All children are equal…..but outcomes are not.

Peter LauenerDirector, Local TransformationDCSF

Health inequalities conference

20 May 2008

““children wish for so much but can children wish for so much but can arrange so little of their own lives arrange so little of their own lives which are so often dominated by which are so often dominated by

adults without sympathy for adults without sympathy for children’s priorities ”children’s priorities ”

Bruno Bettleheim, recollection and reflections (1990)Bruno Bettleheim, recollection and reflections (1990)

CSR07 Performance Framework

Be Healthy Stay Safe Enjoy & Achieve

Positive Contribution

Economic Wellbeing

PSA 12

Improve the health and

wellbeing of CYP

PSA 13

Improve CYP safety

PSA 10 & 11

Raise educational achievement and narrow

achievement gap

PSA 14

Increase the number of

CYP on the path to success

PSA 9

Halve child Poverty by

2010. Eradicate by 2020 (HMT)

National Indicator Set

Local Area Agreements

• 60,000 looked after at any one point in time

• two thirds in foster care

• 66% looked after as a result of abuse or neglect

• half 5-17 yr olds with a mental health disorder

(4 times higher than all children)

• 46% of children in prison have been looked after

• one in ten children in care attained 5 good GCSEs in 2005, compared with more than half of all children

• 6% of 19 year olds go into higher education compared with 40%+ of all young people

Outcomes for looked after childrenOutcomes for looked after children

Priority health challenges for children and young people in England Health inequalities issue?

Accidents

Oral health

Obesity

Substance misuse

Low birth weight and infant mortality

Sexual health

Life chances for children with disabilities

Outcomes for acute episodes of illness

Communicable disease

Mental and emotional health

Life-limiting diseases

Long-term conditions

Many of the major challenges for children’s health in England are particularly problematic for children from more disadvantaged backgrounds

And while these conditions may not always be more prevalent in poorer families, poorer families often find them harder to manage

Rank

NI ref no

Top 20 Indicators in LAAS LAAs

1 117 16 to 18 year olds who are not in education, employment or training (NEET) 117

2 112 Under 18 conception rate 107

3 186 Per capita reduction in CO2 emissions in the LA area 103

4 155 Number of affordable homes delivered (gross) 103

5 56 Obesity among primary school age children in Year 6 99

6 163 Proportion of population aged 19-64 for males and 19-59 for females qualified to at least Level 2 or higher 97

7 16 Serious acquisitive crime rate 96

8 154 Net additional homes provided 90

9 123 Stopping smoking 89

10 1 % of people who believe people from different backgrounds get on well together in their local area 86

11 4 % of people who feel they can influence decisions in their locality 83

12 120 All-age all cause mortality rate 83

13 8 Adult participation in sport and active recreation 80

14 30 Re-offending rate of prolific and other priority offenders 80

15 20 Assault with injury crime rate 80

16 130 Social Care clients receiving Self Directed Support per 100,000 population 79

17 135 Carers receiving needs assessment or review and a specific carer's service, or advice and information 78

18 110 Young people's participation in positive activities 77

19 39 Rate of hospital admission per 100,000 for alcohol related harm 76

20 171 New business registration rate 75

1.NI 117 – 16 to 18 year olds who are not in education, employment or training (NEET) = 115 2.NI 112 – Under 18 conception rate = 108 3.NI 56 – Obesity among primary school age children in Year 6 = 98 4.NI 120 – All-age all cause mortality rate = 88 (DH indicator, with a DCSF interest) 5.NI 110 – Young people's participation in positive activities = 77 6.NI 111 – First time entrants to the Youth Justice System aged 10 – 17 = 74 7.NI 19 – Rate of proven re-offending by young offenders = 48 (MoJ indicator, with a DCSF interest) 8.NI 116 – Proportion of children in poverty = 48 9.NI 51 – Effectiveness of child and adolescent mental health (CAMHs) services = 43 10.NI 79 – Achievement of a Level 2 qualification by the age of 19 = 36

Top 10 Indicators for children in LAAS

Integrated Working

• Children’s Trusts “to have in place by 2010 consistent high quality arrangements to provide identification and early intervention for all children who need additional help”

• Essential features

• targeted early intervention services integrated with universal settings, e.g. through multi-agency teams in and around schools

• more specialist services easily available and accessible from universal settings

• processes and pathways connecting up services, e.g through embedding the CAF

• schools and other universal settings knowing the children they work with and, if necessary, assessing needs though CAF and engaging targeted/specialist services

• universal settings and staff in wider services working together to provide joined up support coordinated by a lead professional

Universal

Targeted

Specialist

0 19a continuum of support and opportunity

Children’s Trusts

Universal

Targeted

Specialist

Specialist Services

HealthEarly Years

and Children’s

Centres

Schools

Youth Services

0 19a continuum of support and opportunity

Children’s Trusts

Specialist Services

multi-agency locality teams

Universal

Targeted

Specialist

0 19a continuum of support and opportunity

Wo

rkfo

rce

HealthEarly Years

and Children’s

Centres

extended

Schools

integrated

Youth Services

Lea

d

Pro

fess

ion

als

CA

FC

on

tactPo

int

Paren

ts

Th

ird secto

rChildren’s Trusts

Integrated Working

Key Delivery Challenges

• Improvement Support – where it’s needed with the

right expertise

• School of the 21st century

• Co-location of services and integrated working

• Development of the whole children’s workforce

• Children’s Trusts

• Better commissioning