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Nick Smith, Bristol JSNA Manager

JSNA 2014 updates: Child Health and Children’s services. Nick Smith, Bristol JSNA Manager e mail: nick.smith@bristol.gov.uk website: www.bristol.gov.uk/jsna. What is a JSNA?. Joint Strategic Needs Assessment

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Nick Smith, Bristol JSNA Manager

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  1. JSNA 2014 updates: Child Health and Children’s services Nick Smith, Bristol JSNA Manager email: nick.smith@bristol.gov.uk website: www.bristol.gov.uk/jsna

  2. What is a JSNA? Joint Strategic Needs Assessment • On-going assessment of current &future health and social care needs of the local community • Joint process: Local Authority, NHS (CCG) and partner agencies – via Health & Wellbeing Board • Intelligence & Evidence: data, reports, analysis • Evidence base for Health & Wellbeing Strategy

  3. Child Population changes Rising Child Pop’n - highest since ‘80’s. Rise in under 5’s 80,700 children under 16 (18.6%) All areas, esp in Central wards. Lawrence Hill extraordinary growth Increasingly diverse - children 28% BME (32% BME including non-British white) – all age 16% & 22% Child BME from 6% in outer South Bristol to 83% in Lawrence Hill. 18% have English as Additional Language

  4. Birth Numbers • Numbers remain high, but signs of level off • Interim 2013-14 data indicates fall in births in most wards [not same dataset – Central may rise] • South relatively constant (Filwood high)

  5. Child Poverty • 25.3% (19,500 children under 16) in low income families (2011, released Sept 2013). • Number is high but falling- 2009 was 27.1% (20,100) • Inequality gap huge. From 2% in Henleaze to 51% in Lawrence Hill. • Free school meals as local proxy • 2013: 24.2% of Bristol school children entitled to FSM (2014 due later in May) • FSM range from 2% to 47%

  6. Special Educational Needs (SEN) • Poss issue with LD & ASD • SEN by ward – all need categories are highest in Filwood, followed by Lawrence Hill, but ASD has more equal distribution over city. 7.6% of Bristol school-children have SEN Needs (Statement & School Action Plus), and 18.1% have SEN incidents (inc school action also). SEN Needs increase from 3700 in 2009 to 4400 in 2014 (18.5% rise).

  7. Child Social Care • Increase in “Children in need” (allocated to Social worker). • Large difference across Bristol, from under 10 in some wards to over 200.

  8. Children & healthy weight • Reception Yr (4/5 yr olds) – % overweight or very overweight (obese) fell from 23.1% (2009/10) to 22% (2011/12) • Year 6 (10/11 yr olds) – % overweight or very overweight (obese) rose from 32.6% (2009/10) to 34% (2011/12) • Inequalities across Bristol – linked to deprivation, esp South & outer North & West (wards shown as 3-yr averages)

  9. Teenage data Teenage pregnancy rates (33.2 per 1,000, 2011) are above national (30.7) but falling rapidly The number of children born to Bristol teenage mothers has fallen from 320 (2010) to 220 (2013) NEETs: 7.9% of 16-18 year olds are not in education, employment or training (2012), above national 5.8% but falling

  10. Dental health Poor dental health maps onto key areas of deprivation (2011 data on fillings in children under 5). Rate of fillings ranges from 9 to 128 fillings per ward per 1000 children under 5 [Note - also reflects positive service use, as measure is fillings completed at dentist, not tooth decay itself] Trying to update this data-set via NHS England.

  11. Maternal (& baby) health % women smoking in pregnancy low but no longer falling (12%, 2012) Big differences by ward. 1% to 28%: South Bristol some of worst Breastfeeding rising (59%) but lower in South

  12. Hospital child admissions New data sets (crude rates for children). 2012-13 in now. Add 2013-14 in June. Total Hospital Admissions (Elective and Emergency) - Children (<16) anomalies - highest numbers are LH & Filwood, but Stoke Bishop & Clifton high rates, due to high Elective admissions Highest rates in South Bristol for elective & emergency child admissions, and lowest rates in North & West Bristol (both). A&E attendance - South Bristol has the lowest rates of A&E attendance for children (map)

  13. Further data-sets planned NEET – by ward Fixed term exclusions and Pupil absence Childhood Injury / Asthma admissions Self harm and prevalence estimates of young people with mental / emotional health needs Projections Additional geographical “cuts” + Local Child Health Profile / JSNA 2014 report

  14. Questions for C&YP Network • How use JSNA data-sets? • How does your experience shape what’s needed and how to interpret this? • Additional local data to include?

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