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Teenage Pregnancy Plan 2014-16 Preventing Unplanned Teenage Pregnancy and Supporting Teenage Parents CONTENTS

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Teenage Pregnancy Plan 2014-16 Preventing Unplanned Teenage Pregnancy and Supporting Teenage Parents CONTENTS Nottin gham City Teenage Pregnancy Plan 2014-16 Preventing unplanned teenage pregnancy and supporting teenage parents CONTENTS Foreword Page 2 Where we are now Page 3 The policy framework Page 4 Our successes in 2011-13 Page 5 The Nottingham City approach Page 8 What we will do in 2014-16 Page 10 FOREWORD – COUNCILLOR ALEX NORRIS We are pleased to report continued progress on preventing unplanned teenage pregnancy and supporting teenage parents over the last 14 years. This continuing downward trend of teenage pregnancies in Nottingham is testimony to our strong leadership through the Teenage Pregnancy Taskforce and our talented, committed workforce. The most recent annual figures show that We now need to find ways to sustain the the number of pregnant teenagers, in the 15- significant reductions we’ve seen and 17 year old age group, continued to fall with continue the downward trend. The evidence 62 fewer young women conceiving in 2012 base tells us that young people need (181) as compared to 2011 (243). comprehensive sex and relationship Continued investment and dedication over education in and out of school, easy access to the last 15 years has reduced the teenage young people friendly contraceptive and pregnancy rate significantly but the England sexual health services, and targeted support under-18 conception rate still remains for those most at risk. Progress needs to be higher than other Western European everybody’s business with strong local countries and our rate in Nottingham is still leadership and excellent delivery. above the England average, although the gap is narrowing. Councillor Alex Norris Portfolio Holder for Adults, Commissioning and Health and Chair of the Teenage Pregnancy Taskforce 2 WHERE WE ARE NOW Teenage conception rates are published quarterly after a 14-month time lag. The most recent annual figures are for 2012 and show that the teenage pregnancy rate in Nottingham City stood at 37.6 pregnancies per 1000 15-17 year old girls. This rate is 49.7% lower than the 1998 baseline and is a 24.4% decrease from the same period in 2011. During 1998, there were 380 under-18 conceptions in Nottingham, during 2012 there were 181 conceptions, representing a 52.4% reduction in numbers over the 14-year period. Nationally, the teenage conception rate also continued to fall and in 2012 was at all time low of 27.7 per 1000 15-17 year old girls as compared to 46.6 during 1998. There were 26 157 under-18 pregnancies in England during 2012 as compared to 41 089 teenage pregnancies during 1998 equating to a reduction of 36.3% as compared to Nottingham’s reduction of 52.4%. The wards with the highest 3-year aggregated rates of under-18 conceptions young women have the information they in Nottingham, over 2009-11 (the latest need in order to make informed choices available data), were St Ann’s, Wollaton regarding termination services. East and Lenton Abbey, Aspley, Bulwell, Basford and Arboretum. The wards with the According to the 2014 Nottingham Health highest aggregated numbers of under-18 Profile, Nottingham has higher than conceptions during this time period were average levels of deprivation and poor Aspley, Bulwell, Bilborough, Basford, health with around 19 120 under-16s living Bestwood and St Ann’s. It is particularly in poverty. Life expectancy is 9.2 years concerning that the percentage of under-18 lower for men and 8.7 years lower for conceptions ending in abortion during 2012 women in the most deprived areas of was just 29.3% (the second lowest rate in Nottingham than in the least deprived England) as compared to 28.4% in 1998. areas. It is important to ensure that vulnerable • In 2013 the percentage of pupils gaining 5 GCSEs at grades A*-C, including English and Maths in Nottingham was 50.3% as compared to the national average of 59.2%. • Breastfeeding rates for mothers aged 15-17 years, giving birth in 2012-13 were 33% at initiation and 4% at 6-8 weeks. Nationally, the 2010 Infant Feeding Survey reported 58% of under-20s initiating breastfeeding and 24% at six weeks. • The level of smoking during pregnancy in under 20s is currently 57% at onset of pregnancy and 36% throughout. Smoking during pregnancy is associated with a range of serious infant health problems and poor child behaviour at age 5. • In 2012 Nottingham was ranked 22nd out of 326 local authorities (number 1 having the highest rates) in England for diagnosis rates of acute sexually transmitted infections. 3 THE POLICY FRAMEWORK A reduction in teenage pregnancy rates will impact on many national targets and policies including • At least 20% of the targets in the Public Health Outcomes Framework eg ▪ Conception rates in under-18s (the vast ▪ Incidence of low birth weight of term majority of under 16 and under 18 babies (babies born to teenage mothers conceptions are unplanned). have a 25% higher risk of low birth weight). ▪ Diagnosis of Chlamydia in 15-24 year olds. ▪ Prevalence of maternal smoking (including during pregnancy – teenage ▪ Levels of sexual violence (38% of all rapes recorded by the police in 2010-11 parents are three times more likely to were committed against children under smoke during pregnancy). 16 ). ▪ Initiation of breastfeeding and continuation at 6-8 weeks (nationally, ▪ Rates of pupil absence (teenage pregnancy is a key public health issue re teenager mothers have a 33% lower rate educational inequalities). of breastfeeding than older mothers). Admissions to hospital caused by ▪ Rates of adolescents not in education, ▪ employment or training (nationally 11% unintentional and deliberate injuries to of young people NEET are teenage under-5s (babies born to teenage mothers or pregnant teenagers). mothers have a higher rate of A&E attendance for falls and swallowing ▪ Rates of infant mortality (2012 statistics substances). show that babies born to teenage mothers have a 44% higher risk of infant mortality). • The Framework for Sexual Health Improvement in England has an ambition to ‘continue to reduce under-16 and under-18 conceptions’. • The Child Poverty Strategy has a target to ‘reduce the number of under-18 conceptions locally and nationally’ (children of teenage mothers have a 63% increased risk of experiencing child poverty). • The new legislation around ‘raising the participation age’, where young parents are included in the duty to remain in education, employment or training until they are 17 by 2013 and until they are 18 from 2015’. • The Priority Families programme has overlapping risk factors with the teenage pregnancy agenda. • Children’s centres have ‘improving outcomes for young people and their children’ at the heart of their core purpose. 4 OUR SUCCESSES IN 2011-2013 The 2011-12 Teenage Pregnancy Plan was performance managed through the Teenage Pregnancy Taskforce, at the time led by Graham Allen MP, and delivered through the Teenage Pregnancy Network. The Taskforce ensures that clear lines of accountability are maintained and that the teenage pregnancy agenda remains a high priority within Nottingham. A summary of some of the achievements from 2011 to December 2013 is detailed below . Data analysis and distribution to partners • Continued quarterly updates to the • The updated Nottingham City school Teenage Pregnancy Taskforce including health profiles include information about numbers of teenage pregnancies, rates, how each school group performs within a graphs and commentary. basket of indicators around • The development of bespoke data as demographics, income deprivation and required including real time data on health improvement eg number of school-age conceptions from the children who smoke or who are expected Education Officer for Teenage Pregnancy. to get pregnant before age 18. Comparisons with other school groups • The commencement of the Teenage are possible and organisations are Pregnancy Joint Strategic Needs encouraged to utilise the health reports Assessment refresh for 2014-15. when designing and delivering services. • Initial mapping with partners took place on 8 November 2013 to plan the teenage pregnancy pathway. Workforce • The Teenage Pregnancy Network available free to those living and / or membership stands at around 150 with a working in Nottingham. Courses include membership review currently underway. sexual health, diverse communities and A quarterly newsletter is produced and sexual exploitation. contributions from key services have • 35 multi-agency courses took place with increased during 2013. 408 workers during 2012-13 with • Delivery of the successful teenage confidence increasing by between 17% pregnancy and sexual health training and 49% on each course. programme has continued. Places are 5 Early Intervention and support • The number of teenage mums accessing engagement in education; this included children’s centres has increased and the identifying young fathers and supporting Family Nurse Partnership and teenage them. pregnancy midwives encourage young • The Beckhampton Centre Pupil Referral people to meet them at the children’s Unit provided full-time educational centres. placements and support for school-aged • The Family SEAL programme engaged 93 pregnant teenagers and teenage parents learners through 12 programmes during (this may be extended to age 18 following 2012-13. the recent increase in the participation • Accommodation services for vulnerable age). teenage mothers and fathers were re- • The Health Visitor Implementation Plan commissioned and prioritise those with aims to increase the number of health the highest need. visitors nationally by 4200 nationally by • The Family Nurse Partnership 2015. programme provided support and • In 2012, a breastfeeding peer support guidance for up to 200 pregnant girls and service was launched that included teenage mothers relevant to their intensive support for young mothers. parenting needs. Approximately 9.3% of teenage mothers • The Education Officer for Teenage accessed the service between October Pregnancy provided support for pregnant 2012 and March 2014. teenagers and teenage parents to ensure Social and emotional capability and SRE • The Healthy Schools Team offered a full • Learning Support Units and Learning package of support for schools with Centres were utilising the SEAL resource.
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