Alison Hadley Director Teenage Pregnancy Knowledge Exchange University of Bedfordshire

Alison Hadley

Director

Teenage Pregnancy Knowledge Exchange

University of Bedfordshire

[email protected]

Reducing teenage pregnancy and improving sexual health of disadvantaged young people?

What are the statutory duties and benefits to Local Authorities?

Reaching disadvantaged young people: aan overarching statutory duty

▪ A new statutory duty for Local Government, shared by the NHS, the NHSCB and the Secretary of State to reduce inequalities in health when they undertake their public health responsibilities in 2013.

▪ Health and Social Care Act. 2012

Teenage pregnancy: an illustration of inter-connected and generational inequalities

• 11% of all young people who are not in education, employment or training (NEET) are teenage mothers or pregnant teenagers

• 20% of teenage parents are more likely to have no qualifications at age 30

• 22% are more likely to be living in poverty at 30, and much less likely to be employed or living with a partner

• Teenage parents have 3 times the rate of post-natal depression – and a higher risk of poor mental health for up to three years after birth

• Children of teenage mothers have a 63% increased risk of child poverty – and adult unemployment/low income and are more likely to have childhood accidents and behavioural problems

• 3 times more likely to smoke throughout their pregnancy, and 50% less likely to breastfeed

• 21% higher risk of pre-term birth and 93% higher for second births -25% higher risk of low weight babies

• The infant mortality rate for babies born to teenage mothers is 60% higher

Progress on teenage pregnancy will impact on at least 20% of the PHOF indicators

▪Under 18 conception rate

▪Chlamydia diagnosis (15-24)

▪ Sexual violence

▪ Children in poverty

▪ Child development at 2-2.5 years

▪ School readiness

▪ Pupil absence

▪ Rates of adolescents not in education, employment or training (NEET)

▪ Proportion of people in long term unemployment

▪ Infant mortality rate

▪ Incidence of low birth weight of term babies

▪ Maternal smoking prevalence (including during pregnancy)

▪ Breastfeeding initiation and prevalence at 6-8 weeks

▪ Hospital admissions caused by unintentional and deliberate injuries to under 5s

Other statutory duties and relevant priorities

Child Poverty Strategy: statutory duty on local government to undertake a needs assessment and have a plan to reduce child poverty

Raising the Participation Age: a statutory duty on local government to support all young people to participate in education/training until the end of the academic year in which they turn 17, from summer 2013 and until their 18th birthday from summer 2015; and identify young people not participating

Looked After Children: statutory duty to promote the educational achievement of LAC

Child Sexual Exploitation Action Plan: Recommendation for Local Safeguarding Children Boards to put in place a robust preventative strategy for CSE

Ending gangs and serious youth violence – 29 areas receiving Home Office funding & 13 young people sexual violence advocates

Troubled Families Programme:- all LAs involved in appointing a TF coordinator, identifying the families and coordinating multi-agency intensive support

Levers on schools...

New Ofsted Inspection Framework: i) achievement ii) quality of teaching iii) quality of leadership and management iv) behaviour and safety of pupils

Contribution of PSHE to behaviour and wellbeing: PSHE Association briefing

Ofsted criteria for judging quality of PSHE

http://www.pshe-association.org.uk/news_detail.aspx?ID=1242

▪

Pupil destination measures – a new measure to be included in school performance tables from summer 2013

Using local data to make the case: conceptions in the school year (Sandwell)Sandwell PCT combined birth data from the child health system with data from local abortion providers to identify timing of teenage conceptions during the school year

0

20

40

60

80

100

120

140

09~01

09~04

09~07

09~10

10~01

10~04

10~07

10~10

11~01

11~04

11~07

11~10

12~01

12~04

12~07

12~10

13~01

13~04

13~07

13~10

14~01

14~04

14~07

14~10

Abortions

Births

End of year 11

0

20

40

60

80

100

120

140

09~01

09~04

09~07

09~10

10~01

10~04

10~07

10~10

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11~04

11~07

11~10

12~01

12~04

12~07

12~10

13~01

13~04

13~07

13~10

14~01

14~04

14~07

14~10

Abortions

Births

End of year 11

Results showed increasing conception rates (especially those leading to birth)in months after end of year 11

Mapping the services and practitioners supporting young peopleUnder-18 conception rates (02-04) & secondary schools in Leeds

Barw ick and Kippax

Halton

Cookridge

BramleyPudsey North

Weetw ood

Kirkstall

Pudsey South

Wortley

City &Holbeck Richmond

Hill

Moortow n

Garforth &Sw illington

Morley South

Morley North

Bingley Rural

Thornton

Wyke

Brighouse

Rastrick

Tow n

Cleckheaton

Deighton

Heckmondw ike

Mirf ield

Spen

Thornhill

Aireborough

Armley

Beeston

Burmantofts

Chapel Allerton

HarehillsHeadingley

Horsforth

Hunslet

Middleton

NorthOtley and Wharfedale

Rothw ell

Roundhay

Seacroft

University

Wetherby

Whinmoor

Pannal

Caw ood w ith Wistow

Whitley

Bradford

Calderdale

Kirklees

Wakefield

Harrogate

Selby

Ward under-18 conception ratesper1000, 2002-04

Over 6050 to 6040 to 5030 to 40Under 30

The benefits of joint working to reach disadvantaged groups...

▪ Moves prevention upstream and promotes early intervention

▪ Strengthens care pathways for vulnerable young people into sexual health – and other support services - services

▪ Contributes to a range of inequality measures

...and makes maximum use of limited resources

Links to data and further information

Reviewing progress on conception data (including trends on maternity and abortion)

http://www.education.gov.uk/childrenandyoungpeople/healthandwellbeing/teenagepregnancy/a0064898/under-18-and-under-16-conception-statistics

Connecting to other relevant data

ChiMat Teenage Pregnancy Snapshot Reports and Child Health Profiles: including other relevant LA data e.g. on NEET, secondary school exclusions, alcohol related hospital admissions, infant mortality.

http://atlas.chimat.org.uk/IAS/profiles/servicereports

www.chimat.org.uk/profiles

Link to list of all LA statutory duties on children and young people:

http://www.education.gov.uk/childrenandyoungpeople/strategy/a00198443/statutory-duties-of-local-authorities

University of Bedfordshire 13

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