Why 0-2s?

Alison Nuttall, Head of Children’s CommissioningCatherine Scott, Head of Public Health

Marilyn Barton, Principal Manager

A wide range of research now shows conception to age 2 is a crucial phase of human development and is the time when focused attention can reap great dividends for society.How we treat 0-2 year-olds shapes their lives. Loving, secure and reliable relationships with parents, together with the quality of the home learning environment, foster a child’s emotional and mental wellbeing; capacity to form and maintain positive relationships with others; language and brain development (c.80% of brain cell development

takes place by age 3); ability to learn.Wave trust

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Six high impact areas (from Healthy Child programme) Transition to Parenthood and the Early Weeks Maternal Mental

Health (Perinatal Depression) Breastfeeding (Initiation and Duration) Healthy Weight, Healthy Nutrition (to include Physical Activity) Managing Minor Illness and Reducing Accidents (Reducing Hospital

Attendance/Admissions) Health, Wellbeing and Development of the Child Age 2 – Two year

old review (integrated review) and support to be ‘ready for school’

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“Building their essential social and emotional capabilities means children are less likely to adopt antisocial or violent behavior throughout life. It means fewer disruptive toddlers, fewer unmanageable school children, fewer young people engaging in crime and antisocial behaviour. Early intervention can forestall the physical and mental health problems that commonly perpetuate a cycle of dysfunction.”Graham Allen Early Intervention: The Next Steps

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Early Years - Context

Children Aged 0-2 Years

28,270 children aged 0-2 years in West Sussex, slight fall from 2012.

Context

• 8,835 live births in 2013. Births increased from early 2000s but have, in recent years, remained fairly stable (and a fall in 2013). Nationally largest year-on-year drop in birth rate (2012 to 2013) since the early 1970s.

• Falling number of teenage pregnancies and births to teenage mothers (331 births to women aged under 20 in 2013 down from 456 in 2009).

• 6.5% of live births low birth weight (compared withy 7% nationally)

• 44% of births outside marriage (47% nationally), 348 sole registrations of birth

Differences from Overall Population

• Higher % of child population from ethnic minority backgrounds - 17% of 0-4 years olds from ethnic minority compared with 11% overall population.

• Higher % of children live in rented accommodation than overall population – 26% of children aged 0-2 years live in rented accommodation compared with 17% overall.

Reducing health inequalities is a matter of fairness and social justice

Action is needed to tackle the social gradient in health –Proportionate universalism

Action on health inequalities requires action across all the social determinants of health

Reducing health - cost of inaction Beyond economic growth to well-being

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Marmot Review (2010) - Key themes

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Marmot Recommendations: Early Years

“Central to the Review is a life course perspective. Disadvantage starts before birth and accumulates throughout life. Action to reduce health inequalities must start before birth and be followed through the life of the child. Only then can the close links between early disadvantage and poor outcomes throughout life be broken. That is our ambition for children born in 2010. For this reason, giving every child the best start in life (Policy Objective A) is our highest priority recommendation.”

Source: WSCC

West Sussex 2014 - % of Children Assessed as having a Good Level of Development (GLD) (Reception Year Pupils)

Children divided into deprivation deciles of home postcodes

At 15 -% of students achieving 5+ GCSEs at C and above (incl Maths and English (by IMD decile) – West Sussex 2008 and 2013 Source: EPAS

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Most deprived to least deprived areas

Participation in Higher Education Among Young People in West Sussex - WARDSSource: POLAR3

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9.5% - 20%

20.1% - 25.8%

25.9% - 33.6%

33.7% - 40.5%

40.6% - 49.9%

50% - 68.1%

Rudgwick 68.1% Haywards Heath Lucastes 66.1% Haywards Heath Heath 63.7% Lindfield 61.2% Fishbourne 60.4%

Orchard 15.8% Bersted 15.4% Peverel 11.8% St Mary's 11.5% Ham 9.5%

% young people going to HE

The map shows ward level rates and is based on 5 years of pooled data. This is based the participation in HE of young people who reached 18 between 2005-2009.Nationally, the average participation rate during this period was 34.7%.

Child Poverty 2012 (Under 16)(Source: HMRC)

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• England U16 rate 19.2%• West Sussex U16 rate 12.4%

% of children in low income households

The Readiness for School Equation

Mother, Family

Community

Services, Universal Support

School

Intervention

Ready Families + Ready Communities + Ready Services + Ready Schools = Ready Children

Based on National School Readiness Indicators Initiative. (2005). Findings from the 17 State School Readiness Initiative: A 17 State Partnership.

West Sussex Readiness for School Group includes partners working together to share knowledge, collaborate and identify outcomes and measures

Group has identified a number of measures under each theme

Ready FamiliesAge of mother Teenage pregnancyQualification level of mother Placement stability of children in foster careChildhood obesityMaternal and household smoking rates

Ready Services – Early YearsSufficiency of early years provisionTake up 2, 3, 4 year old provision Qualification of early years workforce, % of provision graduate led in deprived areas

Ready CommunitiesChild poverty

Children in workless householdsAverage hourly pay of part time and full time jobs

Families in temporary accommodation Access to green spaces

Ready SchoolAttainment gap – FSM, BME, SENEngagement in pre-school assessment moderation

Ready Services – Health & Social CareQuality and access to maternity services

Low birth weightImmunisation of under 5s

Identification & support for children affected by domestic violence,

parental mental health and/or substance misuse

Support for post-natal depressionOral health - % of 5 years olds visiting dentist

Ready ChildEYFS GLD ScoreInequalities / differences between groupsDevelopment – continence/motor skills/communication- Will use integrated check

The West Sussex picture (Pre-birth – 2 years) Of the 28,270 children -21,918 registered with children and family centres (CFCs)- 18,873 using CFC services, of which 2718 are from the most disadvantaged areas- 9927 using CFC services (x6 p.a.) Further 123 children supported by Family Nurse

Partnership (FNP) 1813 eligible 2 year olds accessing the Free

Entitlement (early years provision)

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CFC services for children and parents

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44 CFCs offering access to Information, advice and guidance Health services (universal and specialist) Child development

- Play and Learn Together- Toy Libraries (sensory toys and bus)- work with libraries (eg Rhyme time and BookStart)

Family Support - parenting

Key priorities Working with parents to support their child’s

learning and development eg- Health clinics- Play and Learn Together sessions (focus on 0-2s)- 67 weekly Rhyme Time sessions every week and some targeted sessions eg sensory story times for children with disabilities- Parenting groups: Solihull approach- 5 to Thrive

Strengthening local integrated teams to support families from pregnancy onwards

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