Priority 1: Improve Health and wellbeing in early years

Every child fit to learn and attain the highest levels of literacy

Focus on early intervention and identification of vulnerable children and families (including children with disabilities) • has the lowest rate • North East had • Derbyshire has increased of resident pupils achieving 5 the largest increase in achievement rates by 3.4 or more A*-C GCSEs achievement by 8.4% points percentage points and including English and Maths, in 2010/11 and has the remains similar to the however this has increased highest rate at 67.1% average by 2.6 % points since 2010

Derbyshire Resident Pupils Achieving 5+ A*-C inc English & Maths GCSE CAYA areas, 2011

80.0

70.0 67.1 60.0 60.7 60.9 57.2 57.3 58.0 58.7 57.8 58.4 58.2 50.0 54.6 56.0 55.0 55.1 51.0 52.3 53.0 48.4 40.0

30.0

20.0 % ResidentPupils % 10.0

0.0 Bolsover Chesterfield Erew ash High Peak & North East England North Dales Derbyshire Derbyshire & South Dales

Source: Children and Younger Adults Information Service, Derbyshire County Council, March 2012 2010 2011 • Erewash has a significantly • High Peak has the highest rate lower rate of hospital of hospital admissions at 98.8 admissions amongst under per 100,000 under 18s, which is 18s than Derbyshire 39.0 per 100,000 higher than the Derbyshire average

Hospital Admissions due to Alcohol Specific Conditions per 100,000 under 18s population 2008/09 - 2010/11

140.0 120.0 100.0 80.0 60.0 98.8 40.0 63.8 69.2 65.0 51.6 61.9 52.2 59.8 20.0 35.5 Rate per 100,000 under 18s under per 100,000 Rate 0.0 Amber Valley Bolsover Chesterfield Derbyshire Erew ash High Peak North East South Derbyshire PCT Dales Derbyshire Derbyshire

Source: 2008/09 - 2010/11, Secondary Uses Service (SUS) and Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • The rate of • South Derbyshire (82.9%), • High Peak has the highest breastfeeding initiation (82.3%) and rate of infants still being and breastfeeding at 6-8 High Peak (81.3%) have the breast fed at 6-8 weeks weeks in Derbyshire are highest rate of breastfeeding (55.3%), which is well above both below the England initiation in the county, whilst the England rate of 48.6% average Bolsover has the lowest (67.4%)

Breast Feeding: Initiation and at 6-8 Weeks 2010/11

100 90 80 70 60 50 40 82.3 81.1 82.9 73.0 77.5 75.9 73.0 74.5 67.4 70.6 30 55.3 48.1 48.2 48.0 48.6 45.0 43.0 20 37.9 36.5

PercentageInfants of 32.6 10 0 Amber Valley Bolsover Chesterfield Derbyshire Erewash High Peak North East South Derbyshire England Dales Derbyshire Derbyshire PCT Breast Feeding Initiation Breast Feeding at 6-8 Weeks Source: 2010/11, Provider Maternity System Extracts. National data from Department of Health, Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • High Peak & North Dales • Erewash, at 61.0 child • Derbyshire (35.0) has fewer (20.0) and South Derbyshire protection plans per 10,000 Child Protections plans than & South Dales (21.0) has the under 18s population has a England 38.7 lowest number of children significantly higher rate •13.0 per 10,000 0-17 yr olds with a child protection plan in amongst Derbyshire’s CAYA in Derbyshire with a Child 2010/11 areas. Protection plan are disabled

Number of Children Subject to a Child Protection Plan per 10,000 population aged under 18 years, 2010/11

70.0

60.0

50.0

40.0

30.0 61.0

20.0 38.0 38.0 43.0 38.7 32.0 35.0 33.7 10.0 20.0 21.0 Rate per 10,000 0-17 population population 0-17 per10,000 Rate 0.0 Amber Valley Bolsover Chesterfield Erew ash High Peak & North East South Derbyshire Statistical National North Dales Derbyshire Derbyshire & Neighbour Average South Dales Average

Source: 2010/11, Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • 1 •Looked 2 After Children • 3 per 10,000 population aged under 18 years, 2009/10 to 2010/11

70.0

60.0

50.0

40.0

30.0 60.0 61.0 58.0 59.0 52.0 53.2 54.0 54.0 47.5 51.0 20.0 40.0 41.0 38.5 39.0 35.0 31.5 31.8 31.0 10.0 20.0 23.0 Rate per 10,000 0-17 population 0-17population per10,000 Rate 0.0 Amber Valley Bolsover Chesterfield Erew ash High Peak & North East South Derbyshire Statistical England North Dales Derbyshire Derbyshire & Neighbour South Dales Average Source: 2010/11, Children & Younger Adults Information Service, Derbyshire County Council, March 2012 2009/10 2010/11

• Chesterfield has had the largest increase in the rate of • Derbyshire (41.0) has • 94.0 children per 10,000 children in care since 2009/10 significantly fewer Children in looked after children are care per 10,000 of 0-17 • Erewash and North East disabled population than England Derbyshire have both seen a (59.0) decline in their rates • 1 Number of Referrals Received• 2 Regarding Domestic • 3 Violence Where Children are Part of the Family Unit, March 2011 to Feb 2012 • Derbyshire had 1,560 referrals in 2011/12 South Derbyshire & South Dales High Peak & North •Erewash has the 11% Dales 16% most referrals regarding domestic violence Erewash 21% 21% Chesterfield 17% • 5 referrals were from families with disabled children

Amber Valley 19% Bolsover North East 12% Derbyshire 4%

Source: 2010/11, Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • In both High Peak & North • Bolsover has the highest Dales and North East percentage of pupils eligible Derbyshire less than 10% of for free school meals at pupils are eligible for free 19.0% school meals

% Pupils Eligble for Free School Meals School Census October 2011 at School CAYA District

20.0 18.0 16.0 14.0 12.0 10.0 19.0 8.0 16.2 15.5 6.0 13.3 13.0 9.9 10.3 4.0 9.6 2.0 Percentage of pupils on school roll schoolroll on pupils of Percentage 0.0 Amber Valley Bolsover Chesterfield Erew ash High Peak & North North East South Derbyshire Derbyshire Dales Derbyshire & South Dales Source: Status as at School Census October 2011 Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • 1 Emergency Hospital• 2 Admissions Rate for Unintentiona • 3 l & Deliberate Injuries per 10,000 0-17 population, 2010/11

160.0

140.0

120.0

100.0

80.0 132.0 60.0 130.3 119.5 108.4 111.9 102.4 94.1 40.0 92.6 88.0

20.0 Rate per 10,000 aged under 18 18 under aged per 10,000 Rate

0.0 Amber Valley Bolsover Chesterfield Derbyshire Erew ash High Peak North East South Derbyshire PCT Dales Derbyshire Derbyshire

Source: 2010/11, Secondary Uses Service (SUS) and Children & Younger Adults Information Service, Derbyshire County Council, March 2012

• Erewash (88.0) has the • South Derbyshire has the lowest rate per 10,000 0-17 highest rate of emergency year olds with both hospital admissions in 2010/11 unintentional and deliberate with 132.0 admissions per 10,000 injuries in 2010/11 0-17 years olds • The under 18 conception rate in • Derbyshire Dales has the lowest Derbyshire (32.5) is much lower than conception rate amongst females that for England (38.1) and its statistical aged 15-17 years at 18.3 conceptions neighbours, at 39.0 per 1,000 16-17 per 1,000 population, whilst year olds Chesterfield has the highest (40.6)

Under 18s Conception Rates 2008-2010 (3 year pooled rate)

50.0 45.0 40.0 35.0 30.0 25.0 20.0 37.8 40.6 39.0 38.1 34.6 34.0 34.9 32.5 15.0 27.3 28.4 10.0 18.3 5.0

Rate per 1,000 15-17 female population population female 15-17 1,000 per Rate 0.0 England Dales South Bolsover Erewash High Peak High Statistical NorthEast Derbyshire Derbyshire Derbyshire Derbyshire Neighbours Chesterfield Amber Valley Amber Source: 2008-10, Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • 1 Overweight & Obese Primary School Age Children in Reception and Year 6 in Derbyshire 2007/08 to 2010/11 2007/08 2008/09 2009/10 2010/11

25.0%

20.0%

15.0%

10.0% 19.2% 17.0% 17.7% 17.9% 14.8% 14.8% 13.4% 14.3%14.1% 14.0% 14.0% 14.5% 5.0% 9.3% 7.9% 8.6% 8.5% Rate per 10,000 0-17 population population 0-17 10,000 per Rate 0.0% Reception Year 6 Reception Year 6

Overweight Obese Source: 2010/11, Children & Younger Adults Information Service, Derbyshire County Council, March 2012

• Year 6 school children have seen an • There is a marked • Reception year pupils increase in both overweight and obese difference between have seen a decrease in numbers over the four academic years. Obese levels both Overweight and The largest increase has been in obese between Reception Obesity levels since children of 2.1 percentage points and Year 6 2009/10 • Chesterfield with 3.2% of pupils on • North East Derbyshire has the the school roll has the highest lowest percentage of pupils with a proportion of pupils with a statement, statement of Special Educational however, this is closely followed by Need (SEN) at 1.5% Amber Valley, Bolsover and Erewash with 3.0% of pupils

% Pupils with Statements School Census October 2011 at School CAYA District

3.5

3.0

2.5

2.0

1.5 3.0 3.0 3.2 3.0 2.5 1.0 2.2 2.1 1.5 0.5 Percentage of pupils on school roll school on roll pupils of Percentage 0.0 Amber Valley Bolsover Chesterfield Erew ash High Peak & North North East South Derbyshire Derbyshire Dales Derbyshire & South Dales Source: Status as at School Census October 2011 Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • Learning difficulties (37.0%), • Behaviour, emotional & followed by speech and social difficulties (35.3%) • Learning difficulties (54.7%) language needs (23.4%) are the and learning difficulties are and Autism (19.2%) are the main type of need in Primary the main type of need in main type of need in Special school pupils in Derbyshire were Secondary school pupils in schools in Derbyshire in 2010 issued with a statement of SEN Derbyshire

Pupils with Statements of Special Educational Needs (SEN) or At School Action Plus by Type of Need, 2010

100% 5.9 6.5 8.0 6.6 8.1 7.9 9.6 19.2 18.6 12.8 4.7 3.6 3.8 80% 3.6 5.2 0.7 5.4 7.8 2.8 3.5 4.9 23.4 26.5 4.8 16.8 60% 14.5 30.3 35.3 20.9 18.5 40% % Pupils % 54.7 54.1 41.9 20% 37.0 37.0 34.9

0% Derbyshire England Derbyshire England Derbyshire England

Primary Secondary Special Learning Difficulty Behaviour, Emotional & Social Difficulties Source: January 2010 School Census, Depart. for Speech, Language and Communications Needs Impairment Education, December 2011 Physical & Other Disability Autistic Spectrum Disorder • Derbyshire (7.0%) has a • Derbyshire Dales •Bolsover (7.0%) and South lower than average rate of (5.7%) has the lowest rate Derbyshire (7.6%) both have babies born with a low birth of babies with a low birth a higher rate of babies born weight compared to England weight with a low birth weight than (7.5%) England (7.5%)

Low Birth Weight births 2006 to 2010 inclusive

10.0 9.0 8.0 7.0 6.0 5.0 4.0 7.9 7.6 7.5 7.2 7.1 7.1 6.7 7.0

% of New borns New of % 3.0 5.7 6.0 2.0 1.0 0.0 Amber Valley Bolsover Chesterfield Derbyshire Erew ash High Peak North East South Derbyshire England Dales Derbyshire Derbyshire

Source: 2006 to 2010 inclusive, East Publi c Health Observatory (EMPHO), Jan 2012 • 1 Children achieving• 2 a good level of development • 3 at age 5, 2009-2010 academic year 78 points across all 13 EYFSP scales

80.0 70.0 60.0 50.0 40.0 63.3 68.3 65.6 30.0 60.8 58.3 56.0 61.2 58.1 61.3 55.6

% of 5 year olds 20.0 10.0 0.0 Amber Valley Bolsover Chesterfield Derbyshire Dales Erew ash High Peak North East South Derbyshire Derbyshire England Derbyshire

Source: 2009-10 academic year, Small Area Pupil Attainment by Pupil Characteristics in England, Public Health Observatory (EMPHO)

• The percentage of children at • High Peak (68.3%) and • Whilst Chesterfield (56.0%), age 5 achieving a good level of North East Derbyshire South Derbyshire (58.1%) and development, is significantly (65.6%) have the highest Bolsover (58.3%) have the higher in Derbyshire compared level of children achieving a lowest levels across the to England (55.6%) good level of development county, all are above the England average of 55.6% • High Peak & North Dales • Of all Derbyshire's CAYA Areas (5.5%) and Chesterfield Erewash (1.8) has the highest level (5.2%) have above average of unauthorised absences in levels of authorised absence Secondary schools, followed by in Secondary schools across Bolsover & North East Derbyshire the county (1.5%)

2010-2011 Unauthorised and Authorised Absences in Secondary Schools by CAYA Area

8.0 6.7 6.7 7.0 6.3 6.4 6.3 5.9 5.6 6.0 1.2 1.3 1.5 0.7 1.8 1.2 5.0 0.8

4.0

3.0 5.5 5.1 4.8 5.2 4.9 4.8 5.1 2.0

1.0 Percentage of pupils on school roll school roll on pupils of Percentage 0.0 Amber Valley Bolsover & North Chesterfield Erew ash High Peak & North South Derbyshire & Derbyshire East Derbyshire Dales South Dales

Source: Children & Younger Adults Information Service, Derbyshire County Council, March 2012 Authorised Absence Unauthorised Absence • Chesterfield (4.6%) and • Across the majority of Bolsover (4.6%) have slightly Derbyshire's CAYA Areas above average levels of unauthorised absences in authorised absence in Primary Primary schools stands at schools across the county just 0.4% of pupils

2010-2011 Unauthorised and Authorised Absences in P rimary Schools by CAYA Area

6.0 5.0 5.0 4.8 4.9 4.8 5.0 4.6 0.4 4.4 0.4 0.4 0.4 0.4 0.3 0.2 4.0

3.0

4.5 4.6 4.6 4.5 2.0 4.3 4.1 4.4

1.0 Percentage of pupils on school roll roll school on pupils of Percentage 0.0 Amber Valley Bolsover & North Chesterfield Erew ash High Peak & North South Derbyshire & Derbyshire East Derbyshire Dales South Dales

Source: Children & Younger Adults Information Servi ce, Derbyshire County Council, March 2012 Authorised Absence Unauthorised Absence • In 2009/10 the level of persistent • Persistent absences in absences in Secondary schools Derbyshire’s Secondary across Derbyshire was slightly higher schools have steadily declined than the England average and since 2005/06 in both the Derbyshire’s statistical neighbours county and across England

Persistent Absences in Secondary Schools 2005/06 to2010/11 Pupils absent for more than 20% of the time (63+ pupil sessions)

8.0

7.0 Derbyshire Statistical Neighbour Average National

6.0

5.0

4.0

% Change 7.1 6.8 6.8 6.5 6.7 3.0 6.0 5.3 5.3 5.6 4.7 4.8 4.9 2.0 4.3 4.1 4.2 4.1

1.0

0.0 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11*

Secondary Schools *National and Statistical Neighbour figures not yet available (April 2012) Source: Children & Younger Adults Information Service, Derbyshire County Council, March 2012 • In 2009/10 the level of persistent • Persistent absences in absences in primary schools across Primary schools in Derbyshire Derbyshire (1.2%) was lower than the have been fairly stable since England average (1.4%) and Derbyshire’s 2005/06 statistical neighbours (1.3%)

Persistent Absences in Primary Schools 2005/06 010/11to 2 Pupils absent for more than 20% of the time (63+pil pu sessions)

2.5

2.0

1.5

% Change 1.0 1.8 1.6 1.7 1.7 1.4 1.4 1.4 1.3 1.2 1.2 1.3 0.5 1.0 1.0

0.0 2006/07 2007/08 2008/09 2009/10 2010/11*

Primary Schools

National and Statistical Neighbour figures not availableyet (April 2012) Source: Children & Younger Adults Information Service, Derbyshire County Council, March 2012 Derbyshire Statistical Neighbour Average England • 1 Derbyshire Nursery Education Funding Take-up • 2 • 3 by CAYA Area, January 2012 Rate per 10,000 Children aged 3 and 4 years

12000 3 years 4 years

10000 9532 9702 9691 9481 9091 8825 8000 8337 7621 6909 6000 6556 5687 5524 5021 4000 4230

per 10,000 children aged 3 or 4 years 4 or childrenaged3 10,000 per 2000

0 Amber Valley Bolsover Chesterfield Erewash High Peak & North East South North Dales Derbyshire Derbyshire & South Dales

Source: Children and Younger Adults Information Ser vice, Derbyshire County Council, March 2012

• The take up of nursery education • At age 4, Chesterfield closely funding for children at age 3 varies followed by High Peak & Dales across the county, Chesterfield has the has the highest level of funding highest level of take up and High Peak & take up whilst South Derbyshire North Dales the lowest & South Dales has the lowest • Chesterfield (84.0%) has the • The highest levels of participation highest percentage of children by children registered at a Children’s under 5 registered at a Children's Centre over the previous year are in Centre, South Derbyshire & Chesterfield (79.7%) and High Peak South Dales (47.1%) the lowest & North Dales (79.6%)

Children Under 5 yrs Registered and Particpating at a Children's Centre by CAYA Area % of Population Registered % of Registrants Contacted Previous Year 90.0 % of Population Contacted in Previous Year

80.0 84.0 79.7 70.0 79.6 77.5 74.4 71.7 71.7 69.4

60.0 68.2 67.0 62.9 61.8 50.0 61.0 49.5 49.2 40.0 48.9 47.3 47.1 45.1

% under 5s population 30.0 35.0 34.4 20.0

10.0

0.0 Amber Valley Bolsover Chesterfield Erewash High PeakNorth & North East South Derbyshire & Dales Derbyshire South Dales Source: Children and Younger Adults Information vice,Ser Derbyshire County Council, March 2012