Transcript Children & Young Persons Health Index

Children & Young Persons
Health Index
Nick Germain,
Senior Public Health Analyst,
NHS Doncaster
Why create a local index?
• Overall measure of health for children & young people.
• Broad strategic picture for service design and decision
making across the partnership.
• Limitations to current sources, i.e. Child Wellbeing Index.
• Flexible;
Content – choose indicators that are relevant to local priorities,
Frequency – produce updates whenever needed,
Weighting – alter the focus for different projects,
Geography – calculated for bespoke areas not fixed
administrative boundaries.
o Internal – comparison against Doncaster so measures internal
variation.
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88 geographies created to reflect the natural communities
that people identify with.
Aligns with 16 Council neighbourhood areas.
Also aligns with most Sure Start areas.
Antisocial Behaviour - Nuisance Youths
Smoking Prevalence Aged 16+yr
First Time Entrants To YJS (10-17yr)
Alcohol Specific Emergency Admissions
Aged 15-24yr
Crime
Smoking & Substance
Misuse
Not Achieving Key Stage 2
Alcohol Attributable Hospital Admissions
Aged 15-24yr
Not achieving GCSE
Drug Specific Emergency Admissions
Aged 15-24yr
Special Educational Needs
Low Birth Weights
NEET
Mothers Not Breastfeeding At 6-8 Weeks
Education
Child Social Care Referrals
Social Aspects
Births & Vaccinations
Children Not Receiving Primary
Immunisations
Children In Poverty
Children Not Receiving Pre School
Vaccination
Child Wellbeing Index
Children Not Receiving MMR Vaccination
Household Income
Sexual Health
Conceptions to Females <18yr
Income
Children receiving FSM
Housing
A&E Attendance Aged <18yr
Properties in Council tax band A
Emergency Admissions Aged <18yr
A&E And Emergency
Admissions
Obese And Overweight Children In Reception
Admissions for Gastroenteritis <1yr
Obese And Overweight Children In Year 6
Admissions for Lower Resp. Tract Infections
<16yr
Obesity
Sources & method
• Mainly health indicators plus social care, economy,
education, crime and housing;
• All relatively available and LA very supportive.
• Simple process, most time is spent calculating rates.
• All indicators in same ‘direction’; low = good, high = bad.
• Divide community by Doncaster for individual scores;
(1=Doncaster, <1= ‘better’ than Doncaster, >1= ‘worse’ than Doncaster)
• Add indicators up into domains, add domains up into the
final score.
• Apply weighting at indicator and/or domain level.
Community Name
Abridged example
of the final scores
Index Score
Highfields
1.67
Denaby Main
1.53
Hyde Park
1.43
Stainforth
1.37
Edlington
1.21
Mexborough
1.20
New Rossington
1.15
Carcroft
1.12
Clay Lane
1.10
Scawthorpe
1.02
Cantley
1.02
Askern
1.00
Thorne
0.98
Conisbrough
0.95
Auckley
0.66
Tickhill
0.66
Bawtry
0.61
Dunsville
0.58
Cusworth
0.58
High Melton
0.57
Edenthorpe
0.57
Branton
0.57
Loversall
0.37
Fenwick
0.30
Braithwell
0.29
Micklebring
0.21
Worst index score
Equivalent to Doncaster
average
Best index score
Use mapping to compare results
Local Doncaster Index
Child Wellbeing Index
Early access to maternity services
• As discussed, aim was to increase engagement with
services before 12 weeks gestation.
• Identify indicators relevant to the issue.
• Calculate the score and split into population quintiles.
• This identifies 1/5th of the population most in need of
engagement – not necessarily following CWI or IMD.
• Follows principles of QIPP targeting use of resources.
Antisocial Behaviour - Nuisance Youths
Smoking Prevalence Aged 16+yr
First Time Entrants To YJS (10-17yr)
Alcohol Specific Emergency Admissions
Aged 15-24yr
Crime
Smoking & Substance
Misuse
No Achieving Key Stage 2
Alcohol Attributable Hospital Admissions
Aged 15-24yr
Not achieving GCSE
Drug Specific Emergency Admissions
Aged 15-24yr
Special Educational Needs
Low Birth Weights
NEET
Mothers Not Breastfeeding At 6-8 Weeks
Education
Child Social Care Referrals
Social Aspects
Births & Vaccinations
Children Not Receiving Primary
Immunisation
Children In Poverty
Children Not Receiving Pre School
Vaccination
Child Wellbeing Index
Children Not Receiving MMR Vaccination
Household Income
Sexual Health
Conceptions to Females <18yr
Income
Children receiving FSM
Housing
A&E Attendance Aged <18yr
Properties in Council tax band A
Emergency Admissions Aged <18yr
A&E And Emergency
Admissions
Obese And Overweight Children In Reception
Admissions for Gastroenteritis <1yr
Obese And Overweight Children In Year 6
Admissions for Lower Resp. Tract
Infections <16yr
Obesity
Again, use mapping to aid interpretation
Other uses identified
• Targeted Interventions (NHS Doncaster).
• Informed the proposed Integrated Family Support
Service (DMBC).
• Family Nurse Partnership (Local Strategic Partnership).
• Use current scores as a baseline to measure changes in
health outcomes and inequalities.
• All contribute to QIPP agenda directing effective use of
resources.
Limitations
• Does not yet include a measure of statistical
significance.
• Some small communities have very low figures,
they have not suppressed but it does need a
caveat.
• Cannot use indicators with extreme outliers.
• Use as a inequality measure needs to be
validated.
Any Questions?