Wednesday, November 1, 2017

Child and maternal health and wellbeing knowledge update

Child and Maternal Health Knowledge Update

 

 

Child and maternal health and wellbeing knowledge update
1 November 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.
 
You can follow us on Twitter @PHE_uk
 

National Child and Maternal Health Intelligence Network news


Updated ward-level child and maternal health data available

PHE's Local Health tool was updated on 12 October, including updates to indicators relating to the health of mothers, children and young people. These are available for a range of geographical areas including ward and middle layer super output area (MSOA). The Public Health Outcome Framework (PHOF) indicator 2.01: low birth weight of term babies has been included for the first time.

 

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

Child vision screening

Vision screening for 4 to 5 year old children is recommended by the UK National Screening Committee and is the responsibility of local authorities as part of the healthy child programme. Public Heath England has developed a set of national resources to support the commissioning and delivery of high quality, consistent services. These include: service specification; screening competencies; teacher information sheets; screening pathway; diagnostic pathway; and template letters.

Newborn blood spot screening: failsafe solution user guide

Newborn blood spot screening failsafe solution (NBSFS) minimises the risk of babies missing, or having delayed, newborn blood spot (NBS) screening. This guide from Public Health England explains how to use the NBSFS.

Guidelines for the public health management of scarlet fever outbreaks in schools, nurseries and other childcare settings

Interim guidelines from Public Health England to help health protection teams control outbreaks of scarlet fever in schools, nurseries and other childcare settings.

High needs strategic planning fund

These documents from the Department for Education provide local authorities with: details about high needs strategic planning fund allocations for 2016 to 2017, how to use it, and how the money has been paid; and a benchmarking tool to help compare high needs provision and spending between local authorities. High needs funding is funding for children and young people with special educational needs or disabilities (SEND) who need extra support at school or college, or for those in alternative provision. Alternative provision is for children who can't go to a mainstream school.

Improving healthcare access for people with learning disabilities

This guidance from Public Health England is for social care staff and provides information on how to help people with learning disabilities get better access to medical services to improve their health.

Post-16 transport to education and training: statutory guidance for local authorities

This statutory guidance from the Department for Education is for local authorities on supplying transport to students and trainees aged 16 to 18.

Women's health: migrant health guide

Advice and guidance from Public Health England on the health needs of migrant patients for healthcare practitioners.

Children's health: migrant health guide

Advice and guidance from Public Health England on the health needs of migrant patients for healthcare practitioners.

Guidance for the implementation of changes to police powers and places of safety provisions in the mental health act 1983

Guidance from the Department of Health and the Home Office on putting into practice changes to the provisions on police powers and places of safety, in the Mental Health Act 1983. The changes relate to police powers to act in respect of people experiencing a mental health crisis. The intention is to ensure their care and safety. The document will be of particular interest to: police forces; mental health services; clinical commissioning groups; and ambulance services. There is specific reference to children and young people aged under 18 years.

Concordat on children in custody: preventing the detention of children in police stations following charge

This statutory guidance from the Home Office is for police forces and local authorities in England and sets out their responsibilities towards children in custody. It has been produced to address long-standing problems in the transfer of children from police custody to local authority accommodation, which is a requirement under the Police and Criminal Evidence Act 1984 and the Children Act 1989.

 

Reports

Why the role of the health visitor helps give every child the best start in life

The role that health visitors play in children's health outcomes has been reinforced by a news-style report programme. The programme was developed by the Institute of Health Visiting (iHV) in collaboration with a partnership between the Royal Society for Public Health (RSPH) and ITN Productions. It details the breadth of challenges health visitors respond to and the skill required to do so. These include supporting families facing issues ranging from poverty and housing to domestic violence and postnatal depression. Health visitors' key role is to ensure every child receives the best possible start in life. The programme forms part of 'The Public's Health Across The Life Course' series, coordinated by the Royal Society for Public Health (RSPH) and produced by ITN Productions. The series brings to life the journey from cradle to grave and the key public health professionals who make a difference in that period.

Review of children and young people's mental health services: phase one report

This report from the Care Quality Commission (CQC)  looks at the quality and accessibility of mental health services for children and young people. It summarises the current state of knowledge from across a range of sources. The report confirms many of the issues raised in the Five year forward view for mental health published in 2016 and in particular, comments on the difficulties children and young people face in accessing appropriate support for their mental health concerns from a system that is fragmented and where services vary in quality. The findings in this phase one report will inform the Government's Green Paper on children and young people's mental health. During phase two of the thematic review, CQC will undertake fieldwork to identify what helps local services to achieve, or hinders them from achieving, improvements in the quality of mental health services for children and young people.

Suicide prevention planning guidance – one year on

This Public Health Matters blog post from Public Health England looks at progress made since the suicide prevention planning guidance was published one year ago. It describes and links to a number of related resources including a suite of case studies, films and guidance, recently published with the National Suicide Prevention Alliance (NSPA) to help local authority public health teams to develop local suicide prevention plans.

Brief behavioural therapy for children and adolescents with anxiety and depression

This Mental elf blog looks at a recent randomised control trial of brief behavioural therapy for paediatric anxiety and depression in primary care. The trial aimed to examine the clinical outcomes of a transdiagnostic behavioural intervention targeting anxiety and depression in children and adolescents, compared with referral to outpatient community mental health care. The intervention was specifically designed to be simple, and delivered in a primary care setting, thus attempting to remove some barriers to treatment.

Children and young people's mental health – the role of education: government response to the First joint report of the Education and Health Committees of session 2016–17

In May 2017, two Commons Select Committees published a joint report which examined key issues relating to children and young people's mental health across education and health care. Issues included well-being in schools and colleges, mental health training for teachers, partnerships between schools and colleges and mental health service providers and the impact of social media on the wellbeing of young people. This report outlines the government's response to the recommendations arising in the original inquiry report.

Worrying rise in reports of self-harm among teenage girls in UK

"Steep rise in self-harm among teenage girls," BBC News reports. This follows a UK study that used reliable national databases to look at trends in reports of self-harm among young people aged 10 to 19 since 2001. It found annual rates of self-harm of 37 per 10,000 girls and 12.3 per 10,000 boys. This NHS Choices article provides an analysis of the study.

Perinatal mental health in Wales

This report from the Children, Young People and Education Committee in Wales contains 27 recommendations and the authors have highlighted the need for the Welsh Government to undertake a public awareness campaign to improve understanding of perinatal mental health conditions and their symptoms across Wales. They have also called on the Welsh Government to work with the relevant professional bodies to ensure that perinatal mental health becomes a core part of the training and continuous professional development of all healthcare professionals likely to come into contact with pre- and postnatal women.  

Fathers with learning disabilities and their experiences of adult social care services

This report presents research funded by the National Institute for Health Research (NIHR) School for Social Care Research (SSCR) which set out to gain insight into learning disabled men's experiences of being fathers, and of accessing adult social care services. It also sought to investigate how adult social care practitioners provide services to learning disabled fathers – including joint working with children's services colleagues – and how practice can be improved. The study found that the lack of support for fathers with learning disabilities exacerbated stresses they experienced around parenthood, in some cases contributing to serious mental illness. Learning-disabled fathers need to be much better included in family-focused social care practice in order for their needs to be met and their children to flourish, the study concluded. It recommended that adult social care services identify fathers at the point of referral and discuss with them how to best support them with the practicalities of parenthood.

Not alone anymore: Childline annual review 2016/17

This report from the NSPCC explores what children and young people are telling Childline during counselling sessions. It looks at who is contacting Childline, why, when and how. It focuses on 3 key areas: anxiety; suicidal thoughts and feelings; what children who are d/Deaf, disabled or have a health condition are talking to Childline about. It also highlights strategies that young people tell Childline they find helpful when coping with challenges.

What do children and young people tell Childline?

This NSPCC blog post explains why qualitative and quantitative data about Childline's counselling sessions is important and what we can learn from it and how it can be used to shape services for children and young people.

The future of family services

This report from the Family and Childcare Trust is based on research led by four trained groups of parent researchers from across the country who spoke to nearly 500 parents to understand what families need and want from early years services. Parents said they most value services where they could take part in activities with their child, such as stay and play groups. These were seen as opportunities for children to develop and for parents to learn new skills and strengthen their sense of community.

Off the radar: Shining a light on children whose rights and welfare are at risk

This report from the National Children's Bureau (NCB) sheds light on the challenges facing children and families, particularly those with multiple disadvantages. It also sets out how NCB is addressing these challenges, and the wider changes they want to see.

Education, health and care plans: our first 100 investigations. Focus Report: learning lessons from complaints

Families of children with special educational needs are sometimes facing a "disproportionate burden" to ensure they get the support they need, according to a report issued by the Local Government and Social Care Ombudsman. The report looks at the common issues seen by the Ombudsman in its first 100 investigations into complaints about the new Education Health and Care (EHC) Plans, which were introduced in 2014 to replace Statements of Special Educational Needs (SEN).

Public health: everyone's business?

This is the second report in the Provider Voices series. It uses 12 interviews with health leaders from a range of trusts and other parts of the service to help gain a better understanding of NHS providers' role in shaping and delivering public health and care.

Report of the independent review of deaths and serious incidents in police custody

The Home Office has published the independent review into serious incidents and deaths in custody. The review includes a section on children and young people who come into contact with the police. Recommendations include: adequate funding must be made available for local authority overnight secure accommodation of children in police custody; police training and inspection should focus on utilising non-secure accommodation for children other than in exceptional circumstances; the use of police custody for children and young people detained on the basis of mental health concerns should be brought to an end.  A review of international research on deaths in or following police custody, and apparent suicides following police custody, carried out to support the independent review has also been published. The government response to the report is also available.

Screening quality assurance: local visit reports

The screening quality assurance service (SQAS) led by Public Health England publishes executive summaries from local screening quality assurance (QA) visit reports. Includes local screening QA visit observations and recommendations.

Sickle cell and thalassaemia counselling course increases knowledge and confidence

In this PHE screening blog post from Public Health England, a local screening coordinator describes her positive experience of undertaking a sickle cell and thalassaemia genetic risk and counselling course. Bursaries are available for the next course in 2018.

 

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.


Serious incident notifications from local authority children's services 2016 to 2017

Statistics, published by Ofsted, covering notifications from local authority children's services about incidents that affect children under 18, including incidents of serious harm and deaths.

Pupil absence in schools in England: autumn 2016 and spring 2017

This release from the Department for Education reports on pupil absence in primary and secondary schools in the autumn and spring terms of the 2016 to 2017 academic year.

Analysis of trends in first time entrants to the youth justice system

Over a 10 year period, there have been substantial changes in the number of young people entering the youth justice system for the first time (FTEs). This study, commissioned by the Ministry of Justice, aimed to address questions on the possible societal, policy or practice drivers and factors associated with the changes in the number of FTEs. Analysis also explored the changes to the FTE 'case mix' over time, and proven reoffending outcomes.

Using family court data to explore links between adverse family experiences and proven youth offending. Analytical summary 2017

This report from the Ministry of Justice presents results from the first analysis of linked family court and proven offending data. It has a specific focus on children that have been named in a public law case, where the local authority has intervened to protect their welfare. It is intended to make a contribution to existing evidence about the extent to which adverse family experiences such as child abuse and neglect, and the experience of the family justice system are associated with the likelihood of offending.

Mental health services monthly statistics: final July, provisional August 2017

This series from NHS Digital has replaced the Monthly MHLDS reports. The scope has been broadened to include children and young people's mental health services and restructured to support waiting time measurement for specific services. This edition includes further exploratory analysis of women in contact with mental health services who were new or expectant mothers between October 2016 and March 2017. This month includes the report on final data for July.

Learning disability services monthly statistics commissioner census (assuring transformation), September 2017, provisional statistics

This statistical release published by NHS Digital makes available the most recent data relating to patients with learning disabilities and/or autistic spectrum disorder receiving inpatient care commissioned by the NHS in England.

Vaccine uptake guidance and the latest coverage data

This collection of resources from Public Health England brings together data and reports for England on the coverage of vaccinations offered under the national immunisation programme, including for protection against: influenza; human papillomavirus (HPV); rotavirus; pertussis for pregnant women; and shingles.

Levels and trends in child mortality: report 2017

This report from UNICEF and its partners in the Inter-Agency Group for Child Mortality Estimation (IGME), shows the scope of child and newborn mortality across the world. In addition to global estimates for under-five, infant and newborn mortality, the report for the first time contains estimates on mortality among children aged 5-14. The data reveals that although the number of children dying before the age of five is at a new low– 5.6 million in 2016, compared with nearly 9.9 million in 2000 – the proportion of under-five deaths in the newborn period has increased from 41 per cent to 46 per cent during the same period.

National child measurement programme, England 2016/17 school year

The latest data from National Child Measurement Programme (NCMP) overseen by Public Health England (PHE), shows the number of obese children in reception year has risen for the second consecutive year – to 9.6% in the 2016 to 2017 school year, up from 9.3% in 2015 to 2016. For year 6 children, it has remained stable at 20%. These findings also show a stubborn gap between the richest and poorest. In the most deprived areas, 12.7% of children in reception year are obese, compared to 5.8% in the least deprived. Obesity in year 6 is 26.3% in the most deprived areas, compared to 11.4% in the least deprived. NHS Digital Provides high-level analysis of the prevalence of 'underweight', 'healthy weight', 'overweight' and 'obese' children, in Reception (aged 4–5 years) and Year 6 (aged 10–11 years), measured in state schools in England in the school year.

Child obesity and excess weight: small area level data

Trend data from the National Child Measurement Programme (NCMP), published by Public Health England (PHE), showing prevalence of excess weight and obesity in children at small area level.

Fetal anomaly screening programme: standards data report

This report from Public Health England presents annual data from the Fetal anomaly screening programme (FASP) providing information on performance against national standards.

12 week maternal assessment for Q4 2016/17 and annual data 2016/17

This release from NHS England reports on the number and proportion of women seen and assessed by a healthcare professional within 12 weeks and 6 days of their maternity and the number and proportion of mothers' who have initiated or not initiated breastfeeding.

Reported road casualties Great Britain, provisional estimates: April to June 2017

This report from the Department for Transport presents personal injury accident statistics on public roads in Great Britain for the year ending June 2017. It includes information about child casualties.

 

Research

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.


Consultations

Evidence-based early-years intervention inquiry

The Science and Technology Committee will examine the strength of the evidence linking adverse childhood experiences with long-term negative outcomes, the evidence base for related interventions, whether evidence is being used effectively in policy-making, and the support and oversight for research into this area. You can submit written evidence through the evidence-based early-years intervention inquiry page. The Committee would welcome written submissions by 8 December 2017 on current research into 'adverse childhood experiences', the extent of the evidence linking them to negative outcomes in later life and relevant educational, social and health interventions, as well as the extent to which this research is supported and used by Government.

Working together to safeguard children: revisions to statutory guidance

The Department for Education invites views on: significant revisions to Working together to safeguard children, the statutory guidance on what's expected of organisations to safeguard and promote the welfare of children; and two sets of statutory instruments (regulations) needed to support the new arrangements. The consultation closes on 31 December 2017.

Improving access to social housing for victims of domestic abuse: consultation

The Department for Communities and Local Government is seeking views on proposals for new statutory guidance to local authorities to assist victims of domestic abuse in refuges, and other forms of safe temporary accommodation, to access social housing. The consultation will be open until 5 January 2018. The guidance comes during Domestic Violence Awareness Month, and is one of a number of measures the government has introduced to ensure that those who have to flee their homes due to violence have the specialist support they need to rebuild their lives. These include plans to introduce a new landmark Domestic Violence and Abuse Bill to protect and support victims, recognise the life-long impact domestic abuse has on children and make sure agencies effectively respond to domestic abuse.

Scottish Government: A healthier future - action and ambitions on diet, activity and healthy weight

This consultation document from the Scottish Government proposes a range of actions to improve diet and weight in Scotland.  It draws on experience of implementing the Obesity Route Map, the learning from tackling other public health challenges such as alcohol use and smoking, and a growing body of evidence on the action necessary to improve the health of the whole population. The consultation closes on 31 January 2018.



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