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Hastings Borough School-Age Health Profile 2015/16

Hastings BoroughSchool-Age Health Profile 2015/16

Contents1


Demography..............................................................................................................................................................................................................3Hastings primary schools and wards........................................................................................................................................................................4Primary schools, wards and income deprivation affecting children..........................................................................................................................5Hastings secondary schools and wards....................................................................................................................................................................5Secondary schools, wards and income deprivation affecting children......................................................................................................................7East Sussex special schools and pupil referral units................................................................................................................................................8Pupils who have English as an Additional Language...............................................................................................................................................9Pupils who are Non-White British...........................................................................................................................................................................10Pupil Premium.........................................................................................................................................................................................................11Pupils with Special Educational Needs and Disabilities (SEND)............................................................................................................................12Attainment Early Years Foundation Stage..............................................................................................................................................................13Attainment Key Stage 2..........................................................................................................................................................................................14Attainment GCSE Key Stage 4...............................................................................................................................................................................15Immunisations.........................................................................................................................................................................................................16Healthy Weight (Primary)........................................................................................................................................................................................17Healthy Weight (Secondary)...................................................................................................................................................................................19Diet (Secondary).....................................................................................................................................................................................................21Physical Activity and Travel to School....................................................................................................................................................................22Oral Health..............................................................................................................................................................................................................25Accidents and Injuries.............................................................................................................................................................................................26Emotional Health and Well-Being...........................................................................................................................................................................27Smoking and Addictive Behaviours........................................................................................................................................................................29Sexual Health..........................................................................................................................................................................................................31References..............................................................................................................................................................................................................34Appendix (data for further education): Chlamydia detection, 15-24 year olds........................................................................................................37Appendix (data for further education): Accidents and injuries, 15-24 year olds.....................................................................................................38Appendix (data for further education): Self-harm A&E attendances and hospital admissions, 16-19 year olds.....................................................39Appendix (data for further education): A&E attendances due to assaults, 16-19 year olds...................................................................................40Appendix (data for further education): Hospital admissions due to substance misuse, 15-24 year olds................................................................41

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Demography

The East Sussex School Health profile supports 27 Schools in the borough of Hastings

21 Primary Schools 5 – 11 years 4 Secondary Schools 11 – 16 years 2 Special Schools

Key Statistics would indicate:

Hastings Borough ranks 26 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 significantly higher than both the East Sussex and England average Hastings Borough has a significantly higher percentage of children (34.8%) entitled to receive the pupil premium than the

East Sussex average Across the Hastings Borough, pupil absence is significantly higher than the national average Across the Hastings Borough, there are a significantly higher percentage of children with English as an additional

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

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

Needs and Disabilities is similar to the East Sussex average. Hastings borough has significantly higher referral rates into Children’s Social Care than the East Sussex average (ESCC 2015).

Pupils who live in Hastings Borough achieve less well than the national average (A* - C including Maths and English) Hastings Borough has the highest rate of hospital admissions due to accidents and injuries for persons aged 0 – 14 years

in East Sussex (ESCC 2014) Although not statistically significant, there is a higher rate of children and young people aged 0 – 18 years receiving the

CAMHS service than the East Sussex average.

3


Hastings primary schools and wards

4


Primary schools, wards and income deprivation affecting children

5


Hastings secondary schools and wards

6


Secondary schools, wards and income deprivation affecting children

7


8


East Sussex special schools and pupil referral units

9


Pupils who have English as an Additional Language

10

East Sussex 5.4%Hastings 6.5%WardsAshdown 3.3%Baird 4.1%Braybrooke 4.5%Castle 10.8%Central St Leonards 26.1%Conquest 7.0%Gensing 13.8%Hollington 3.9%Maze Hill 7.9%Old Hastings 1.9%Ore 4.0%St Helens 2.8%Silverhill 4.6%Tressell 2.4%West St Leonards 5.9%Wishing Tree 4.8%Significantly lower than the East Sussex averageNo significant difference to the East Sussex average

Significantly higher than the East Sussex average

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%.

Hastings 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 Castle (10.8%), Central St Leonards (26.1%), Gensing (13.8%) and Maze

Hill (7.9%) 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.


Pupils who are Non-White British

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East Sussex 11.9%Hastings 13.8%WardsAshdown 7.9%Baird 10.0%Braybrooke 19.1%Castle 21.5%Central St Leonards 37.8%Conquest 13.1%Gensing 24.9%Hollington 9.9%Maze Hill 14.2%Old Hastings 5.7%Ore 9.9%St Helens 10.6%Silverhill 10.2%Tressell 10.4%West St Leonards 11.3%Wishing Tree 12.0%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 are registered as

Non-White British is 11.9%

Hastings 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 Braybrooke (19.1%), Castle (21.5%), Central St Leonards (37.8%) and Gensing (24.9) have a significantly higher percentage of Non-White British children

attending an East Sussex state maintained school than the East Sussex average.

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

2015


Pupil Premium

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

premium is 23.3%.

Hastings has a significantly higher percentage (34.8%) of children attending an East Sussex state maintained school that receive the pupil premium than the East

Sussex average

The wards of Baird (48.4%), Braybrooke (30.2%), Castle (45.4%), Central St Leonards (52%), Gensing (37.4%), Hollington (46.4%),

Maze Hill (28.7%), Ore (41.7%), Tressell (46.7%), West St Leonards (27.5%) and

Wishing Tree (34.5%) have a significantly higher percentage of children that receive the pupil premium than the East Sussex

average.

East Sussex 23.3%Hastings 34.8%WardAshdown 20.9%Baird 48.4%Braybrooke 30.2%Castle 45.4%Central St Leonards 52.0%Conquest 13.1%Gensing 37.4%Hollington 46.4%Maze Hill 28.7%Old Hastings 26.5%Ore 41.7%St Helens 11.6%Silverhill 21.7%Tressell 46.7%West St Leonards 27.5%Wishing Tree 34.5%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average

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

‘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).


Pupils with Special Educational Needs and Disabilities (SEND)

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

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

Educational Healthcare Plan is 3.6%.

The percentage of children resident in Hastings 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.

Ward level data identifies similar percentages for children resident in East Sussex attending an East Sussex state maintained school that have Special Educational Needs or Disability

and/or an Educational Healthcare Plan.

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

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 3.6%Hastings 4.1%WardsAshdown 5.0%Baird 4.0%Braybrooke 4.3%Castle 4.9%Central St Leonards 3.3%Conquest 3.9%Gensing 4.4%Hollington 4.3%Maze Hill 5.3%Old Hastings 2.8%Ore 3.7%St Helens 2.1%Silverhill 2.9%Tressell 4.3%West St Leonards 5.1%Wishing Tree 4.7%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average


Attainment Early Years Foundation Stage

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).

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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 2016.

East Sussex 74.4%Hastings 73.3%WardsAshdown 69%Baird 58%Braybrooke 72%Castle 53%Central St Leonards 59%Conquest 78%Gensing 73%Hollington 52%Maze Hill 62%Old Hastings 63%Ore 63%St Helens 68%Silverhill 60%Tressell 51%West St Leonards 60%Wishing Tree 66%Significantly higher than the East Sussex average

No significant difference to the East Sussex average

Significantly lower than the East Sussex average

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, 73% of pupils in Hastings 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 Castle, Hollington and Tressell was

significantly lower than the East Sussex average.


Attainment Key Stage 2

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In June 2014, 78% of pupils (resident in East Sussex and attending an East Sussex state maintained schools) achieved at least

level 4 in Reading, Writing and Maths.

In June 2014, 75% of pupils in Hastings 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.

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

Baird was significantly lower than the East Sussex average.

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%Hastings 75%WardsAshdown 84%Baird 59%Braybrooke 77%Castle 75%Central St Leonards 75%Conquest 71%Gensing 83%Hollington 71%Maze Hill 73%Old Hastings 77%Ore 71%St Helens 83%Silverhill 80%Tressell 72%West St Leonards 78%Wishing Tree 72%Significantly higher than the East Sussex averageNo significant difference to the East Sussex averageSignificantly lower than the East Sussex average


Attainment GCSE Key Stage 4

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East Sussex 53%Hastings 47%WardsAshdown 56%Baird 35%Braybrooke 45%Castle 38%Central St Leonards 40%Conquest 70%Gensing 50%Hollington 33%Maze Hill 50%Old Hastings 57%Ore 39%St Helens 52%Silverhill 58%Tressell 45%West St Leonards 56%Wishing Tree 47%Significantly higher than the East Sussex average



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

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

English.

In June 2014, 47% of pupils in Hastings attending an East Sussex state maintained school achieved 5 or more GCSE passes at

A* - C including Maths and English. This was significantly lower than 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 Baird (35%) and Hollington (33%) than the East Sussex

average.

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).

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Pre-School Booster

2nd MMR

East Sussex 88% 88%Hastings 87% 87%WardsAshdown 94% 94%Baird 83% 85%Braybrooke 84% 84%Castle 86% 88%Central St Leonards 72% 73%Conquest 91% 91%Gensing 89% 89%Hollington 80% 79%Maze Hill 90% 90%Old Hastings 94% 96%Ore 94% 93%St Helens 89% 89%Silverhill 88% 89%Tressell 85% 83%West St Leonards 95% 91%Wishing Tree 91% 88%Significantly higher than the East Sussex averageNo significantly difference to the East Sussex averageSignificantly lower than the East Sussex average

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 Hastings who were immunised was similar to the East

Sussex average for pre-school booster (87%) and 2nd MMR (87%).

Ward level data identifies that the percentage of children immunised in Central St Leonards and Hollington was significantly lower than the East Sussex average (pre-school booster = 72% and

80% and MMR = 73% and /79% respectively).

The wards of Baird, Braybrooke, Hollington and Tressell achieved 85% (or less) coverage for both

the pre-school booster and 2nd MMR during 2013/14.

Childhood Immunisations 2013/14 Source: ESCC JSNA Feb 2015


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

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Pre-School Booster

2nd MMR

East Sussex 88% 88%Hastings 87% 87%WardsAshdown 94% 94%Baird 83% 85%Braybrooke 84% 84%Castle 86% 88%Central St Leonards 72% 73%Conquest 91% 91%Gensing 89% 89%Hollington 80% 79%Maze Hill 90% 90%Old Hastings 94% 96%Ore 94% 93%St Helens 89% 89%Silverhill 88% 89%Tressell 85% 83%West St Leonards 95% 91%Wishing Tree 91% 88%Significantly higher than the East Sussex averageNo significantly difference to the East Sussex averageSignificantly lower than the East Sussex average

Three years pooled (2011/12 – 2013/14) NCMP data shows 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 in

Gensing is significantly higher than the England average. The prevalence of obesity

at Reception Year in Ore and Hollington is also significantly higher than the England

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.

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

% Obese Reception

% ObeseYear 6

England Average 9.4% 19.1%East Sussex 8.2% 16.3%Hastings 10.2% 18.6%WardsAshdown 8.2% 21.7%Baird 11.0% 19.0%Braybrooke 7.8% 17.7%Castle 8.8% 22.4%Central St Leonards 11.0% 18.3%Conquest 7.5% 22.2%Gensing 13.7% 25.2%Hollington 14.4% 15.1%Maze Hill 6.3% 19.6%Old Hastings 9.3% 14.4%Ore 14.4% 13.4%St Helens 6.9% 12.5%Silverhill 10.0% 17.8%Tressell 7.7% 17.3%West St Leonards 9.7% 21.3%Wishing Tree 10.8% 21.7%Significantly lower than the England averageNo significant difference to the England averageSignificantly higher than the England average


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).

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% Excess Weight -

Reception

% Excess Weight -

Year 6England 22.4% 33.6%East Sussex 21.4% 30.5%Hastings 24.9% 33.7% WardsAshdown 20.2% 33.1%Baird 23.4% 35.5%Braybrooke 25.7% 39.7%Castle 23.0% 28.6%Central St Leonards 27.9% 38.1%Conquest 23.6% 34.9%Gensing 24.3% 36.8%Hollington 29.2% 39.4%Maze Hill 20.5% 25.5%Old Hastings 27.8% 35.8%Ore 30.7% 29.4%St Helens 20.7% 26.1%Silverhill 20.6% 30.1%Tressell 23.2% 31.3%West St Leonards 25.8% 37.4%Wishing Tree 28.1% 33.1%Significantly lower than the England average

No significant difference to the England average.

Significantly higher than the England average

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 carry excess weight at Reception Year is 22.4%. This rises to 33.6% in Year 6 children

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 than the England averages.

The percentage of children in Reception Year in Hastings carrying excess weight is 24.9%; this is

significantly higher than the England average.

Ward level data shows that in Hollington and Ore the prevalence of excess weight at Reception Year is significantly higher than the England average.

Borough data identifies that 33.7% of Year 6 children were carrying excess weight in 2011/12 –

2013/4. Although this is similar to the England average of 33.6%, around 1 in 3 children are

carrying excess weight at this age.


Healthy Weight (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 Hastings:

47% of Year 10 pupils wanted to lose weight.

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

22% of boys regarded themselves as a little or very overweight.

The East Sussex average was19%.

34% 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, 9% of girls are carrying excess weight or classified as obese.


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%Hastings 12.1%Significantly higher than the East Sussex averageNo significant difference to the East Sussex average.Significantly lower than the East Sussex average

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

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.

In Hastings:

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.

Approximately 1 in 5 girls had only a drink for breakfast

22% of girls had no lunch

Over 1/3 of girls had chocolate as a snack in school

14% of boys had no breakfast

Only 25% of boys had a school lunch

Only 18% of boys had fruit as a snack in school


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.

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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%

Hastings 14% 13% 12% 22% 25% 13% 10% 22%Fruit as a snack Chocolate as a snack

Boys Girls Boys GirlsEast Sussex

21% 24% 31% 25%

Hastings 18% 32% 26% 34%


Physical Activity and Travel to School

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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%

Hastings average was 27.6% - 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.

Data shows that some wards in Hastings Borough have a higher percentage of primary and secondary school children travelling to school by car, taxi or van than the East Sussex average.


Physical Activity and Travel to School (Primary)

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

East Sussex 29%Hastings 27%WardsAshdown 48%Baird 31%Braybrooke 25%Castle 25%Central St Leonards 22%Conquest 36%Gensing 14%Hollington 23%Maze Hill 28%Old Hastings 19%Ore 27%St Helens 33%Silverhill 22%Tressell 21%West St Leonards 42%Wishing Tree 28%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly higher than the East Sussex average

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 (27%) of children in Hastings who travelled to primary school by

car, taxi or van was similar to the East Sussex average.

Ward data identifies that Ashdown (48%), Conquest (36%), and West St Leonards (42%)

had a significantly higher percentage of children travelling to primary school in 2014

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


Physical Activity and Travel to School (Secondary)

25

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

2014 by car, taxi or van was 16%.

In Hastings, the percentage (22%) 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 Ashdown (31%), Hollington (23%), Maze Hill (36%), Old Hastings (25%),

Ore (24%), West St Leonards (46%) and Wishing Tree (27%) had a significantly

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

or van than the East Sussex average.

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

East Sussex 16%Hastings 22%WardsAshdown 31%Baird 21%Braybrooke 21%Castle 15%Central St Leonards 22%Conquest 14%Gensing 13%Hollington 23%Maze Hill 36%Old Hastings 25%Ore 24%St Helens 19%Silverhill 12%Tressell 18%West St Leonards 46%Wishing Tree 27%Significantly lower than the East Sussex averageNo significant difference to the East Sussex averageSignificantly 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).

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

is 0.84. This is similar to the England average.

Data from the East Sussex Special Care Dental Service reported that of 245 paediatric dental extractions (children aged between 2 –


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 754 admissions for Hastings 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 Hastings, the rate of emergency hospital admissions caused by unintentional and deliberate injuries in children aged 5-14 years is

114. This is similar to the East Sussex average of 98 per 10,000 population.

All wards in Hastings have a similar rate of emergency hospital admissions caused by unintentional and deliberate injuries in

children aged 5-14 years to 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 Hastings, during 2010/11 – 2012/13, the percentage of deliberate harm injury admissions in 12 – 17 years olds due to self-harm was

Emergency admissions caused by unintentional and deliberate injuries in children aged 5-14 years, rate per 10,000 population,

Hastings wards, 2012/13 to 2014/15, Source ESCC JSNA March 16.

Rate per 10,000

East Sussex 98Hastings 114WardsAshdown 100Baird 144Braybrooke 84Castle 124Central St Leonards 113Conquest 90Gensing 124Hollington 137

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

is 0.84. This is similar to the England average.

Data from the East Sussex Special Care Dental Service reported that of 245 paediatric dental extractions (children aged between 2 –


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

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In Hastings, the rate of emergency hospital admissions caused by unintentional and deliberate injuries in children aged 5-14 years is

114. This is similar to the East Sussex average of 98 per 10,000 population.

All wards in Hastings have a similar rate of emergency hospital admissions caused by unintentional and deliberate injuries in

children aged 5-14 years to 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 Hastings, during 2010/11 – 2012/13, the percentage of deliberate harm injury admissions in 12 – 17 years olds due to self-harm was

Emergency admissions caused by unintentional and deliberate injuries in children aged 5-14 years, rate per 10,000 population,

Hastings wards, 2012/13 to 2014/15, Source ESCC JSNA March 16.

Rate per 10,000

East Sussex 98Hastings 114WardsAshdown 100Baird 144Braybrooke 84Castle 124Central St Leonards 113Conquest 90Gensing 124Hollington 137


assessment and if appropriate treatment, or referral to another service.

Emotional Health and Well-Being

29

East Sussex 18.6Hastings 21.2WardsAshdown 23.1Baird 33.4Braybrooke 26.1Castle 11.9Central St Leonards 19.0Conquest 24.4Gensing 15.7Hollington 29.3Maze Hill 23.9Old Hastings 16.8Ore 21.7St Helens 17.8Silverhill 15.2Tressell 16.2West St Leonards 22.2Wishing Tree 31.9Significantly higher than East Sussex averageHigher than East Sussex but not statistically significant

Lower than East Sussex but not statistically significant

Child and Adolescent Mental Health Services (CAMHS) caseload; rate per 1,000 population aged 0 – 18 years as ay 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.

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:

36% of Year 10 pupils in Hastings reported high self-esteem – significantly lower 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.

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

Sussex CAMHS caseloads.

There is a higher rate of children aged 0 – 18 years on the CAMHS caseload in Hastings than for East Sussex but not a significantly

higher rate.

Ward level data highlights that Baird (33.4) and Hollington (29.3) have a significantly higher rate of children and young people

accessing the CAMHS service than the East Sussex average.

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

East Sussex 42% 17%Hastings 36% 19%

Quite/Very unhappy with life at the moment

Quite/very happy with life at the moment


% GIRLS said they don't get enough sleep to stay

alert & concentrate on school work

% BOYS said they don't get enough sleep to stay

alert & concentrate on school work


% looked after someone in their family on at least one day in the previous week

who had an illness or disability.

East Sussex 20%Hastings 23%

Significantly higher than the East Sussex average




Smoking and Addictive Behaviours

30

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:

36% of Year 10 pupils in Hastings reported high self-esteem – significantly lower than the East Sussex

average.

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).


Smoking and Addictive Behaviours

31

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

Hastings Borough data identified that:

24% of Year 10 pupils had smoked at least one cigarette the previous week. This was significantly higher than the East Sussex average (16%).

51% of Year 10 boys had never smoked a cigarette. The East Sussex average was 59%.

42% of Year 10 girls had never smoked a cigarette. The East Sussex average was 52%.

43 % 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 Hastings is 22.6%. This is similar to the England average (18%) (PHE, 2014).

Young people under 18 years who are in 10,000 population 2011/2012 to 2012/2013, Source: ESCC JSNA Jan 2015.

East SussexHastings

Wards

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

In Hastings:

23% of Year 10 pupils reported they had used cannabis. This was significantly higher than the East

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).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.

In 2012, the percentage of Year 10 pupils in Hastings who reported smoking at least one

cigarette in the previous week was significantly higher compared to the East

Sussex average.

In 2012, a lower percentage of Year 10 boys and girls across Hastings reported they had never smoked to the East Sussex average.

In Hastings Borough, 43% of Year 10 pupils reported that no-one smoked at home. This is lower than 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%).


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).

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Young people under 18 years who are in 10,000 population 2011/2012 to 2012/2013, Source: ESCC JSNA Jan 2015.

East SussexHastings

Wards

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

In Hastings:

23% of Year 10 pupils reported they had used cannabis. This was significantly higher than the East


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).

33

England East Sussex HastingsUnder 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 36

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

51 51 42

Under 18 Conception rates for East Sussex wards compared to England 2011 – 2012.

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

30% of Year 10 pupils in Hastings reported either being in a relationship or had been in a

sexual relationship in the past. This is significantly higher than the East Sussex

average (22%).

Hastings has a significantly higher rate of under 18 conceptions than the East Sussex

average.

8 out of 16 wards in Hastings have a significantly higher rate of under 18

conception rates compared to England (2011 – 2013).


References

34

In the Hastings Borough, the wards of Braybrooke, Castle, Central St Leonards,

Gensing, Hollington, Silverhill, Tressell and West St Leonards have a significantly higher

rate of Under 18 conceptions compared to the England average.

Ward Significance compared to

EnglandAshdownBairdBraybrookeCastleCentral St LeonardsConquestGensingHollingtonMaze Hill SupressedOld HastingsOreSilverhillSt Helens SupressedTressellWest St LeonardsWishing TreeSignificantly lower than the England average.No significant difference to the England averageSignificantly higher than the England average.


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

Health and Social Care Information Centre. 2015. Statistics on Obesity, Physical Activity and Diet. Available at; 35


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/profiles36


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

37


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

38

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

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

people aged 15-24 years compared to England.

Hastings has a similar Chlamydia detection rate to the England average for young people aged

15-24 years.

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.

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

2016

Hastings Borough has a similar rate of Chlamydia detection 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 1961Hastings 2194Significantly 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

39

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, April 2016

Hastings has a similar rate of emergency admissions due to accidents

and injuries for children and young people aged 15-24 years, when

compared to East Sussex.

Castle and Gensing wards have a significantly higher rate of emergency

admissions due to accidents and injuries for children and young people aged 15-24 years, than the East Sussex

average

East Sussex 138Hastings 137WardsAshdown 153Baird 176Braybrooke 126 Castle 226Central St Leonards 103Conquest 71Gensing 227Hollington 107Maze Hill 131Old Hastings 128Ore 127St Helens 101Silverhill 168Tressell 112West St Leonards 54Wishing Tree 123Significantly 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

40

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

Hastings Borough and most of its wards have a similar rate of A&E attendances due to self-harm

for young people aged 16-19 years to the East Sussex average. For some wards data is

suppressed due to small numbers

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 9.9Hastings 9.1WardsAshdown 8.7Baird 12.9Braybrooke 7.2 Castle 9.3Central St Leonards 12.6Conquest suppressedGensing 11.1Hollington 11.9Maze Hill suppressedOld Hastings 8.4Ore 8.2St Helens 9.1Silverhill 10.4Tressell 11.9West St Leonards suppressedWishing Tree 6.3Significantly 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

41

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)

Hastings has a similar rate of A&E attendances due to assaults for young

people aged 16-19 years to the East Sussex average.

Baird has a significantly higher rate of A&E attendances due to assaults for 16-

19 year olds than the East Sussex average

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 7.6Hastings 10.0WardsAshdown 7.8Baird 23.3Braybrooke 7.2 Castle 13.0Central St Leonards 14.7Conquest 11.5Gensing 14.4Hollington 6.8Maze Hill 7.4Old Hastings 3.6Ore 12.2St Helens 5.4Silverhill 7.8Tressell 87.6West St Leonards 8.3Wishing Tree 7.6Significantly 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

42

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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