| 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. Latest National Child Measurement Programme (NCMP) trends report published PHE has published the latest National Child Measurement Programme (NCMP) trends report that shows changes in children's BMI between 2006/07 and 2015/16. The report explores trends in obesity, overweight, excess weight and underweight prevalence, as well as changes in mean BMI over time. It is aimed at local authorities and other organisations who want to examine detailed trends in child weight category prevalence over time, and how these vary by health inequality. Child diet patterns and trends: slide set presentations PHE Risk Factors Intelligence has produced the Child diet patterns and trends: presentation (September 2017). These PowerPoint slides present key data and information on the patterns and trends in child and adult diet in clear, easy to understand charts and graphics. The slides and accompanying notes can be downloaded and used freely with acknowledgement to PHE. They are a useful tool for practitioners and policy makers working on diet and obesity at local, regional and national 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.
Child weight management: short conversations with families This guide from Public Health England offers tips on the short conversations health and care professionals should be having with overweight and obese patients about weight loss. It provides: - practical advice on how to discuss weight loss
- tools to support making brief interventions
Child weight management: commission and provide services This guidance from Public Health England follows the journey of a child weight management service user in a tier 2 service and provides recommendations, considerations and resources needed to put this in practice. This guide is designed to support practitioners, commissioners and providers of tier 2 weight management services. Faltering growth: recognition and management of faltering growth in children This guideline from the National Institute for Health and Care Excellence (NICE) covers recognition, assessment and monitoring of faltering growth in infants and children. It includes a definition of growth thresholds for concern and identifying the risk factors for, and possible causes of, faltering growth. It also covers interventions, when to refer, service design, and information and support. This guideline includes recommendations on: The NICE guideline suggests faltering growth may be indicated by: a fall across 1 or more weight centile spaces if birth weight is below the 9th centile, a fall across 2 or more weight centile spaces if birthweight was between the 9th and 91st centiles, a fall across 3 or more weight centile spaces if birthweight was above the 91st centile or when current weight is below the 2nd centile for age whatever the birthweight.
According to data collected in the National Child Measurement Programme, in 2015, 1% of children aged 4-5 were underweight.
New born infants normally lose weight in the early days of life. However persisting or large weight losses can be a sign of possible problems with feeding and weaning. In older children, faltering growth can occur when a child does not eat enough to get the energy needed for growth and development. The impact on health of homelessness: a guide for local authorities The information and ideas in this briefing from the Local Government Association (LGA) aim to support local authorities in protecting and improving their population's health and wellbeing, and reducing health inequalities, by tackling homelessness and its causes. The briefing includes evidence on the effects of homelessness on children and families. Psychosocial pathways and health outcomes UCL Institute of Health Equity has prepared this overview of current evidence about the relationships between social determinants, psychosocial factors and health outcomes for Public Health England. This report highlights the current evidence 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. The report explores the significance of adversity and trauma as well as social environment at before birth, early life and adolescence stages and development. Developing support and services for children and young people with a learning disability, autism or both This document from NHS England provides guidance for Transforming Care Partnerships (and their local partners Clinical Commissioning Groups / Local Authorities) in commissioning support and services for children and young people with learning disability, autism or both.
Child weight management services: systematic review This report is of a systematic review commissioned by Public Health England which aims to address the following question:- 'What are the critical features of successful Tier 2 weight management programmes (WMPs) for children aged 0-11 years?'
Findings: Analysis of children's, parents and providers views revealed that three key WMP features were felt to support development of the skills, confidence and resilience perceived by participants to be necessary for successful weight management. The three features are 1) showing families how to change rather than telling them what to change 2) getting all the family 'on board', and 3) enabling social support from peers. What good looks like in psychological services for schools and colleges: Primary prevention early intervention and mental health provision In this edition of the Child & Family Clinical Psychology Review, the British Psychological Society (BPS) Faculty for Children, Young People and their Families examines the evidence and discusses practical ways the psychological wellbeing, of staff and pupils, can be addressed in school settings as well as the implications for commissioning and delivery of provision. Language as a child wellbeing indicator In this blog report the Early Intervention Foundation (EIF) set out the importance of early language development, explore the evidence for the social gradient of language development, and argue that the ability to communicate well is a core component of child wellbeing. The report also includes national and International measures of wellbeing and investigates the links between language, wellbeing and social mobility.
Conclusion: EIF believe the fundamental link between language and other social, emotional and learning outcomes makes early language development a primary indicator of child wellbeing. Differences between those more and less socially disadvantaged children are already observable in the second year of life, and in many cases are sustained through to adulthood. Language learning difficulties often go hand-in-hand with social and emotional difficulties and, unsurprisingly, have a marked effect on children's school achievement. Preventing anxiety disorders in young people at risk This Mental Elf blog reports on a recent systematic review and meta-analysis looking at the prevention of anxiety disorders in at-risk children and adolescents. The post Preventing anxiety disorders in young people at risk appeared first on National Elf Service. Conclusions: The results of the two trials that assessed the true preventive effect of an intervention (onset anxiety disorder measured before and after the intervention) were very positive: the risk of an anxiety disorder was 90% less for those who received an active intervention, compared to those who received no intervention. The blog finds that this equates to delivering the intervention to 3-4 youth in order to prevent the onset of anxiety in one (number needed to treat; NNT = 3.84). This is substantially less than a recent meta-analysis of targeted preventive interventions for youth depression (NNT = 11) (Hetrick et al., 2016). National child measurement programme (NCMP): trends in child BMI This report from Public Health England examines changes in child weight category prevalence and mean body mass index (BMI) in England between 2006/07 and 2015/16, based on analysis of National Child Measurement Programme data. Trends within different socioeconomic and ethnic groups are examined to determine whether existing health inequalities are widening or becoming smaller. The report is accompanied by a summary of main findings and a supplementary dataset. Early moments matter for every child This report from UNICEF presents data and outlines best practices and policies that can put governments on the path to providing every child with the best start in life. It outlines the neuroscience of early childhood development (ECD), including the importance of nutrition, protection and stimulation in the early years. And it makes the case for scaling up investment, evaluation and monitoring in ECD programmes. The report concludes with a six-point call to action for governments and their partners to help maximize the potential of the children who will build the future – by making the most of the unparalleled opportunities offered by the early moments in life. Your baby's care. Measuring standards and improving neonatal care. A guide to the National Neonatal Audit Programme 2017 annual report. Commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and patient Outcomes Programme (NCAPOP), the National Neonatal Audit Programme (NNAP), report published by the Royal College of Paediatrics and Child Health (RCPCH), assesses whether babies requiring specialist neonatal care receive consistent high quality treatment. It is an annual audit which this year assessed the care given to nearly 100,000 babies, with 98% of neonatal units responding. The report highlights progress on a number of audit measures including ensuring that babies' eyes were screened to minimise the risk of premature visual loss, maintaining a baby's temperature within the recommended range, and that parents received a timely consultation with a senior member of the neonatal unit team. There are also several examples cited in the report of regional neonatal networks making significant improvements in the year since the last audit. Access and waiting times in children and young people's mental health services This report from the Education Policy Institute (EPI) examines new data on access to specialist treatment for children and young people with mental health problems, and the waiting times they face. This new data was obtained by EPI through a Freedom of Information request.
Findings: This report shows that over a quarter of young people referred to specialist mental health services are not accepted for treatment. Little progress has been made in reducing the high proportion of young people who are not accepted into specialist services despite having been referred by a concerned GP or teacher. While in some areas good quality early intervention services are in place to help these young people, these are not consistently provided across the country. When referrals are accepted, young people in many areas are still waiting an unacceptably long time for treatment. The case for national waiting time standards to be put in place is therefore strong. Some progress is, however, being made in reducing waiting times to treatment, which may be due to the additional funding earmarked for children's mental health services.
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.
Health assets profile The Health Assets profile has been developed by Public Health England's Local Knowledge and Intelligence Service to support local authorities in assessing the level of health assets or protective factors that influence health in their area.
An asset based approach understands health as a positive dimension and focuses on the factors and solutions that lead to good health. These often lie within the resources of people and communities and the connections between them.
The asset approach complements the traditional deficit approach to health that focuses on needs and problems and the supply of professional-led services. Whilst important, a consequence of the deficit approach is an over-emphasis on illness rather than wellness, of seeing individuals as a burden, describing places as problem communities and delivering unsustainable service responses to 'fix problem places and people'. Indicators include: - GCSEs achieved (5A*-C including English & Maths)
- School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check
- School Readiness: the percentage of children achieving a good level of development at the end of reception
- Breastfeeding prevalence at 6-8 weeks after birth - current method
- Healthy life expectancy at birth (Male)
- Healthy life expectancy at birth (Female)
- People's access to woodland
Families and the labour market, England: 2017 This release from the Office for National Statistics focuses on how the employment of men and women aged 16 to 64 with children has changed over the past two decades and what the current picture looks like and gives a snapshot of the characteristics of parents currently in the labour market.
Findings: Mums with toddlers are more likely to undertake full-time work now than 20 years ago. But generally, women with young children still tend to take part-time work over full-time work. While more dads with young children work part-time now than in 1997, their rate of employment is not as affected by having children. Flexible working, parental leave, and the provision of free childcare have all had an impact on parental employment rates.
The Office for National Statistics article says 4.9 million women were working last year while looking after children - up 1.2 million since 1996. Back then, 62% of mothers with dependent children were in work, either full- or part-time. Now, 21 years on, the employment rate among this group of mothers in England has risen to 74%. There has been a particularly big jump in the employment rate among mothers with children aged three or four, from 56% to 65%. People who were abused as children are more likely to be abused as an adult The briefing looks at how individuals who were abused as a child are affected in later life, for example, looking at the likelihood of also experiencing domestic abuse as an adult, drug use, health and well-being. This new analysis is from the 2015/16 Crime Survey for England and Wales (CSEW) module from the Office for National Statistics. ONS have also published a set of associated tables, that go into more detail than the article. The next fortnightly update will also list research (journal articles) as well as the resources above. Research will no longer be included in every update.
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