Working with NICE guidance preventing unintentional injuries
in young people in the Bradford
District
18 February 2011
Ralph Saunders
Head of Public Health, NHS Bradford and Airedale
What is NICE?
The National Institute for Health and Clinical
Excellence (NICE) is the independent organisation
responsible for providing national guidance on the
promotion of good health and the prevention and
treatment of ill health.
What do NICE do?
Advice on new
and existing
treatments
Clinical
guidelines,
QOF and
quality
standards
NICE and NHS
Evidence
Evidence – guidance – shared learning
Health
promotion and
disease
prevention
Comprehensive
evidence
service
Core principles of all NICE
guidance
• Comprehensive evidence
base
• Expert input
• Patient and carer involvement
• Independent advisory
committees
• Genuine consultation
• Regular review
• Open and transparent
process.
NICE guidance can help…
• public, patients and carers
• professionals
• organisations
Public Health Outcomes Framework
(in consultation)
Reference
Outcome Indicator
D1.2
Systems in place to ensure effective and adequate
surveillance of health protection risks and
hazards.
Rationale/Description
PH Outcomes Framework
D2.15
Killed and seriously injured casualties on
England’s roads
Incidents and collisions on the
roads are a significant cause of
death and injuries;
disproportionately so among
young age groups and in
disadvantaged areas. They
have a large effect on the
resources of health and rescue
services.
D3.6
Hospital admissions caused by unintentional and
deliberate injuries to 5-18s
Injuries are the leading cause
of death in children and
disproportionately affect children
from lower socioeconomic
groups.
Reference
D4.1
D5.1
Outcome Indicator
Rationale/Description
PH Outcomes Framework
Hospital admissions caused by unintentional and
deliberate injuries (1-5 years)
Injuries are a leading cause of
death in children and
disproportionately affect
children from lower
socioeconomic groups.
Infant mortality
Infant mortality is a widely used
indicator of the overall health of a
population. It reflects a broad
range of determinants including
upstream determinants such as
economic development, general
living conditions and social and
environmental factors.
Preventing unintentional injuries
among under-15s
• Strategies to prevent
unintentional injuries among
under-15s
•
Preventing unintentional
injuries among under-15s in
the home
•
Preventing unintentional
injuries among under-15s: road
design
• The phrase ‘unintentional injuries’ (rather than
‘accidents’ ) is used as most injuries and their
causes are predictable and preventable
• Unintentional injury is a leading cause of death
and injury among children and young people
• Children and young people from lower
socioeconomic groups are more likely to be
affected by unintentional injuries
Recommendations
• Planning and co-ordination
• Home safety
• Outdoor play and leisure
• Road safety
Planning and co-ordination
• Ensure local plans commit to preventing
unintentional injuries among under-15s, with
a focus on those who are most at risk
• Ensure there is a trained child and young person
injury prevention coordinator in each locality
• Identify and respond to attendances at emergency
units and minor injury units
Home safety
There is a separate piece of guidance relating directly to home
safety (PH 30). This includes the following recommendations:
• Include home safety assessments and education in
local plans
• Prioritise households at greatest risk
• Establish multi-sector partnerships or support
existing ones to collect information carry out
assessments and promote home safety
• Offer home safety assessments and supply and
install equipment
Home safety:
households at greatest risk
• Identify and prioritise households most at risk and
offer home assessments
• Ensure the assessment, supply and installation of
equipment is tailored to need and includes the
provision of information and advice
• Provide practitioners who visit children and young
people at home with mechanisms for sharing
information
• Ensure practitioners adhere to good practice on
maintaining the confidentiality and security of
personal information
Outdoor play and leisure
• Ensure a prevention policy is in place which balances
fun, physical activity and learning
• Provide education, information and advice on the use
of equipment to manage risk
• Encourage cycle training and promote the use of
correctly fitted and fastened cycle helmets
• Conduct local injury prevention campaigns for
all events where fireworks may be used
Road safety: partnerships
• Maintain road safety partnerships to help plan,
coordinate and manage road safety activities
• Ensure a senior public health person leads – and is
responsible for – health sector involvement
• Ensure local child safety reviews are carried out at
least every 3 years
• Ensure consistency within local child safety policies,
local plans and strategies
Road safety: Speed reduction
• Introduce engineering measures to reduce speed in
streets that are primarily residential or where
pedestrian and cyclist movements are high
• Consider changing speed limits and introducing
appropriate engineering measures to:
- reduce speeds on rural roads
- provide safer routes commonly used by
children and young people
Implementation - practical
support
• How to guide
• Specific implementation tools
• Forward planner
• Costing reports and templates
Gillian Mathews
• Educational tools
• Shared learning database
Annie Coppel
Deborah Bent
Chris Connell
Jane Moore
• Implementation consultants
Steve Sparks
Stephen Judge
Local Implications for partnerships
including health
• How the recommendations will be taken forward
locally involving our local partnerships
• The mechanisms for enabling frontline health staff to
implement the recommendations
• How the current work in localities will continue and
grow in relation to the prevention of unintentional
injuries to children and young people aged 15 and
under