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Early Years Profile - Shepway

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Early Years Profile - Shepway Early Years Profile - Shepway November 2016 Produced by Samantha Bennett: Public Health Consultant ([email protected]) Del Herridge: Public Health Product & Data Manager ([email protected]) Zara Cuccu: Public Health Analyst ([email protected]) Lauren Liddell-Young: Information Officer ([email protected]) Correspondence to: Del Herridge Version: 1b Last Updated: November 2016 | Contents 1. Executive Summary ................................................................ 2 1.1 Priorities for Shepway ................................................................................................. 2 1.2 Key Findings ................................................................................................................. 3 1.3 Call to Action ............................................................................................................... 5 2. Introduction & Objectives....................................................... 6 3. Health Outcome Indicators ..................................................... 9 3.1 Under 18 conceptions ................................................................................................. 9 3.2 Infant mortality ......................................................................................................... 11 3.3 Low birth weight ....................................................................................................... 13 3.4 Smoking status at time of delivery ............................................................................ 15 3.5 Breastfeeding (initiation) .......................................................................................... 16 3.6 Breastfeeding (prevalence at 6-8 weeks) .................................................................. 17 3.7 Vaccination coverage ................................................................................................ 18 3.8 Child development & school readiness ..................................................................... 20 3.9 Healthy weight (excess weight at 4-5 years) ............................................................ 22 3.10 Tooth decay in children age five ............................................................................ 24 3.11 Hospital admissions due to an injury .................................................................... 25 Appendix A: Ward key.................................................................. 27 Appendix B: Technical Information ............................................... 28 A.1.1 Confidence intervals ..................................................................................................... 28 A.1.1 Statistical significance .................................................................................................. 28 A.1.1 Trend analysis ............................................................................................................... 28 Appendix C: Practice level immunisation data .............................. 31 1 Early Years Profile – Shepway, November 2016 | 1. Executive Summary 1.1 Priorities for Shepway • Decrease the percentage of 4-5yr olds with excess weight o More 20% of reception year children are overweight • Increase the prevalence & coverage of breastfeeding at 6-8 weeks o Coverage of breastfeeding status is less than required 95%, whilst prevalence is only 35% • Increase MMR vaccination coverage o Level of MMR dose 2 coverage is less than the recommended 90% • Decrease the number of women who smoke in pregnancy o Highest rate of women who smoke in pregnancy in Kent at nearly 20% • Decrease the number of children in reception year who are overweight o The percentage of reception year children who are overweight is in excess of 20% 2 Early Years Profile – Shepway, November 2016 1.2 Key Findings Population Deprivation 22.7% 6.5% of children of Shepway’s population were living in income are aged 0 to 5 deprived household Folkestone East, Folkestone Harbour and Folkestone Harvey Central were highlighted Under 18 conceptions Infant mortality 15.1 per 1,000 3.4 per 1,000 15- 17 year olds live births between 2012 and 2014 Similar to Kent. Decreasing across Kent since 1998-2001. Decreasing since 1998-2000. Low birth weight (less than 2500g) Smoking at time of delivery Of 1,038 maternities in 2015/16, 203 or 6.3% 175 were smoking at of live births time of delivery between 2013 and 2014 19.0% Similar to Kent. Stable since 1998-2000. Similar to previous years, but higher than Kent. 3 Early Years Profile – Shepway, November 2016 Breastfeeding prevalence at 6-8 weeks MMR vaccination coverage The prevalence of 85.9% breastfeeding at 6-8 of children at age 5 years weeks had received two doses of MMR 35.3% Similar to Kent and just short of 90% 16.4% had unknown breastfeeding vaccination coverage targets. Child development Excess weight 70.4% Of children aged 4-5 years, measured as part of the of pupils achieved a good level of development National Child Measurement Programme during 2014/15 23.7% were overweight or obese Lower than Kent. Similar to previous years and Kent. Tooth decay Of children aged five surveyed, experienced 15.9% decayed, missing or filled teeth Similar to Kent. 4 Early Years Profile – Shepway, November 2016 1.3 Call to Action Overall, Shepway performs higher than Kent for two of the early years profile health outcome indicators; smoking status at time of delivery and women who smoke in pregnancy. Effective interventions should focus on the wards identified within the Mind the Gap analysis; Folkestone Harbour and Folkestone Harvey Central. From analysis these wards or practices serving these were often identified within the 5 Early Years Profile – Shepway, November 2016 | 2. Introduction & Objectives The report has been produced to mirror the NHS England and Public Health England, Child & Maternal Intelligence Network early years profiles for children aged 0 to 5 years.1 The early years have been well identified as the critical point to improve health and wellbeing over the life course.2 The health outcome indicators used include; • under 18 conceptions, • infant mortality, • low birth weight, • smoking status at time of delivery, • breastfeeding prevalence at 6-8 weeks, • vaccination coverage, • child development, • excess weight, • tooth decay. Comparisons have been made to Kent and England. Where possible, our analysis has been completed at a lower geographical level, by ward; therefore, we have pooled several years data to improve the reliability of our findings. 1 Public Health England (2015) National child & maternal health intelligence network: early years profiles. http://atlas.chimat.org.uk/IAS/dataviews/earlyyearsprofile 2 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf 6 Early Years Profile – Shepway, November 2016 Shepway is a district located within the east of the county. The main town is Folkestone, with good transport links from the M20. The rest of the district is rural with a number of small villages. A ward map has been included, the key for ward names within Appendix A. The Health & Social Care Maps detail the headline demographic information for Shepway. For the purpose of this report, we explored ward level population estimates for children aged 0 to 5, as a percentage of the all age resident population. For Shepway 6.5% of its population were aged 0 to 5. The highest 20% and 10% of Shepway; Table 1: Resident population estimates, 2014: by ward. Ward name Ages 0-5 All ages Percentage (n) (n) aged 0-5 (%) Folkestone Foord 653 5878 11.1% Folkestone East 419 4813 8.7% Folkestone Harbour 499 5813 8.6% North Downs East 805 9902 8.1% Folkestone Morehall 377 4723 8.0% Source: ONS, produced by KPHO (ZC) October 2016. 7 Early Years Profile – Shepway, November 2016 The Mind the Gap: Health Inequalities Action Plan for Kent sought to characterise the most deprived decile for Kent using segmentation. Within the South Kent Coast CCG area (not coterminous with borough boundary) this highlighted LSOAs within the wards of Folkestone Foord, Folkestone East, Folkestone Harbour and Folkestone Harvey Central. Which were characterised by being typically: • Type 1: young people lacking opportunities • Type 3: families in social housing • Type 4: young people in poor quality accomodation See the South Kent Coast CCG summary for detailed locality maps. The GP practices that serve the most deprived decile, include: the New Surgery, the Manor Clinic, Folkestone East Family Practice and Guildhall Street Surgery. The Income Deprivation Affecting Children Index has been mapped as part of the Health & Social Care Maps. This is an indicator that describes the proportion of children living within income deprived families.3 For Shepway 22.7% of children were living in income deprived households. The highest 20% and 10% of Shepway wards have been highlighted; Table 2: Income deprivation affecting children, 2015. Ward name Percentage of children living in income deprived households (%) Folkestone Harvey Central 44.0% Folkestone East 40.3% Folkestone Harbour 39.1% Folkestone Foord 35.3% Lydd 23.4% Source: IMD, produced by KPHO (ZC) October 2016. 3 Families that either receive Income Support or income-based Jobseekers Allowance or Employment and Support Allowance or Pension Credit (Guarantee) or families in receipt of Working Tax Credit or Child Tax Credit with an equivalised income (excluding housing benefit) below 60 per
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