2017: time for change

This report from the Social Mobility Commission, an independent body that monitors progress on social mobility, examines various public policies pursued over the last 20 years and assesses the impact they have had - for good or ill - on social mobility in Britain. The in-depth analysis, carried out for the first time, covers 4 life stages from the early years and school through to training and further/higher education and then into the world of work. It gives 'red', 'amber' and 'green' ratings depending on how successful governments have been in translating policy into positive social outcomes. Damningly, the report is not able to give a single 'green' rating to any of the life stages. Both early years and schools are given an 'amber' rating, while young people and working lives receives a 'red'. Overall, only 7 policies score a green while 14 score 'amber' and 16 'red'. While the report says that some policies - such as increasing employment and getting more working-class young people into university - have had a positive impact, overall the report concludes that 'too little' has been done to break the link between socio-economic background and social progress.

A minimum income standard for the UK in 2017

This is the 2017 update of the Minimum Income Standard for the UK from the Joseph Rowntree Foundation, based on what the public think people need for an acceptable minimum standard of living. This report carried out by the Centre for Research in Social Policy at Loughborough University shows:- the incomes different family types require in 2017 to meet the minimum standard, how the cost of a minimum household budget has changed since the last update in 2016, and how the incomes of people on benefits, and of those working on the National Living Wage, compare to what they need according to MIS. The report indicates that working families with children are facing bigger shortfalls in their household budgets this year, despite an increase in the National Living Wage and tax cuts.

In-work poverty among families with children

This paper from the Institute for Fiscal Studies funded by the Joseph Rowntree Foundation, forms a small part of the wider and flagship annual publication "Living Standards, Poverty and Inequality in the UK" which will be published on 19 July 2017. This chapter of the report investigates how the living standards and poverty rates of working families with children have changed and what has driven these changes, examining the relationship being parents' economic activity, their earnings and their living standards. Over the last 20 years, growth in the earnings of working fathers has been extremely slow, at 0.3% a year on average, while mothers' earnings have grown by more than 2% a year. As a result, it has become increasingly difficult for families where only the father is working to keep up with other families. Around a quarter of children live in a one-earner couple family – around the same proportion as 20 years ago.

Improving lives: Helping workless families - evidence base

This analysis and research pack from the Department for Work and Pensions sets out the comprehensive evidence base that supports Improving Lives: Helping Workless Families. Part 1 describes the evidence behind some of the issues associated with worklessness, how these disadvantages are often interrelated, and how they impact on children's outcomes. Part 2 sets out the 9 national indicators (7 non-statutory and 2 statutory) which we are using to track progress in tackling the disadvantages that affect families and children's outcomes, as shown in our evidence and analysis. These will replace the indicators reported on in the former social justice outcomes framework. The evidence resource on multiple disadvantage in families and its impact on children provides an overview of important milestones of child development from pre-conception to early adulthood, and explores how child development is influenced by multiple disadvantages affecting workless families.

On measuring the number of vulnerable children in England

This report from the Children's Commissioner for England brings together a range of information held by various government departments, agencies and others. It reveals the nature and scale of children's vulnerability in England and looks at how thousands of 'invisible' children can be better identified. The report provides a set of 32 groups of children that have come to be associated with forms of vulnerability or risk. This is the first stage in a long-term programme of work which the Children's Commissioner will carry out on vulnerability and is accompanied by an infographic which highlights their initial findings as well as technical papers which look at how vulnerability is defined, calculating numbers of vulnerable children, measuring health vulnerabilities and assessing vulnerable outcomes.

Child sexual exploitation - the role of public health in prevention and intervention

This report from Public Health England summarises the emerging evidence from the UK on the issue of child sexual exploitation. It provides practice examples to support local public health leaders to establish a public health framework for prevention and intervention. The accompanying literature search is a summary of the latest international research about effective interventions to prevent child sexual abuse and child sexual exploitation. The primary audiences for these documents are directors of public health and local public health teams. Other interested audiences may include NHS services, local councillors, head teachers and college principals, local children and young people's services and commissioners, and voluntary and community organisations.

The state of infant feeding support services for mums and babies

This briefing and infographic from Unicef based on their 2017 survey of infant feeding leads, highlights how support services for mothers and babies are changing in England, and how this could impact breastfeeding rates.

Adolescent obesity and related behaviours: trends and inequalities in the WHO European Region, 2002–2014

This report from the World Health Organization presents the latest trends in obesity, eating behaviours, physical activity and sedentary behaviour from the Health Behaviour in School-Aged Children (HBSC) study, and highlights gender and socioeconomic inequalities across the WHO European Region. Trends have previously been reported separately, but this report from the World Health Organization brings together for the first time HBSC data on obesity and obesity-related behaviours to review the latest evidence and consider the range and complexity of factors influencing childhood obesity.

Narrowing the gaps: The power of investing in the poorest children

This report from Unicef presents new evidence that backs up an unconventional prediction Unicef made in 2010: the higher cost of reaching the poorest children with life-saving, high-impact health interventions would be outweighed by greater results. Investing in the health and survival of the most deprived children and communities provides more value for money, saving almost twice as many lives for every US$1 million spent as equivalent investments in less deprived groups, according to their analysis.

Family planning: UK aid at its best

This briefing from Save the Children discusses the evidence for investing aid in family planning and influences on the health and survival of women, children and adolescents. This update finds that countries that guarantee women's comprehensive sexual and reproductive health and rights have better health and development outcomes than countries that neglect services or deny those rights.


Tools and data

Further child and maternal health data can be found on Public Health England's Fingertips tool. The child and maternal health section brings together a range of publicly available data, information, tools and resources. Find guidance on using these statistics and other intelligence resources to help you make decisions about the planning and provision of child and maternal health services on.GOV.UK.

Transparency data: Local authority interactive tool (LAIT)

The local authority interactive tool (LAIT) from the Department of Education compares data about children and young people across all local authorities in England. This interactive spreadsheet presents information in interactive tables and charts with the local authority's rank and position in England. It includes data on children looked after by local authorities, child protection, special educational needs and disability (SEND), pupil attainment, children's health, post-16 circumstances and judgements from Ofsted.

Maternity services monthly statistics Feb 2017

NHS Digital's monthly publication of experimental statistics from the new Maternity Services Data set. It captures key information at each stage of the maternity service care pathway in NHS-funded maternity services, such as those provided by GP practices and hospitals. The data collected include mother's demographics, booking appointments, admissions and re-admissions, screening tests, labour and delivery along with baby's demographics, diagnoses and screening tests. As part of this month's publication, NHS Digital is also publishing an analysis of delivery method by Robson group. (Robson groups are 10 population groups used to classify births based on information relating to women's labour and previous birth history.)

Female genital mutilation Apr 2016 to Mar 2017

Experimental statistics from NHS Digital giving cases of Female Genital Mutilation (FGM) added to the FGM Enhanced Dataset collection platform between 1 April 2016 and 31 March 2017. Between April 2016 and March 2017 there were 9,179 attendances reported at NHS trusts and GP practices where FGM was identified or a procedure for FGM was undertaken. 87 per cent of these attendances were in midwifery or obstetrics services, where this was reported. Data for the treatment area was recorded for six in every ten attendances. The average age at attendance was 31 years. 95 per cent of the women and girls first recorded in the data in 2016/17 had undergone FGM before they were 18 years old. This information was recorded for three in ten women and girls.



The end of month update will also list research (journal articles) as well as the resources above. Research will no longer be included in the mid month updates.

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