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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. Next stage of world-leading childhood obesity plan announced The Department of Health and Public Health England have announced plans to consider the evidence, set guidelines and closely monitor progress on calorie reduction. As set out in the plan, PHE will now consider the evidence on children's calorie consumption and set the ambition for the calorie reduction programme to remove excess calories from the foods children consume the most. Ready meals, pizzas, burgers, savoury snacks and sandwiches are the kinds of foods likely to be included in the programme. Over the past year, real progress has been made on reducing the level of sugar in many products. 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.
Child death overview panels: contacts Contact details of the person responsible for dealing with child death notifications in every child death overview panel (CDOP) in England from the Department for Education. CDOPs conduct case reviews to help prevent further child deaths. You can find out more about their responsibilities in the 'Working together to safeguard children' guidance. Legionnaires' disease: risks of pre-heated birthing pools For midwives to advise pregnant women considering a home birth using a type of birthing pool that carries a risk of Legionnaires' disease. This guidance from Public Health England includes: types of birthing pool which are considered high risk, information on Legionnaires' disease and advice on use of a birthing pool.
National Maternity and Perinatal Audit: Organisational report 2017 Commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit Programme, the National Maternity and Perinatal Audit (NMPA) is the largest evaluation of NHS maternity and neonatal services undertaken in Britain. It aims to help maternity and neonatal services to identify good practice and areas for improvement in the care of women and babies. Launched in 2016, the NMPA is a collaboration between the Royal College of Obstetricians and Gynaecologists (RCOG), the Royal College of Midwives (RCM), the Royal College of Paediatrics and Child Health (RCPCH) and the London School of Hygiene & Tropical Medicine.
The first report from the audit provides comprehensive information on how maternity and neonatal care is delivered by the NHS in England, Scotland and Wales. This includes maternity and neonatal care settings, availability of services and facilities, and staffing.
Further data on the NMPA website will enable healthcare professionals, managers, policy makers and the public to find and compare information from units, such as the number of birth rooms, neonatal cots and the provision of specialist services for women and babies. The website will be available here: www.maternityaudit.org.uk Revolving door: PART 1: Are vulnerable children being overlooked? This report from Action for Children explains concerns that some of the most vulnerable children in society are not getting the support they need. Their evidence raises questions about the availability of early help provision for an estimated 140,000 children. According to Action for Children based on findings from freedom of information requests sent to 152 local authorities, these children have needs that are too great for schools, health or other universal services to meet on their own, but they are not eligible for support from statutory social care services. In 2015-16, there were 184,500 children referred to children's social care whose cases were closed as 'no further action' after assessment. One in four children were referred to early help services such as children's centres or domestic violence programmes. Action for Children's report concludes that some children may be stuck in a 'revolving door' into children's services, repeatedly referred and assessed but not receiving help. The cost of a child in 2017 This report was produced by Child Poverty Action Group (CPAG) as part of a programme of work on the cost of a child, also involving the Joseph Rowntree Foundation. It calculates the costs of a child based on the 'minimum incomes standard '(MIS) – the income that people need in order to reach a minimal socially acceptable standard of living in the UK. The MIS is calculated by specifying baskets of goods and services (ranging from food, clothing, heating bills, to modest items required for social participation such as buying birthday presents) required by different types of household in order to meet this need. The cost of an individual child is calculated as the difference that the presence of that child makes to the whole family's budget. The report finds that support with costs has fallen: for couples, child benefit plus the maximum amount of Child Tax Credit now covers 94% of the basic cost of a child – compared to 98% last year. For lone parents, the proportion is 69% (compared to 72% last year). According to CPAG, the shortfall has risen: for families receiving maximum benefits, the overall benefit package now falls 31% short of covering the cost to a lone parent of bringing up a child – up from 22% in 2012. For couples the shortfall is only 6%, an increase in the shortfall since last year but a decrease since 2012 influenced by a more modest assessment of minimum costs made by couple parents in 2016 in the wake of years of austerity. Cyberbullying: comparatively rare, not especially damaging or pernicious This Mental Elf blog considers a recent paper in The Lancet Child and Adolescent Health, What is cyberbullying? This population-based cross-sectional study surveyed about 1 in 5 of all 15 year olds in England, to ask them about bullying, cyberbullying and adolescent well-being. The post Cyberbullying: comparatively rare, not especially damaging or pernicious appeared first on National Elf Service. Headline results: Many adolescents experience regular bullying, and those that do tend to have poorer well-being. Cyberbullying is comparatively rare and most young people who report cyberbullying are also bullied in other ways. The data suggest that worry specifically about the impact of cyberbullying on young people is probably misplaced. As bullying in general is so common and is related to impaired well-being it may be more useful to develop and deliver interventions to reduce all types of bullying. If we can prevent bullying and reduce the incidence of bullying, this is likely to have a more direct effect on well-being than focusing specifically on the perils of cyberbullying. 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.
Conceptions to women aged under 18 in England and Wales: Apr to June 2016 Number of teenage pregnancies (conceptions to women aged under 18) by region and other local authority areas from the Office for National Statistics. Children and young people with an eating disorder access and waiting times experimental statistics, Q1 2017/18 Information from NHS England on the number of Children and Young People with an Eating Disorder (CYP ED) who have accessed, or are waiting for NICE-approved treatment. Unexplained deaths in infancy, England and Wales: 2015 Report from the Office for National Statistics on unexplained infant deaths in England and Wales which includes sudden infant deaths and deaths for which the cause remained unknown or unascertained.
The full versions of some of these resources may only be available with a paid subscription. Contact your local library service or Athens account administrator to see if you are able to access them through your organisation.
Journal of Adolescent Health: Timing of first alcohol use and first sex in male and female adolescents Purpose: Researchers examined associations between timing of first alcohol use and first sexual intercourse in adolescent males and potential differences in observed associations between males and females. Conclusions: Results highlight age at first alcohol use as an important predictor of sexual onset in male as well as female adolescents and suggest that effective prevention efforts focusing on delay of sexual intercourse might also focus on delay on alcohol use. Journal of Pediatric Nursing: An integrative review of social determinants of health assessment and screening tools used in pediatrics Problem: Social and physical contexts which make up social determinants of health (SDOH) have tremendous impacts on youth development, health and well-being. Despite knowledge and evidence of these impacts, few pediatric SDOH screening tools are known. The purpose of this review was to identify and evaluate available pediatric SDOH screening tools. Conclusions: Despite growing recognition across healthcare that SDOH greatly influence pediatric health risks, management and outcomes, there is a dearth of available high quality, multidimensional, comprehensive screening tools for pediatric care professionals. Implications: This review emphasizes the need for the continued development of effective, comprehensive and practical tools for assessing pediatric SDOH risk factors. Pediatric nursing care includes the assessment of the youth and family context to effectively evaluate resource needs. Pediatric nurses are well poised to address this knowledge and resource gap. Journal of Child Psychology and Psychiatry: Attention-Deficit/Hyperactivity Disorder (ADHD): Interaction between socioeconomic status and parental history of ADHD determines prevalence Background: Many studies have reported a higher prevalence of Attention-Deficit/Hyperactivity Disorder (ADHD) among disadvantaged populations, but few have considered how parental history of ADHD might modify that relationship. Researchers evaluated whether the prevalence of ADHD varies by socioeconomic status (SES) and parental history of ADHD in a population-sample of elementary school children age 6–14 years. Conclusions: Socioeconomic status and parental history of ADHD are each strong risk factors for ADHD that interact to determine prevalence. More research is needed to dissect the components of SES that contribute to risk of ADHD. Future ADHD research should evaluate whether the strength of other environmental risk factors vary by parental history. Early identification and interventions for children with low SES or parental histories of ADHD should be explored. Maternal and Child Nutrition: An analysis of the effects of intrapartum factors, neonatal characteristics, and skin-to-skin contact on early breastfeeding initiation Objective: This study aims to determine relationships between intrapartum factors, neonatal characteristics, skin-to-skin contact (SSC), and early breastfeeding initiation after spontaneous vaginal and Caesarean section or operative vaginal birth. Conclusion: Researchers findings emphasize the crucial importance of prioritizing promotion of immediate skin-to-skin contact under different modes of birth. BMJ: Socioeconomic differences in childrens growth trajectories from infancy to early adulthood: evidence from four European countries Background: Height is regarded as a marker of early-life illness, adversity, nutrition and psychosocial stress, but the extent to which differences in height are determined by early-life socioeconomic circumstances, particularly in contemporary populations, is unclear. This study examined socioeconomic differences in children's height trajectories from birth through to 21 years of age in four European countries. Conclusions: Significant differences in children's height by maternal education persist in modern child populations in Europe. ADC Education and Practice: Public health for paediatricians: engaging young people from marginalised groups Background: Young people from marginalised groups can be excluded from health services because of reduced access, increased stigma and health inequalities. In addition, the stress associated with discrimination and stigma can have serious effects on individual health. This article explores how stigma affects young people's access to services and how health professionals can improve their practice and support for marginalised young people to achieve the best possible health outcomes. Conclusion: There are significant and varied populations of marginalised young people across the UK. Finding ways in everyday practice and as part of service development to provide more accessible services is essential to support young people's health and work to reduce health inequalities. There are practical ways to do this in consultations and service planning. This may include altering your health offer and/or promoting it in different ways to particular groups. Building relationships with other local services is also key. If some young people never come through the door to seek help because of fear, discrimination and stigma, there is no way they will get support to claim their right to the best possible health. Pediatrics: Educational progress of looked-after children in England: a study using group trajectory analysis Background: Looked-after children in local authority care are among the most disadvantaged, and measures of their well-being, including educational outcomes, are poorer than other children's. Conclusions: This study provides evidence that early entry into care can reduce the risk of poor educational outcomes. It also establishes group trajectory analysis as an effective method for analyzing the educational progress of looked-after children, with the particular strength that it allows factors associated with a late decline or improvement in educational progress to be identified. Journal of Pediatric Nursing: Comparing low-income mother and fathers' concern for young children's weight Purpose: The objectives of this study were to compare the relationship of mother and father (1) perceived child weight and child body mass index (BMI) z-score, (2) concern for child's current weight and child BMI z-score, and (3) concern for child's future weight and child BMI z-score. Conclusions: Cohabitating low-income parents of young children may have conflicting appraisals of their child's BMI z-score and concerns for their child's future weight, and low-income fathers may be more accurate and concerned about their children's weight. Practice Implications: Based on findings from this study, healthcare providers including physicians and nurses should attempt to include fathers in discussions regarding their child's weight for obesity prevention, especially in low-income families. BMC Public Health: Adolescent alcohol use and parental and adolescent socioeconomic position in six European cities Background: Many risk behaviours in adolescence are socially patterned. However, it is unclear to what extent socioeconomic position (SEP) influences adolescent drinking in various parts of Europe. We examined how alcohol consumption is associated with parental SEP and adolescents' own SEP among students aged 14–17 years. Conclusions: Across the six European cities, adolescent drinking was associated with adolescents' own SEP, but not with parental SEP. Socio-economic inequalities in adolescent drinking seem to stem from adolescents' own situation rather than that of their family. Obstetrics & Gynecology: Sleep disorder diagnosis during pregnancy and risk of preterm birth. Objective: To test the hypothesis that sleep disorder diagnosis would be associated with increased risk of preterm birth and to examine risk by gestational age, preterm birth type, and specific sleep disorder (insomnia, sleep apnea, movement disorder, and other). Conclusion: Insomnia and sleep apnea were associated with significantly increased risk of preterm birth. Considering the high prevalence of sleep disorders during pregnancy and availability of evidence-based nonpharmacologic interventions, current findings suggest that screening for severe presentations would be prudent. Journal of Child Health Care: An integrative review on parents' perceptions of their children's vaccinations Objective: An integrative literature review was conducted for studies published between January 2005 and January 2016 to obtain evidence on parents' experiences and perceptions of vaccinations. Conclusion: This review found that exploring parental perceptions regarding their child's vaccination in terms of the attitudes and experiences of parents, how these affect vaccination decisions as well as the needs of parents regarding their children's vaccinations is important in multicultural societies. BJPsych: Sexual orientation and suicidal behaviour in adolescents and young adults: systematic review and meta-analysis Background: Research suggests that lesbian, gay and bisexual (LGB) adolescents have a higher risk of suicidal behaviours than their heterosexual peers, but little is known about specific risk factors. Aims: To assess sexual orientation as a risk factor for suicidal behaviours, and to identify other risk factors among LGB adolescents and young adults. Conclusions: Sexual orientation is associated with a higher risk of suicide attempt in young people. Further research is needed to assess completed suicide, and specific risk factors affecting the LGB population. Journal of Pediatric Psychology: Topical Review: Transitional services for teens and young adults with attention-deficit hyperactivity disorder: a process map and proposed model to overcoming barriers to care Objective: To provide a topical review of the personal vulnerabilities and systemic barriers facing transitional age young adults with attention-deficit hyperactivity disorder (ADHD), followed by a proposed model for overcoming those barriers. Conclusions: Recommendations for easing the transition from pediatric to adult care for late adolescents with ADHD include heavily leveraging the doctor–patient relationship, and capturing the young adult's attention through technologies that already absorb them. Journal of Adolescence: Activity-specific pathways among duration of organized activity involvement, social support, and adolescent well-being: Findings from a nationally representative sample Objective: Researchers tested whether the duration of involvement in specific organized activities was associated with different sources of social support, and whether these links explained the health-related benefits affiliated with participation. Findings: Prolonged engagement in specific activities may cultivate certain types of supportive relationships, which may promote adolescent well-being. International Breastfeeding Journal: The effect of family policies and public health initiatives on breastfeeding initiation among 18 high-income countries: a qualitative comparative analysis research design Background: The objective of this study is to examine the effects of macro-level factors – welfare state policies and public health initiatives – on breastfeeding initiation among eighteen high-income countries. Conclusion: This research suggests that there is a connection between broad level welfare state policies, public health initiatives, and breastfeeding initiation. Compliance with the WHO/UNICEF initiatives depends on welfare regime policies and overall support for women in both productive and reproductive labor. Journal of Adolescence: Changes in severity of psychosocial difficulties in adolescents accessing specialist mental healthcare in England (2009–2014) Background: In England, clinicians and professional organisations report that higher numbers of adolescents with more severe psychosocial difficulties are accessing specialist services. A lack of national data on patterns of access to specialist services means there is limited information to inform policy. We examined whether severity of psychosocial difficulties in adolescents accessing mental healthcare has changed over time. Findings: Researchers found: 1) stability over time in overall severity of difficulties, 2) an increase in severity of young women's emotional problems, and 3) a decrease in adolescents' conduct problems. The findings suggest the intriguing possibility that the criteria for accessing mental healthcare are not universally rising, but rather the patterns in access to specialist services may mirror epidemiological changes in severity of psychosocial difficulties in the population. BMJ: Sociodemographic differences in women's experience of early labour care: a mixed methods study Objectives: To explore women's experiences of early labour care focusing on sociodemographic differences, and to examine the effect of antenatal education, using mixed methods. Conclusion: These findings reinforce the importance of providing reassurance to women in early labour, taking care that women do not feel neglected or dismissed. In particular, primiparous and ethnic minority women reported greater worry about early labour and require additional reassurance. | 
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