Hastings Borough School-Age Health Profile 2015/16

Contents

Demography

The East Sussex School Health profile supports 27 Schools in the borough of Hastings  21 Primary Schools 5 – 11 years

1 Hastings Borough School-Age Health Profile 2015/16

 4 Secondary Schools 11 – 16 years  2 Special Schools

Key Statistics would indicate:  Hastings Borough 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 higher than both the East Sussex and England average  Hastings Borough has a significantly higher percentage of children (34.8%) entitled to receive the pupil premium than the East Sussex average  Across the Hastings Borough, pupil absence is significantly higher than the national average  Across the Hastings Borough, there are a significantly higher percentage of children with English as an additional language than the East Sussex average.  Across the Hastings Borough, there are a significantly higher percentage of pupils registered as Non-White British than the East Sussex average.  Across the Hastings Borough, 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 Borough achieve less well than the national average (A* - C including Maths and English)  Hastings Borough 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

Primary schools, wards and income deprivation affecting children

Hastings secondary schools and wards

Secondary schools, wards and income deprivation affecting children

East Sussex special schools and pupil referral units

Pupils who have English as an Additional Language

Pupils who are Non-White British

Pupil Premium

Pupils with Special Educational Needs and Disabilities (SEND)

East Sussex 3.6% Hastings 4.1% Wards Ashdown 5.0% 9 Hastings Borough School-Age Health Profile 2015/16

Baird 4.0% Braybrooke 4.3% Castle 4.9% Central St Leonards 3.3% Conquest 3.9% Gensing 4.4% Hollington 4.3% Maze Hill 5.3% Old Hastings 2.8% Ore 3.7% St Helens 2.1% Silverhill 2.9% Tressell 4.3% West St Leonards 5.1% Wishing Tree 4.7% Significantly lower than the East Sussex average No significant difference to the East Sussex average Significantly higher than the East Sussex average

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).

Attainment Key Stage 2

East Sussex 78% Hastings 75% Wards Ashdown 84% Baird 59% Braybrooke 77% Castle 75% Central St Leonards 75% Conquest 71% Gensing 83% Hollington 71% Maze Hill 73% Old Hastings 77% Ore 71% St Helens 83% Silverhill 80% Tressell 72% West St Leonards 78% Wishing Tree 72% Significantly higher than the East Sussex average No significant difference to the East Sussex average Significantly lower than the East Sussex average

Attainment GCSE Key Stage 4

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).

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). % Obese % Obese Reception Year 6 England Average 9.4% 19.1% East Sussex 8.2% 16.3% Hastings 10.2% 18.6% Wards Ashdown 8.2% 21.7% Baird 11.0% 19.0% Braybrooke 7.8% 17.7% Castle 8.8% 22.4% Central St Leonards 11.0% 18.3% Conquest 7.5% 22.2% Gensing 13.7% 25.2% Hollington 14.4% 15.1% Maze Hill 6.3% 19.6% Old Hastings 9.3% 14.4% Ore 14.4% 13.4% St Helens 6.9% 12.5% Silverhill 10.0% 17.8% Tressell 7.7% 17.3% West St Leonards 9.7% 21.3% Wishing Tree 10.8% 21.7% 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).

Healthy Weight (Secondary) 16 Hastings Borough School-Age Health Profile 2015/16

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.

Fruit as a snack Chocolate as a snack Boys Girls Boys Girls East 21% 24% 31% 25% Sussex Hastings 18% 32% 26% 34%

Physical Activity and Travel to School

Physical Activity and Travel to School (Primary)

Physical Activity and Travel to School (Secondary)

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).

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).

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.

Emotional Health and Well-Being

High Self-esteem reported Have been bullied in the last 12 months East Sussex 42% 17% Hastings 36% 19%

Quite/Very unhappy with Quite/very happy with life life at the moment at the moment East Sussex 16% 69% Hastings 16% 68%

% GIRLS said they don't % BOYS said they don't get enough sleep to stay get enough sleep to stay alert & concentrate on alert & concentrate on school work school work East Sussex 26% 19% Hastings 26% 20%

% 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 No significant difference to the East Significantly lower than the East the East Sussex average Sussex average Sussex average

Smoking and Addictive Behaviours

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).

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).

References

Action on 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; 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; 32 Hastings Borough School-Age Health Profile 2015/16 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

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Royal College of Surgeons. 2015. The State of Children’s Oral Health in England. Available at; https://www.rcseng.ac.uk/fds/policy/documents/fds-report-on-the-state-of-childrens-oral-health 33 Hastings Borough School-Age Health Profile 2015/16

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/

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

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

England 2012 East Sussex 1961 Hastings 2194 Significantly higher than the England average No significant difference to the England average Significantly lower than the England average

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

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

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

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