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Eastbourne Borough School-Age Health Profile 2015/16

Eastbourne BoroughSchool-Age Health Profile 2015/16

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ContentsDemography................................................................................................................................................................................................................................ 3Eastbourne primary schools and wards...................................................................................................................................................................................4Eastbourne secondary schools and wards..............................................................................................................................................................................5East Sussex special schools and pupil referral units.............................................................................................................................................................6Pupils who have English as an Additional Language............................................................................................................................................................7Pupils who are Non-White British............................................................................................................................................................................................. 8Pupil Premium............................................................................................................................................................................................................................. 9Pupils with Special Educational Needs and Disabilities (SEND)........................................................................................................................................10Attainment Early Years Foundation Stage............................................................................................................................................................................11Attainment Key Stage 2........................................................................................................................................................................................................... 12Attainment GCSE Key Stage 4............................................................................................................................................................................................... 13Immunisations........................................................................................................................................................................................................................... 14Healthy Weight (Primary)......................................................................................................................................................................................................... 15Healthy Weight (Secondary)................................................................................................................................................................................................... 17Diet (Secondary)....................................................................................................................................................................................................................... 18Physical Activity and Travel to School...................................................................................................................................................................................20Oral Health................................................................................................................................................................................................................................. 23Accidents and Injuries.............................................................................................................................................................................................................. 23Emotional Health and Well-Being........................................................................................................................................................................................... 25Smoking and Addictive Behaviours........................................................................................................................................................................................27Sexual Health............................................................................................................................................................................................................................ 29Appendix (data for further education): Chlamydia detection, 15-24 year olds..................................................................................................................35Appendix (data for further education): Accidents and injuries, 15-24 year olds...............................................................................................................36Appendix (data for further education): Self-harm A&E attendances and hospital admissions, 16-19 year olds..........................................................37Appendix (data for further education): A&E attendances due to assaults, 16-19 year olds...........................................................................................38Appendix (data for further education): Hospital admissions due to substance misuse, 15-24 year olds......................................................................39

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Demography

The East Sussex School Health profile supports 27 Schools in Borough of Eastbourne

18 Primary Schools 6 secondary Schools 3 Special Schools

Key Statistics would indicate:

Eastbourne Borough ranks 97 out of 326 local authorities in England (1=most deprived) in terms of the average level of income deprivation affecting children across the borough (IMD 2015).

Levels of childhood poverty are similar to the England average Eastbourne Borough has a significantly higher percentage of children (26.8%) entitled to receive the pupil premium than the

East Sussex average Across the Eastbourne Borough, pupil absence is significantly higher than the national average Eastbourne Borough has a significantly higher percentage of children with English as an additional language compared to the

East Sussex average Across the Eastbourne Borough, there are a significantly higher percentage of pupils registered as Non-White British than the

East Sussex average Across the Eastbourne Borough, the percentage of pupils with Education and Healthcare Plans or with Special Educational

Needs and Disabilities is similar to the East Sussex average. Attainment across different key stages is similar to the East Sussex average Although rates of obesity are generally not significantly higher or lower than the England average, there is a notable increase

in obesity levels from Reception Year to Year 6 in most wards.

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Eastbourne primary schools and wards

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Eastbourne secondary schools and wards

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East Sussex special schools and pupil referral units

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Pupils who have English as an Additional Language

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The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that have English as

an Additional Language is 5.4%.

Eastbourne has a significantly higher percentage of East Sussex resident

children attending an East Sussex state maintained school that have English as an Additional Language than the East Sussex

average

The wards of Devonshire (27.3%), Hampden Park (9.5%), Meads (24%), Ratton (10.4%), Sovereign (9.2%), and Upperton (15.7%) have a significantly higher percentage of children attending an East Sussex state

maintained school with English as an additional language than the East Sussex

average.

‘Pupils learning English as an additional language (EAL) share many common characteristics with pupils whose first language is English. However, their learning experience differs because they are learning in and through another language and because they may come from cultural backgrounds and communities that have different understandings and expectations of education, language and learning’ (DfE, 2011)

East Sussex resident children attending all East Sussex state maintained schools, Source: School Census Jan 2015.

East Sussex 5.4%Eastbourne 11.3%WardDevonshire 27.3%Hampden Park 9.5%Langney 6.3%Meads 24.0%Old Town 5.7%Ratton 10.4%St Anthony's 5.7%Sovereign 9.2%Upperton 15.7%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Pupils who are Non-White British

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Black and minority ethnic groups generally have worse health than the overall population, with some groups experiencing worse health than others. Factors are multifaceted and can include the impact of migration, discrimination, poor uptake of health care and differences in lifestyles and culture (POST 2007).

East Sussex resident children attending all East Sussex state maintained schools. Source: School Census Jan 2015The percentage of children (resident in East

Sussex and attending all East Sussex state maintained schools) that are registered as

Non-White British is 11.9%.

Eastbourne has a significantly higher percentage of children resident in East Sussex attending an East Sussex state

maintained school that are registered as Non-White British than the East Sussex

average

The wards of Devonshire, Hampden Park, Meads, Ratton, Sovereign, and Upperton have a significantly higher percentage of

Non-White British children attending an East Sussex state maintained school than the

East Sussex average.

East Sussex 11.9%Eastbourne 18.6%WardDevonshire 35.9%Hampden Park 16.6%Langney 12.3%Meads 36.6%Old Town 11.7%Ratton 18.7%St Anthony's 10.6%Sovereign 16.8%Upperton 26.9%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Pupil Premium

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East Sussex 23.3%Eastbourne 26.8%WardDevonshire 27.7%Hampden Park 38.1%Langney 38.5%Meads 20.0%Old Town 17.1%Ratton 18.3%St Anthony's 21.7%Sovereign 26.7%Upperton 19.0%Significantly lower than the East Sussex average

No significant difference to the East Sussex average

Significantly higher than the East Sussex average

‘The pupil premium is additional funding for publicly funded schools in England to raise the attainment of disadvantaged pupils and close the gap between them and their peers’ (DfE 2014).

East Sussex resident children attending all East Sussex state maintained schools. Source: School Census Jan 2015

The percentage of children (resident in East Sussex and attending all East Sussex state maintained schools) that receive the pupil

premium is 23.3%.

Eastbourne has significantly higher percentage (26.8%) children attending an East Sussex state maintained school that receive the pupil premium than the East

Sussex average.

The wards of Devonshire (27.7%), Hampden Park (38.1%), Langney (38.5%), and

Sovereign (26.7%) have a significantly higher percentage of children that receive the pupil premium than the East Sussex

average.


Pupils with Special Educational Needs and Disabilities (SEND)

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Some children are more at risk of developing behavioural problems than others. Risk factors are cumulative and children that are exposed to multiple risk factors such as adversity, social disadvantage, and cognitive and attention problems are more likely to develop behavioural problems. A child has SEN if they have a learning difficulty which needs special educational provision to be made for them or if they have a disability which prevents or hinders them from making use of the educational facilities provided for others of the same age (DfE 2015).

East Sussex resident children attending all East Sussex state maintained schools. Source: School Census Jan 2015

East Sussex 3.6%

Eastbourne 3.4%

WardDevonshire 3.0%

Hampden Park 4.5%Langney 5.1%

Meads 1.5%Old Town 1.8%

Ratton 4.0%

St Anthony’s 3.2%Sovereign 3.5%

Upperton 2.4%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average

The percentage of children (resident in East Sussex and attending all East Sussex state maintained

schools) that have Special Educational Needs or Disability and/or an Educational Healthcare Plan is

3.6%.

The percentage of children resident in Eastbourne and attending an East Sussex state maintained school that have Special Educational Needs or Disability and/or an

Educational Healthcare Plan is similar to the East Sussex average.

The wards of Meads and Old Town have a significantly lower percentage of children attending an East Sussex state maintained school who have Special Educational Needs or Disability and/or an Educational Health Care

Plan than the East Sussex average.

The ward of Langney (5.1%) has a significantly higher percentage of children attending an East Sussex state

maintained school that have Special Educational Needs or Disability and/or an Educational Health Care

Plan compared to East Sussex average.


Attainment Early Years Foundation Stage

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In June 2015, 74% of children (resident in East Sussex and attending all East Sussex state maintained schools) achieved a good

level of development in the EYFS.

In June 2015, 71% of pupils in Eastbourne attending an East Sussex state maintained

school achieved a good level of development in the EYFS; this is similar to the East

Sussex average.

Ward data highlights variations. The percentage of pupils who reached a good

level of development in the EYFS in Devonshire and Upperton was significantly

lower than the East Sussex average.

The percentage of pupils having reached a good level of development in the Early Years Foundation Stage (end of reception

year for pupils aged 5), resident-based, June 2015), Source: ESCC JSNA March 16.

When starting school a child’s development can be referred to as ‘school readiness’, however there is no unanimous agreement or interpretation on what the term ‘school readiness’ means. The ability to listen, to begin interacting with adults, taking turns, forming sentences, phonics, using cutlery, dressing themselves and imaginative play contribute to form a picture of the child’s ability to learn and interact with others. Poor parental attachment and deprivation have consistently shown that children from these backgrounds perform less well and in some cases are markedly behind their peers (Ofsted 2014).

East Sussex 74.4%Eastbourne 70.8%WardsDevonshire 65.7%Hampden Park 67.4%Langney 67.4%Meads 70.4%Old Town 75.9%Ratton 75.6%St Anthony’s 78.8%Sovereign 73.4%Upperton 63.2%Significantly higher than the East Sussex averageNo significant difference to the East Sussex averageSignificantly lower than the East Sussex average


Attainment Key Stage 2

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Percentage of pupils at Key Stage 2 (end of year 6 for pupils aged 11) achieving at least level 4 in Reading, Writing and Maths, resident based, June 2014, Source: JSNA February 2015

East Sussex 78%Eastbourne 75%

Wards

Devonshire 66%

Hampden Park 64%Langney 78%

Meads 75%

Old Town 82%Ratton 84%

St Anthony’s 82%Sovereign 79%

Upperton 63%



Significantly lower than the East Sussex average

In June 2014, 78% of pupils (resident in East Sussex and attending all East Sussex state

maintained schools) achieved at least level 4 in Reading, Writing and Maths.

In June 2014, 75% of pupils in Eastbourne attending an East Sussex state maintained school achieved at least level 4 in Reading, Writing and

Maths. This is similar to the East Sussex average.

Compared to the East Sussex average, achievement is significantly lower in Devonshire (66%), Hampden Park (64%) and Upperton (63%)

for pupils attending an East Sussex state maintained school who achieved at least level 4 in

Reading, Writing and Maths.

The percentage of pupils achieving at least level 4 in Reading, Writing and Maths in the wards of Old

Town, Ratton, St Anthony’s and Sovereign was significantly higher than the East Sussex average.


Attainment GCSE Key Stage 4

Percentage of pupils at Key Stage 4 (end of year 11 for pupils aged 16) achieving 5 or more GCSE passes at A*-C including Maths and English, resident-based June 2014, Source: JSNA February 2015

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East Sussex 53%Eastbourne 51%WardDevonshire 44%Hampden Park 39%Langney 42%Meads 52%Old Town 60%Ratton 55%St Anthony’s 54%Sovereign 59%Upperton 70%Significantly higher than the East Sussex average

No significant difference t the East Sussex average


In June 2014, 53% of pupils (resident in East Sussex and attending all East Sussex

state maintained schools) achieved 5 or more GCSE passes at A* - C including

Maths and English.

In June 2014, 51% of pupils in Eastbourne attending an East Sussex state maintained school achieved 5 or more GCSE passes at A* - C including Maths and English. This is

similar to the East Sussex average

In June 2014, the percentage of pupils who achieved 5 or more GCSE passes at A* - C

including Maths and English was significantly lower in Hampden Park (39%) and Langney (42%) than the East Sussex

average.


Immunisations

‘After clean water, vaccination is the most effective public health intervention in the world for saving lives and promoting good health (Yarwood 2014).’ In order to provide effective population coverage preventing outbreaks of disease the World Health Organisation recommend that at least 95% of the population are vaccinated (WHO 2008).

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Childhood Immunisations 2013/14 Source: ESCC JSNA Feb 2015 15


Healthy Weight (Primary)

The consequences of obesity cause health problems that include heart disease, type II diabetes and cancer. It impacts on the ability to lead

healthy active lives, employment and poses rising costs to the nation. In

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In 2013/14, 88% of children across East Sussex were immunised for Diphtheria, Tetanus, Polio and Pertussis (pre-school booster) by age 5, with 88% of children immunised for Measles,

Mumps and Rubella by age 5 (2nd MMR).

In 2013/14, the percentage of children in the Eastbourne who were immunised was higher compared to the East Sussex average for pre-

school booster (91%) and 2nd MMR (90%).

Ward level data identifies the percentage of children immunised in Old Town to be

significantly higher than the East Sussex average (pre-school booster 95% and 2nd MMR

94%).

Pre-School Booster

2nd MMR

East Sussex 88% 88%Eastbourne 91% 90%WardsDevonshire 85% 85%Hampden Park 93% 91%Langney 90% 90%Meads 88% 91%Old Town 95% 94%Ratton 95% 92%St Anthony’s 91% 91%Sovereign 93% 92%Upperton 88% 89%Significantly higher than the East Sussex average




children it can affect normal development and lead to stigmatisation having long term consequences for physical and emotional well-being and resilience (DH 2011).

Healthy Weight (Primary continued)

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National Child Measurement Programme (NCMP) data 2011/12 – 2013/14, Source PHE

Three years pooled (2011/12 – 2013/14) NCMP data shows that the percentage of children in

England who are classified as obese at Reception Year is 9.4%. This rises to 19.1% by

Year 6.

East Sussex data shows the average for obesity in Reception Year and Year 6 to be

significantly better than the England average.

Ward level data shows that the prevalence of obesity for both Reception Year and Year 6 is either similar or significantly lower than the England average except for Year 6 pupils in

Langney which has a significantly higher prevalence compared to England.

Although rates of obesity are generally not significantly higher or lower than the England average, there is a notable increase in obesity levels from Reception Year to Year 6 in most

wards.

% Obese Reception

% Obese Year 6

England Average 9.4% 19.1%East Sussex 8.2% 16.3%Eastbourne 8.1% 17.9%WardsDevonshire 9.0% 19.6%Hampden Park 8.5% 20.6%Langney 9.2% 23.7%Meads 5.9% 13.0%Old Town 7.5% 11.5%Ratton 9.4% 14.7%St Anthony’s 6.8% 19.1%Sovereign 8.2% 16.7%Upperton 7.1% 16.1%Significantly lower than the England averageNo significant difference to the England averageSignificantly higher than the England average


There is a strong positive correlation between deprivation and obesity for children in each school year with obesity prevalence being significantly higher in deprived areas (HSCIC, 2015).

Healthy Weight (Secondary)

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Three years pooled (2011/12 – 2013/14) NCMP data shows that the percentage of children in England who carry excess weight at Reception Year is 22.4%. This

The percentage of children who carry excess weight in East Sussex at Reception Year is 21.4% rising to 30.5%

in Year 6. These percentages are significantly lower

Eastbourne data identifies the percentage of children in Reception Year carrying excess weight is 22.8% and is similar to the England average. Borough data at Year 6

identifies that 32% of children were carrying excess weight in 2011/12 – 2013/4. Although this is similar to

than the England average of 30.5%, nearly 1 in 3 children are carrying excess weight at this age.

National Child Measurement Programme (NCMP) data 2011/12 – 2013/14, Source PHE

% Excess Weight -

Reception

% Excess Weight – Year

6England 22.4% 33.6%East Sussex 21.4% 30.5%Eastbourne 22.8% 32.0%WardsDevonshire 23.2% 37.1%Hampden Park 25.1% 33.9%Langney 23.5% 37.5%Meads 24.4% 24.6%Old Town 18.6% 23.4%Ratton 20.5% 29.4%St Anthony’s 25.5% 34.5%Sovereign 22.8% 31.1%Upperton 22.2% 29.8%Significantly lower than the England averageNo significant difference to the England averageSignificantly higher than the England average


Diet (Secondary)

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The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils how they viewed their weight.

In Eastbourne:

47% of Year 10 pupils wanted to lose weight.

This was similar to the East Sussex average of 46%.

20% of boys regarded themselves as a little or very overweight.

The East Sussex average was 19%.

29% of girls regarded themselves as a little or very overweight.

The East Sussex average was 31%.

The 2013 Health Survey for England (HSCIC, 2014) identified:

In England, 11% of boys and 15% of girls aged 8 – 15 years thought they were too heavy although a higher proportion of those aged 11 – 15 years than 8 – 10 years thought they were too heavy.

10% of boys and 4% of girls aged 8 – 15 years thought they were too light.

Boys and girls in the lowest income quintile were most likely to be overweight.

Boys and girls in the highest income quintile were least likely to be overweight.

At age 13 – 15 years, 34% of boys are carrying excess weight or classified as obese.

At age 13 – 15 years, 39% of girls are carrying excess weight or classified as obese.


Findings from the National Diet and Nutrition Survey (PHE 2014) identified that sugar intakes in all age groups are in excess of current UK recommendations. Teenagers were found generally to consume in excess of 50% more sugar than recommended.

Diet (Secondary)

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The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils to self-report on their diet.

Five fruit/vegetables per day

East Sussex 16.1%Eastbourne 12.3%Significantly higher than the East Sussex AverageNo significant difference to the East Sussex averageSignificantly lower than the East Sussex average

Government guidelines recommend at least 5 portions of fruit or vegetables per day. Eastbourne data identifies that Year 10 pupils have a significantly poorer intake of the recommended daily allowance than the East Sussex average.

In Eastbourne:

The percentage of Year 10 pupils who reported eating five portions of

fruit/vegetables the previous day was significantly lower than the East Sussex

average.

19% of girls and 23% boys had fruit as a snack at school

21% of girls and 12% of boys had no lunch at school

24% of boys and 19% of girls had a school lunch

32% of boys had chocolate as a snack at school

15% of boys and ¼ of girls did not havebreakfast

Approximately 1 in 7 girls only had a drink for breakfast


Physical Activity and Travel to School

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Health Related Behaviour Survey Year 10 (NHS Sussex and ESCC, 2012)

Nothing for breakfast Only a drink for breakfast

Had a school lunch Had no lunch

Boys Girls Boys Girls Boys Girls Boys GirlsEast

Sussex12% 17% 10% 14% 27% 19% 11% 21%

Eastbourne 15% 25% 11% 9% 24% 19% 12% 21%

Fruit as a snack Chocolate as a snackBoys Girls Boys Girls

East Sussex

21% 24% 31% 25%

Eastbourne 23% 19% 32% 26%

Findings from the National Diet and Nutrition Survey (PHE 2014) identified that sugar intakes in all age groups are in excess of current UK recommendations. Teenagers were found generally to consume in excess of 50% more sugar than recommended.

All children and young people aged 5- 18 years should engage in moderate to vigorous intensity physical activity for at least 60 minutes and up to several hours every day. Vigorous intensity activities, including those that strengthen muscle and bone, should be incorporated at least three days a week. All children and young people should also minimise the amount of time spent being sedentary (sitting) for extended periods (HSCIC 2015).

The 2012 Health Survey for England (HSCIC, 2013) shows that only 21% of boys and 16% of girls aged 5-15 years met current recommendations. The proportion of girls meeting the recommendation was 23% in those aged 5-7 years, but only 8% in those aged 13-15 years. The proportion of boys meeting the recommendation was 24% in those aged 5-7 years and 14% in those aged 13-15 years.


Physical Activity and Travel to School (Primary)

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In the Health Related Behaviour Survey (NHS Sussex and ESCC, 2012) Year 10 pupils were asked if they exercised more than 5 times per week.

Pupil average in East Sussex was 28.5%

Eastbourne average was 25.8 % - similar to the East Sussex average.

All children and young people aged 5- 18 years should engage in moderate to vigorous intensity physical activity for at least 60 minutes and up to several hours every day. Vigorous intensity activities, including those that strengthen muscle and bone, should be incorporated at least three days a week. All children and young people should also minimise the amount of time spent being sedentary (sitting) for extended periods (HSCIC 2015).

The 2012 Health Survey for England (HSCIC, 2013) shows that only 21% of boys and 16% of girls aged 5-15 years met current recommendations. The proportion of girls meeting the recommendation was 23% in those aged 5-7 years, but only 8% in those aged 13-15 years. The proportion of boys meeting the recommendation was 24% in those aged 5-7 years and 14% in those aged 13-15 years.

Percentage of primary school children travelling to school by car, taxi or van in January 2014, Source: JSNA Feb 2015

East Sussex 29%Eastbourne 24%WardsDevonshire 19%Hampden Park 18%Langney 29%Meads 19%Old Town 16%Ratton 29%St Anthony’s 28%Sovereign 31%Upperton 27%Significantly lower than the East Sussex averageNo significant difference to the East Sussex average



Physical Activity and Travel to School (Secondary)

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In East Sussex, the percentage of children who travelled to primary school during 2014

by car, taxi or van was 29%.

In 2014, the percentage (24%) of children in Eastbourne who travelled to primary school

by car, taxi or van was significantly lower than the East Sussex average.

Ward data identifies that Devonshire (19%), Hampden Park (18%), Meads (19%), and Old

Town (16%) had a significantly lower percentage of children who travelled to

primary school in 2014 by car, taxi or van than the East Sussex average.

Percentage of secondary school children travelling to school by care, taxi or van in January 2014, Source: JSNA Feb 2015.

East Sussex 16%Eastbourne 18%WardsDevonshire 18%Hampden Park 16%Langney 15%Meads 25%Old Town 11%Ratton 14%St Anthony’s 23%Sovereign 29%Upperton 16%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


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In East Sussex, the percentage of children who travelled to secondary school during

2014 by car, taxi or van was 16%.

In Eastbourne, the percentage (18%) of children who travelled to secondary school

during 2014 by car, taxi or van was significantly higher than the East Sussex

average.

The wards of Meads (25%), St Anthony’s (23%) and Sovereign (29%) had a significantly higher

percentage of children who travelled to secondary school during 2014 by car, taxi or

van than the East Sussex average.


Oral Health

Oral health is part of total health and essential to quality of life (WHO 2015). When children are not healthy it affects their ability to learn and thrive (PHE 2014). Although oral health in children is improving poor dental health is largely preventable by regular brushing with a fluoride toothpaste, a diet low in sugar and acids and regular dental checks. Statistics indicate that it is the most common reason children between the ages of 5 years and 9 years are admitted to hospital and in some cases for multiple extractions (RCS 2015). In almost one-third of five-year-olds in England had tooth decay (PHE 2014).

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In England, the mean average for decayed, missing or filled teeth in children age 5 years is

0.94.

In East Sussex, the mean average for decayed, missing or filled teeth in children age 5 years is

0.68. This is significantly lower than the England average

In Eastbourne the mean average for decayed, missing or filled teeth in children age 5 years

cannot be calculated as the number of cases is too small.

Data from the East Sussex Special Care Dental Service reported that of 245 paediatric dental

extractions (children aged between 2 – 15 years), 72 children came from the Eastbourne

postcodes BN27, BN22, BN23 (Brabner, 2015)

Decayed, missing or filled teeth (DMFT) in children aged 5, 2011/12, source PHE

Tooth decay in children aged 5 years

Mean DMFT per child 2011/12England 0.94East Sussex 0.68Eastbourne Value cannot be calculated as the

number of cases is too small


Accidents and Injuries

In East Sussex there were 3185 emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years over the three years 2010/11 to 2012/13. This amounted to 590 admissions for Eastbourne borough over the same period. There is a clear

association between deprivation and children aged under-15 years admitted to hospital as an emergency due to accidents and

injuries (ESCC, 2014).

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In Eastbourne, the rate of emergency hospital admissions caused by unintentional and deliberate injuries in children aged 5-14 years is 91. This is similar to the East Sussex

average of 98 per 10,000 population.

Ratton has a significantly lower rate of emergency hospital admissions caused by unintentional and deliberate injuries in

children aged 5-14 years than the East Sussex average

Admissions due to deliberate harm injuries are either caused by self-harm or assault. In East Sussex, the majority (90%) of deliberate harm injury admissions for young people aged 12-

17 years are due to self-harm, with 10% due to assault.

In Eastbourne during 2010/11 – 2012/13, the percentage of deliberate harm injury admissions in 12 – 17 years olds due to

self-harm was 78%, with 22% due to assault

In 2012/13, Eastbourne (alongside Hastings) had a significantly higher rate of A&E attendances due to injuries in

5 – 11 years olds than the East Sussex average

Eastbourne has the highest rate of A&E attendances due to self-harm for young people aged 12-17 years and 18-24 years, with the rate for 18-24 year olds significantly higher than for

the rest of East Sussex.

Emergency admissions caused by unintentional and deliberate injuries in children aged 5-14 years, rate per

10,000 population, Eastbourne wards, 2012/13 to 2014/15, Source ESCC JSNA March 2016.

Rate per 10,000East Sussex 98Eastbourne 91WardsDevonshire 88Hampden Park 101Langney 108Meads 106Old Town 87Ratton 44St Anthony’s 77Sovereign 80Upperton 152Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Emotional Health and Well-Being

Promoting the emotional and social well-being of children is of key importance in ensuring positive outcomes and resilience in adolescence and further into adulthood. NICE guidelines (2013) recommend that primary schools adopt a ‘Whole School Approach’ in providing a comprehensive programme to help develop children’s social and emotional skills and wellbeing, including support for parents and carers, ensure that staff can identify children showing early signs of emotional and social difficulties and have access to early specialist support where appropriate. There is evidence that recognises a child’s capacity to learn is underpinned by good mental health and emotional well-being. Social isolation and disadvantage affect a child’s capacity to develop resilient behaviours compromising development and positive outcomes (Young Minds 2007). The Child and Adolescent Mental Health Service (CAMHS) offer children who are experiencing a mental health disorder an initial assessment and if appropriate treatment, or referral to another service.

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As at 31/03/14 there were around 2,000 children and young people on the East Sussex CAMHS

caseload.

There is a higher rate of children aged 0 – 18 years on the CAMHS caseload in the Eastbourne

Borough than for East Sussex, but not a significantly higher rate.

The wards of Hampden Park (30.1) and Langney (27.6) have a significantly higher rate of young

people that are on the CAMHS caseload than the East Sussex average.

Ward level data highlights that Meads (6.8) has a significantly lower rate of children and young

people aged 0 – 18 years accessing the CAMHS service than the East Sussex average.

Child and Adolescent Mental Health Services (CAMHS) caseload; rate per 1,000 population aged 0 – 18 years as at 31/03/14. (Numbers using the service are defined as open referrals who have been seen either face to

face or had a telephone assessment in the last 7 months.

East Sussex 18.6Eastbourne 21.2WardsDevonshire 15.1Hampden Park 30.1Langney 27.6Meads 6.8Old Town 13.0Ratton 20.2St Anthony’s 22.7Sovereign 18.7Upperton 12.1Significantly lower than East Sussex averageLower than East Sussex but not statistically significantHigher than East Sussex but not statistically significantSignificantly higher than East Sussex average


Emotional Health and Well-being (Continued)

Key findings from The Good Childhood Report (2015) identified that between the ages of 8 and 14 years there was a general decline in the subjective well-being of children. Change in family circumstance, change in household income, lack of basic items, friendship problems and bullying impact significantly on the child’s emotional resilience. In the survey internationally children in England ranked 3rd from bottom in satisfaction with things learned at school, and liking going to school and only 1 in 6 reported feeling safe. When surveyed about subjective well-being England ranked 14th for reported relationships with teachers and life satisfaction and 15th for self-confidence.

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Pupils in Year 10 were asked a series of questions on physical and emotional well-being in the Health Related Behaviour Survey (NHS Sussex and ESCC 2012).

The survey identified:

39% of Year 10 pupils in Eastbourne reported high self-esteem, similar to the East Sussex average.

66% of Year 10 pupils in Eastbourne reported they were happy/quite happy with life at the moment –

similar to the East Sussex average.

20% of Year 10 pupils in Eastbourne reported that they had looked after someone in their family at least one day in the previous week who had an illness or disability (the same as the East Sussex average).

21% of Year 10 boys and 26% of girls in Eastbourne reported they did not get enough sleep to stay alert enough to be able to concentrate on school work –

similar to the East Sussex average.

20% of year 10 pupils in Eastbourne reported that they had been bullied in the last 12 months – similar

to the East Sussex average.

High Self-esteem reported Have been bullied in the last 12 months

East Sussex Average

42% 17%

Eastbourne 39% 20%

Quite/Very unhappy with life at the moment

Quite/very happy with life at the moment

East Sussex Average

16% 69%

Eastbourne 19% 66%

% GIRLS say they don’t get enough sleep to stay alert & concentrate on school work

% BOYS say they don’t get enough sleep to stay alert & concentrate on school work

East Sussex Average

26% 19%

Eastbourne 26% 21%

% looked after someone in their family at least one day in the previous week who had an

illness or disabilityEast Sussex Average

20%

Eastbourne 20%Significantly lower than the East Sussex average

No Significant difference to the East Sussex average



Smoking and Addictive Behaviours

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Approximately 1/6th of the total population in Britain smokes cigarettes. Two thirds of young people begin smoking before the age of 18 years and of those who try smoking, between one-third and one-half will become regular smokers (ASH 2015). More than ¼ of all cancer deaths are attributable to smoking. Recent research suggests the use of electronic cigarettes may contribute to the long term decline of smoking. The Health Behaviour of School Aged Children study reported 1.5% of 11 – 16 year olds were monthly users of electronic cigarettes suggesting their use is unlikely to be making a significant contribution to adolescent addiction (PHE 2015).

Health Related Behaviour Survey (NHS Sussex and ESCC, 2012)

Eastbourne Borough data identified that:

12% of Year 10 pupils had smoked at least one cigarette in the previous week. This was significantly lower than the East Sussex average (16%).

64% of Year 10 boys had never smoked a cigarette. The East Sussex average was 59%

58% of Year 10 girls had never smoked a cigarette. The East Sussex average was 52%

51% of Year 10 pupils agreed with the following statement “No-one ever smokes at home”. The East Sussex average was 51%

The prevalence of adult smoking in Eastbourne is 17.4%. This is similar to the England average (18%) (PHE, 2014).

In 2012, the percentage of Year 10 pupils in Eastbourne who reported smoking at least one cigarette in the previous week was significantly

lower compared to the East Sussex average.

In 2012, a higher percentage of Year 10 boys and girls across Eastbourne reported they had never

smoked to the East Sussex average.

In Eastbourne Borough, 51% of Year 10 pupils reported that no-one smoked at home. This is the

same as the East Sussex average of 51%.

The What About Youth Survey (2014/15) shows that East Sussex has a significantly higher percentage of 15 year olds that are current smokers (13%), compared with the England

average (8%).


Smoking and Addictive Behaviours

29

The use of New Psychoactive Substances (NPS) commonly referred to as ‘legal highs’ has become more widespread in recent years and used as an alternative to illegal substances. NPS are easily accessible and perceived by some as safer than other substances – this belief poses serious risk to young people as NPS can cause paranoia, psychosis, seizures and ultimately death (Home Office, 2015). Among 10 to 15 year olds, an increased likelihood of drug use is linked to a range of adverse experiences and behaviour, including truancy, exclusion from school, homelessness, time in care and serious or frequent offending. (Public Health England, Child Health Profiles). In 2014/15, there were 116 young people who accessed the East Sussex Under 19 Substance Misuse Service, of these, 31 (27%) reported using legal highs.

The Health Related Behaviour Survey (NHS Sussex and ESCC 2012) asked Year 10 pupils to self-report on smoking, cannabis and alcohol use.

In Eastbourne:

14.4% of Year 10 pupils reported they had used cannabis. This was similar to the East Sussex

average of 17.4%

28% of Year 10 pupils reported they had drank alcohol at least one day in the previous week. This

was significantly lower than the East Sussex average (35%).

16% of Year 10 boys and 12% of Year 10 girls reported they had never drunk alcohol. This was

similar to the East Sussex average of 13% of boys and 10% of girls.

Over a two year period, Eastbourne had 121 young people under the age of 18 years in drug or

alcohol treatment.

Young people aged 0-18 years in drug or alcohol treatment, rate per 10,000 population 2011/2012 to 2012/2013, Source: ESCC

JSNA Feb 2015.

Number Rate per 10,000East Sussex 591 53Eastbourne 121 59WardsDevonshire 27 98Hampden Park 16 55Langney 20 74Meads 5 35Old Town 8 29Ratton 6 38St Anthony’s 14 54Sovereign 5 21Upperton 20 137Significantly lower than the East Sussex average

No significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Sexual Health

Many teenage pregnancies are unplanned and approximately half end in a termination. Aside from financial implications to the NHS for many bringing up a child at a very young age can result in poorer long term outcomes in terms of the child’s health, the emotional health and well-being of the mother and long term financial poverty (DH 2010).

30

The Health Related Behaviour Survey (NHS Sussex and ESCC, 2012) asked Year 10 pupils to self-report on sex and relationships.

20% of Year 10 pupils in Eastbourne reported either being in a

relationship or that they had been in a sexual relationship. This is similar

to the East Sussex average (22%).

Eastbourne has a higher rate of under 18 conceptions than the East Sussex average, but a lower % of

under 18’s conceptions that lead to abortion than the East Sussex

average (51%)

England East Sussex Eastbourne

Under 16 pregnancy:Rate of conceptions per 1000 females aged 13-15 years 2013

5 5Not

Available

Under 18 conceptions (per 1000 females aged 15-17 years) 2013

24 22 31

Under 18’s conceptions leading to abortion (%) 2013 51 51 41


Sexual Health

31

Many teenage pregnancies are unplanned and approximately half end in a termination. Aside from financial implications to the NHS for many bringing up a child at a very young age can result in poorer long term outcomes in terms of the child’s health, the emotional health and well-being of the mother and long term financial poverty (DH 2010).


32

Ward Significance compared to

EnglandDevonshireHampden ParkLangneyMeadsOld TownRattonSt Anthony’sSovereignUpperton

Significantly lower than England average

No significant difference to England average

Significantly higher than England average


33


References

Action on Smoking and Health (ASH). 2015. Smoking Statistics. Available at; http://www.ash.org.uk/files/documents/ASH_93.pdf

Brabner, D. 2015. Postcode analysis of paediatric patients (under 16) residing in the East Sussex area; patients referred for dental extractions under general anaesthetic due to dental caries. East Sussex Special Care Dental Service.

Department for Education. 2011. Developing Quality Tuition. Effective Practice in Schools. Available at; https://www.gov.uk/government/publications/developing-quality-tuition-effective-practice-in-schools-english-as-an-additional-language

Department for Education. 2014. Pupil Premium: funding and accountability for schools. Available at; https://www.gov.uk/guidance/pupil-premium-information-for-schools-and-alternative-provision-settings

Department for Education. 2015. Mental health and behaviour in schools - Departmental advice for school staff. Available at; https://www.gov.uk/government/publications/mental-health-and-behaviour-in-schools--2

Department of Health. 2010. Teenage Pregnancy Strategy 2010 and Beyond. https://www.education.gov.uk/consultations/downloadableDocs/4287_Teenage%20pregnancy%20strategy_aw8.pdf

Department of Health 2011. Healthy Lives, Healthy People. A call to action on obesity in England. Available at; https://www.gov.uk/government/publications/healthy-lives-healthy-people-a-call-to-action-on-obesity-in-england

Department of Health. 2012. Protecting People, Promoting Health - A public health approach to violence prevention in England. Available at; https://www.gov.uk/government/publications/a-public-health-approach-to-violence-prevention-in-england

East Sussex County Council and NHS. 2015. JSNAA Indicator Scorecards Local Authority View. Available at; http://www.eastsussexjsna.org.uk/scorecards/2015authorityview/2015LA-Scorecards

East Sussex County Council and NHS. 2016. JSNAA Indicator Scorecards Local Authority View. Available at; http://www.eastsussexjsna.org.uk/scorecards/2016authorityview/2016LA-Scorecards

East Sussex County Council. 2014. Accidents and Injuries in Under 25’s in East Sussex. Available at; http://www.eastsussexjsna.org.uk/JsnaSiteAspx/media/jsna-media/documents/localbriefings/Accidents-and-injuries-in-under-25s-in-East-Sussex-May-2014.pdf

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Health and Social Care Information Centre. 2015. Statistics on Obesity, Physical Activity and Diet. Available at; http://www.hscic.gov.uk/catalogue/PUB16988/obes-phys-acti-diet-eng-2015.pdf

Health and Social Care Information Centre. 2014. Health Survey for England 2013. Available at; http://www.hscic.gov.uk/catalogue/PUB16076

Health and Social Care Information Centre. 2013. Health Survey for England 2012. Available at; http://www.hscic.gov.uk/catalogue/PUB13218

Home Office. 2015. New Psychoactive Substances Resource Pack. Available at; https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/412168/150311_Psychoactive-drugs11-colour_18-33-44_-_1_.pdf

NHS Sussex and ESCC 2012. Young People in East Sussex Schools. A report on the health behaviour of young people aged 14 – 15 in 2012. The Schools Education Unit. East Sussex County Council. Available at; http://www.eastsussexjsna.org.uk/evidencelinks/evidence.aspx

National Institute for Health and Care Excellence. 2013. Social and Emotional Well-Being for Children and Young People. https://www.nice.org.uk/advice/lgb12/resources/social-and-emotional-wellbeing-for-children-and-young-people-60521143067845

Ofsted. 2014. Are you ready? Good Practice in School Readiness. Available at; https://www.gov.uk/government/publications/are-you-ready-good-practice-in-school-readiness

Parliamentary Office of Science and Technology. 2007. Ethnicity and Health. Postnote Number 276. Available at; www.parliment.uk/documents/post/postpn276.pdf Public Health England. 2014. Sugar Reduction: Responding to the Challenge. Available at; https://www.gov.uk/government/publications/sugar-reduction-responding-to-the-challenge

Public Health England. 2015. E-cigarettes: an evidence update. A report commissioned by Public Health England. Available at; https://www.gov.uk/government/publications/e-cigarettes-an-evidence-update

Public Health England. Public Health Outcomes Framework. Available at; http://www.phoutcomes.info/

Public Health England. Child Health Profiles. Accessed (March 2016) at http://www.chimat.org.uk/profiles

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Royal College of Surgeons. 2015. The State of Children’s Oral Health in England. Available at; https://www.rcseng.ac.uk/fds/policy/documents/fds-report-on-the-state-of-childrens-oral-health

The Children’s Society. 2015. The Good Childhood Report. Available at; http://www.childrenssociety.org.uk/sites/default/files/TheGoodChildhoodReport2015.pdf

World Health Organisation. 2008. Vaccination greatly reduces disease, disability, death and inequity worldwide. Available at; http://www.who.int/bulletin/volumes/86/2/07-040089/en/

Yarwood, J. 2014. Public Health Matters Blog - Why Vaccinate? Available at; https://publichealthmatters.blog.gov.uk/2014/05/01/why-vaccinate/

Young Minds. The Transition from Primary to Secondary School. 2007. Available at; https://www.youngminds.org.uk/assets/0000/1303/Transitionfromprimarytosecondary.pdf

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Appendix (data for further education): Chlamydia detection, 15-24 year olds

37

Chlamydia is the most commonly diagnosed sexually transmitted infection in 15-24 year olds (representing more than half of all STI’s in this age group). It causes avoidable sexual and reproductive ill-health, including symptomatic acute infections and complications such as pelvic inflammatory disease (PID), ectopic pregnancy and tubal-factor infertility. The chlamydia detection rate amongst under 25 year olds is a measure of chlamydia control activities. It represents infections identified (reducing risk of sequelae in those patients and interrupting transmission onto others). Public Health Outcomes Framework, PHE 2016

Rate of Chlamydia detection per 100,000 young people aged 15-24 years, 2014. Source: Public Health Outcomes Framework, March 2016

East Sussex has a lower, but not significantly different Chlamydia detection rate for young

people aged 15-24 years compared to England.

Eastbourne has a significantly higher Chlamydia detection rate compared to the England average.

Increasing detection rates indicates increased control activity. Public Health England

recommends that local authorities work towards achieving a detection rate of at least 2,300 per

100,000 population.

Eastbourne Borough is better at detecting Chlamydia compared to the England Average.

However it still remains the case that 1 in 12 young people aged 15 – 24 years has Chlamydia.

England 2012East Sussex 1961Eastbourne 2374Significantly higher than the England average

No significant difference to the England average

Significantly lower than the England average


Appendix (data for further education): Accidents and injuries, 15-24 year olds

38

Injuries are a leading cause of hospitalisation and represent a major cause of premature mortality for children and young people. They are also a source of long-term health issues, including mental health related to experience(s). Public Health Outcomes Framework, PHE 2016

Rate of emergency admissions due to unintentional and deliberate harm for 15-24 year olds, per 10,000 population, 2012/13-2014/15. Source: East Sussex JSNA, March 2016

Eastbourne has a lower but not significantly different rate of emergency

admissions due to accidents and injuries for children and young people aged 15-24 years, when compared to

East Sussex.

Meads has a significantly lower rate compared to East Sussex and the

remaining wards have rates that are similar to the East Sussex average.

East Sussex 138Eastbourne 129WardsDevonshire 135Hampden Park 145Langney 132Meads 88Old Town 165Ratton 147St Anthony’s 127Sovereign 121Upperton 106Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Appendix (data for further education): Self-harm A&E attendances and hospital admissions, 16-19 year olds

39

Self-harm can take lots of physical forms, including cutting, burning, bruising, scratching, hair-pulling, poisoning and overdosing. There are many reasons why children and young people try to hurt themselves. Once they start, it can become a compulsion. Self-harm isn’t usually a suicide attempt or a cry for attention. Instead, it’s often a way for young people to release overwhelming emotions. It’s a way of coping. There are links between depression and self-harm. Quite often a child or young person who is self-harming is being bullied, under too much pressure to do well at school, being emotionally abused, grieving or having relationship problems with family or friends. The feelings that these issues bring up can include low self-esteem, low confidence, loneliness, sadness, anger, numbness and lack of control over their lives. Often, the physical pain of self-harm might feel easier to deal with than the emotional pain that's behind it. It can also make a young person feel they're in control of at least one part of their lives. Sometimes it can also be a way for them to punish themselves for something they've done or have been accused of doing. Only a small proportion of acts of self-harm result in hospital attendance. Across all ages, self-harm is one of the top five causes of acute medical admissions. The death rate by suicide of people who self-harm is between 50 to 100 times higher than the general population. The majority of people who self-harm are aged between 11 and 25 years old.

Rate of A&E attendances due to self-harm for 16-19 year olds, per 1,000 population, 2012/13-2014/15. Source: Public Health SUS

extracts

Eastbourne has a significantly higher rate than East Sussex for A&E attendances due to self-harm for young people aged 16-19

years.

Devonshire, Hampden Park and Ratton all have significantly higher rates than East Sussex for A&E attendances due to self-

harm for young people aged 16-19 years.

In 2014/15, East Sussex had a significantly higher (directly age standardised) rate of hospital admissions as a result of self-harm for 10-24 year olds when compared to England. (Child

Health Profiles, PHE, accessed March 2016)

East Sussex 9.9Eastbourne 17.4WardsDevonshire 24.7Hampden Park 27.3Langney 15.4Meads 8.6Old Town 13.8Ratton 24.5St Anthony’s 13.5Sovereign 15.2Upperton 14.9Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Appendix (data for further education): A&E attendances due to assaults, 16-19 year olds

40

Young people aged 16-24 years suffer higher levels of violence than other adult age groups. Across the whole population the peak age for emergency admission to hospital due to violence is 18 years. Many incidents of youth violence involve alcohol which can increase risks of both perpetrating and being a victim of violence. (A public health approach to violence prevention for England, Department of Health, 2012)

Eastbourne has a significantly higher rate of A&E attendances due to assaults for young people aged 16-19 years than the

East Sussex average

Devonshire and Langney have significantly higher rates than East Sussex for A&E attendances due to

assaults for young people aged 16-19 years.

Rate of A&E attendances due to assaults for 16-19 year olds, per 1,000 population, 2012/13-2014/15.

Source: Public Health SUS extracts

East Sussex 7.6Eastbourne 10.5WardsDevonshire 13.5Hampden Park 11.3Langney 13.4Meads 5.4Old Town 9.9Ratton 6.1St Anthony’s 12.4Sovereign 9.2Upperton 11.9Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Appendix (data for further education): Hospital admissions due to substance misuse, 15-24 year olds

41

There is evidence to suggest that young people who use recreational drugs run the risk of damage to mental health including suicide, depression and disruptive behaviour disorders. Regular use of cannabis or other drugs may also lead to dependence. (Public Health

England, Child Health Profiles)

The England rate of hospital admissions due to substance misuse for 15-24 year olds is 88.8 per 100,000 population (directly age

standardised, 2012/13-2014/15).

The rate for East Sussex during the same period was 82.9 per 100,000 population (directly age standardised). This is similar to the England

average.

Source: Child Health Profiles, PHE (accessed March 2016)

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