Thursday, September 7, 2017

Child and maternal health and wellbeing knowledge update

Child and Maternal Health Knowledge Update

 

 

Child and maternal health and wellbeing knowledge update
7 September 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 early years indicators

On 5 September, the National Child and Maternal Health Intelligence Network published annual updates to a number of early years indicators (under 5 years old) in the child and maternal health section of PHE's Fingertips tool. As a result, many of the indicators about A&E attendances, elective and emergency admissions will be updated for both this and older age groups. Data is available at county council, unitary authority and clinical commissioning group level.

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.


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

Mental health services: cost-effective commissioning

Public Health England has produced a number of resources to support local commissioners in designing and implementing mental health and wellbeing support services. Local authorities, clinical commissioning groups, Health and Wellbeing Boards and their local partners (for example schools, employers, police) can use these set of resources to improve the provision of mental health services:-
1) The commissioning report written by the Personal Social Services Research Unit (PSSRU), summarizes the evidence on promoting good mental health and reducing the impact of poor mental health, generated through a rapid evidence review. This report includes chapters on addressing bullying targeted at children and young people as well as school-based social and emotional learning programmes.
2) The return on investment (ROI) tool and user guide: builds on the evidence in the commissioning report, can be adapted to local conditions, presents results showing the economic benefits of each intervention and shows you how to use the ROI tool. This new tool for local public health teams identifies the most cost effective mental health programmes. One of these 8 initiatives is an innovative resilience programme in schools that results in an estimated saving of £5.08 for every £1 invested (over 3 years).
3)The barriers and facilitator report identifies issues that can make the commissioning of mental health and wellbeing interventions easier or more difficult in a local area.   

Prevention concordat for better mental health: planning resource

A resource from Public Health England to help local areas establish prevention planning arrangements to improve the public's mental health. This resource has been developed to help local areas put in place effective arrangements to promote good mental health and prevent mental health problems. It does so by offering a 5-part framework of focus for effective planning for better mental health. It also highlights a range of actions and interventions that local areas can take to improve mental health and tailor their approach. This includes illustration through practice examples including many relating to children and young people and also gives links to further supporting resources.

Psychosocial pathways and health outcomes

This report from Public Health England highlights the current evidence including many examples for children and young people that exists about the relationships between social determinants, psychosocial factors and health outcomes. It also provides a conceptual framework that focuses on the psychosocial pathways between factors associated with social, economic and environmental conditions, psychological and psychobiological processes, health behaviours and mental and physical health outcomes.

Mental health data and analysis: a guide for health professionals

This guide from Public Health England explains how commissioners and health professionals can use data and analysis for decisions about mental health services and interventions.
The children and young people's mental health and wellbeing profiling tool can be used to understand the prevalence of children with, or vulnerable to, mental illness and what the risk factors are. It shows the range of health, social care and education services that support these children and information on the cost of these services. Guidance on how to use available information to assess and develop interventions which improve the mental wellbeing of children and young people is available in the measuring mental wellbeing in children and young people briefing.
The perinatal mental health catalogue is a source of perinatal mental health datasets and indicators available at a national level and at CCG, local authority, GP practice and provider level. This data can be used to find out more about perinatal mental health and services locally and nationally. The perinatal mental health profile shows data on mental health in pregnancy, the postnatal period and babies under 1 year old. It shows data on the demographics, risk and related factors, prevalence, and identification and access, during the perinatal period. It includes metrics at local authority, CCG and Acute Trust level.

Better mental health: JSNA toolkit

This guide from Public Health England accompanies the Mental Health and Wellbeing JSNA fingertips profile. It includes short, bite-sized sections which help people to develop a picture of mental health needs in a local area. The guide begins with sections on understanding place and understanding people. These focus on understanding risk, wellbeing, prevention and community resilience in the local population. Later sections cover the mental health care pathway, following a life course approach. These include the perinatal period, children and young people, working age adults and older people. Each section follows a similar structure: introduction to the topic, list of potential questions a JSNA may attempt to answer, overview of some relevant policy and guidance, list of available national data sources, ideas for sources of local data and links to relevant evidence and further information.

An RCN toolkit for school nurses

This toolkit from the Royal College of Nursing provides school nurses with information, examples of good practice, templates and useful websites to support and develop professional practice. It considers varying policy and practice which applies across the UK and the range of settings in which school nurses work.

Midwives – are you discussing residual blood spots with parents?

This screening blog post from Public Health England will help midwives understand residual blood spots and be able to talk to parents about them when taking consent for newborn blood spot (NBS) screening.

Does age matter when thinking of NHS newborn screening programmes?

This screening blog post from Public Health England highlights a recently updated and published one page summary for healthcare professionals explaining which newborn screening tests can be offered at different ages if any of these were initially missed.


Policy and government reports

Prevention concordat for better mental health: consensus statement

This paper from Public Health England explains the prevention concordat for better mental health, describes the shared commitment of the organisations involved and provides a list of all signatory organisations. The Prevention Concordat for Better Mental Health is underpinned by an understanding that taking a prevention-focused approach to improving the public's mental health is shown to make a valuable contribution to achieving a fairer and more equitable society. The Concordat promotes evidence based planning and commissioning to increase the impact on reducing health inequalities. The sustainability and cost effectiveness of this approach will be enhanced by the inclusion of action that impacts on the wider determinants of mental health and wellbeing. The Concordat is intended to provide a focus for cross-sector action to deliver a tangible increase in the adoption of public mental health approaches across: local authorities, the NHS, public, private and voluntary, community and social enterprise (VCSE) sector organisations, educational settings and employers.

 

Reports

Stocktake of local mental health prevention planning arrangements

This report provides a high-level summary of how local areas are currently incorporating mental health promotion and prevention of mental ill-health in their planning processes. The stocktake was undertaken by the Kings Fund on commission from Public Health England. The findings are based primarily on a content analysis of key planning documents in 35 local areas. This included a random sample of 16 areas across England and 19 areas selected as possible examples of transferable effective practice. The review includes includes children and young people's plans and education/schools policies. The findings from this review were used in the development of the 'Prevention Concordat for Better Mental Health Prevention Planning Resource'.

Just getting on: Young people's views on gender, emotional well-being and mental health

The National Children's Bureau (NCB) present the views of over 100 young people on how they cope with difficulties and seek help, with a focus on the role of gender. Just getting on is a report for decision-makers, service providers and practitioners whose work impacts on children and young people's emotional and mental health and well-being. This report is part of a range of resources exploring children and young people's mental health from a gender perspective, which also includes an evidence review and examples of gender-sensitive practice. The resources aim to inform understanding of, and responses to, children and young people's different experiences, coping strategies and help-seeking behaviours.

Not by degrees: Improving student mental health in the UK's universities

This report from the Institute for Public Policy Research explores the scale of students' mental health and issues affecting their mental health in UK universities. IPPR's review also includes their recommendations for how to improve students' access to mental health services. 

The good childhood report 2017

The Good Childhood Report 2017, produced in partnership with the University of York, is the sixth in a series of annual reports published by The Children's Society about how children in the UK feel about their lives. The report examines the latest trends in well-being over time, explanations for gender patterns in well-being, and insights into how multiple experiences of disadvantage are linked to children's well-being. The Children's Society's report finds that young people's happiness is at its lowest since 2010. Fear of crime, living in a family struggling to pay the bills and not having enough emotional support at home are just some of the serious problems that leave teenagers more likely to be unhappy. Teenagers with more than seven serious problems in their life are ten times more likely to feel unhappy than those with none.

Early rollout of 30 hours free childcare: evaluation

Findings from an independent evaluation of the early rollout of 30 hours free childcare, ahead of national rollout in September 2017. This report from the Department for Education provides the main findings from the evaluation and recommendations to support the 30 hours free childcare policy. The national rollout will offer all 3- and 4-year-olds with working parents 30 hours of free childcare for 38 weeks each year.

Towards tobacco-free generations: children neurobiologically vulnerable to nicotine but still a target of tobacco marketing

Several Member States in the WHO European Region are moving towards becoming "tobacco-free", which means having a smoking prevalence of 5% or less. A new report from WHO/Europe identifies tools and offers novel approaches that can – and should – be used to pave the way towards a tobacco-free region.  A series of web stories including peer-based interventions in the United Kingdom, highlights some of the report's key findings and recommendations, and shares examples of measures being taken within countries of the Region to fight the harmful effects of tobacco.

 

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.

 

Mental health services monthly statistics final May, provisional June 2017

The scope of this series from NHS Digital which has replaced the Monthly MHLDS reports has been broadened to include children and young people's mental health services and restructured to support waiting time measurement for specific services. This month includes the report on final data for May.

NHS workforce statistics May 2017, provisional statistics

This report from NHS Digital shows provisional monthly numbers of NHS Hospital and Community Health Service (HCHS) staff groups working in Trusts and CCGs in England (excluding primary care staff). Data is available as headcount and full-time equivalents. This data is an accurate summary of the validated data extracted from the NHS's HR and Payroll system. It has a provisional status as the data may change slightly over time where trusts make updates to their live operational systems. In addition to the regular monthly reports there are a series of quarterly reports (first published on 26 July 2016 looking at the data for March 2016) which include statistics on staff in Trusts and CCGs and information for NHS Support Organisations and Central Bodies.
The quarterly analysis will be published each; September (showing June statistics) December (showing September statistics) March (showing December statistics) June (showing March statistics).
Note: From March 2017 these quarterly reports will also include statistics on; i) Bank staff employed directly by trusts and paid through the Electronic Staff Record (ESR) pay and human resources system (as covered by our consultation on NHS workforce statistics). They are exploratory and experimental statistics. ii) The nationality of staff (previously published every six months) showing quarterly figures from September 2015 onwards.

Children and young people's health services monthly statistics, England - April 2017, experimental statistics

This is a report from NHS Digital on NHS-funded Community Services for children and young people aged 18 years or under using data from the new Children and Young People's Health Services (CYPHS) data set reported in England for activity for April 2017.
The CYPHS is a patient-level dataset providing information relating to NHS-funded community services for children and young people aged 18 years or under. These services can include health centres, schools and mental health trusts. The data collected includes personal and demographic information, diagnoses including long-term conditions and childhood disabilities and care events plus screening activities.
It has been developed as part of the Maternity and Children's Data Set (MCDS) Project to achieve better outcomes of care for children and young people. It provides data that will be used to improve clinical quality and service efficiency, in a way that improves health and reduces inequalities.

Early years profiles: 2017 update

The early years profiles from Public Health England bring together a range of indicators on the health of children aged 0 to 5 years by local area. Developed by PHE's National Child and Maternal Health Intelligence Network with NHS England, the indicators provide information on public health outcomes for children in their early years. The early years profiles are designed to help commissioners and providers of health visiting services to assess the priorities and outcomes of the transformation of health visiting services programme. These are as set out in the National health visitor implementation plan for 2011 to 2015.

Female Genital Mutilation Apr to Jun 2017, experimental statistics

Cases of Female Genital Mutilation (FGM) added to the FGM Enhanced Dataset collection platform from NHS Digital between 1 April 2017 and 30 June 2017. England. The Female Genital Mutilation (FGM) Enhanced Dataset (SCCI 2026) supports the Department of Health's FGM Prevention Programme by presenting a national picture of the prevalence of FGM in England.


 

Research

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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