** THE NEXT ISSUE OF THIS UPDATE WILL BE SENT OUT ON 19 APRIL 2018 ** 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. Cost-effectiveness and return on investment (ROI) of interventions associated with the Best Start in Life (Public Health England) A tool to help local commissioners provide cost-effective interventions for children aged up to 5 and pregnant women. The return on investment (ROI) tool is an interactive Excel sheet which pulls together the best economic evidence available on public health interventions aimed at young children (0-5 years), and/or pregnant women. Specifically included interventions look to increase breastfeeding uptake and prevent or treat postnatal depression. The ROI tool is accompanied by a user guide. Supporting sexual health commissioning (Public Health England) One of the key findings of the review of sexual health commissioning that Public Health England (PHE) published last August was that commissioners wanted further guidance on strategic planning and assessing need, designing and delivering interventions and monitoring and evaluation. So this week, PHE has published a new sexual health commissioning guidance page that brings together in one place a wide range of existing resources. This is the first in a series of blogs that explores each stage of the sexual health commissioning cycle, highlighting factors to consider and some new resources that have been produced to support the process. 'Be tick aware': toolkit for raising awareness of the potential risk posed by ticks and tick-borne disease in England (Public Health England) Toolkit and resources for local authorities and other stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease in England. Information from Public Health England about tick awareness and the tick surveillance scheme is also available. NHS public health functions agreement 2018 to 2019: public health functions to be exercised by NHS The NHS public health functions agreement sets out the arrangements under which the Secretary of State delegates responsibility to NHS England for certain public health services (known as Section 7A services). The services currently commissioned in this way are: national immunisation programmes; national cancer and non-cancer screening programmes; Child Health Information Services (CHIS); public health services for adults and children in secure and detained settings in England; sexual assault services (sexual assault referral centres). Beyond referrals: levers for addressing harmful sexual behaviour in schools (Contextual Safeguarding Network) The Contextual Safeguarding team, supported by Ofsted and the Care Quality Commission, have created a range of resources for schools, multi-agency partnerships and inspectorates for tackling harmful sexual behaviour in schools. There are resources for schools to assess their own response to harmful sexual behaviour. This includes a traffic-light tool for self- assessment, a series of 5 webinars that explain how to use the tool and an Excel spreadsheet to record the scores of self-assessment. Factsheet for schools: best practice for PE changing rooms (NSPCC) A factsheet providing guidance on best practice for PE changing rooms in primary schools. The guidance includes: what schools need to consider when organising changing facilities for children; staff supervision; changing areas for children with additional needs; and using off-site changing rooms. Positive environments where children can flourish: a guide for inspectors about physical intervention and restrictions of liberty (Ofsted) Guidance for inspectors about how to approach the use of physical intervention, restraint and restrictions of liberty in social care settings and schools. Tackling tuberculosis: local government's public health role (Local Government Association) This publication looks to address questions that councillors and officers in local government may have on tuberculosis (TB), its burden in the UK and what action they and local government can take to tackle TB. It has been produced by the Local Government Association and Public Health England (PHE) in consultation with local authority representatives. TB is more commonly found in deprived and vulnerable communities and local councils have a critical role to play in protecting the health of these populations and tackling TB. Free school meals: guidance for schools and local authorities (Department for Education) Guidance about free school meals and transitional protection arrangements for them under Universal Credit. Early education and childcare: statutory guidance for local authorities (Department for Education) Statutory guidance for local authorities on the provision of early education and childcare. On 21 March 2018 the document 'Early education and childcare: valid from 1 September 2017' was replaced with an updated version. EIF sector briefing: why reducing parental conflict matters for the NHS (Early Intervention Foundation) This Early Intervention Foundation sector briefing sets out how NHS and health-related commissioners and workforces can understand and address the risks to children associated with long-term, intense and poorly resolved conflict between parents. The briefing looks at: the impact of conflict between parents on children and young people; opportunities for the health workforce to intervene; the components of effective interventions; and the role of Local NHS leaders and commissioners in reducing the impact of parental conflict on children by integrating it within the wider system of family support for health and wellbeing. Newborn and infant physical examination programme standards valid for data collected from 1 April 2018 (Public Health England) Screening standards for the NHS newborn and infant physical examination screening programme. The government's mandate to NHS England for 2018-19 (Department of Health and Social Care) The mandate to NHS England sets out the government's objectives for NHS England, as well as its budget. The majority of these goals will be achieved in partnership with the Department of Health and Social Care, NHS Improvement and other health bodies such as Public Health England, Health Education England, the Care Quality Commission and NHS Digital. National evaluation of the Troubled Families Programme 2015 to 2020: interim findings (Ministry of Housing, Communities & Local Government) These reports outline interim findings from the evaluation of the Troubled Families Programme 2015 to 2020. The first provides an update on the progress made by the Troubled Families Programme in helping families tackle complex problems and enabling local authorities to provide more effective services. The second report outlines the key characteristics of troubled families and the problems they face on entry to the Troubled Families Programme, as well as progress analysis on children who need help. A press release explains more. Case study: The Channel programme (Home Office) Channel is a confidential, voluntary multi-agency safeguarding programme that supports people who are vulnerable to radicalisation. It is run in every local authority in England and Wales and addresses all types of extremism. It is about early intervention to protect vulnerable children and adults who might be susceptible to being radicalised, which, if left unsupported, could lead to involvement in terrorist-related activity. Supporting transgender and gender-diverse people: position statement (Royal College of Psychiatrists) The Royal College of Psychiatrists (RCPsych) has published a statement on Transgender people and mental health. Coinciding with the International Transgender Day of Visibility on Saturday 31 March, it makes a number of recommendations on how to support the wellbeing of transgender and gender diverse people who need to access mental health services. It also makes clear that there is no place for transgender and gender diversity to be classed as a mental health disorder in itself. The Government response to the 2017 Youth Select Committee report: a body confident future (Government Equalities Office) The British Youth Council's Youth Select Committee has received an official response from the Government about their report on body image and the impact it has on the well-being of children and young people. The response, which offers an answer to each of the Youth Select Committee's recommendations, makes a commitment to further understand body image in specific groups, including young men, LGBT+ community, ethnic minorities, and those with disabilities or serious illnesses, as part of their broader endeavour to better understand the causes and impact of body dissatisfaction. Good practice briefing: transforming the response to domestic abuse (AVA (Against Violence and Abuse)) This good practice briefing on the Domestic Abuse Bill consultation gives an overview of the consultation, detail of its key proposals and key points including proposal 5 recognising the harm domestic abuse inflicts on children. Consultation on the Bill closes on 31 May 2018. The future of the Social Mobility Commission. Second Report of Session 2017–19 (The House of Commons Education Committee) In December 2017, the Chair of the Social Mobility Commission resigned alongside his three fellow Commissioners. The Committee invited the former Commissioners to give evidence to discuss their reasons for resigning and the future of the Social Mobility Commission. Young people, internet use and wellbeing: a report series (South West Grid for Learning) This report looks at screentime and its role on young people's wellbeing. Findings from a survey of 6,620 young people aged 8 to 18 from more than 100 schools in the UK show: a link between the amount of time a young person spends online and their exposure to upset, risk, and issues related to wellbeing; many young people said "fear of missing out" is one of the main reasons they will spend too much time online. 11% of the young people surveyed said they spent more than 6 hours a day online, with males being more likely than females to be heavy online users. Water fluoridation: health monitoring report for England 2018 (Public Health England) This 2018 monitoring report compares data on the health of people living in areas of England with varying concentrations of fluoride in their drinking water supply. PHE, on behalf of the Secretary of State for Health and Social Care, has a legal duty to monitor the effects of water fluoridation schemes on health and report on it every 4 years. A PHE news article explains more about the report which indicates that water fluoridation helps reduce tooth decay and that there is no convincing evidence of adverse health effects. Children's Commissioner: business plan 2018-19 (Children's Commissioner for England) The Children's Commissioner's plans for the coming year. The mother behind the mask – Mothers in Mind's holistic community support model (Maternal Mental Health Alliance (MMHA)) This blog describes the Mothers in Mind community project (Gloucestershire) which sought to give a voice to those who have been affected by poor maternal mental health and to explore their experiences, both positive and negative, including what gaps they perceive in service provision and what should be improved. The project also aimed to address the issues of stigma and help to develop better pathways between IAPT (Improving Access to Psychological Therapies) services and local community support. The case for child health (Archives of Disease in Childhood) An overview of child health in the UK and the implications of poor child health. The human rights and dignity experience of disabled women during pregnancy, childbirth and early parenting (Birthrights) Research commissioned by Birthrights shows that disabled women are generally not receiving the individualised care and support they that they need to make choices about their maternity care. Improving health and care through the home (Public Health England) This blog from Public Health England outlines the importance of the right home environment to protect and improve health and wellbeing, and prevent physical and mental ill health. It includes information about the revised Improving health and care through the home: a national memorandum of understanding. We know that a safe, secure and healthy home is not available to everyone. For instance, about 1 in 6 families with children live in poor quality homes, which will have impacts on the children's long term physical and mental health and educational attainment. Crumbling futures: why vulnerable 16 and 17 year olds need more support as they move into adulthood (The Children's Society) Research by The Children's Society has found that many vulnerable 16 and 17 year olds need more support as they move into adulthood. The report focuses specifically on 16 and 17 year olds referred to children's services and assessed as being a child in need or who become subject of a child protection plan. National child sexual exploitation awareness day (Public Health England) This blog outlines the work of Public Health England (PHE) as part of its commitment to prevent and tackle CSE and support survivors and their families who are subjected to CSE. On 18th March it was National child sexual exploitation (CSE) awareness day. The day is now extended across the week to maximise awareness. CSE is a form of sexual abuse that involves the manipulation and/or coercion of young people under the age of 18 into sexual activity. Fathers and the workplace. First Report of Session 2017–19 (House of Commons Women and Equalities Committee) This report recommends that the Government reform workplace policies to support fathers to better balance their parental responsibilities and work and to ensure they meet the needs of the twenty-first century family. Fathers in particular want to be supported at work to take a more equal share of childcare when children are young. Recommendations are framed to balance the needs of fathers, mothers and employers. They are intended to help the Government to deliver its objectives of creating real change in the lives of fathers and mothers. International comparisons of health and wellbeing in early childhood (Nuffield Trust) This report presents data on health and wellbeing for early childhood in the UK and 14 comparable countries, recognising the particular influence that a child's development in this period can have on his or her future health and quality of life. It looks at key measures such as immunisation, birth weight, mortality rates, breastfeeding and obesity. The findings show that while the UK is doing well in many areas relating to the health of young children, on certain indicators the UK lags far behind similarly developed countries. In others, where once the UK led the field, the rate of improvement has slowed. 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: October to December 2016 (Office for National Statistics) Number of teenage pregnancies (conceptions to women aged under 18) by region and other local authority areas. Conceptions in England and Wales: 2016 (Office for National Statistics) Annual statistics on conceptions to residents of England and Wales; numbers and rates, by age group including women aged under 18 years. Individuals referred to and supported through the Prevent Programme, April 2016 to March 2017 (Home Office) This release contains statistics on the number of individuals referred to and supported through the Prevent Programme in England and Wales from April 2016 to March 2017. It includes their journey from referral to support, followed by demographic statistics, including: age, gender, concern raised by the initial referrer and geographical location of the individual. A Home office news story summarises the statistics, New figures show improved referrals to Prevent and a rise in far-right concerns. You can also read a case study of the Channel programme. Channel is a confidential, voluntary multi-agency safeguarding programme that supports people who are vulnerable to radicalisation. Children's well-being and social relationships, UK: 2018 (Office for National Statistics) How children aged 0 to 15 years in the UK are coping in a range of areas that matter to their quality of life, reflecting the circumstances of their lives and their own perspectives. Includes the latest data for the 31 measures of children's well-being, within seven domains, complementing the national measures of well-being. Pupil absence in schools in England: 2016 to 2017 (Department for Education) This release reports on pupil absence in primary and secondary schools in the 2016 to 2017 academic year. Statutory homelessness and homelessness prevention and relief, England: October to December 2017 (Ministry of Housing, Communities & Local Government) Data on households found to be homeless by local authorities under homelessness legislation. Family resources survey: financial year 2015/16 (Department for Work and Pensions) An annual report that provides facts and figures about the incomes and living circumstances of households and families in the UK. Parental responsibility measures: 2016 to 2017 academic year (Department for Education) Information on parental responsibility measures for attendance used by schools and local authorities to improve poor attendance in schools. Households below average income: 1994/95 to 2016/17 (Department for Work and Pensions) Statistics and commentary on living standards in UK households, as determined by disposable income. They include the number and percentage of people living in low-income households, and changes in income patterns over time. Mental health services monthly statistics: final Dec 2017, provisional Jan 2018 (NHS Digital) This publication provides statistics relating to NHS funded secondary mental health, learning disabilities and autism services in England. These statistics are derived from submissions made using version 2.0 of the Mental Health Services Dataset (MHSDS). 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. Chronic health conditions and school performance in first graders: a prospective cohort study (PLOS ONE) Children with chronic health conditions may perform poorer at school. Associations may be confounded by numerous social factors. This study aimed to estimate the effects of a chronic health condition on overall school performance in first graders with an emphasis on rigorous adjustment for potential confounders. The study concluded that chronic health conditions affect overall school performance early in primary school. To identify academically at-risk children, a chronic health condition identification based on special health care needs may be used. Relaxation of the one child policy and trends in caesarean section rates and birth outcomes in China between 2012 and 2016: observational study of nearly seven million health facility births (BMJ) The objective of this study was to examine how the relaxation of the one child policy and policies to reduce caesarean section rates might have affected trends over time in caesarean section rates and perinatal and pregnancy related mortality in China. It concluded that China is the only country that has succeeded in reverting the rising trends in caesarean sections. China's experience suggests that change is possible when strategies are comprehensive and deal with the system level factors that underpin overuse as well as the various incentives at work during a clinical encounter. Maternal thyroid function and child educational attainment: prospective cohort study (BMJ) This study aimed to determine if first trimester maternal thyroid dysfunction is a critical determinant of child scholastic performance and overall educational attainment. Receptivity to tobacco advertising and progression to tobacco use in youth and young adults (JAMA Pediatrics) This population-based study examines the association between advertising for tobacco products and later use of the products in adolescents and young adults. Vaccination patterns in children after autism spectrum disorder diagnosis and in their younger siblings (JAMA Pediatrics) This matched cohort study investigates if children after receiving an autism spectrum disorder diagnosis obtain their remaining scheduled vaccines and compares their vaccination patterns with those of younger siblings of children without autism spectrum disorder. The authors found that children with ASD and their younger siblings were undervaccinated compared with the general population. The results of this study suggest that children with ASD and their younger siblings are at increased risk of vaccine-preventable diseases. Universal school lunch programme closes a socioeconomic gap in fruit and vegetable intakes among school children in Japan (European Journal of Public Health) Universal school lunch programmes are expected to cover all children equally, compared with selective programmes that may stigmatize socially vulnerable children. However, the effectiveness of universal programmes in closing dietary disparity has not been empirically proven. The authors evaluated whether Japan's universal school lunch programmes contribute to a reduction in the socioeconomic status (SES)-related gradient in fruit and vegetable intakes. The study concluded that universal school lunch programmes can partially contribute to a reduction in the SES-related gradient in dietary intakes. The impact of hot food takeaways near schools in the UK on childhood obesity: a systematic review of the evidence (Journal of Public Health) Obesity is the greatest health issue for this generation; schools have improved food offered within their grounds. The built environment surrounding schools and pupils' journeys home have not received the same level of attention. This review identified papers on impacts of hot food takeaways surrounding schools in the UK. Association between adolescents' academic aspirations and expectations and mental health: a one-year follow-up study (European Journal of Public Health) Mental health problems among youth have increased in Sweden in recent decades, as has competition in higher education and the labour market. It is unknown whether the increasing emphasis put on educational achievement might negatively affect adolescents' mental health. The authors aimed to investigate the relationship between adolescents' academic aspirations and expectations and the risk of mental health problems. Early regulation in children who are later diagnosed with autism spectrum disorder. A longitudinal study within the Danish national birth cohort (Infant Mental Health Journal) Studies have shown that children later diagnosed with autism spectrum disorders (ASD) in their first years of life might show symptoms in main developmental areas and that these signs might be sensed by the parents. The present study investigated in a large birth cohort if children later diagnosed with ASD had deviations at 6 and 18 months in areas such as the ability to self‐regulate emotions, feeding, and sleeping. Attachment in infants with cleft lip and/or palate: marginal security and its changes over time (Infant Mental Health Journal) This study examines the attachment quality and how this changed over time among infants who had cleft lip and palate (CLP), by conducting a prospective longitudinal study addressing the effects of this type of perinatal event on the parent–infant relationship and the emotional development of the infants. Early parenting support and information: a consumer perspective (Infant Mental Health Journal) This study takes a consumer‐focused approach to examine the needs and preferences of parents both prenatally and postnatally for parenting support. The implications for developing interventions and engaging families are discussed. Hormonal contraception increases the risk of psychotropic drug use in adolescent girls but not in adults: a pharmacoepidemiological study on 800 000 Swedish women (PLOS ONE) The burden of depression and anxiety disorders is greater in women, and female sex hormones have been shown to affect mood. Psychological side effects of hormonal contraception are also a common complaint in the clinic, but few previous studies have investigated this subject. The authors therefore wanted to investigate whether use of hormonal contraception was associated with adverse psychological health outcomes, and whether this association was modified by age. Pregnant women sharing pregnancy-related information on Facebook: web-based survey study (Journal of Medical Internet Research) The aim of this study was to address a gap in the literature by exploring the use of Facebook by pregnant women. Specifically, the study examined the use of Facebook to share pregnancy-related information, as well as any association between prenatal attachment and the aforementioned aspects of sharing pregnancy-related information on Facebook. Parental adverse childhood experiences and offspring development at 2 years of age (Pediatrics) The study objective was to determine if maternal and paternal exposure to adverse childhood experiences (ACEs) have a significant association with negative offspring development at 24 months of age in a suburban pediatric primary care population. Maternal adverse childhood experiences and infant development (Pediatrics) The objectives of this study was to examine the prenatal and postnatal mechanisms by which maternal adverse childhood experiences (ACEs) predict the early development of their offspring, specifically via biological (maternal health risk in pregnancy, infant health risk at birth) and psychosocial risk (maternal stress during and after pregnancy, as well as hostile behavior in early infancy). Parental adverse childhood experiences and resilience on coping after discharge (Pediatrics) Adults with a history of adverse childhood experiences (ACEs) (eg, abuse) have suboptimal health outcomes. Resilience may blunt this effect. The effect of parental ACEs (and resilience) on coping with challenges involving their children (eg. hospitalization) is unclear. The authors sought to quantify ACE and resilience scores for parents of hospitalized children and evaluate their associations to parental coping after discharge. Cognitive trajectories from infancy to early adulthood following birth before 26 weeks of gestation: a prospective, population-based cohort study (Archives of Disease in Childhood) The objective of this study was to determine the trajectory of cognitive test scores from infancy to adulthood in individuals born extremely preterm compared with term-born individuals. Increasing admissions to paediatric intensive care units in England and Wales: more than just rising a birth rate (Archives of Disease in Childhood) The objective of this study was to determine the number of individual children admitted to Paediatric Intensive Care Units (PICUs) in England and Wales between 2004 and 2013 and to investigate potential factors for any change over time, including ethnicity. Early academic achievement in children with isolated clefts: a population-based study in England (Archives of Disease in Childhood) The authors used national data to study differences in academic achievement between 5-year-old children with an isolated oral cleft and the general population. They also assessed differences by cleft type. Compared with national average, 5-year-old children with an isolated oral cleft, especially those involving the palate, have significantly poorer academic achievement across all areas of learning. These outcomes reflect results of modern surgical techniques and multidisciplinary approach. Children with a cleft may benefit from extra academic support when starting school. Why do so few low and middle-income children attend a grammar school? New evidence from the Millennium Cohort Study (UCL Institute of Education) In this paper the authors consider the mechanisms that are likely to drive the relationship between household income and grammar school entrance rates. Presenting new evidence for England and Northern Ireland, the authors find stark differences in grammar school entrance rates according to family income. Although differences in prior academic achievement can partly explain these gaps, other key factors, such as private tuition, also play an important role. The Nuffield Foundation summarise the research in their article, Children from rich families much more likely to secure grammar school places as they reap rewards from private tutoring. Bedtime routines child wellbeing & development (BMC Public Health) Bedtime routines have shown important associations with areas associated with child wellbeing and development. Research into bedtime routines is limited with studies mainly focusing on quality of sleep. The objectives of the present study were to examine the relationship between bedtime routines and a variety of factors associated with child wellbeing and to examine possible determinants of bedtime routines. Ahead of the game protocol: a multi-component, community sport-based program targeting prevention, promotion and early intervention for mental health among adolescent males (BMC Public Health) The overall goal of the Ahead of the Game program is to test a comprehensive multi-level, multi-component intervention delivered in community sporting clubs with three primary aims: (1) increase mental health literacy among adolescents and their social support systems; (2) increase help-seeking intentions and attitudes among adolescent male sport participants; and, (3) increase resilience and factors which prevent the onset on mental health problems, including wellbeing and self-determined motivation. Adolescent oral sex and condom use: how much should we worry and what can we do? Editorial (Journal of Adolescent Health) Despite oral sex being the most prevalent form of adolescent sexual behavior, most research, health messages, and prevention efforts in reproductive health focus predominately on vaginal intercourse including pregnancy and STI prevention. More importantly, adolescents continue to receive limited education about oral sex, including the possible risk of STIs including HIV. They also receive little information about the social and emotional outcomes that can result from engaging in oral sex. Girls' sleep trajectories across the pubertal transition: emerging racial/ethnic differences (Journal of Adolescent Health) This study aims to examine the longitudinal association between puberty and sleep in a diverse sample of girls and explore racial/ethnic differences in this association. Sleep is essential for many aspects of youth development, including emotional, cognitive, and physical functioning. Developmental changes associated with puberty may put some early maturing girls at risk of shorter sleep duration in adolescence and exacerbate racial/ethnic disparities in health and well-being. Socioeconomic inequalities in childhood and adolescent body-mass index, weight, and height from 1953 to 2015: an analysis of four longitudinal, observational, British birth cohort studies (The Lancet Public Health) In the study, the authors aimed to examine trends in socioeconomic inequalities in BMI, weight, and height across childhood to adolescence using data from four British birth cohort studies, enabling a long-run comparison from 1953 to 2015. They hypothesised that socioeconomically disadvantaged groups had lower bodyweight and shorter height than socioeconomically advantaged groups born in the mid-to-late 20th century; among those born in the early 21st century, they hypothesised that differences in bodyweight would have reversed and that height differences would be narrower. The Royal College of Paediatrics & Child Health (RCPCH) responded to the study in their item, Socioeconomic inequalities in children's weight reversed in the UK between 1953 and 2015. A systematic review of economic evaluations of local authority commissioned preventative public health interventions in overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation in the United Kingdom (Journal of Public Health) Since 2013, local authorities in England have been responsible for commissioning preventative public health interventions. The aim of this systematic review was to support commissioning by collating published data on economic evaluations and modelling of local authority commissioned public health preventative interventions in the UK. Consultation on the UK nutrient profiling model 2018 review (Public Health England) Public Health England (PHE) was asked by the Department of Health and Social Care to review the UK Nutrient Profiling Model to bring it in line with current UK dietary recommendations. The review included developing a modified Nutrient Profiling Model (draft 2018 NPM) - the model that differentiates which food and drink products can be advertised during programming where children make up more than a quarter of the audience. This consultation seeks your views on the modifications made to the UK Nutrient Profiling Model, specifically its alignment with current UK dietary recommendations. Closing date: 9:30am on 15 June 2018. PHE explains more in its news story. Review of post-18 education and funding: call for evidence (Department for Education) The independent panel supporting the Government's review of post-18 education and funding invites interested individuals and organisations to submit evidence to inform its work. Closing date: 2 May 2018.
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