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School Health Profile for

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Contents1


Demography..............................................................................................................................................................................................................3Hastings primary schools and wards........................................................................................................................................................................4Primary schools, wards and income deprivation affecting children..........................................................................................................................5Hastings secondary schools and wards....................................................................................................................................................................5Secondary schools, wards and income deprivation affecting children......................................................................................................................7East Sussex special schools and pupil referral units................................................................................................................................................8Summary of key statistics for ADD SCHOOL NAME................................................................................................................................................9Key Statistics for ADD SCHOOL NAME indicate:.....................................................................................................................................................9Summary findings from Whole School Review process for ADD SCHOOL NAME................................................................................................10Key findings for ADD SCHOOL NAME indicate:.....................................................................................................................................................10Pupils who have English as an Additional Language.............................................................................................................................................11Pupils who are Non-White British...........................................................................................................................................................................12Pupil Premium.........................................................................................................................................................................................................13Pupils with Special Educational Needs and Disabilities (SEND)............................................................................................................................14Attainment Early Years Foundation Stage..............................................................................................................................................................15Attainment Key Stage 2..........................................................................................................................................................................................16Attainment GCSE Key Stage 4...............................................................................................................................................................................17Immunisations.........................................................................................................................................................................................................18Healthy Weight (Primary)........................................................................................................................................................................................19Healthy Weight (Secondary)...................................................................................................................................................................................21Diet (Secondary).....................................................................................................................................................................................................23Physical Activity and Travel to School....................................................................................................................................................................24Oral Health..............................................................................................................................................................................................................27Accidents and Injuries.............................................................................................................................................................................................28Emotional Health and Well-Being...........................................................................................................................................................................29Smoking and Addictive Behaviours........................................................................................................................................................................31Sexual Health..........................................................................................................................................................................................................33References..............................................................................................................................................................................................................37Appendix (data for further education): Chlamydia detection, 15-24 year olds........................................................................................................40Appendix (data for further education): Accidents and injuries, 15-24 year olds.....................................................................................................41Appendix (data for further education): Self-harm A&E attendances and hospital admissions, 16-19 year olds.....................................................42Appendix (data for further education): A&E attendances due to assaults, 16-19 year olds...................................................................................43Appendix (data for further education): Hospital admissions due to substance misuse, 15-24 year olds................................................................44

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Demography

3

The East Sussex School Health profile supports 27 Schools in the borough of Hastings

21 Primary Schools 5 – 11 years 4 Secondary Schools 11 – 16 years 2 Special Schools

Key Statistics would indicate:

Hastings ranks 26 out of 326 local authorities in England (1=most deprived) in terms of the average level of income deprivation affecting children across the borough (IMD 2015).

Levels of childhood poverty are significantly worse than both the East Sussex and England average Hastings has a significantly higher percentage of children (34.8%) entitled to receive the pupil premium than the East Sussex

average In Hastings, pupil absence is significantly higher than the national average In Hastings there are a significantly higher percentage of children with English as an additional language than the East

Sussex average. In Hastings, there are a significantly higher percentage of pupils registered as Non-White British than the East Sussex

average. In Hastings, the percentage of pupils with Education and Healthcare Plans or with Special Educational Needs and Disabilities

is similar to the East Sussex average. Hastings borough has significantly higher referral rates into Children’s Social Care than the East Sussex average (ESCC 2015).

Pupils who live in Hastings achieve less well than the national average (A* - C including Maths and English) Hastings has the highest rate of hospital admissions due to accidents and injuries for persons aged 0 – 14 years in East

Sussex (ESCC 2014) Although not statistically significant, there is a higher rate of children and young people aged 0 – 18 years receiving the

CAMHS service than the East Sussex average.


Hastings primary schools and wards

4


Primary schools, wards and income deprivation affecting children

5


Hastings secondary schools and wards

6


Secondary schools, wards and income deprivation affecting children

7


East Sussex special schools and pupil referral units

8


Summary of key statistics for ADD SCHOOL NAME

Key Statistics for ADD SCHOOL NAME indicate:

SUMMARISE KEY STATISTICS FROM DATA TABLES BELOW – SEE COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

9


Summary findings from Whole School Review process for ADD SCHOOL NAME

Key findings for ADD SCHOOL NAME indicate:

SUMMARISE KEY FINDINGS FROM CONSULTATION WITH CHLDREN AND YOUNG PEOPLE, PARENTS AND CARERS, SCHOOL STAFF - SEE COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

10


Pupils who have English as an Additional Language

11

East Sussex 5.4%Hastings 6.5%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/G

Significantly lower than the East Sussex averageNo significant difference to the East Sussex average

Significantly higher than the East Sussex average

The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that have English as an

Additional Language is 5.4%.

Hastings has a significantly higher percentage of East Sussex resident children attending an East Sussex state maintained school that have English as an Additional Language than the East Sussex average.

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‘Pupils learning English as an additional language (EAL) share many common characteristics with pupils whose first language is English. However, their learning experience differs because they are learning in and through another language and because they may come from cultural backgrounds and communities that have different understandings and expectations of education, language and learning’ (DfE, 2011).

East Sussex resident children attending all East Sussex state maintained schools, Source: School Census Jan 2015.


Pupils who are Non-White British

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Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average

The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that are registered as

Non-White British is 11.9%

Hastings has a significantly higher percentage of children attending an East Sussex state maintained schools that are

registered as Non-White British than the East Sussex average.



Black and minority ethnic groups generally have worse health than the overall population, with some groups experiencing worse health than others. Factors are multifaceted and can include the impact of migration, discrimination, poor uptake of health care and differences in lifestyles and culture (POST 2007).

East Sussex resident children attending all East Sussex state maintained schools. Source: School Census Jan 2015


Pupil Premium

13

The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that receive the pupil

premium is 23.3%.

Hastings has a significantly higher percentage (34.8%) of children attending an East Sussex state maintained school that receive the pupil premium than the East

Sussex average



East Sussex 23.3%Hastings 34.8%ADD SCHOOL NAME AND DATAWardADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/G



‘The pupil premium is additional funding for publicly funded schools in England to raise the attainment of disadvantaged pupils and close the gap between them and their peers’ (DfE 2014).


Pupils with Special Educational Needs and Disabilities (SEND)

14

The percentage of children (resident in East Sussex and attending an East Sussex state

maintained school) that have Special Educational Needs or Disability and/or an

Educational Healthcare Plan is 3.6%.

The percentage of children resident in Hastings and attending an East Sussex state

maintained school that have Special Educational Needs or Disability and/or an

Educational Healthcare Plan is similar to the East Sussex average.



.


Some children are more at risk of developing behavioural problems than others. Risk factors are cumulative and children that are exposed to multiple risk factors such as adversity, social disadvantage, and cognitive and attention problems are more likely to develop behavioural problems. A child has SEN if they have a learning difficulty which needs special educational provision to be made for them or if they have a disability which prevents or hinders them from making use of the educational facilities provided for others of the same age (DfE, 2015).





Attainment Early Years Foundation Stage

When starting school a child’s development can be referred to as ‘school readiness’, however there is no unanimous agreement or interpretation on what the term ‘school readiness’ means. The ability to listen, to begin interacting with adults, taking turns, forming sentences, phonics, using cutlery, dressing themselves and imaginative play contribute to form a picture of the child’s ability to learn and interact with others. Poor parental attachment and deprivation have consistently shown that children from these backgrounds perform less well and in some cases are markedly behind their peers (Ofsted 2014).

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The percentage of pupils having reached a good level of development in the Early Years Foundation Stage (end of

reception year for pupils aged 5), resident-based, June 2015), Source: ESCC JSNA March 2065

East Sussex 74.4%Hastings 73.3%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/G


No significant difference to the East Sussex average

Significantly lower than the East Sussex average

In June 2015, 74% of children (resident in East Sussex and attending all East

Sussex state maintained schools) achieved a good level of development

in the EYFS.

In June 2015, 73% of pupils in Hastings attending an East Sussex state

maintained school achieved a good level of development in the EYFS; this is similar to the East Sussex average.

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Attainment Key Stage 2

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In June 2014, 78% of pupils (resident in East Sussex and attending an East Sussex state maintained schools) achieved at least

level 4 in Reading, Writing and Maths.

In June 2014, 75% of pupils in Hastings attending an East Sussex state maintained school achieved at least level 4 in Reading,

Writing and Maths. This is similar to the East Sussex average.

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Percentage of pupils at Key Stage 2 (end of year 6 for pupils aged 11) achieving at least level 4 in Reading, Writing and Maths, resident based, June 2014, Source: JSNA February 2015

East Sussex 78%Hastings 75%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/G

Significantly higher than the East Sussex averageNo significant difference to the East Sussex averageSignificantly lower than the East Sussex average


Attainment GCSE Key Stage 4

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East Sussex 53%Hastings 47%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/GADD RELEVANT WARDS/DATA R/A/G




In June 2014, 53% of pupils (resident in East Sussex attending all East Sussex state

maintained schools) achieved 5 or more GCSE passes at A* - C including Maths and

English.

In June 2014, 47% of pupils in Hastings attending an East Sussex state maintained school achieved 5 or more GCSE passes at

A* - C including Maths and English. This was significantly lower than the East Sussex

average.



Percentage of pupils at Key Stage 4 (end of year 11 for pupils aged 16) achieving 5 or more GCSE passes at A*-C including Maths and English, resident-based June 2014, Source: JSNA February 2015


Immunisations

‘After clean water, vaccination is the most effective public health intervention in the world for saving lives and promoting good health (Yarwood 2014).’ In order to provide effective population coverage preventing outbreaks of disease the World Health Organisation recommend that at least 95% of the population are vaccinated (WHO 2008).

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Pre-School Booster

2nd MMR

East Sussex 88% 88%Hastings 87% 87%WardsADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/G

Significantly higher than the East Sussex averageNo significantly difference to the East Sussex averageSignificantly lower than the East Sussex average

In 2013/14, 88% of children across East Sussex were immunised for Diphtheria, Tetanus, Polio and Pertussis (pre-school booster) by age 5, with 88% of children immunised for Measles, Mumps and

Rubella by age 5 (2nd MMR).

In 2013/14, the percentage of children in Hastings who were immunised was similar to the East

Sussex average for pre-school booster (87%) and 2nd MMR (87%).

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PROFILE EXAMPLE

Childhood Immunisations 2013/14 Source: ESCC JSNA Feb 15


Healthy Weight (Primary)

The consequences of obesity cause health problems that include heart disease, type II diabetes and cancer. It impacts on the ability to lead healthy, active lives, employment and poses rising costs to the nation. In children it can affect normal development and lead to stigmatisation having long term consequences for physical and emotional well-being and resilience (DH 2011).

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Three years pooled (2011/12 – 2013/14) NCMP data shows the percentage of children in England who are classified as obese at

reception year is 9.4%. This rises to 19.1% by Year 6.

East Sussex data shows the average for obesity in Reception Year and Year 6 to be

significantly better than the England average.



Although rates of obesity are generally not significantly higher or lower than the England average, there is a notable increase in obesity

levels from Reception Year to Year 6.

National Child Measurement Programme (NCMP) data 2011/12 – 2013/14, Source PHE

% Obese Reception

% ObeseYear 6

England Average 9.4% 19.1%East Sussex 8.2% 16.3%Hastings 10.2% 18.6%ADD SCHOOL NAME AND DATAWardsADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/G

Significantly lower than the England average

No significant difference to the England average

Significantly higher than the England average


Healthy Weight (Primary continued)

There is a strong positive correlation between deprivation and obesity for children in each school year with obesity prevalence being significantly higher in deprived areas (HSCIC 2015).

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% Excess Weight -

Reception

% Excess Weight -

Year 6England 22.4% 33.6%East Sussex 21.4% 30.5%Hastings 24.9% 33.7% WardsADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/GADD RELEVANT WARDS/ DATA R/A/G R/A/G

Significantly lower than the England average

No significant difference to the England average.Significantly higher than the England average

National Child Measurement Programme (NCMP) data 2011/12 – 2013/14, Source PHE

Three years pooled (2011/12 – 2013/14) NCMP data shows that the percentage of children in England

who carry excess weight at Reception Year is 22.4%. This rises to 33.6% in Year 6 children

The percentage of children who carry excess weight in East Sussex at Reception Year is 21.4% rising to 30.5% in Year 6. These percentages are significantly better than the England averages.

The percentage of children in Reception Year in Hastings carrying excess weight is 24.9%; this is

significantly higher than the England average.

Borough data identifies that 33.7% of Year 6 children are carrying excess weight. Although this is similar to the England average of 33.6%, around 1 in 3 children are carrying excess weight at this

age.


PROFILE EXAMPLE


Healthy Weight (Secondary)

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The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils how they viewed their weight.

In Hastings:

47% of Year 10 pupils wanted to lose weight.

This was similar to the East Sussex average of 46%.

22% of boys regarded themselves as a little or very overweight.

The East Sussex average was19%.

34% of girls regarded themselves as a little or very overweight.

The East Sussex average was 31%.

The 2013 Health Survey for England (HSCIC 2014) identified:

In England 11% of boys and 15% of girls aged 8 – 15 years thought they were too heavy although a higher proportion of those aged 11 – 15 years than 8 – 10 years thought they were too heavy.

10% of boys and 4% of girls aged 8 – 15 years thought they were too light.

Boys and girls in the lowest income quintile were most likely to be overweight.

Boys and girls in the highest income quintile were least likely to be overweight.

At age 13 – 15 years, 34% of boys are carrying excess weight or classified as obese.

At age 13 – 15 years, 9% of girls are carrying excess weight or classified as obese.


Diet (Secondary)

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The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils to self-report on their diet.

Five fruit/vegetables

per dayEast Sussex 16.1%Hastings 12.1%Significantly higher than the East Sussex averageNo significant difference to the East Sussex average.Significantly lower than the East Sussex average

Government guidelines recommend at least 5 portions of fruit or vegetables per day. Hastings data identifies that Year 10 pupils have a significantly poorer intake of the recommended daily allowance than the East Sussex average.

Findings from the National Diet and Nutrition Survey (PHE 2014) identified that sugar intakes in all age groups are in excess of current UK recommendations. Teenagers were found generally to consume in excess of 50% more sugar than recommended.

In Hastings:

The percentage of Year 10 pupils who reported eating five portions of fruit/vegetables the

previous day was significantly lower than the East Sussex average.

Approximately 1 in 5 girls had only a drink for breakfast

22% of girls had no lunch

Over 1/3 of girls had chocolate as a snack in school

14% of boys had no breakfast

Only 25% of boys had a school lunch

Only 18% of boys had fruit as a snack in school


Diet (Secondary)

Findings from the National Diet and Nutrition Survey (PHE 2014) identified that sugar intakes in all age groups are in excess of current UK recommendations. Teenagers were found generally to consume in excess of 50% more sugar than recommended.

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Health Related Behaviour Survey Year 10 (NHS Sussex and ESCC, 2012)

Nothing for breakfast Only a drink for breakfast

Had a school lunch Had no lunch

Boys Girls Boys Girls Boys Girls Boys GirlsEast

Sussex12% 17% 10% 14% 27% 19% 11% 21%

Hastings 14% 13% 12% 22% 25% 13% 10% 22%

Fruit as a snack Chocolate as a snackBoys Girls Boys Girls

East Sussex

21% 24% 31% 25%

Hastings 18% 32% 26% 34%


Physical Activity and Travel to School

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In the Health Related Behaviour Survey (NHS Sussex and ESCC, 2012) Year 10 pupils were asked if they exercised more than 5 times per week.

Pupil average in East Sussex was 28.5%

Hastings average was 27.6% - not a significant difference from the East Sussex average.

All children and young people aged 5- 18 years should engage in moderate to vigorous intensity physical activity for at least 60 minutes and up to several hours every day. Vigorous intensity activities, including those that strengthen muscle and bone, should be incorporated at least three days a week. All children and young people should also minimise the amount of time spent being sedentary (sitting) for extended periods (HSCIC 2015).

The 2012 Health Survey for England (HSCIC, 2013) shows that only 21% of boys and 16% of girls aged 5-15 years met current recommendations. The proportion of girls meeting the recommendation was 23% in those aged 5-7 years, but only 8% in those aged 13-15 years. The proportion of boys meeting the recommendation was 24% in those aged 5-7 years and 14% in those aged 13-15 years.

Data shows that some wards in Hastings Borough have a higher percentage of primary and secondary school children travelling to school by car, taxi or van than the East Sussex average.


Physical Activity and Travel to School (Primary)

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Percentage of primary school children travelling to school by car, taxi or van in January 2014, Source: JSNA Feb 2015

East Sussex 29%Hastings 27%WardsADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/G

Significantly higher than the East Sussex averageNo significant difference to the East Sussex averageSignificantly lower than the East Sussex average

In East Sussex the percentage of children who travelled to primary school in 2014 by

car, taxi or van was 29%.

In 2014, the percentage of children in Hastings (27%) who travelled to primary

school by car, taxi or van was 27%; this is similar to the East Sussex average.

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Physical Activity and Travel to School (Secondary)

26

In East Sussex, the percentage of children who travelled to secondary school during

2014 by car, taxi or van was 16%.

In Hastings, the percentage (22%) of children who travelled to secondary school during 2014 by car, taxi or van was significantly

higher than the East Sussex average.



Percentage of secondary school children travelling to school by car, taxi or van in January 2014, Source: JSN Feb 2015.

East Sussex 16%Hastings 22%WardsADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/GADD RELEVANT WARDS/ DATA R/A/G




Oral Health

Oral health is part of total health and essential to quality of life (WHO 2015). When children are not healthy it affects their ability to learn and thrive (PHE 2014). Although oral health in children is improving poor dental health is largely preventable by regular brushing with a fluoride toothpaste, a diet low in sugar and acids and regular dental checks. Statistics indicate that it is the most common reason children between the ages of 5 years and 9 years are admitted to hospital and in some cases for multiple

extractions (RCS 2015). In 2012 almost one-third of five-year-olds in England had tooth decay (PHE, 2014).

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Decayed, missing or filled teeth (DMFT) in children aged 5, 2011/12, Source PHE

Tooth decay in children aged 5 years

Mean DMFT per child, 2011/12

England 0.94

East Sussex 0.68

Hastings 0.84

In England, the mean average for decayed, missing or filled teeth in children age 5

years is 0.94.

In East Sussex, the mean average for decayed, missing or filled teeth in children

age 5 years is 0.68. This is significantly lower than the England average.

In Hastings, the mean average for decayed, missing or filled teeth in children age 5

years is 0.84. This is similar to the England average.

Data from the East Sussex Special Care Dental Service reported that of 245

paediatric dental extractions (children aged between 2 – 15 years), 49% were from

the following Hastings postcode areas - TN34, TN35, TN37 and TN38 (Brabner 2015)


Accidents and Injuries

In East Sussex there were 3185 emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years over the three years 2010/11 to 2012/13. This amounted to 754 admissions for Hastings borough over the same period. There is a clear association between deprivation and children aged under 15 years admitted to hospital as an emergency due to accidents and injuries (ESCC, 2014).

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In Hastings, the rate of emergency hospital admissions caused by unintentional and deliberate injuries in children aged 5-14 years is 114. This is similar to the East Sussex average of 98 per 10,000 population.

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Admissions due to deliberate harm injuries are either caused by self-harm or assault. In East Sussex, the majority (90%) of deliberate harm injury

admissions for young people aged 12-17 years are due to self-harm, with 10% due to assault.

In Hastings, during 2010/11 – 2012/13, the percentage of deliberate harm injury admissions in 12 – 17 years olds due to self-harm was 92%, with 8%

due to assault

In 2012/13, Hastings (alongside Eastbourne) had a significantly higher rate of A&E attendances due to injuries in 5 – 11 years olds than the East

Sussex average

In Hastings, approximately 1 in 5 unintentional injury admissions for young people aged 12-17 years were due to transport injuries.

In Hastings, approximately 25% of A&E attendances for 12 – 17 year olds


Emotional Health and Well-Being

Promoting the emotional and social well-being of children is of key importance in ensuring positive outcomes and resilience in adolescence and further into adulthood. NICE guidelines (2013) recommend that primary schools adopt a ‘Whole School Approach’ in providing a comprehensive programme to help develop children’s social and emotional skills and wellbeing, including support for parents and carers,

ensure that staff can identify children showing early signs of emotional and social difficulties and have access to early specialist support where appropriate. There is evidence that recognises a child’s capacity to learn is underpinned by good mental health and emotional well-being. Social isolation and disadvantage affect a child’s capacity to develop resilient behaviours compromising development and positive outcomes (Young Minds 2007). The Child and Adolescent Mental Health Service (CAMHS) offer children who are experiencing a mental health disorder an initial assessment and if appropriate treatment, or referral to another service.

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In Hastings, the rate of emergency hospital admissions caused by unintentional and deliberate injuries in children aged 5-14 years is 114. This is similar to the East Sussex average of 98 per 10,000 population.

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Admissions due to deliberate harm injuries are either caused by self-harm or assault. In East Sussex, the majority (90%) of deliberate harm injury

admissions for young people aged 12-17 years are due to self-harm, with 10% due to assault.

In Hastings, during 2010/11 – 2012/13, the percentage of deliberate harm injury admissions in 12 – 17 years olds due to self-harm was 92%, with 8%

due to assault

In 2012/13, Hastings (alongside Eastbourne) had a significantly higher rate of A&E attendances due to injuries in 5 – 11 years olds than the East

Sussex average

In Hastings, approximately 1 in 5 unintentional injury admissions for young people aged 12-17 years were due to transport injuries.

In Hastings, approximately 25% of A&E attendances for 12 – 17 year olds

East Sussex 18.6Hastings 21.2WardsADD RELEVANT WARDS DATA + R/A/GADD RELEVANT WARDS DATA + R/A/GADD RELEVANT WARDS DATA + R/A/GADD RELEVANT WARDS DATA + R/A/G

Child and Adolescent Mental Health Services (CAMHS) caseload; rate per 1,000 population aged 0 – 18 years as ay 31/03/14. Numbers using the service are defined as open referrals

who have been seen either face to face or had a telephone assessment in the last 7 months.

As at 31/03/14, there were around 2,000 children and young people on the East

Sussex CAMHS caseloads.

There is a higher rate of children aged 0 – 18 years on the CAMHS caseload in Hastings than for East Sussex but not a significantly

higher rate.



Emotional Health and Well-Being

30

East Sussex 18.6Hastings 21.2WardsADD RELEVANT WARDS DATA + R/A/GADD RELEVANT WARDS DATA + R/A/GADD RELEVANT WARDS DATA + R/A/GADD RELEVANT WARDS DATA + R/A/G

Pupils in Year 10 were asked a series of questions on physical and emotional well-being in the Health Related Behaviour Survey (NHS Sussex and ESCC, 2012).

The survey identified:

36% of Year 10 pupils in Hastings reported high self-esteem – significantly lower than the East Sussex

average.

16% of Year 10 pupils in Hastings reported they were quite/very unhappy with life at the moment – similar to the

East Sussex average.

23% of pupils in Hastings reported that they looked after someone in their family on at least one day in the

previous week who had an illness or disability (similar to the East Sussex average).

26% girls and 20% boys reported they did not get enough sleep to stay alert enough to be able to concentrate on

school work - similar to the East Sussex average.

Key findings from The Good Childhood Report (2015) identified that between the ages of 8 and 14 years there was a general decline in the subjective well-being of children. Change in family circumstance, change in household income, lack of basic items, friendship problems and bullying impact significantly on the child’s emotional resilience. In the survey internationally children in England ranked 3rd from bottom in satisfaction with things learned at school, and liking going to school and only 1 in 6 reported feeling safe. When surveyed about subjective well-being England ranked 14th for reported relationships with teachers and life satisfaction and 15th for self-confidence.

As at 31/03/14, there were around 2,000 children and young people on the East

Sussex CAMHS caseloads.

There is a higher rate of children aged 0 – 18 years on the CAMHS caseload in Hastings than for East Sussex but not a significantly

higher rate.


High Self-esteem reported Have been bullied in the last 12 months

East Sussex 42% 17%Hastings 36% 19%

Quite/Very unhappy with life at the moment

Quite/very happy with life at the moment


% GIRLS said they don't get enough sleep to stay

alert & concentrate on school work

% BOYS said they don't get enough sleep to stay

alert & concentrate on school work


% looked after someone in their family on at least one day in the previous week

who had an illness or disability.

East Sussex 20%Hastings 23%Significantly higher than the East Sussex average




Smoking and Addictive Behaviours

31

Pupils in Year 10 were asked a series of questions on physical and emotional well-being in the Health Related Behaviour Survey (NHS Sussex and ESCC, 2012).

The survey identified:

36% of Year 10 pupils in Hastings reported high self-esteem – significantly lower than the East Sussex

average.

16% of Year 10 pupils in Hastings reported they were quite/very unhappy with life at the moment – similar to the

East Sussex average.

23% of pupils in Hastings reported that they looked after someone in their family on at least one day in the

previous week who had an illness or disability (similar to the East Sussex average).

26% girls and 20% boys reported they did not get enough sleep to stay alert enough to be able to concentrate on

school work - similar to the East Sussex average.

Health Related Behaviour Survey (NHS Sussex and ESCC, 2012)

Hastings Borough data identified that:

24% of Year 10 pupils had smoked at least one cigarette the previous week. This was significantly higher than the East Sussex average (16%).

51% of Year 10 boys had never smoked a cigarette. The East Sussex average was 59%.

42% of Year 10 girls had never smoked a cigarette. The East Sussex average was 52%.

43 % of Year 10 pupils agreed with the following statement “No-one ever smokes at home”. The East Sussex average was 51%

Approximately 1/6th of the total population in Britain smokes cigarettes. Two thirds of young people begin smoking before the age of 18 years, and of those who try smoking, between one third and one half will become regular smokers (ASH 2015). More than ¼ of all cancer deaths are attributable to smoking. Recent research suggests the use of electronic cigarettes may contribute to the long term decline of smoking. The Health Behaviour of School Aged Children study reported 1.5% of 11 – 16 year olds were monthly users of electronic cigarettes suggesting their use is unlikely to be making a significant contribution to adolescent addiction (PHE 2015).

In 2012, the percentage of Year 10 pupils in Hastings who reported smoking at least one

cigarette in the previous week was significantly higher compared to the East

Sussex average.

In 2012, a lower percentage of Year 10 boys and girls across Hastings reported they had never smoked to the East Sussex average.

In Hastings, 43% of Year 10 pupils reported that no-one smoked at home. This is lower

than the East Sussex average of 51%.

The What About Youth Survey (2014/15) shows


Smoking and Addictive Behaviours

32

Health Related Behaviour Survey (NHS Sussex and ESCC, 2012)

Hastings Borough data identified that:

24% of Year 10 pupils had smoked at least one cigarette the previous week. This was significantly higher than the East Sussex average (16%).

51% of Year 10 boys had never smoked a cigarette. The East Sussex average was 59%.

42% of Year 10 girls had never smoked a cigarette. The East Sussex average was 52%.

43 % of Year 10 pupils agreed with the following statement “No-one ever smokes at home”. The East Sussex average was 51%

Young people under 18 years who are in drug or alcohol treatment rate per 10,000 population 2011/2012 to 2012/2013, Source: ESCC JSNA Feb 2015

East SussexHastings

WardsADD RELEVANT WARDSADD RELEVANT WARDSADD RELEVANT WARDSADD RELEVANT WARDS

The Health Related Behaviour Survey (NHS Sussex and ESCC, 2012) asked Year 10 pupils to self-report on smoking, cannabis and alcohol use.

In Hastings:

23% of Year 10 pupils reported they had used cannabis. This is significantly higher than the East

Sussex average of 17%

39% of Year 10 pupils reported they had alcohol at least one day in the previous week. This is similar to

the East Sussex average (35%).

11% of Year 10 boys and girls reported they had never drunk alcohol. This is similar to the East

Sussex average of 13% of boys and 10% of girls.

Over a two year period, Hastings had 176 young

The use of New Psychoactive Substances (NPS) commonly referred to as ‘legal highs’ has become more widespread in recent years and used as an alternative to illegal substances. NPS are easily accessible and perceived by some as safer than other substances – this belief poses serious risk to young people as NPS can cause paranoia, psychosis, seizures and ultimately death (Home Office, 2015). Recent research suggests the use of electronic cigarettes may contribute to the long term decline of smoking. increased likelihood of drug use is linked to a range of adverse experiences and behaviour, including truancy, exclusion from school, homelessness, time in care and serious or frequent offending. (Public Health England, Child Health Profiles). In 2014/15, there were 116 young people who accessed the East Sussex Under 19 Substance Misuse Service; of these, 31 (27%) reported using legal highs.

In 2012, the percentage of Year 10 pupils in Hastings who reported smoking at least one

cigarette in the previous week was significantly higher compared to the East

Sussex average.

In 2012, a lower percentage of Year 10 boys and girls across Hastings reported they had never smoked to the East Sussex average.

In Hastings, 43% of Year 10 pupils reported that no-one smoked at home. This is lower

than the East Sussex average of 51%.

The What About Youth Survey (2014/15) shows


Sexual Health

Many teenage pregnancies are unplanned and approximately half end in a termination. Aside from financial implications to the NHS for many bringing up a child at a very young age can result in poorer long term outcomes in terms of the child’s health, the emotional health and well-being of the mother and long term financial poverty (DH 2010).

33

Young people under 18 years who are in drug or alcohol treatment rate per 10,000 population 2011/2012 to 2012/2013, Source: ESCC JSNA Feb 2015

East SussexHastings

WardsADD RELEVANT WARDSADD RELEVANT WARDSADD RELEVANT WARDSADD RELEVANT WARDS

England East Sussex HastingsUnder 16 pregnancy:Rate of conceptions per 1000 females aged 13-15 years 2013

5 5Not

Available

Under 18 conceptions (per 1000 females aged 15-17 years 2013

24 22 36

Under 18’s conceptions leading to abortion (%) 2013

51 51 42

The Health Related Behaviour Survey (NHS Sussex and ESCC, 2012) asked Year 10 pupils to self-report on smoking, cannabis and alcohol use.

In Hastings:

23% of Year 10 pupils reported they had used cannabis. This is significantly higher than the East

Sussex average of 17%

39% of Year 10 pupils reported they had alcohol at least one day in the previous week. This is similar to

the East Sussex average (35%).

11% of Year 10 boys and girls reported they had never drunk alcohol. This is similar to the East

Sussex average of 13% of boys and 10% of girls.

Over a two year period, Hastings had 176 young

The Health Related Behaviour Survey (NHS Sussex and ESCC, 2012) asked Year 10 pupils to self-report on sex and relationships.

30% of Year 10 pupils in Hastings reported either being in a relationship or had been in a

sexual relationship in the past. This is significantly higher than the East Sussex

average (22%).

Hastings has a significantly higher rate of under 18 conceptions than the East Sussex

average.


Sexual Health

Many teenage pregnancies are unplanned and approximately half end in a termination. Aside from financial implications to the NHS for many bringing up a child at a very young age can result in poorer long term outcomes in terms of the child’s health, the emotional health and well-being of the mother and long term financial poverty (DH 2010).

34



Under 18 Conception rates for East Sussex wards compared to England 2011 – 2012.

Ward Significance compared to

EnglandADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/G

Significantly lower than the England average.No significant difference to the England averageSignificantly higher than the England


35

Ward Significance compared to

EnglandADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/GADD RELEVANT WARDS R/A/G

Significantly lower than the England average.No significant difference to the England averageSignificantly higher than the England


References

Action on

36


Smoking and Health (ASH). 2015. Smoking Statistics. Available at; http://www.ash.org.uk/files/documents/ASH_93.pdf

Brabner, D. 2015. Postcode analysis of paediatric patients (under 16) residing in the East Sussex area; patients referred for dental extractions under general anaesthetic due to dental caries. East Sussex Special Care Dental Service.

Department for Education. 2011. Developing Quality Tuition. Effective Practice in Schools. Available at; https://www.gov.uk/government/publications/developing-quality-tuition-effective-practice-in-schools-english-as-an-additional-language

Department for Education. 2014. Pupil Premium: funding and accountability for schools. Available at; https://www.gov.uk/guidance/pupil-premium-information-for-schools-and-alternative-provision-settings

Department for Education. 2015. Mental health and behaviour in schools - Departmental advice for school staff. Available at; https://www.gov.uk/government/publications/mental-health-and-behaviour-in-schools--2

Department of Health. 2010. Teenage Pregnancy Strategy 2010 and Beyond. https://www.education.gov.uk/consultations/downloadableDocs/4287_Teenage%20pregnancy%20strategy_aw8.pdf

Department of Health 2011. Healthy Lives, Healthy People. A call to action on obesity in England. Available at; https://www.gov.uk/government/publications/healthy-lives-healthy-people-a-call-to-action-on-obesity-in-england

Department of Health. 2012. Protecting People, Promoting Health - A public health approach to violence prevention in England. Available at; https://www.gov.uk/government/publications/a-public-health-approach-to-violence-prevention-in-england

East Sussex County Council and NHS. 2015. JSNAA Indicator Scorecards Local Authority View. Available at; http://www.eastsussexjsna.org.uk/scorecards/2015authorityview/2015LA-Scorecards

East Sussex County Council and NHS. 2016. JSNAA Indicator Scorecards Local Authority View. Available at; http://www.eastsussexjsna.org.uk/scorecards/2016authorityview/2016LA-Scorecards

East Sussex County Council. 2014. Accidents and Injuries in Under 25’s in East Sussex. Available at; http://www.eastsussexjsna.org.uk/JsnaSiteAspx/media/jsna-media/documents/localbriefings/Accidents-and-injuries-in-under-25s-in-East-Sussex-May-2014.pdf

Health and Social Care Information Centre. 2015. Statistics on Obesity, Physical Activity and Diet. Available at; 37


http://www.hscic.gov.uk/catalogue/PUB16988/obes-phys-acti-diet-eng-2015.pdf

Health and Social Care Information Centre. 2014. Health Survey for England 2013. Available at; http://www.hscic.gov.uk/catalogue/PUB16076

Health and Social Care Information Centre. 2013. Health Survey for England 2012. Available at; http://www.hscic.gov.uk/catalogue/PUB13218

Home Office. 2015. New Psychoactive Substances Resource Pack. Available at; https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/412168/150311_Psychoactive-drugs11-colour_18-33-44_-_1_.pdf

NHS Sussex and ESCC 2012. Young People in East Sussex Schools. A report on the health behaviour of young people aged 14 – 15 in 2012. The Schools Education Unit. East Sussex County Council. Available at; http://www.eastsussexjsna.org.uk/evidencelinks/evidence.aspx

National Institute for Health and Care Excellence. 2013. Social and Emotional Well-Being for Children and Young People. https://www.nice.org.uk/advice/lgb12/resources/social-and-emotional-wellbeing-for-children-and-young-people-60521143067845

Ofsted. 2014. Are you ready? Good Practice in School Readiness. Available at; https://www.gov.uk/government/publications/are-you-ready-good-practice-in-school-readiness

Parliamentary Office of Science and Technology. 2007. Ethnicity and Health. Postnote Number 276. Available at; www.parliment.uk/documents/post/postpn276.pdf

Public Health England. 2014. Sugar Reduction: Responding to the Challenge. Available at; https://www.gov.uk/government/publications/sugar-reduction-responding-to-the-challenge

Public Health England. 2015. E-cigarettes: an evidence update. A report commissioned by Public Health England. Available at; https://www.gov.uk/government/publications/e-cigarettes-an-evidence-update

Public Health England. Public Health Outcomes Framework. Available at; http://www.phoutcomes.info/

Public Health England. Child Health Profiles. Accessed (March 2016) at http://www.chimat.org.uk/profiles

Royal College of Surgeons. 2015. The State of Children’s Oral Health in England. Available at; 38


https://www.rcseng.ac.uk/fds/policy/documents/fds-report-on-the-state-of-childrens-oral-health

The Children’s Society. 2015. The Good Childhood Report. Available at; http://www.childrenssociety.org.uk/sites/default/files/TheGoodChildhoodReport2015.pdf

World Health Organisation. 2008. Vaccination greatly reduces disease, disability, death and inequity worldwide. Available at; http://www.who.int/bulletin/volumes/86/2/07-040089/en/

Yarwood, J. 2014. Public Health Matters Blog - Why Vaccinate? Available at; https://publichealthmatters.blog.gov.uk/2014/05/01/why-vaccinate/

Young Minds. The Transition from Primary to Secondary School. 2007. Available at; https://www.youngminds.org.uk/assets/0000/1303/Transitionfromprimarytosecondary.pdf

39


Appendix (data for further education): Chlamydia detection, 15-24 year olds

40

Chlamydia is the most commonly diagnosed sexually transmitted infection in 15-24 year olds (representing more than half of all STI’s in this age group). It causes avoidable sexual and reproductive ill-health, including symptomatic acute infections and complications such as pelvic inflammatory disease (PID), ectopic pregnancy and tubal-factor infertility. The chlamydia detection rate amongst under 25 year olds is a measure of chlamydia control activities. It represents infections identified (reducing risk of sequelae in those patients and interrupting transmission onto others). Public Health Outcomes Framework, PHE 2016

East Sussex has a lower, but not significantly different Chlamydia detection rate for young

people aged 15-24 years compared to England.

Hastings has a similar Chlamydia detection rate to the England average for young people aged

15-24 years.

Increasing detection rates indicates increased control activity. Public Health England

recommends that local authorities work towards achieving a detection rate of at least 2,300 per

100,000 population.

Rate of Chlamydia detection per 100,000 young people aged 15-24 years, 2014. Source: Public Health Outcomes Framework, March 2016

Hastings Borough has a similar rate of Chlamydia detection to the England average. However it still remains the case that 1 in 12 young people aged

15-24 years has Chlamydia.

England 2012East Sussex 1961Hastings 2194Significantly higher than the England averageNo significant difference to the England averageSignificantly lower than the England average


Appendix (data for further education): Accidents and injuries, 15-24 year olds

41

Injuries are a leading cause of hospitalisation and represent a major cause of premature mortality for children and young people. They are also a source of long-term health issues, including mental health related to experience (s). Public Health Outcomes Framework, PHE 2016

Rate of emergency admissions due to unintentional and deliberate harm for 15-24 year olds, per 10,000 population, 2012/13-2014/15. Source: East Sussex JSNA, March 2016

Hastings has a similar rate of emergency admissions due to accidents

and injuries for children and young people aged 15-24 years, when

compared to East Sussex.

ADD APPROPRIATE WARD LEVEL SUMMARY SENTENCE – SEE


East Sussex 138Hastings 137WardsADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/G



Appendix (data for further education): Self-harm A&E attendances and hospital admissions, 16-19 year olds

42

Self-harm can take lots of physical forms, including cutting, burning, bruising, scratching, hair-pulling, poisoning and overdosing. There are many reasons why children and young people try to hurt themselves. Once they start, it can become a compulsion. Self-harm isn’t usually a suicide attempt or a cry for attention. Instead, it’s often a way for young people to release overwhelming emotions. It’s a way of coping. There are links between depression and self-harm. Quite often a child or young person who is self-harming is being bullied, under too much pressure to do well at school, being emotionally abused, grieving or having relationship problems with family or friends. The feelings that these issues bring up can include low self-esteem, low confidence, loneliness, sadness, anger, numbness and lack of control over their lives. Often, the physical pain of self-harm might feel easier to deal with than the emotional pain that's behind it. It can also make a young person feel they're in control of at least one part of their lives. Sometimes it can also be a way for them to punish themselves for something they've done or have been accused of doing. Only a small proportion of acts of self-harm result in hospital attendance. Across all ages, self-harm is one of the top five causes of acute medical admissions. The death rate by suicide of people who self-harm is between 50 to 100 times higher than the general population. The majority of people who self-harm are aged between 11 and 25 years old.

Rate of A&E attendances due to self-harm for 16-19 year olds, per 1,000 population, 2012/13-2014/15. Source: Public Health SUS extracts

Hastings Borough has a similar rate of A&E attendances due to self-harm for young people aged 16-

19 years to the East Sussex average.


PROFILE EXAMPLE

In 2014/15, East Sussex had a significantly higher (directly age standardised) rate of hospital admissions

as a result of self-harm for 10-24 year olds when compared to England. (Child Health Profiles, PHE,

accessed March 2016)

East Sussex 9.9Hastings 9.1WardsADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/G



Appendix (data for further education): A&E attendances due to assaults, 16-19 year olds

43

Young people aged 16-24 years suffer higher levels of violence than other adult age groups. Across the whole population the peak age for emergency admission to hospital due to violence is 18 years. Many incidents of youth violence involve alcohol which can increase risks of both perpetrating and being a victim of violence. (A public health approach to violence prevention for England, Department of Health, 2012)

Hastings has a similar rate of A&E attendances due to assaults for young

people aged 16-19 years to the East Sussex average.

ADD APPROPRIATE WARD LEVEL SUMMARY SENTENCE – SEE


Rate of A&E attendances due to assaults for 16-19 year olds, per 1,000 population, 2012/13-2014/15. Source: Public Health

SUS extracts

East Sussex 7.6Hastings 10.0WardsADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/GADD RELEVANT WARDS ADD RATE + R/A/G



Appendix (data for further education): Hospital admissions due to substance misuse, 15-24 year olds

44

There is evidence to suggest that young people who use recreational drugs run the risk of damage to mental health including suicide, depression and disruptive behaviour disorders. Regular use of cannabis or other drugs may also lead to dependence. (Public Health

England, Child Health Profiles)

The England rate of hospital admissions due to substance misuse for 15-24 year olds is 88.8 per 100,000 population (directly age

standardised, 2012/13-2014/15).

The rate for East Sussex during the same period was 82.9 per 100,000 population (directly age standardised). This is similar to the England

average.

Source: Child Health Profiles, PHE (accessed March 2016)

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