Children’s Health Needs in Greater Nottingham Analysis of needs, resources and services for planning

 All Children and their parents  Maternity  Children who are ill  Safeguarding  Children and young people with emotional health needs

Nottingham’s 4 PCTs Wards Super Output Areas

Rank Lower SOAs from most to least deprived Divide into 5 groups, equal number of Output areas in each group Quintiles

Calculate rates based on events in each quintile Source: ODPM Directly standardised rates of admission to hospital for accidents, under 20s, City 1 City 2 City 3 City 4City 5 DSR per thousand pop

Deprivation  Index of Material Deprivation 2000 & 2004   Income   Employment   Health and disability   Education, skills and training   Barriers to Housing & Services   Living environment   Crime

3 Most deprived Wards in each PCT: City: Strelley, Manvers, Radford B&H: Toton, Strelley & Trowell, Stapleford West Gedling: Oxclose, Newstead, Killisick Rushcliffe: Ash Lea, Musters, Leys Source: DETR Deprivation

Demography Source: 2001 Census

Where are our services?

Immunisation

Children who are ill and Children in hospital  A&E attendance  Admissions  Gastroenteritis

A&E Attendances Source: Nottingham HIS

Admissions

Gastroenteritis Directly standardised rates of admission to hospital for Intestinal Infectious Diseases, under 5s, Nottingham City PCTRushcliffe PCTBroxtowe & Hucknall PCT Gedling PCT DSR per thousand pop

Long term conditions  Asthma  Cystic fibrosis  Cancers

Asthma Admissions

Cystic Fibrosis Admissions Directly standardised rates of admission to hospital for cystic fibrosis, under 20s, Nottingham City PCTRushcliffe PCTBroxtowe & Hucknall PCT Gedling PCT DSR per thousand pop

Cancer Admissions Directly standardised rates of admission to hospital for cancer, under 20s, Nottingham City PCTRushcliffe PCTBroxtowe & Hucknall PCT Gedling PCT DSRs per thousand pop

Safeguarding and Promoting the Welfare of Children  Accidents - PSA target  Young Offenders  Carers

Accident Admissions Under 5

Young Offenders

Young Carers

The Mental Health & Psychological Well-being of Children and Young People  Numbers  Causes of need  Suicide

CAMHS numbers seen

Causes of need Breakdown of the Problems Presented 34% 17% 14% 7% 6% 5% 3% 2% 1% Emotional disorders More than one primary problem Conduct disorders Deliberate self harm Autistic spectrum disorders Other Hyperkinetic disorders Developmental disorders Eating disorders Substance abuse Habit disorders Psychotic disorders Source: National CAMHS Mapping Exercise 2003

Suicide

Maternity  Teenage pregnancy – PSA target  Low Birth Weight

Teenage Conceptions

Low Birth Weight % of live births weighing less than 2500g ENGLAND AND Trent SHANottingham UA Ashfield CDBroxtowe CD Gedling CDRushcliffe CD

The future  Use these maps to plan, appropriately according to need  Develop the maps  Financial map ? Match the need  Knowledge is power