West Dunbartonshire Integrated Children’s Services Strategic Needs Assessment 2018 For further information contact WDHSCP Health Improvement Team [email protected] 01389 776990 1 Contents 1 Background .......................................................................................................... 6 1.1 Acknowledgements ....................................................................................... 6 1.2 Introduction .................................................................................................... 6 1.2.1 Challenges .............................................................................................. 8 2 West Dunbartonshire Population Overview ........................................................ 10 2.1 Current Population....................................................................................... 10 2.2 Projected Population ................................................................................... 11 3 Children and Young People Population ............................................................. 17 3.1 Demographic and population health statistics ............................................. 17 3.2 Births (calendar year) .................................................................................. 17 3.3 Infant Mortality and child Deaths ................................................................. 18 3.4 School Population........................................................................................ 19 3.5 Equalities ..................................................................................................... 21 3.5.1 Ethnicity ................................................................................................ 21 3.5.2 Disability ............................................................................................... 22 3.5.3 Scottish Index of Multiple Deprivation (SIMD) ....................................... 22 3.5.4 Health Inequalities ................................................................................ 24 3.5.5 Population – Key Findings .................................................................... 25 4 Poverty, Welfare Reform and Adverse Childhood Experiences ......................... 26 4.1 Poverty in Scotland (A National Picture) ...................................................... 26 4.2 Lone parent families .................................................................................... 29 4.3 Impact of Welfare Reform ............................................................................ 31 4.3.1 Welfare Reform Impact on Families ...................................................... 31 4.3.2 Adverse Childhood Experiences (ACEs) .............................................. 32 4.4 Poverty, Welfare Reform and Adverse Childhood Experiences Key Findings 36 5 Wellbeing Indicators Section .............................................................................. 37 5.1 Safe ............................................................................................................. 39 5.1.1 Child Protection ..................................................................................... 39 5.1.2 Looked After Children ........................................................................... 42 5.1.3 Domestic Abuse .................................................................................... 47 5.1.4 Unintentional Injuries in Under Fives .................................................... 59 5.1.5 Children Referred to the Scottish Children’s Reporter Administration ... 60 2 5.1.6 Young People Admitted to Hospital Due to Assault .............................. 61 5.1.7 Young People Living in the Most Crime Deprived Quintile .................... 62 5.1.8 Safe Key Findings ................................................................................. 63 5.2 Healthy ........................................................................................................ 64 5.2.1 Smoking in pregnancy .......................................................................... 64 5.2.2 Maternal Obesity ................................................................................... 65 5.2.3 Premature Births ................................................................................... 66 5.2.4 Low Birth Weight Babies ....................................................................... 67 5.2.5 Breastfeeding ........................................................................................ 68 5.2.6 Second Hand Smoke ............................................................................ 69 5.2.7 Immunisation Uptake ............................................................................ 69 5.2.8 Child Obesity......................................................................................... 70 5.2.9 Oral Health ............................................................................................ 71 5.2.10 Human papilloma virus (HPV) Uptake ............................................... 75 5.2.11 Teenage Pregnancy .......................................................................... 76 5.2.12 Healthy Key Findings ......................................................................... 78 5.3 Achieving ..................................................................................................... 79 5.3.1 Attendance and Absence ...................................................................... 79 5.3.2 Achievement ......................................................................................... 80 5.3.3 School Attainment ................................................................................. 82 5.3.4 Positive Destinations ............................................................................. 86 5.3.5 Achieving Key Findings ......................................................................... 88 5.4 Nurtured ...................................................................................................... 89 5.4.1 Poverty and Family Housing ................................................................. 89 5.4.2 27-30 month assessment ...................................................................... 91 5.4.3 Parenting .............................................................................................. 93 5.4.4 Nurtured Key findings ........................................................................... 93 5.5 Active ........................................................................................................... 94 5.5.1 Early Years & School Participation in Sport and Physical Activity......... 94 5.5.2 Mode of Travel to school ....................................................................... 97 5.5.3 Active Key Findings .............................................................................. 98 5.6 Responsible ................................................................................................. 99 5.6.1 Alcohol, Drugs and Smoking ............................................................... 100 3 5.6.2 Youth and Criminal Justice ................................................................. 106 5.6.3 Responsible Key Findings .................................................................. 108 5.7 Respected ................................................................................................. 109 5.8 Included ..................................................................................................... 110 5.8.1 Child Poverty (Scotland) Act 2017 and Local Child Poverty Action Reports 110 5.8.2 Free School Meals (FSM) ................................................................... 115 5.8.3 Included Key Findings ......................................................................... 120 5.9 Wellbeing Considerations .......................................................................... 121 6 Service Information .......................................................................................... 123 6.1 Maternity, Births, Early years ..................................................................... 123 6.1.1 Births and Age of Mother at Birth ........................................................ 124 6.2 NHSGGC Maternity Service ...................................................................... 125 6.2.1 Baby Box Uptake in NHSGGC ............................................................ 127 6.3 NHSGGC Children’s Services ................................................................... 127 6.3.1 Family Nurse Partnership ................................................................... 127 6.4 Early Years Universal Services ................................................................. 128 6.4.1 HSCP Health Visiting Service ............................................................. 128 6.4.2 West Dunbartonshire Council Early Learning and Childcare (ELC) .... 130 6.5 School Aged Children ................................................................................ 137 6.5.1 Additional Support Needs School Age ................................................ 137 6.5.2 Staged Interventions ........................................................................... 139 6.5.3 NHSGGC Oral Health Directorate ....................................................... 139 6.5.4 West Dunbartonshire Council and West Dunbartonshire HSCP Services 142 6.6 West Dunbartonshire HSCP Specialist Children Services ......................... 143 6.6.1 Speech & Language, Specialist