Childrens Joint Strategic Needs Assessment

1
Childrens Joint Strategic Needs Assessment

• Staffordshire Childrens Trust
• May 2008

2
Overview

• The task
• The headlines a quick snapshot
• Be healthy
• Stay safe
• Enjoy and achieve
• Make a positive contribution
• Achieve economic well-being
• Next steps

3
The task background

• Every Child Matters, 2003
• Children and Young Peoples Plans(The Children
  Act, 2004)
• Joint Strategic Needs Assessment
• (Local Government and Public Involvement in
  Health Act, 2007)

4
Where are our children and young people?

• Overall, 195,500 0-19 year olds, accounting for
  23.9 of the population.
• Biggest numbers are in Newcastle-under-Lyme
  (29,000) smallest numbers (19,800) but highest
  concentration (26.7) are in Tamworth.
• BME rate in 0-19 year olds is low in
  Staffordshire - 4.0 (compared to 13.6 in
  England as a whole). The exception is East
  Staffordshire (10.6).

5
Lone parenthood

• Only Tamworth district is over both the regional
  and national rates for lone parent households (as
  a percentage of all households)
• But enormous sub-district variation
• 42 wards higher than national average
• 5 wards gt10 of households
• Glascote ward (Tamworth) has almost 400 lone
  parent households

6
Be healthy (1)

• Infant mortality, needs careful interpretation
• Obesity, local data
• NS PCT above national average (12.4 and 18.8)
• SS PCT below but increasing coverage (8.4 and
  16.8)
• Emotional well being national estimates
• Teenage pregnancy big variation
• lowest Staffordshire Moorlands (27.8 per 1,000)
• highest Tamworth (50.1 per 1,000), and high
  teen live births (9)
• Rising in Stafford

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Be healthy (2)

• Alcohol more often, but lesser amounts
• Healthy schools, travel plans, fruit
• Drug misuse, heroin vs cannabis use reflecting
  availability
• Breast feeding initiation rates low in both North
  and South Staffordshire PCTs
• Physical activity and sport in schools
• low rates, especially in Newcastle-under-Lyme
  (63) and Tamworth (77)

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What young people say

• There should be better access to healthcare
  and advice, especially in rural areas where its
  hard for us to travel to see someone. I dont
  always need to see a doctor but I should have
  somewhere to go.
• Everybody wants to be happy when you say
  mental health to people they think it doesnt
  affect them but it does. More should be done to
  promote emotional wellbeing because nobody wants
  to feel sad or angry or anything negative at
  all.
• The LAA document says the CAMHS service is
  above national average but young people are
  always unhappy with the lack of access to the
  service and its not always appropriate but there
  isnt any other help out there.

9
Stay safe (1)

• Re-registration on the Child Protection Register
  (high in 2004/05 and 2005/06) are now starting to
  fall
• Child protection registrations neglect
• Highest number of registrations and
  re-registrations
• are in this category
• 50.2 of the children (categorised under neglect)
  live
• in the most deprived areas, e.g.
• Shobnall ward (East Staffordshire) 284 per 10,000
  0-18 year olds
• East of Town (Newcastle-under-Lyme) 271 per
  10,000 0-18 year olds
• Glascote (Tamworth) 257 per 10,000 0-18 year olds

10
Stay safe (2)

• RTA deaths 0-15s per 100,000 0-15 population
• higher in Cannock, East Staffordshire,
  Staffordshire Moorlands
• RTA deaths 16-25s per 100,000 16-25 population
• higher South Staffordshire, Staffordshire
  Moorlands and East Staffordshire, Stafford
• highest concentration in Stafford

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Stay safe (3)

• Looked after children placement stability poor
• (56 vs 65)
• Neglect as an increasing reason, complex care as
  an increasing need
• An estimated 65,000 Common Assessment Frameworks
  needed over 18 years, approximately 3,600 per
  year

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What young people say

• Children and young people should be helped
  when they are being bullying or abused.
• Anti-social behaviour is an issue such as
  throwing stones at buses, violence, and drugs and
  alcohol.
• Anti-social behaviour is caused by many
  things in society. It can only be tackled when
  young people are no longer discriminated against
  for being young.

13
Enjoy and achieve (1)

• Attainment generally positive
• Closing the gap, some success
• KS4 GCSEs constant improvement but still below
  national attainment levels
• Looked After Children predictions suggest an
  improvement of 12

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Enjoy and achieve (2)

• Unauthorised school absences lower than national
• Pupils participation in PE, sport or physical
  activity
• almost 81 participate for at least 2 hours per
  week
• increasing over time,closing the gap
• Intra and Inter School Competition
• low rates in Newcastle-under-Lyme and Tamworth
  (in addition to both areas having low rates of
  physical activity and sport in schools)

15
Enjoy and achieve (3)

• Integrated Youth Support Service
• positive activities
• information advice and guidance
• volunteering and making a positive contribution
• Targeted Youth Support
• Detailed mapping of Not in Employment, Education
  or Training (NEETs) hotspots and service
  provision

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What young people say

• More leisure activities/variety wanted.
• More youth clubs needed.
• More things to do needed, particularly on
  a Friday/Saturday night.
• Lack of facilities for older teenagers,
  i.e. those 1618 yrs.
• No where to go, nothing to do
  particularly somewhere well-lit/safe/warm.

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Making a positive contribution (1)

• Election participation
• 100 of schools take part in school council
  elections
• participation increasing significantly
• Good track record in engaging and supporting
  people in volunteering
• Involvement in community based sporting activity
• low rates in Newcastle-under-Lyme (16) and
  Tamworth (17)

18
Making a positive contribution (2)

• Youth offending service seeing steady decrease in
  numbers of First Time Entrants
• Rising numbers of permanent exclusions from
  school
• Enterprising behaviour above national average
  (2.4 vs 2.0).
• High percentages of 18-24 year olds who are
  self-employed in Staffordshire Moorlands (3.3),
  Cannock Chase (3.1), South Staffordshire (3.0),
  Lichfield (3.0) and East Staffordshire (2.5)

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What young people say

• Public perception of teenagers, yobs, up to no
  good

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Achieve economic well-being (1)

• NEET rate lower than national (5.7 vs 6.7)
• but high rates in Cannock Chase (8.4), Lichfield
  (6.5), Newcastle-under-Lyme (6.1) and
  Staffordshire Moorlands (6.0)
• 16-18 NEET benchmarking
• participation in learning (77.1) teen mothers
  in education, employment of training (23)
• Percentage of 19 year olds achieving NVQ level 2
  gradually increasing, with the exception of
  Tamworth
• Higher education entrants higher than national
  (127 vs 122 per 1,000 18 to 20 year olds)
• lowest in Tamworth, Newcastle-under-Lyme and
  Cannock Chase

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Achieve economic well-being (2)

• 6 areas in 10 most deprived in England
• Cross Heath, Knutton Silverdale, Chesterton
  (Newcastle-under-Lyme)
• Eton Park, Shobnall (East Staffordshire)
• Glascote (Tamworth)
• 40 areas in 10-20 most deprived in England
• Little change in deprivation scores 2004 to 2007

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Achieve economic well-being (3)

• Income deprivation highest in
• Glascote (Tamworth) 45 of the adult population
  were living in income deprived families
• Cannock North (Cannock Chase)
• Anglesey (East Staffordshire)
• Highfields Weston Downs (Stafford)
• Shobnall (East Staffordshire)
• Parallel picture for income deprivation affecting
  children

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Next steps

• Further guidance
• More detailed development
• Related to LAA