Lisa Dodd
Children’s Commissioning
Lead

• Provide key information / statistics describing the health of children and young people in Gateshead and how we compare to statistical neighbours
• Identify key priorities for commissioning to improve health outcomes and reduce health inequalities
• Provide an overview of key targets / outcomes framework which we are assessed against and how we measure progress
• To discuss opportunities for health and education to work jointly to improve outcomes – considering the future

• Population of 0-19 year olds approximately 45 800 with approximately 2300 live births per year (ONS 2009)
• Infant mortality (deaths under one year) - currently an average of 12 deaths per year has recently fallen after a continues rise (higher than the England and North East average)
• There is a continued challenge to increase the proportion of children who are completely immunised
• There are around 80 hospital admissions each year due to self harm
• In 2009/10
– over 20% of 10 and 11 year olds in Gateshead are obese and the proportion has risen over the past three years (England prevalence 18.7%)
– 10% of Gateshead children in reception year are obese – slight downward trend between 2006 - 2010

• There were 145 conceptions among females aged 15-17 years – the rate of conceptions between 2005-2008 increased with a decrease in 2009.
• The number of children killed or seriously injured in road traffic accidents in Gateshead has fallen since the 1990’s – Between 1994 and 1998, an average of 27 children living in Gateshead were killed or seriously injured in road traffic accidents each year. Between
2007 and 2009 the annual average was 11.
• In 2010 20% of year 10 boys and 33% of year 10 girls reported that they smoke occasionally or regularly. 4% of primary pupils reported that they would definitely smoke when older. 11% said maybe
• 20% of year 8 boys and 30% of year 10 boys drank between 4 and
20 units of alcohol in the 7 days before surveyed.

•
The Health Related Behaviour Questionnaire (HRBQ) provides a comparison with other areas who are statistically comparable
•
The Joint Strategic Needs Assessment (JSNA) provides a comparison with South
Tyneside, Sunderland, the North East and England
• Examples from the HRBQ
– Year 5 - 35% of pupils said they had been bullied in the last 12 months compared to 28% in a reference sample
– Year 5 – 74% of pupils reported that their school cares whether they care happy or not compared to 67% in the reference sample
– 13% of secondary school pupils bought their lunch at a shop or takeaway compared to 7% of the reference sample
– 42% of secondary pupils reported having an alcoholic drink in the last week compared to
34% of the reference sample

• The PCT strategic operating plan and commissioning intentions for children and young people are divided into
– Improving the best start in life
– Child health 0-5 and 5-19 years (Healthy Child Programme)
– Improving outcomes for children with complex additional needs
• Key priorities for 2011/12 within these include:
– Improving maternity services
– Supporting more women to breastfeed and reducing risk taking behaviours in pregnancy
– Increasing the number of Health Visitors and Family Nurses in line with national trajectories
– Reviewing therapies – commencing with Speech, Language and Communication therapy
– Reducing risk taking behaviours such as drug and alcohol misuse and improving access to sexual health services
– Developing a universal preventative model to reduce demand on specialist services
– Review Child and Adolescent Mental Health Services and Learning Disability
Services across all tiers

• Liberating the NHS set out a vision of an NHS that achieves health outcomes that are among the best in the world. To achieve this, it outlined two major shifts:
– a move away from centrally driven process targets which get in the way of patient care; and
– a relentless focus on delivering the outcomes that matter most to people.
• Commissioning utilising NICE quality standards and evidence base
• The new outcomes framework covers 5 key domains: effectiveness, patient experience and safety

• Vision: To improve and protect the nations health and well being and to improve the health of the poorest fastest
• Linked these outcomes to the development of the new local healthy school programme
•
Outcomes across 5 key domains include:
– Population vaccination coverage
– Children in poverty
– School readiness: foundation stage profile attainment for children starting Key
Stage 1
– Rates of adolescents not in education, employment or training at 16 and 18 years of age
– Truancy rate
– First time entrants to the youth justice system
– Prevalence of healthy weight in 4-5 and 10-11 year olds
– Hospital admissions caused by unintentional and deliberate injuries to 5-18 year olds
– Under 18 conception rate
– Rate of dental caries in children aged 5 years (decayed, missing or filled teeth)

• Research links health and well being to educational achievement
• The Joint Strategic Needs Assessment in Gateshead provides some data at a neighbourhood / ward level. Children’s profiles for each of the 5 neighbourhood management areas utilising this data are in draft format
• The new local Healthy Schools programme requires school level needs assessment to inform priorities. How can we utilise this programme to ensure we can demonstrate improvements in outcomes – supporting Gateshead wide priorities and local priorities?
• What mechanisms should we put in place to ensure priorities for
Gateshead are clearly communicated?
• How can we support each other in the commissioning of future services to ensure we improve outcomes and reduce health inequalities?

Lisa.Dodd@sotw.nhs.uk
Tel: 497 1462
Gateshead PCT