Reducing teenage pregnancy and improving sexual
health of disadvantaged young people?
What are the statutory duties and benefits to Local
Authorities?
Alison Hadley
Director
Teenage Pregnancy Knowledge Exchange
University of Bedfordshire
Alison.Hadley@beds.ac.uk
Reaching disadvantaged young people: a
an 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
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
• 20% of teenage parents are more likely
to have no qualifications at age 30
• 3 times more likely to smoke
throughout their pregnancy, and 50%
less likely to breastfeed
• 22% are more likely to be living in
poverty at 30, and much less likely to
be employed or living with a partner
• 21% higher risk of pre-term birth and
93% higher for second births -25%
• Teenage parents have 3 times the rate higher risk of low weight babies
of post-natal depression – and a higher
risk of poor mental health for up to
three years after birth
• 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
140
End of year 11
120
100
Abortions
Births
80
60
40
20
Results showed increasing conception rates (especially those leading to birth)
in months after end of year 11
14~10
14~07
14~04
14~01
13~10
13~07
13~04
13~01
12~10
12~07
12~04
12~01
11~10
11~07
11~04
11~01
10~10
10~07
10~04
10~01
09~10
09~07
09~04
09~01
0
Mapping the services and practitioners
supporting young people
Pannal
Under-18 conception rates (02-04) & secondary schools in Leeds
Wetherby
Otley and Wharf edale
North
Aireborough
Cookridge
Horsf orth
Pudsey North
Moortow n
Roundhay
Whinmoor
Weetw ood
Chapel Allerton
Seacrof t
Kirkstall
Bramley
Headingley
Harehills
University
Armley
City &
Holbeck
Pudsey South
Burmantof ts
Richmond
Hill
Halton
Wortley
Garf orth &
Sw illington
Hunslet
Beeston
Morley North
Middleton
Wyke
Ward under-18 conception rates
per1000,
Cleckheaton
2002-04
Brighouse
Over 60 Spen
50 to 60
40 to 50
30Heckmondw
to 40
ike
Morley South
Rothw ell
Barw ick and Kippax
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
Reviewing progress on conception data (including trends on maternity and abortion)
http://www.education.gov.uk/childrenandyoungpeople/healthandwellbeing/teenagepregn
ancy/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/statutoryduties-of-local-authorities
Words and images on the same page
• Double click on the automatic
picture box and browse your
computer until you find the image
you want to include
• For best results and to keep file
sizes as small and efficient as
possible, try to format the images as
RGB, 72 dpi jpeg files
• Feel free too customise the layout
University of Bedfordshire
13