ADD SCHOOL NAME School Health Profile

ADD SCHOOL NAME School Health Profile

School Health Profile

for

ADD SCHOOL NAME

Date: ADD DATE

Contents

Demography

Eastbourne primary schools and wards

Eastbourne secondary schools and wards

East Sussex special schools and pupil referral units

Summary of key statistics for ADD SCHOOL NAME

Key Statistics for ADD SCHOOL NAME indicate:

Summary findings from Whole School Review process for ADD SCHOOL NAME

Key findings for ADD SCHOOL NAME indicate:

Pupils who have English as an Additional Language

Pupils who are Non-White British

Pupil Premium

Pupils with Special Educational Needs and Disabilities (SEND)

Attainment Early Years Foundation Stage

Attainment Key Stage 2

Attainment GCSE Key Stage 4

Immunisations

Healthy Weight (Primary)

Healthy Weight (Secondary)

Diet (Secondary)

Physical Activity and Travel to School

Oral Health

Accidents and Injuries

Emotional Health and Well-Being

Smoking and Addictive Behaviours

Sexual Health

References

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

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

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

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

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

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 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 has a significantly higher percentage of children (26.8%) entitled to receive the pupil premium than the East Sussex average
In Eastbourne, pupil absence is significantly higher than the national average
Eastbourne has a significantly higher percentage of children with English as an additional language compared to the East Sussex average
In Eastbourne, there are a significantly higher percentage of pupils registered as Non-White British than the East Sussex average
In Eastbourne, 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.

Eastbourne primary schools and wards

Eastbourne secondary schools and wards

East Sussex special schools and pupil referral units

Summary of key statistics for ADD SCHOOL NAME

Key Statistics for ADD SCHOOL NAME indicate:

SUMMARISE KEY STATISTICS FROM DATA TABLES BELOW – SEE COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

Summary findings from Whole School Review process for ADD SCHOOL NAME

Key findings for ADD SCHOOL NAME indicate:

SUMMARISE KEY FINDINGS FROM CONSULTATION WITH CHLDREN AND YOUNG PEOPLE, PARENTS AND CARERS, SCHOOL STAFF - SEE COMPLETED SCHOOL HEALTH PROFILE EXAMPLE

Pupils who have English as an Additional Language

East Sussex / 5.4%
Eastbourne / 11.3%
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Ward
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Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher than the East Sussex average

Pupils who are Non-White British

Pupil Premium

Pupils with Special Educational Needs and Disabilities (SEND)

Attainment Early Years Foundation Stage

East Sussex / 74.4%
Eastbourne / 70.8%
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Wards
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Significantly higher than the East Sussex average
No significant difference to the East Sussex average
Significantly lower than the East Sussex average

Attainment Key Stage 2

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

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).

Healthy Weight (Primary)

The consequences of obesity cause health problems thatinclude 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 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)

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).

% Excess Weight - Reception / % Excess Weight – Year 6
England / 22.4% / 33.6%
East Sussex / 21.4% / 30.5%
Eastbourne / 22.8% / 32.0%
Wards
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Significantly lower than the England average
No significant difference to the England average
Significantly higher than the England average

Healthy Weight (Secondary)

Diet (Secondary)

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)

Physical Activity and Travel to School

Physical Activity and Travel to School (Primary)

East Sussex / 29%
Eastbourne / 24%
Wards
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Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher than the East Sussex average

Physical Activity and Travel to School (Secondary)

East Sussex / 16%
Eastbourne / 18%
Wards
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Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher 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 2012 almost one-third of five-year-olds in England had tooth decay (PHE 2014).

Tooth decay in children aged 5 years
Mean DMFT per child 2011/12
England / 0.94
East Sussex / 0.68
Eastbourne / Value cannot be calculated as the number of cases is too small

Accidents and Injuries

In East Sussex there were 3185emergency 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).

Rate per 10,000
East Sussex / 98
Eastbourne / 91
Wards
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Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly 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.

East Sussex / 18.6
Eastbourne / 21.2
Wards
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Significantly lower than East Sussex average
Lower than East Sussex but not statistically significant
No Significant difference to East Sussex average
Higher than East Sussex but not statistically significant
Significantly higher than East Sussex average

Emotional Health and Well-being (Continued)

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 disability
East Sussex Average / 20%
Eastbourne / 20%
Significantly lower than the East Sussex average / No Significant difference to the East Sussex average / Significantly higher than the East Sussex average

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.

Smoking and Addictive Behaviours

Number / Rate per 10,000
East Sussex / 591 / 53
Eastbourne / 121 / 59
Wards
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Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly 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).

England / East Sussex / Eastbourne
Under 16 pregnancy:
Rate of conceptions per 1000 females aged 13-15 years 2013 / 5 / 5 / Not 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

Ward / Significance compared to England
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Significantly lower than England average
No significant difference to England average
Significantly higher than England average

References

Action on Smoking and Health (ASH). 2015. Smoking Statistics. Available at;
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;
East Sussex County Council and NHS. 2016. JSNAA Indicator Scorecards Local Authority View. Available at;
East Sussex County Council. 2014. Accidents and Injuries in Under 25’s in East Sussex. Available at;
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;
National Institute for Health and Care Excellence. 2013. Social and Emotional Well-Being for Children and Young People.
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;
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;
Public Health England. Child Health Profiles. Accessed (March 2016) at
Royal College of Surgeons. 2015. The State of Children’s Oral Health in England. Available at;
The Children’s Society. 2015. The Good Childhood Report. Available at;
World Health Organisation. 2008. Vaccination greatly reduces disease, disability, death and inequity worldwide. Available at;
Yarwood, J. 2014. Public Health Matters Blog - Why Vaccinate? Available at; https://publichealthmatters.blog.gov.uk/2014/05/01/why-vaccinate/
YoungMinds.The Transition from Primary to Secondary School.2007. Available at;

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

England / 2012
East Sussex / 1961
Eastbourne / 2374
Significantly 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

East Sussex / 138
Eastbourne / 129
Wards
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Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher than the East Sussex average