| Child health profiles - tell us what you think Earlier this year, we published Child Health Profiles 2017 for each top tier local council in England. They give a picture of child health in each local area and are designed to support local government and health services improve children's health and reduce health inequalities. We are currently reviewing the content to help us develop profiles which continue to provide you with the common core information you need. We are keen to hear from those who have used the profile and what priorities you would like to see them reflect next year. We would be grateful if you could take a few minutes to complete a short survey before Friday 29 September and tell us what information we should give to help you. Breastfeeding statistics: 2016/17 Quarter 4 (July 2017 release) Breastfeeding at 6 to 8 weeks after birth: 2016 to 2017 (including Q4, July 2017 update) update gives the number and proportion of infants who have been fully, partially or not at all breastfed at 6 to 8 weeks after birth. Public Health England collected the data through an interim reporting system set up to collect health visiting activity data at a local authority resident level. Data was submitted by local authorities on a voluntary basis. Information is presented at local authority of residence, PHE Centre and England level. Health visitor service delivery metrics: 2016/17 Quarter 4 (July 2017 release) Health visitor service delivery metrics have been published for 2016/17 Quarter 4 at a local authority resident level. The data was submitted by local authorities on a voluntary basis via the interim reporting system. The metrics currently cover the antenatal check, new birth visit, the 6-8 week review, the 12 month assessment and the 2- 2½ year assessment. Information is presented at a local authority, PHE and England level. 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.
Healthy beginnings: applying All Our Health Evidence and guidance from Public Health England to help healthcare professionals provide early intervention for children and reduce long term health and social costs. This report gives examples to help healthcare professionals provide guidance on the importance of early development and care. All Our Health is a call to action for all healthcare professionals to use their skills and relationships to maximise their impact on avoidable illness, health protection and promotion of wellbeing and resilience. Child oral health: applying All Our Health Evidence and guidance from Public Health England to help healthcare professionals improve child oral health. This report gives examples and interventions that are recommended at population, community and individual level to improve dental health for children. All Our Health is a call to action for all healthcare professionals to use their skills and relationships to maximise their impact on avoidable illness, health protection and promotion of wellbeing and resilience. Childhood flu programme: information for healthcare practitioners Provides information on the flu vaccination programme for children, the vaccine and how to administer it. This guidance from Public Health England on the flu vaccination and vaccination programme includes information on: what flu is, the flu vaccine, dosage, administering the vaccine, advice on vaccinating children with an egg allergy and further resources. In the 2017/18 flu season, flu vaccine should be offered to all children who are aged two to eight years old (but not nine years or older) on 31 August 2017 and to all primary school-aged children in former primary school pilot areas. It should also be offered to children from six months of age in clinical risk groups. Flu vaccine for children: best practice guide for GPs Leaflet from Public Health England for GPs and practice staff to support the nasal spray flu vaccination programme for children in 2017 to 2018. It provides best practice guidance on how to: prepare to deliver the programme, improve uptake of the vaccine, identify eligible children and promote the programme. Routine childhood immunisation schedule Information from Public Health England for health professionals on childhood immunisations. RCPCH publishes new guidance on breastfeeding, highlighting the health benefits and importance of tackling UK's low rates Social stigma is a major barrier to breastfeeding, and more must be done to support women to continue breastfeeding beyond the first few weeks according to new recommendations published by the Royal College of Paediatrics and Child Health (RCPCH). The new guidance, backed by midwives and health visitors, is based on the latest research and aims to give practical advice on how long women should consider breastfeeding. It also makes the case for the health benefits of breastfeeding for both mother and child, as well as the cost savings to families and health services. New Institute of Heath Visiting resources to support families and children after traumatic events Developed together with the Mental Health Foundation, the Institute of Health Visiting (iHV) has produced Good Practice Points which provide evidence-based information for health visitors to help them to support families after a traumatic event. Traumatic events can be defined as direct or indirect experiences that put either a person or someone close to them at risk of serious harm or death. Examples of traumatic events are: road accidents; experiencing or witnessing violence; abuse; serious illnesses or invasive medical procedures; dog bites; human accidents such as fires. More rare traumatic events include: natural disasters such as earthquakes, tsunamis, serious floods or hurricanes; a terrorist attack; conditions of war.
Children will react in different ways to a traumatic event and how they react may also depend slightly on their age and where they are at in their development. However, whatever their age, they are likely to experience a range of changes in their thinking, emotions, behaviour and physical responses. For most children, these symptoms will go away on their own after a few weeks. However, for 10-30% of children who have experienced a traumatic event, they go on to develop post-traumatic stress disorder (PTSD) which can have adverse long-term effects on child development and adjustment. Engaging with young people who have complex emotional difficulties This blog which is part of the NSPCC's Impact and evidence series gives advice to practitioners on using solution-focused approaches to help build good working relationships with young people with complex emotional difficulties. Tips for engaging young people include: seeing them as partners in the change process; breaking down their complex problems into individual goals they can describe and visualise; and involving their carers, parents or social workers where possible. Hepatitis B in pregnant women On World Hepatitis Day, in their PHE screening blog, Public Health England took the opportunity to highlight the work of the NHS Infectious Diseases in Pregnancy Screening (IDPS) Programme on hepatitis B. The UK National Screening Committee (UK NSC) recommends hepatitis B screening for all pregnant women in the UK. This is so that interventions can be implemented to reduce the risk of transmission of infection to the babies of infected women. In England, around 0.4% of pregnant women have hepatitis B. New RCPCH child protection resource now available 'Child Protection Evidence', a series of systematic reviews to help clinicians identify the signs of physical abuse and neglect, has been launched today by the Royal College of Paediatrics and Child Heath (RCPCH). These reviews were originally carried out by Cardiff University in association with the NSPCC (and known as CORE INFO) and have now been taken over by the RCPCH. The reviews include the latest evidence on a series of areas, including: fractures, neurological injuries, bruises, burns, bites, spinal injuries, ear, nose and throat injuries, oral injuries, retinal findings and visceral injuries. They also look at evidence on neglect and around particular age groups: early years neglect, school age neglect/emotional abuse, teenage abuse, dental neglect, parent-child interaction.
Tracking Progress for Breastfeeding Policies and Programmes: Global breastfeeding scorecard 2017 WHO and UNICEF have established recommendations for breastfeeding practices. Although every mother decides how to feed her child, this decision is strongly influenced by economic, environmental, social and political factors. The Global Breastfeeding Scorecard analyzes indicators on how countries protect, promote and support breastfeeding through funding or policies. The research shows that the UK has one of the lowest breastfeeding rates in the world. 34% of babies in the UK are breastfed for six months. Closing the gap? Trends in educational attainment and disadvantage In this report, the Education Policy Institute has examined the progress made in closing the gap in attainment between disadvantaged pupils and their peers. The analysis considers how that gap varies across the country and how it has changed since 2007. Overall trends:- Persistently disadvantaged pupils: The most disadvantaged pupils in England have fallen further behind their peers, and are now on average over 2 full years of learning behind non-disadvantaged pupils by the end of secondary. The attainment gap at the end of secondary school for these persistently disadvantaged pupils has widened slightly by 0.3 months since 2007. Disadvantaged pupils: There has been some progress in closing the gap for disadvantaged pupils on average in England since 2007, which has narrowed by three months by the end of secondary. However, this gap is closing slowly and inconsistently – this is despite considerable investment and targeted intervention programmes by the government. In 2016, disadvantaged pupils were on average 19.3 months behind their peers by the time they took their GCSEs – meaning they are falling behind by around 2 months each year over the course of secondary school. From 2007 to 2016, the gap by the end of primary school has narrowed by 2.8 months and the gap by age 5 has narrowed by 1.2 months. At the current rate of progress it would take a full 50 years to reach an equitable education system where disadvantaged pupils did not fall behind their peers during formal education to age 16. Sexual and Reproductive Health: Time to act The Royal College of General Practitioners (RCGP) have released this report on sexual and reproductive health (SRH) services in the UK which highlights the findings of a College consultation with its 50,000-strong membership. It found that GPs fear rates of teenage pregnancy and transmission of sexually transmitted diseases will rise – reversing current trends – as vulnerable patients are being excluded from accessing the most appropriate forms of contraception, and that health inequalities are being widened as a result. Members particularly cited the difficulties patients living in rural areas have in accessing sexual and reproductive health services, as well as younger patients who rely on their parents for transport. The College is calling out the complex and fragmented way that sexual and reproductive health services are currently commissioned in England, as well as the decreasing services available in the community. As it stands, some services are commissioned by NHS England, others by Clinical Commissioning Groups, and yet others by Local Authorities, causing confusion amongst healthcare professionals and patients as to how to effectively navigate the system, and unacceptable variation across the country. Influenza vaccine uptake in primary school children: 2015 to 2016 This report from Public Health England describes the uptake of influenza vaccine and predictors of uptake in children of primary school age from 2015 to 2016 for: children school years 1 and 2 age across England and children school years 1 to 6 age in selected pilot areas. The report focuses on the results from the final end of season data submitted to PHE at school-level between March and April 2016. The school-level data returns presented in this report include additional analysis on consents, refusals, contraindications and population level ecological predictors of vaccine uptake. Inpatient provision for children and young people with mental health problems In their new report, the Education Policy Institute (EPI) has examined the state of child and adolescent mental health inpatient services in England. The analysis explores the latest evidence and NHS data on admissions, quality of care, staffing and capacity. The research highlights 5 challenges to raising standards in young people's mental health provision. EPI have identified where recent improvements have been made, for instance the reduction of the use of police cells for young people in mental health crisis and they have highlighted where there is more to be done, such as ensuring there is consistent provision of intensive community support across the country and tackling workforce shortages. Internet-delivered cognitive behaviour therapy for obsessive–compulsive disorder in young people: study suggests it's cost-effective, but more research needed This Mental Elf blog considers a recent randomised control trial that looks at the cost-effectiveness of therapist-guided internet-delivered cognitive behaviour therapy (iCBT) for paediatric obsessive–compulsive disorder (OCD). This post appeared first on National Elf Service. Summary: Internet delivered CBT offers a means of treatment that can negate the impact of scarce therapists and geographical issues related to place of care. This study finds that iCBT is a cheap and effective method of treating adolescents with OCD. There were many limitations with the study: a larger, longer term RCT is required to further examine the effectiveness and cost-effectiveness of ICBT in this population. Parenting factors associated with adolescent alcohol misuse This Mental Elf blog post considers a systematic review and meta-analysis of longitudinal studies, which looks at modifiable parenting factors associated with adolescent alcohol misuse. The post appeared first on National Elf Service. Conclusions: This study highlights a set of parental factors that have a small but significant impact on adolescent alcohol use and should be targeted in intervention efforts. Specific factor categories can provide a framework for future research design that lends to systematic analysis. 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. Maternity services monthly statistics March 2017, experimental statistics March 2017 monthly publication from NHS Digital of experimental statistics from the new Maternity Services Data set. This is a report on NHS-funded maternity services in England for March 2017, using data submitted to the Maternity Services Data Set (MSDS). The MSDS has been developed to help achieve better outcomes of care for mothers, babies and children. The MSDS is a patient-level 'secondary uses' data set that re-uses clinical and operational data for purposes other than direct patient care, such as commissioning, clinical audit. 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. Special educational needs in England: January 2017 This statistical release from the Department for Education provides analyses on the characteristics of pupils by their level of special educational needs (SEN) and type of SEN as well as SEN provision in schools. It is based on pupil-level data collected through the school census, general hospital school census and school-level annual school census (SLASC). 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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