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Overview

Child Poverty Aim :To increase understanding of child poverty and health NPHS staff conference 23 rd Oct 2008 Eryl Powell ,Cardiff LPHT Nathan Lester, HIAT. Overview. Defining and measuring child poverty Which groups are most at risk Child poverty policy context WAG 2020 health targets

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Overview

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  1. Child Poverty Aim :To increase understanding of child poverty and healthNPHS staff conference23rd Oct 2008 Eryl Powell ,Cardiff LPHTNathan Lester, HIAT

  2. Overview • Defining and measuring child poverty • Which groups are most at risk • Child poverty policy context • WAG 2020 health targets • Evidence base for reducing child health inequalities • Children & Young Peoples Plans and LPHT action

  3. Measurement of child poverty • The proportion of children living in households with less than 60% of the median income • 2006/7, 29% (n= 180,000) of children in Wales were in this group, compared with 30% of children across the UK • Poverty is not just about income : The accepted EU definition of child poverty is ‘havingresources (material, cultural, social) so limited as to exclude them from the minimum acceptable way of life in the member states in which they live’

  4. 3 domains • Income poverty • Service poverty • Households experiencing difficulty in accessing and benefiting from quality services, e.g. housing, health, education, leisure • Participation poverty • Unable to engage in social activities • Has a negative impact in terms of education and training • Affects transitions to independence

  5. Which groups are most likely to suffer ? • Strong association between severe child poverty and :- • Living in a household where no adult works • Having at least one parent with a disability • Living in a lone parent household • Living in a large family • Living in an Asian/Asian British family • Living in a family where mothers do not have any educational qualifications

  6. Policy context • WAG & Westminster commitment to eradicating child poverty by 2020 and halving it (against the 1997 rate) by 2010 Child Poverty Strategy and Implementation Plan; • One Wales highlights the need for cross-cutting polices and programmes tackle child poverty; • UN convention on the rights of the child has been ratified and translated into the seven core aims; • WAG ‘A Fair Future for Our Children’; • Children Act 2004 and the role of Children and Young Peoples Partnerships in developing local action local action under the Children and Young Peoples Plans – Core aim 7; • Communities Next Framework; • Taking Action on Child Poverty consultation document; • Public Health Strategic Framework- reducing inequalities.

  7. Eliminating child poverty WAG 2020 Health targets Approach taken is to reduce difference in outcomes between the most deprived 5th and middle 5th except infant mortality (most and least deprived 5th). • Targets cover • Infant mortality • Low birth weight • Child pedestrian injury • Dental caries • Teenage conceptions <16 years (highest LA vs average rate for Wales)

  8. 5:1 rate ratios: 1998-02 = 1.48; 2000-04 = 1.46

  9. 5:3 rate ratios: 2000-02 = 1.40; 2003-05 = 1.51

  10. Next steps • These are WAG targets • Agreed that they should use ‘official’ measure of deprivation • Lower super output area based analysis • Stratified by WIMD • Likely to use a composite of WIMD income and employment domains to reflect material deprivation

  11. Evidence Base • Limited evidence base • Have reviewed the evidence on reducing inequalities in: • Infant mortality • Child Pedestrian Injuries • Low Birth weight • Oral Health • Teenage pregnancies • Preparing briefing papers on the evidence

  12. Children and Young People’s Partnership Plans (“Single Plans”) Seven core aims One - A flying start (early years) Two – Achieving full potential (education) Three – Good Health (lifestyles, NHS, safeguarding) Four – Engagement (play, sport, culture) Five – Having a voice. Having a choice (participation) Six – Being safe (community safety, safe environment) Seven – Not disadvantaged by poverty (family income)

  13. Core aim 7 process • Strategic leadership for child poverty • Making the case • Establish Child Poverty Group, including Public health representation • Assess current approach to addressing child poverty • Involve stakeholders • Draft plan and carry out consultation • Implement plan • Monitoring, evaluation and review

  14. LPHT action • Child Poverty Solutions web-based tool • Includes child poverty briefing papers for each of the 7 core aims • Reducing child poverty through local Public Service delivery model- www.childpovertysolutions.org.uk • Disseminate the evidence on reducing inequalities in child health to NPHS partners • NPHS briefing papers • Standard presentation for NPHS partners • Will use e-bulletin to announce when on NPHS intranet site • Communities First links • WAG plan to develop Child Poverty Guidance for Communities First Partnerships

  15. Contacts for further information • eryl.powell@nphs.wales.nhs.uk • louise.woodfine@nphs.wales.nhs.uk • nathan.lester@nphs.wales.nhs.uk • sarah.aitken@nphs.wales.nhs.uk

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