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www.capt.org.uk Child safety and deprivation Mike Hayes Child Accident Prevention Trust
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www.capt.org.uk Child safety and deprivation Numbers, trends and patterns Effective prevention Learning from the Neighbourhood Road Safety Initiative Low literacy and prevention Mapping activity in Bradford
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www.capt.org.uk Deaths and injuries in the UK - birth to 14 years 251 deaths in 2005 England and Wales213 (25.6 per million) Scotland20 (35.3 per million) Northern Ireland18 (30.9 per million) About 100,000 admissions to hospital Over 2 million A&E attendances
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www.capt.org.uk By comparison … 251 deaths from accidents compares with: 60 deaths from family abuse and neglect 20 killings by strangers 115 deaths from meningitis
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www.capt.org.uk Accidental deaths, England and Wales birth – 14 years, 1979 - 2005
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www.capt.org.uk Downward trend Increased child restraint and seat belt use and improved vehicle design Increased smoke alarm ownership Safer (and new) consumer products Improvements in medical care Changes in child behaviour, reducing exposure to hazards
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www.capt.org.uk Injury mortality rates by social class Source: I Roberts and C Power (1996), BMJ Vol 31.3
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www.capt.org.uk Injury inequalities The poorest children are also more likely to be: admitted to hospital admitted with more severe injuries
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www.capt.org.uk Injury inequalities Why? The environment where children travel and play The houses they live in The stress their families live under
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www.capt.org.uk Effective interventions Apparent lack of effect does not mean that something is not working Changing knowledge and attitudes – and hence behaviour – can take time Differences between countries may mean that interventions do not travel or will need translating
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www.capt.org.uk Key messages Education, environmental change and legislation all have a part to play and their effect in combination is important Community-based campaigns need the sustained use of injury surveillance systems commitment to inter-agency cooperation time to develop networks and implement a range of interventions
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www.capt.org.uk Pedestrian and cycle initiatives 20 mph zones Cycle helmet educational campaigns Cycle helmet legislation Education aimed at parents for pedestrian injuries Area-wide urban safety measures Cycle training
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www.capt.org.uk Car passengers Child restraint and seat belt educational campaigns Child restraint loan schemes Child restraint legislation
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www.capt.org.uk In the home Smoke detectors programmes Child-resistant packaging Product design General safety devices Window bars Parent education on hazard reduction
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www.capt.org.uk The NRSI local authorities Blackburn with Darwen Blackpool Bolton Bradford Bury Liverpool Manchester Nottingham Oldham Rochdale Salford Sandwell Stoke-on-Trent Tameside Wigan
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www.capt.org.uk Targeting people and places People AND places, not people OR places Consider road safety issues that people face, not simply the problems that the places where they live can create Identifying the groups at risk can help to identify organisations that can assist Need to get behind the statistics – remember that what people want to do, but can’t, matters in taking road safety decisions
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www.capt.org.uk Innovative approaches Not just about creating new interventions - it can also involve new ways of defining target audiences, creating new working methods, adapting staffing requirements, creating and sustaining new partnerships, etc Innovation can take time Can be about doing things differently, not stopping doing things Making the case for being innovative is not easy
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www.capt.org.uk Involving the community Asking people about their concerns and listening to their answers Seeking reactions to proposed interventions Involving the community in programme development and delivery Can bring communities together, improve image of council Can be time-consuming and expensive, but can be the key to successful projects
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www.capt.org.uk Partnerships Partners can open many doors, for example: access to target groups, especially hard to reach groups, often through pre-existing relationships. additional resources - people, skills and knowledge, money and other resources new approaches and other ways of thinking about issues access to additional policy frameworks
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www.capt.org.uk Partnerships Development and maintenance of partnerships requires effort. Dedicated posts in NRSI councils. Other benefits Partnerships can lead to costs being shared Can help the sustainability of programmes as a result of new agencies becoming involved in road safety Broadening the reach by embedding road safety into the plans of other agencies
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www.capt.org.uk Other issues Communication and collaboration Road safety programmes can improve links between local authority departments, as well as between local authorities and other agencies Sustainability of programmes Partnerships can lead to costs being shared Embed road safety into the plans of other agencies
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www.capt.org.uk Addressing low literacy
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www.capt.org.uk Literacy in England and Wales One in six adults has the reading age of a child aged under 12 years – 5 million adults Of adults with poor literacy: two-thirds have a reading age of 9-11 year olds (3.5 million adults) 1 in 30 cannot read English at all (180,000 adults)
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www.capt.org.uk Poor literacy, deprivation and ethnicity Among adults with poor literacy: 33% are in low-paid jobs 44% are unemployed 36% of tenants of publicly-owned housing have poor literacy Adults from black and minority ethnic communities are between 2.5 and 3.5 times more likely to have poor literacy than the population as a whole
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www.capt.org.uk
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Mapping activity in Bradford Commissioned by Bradford LSCB Part of a process to developing a local child accident prevention strategy Interviews with a sample of people undertaking child accident prevention work Report by the end of January
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www.capt.org.uk Very early findings from mapping Enthusiasm among practitioners Lots of good work being undertaken Welcome for Davina’s Hartley’s post Good time to be moving forward following the restructuring of the PCTs Scope for better coordination of activities and sharing of who is doing what
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www.capt.org.uk Child Accident Prevention Trust email: safe@capt.org.uk web: www.capt.org.uk
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