Lewes District School-Age Health Profile 2015/16

Lewes District School-Age Health Profile 2015/16

Lewes District School-Age Health Profile 2015/16

Lewes District

School-Age Health Profile 2015/16

Contents

Demography

Lewes primary schools and wards

Lewes secondary schools and wards

East Sussex special schools and pupil referral units

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

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 35 schools in the district of Lewes

  • 6 Secondary Schools 11 – 16 years
  • 28 Primary Schools 5 – 11 years
  • 1 Special School

Key Statistics would indicate:

  • Lewes district ranks 181 out of 326 local authorities in England (1=most deprived) in terms of the average level of income deprivation affecting children across the district (IMD 2015).
  • Levels of childhood poverty are significantly lower than the England average
  • Lewes district has a significantly lower percentage of children (21%) entitled to receive the pupil premium than the East Sussex average
  • Across the Lewes district, pupil absence is significantly higher than the national average
  • Lewes District has a significantly lower referral rate into Children’s Social Care than the East Sussex average (ESCC 2015).
  • Pupils who live in Lewes district achieve similar to East Sussex for GCSEs (A*- C including Maths and English)
  • Across the Lewes district, there are a significantly lower percentage of children with English as an additional language than the East Sussex average.
  • Across the Lewes district, there are a significantly lower percentage of pupils registered as Non-White British than the East Sussex average.
  • Across the Lewes district, the percentage of pupils with Education and Healthcare Plans or with Special Educational Needs and Disabilities is similar to the East Sussex average.
  • Although rates of obesity are significantly lower than the England average, there is a notable increase in obesity levels from Reception Year to Year 6 across most wards.

Lewes primary schools and wards

Lewes secondary schools and wards

East Sussex special schools and pupil referral units

Pupils who have English as an Additional Language

East Sussex / 5.4%
Lewes / 3.4%
Wards
Barcombe and Hamsey / 1.0%
Chailey and Wivelsfield / 2.8%
Ditchling and Westmeston / 0.0%
East Saltdean and Telescombe Cliffs / 4.8%
Kingston / 3.5%
Lewes Bridge / 4.5%
Lewes Castle / 5.4%
Lewes Priory / 4.4%
Newhaven Denton and Meeching / 3.5%
Newhaven Valley / 5.2%
Newick / 1.9%
Ouse Valley and Ringmer / 0.8%
Peacehaven East / 2.8%
Peacehaven North / 3.3%
Peacehaven West / 5.9%
Plumpton, Streat, East Chiltington, and St John (Without) / 1.7%
Seaford Central / 6.0%
Seaford East / 1.1%
Seaford North / 2.2%
Seaford South / 3.2%
Seaford West / 2.3%
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

East Sussex / 11.9%
Lewes / 10.5%
Wards
Barcombe and Hamsey / 8.6%
Chailey and Wivelsfield / 6.2%
Ditchling and Westmeston / 9.8%
East Saltdean and Telescombe Cliffs / 11.6%
Kingston / 9.5%
Lewes Bridge / 13.4%
Lewes Castle / 12.3%
Lewes Priory / 15.1%
Newhaven Denton and Meeching / 10.5%
Newhaven Valley / 10.7%
Newick / 3.0%
Ouse Valley and Ringmer / 6.1%
Peacehaven East / 13.3%
Peacehaven North / 10.8%
Peacehaven West / 14.5%
Plumpton, Streat, East Chiltington, and St John (Without) / 5.6%
Seaford Central / 15.0%
Seaford East / 4.7%
Seaford North / 8.4%
Seaford South / 8.6%
Seaford West / 9.3%
Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher than the East Sussex average

Pupil Premium

East Sussex / 23.3%
Lewes / 21.0%
Wards
Barcombe and Hamsey / 11.9%
Chailey and Wivelsfield / 18.0%
Ditchling and Westmeston / 4.8%
East Saltdean and Telescombe Cliffs / 18.9%
Kingston / 7.0%
Lewes Bridge / 20.1%
Lewes Castle / 20.8%
Lewes Priory / 13.2%
Newhaven Denton and Meeching / 31.4%
Newhaven Valley / 36.0%
Newick / 14.2%
Ouse Valley and Ringmer / 21.7%
Peacehaven East / 27.5%
Peacehaven North / 23.3%
Peacehaven West / 23.6%
Plumpton, Streat, East Chiltington, and St John (Without) / 6.1%
Seaford Central / 24.9%
Seaford East / 18.7%
Seaford North / 24.4%
Seaford South / 14.6%
Seaford West / 6.5%
Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher than the East Sussex average

Pupils with Special Educational Needs and Disabilities (SEND)

East Sussex / 3.6%
Lewes / 3.5%
Wards
Barcombe and Hamsey / 2.6%
Chailey and Wivelsfield / 3.5%
Ditchling and Westmeston / 1.9%
East Saltdean and Telescombe Cliffs / 1.7%
Kingston / 1.5%
Lewes Bridge / 2.9%
Lewes Castle / 3.2%
Lewes Priory / 3.5%
Newhaven Denton and Meeching / 5.7%
Newhaven Valley / 5.8%
Newick / 2.6%
Ouse Valley and Ringmer / 4.6%
Peacehaven East / 3.0%
Peacehaven North / 2.4%
Peacehaven West / 1.5%
Plumpton, Streat, East Chiltington, and St John (Without) / 2.8%
Seaford Central / 2.3%
Seaford East / 5.9%
Seaford North / 4.1%
Seaford South / 2.4%
Seaford West / 2.3%
Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher than the East Sussex average

Attainment Early Years Foundation Stage

East Sussex / 74%
Lewes / 74%
Wards
Barcombe and Hamsey / 77%
Chailey and Wivelsfield / 80%
Ditchling and Westmeston / 77%
East Saltdean and Telescombe Cliffs / 74%
Kingston / 89%
Lewes Bridge / 78%
Lewes Castle / 73%
Lewes Priory / 78%
Newhaven Denton and Meeching / 72%
Newhaven Valley / 72%
Newick / 78%
Ouse Valley and Ringmer / 76%
Peacehaven East / 67%
Peacehaven North / 73%
Peacehaven West / 70%
Plumpton, Streat, East Chiltington, and St John (Without) / 92%
Seaford Central / 77%
Seaford East / 71%
Seaford North / 71%
Seaford South / 80%
Seaford West / 58%
Significantly higher than the East Sussex average
No significant difference to the East Sussex average
Significantly lower than the East Sussex average

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).

Attainment Key Stage 2

East Sussex / 78%
Lewes / 79%
Wards
Barcombe and Hamsey / 100%
Chailey and Wivelsfield / 82%
Ditchling and Westmeston / 100%
East Saltdean and Telescombe Cliffs / 86%
Kingston / 89%
Lewes Bridge / 80%
Lewes Castle / 83%
Lewes Priory / 90%
Newhaven Denton and Meeching / 73%
Newhaven Valley / 70%
Newick / 85%
Ouse Valley and Ringmer / 66%
Peacehaven East / 71%
Peacehaven North / 73%
Peacehaven West / 72%
Plumpton, Streat, East Chiltington, and St John (Without) / 89%
Seaford Central / 84%
Seaford East / 71%
Seaford North / 68%
Seaford South / 94%
Seaford West / 90%
Significantly higher than the East Sussex average
No significant difference to the East Sussex average
Significantly lower 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

East Sussex / 53%
Lewes / 55%
Wards
Barcombe and Hamsey / 56%
Chailey and Wivelsfield / 72%
Ditchling and Westmeston / suppressed
East Saltdean and Telescombe Cliffs / 41%
Kingston / 72%
Lewes Bridge / 47%
Lewes Castle / 51%
Lewes Priory / 65%
Newhaven Denton and Meeching / 46%
Newhaven Valley / 52%
Newick / 64%
Ouse Valley and Ringmer / 47%
Peacehaven East / 41%
Peacehaven North / 44%
Peacehaven West / 56%
Plumpton, Streat, East Chiltington, and St John (Without) / 57%
Seaford Central / 56%
Seaford East / 52%
Seaford North / 57%
Seaford South / 76%
Seaford West / 67%
Significantly higher than the East Sussex average
No significant difference to the East Sussex average
Significantly lower than the East Sussex average

Immunisations

Pre-school booster / 2nd MMR
East Sussex / 88% / 88%
Lewes / 86% / 86%
Wards
Barcombe and Hamsey / 64% / 77%
Chailey and Wivelsfield / 86% / 86%
Ditchling and Westmeston
East Saltdean and Telescombe Cliffs / 54% / 51%
Kingston / 85% / 69%
Lewes Bridge / 85% / 85%
Lewes Castle / 82% / 78%
Lewes Priory / 87% / 91%
Newhaven Denton and Meeching / 93% / 91%
Newhaven Valley / 89% / 85%
Newick / 92% / 92%
Ouse Valley and Ringmer / 88% / 91%
Peacehaven East / 90% / 91%
Peacehaven North / 97% / 97%
Peacehaven West / 95% / 92%
Plumpton, Streat, East Chiltington, and St John (Without) / 76% / 76%
Seaford Central / 91% / 91%
Seaford East / 94% / 96%
Seaford North / 95% / 97%
Seaford South / 95% / 95%
Seaford West / 97% / 97%
Significantly higher than the East Sussex average
No significant difference to the East Sussex average
Significantly lower than the East Sussex average

‘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)

% Obese
Reception / % Obese
Year 6
England / 9.4% / 19.1%
East Sussex / 8.2% / 16.3%
Lewes / 8.1% / 14.9%
Wards
Barcombe and Hamsey / suppressed / 13.0%
Chailey and Wivelsfield / 10.4% / 17.1%
Ditchling and Westmeston / suppressed / suppressed
East Saltdean and Telescombe Cliffs / 7.0% / 18.8%
Kingston / suppressed / suppressed
Lewes Bridge / 10.9% / 19.0%
Lewes Castle / 6.5% / 11.6%
Lewes Priory / 5.2% / 3.6%
Newhaven Denton and Meeching / 11.0% / 24.0%
Newhaven Valley / 4.6% / 22.1%
Newick / suppressed / 12.2%
Ouse Valley and Ringmer / 5.9% / 9.7%
Peacehaven East / 12.1% / 12.9%
Peacehaven North / 10.9% / 20.1%
Peacehaven West / 14.5% / 19.6%
Plumpton, Streat, East Chiltington, and St John (Without) / suppressed / suppressed
Seaford Central / 5.5% / 12.8%
Seaford East / 9.2% / 12.7%
Seaford North / 7.3% / 23.3%
Seaford South / 7.0% / 10.0%
Seaford West / 7.2% / 9.6%
Significantly lower than the England average
No significant difference to the England average
Significantly higher than the England average
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 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)
% Excess
Weight Reception / % Excess
Weight
Year 6
England / 22.4% / 33.6
East Sussex / 21.4% / 30.5%
Lewes / 20.7% / 28.0%
Wards
Barcombe and Hamsey / 17.1% / 23.2%
Chailey and Wivelsfield / 21.6% / 31.6%
Ditchling and Westmeston / suppressed / suppressed
East Saltdean and Telescombe Cliffs / 18.3% / 32.9%
Kingston / suppressed / suppressed
Lewes Bridge / 27.9% / 24.1%
Lewes Castle / 19.0% / 28.1%
Lewes Priory / 14.8% / 15.3%
Newhaven Denton and Meeching / 23.7% / 36.5%
Newhaven Valley / 19.9% / 37.2%
Newick / 17.0% / 20.3%
Ouse Valley and Ringmer / 17.3% / 25.5%
Peacehaven East / 29.5% / 29.8%
Peacehaven North / 27.2% / 35.2%
Peacehaven West / 25.2% / 32.7%
Plumpton, Streat, East Chiltington, and St John (Without) / suppressed / suppressed
Seaford Central / 16.5% / 30.8%
Seaford East / 17.4% / 23.7%
Seaford North / 16.7% / 36.2%
Seaford South / 21.0% / 20.0%
Seaford West / 18.6% / 22.9%
Significantly lower than the England average
No significant difference to the England average
Significantly 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).
National Child Measurement Programme data 2011/12 – 2013/14, Source PHE


Healthy Weight (Secondary)



Diet (Secondary)


Diet (Secondary)



Physical Activity and Travel to School



Physical Activity and Travel to School (Primary)


East Sussex / 29%
Lewes / 24%
Wards
Barcombe and Hamsey / 29%
Chailey and Wivelsfield / 37%
Ditchling and Westmeston / 35%
East Saltdean and Telescombe Cliffs / 27%
Kingston / 26%
Lewes Bridge / 10%
Lewes Castle / 7%
Lewes Priory / 7%
Newhaven Denton and Meeching / 23%
Newhaven Valley / 27%
Newick / 21%
Ouse Valley and Ringmer / 31%
Peacehaven East / 36%
Peacehaven North / 22%
Peacehaven West / 24%
Plumpton, Streat, East Chiltington, and St John (Without) / 49%
Seaford Central / 19%
Seaford East / 26%
Seaford North / 33%
Seaford South / 31%
Seaford West / 39%
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%
Lewes / 11%
Wards
Barcombe and Hamsey / 16%
Chailey and Wivelsfield / 20%
Ditchling and Westmeston / suppressed
East Saltdean and Telescombe Cliffs / 10%
Kingston / 12%
Lewes Bridge / 5%
Lewes Castle / 6/5
Lewes Priory / 4%
Newhaven Denton and Meeching / 11%
Newhaven Valley / 13%
Newick / 16%
Ouse Valley and Ringmer / 23%
Peacehaven East / 13%
Peacehaven North / 6%
Peacehaven West / 7%
Plumpton, Streat, East Chiltington, and St John (Without) / 12%
Seaford Central / 12%
Seaford East / 13%
Seaford North / 16%
Seaford South / 10%
Seaford West / 25%
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).

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. There were558 admissions forLewes District 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).
East Sussex / 98
Lewes / 103
Wards
Barcombe and Hamsey / 87
Chailey and Wivelsfield / 113
Ditchling and Westmeston / 173
East Saltdean and Telescombe Cliffs / 89
Kingston / 74
Lewes Bridge / 127
Lewes Castle / 131
Lewes Priory / 108
Newhaven Denton and Meeching / 106
Newhaven Valley / 104
Newick / 140
Ouse Valley and Ringmer / 80
Peacehaven East / 155
Peacehaven North / 98
Peacehaven West / 108
Plumpton, Streat, East Chiltington, and St John (Without) / 98
Seaford Central / suppressed
Seaford East / 69
Seaford North / 111
Seaford South / 69
Seaford West / 78
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

Rate per 1,000
East Sussex / 19
Lewes / 19
Wards
Barcombe and Hamsey / 20
Chailey and Wivelsfield / 10
Ditchling and Westmeston / suppressed
East Saltdean and Telescombe Cliffs / 14
Kingston / 20
Lewes Bridge / 18
Lewes Castle / 25
Lewes Priory / 20
Newhaven Denton and Meeching / 30
Newhaven Valley / 20
Newick / suppressed
Ouse Valley and Ringmer / 24
Peacehaven East / 28
Peacehaven North / 12
Peacehaven West / 16
Plumpton, Streat, East Chiltington, and St John (Without) / 15
Seaford Central / 20
Seaford East / 19
Seaford North / 23
Seaford South / 25
Seaford West / 13
Significantly lower than the East Sussex average
Lower than East Sussex but not statistically significant
No significant difference to the East Sussex average
Higher than East Sussex but not statistically significant
Significantly higher than the East Sussex average
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.


Emotional Health and Well-Being
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




Smoking and Addictive Behaviours

Number / Rate per 10,000
East Sussex / 591 / 53
Lewes / 72 / 35
Wards
Barcombe and Hamsey / suppressed
Chailey and Wivelsfield / suppressed
Ditchling and Westmeston / suppressed
East Saltdean and Telescombe Cliffs / suppressed
Kingston / suppressed
Lewes Bridge / 6 / 60
Lewes Castle / 6 / 51
Lewes Priory / suppressed
Newhaven Denton and Meeching / 13 / 70
Newhaven Valley / suppressed
Newick / suppressed
Ouse Valley and Ringmer / suppressed
Peacehaven East / 7 / 65
Peacehaven North / suppressed
Peacehaven West / suppressed
Plumpton, Streat, East Chiltington, and St John (Without) / suppressed
Seaford Central / 6 / 74
Seaford East / 5 / 61
Seaford North / 7 / 61
Seaford South / suppressed
Seaford West / suppressed
Significantly lower than the East Sussex average
No significant difference to the East Sussex average
Significantly higher than the East Sussex average

Sexual Health