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ADD SCHOOL NAME School Health Profile

School Health Profilefor

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Contents

Demography................................................................................................................................................................................................................................ 3Wealden primary schools and wards....................................................................................................................................................................................... 4Primary schools, wards and income deprivation affecting children.....................................................................................................................................5Wealden secondary schools and wards..................................................................................................................................................................................6East Sussex special schools and pupil referral units.............................................................................................................................................................7Summary of key statistics for ADD SCHOOL NAME........................................................................................................................................................8Summary findings from Whole School Review process for ADD SCHOOL NAME..................................................................................................9Pupils who have English as an Additional Language..........................................................................................................................................................10Pupil Premium........................................................................................................................................................................................................................... 12Pupils with Special Educational Needs and Disabilities (SEND)........................................................................................................................................13Attainment Early Years Foundation Stage............................................................................................................................................................................14Attainment Key Stage 2........................................................................................................................................................................................................... 15Attainment GCSE Key Stage 4............................................................................................................................................................................................... 16Immunisations........................................................................................................................................................................................................................... 17Healthy Weight (Primary)......................................................................................................................................................................................................... 18Healthy Weight (Secondary)................................................................................................................................................................................................... 20Diet (Secondary)....................................................................................................................................................................................................................... 22Physical Activity and Travel to School...................................................................................................................................................................................23Oral Health................................................................................................................................................................................................................................. 26Accidents and Injuries.............................................................................................................................................................................................................. 27Emotional Health and Well-Being........................................................................................................................................................................................... 28Sexual Health............................................................................................................................................................................................................................ 32References................................................................................................................................................................................................................................. 35Appendix (data for further education): Chlamydia detection, 15-24 year olds..................................................................................................................38Appendix (data for further education): Self-harm A&E attendances and hospital admissions, 16-19 year olds..........................................................40Appendix (data for further education): A&E attendances due to assaults, 16-19 year olds...........................................................................................41Appendix (data for further education): Hospital admissions due to substance misuse, 15-24 year olds......................................................................42

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Demography

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The East Sussex School Health profile supports 64 Schools in the district of Wealden

6 Secondary Schools 11 – 16 years 54 Primary Schools 5 – 11 years 1 Infant school 2 Special Schools 3 sixth form colleges 16 – 19 years

Key statistics would indicate:

Wealden is the largest district in East Sussex with approximately 152,578 residents.

Wealden ranks 285 out of 326 local authorities in England (1=most deprived) in terms of the average level of income deprivation affecting children across the district (IMD 2015).

Approximately 2600 children live in families affected by income deprivation (ESIF 2015).

The percentage of children who speak English as an Additional Language is significantly lower in Wealden compared to East Sussex average.

The percentage of children entitled to receive the Pupil Premium is significantly lower in Wealden compared to East Sussex average.

The percentage of children recorded from black or minority ethnic backgrounds is significantly lower than the East Sussex average.

The percentage of pupils with an education and health care plan or special educational needs or disabilities is similar to the East Sussex average. In Wealden more children travelled to school by car, taxi or van in 2014 than the East Sussex average

Wealden has significantly more pupils that achieve a good level of development by the end of the Reception year than the England average.

In Wealden the prevalence of obesity in reception year children is significantly better than the East Sussex average.

In Wealden for the period 2010/11 – 2013/13, 94% of deliberate harm admissions in 12 – 17 year olds were due to deliberate self-harm (ESCC 2014b).


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Wealden primary schools and wards

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Primary schools, wards and income deprivation affecting children

6


Wealden secondary schools and wards

7


East Sussex special schools and pupil referral units

8


Summary of key statistics for ADD SCHOOL NAME

Key Statistics for ADD SCHOOL NAME indicate:

SUMMARISE KEY STATISTICS FROM DATA TABLES BELOW – SEE COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

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Summary findings from Whole School Review process for ADD SCHOOL NAME

Key findings for ADD SCHOOL NAME indicate:

SUMMARISE KEY FINDINGS FROM CONSULTATION WITH CHLDREN AND YOUNG PEOPLE, PARENTS AND CARERS, SCHOOL STAFF - SEE COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

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Pupils who have English as an Additional Language

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‘Pupils learning English as an additional language (EAL) share many common characteristics with pupils whose first language is English. However, their learning experience differs because they are learning in and through another language and because they may come from cultural backgrounds and communities that have different understandings and expectations of education, language and learning’ (DfE 2011)

East Sussex resident children attending all East Sussex state maintained schools, Source: School Census Jan 2015.

The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that

have English as an Additional Language is 5.4%.

Wealden has a significantly lower percentage of East Sussex resident children attending an East Sussex state

maintained school that has English as an Additional Language than the East Sussex average

ADD APPROPRIATE WARD/SCHOOL LEVEL SUMMARY SENTENCE – SEE COMPLETED SCHOOL HEALTH

PROFILE EXAMPLE

East Sussex 5.4%Wealden 2.7%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/G

Significantly lower than the East Sussex averageNo significant difference to the East Sussex average

Significantly higher than the East Sussex average


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Pupils who are Non-White British

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Black and minority ethnic groups generally have worse health than the overall population, with some groups experiencing worse health than others. Factors are multifaceted and can include the impact of migration, discrimination, poor uptake of health care and differences in lifestyles and culture (POST 2007).

East Sussex resident children attending all East Sussex state maintained schools. Source: School Census Jan 2015

The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that are registered as

Non-White British is 11.9%.

Wealden has a significantly lower percentage of children resident in East Sussex attending an East Sussex state

maintained school that are registered as Non-White British than the East Sussex

average

ADD APPROPRIATE WARD/SCHOOL LEVEL SUMMARY SENTENCE – SEE

COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

East Sussex 11.9%Wealden 8.5%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/G




Pupil Premium

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‘The pupil premium is additional funding for publicly funded schools in England to raise the attainment of disadvantaged pupils and close the gap between them and their peers ‘(DfE 2014).


The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that receive the pupil

premium is 23.3%.

Wealden has a significantly lower percentage (13.7%) of children attending an

East Sussex state maintained school that receive the pupil premium to the East

Sussex average

ADD APPROPRIATE WARD/SCHOOL LEVEL SUMMARY SENTENCE – SEE COMPLETED

SCHOOL HEALTH PROFILE EXAMPLE





Pupils with Special Educational Needs and Disabilities (SEND)

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Some children are more at risk of developing behavioural problems than others. Risk factors are cumulative and children that are exposed to multiple risk factors such as adversity, social disadvantage, and cognitive and attention problems are more likely to develop behavioural problems. A child has SEN if they have a learning difficulty which needs special educational provision to be made for them or if they have a disability which prevents or hinders them from making use of the educational facilities provided for others of the same age (DfE 2015).


The percentage of children (resident in East Sussex and attending all East Sussex state

maintained schools) that have Special Educational Needs or Disability and/or an

Educational Healthcare Plan is 3.6%.

The percentage of children resident in Wealden and attending an East Sussex state maintained school that have Special Educational Needs or

Disability and/or an Educational Healthcare Plan is similar to the East Sussex average.







Attainment Early Years Foundation Stage

When starting school a child’s development can be referred to as ‘school readiness’, however there is no unanimous agreement or interpretation on what the term ‘school readiness’ means. The ability to listen, to begin interacting with adults, taking turns, forming sentences, phonics, using cutlery, dressing themselves and imaginative play contribute to form a picture of the child’s ability to learn and interact with others. Poor parental attachment and deprivation have consistently shown that children from these backgrounds perform less well and in some cases are markedly behind their peers (Ofsted 2014).

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The percentage of pupils having reached a good level of development in the Early Years Foundation Stage (end of reception year for pupils aged 5), resident-based, June 2015), Source: ESCC

JSNA March 2016.

In June 2015, 74% of children (resident in East Sussex and attending all East Sussex state

maintained schools) achieved a good level of development in the EYFS.

In June 2015, 78% of pupils resident in Wealden attending East Sussex state maintained schools

achieved a good level of development in the EYFS; this is significantly higher than the East

Sussex average.







Attainment Key Stage 2

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Percentage of pupils at Key Stage 2 (end of year 6 for pupils aged 11) achieving at least level 4 in Reading, Writing and Maths, resident based, June 2014, Source: JSNA February 2015

In June 2014, 78% of pupils (resident in East Sussex and attending all East Sussex state

maintained schools) achieved at least level 4 in Reading, Writing and Maths.

In June 2014, 81% of pupils resident in Wealden and attending an East Sussex state maintained

school achieved at least level 4 in Reading, Writing and Maths. This is significantly higher than the

East Sussex average.



East Sussex 78%Wealden 81%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/G




Attainment GCSE Key Stage 4

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Percentage of pupils at Key Stage 4 (end of year 11 for pupils aged 16) achieving 5 or more CSE passes at A*-C including Maths and English, resident-based June 2014, Source: JSNA February 2015

In June 2014, 53% of pupils (resident in East Sussex and attending all East Sussex state

maintained schools) achieved 5 or more GCSE passes at A* - C including Maths and English.

In June 2014, 55% of pupils resident in Wealden and attending an East Sussex state maintained school achieved 5 or more GCSE passes at A* - C including Maths and English. This is similar

to the East Sussex average.



East Sussex 53%Wealden 55%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/G




Immunisations

‘After clean water, vaccination is the most effective public health intervention in the world for saving lives and promoting good health (Yarwood 2014).’ In order to provide effective population coverage preventing outbreaks of disease the World Health Organisation recommend that at least 95% of the population are vaccinated (WHO 2008).

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In 2013/14 88% of children across East Sussex were immunised for Diphtheria, Tetanus, Polio and

Pertussis (pre-school booster) by age 5, with 88% of children immunised for Measles, Mumps and Rubella

In 2013/14, the percentage of children in the Wealden district who were immunised was similar to the East Sussex average for pre-school booster (88%) and 2nd

ADD APPROPRIATE WARD LEVEL SUMMARY SENTENCE – SEE COMPLETED SCHOOL HEALTH

Childhood Immunisations 2013/14, Source ESCC JSNA Feb 2015.

Pre-school booster

2nd MMR

East Sussex 88% 88%Wealden 88% 87%WardsADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/G




Healthy Weight (Primary)

The consequences of obesity cause health problems that include heart disease, type II diabetes and cancer. It impacts on the ability to lead healthy active lives, employment and poses rising costs to the nation. In children it can affect normal development and lead to stigmatisation having long term consequences for physical and emotional well-being and resilience (DH 2011).

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Three years pooled (2011/12 – 2013/14) NCMP data shows that the percentage of children in England who are classified as

obese at Reception Year is 9.4%. This rises to 19.1% by Year 6.

The percentage of children who are classified as obese at Reception Year and

Year 6 in Wealden is significantly lower than the England average.

ADD APPROPRIATE WARD/SCHOOL LEVEL SUMMARY SENTENCE – SEE

COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

Although rates of obesity are generally not significantly higher or lower than the England average, there is a notable

increase in obesity levels from Reception Year to Year 6 in most wards.

National Child Measurement Programme data 2011/12 – 2013/14, Source PHE

Healthy Weight (Primary continued)

% ObeseReception

% ObeseYear 6

England 9.4% 19.1%East Sussex 8.2% 16.3%Wealden 7.0% 13.8%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/G

Significantly lower than the England averageNo significant difference to the England average

Significantly higher than the England average


There is a strong positive correlation between deprivation and obesity for children in each school year with obesity prevalence being significantly higher in deprived areas (HSCIC 2015).

Healthy Weight (Secondary)

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National Child Measurement Programme data 2011/12 – 2013/14, Source PHE

Three years pooled (2011/12 – 2013/14) NCMP data shows that the percentage of children in England

who carry excess weight at Reception Year is 22.4%. This rises to 33.6% in Year 6 children.

The percentage of children who carry excess weight in East Sussex at Reception Year is 21.4% rising to 30.5% in Year 6. These percentages are

significantly lower than the England average.

Wealden data identifies the percentage of children in Reception Year carrying excess weight is 18.5% -

this is significantly lower than the England average.


PROFILE EXAMPLE

% Excess Weight

Reception

% Excess Weight Year 6

England 22.4% 33.6%East Sussex 21.4% 30.5%Wealden 18.5% 28.2%WardsADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/G

Significantly lower than the England averageNo significant difference to the England average

Significantly higher than the England average


Healthy Weight (Secondary)

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The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils how they viewed their weight.

In Wealden:

47% of Year 10 pupils wanted to lose weight.

This was similar to the East Sussex average of 46%.

16% of boys regarded themselves as a little or very overweight.

The East Sussex average was 19%.

30% of girls regarded themselves as a little or vey overweight.

The East Sussex average was 31%.

The 2013 Health Survey for England (HSCIC, 2014) identified:

In England, 11% of boys and 15% of girls aged 8 – 15 years thought they were too heavy although a higher proportion of those aged 11 – 15 years than 8 – 10 years thought they were too heavy.

10% of boys and 4% of girls aged 8 – 15 years thought they were too light.

Boys and girls in the lowest income quintile were most likely to be overweight.

Boys and girls in the highest income quintile were least likely to be overweight.

At age 13 – 15 years, 34% of boys are carrying excess weight or classified as obese.

At age 13 – 15 years, 39% of girls are carrying excess weight or classified as obese.


Findings from the National Diet and Nutrition Survey (PHE 2014) identified that sugar intakes in all age groups are in excess of current UK recommendations. Teenagers were found generally to consume in excess of 50% more sugar than recommended.

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The percentage of Year 10 pupils who reported eating five portions of

fruit/vegetables the previous day was similar to the East Sussex average.

24% of girls and 20% boys had fruit as a

¼ of girls had no lunch at school

29% of boys had a school lunch

31% of boys had chocolate as a snack at

9% of boys and 15% of girls did not have

The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils to self-report on their diet.

Five fruit/vegetables per day

East Sussex 16.1%Wealden 17.4%Significantly higher than the East Sussex averageNo significant difference to the East Sussex average.Significantly lower than the East Sussex average

Government guidelines recommend at least 5 portions of fruit or vegetables per day. Wealden data identifies that Year 10 pupils who have the recommended daily allowance of 5 fruit/vegetables per day is not significantly different to the East Sussex average.


Diet (Secondary)

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Health Related Behaviour Survey Year 10 (NHS Sussex and ESCC 2012)

Nothing for breakfast Only a drink for breakfast

Had a school lunch Had no lunch

Boys Girls Boys Girls Boys Girls Boys GirlsEast

Sussex12% 17% 10% 14% 27% 19% 11% 21%

Wealden 9% 15% 9% 15% 29% 20% 10% 24%

Fruit as a snack Chocolate as a snackBoys Girls Boys Girls

East Sussex

21% 24% 31% 25%

Wealden 20% 24% 31% 23%

Findings from the National Diet and Nutrition Survey (PHE 2014) identified that sugar intakes in all age groups are in excess of current UK recommendations. Teenagers were found generally to consume in excess of 50% more sugar than recommended.


Physical Activity and Travel to School

All children and young people aged 5- 18 years should engage in moderate to vigorous intensity physical activity for at least 60 minutes and up to several hours every day. Vigorous intensity activities, including those that strengthen muscle and bone, should be incorporated at least three days a week. All children and young people should also minimise the amount of time spent being sedentary (sitting) for extended periods (HSCIC 2015).

The 2012 Health Survey for England (HSCIC, 2013) shows that only 21% of boys and 16% of girls aged 5-15 years met current recommendations. The proportion of girls meeting the recommendation was 23% in those aged 5-7 years, but only 8% in those aged 13-15 years. The proportion of boys meeting the recommendation was 24% in those aged 5-7 years and 14% in those aged 13-15 years.

Data shows that some wards in Wealden District have a higher percentage of primary and secondary school children travelling to school by car, taxi or van than the East Sussex average

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In the Health Related Behaviour Survey (NHS Sussex and ESCC 2012) Year 10 pupils were asked if they exercised more than 5 times per week

Pupil average in East Sussex was 28.5%

Wealden average was 32.5% - similar to the East Sussex average.


Physical Activity and Travel to School (Primary)

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In East Sussex, the percentage of children who travelled to primary school during 2014

by car, taxi or van was 29%.

In 2014, the percentage (34%) of children in Wealden who travelled to primary school by car taxi or van was significantly higher than

the East Sussex average.

ADD APPROPRIATE WARD LEVEL SUMMARY SENTENCE – SEE COMPLETED


Percentage of primary school children travelling to school by car, taxi or van in January 2014, Source: JSNA Feb 2015

East Sussex 29%Wealden 34%WardsADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/G




Physical Activity and Travel to School (Secondary)

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In East Sussex, the percentage of secondary school children who travelled to school during

2014 by car taxi or van was 16%.

In Wealden, the percentage (16%) of children who travelled to secondary school during 2014

by car taxi or van was similar to the East Sussex average.

ADD APPROPRIATE WARD LEVEL SUMMARY SENTENCE – SEE COMPLETED SCHOOL

HEALTH PROFILE EXAMPLE

Percentage of secondary school children travelling to school by car, taxi or van in January 2014, Source: JSNA Feb 2015.




In England, the mean average for decayed, missing or filled teeth in children age 5 years

is 0.94.

In East Sussex, the mean average for decayed, missing or filled teeth in children

age 5 years is 0.68. This is significantly lower than the England average.

In Wealden, the mean average for decayed, missing or filled teeth in children age 5 years

is 0.45. This is significantly lower than the England average.


Oral Health

Oral health is part of total health and essential to quality of life (WHO 2015). When children are not healthy it affects their ability to learn and thrive (PHE 2014). Although oral health in children is improving poor dental health is largely preventable by regular brushing with a fluoride toothpaste, a diet low in sugar and acids and regular dental checks. Statistics indicate that it is the most common reason children between the ages of 5 years and 9 years are admitted to hospital and in some cases for multiple extractions (RCS 2015). In 2012 almost one-third of five-year-olds in England had tooth decay (PHE 2014).

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Decayed, missing or filled teeth in children aged 5, 2011/12, Source PHE

Tooth decay in children aged 5 yearsMean dmft per child

2011/12England 0.94East Sussex 0.68Wealden 0.45


Accidents and Injuries

In East Sussex there were 3185 emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years over the three years 2010/11 to 2012/13. There were 525 admissions for Rother District over the same period. There is a clear association between deprivation and children aged under 15 years admitted to hospital as an emergency due to accidents and injuries (ESCC 2014).

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In Wealden, the rate of emergency hospital admissions caused by unintentional and deliberate injuries in children aged 5-14 years is 84. This is significantly lower than the

East Sussex average of 98 per 10,000 population.

ADD APPROPRIATE WARD LEVEL SUMMARY SENTENCE – SEE COMPLETED SCHOOL HEALTH PROFILE

Admissions due to deliberate harm injuries are either caused by self-harm or assault. In East Sussex, the

majority (90%) of deliberate harm injury admissions for young people aged 12-17 years are due to self-harm, with

In Wealden during 2010/11 – 2012/13, the percentage of deliberate harm injury admissions in 12 – 17 years olds

due to self-harm was 94%, with 6% due to assault

For young people aged 12-17 years, Wealden has a similar A&E injury attendance rate to the East Sussex

Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 5-14 years, rate per 10,000 population, Rother

wards, 2012/13 – 2014/15, Source ESCC JSNA March 2016.





Emotional Health and Well-Being

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Child and Adolescent Mental Health (CAMHS) caseload: rate per 100,000 population aged 0 – 18 years as at 31/03/2014. (Numbers using this service are defined as open referrals who

have been seen either face to face or had a telephone assessment in the last 7 months).

As at 31/03/14 there were approximately 2,000 children and young people on the East Sussex

CAMHS caseloads.

The rate of children 0 – 18 years on the CAMHS caseload is significantly lower in the

Wealden district than the East Sussex average.



Key findings from The Good Childhood Report (2015) identified that between the ages of 8 and 14 years there was a general decline in the subjective well-being of children. Change in family circumstance, change in household income, lack of basic items, friendship problems and bullying impact significantly on the child’s emotional resilience. In the survey internationally children in England ranked 3rd from bottom in satisfaction with things learned at school, and liking going to school and only 1 in 6 reported feeling safe. When surveyed about subjective well-being England ranked 14 th for reported relationships with teachers and life satisfaction and 15th for self-confidence.

Emotional Health and Well-Being (continued)

Promoting the emotional and social well-being of children is of key importance in ensuring positive outcomes and resilience in adolescence and further into adulthood. NICE guidelines (2013) recommend that primary schools adopt a ‘Whole School Approach’ in providing a comprehensive programme to help develop children’s social and emotional skills and wellbeing, including support for parents and carers, ensure that staff can identify children showing early signs of emotional and social difficulties and have access to early specialist support where appropriate. There is evidence that recognises a child’s capacity to learn is underpinned by good mental health and emotional well-being. Social isolation and disadvantage affect a child’s capacity to develop resilient behaviours compromising development and positive outcomes (Young Minds 2007). The Child and Adolescent Mental Health Service (CAMHS) offer children who are experiencing a mental health disorder an initial assessment and if appropriate treatment, or referral to another service.

East Sussex 19Wealden 15WardsADD RELEVANT WARDS DATA+R/A/GADD RELEVANT WARDS DATA+R/A/GADD RELEVANT WARDS DATA+R/A/GADD RELEVANT WARDS DATA+R/A/G

Significantly lower than the East Sussex average

No significant difference to the East Sussex average


High Self-esteem reported

They have been bullied In the last 12 months

East Sussex Average 42% 17%Wealden 45% 16%

Quite/Very unhappy with life at the moment

Quite/Very happy with life at the moment

East Sussex Average 16% 69%Wealden 15% 71%

% of girls said they don’t get enough sleep

to stay alert and concentrate on school

work

% of boys said they don’t get enough sleep

to stay alert and concentrate on school

workEast Sussex Average 26% 19%Wealden 23% 21%

% looked after someone in their family on at least one day in the previous week who had an illness or disability

East Sussex Average 20%Wealden 18%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average

In 2012, the percentage of Year 10 pupils in Wealden who reported smoking at least one cigarette in the previous week was

similar to the East Sussex average.

In 2012, a similar percentage of Year 10 boys and girls across Wealden reported

they had never smoked to the East Sussex average.

The What About Youth Survey (2014/15) shows that East Sussex has a significantly higher percentage of 15 year olds that are current smokers (13%), compared with the

England average (8%).


Smoking and Addictive Behaviours

31

Pupils in Year 10 were asked a series of questions on physical and emotional well-being in the Health Related Behaviour Survey (NHS Sussex and ESCC, 2012).

The survey identified:

45% of Year 10 pupils in Wealden reported high self-esteem- similar to the East Sussex average.

15% of Year 10 pupils in Wealden reported they were quite/very unhappy with life at the moment – similar

to the East Sussex average.

18% of Year 10 pupils in Wealden reported that they looked after someone in their family on at least one

day in the previous week who had an illness or disability - similar to the East Sussex average.

21% of Year 10 boys and 23% of girls in Wealden reported they did not get enough sleep to stay alert enough to be able to concentrate on school work –

similar to the East Sussex average.

16% of year 10 pupils in Wealden reported that they had been bullied in the last 12 months – similar to

the East Sussex average.

Health Related Behaviour Survey (NHS Sussex and ESCC, 2012)

Wealden district data identified that:

17% of pupils had smoked at least one cigarette in the previous week. This was similar to the East Sussex average (16%).

57% of boys had never smoked a cigarette. The East Sussex average was 59%.

52% of girls had never smoked a cigarette. The East Sussex average was 52%

54% of Year 10 pupils agreed with the following statement “No-one ever smokes at home”. The East Sussex average was 51%

The prevalence of adult smoking in Wealden is 16%. This is similar to the England average (17%) (PHE

2014).

Approximately 1/6th of the total population in Britain smokes cigarettes. Two thirds of young people begin smoking before the age of 18 years and of those who try smoking, between one-third and one-half will become regular smokers (ASH 2015). More than ¼ of all cancer deaths are attributable to smoking. Recent research suggests the use of electronic cigarettes may contribute to the long term decline of smoking. The Health Behaviour of School Aged Children study reported 1.5% of 11 – 16 year olds were monthly users of electronic cigarettes suggesting their use is unlikely to be making a significant contribution to adolescent addiction (PHE 2015).


Smoking and Addictive Behaviours

32

The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils to self-report on smoking, cannabis and alcohol use.

In Wealden:

17% of Year 10 pupils reported they had used cannabis. This was similar to the East Sussex average

of 17.4%

39% of Year 10 pupils reported they had drank alcohol at least one day in the previous week. This was similar

to the East Sussex average (35%).

12% of Year 10 boys and 9% of Year 10 girls reported they had never drunk alcohol. This was similar to the East Sussex average of 13% of boys and 10% of girls.

Over a two year period Wealden had 105 young people under the age of 18 years in drug or alcohol

treatment.


PROFILE EXAMPLE

The use of New Psychoactive Substances (NPS) commonly referred to as ‘legal highs’ has become more widespread in recent years and used as an alternative to illegal substances. NPS are easily accessible and perceived by some as safer than other substances – this belief poses serious risk to young people as NPS can cause paranoia, psychosis, seizures and ultimately death (Home Office). Among 10 to 15 year olds, an increased likelihood of drug use is linked to a range of adverse experiences and behaviour, including truancy, exclusion from school, homelessness, time in care and serious or frequent offending. (Public Health England, Child Health Profiles). In 2014/15, there were 116 young people who accessed the East Sussex Under 19 Substance Misuse Service; of these, 31 (27%) reported using legal highs.

Young people under 18 years who are in drug or alcohol treatment rate per 10,000 population 2011/2012 to 2012/2013, Source: ESCC JSNA Feb 2015

Number Rate per 10,000East Sussex 591 53Wealden 105 33WardsADD RELEVANT WARDS ADD NUMBER ADD RATE + R/A/GADD RELEVANT WARDS ADD NUMBER ADD RATE + R/A/GADD RELEVANT WARDS ADD NUMBER ADD RATE + R/A/GADD RELEVANT WARDS ADD NUMBER ADD RATE + R/A/G




Sexual Health

Many teenage pregnancies are unplanned and approximately half end in a termination. Aside from financial implications to the NHS for many bringing up a child at a very young age can result in poorer long term outcomes in terms of the child’s health, the emotional health and well-being of the mother and long term financial poverty (DH 2010).

33

The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils to self-report on smoking, cannabis and alcohol use.

In Wealden:

17% of Year 10 pupils reported they had used cannabis. This was similar to the East Sussex average

of 17.4%

39% of Year 10 pupils reported they had drank alcohol at least one day in the previous week. This was similar

to the East Sussex average (35%).

12% of Year 10 boys and 9% of Year 10 girls reported they had never drunk alcohol. This was similar to the East Sussex average of 13% of boys and 10% of girls.

Over a two year period Wealden had 105 young people under the age of 18 years in drug or alcohol

treatment.


PROFILE EXAMPLE

England East Sussex Wealden

Under 16 pregnancy:Rate of conceptions per 1000 females aged 13-15 years 2013

5 5 Not Available

Under 18 conceptions (per 1000 females aged 15-17 years 2013

24 22 12

Under 18’s conceptions leading to abortion (%) 2013

51 51 62

The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils to

18% of Year 10 pupils from Wealden reported either being in a sexual relationship or had

been in a sexual relationship in the past. This is significantly lower than the East Sussex

Wealden has a higher percentage of under 18’s conceptions that lead to abortion than

the East Sussex average of 51%.


Sexual Health

34

Many teenage pregnancies are unplanned and approximately half end in a termination. Aside from financial implications to the NHS for many bringing up a child at a very young age can result in poorer long term outcomes in terms of the child’s health, the emotional health and well-being of the mother and long term financial poverty (DH 2010).

Under 18 Conception rates for East Sussex wards compared to England 2011 – 2012.



Ward

Significance compared to

EnglandADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/G

Significantly lower than the England averageNo significant difference to the England averageSignificantly higher than the England average


References

35


Action on Smoking and Health (ASH). 2015. Smoking Statistics. Available at; http://www.ash.org.uk/files/documents/ASH_93.pdf

Brabner, D. 2015. Postcode analysis of paediatric patients (under 16) residing in the East Sussex area; patients referred for dental extractions under general anaesthetic due to dental caries. East Sussex Special Care Dental Service.

Department for Education. 2011. Developing Quality Tuition. Effective Practice in Schools. Available at; https://www.gov.uk/government/publications/developing-quality-tuition-effective-practice-in-schools-english-as-an-additional-language

Department for Education. 2014. Pupil Premium: funding and accountability for schools. Available at; https://www.gov.uk/guidance/pupil-premium-information-for-schools-and-alternative-provision-settings

Department for Education. 2015. Mental health and behaviour in schools - Departmental advice for school staff. Available at; https://www.gov.uk/government/publications/mental-health-and-behaviour-in-schools--2

Department of Health. 2010. Teenage Pregnancy Strategy 2010 and Beyond. https://www.education.gov.uk/consultations/downloadableDocs/4287_Teenage%20pregnancy%20strategy_aw8.pdf

Department of Health 2011. Healthy Lives, Healthy People. A call to action on obesity in England. Available at; https://www.gov.uk/government/publications/healthy-lives-healthy-people-a-call-to-action-on-obesity-in-england

Department of Health. 2012. Protecting People, Promoting Health - A public health approach to violence prevention in England. Available at; https://www.gov.uk/government/publications/a-public-health-approach-to-violence-prevention-in-england

East Sussex County Council and NHS. 2015. JSNAA Indicator Scorecards Local Authority View. Available at; http://www.eastsussexjsna.org.uk/scorecards/2015authorityview/2015LA-Scorecards

East Sussex County Council and NHS. 2016. JSNAA Indicator Scorecards Local Authority View. Available at; http://www.eastsussexjsna.org.uk/scorecards/2016authorityview/2016LA-Scorecards

East Sussex County Council. 2014. Accidents and Injuries in Under 25’s in East Sussex. Available at; http://www.eastsussexjsna.org.uk/JsnaSiteAspx/media/jsna-media/documents/localbriefings/Accidents-and-injuries-in-under-25s-in-East-Sussex-May-2014.pdf

Health and Social Care Information Centre. 2015. Statistics on Obesity, Physical Activity and Diet. Available at;

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http://www.hscic.gov.uk/catalogue/PUB16988/obes-phys-acti-diet-eng-2015.pdf

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National Institute for Health and Care Excellence. 2013. Social and Emotional Well-Being for Children and Young People. https://www.nice.org.uk/advice/lgb12/resources/social-and-emotional-wellbeing-for-children-and-young-people-60521143067845

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38


Appendix (data for further education): Chlamydia detection, 15-24 year olds

39

Chlamydia is the most commonly diagnosed sexually transmitted infection in 15-24 year olds (representing more than half of all STIs in this age group). It causes avoidable sexual and reproductive ill-health, including symptomatic acute infections and complications such as pelvic inflammatory disease (PID), ectopic pregnancy and tubal-factor infertility. The chlamydia detection rate amongst under 25 year olds is a measure of chlamydia control activities. It represents infections identified (reducing risk of sequelae in those patients and interrupting transmission onto others). Public Health Outcomes Framework, PHE 2016

East Sussex has a lower, but not significantly different Chlamydia detection rate for young

people aged 15-24 years compared to England.

Wealden has a significantly lower Chlamydia detection rate to the England average for young

people aged 15-24 years.

Increasing detection rates indicates increased control activity. Public Health England

recommends that local authorities work towards achieving a detection rate of at least 2,300 per

Rate of Chlamydia detection per 100,000 young people aged 15-24 years, 2014. Source: Public Health Outcomes

Framework, March 2016

Wealden has a poorer rate of Chlamydia detection compared to the England average. Further effort is required to increase detection with 1 in 12 young

people aged 15-24 years having Chlamydia.

England 2012East Sussex 1961Wealden 1445Significantly higher than the England average

No significant difference to the England average

Significantly lower than the England average


Appendix (data for further education): Accidents and injuries, 15-24 year olds

40

East Sussex has a lower, but not significantly different Chlamydia detection rate for young

people aged 15-24 years compared to England.

Wealden has a significantly lower Chlamydia detection rate to the England average for young

people aged 15-24 years.

Increasing detection rates indicates increased control activity. Public Health England

recommends that local authorities work towards achieving a detection rate of at least 2,300 per

Wealden has a poorer rate of Chlamydia detection compared to the England average. Further effort is required to increase detection with 1 in 12 young

people aged 15-24 years having Chlamydia.

Injuries are a leading cause of hospitalisation and represent a major cause of premature mortality for children and young people. They are also a source of long-term health issues, including mental health related to experience (s). Public Health Outcomes

Framework, PHE 2016

Rate of emergency admissions due to unintentional and deliberate harm for 15-24 year olds, per 10,000 population, 2012/13-2014/15.

Source: East Sussex JSNA, March 2016

Wealden has a similar rate of emergency admissions due to accidents and injuries for children and young

people aged 15-24 years, when compared to East Sussex.


PROFILE EXAMPLE

East Sussex 138Wealden 132WardsADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/G




Appendix (data for further education): Self-harm A&E attendances and hospital admissions, 16-19 year olds

41

Self-harm can take lots of physical forms, including cutting, burning, bruising, scratching, hair-pulling, poisoning and overdosing. There are many reasons why children and young people try to hurt themselves. Once they start, it can become a compulsion. Self-harm isn’t usually a suicide attempt or a cry for attention. Instead, it’s often a way for young people to release overwhelming emotions. It’s a way of coping. There are links between depression and self-harm. Quite often a child or young person who is self-harming is being bullied, under too much pressure to do well at school, being emotionally abused, grieving or having relationship problems with family or friends. The feelings that these issues bring up can include low self-esteem, low confidence, loneliness, sadness, anger, numbness and lack of control over their lives. Often, the physical pain of self-harm might feel easier to deal with than the emotional pain that's behind it. It can also make a young person feel they're in control of at least one part of their lives. Sometimes it can also be a way for them to punish themselves for something they've done or have been accused of doing. Only a small proportion of acts of self-harm result in hospital attendance. Across all ages, self-harm is one of the top five causes of acute medical admissions. The death rate by suicide of people who self-harm is between 50 to 100 times higher than the general population. The majority of people who self-harm are aged between 11 and 25 years old.

Rate of A&E attendances due to self-harm for 16-19 year olds, per 1,000 population, 2012/13-2014/15. Source: Public Health SUS

extracts

Wealden District has a significantly lower rate of A&E attendances due to self-harm for young people aged 16-19 years

than the East Sussex average

ADD APPROPRIATE WARD LEVEL SUMMARY SENTENCE – SEE COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

In 2014/15, East Sussex had a significantly higher (directly age standardised) rate of hospital admissions as a result of self-harm

for 10-24 year olds when compared to England. (Child Health Profiles, PHE, accessed March 2016)

East Sussex 9.9Wealden 7.5WardsADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/G

Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Appendix (data for further education): A&E attendances due to assaults, 16-19 year olds

42

Young people aged 16-24 years suffer higher levels of violence than other adult age groups. Across the whole population the peak age for emergency admission to hospital due to violence is 18 years. Many incidents of youth violence involve alcohol which can increase risks of both perpetrating and being a victim of violence. (A public health approach to violence prevention for England, Department of Health, 2012)

Wealden has a similar rate of A&E attendances due to assaults for young people aged 16-19

years than the East Sussex average



Rate of A&E attendances due to assaults for 16-19 year olds, per 1,000 population, 2012/13-2014/15. Source: Public Health SUS

extracts

East Sussex 7.6Wealden 5.1WardsADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/G

Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Appendix (data for further education): Hospital admissions due to substance misuse, 15-24 year olds

43

There is evidence to suggest that young people who use recreational drugs run the risk of damage to mental health including suicide, depression and disruptive behaviour disorders. Regular use of cannabis or other drugs may also lead to dependence. (Public Health

England, Child Health Profiles)

The England rate of hospital admissions due to substance misuse for 15-24 year olds is 88.8 per 100,000 population (directly age

standardised, 2012/13-2014/15).

The rate for East Sussex during the same period was 82.9 per 100,000 population (directly age standardised). This is similar to the England

average.

Source: Child Health Profiles, PHE (accessed March 2016)

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