Central Bedfordshire JSNA
This summary provides insights into the health outcomes of children and young people in Central Bedfordshire, focusing on factors influencing outcomes such as smoking, obesity, maternal health, and early access to services. It highlights priority areas for action and the impact of COVID-19 on services. The data indicates both positive trends, such as breastfeeding rates, and areas needing improvement, like immunization rates and oral health. Recommendations include enhancing communication between service providers and targeting support for vulnerable populations.
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Presentation Transcript
Central Bedfordshire JSNA Children and Young People Executive Summary
Central Bedfordshire healthy pregnancy snapshot 2019/20 Outcome influencing factors Health outcome indicators Smoking is the biggest single factor that negatively impacts health in pregnancy. More women in Central Bedfordshire, Bedford Borough and Milton Keynes are smoking at the time of birth than the average nationally Infant mortality rate is similar in Central Bedfordshire compared to its deprivation decile There are more premature births in Central Bedfordshire per 1,000 births, than the average of similar local authorities based on deprivation. Teenage parenting increases the risk of poorer health outcomes without additional support. Historically, the rate of conceptions in under 18s is worse in Central Bedfordshire than in similar local authorities The percentage of babies with a low birth weight in Central Bedfordshire is better than the national average but there are significant variations across wards Early access to maternity services improves birth outcomes. Approaching 7 in 10 pregnant women accessed maternity care early - Better than local authorities of similar deprivation Obesity during pregnancy increases the health risks for both the mother and child. Over 1/2 of female adults in Central Bedfordshire are classified More than 1 in 10 women nationally are affected by perinatal mental health issues as overweight or obese Priority areas for action Perinatal mental health services Communication & co-ordination among service providers Maternal obesity Target wards with higher levels of deprivation and inequalities Effects of COVID-19: Improved attendance for virtual consultations Increased isolation and loneliness Increased levels of masking of mental illness
Central Bedfordshire healthy birth & early years snapshot 2019/20 Outcome influencing factors Outcome indicators Breast feeding is linked to lower the rates of gastroenteritis, respiratory infections, sudden infant death syndrome, obesity and allergies. More mothers are breastfeeding in Central Bedfordshire at 6-8 weeks than the average in England and numbers are increasing Vaccination is recognised as one of the most effective public health interventions in the world. Central Bedfordshire is consistently above comparators and the 95% target for most routine vaccinations but is below target for two doses of MMR Poor oral health can affect a child s ability to speak, eat, sleep, play, socialise, and can negatively impact on their school attendance and wellbeing. Over 1/5 of 5-year-olds exhibit visually obvious tooth decay. This is improving and is better than the national average Adverse Childhood Experiences or traumatic events, such as domestic abuse, increase the likelihood of high-risk behaviours and poorer outcomes as adults. The rate of domestic abuse incidents per 1,000 is increasingbut remains better than the national average The rate of A&E attendances in children aged 0-4 years has decreased from the previous year, and remains better than similar local authorities based on deprivation The rate of admissions for lower respiratory tract infections in infants under 1 year old has decreased but is worse than deprivation comparators. The admissions rate for gastroenteritis in 1-year-olds is increasing and worse than similar local authorities based on deprivation The proportion of 5-year-olds reaching a good level of development at the Early Years Foundation stage decreased andis worse than similarlocal authorities based on deprivation Effects of COVID-19 Service changes most likely disproportionately impacted children from the poorest families, or those with other vulnerabilities and particular needs. Virtual consultation may have missed identifying babies failing to thrive Priority areas for action Improve immunisation rates through communication & co- ordination improvements, plus promotion through traditional and social media channels and trusted voices. Responsive 7-day services
Central Bedfordshire school-aged years snapshot 2019/20 Outcome influencing factors Outcome indicators Compared to similar local authorities based on deprivation, hospital admissions due to: Obese children have a higher risk of poor health, disability and premature mortality in adulthood and potentially poorer teenage mental health. About 1/5 of all Reception children are Obese, more than previously but in line with the national average. At Year 6 that proportion has increased to around 30% but that is better than the national average Self-harm in young people aged 10 to 24 years increased and is now worse Mental health conditions for those aged 0 to 17 decreased and is now better Alcohol-specific conditions for those under 18 increased and is now worse, while Substance misuse for those aged 15 to 24 increased and remains worse Unintentional and deliberate injuries in those under 14, decreased slightly but is now worse Asthma for those under 18 increased butremains better A higher number of school pupils in Central Bedfordshire have social, emotional and mental health needs than that of similar local authorities based on deprivation Smoking is a major cause of ill health, particularly heart and lung disease and many people who start smoking as adolescents continue to smoke into adulthood. The prevalence of smokers in Central Bedfordshire s children at the age of 15 is below the national average Central Bedfordshire performs well with regard to the average number of decayed, missing or filled teeth (an average of 0.40 per child) The average Attainment 8score at 15-16 years old remains worse than that of similar authorities based on deprivation . Priority areas for action Empower communities to address risk taking behaviours Provide more intensive community support allowing CAHMS to focus on highest risk and explore step up step-down intensive day care The effects of COVID-19: Increased prevalence of mental health (especially eating disorders), learning disabilities and autism and resulting pressure on services Risk of safeguarding concerns not being raised
