1. Efua Dorkenoo,OBE Teenage Pregnancy and Healthy Schools Programme Children and Learners Directorate Government Office East of England Teenage Pregnancy Putting Hertfordshire in Context

2. Teenage Pregnancy Strategy (1999): the goals  Halve the under 18 conception rate by 2010 – a renewed Public Service Agreement (14) – Increasing the number of children and young people on the path to success - with NEETS, Positive Activities, Substance Misuse and New Entrants to Criminal Justice System  Improve outcomes for teenage parents and their children, with a goal of 60% of 16-19 mothers in education, employment or training (NEET) by 2010  10 year strategies in each top tier Local Authority with local 2010 reduction target – adding up to 50% national reduction  Teenage pregnancy an LAA priority in 106/150 areas

3. Progress to date (England): 1998-2007  The 2007 data provide the latest position on progress towards the 2010 reduction targets.  The provisional 2007 under-18 conception rate for England is 41.7 per 1000 girls aged 15-17  Represents an overall decline of 10.7% since 1998  Reduction needs to accelerate rapidly …..…the 2007 national data shows an increase in under-18 conception rate when compared with 2006 data Ref: ONS/TPU

4. England TP Trends 98-07 and Trajectory

5. Summary: Under-18 conception rate (2007)East of England «The East of England overall has one of the lowest rates nationally and a reasonable decline, there is still much to do. «Rates are however still declining overall from baseline (although slowly), where the national trend is of increasing rates.

6. Change in under-18 conception rate by Region 1998-2007 (ONS Feb. 09) Region2007 ratesTrend% change 98-07 England47.1increase10.7 NE52.9increase6.4 NW47.1Increase6.5 Y&H47.9Increase10.3 EM40.9Increase17.3 WM47.7Increase8.2 London46.2Increase10.7 SE33.3Static13.3 SW36.5increase8.7 EoE33.4Static12.7

7. Summary: Under-18 conception rate (2007) Hertfordshire «TP rates on very slight upward trajectory currently. «Repeat abortions high. «Hertfordshire need to look at the repeat abortion rates and improve contraception provided post-termination.

8. Under-18 conception rates 1998-2007 in Hertfordshire U18 conception rates for 2007 26.5 U18 conception rates for 2006 26.2 Number560 Decline 98-0717.9% 06 RAGAmber-Red Target45% Repeat abortions 07 E&N 15.2%, W 13.0%

9. Key performance improvement questions for U18 conception rate  Are local termination services providing the full range of contraception, in line with the NHS operating framework and NICE guidance?  Is there a post-natal care pathway in place for young mothers to ensure they receive effective contraception prior to discharge plus follow-up, in line with SHA maternity guidance?  Is the PCT using the extra money allocated to its baseline, to improve access for young people to contraception, appropriately?  Are local contraceptive services young people friendly (venue, timing, staff) and appropriately located?  Are plans in place to build capacity in the school nursing service to support delivery of statutory PSHE Education in schools?

10. Teenage Pregnancy: everybody’s business! Teenage pregnancy: A complex issue associated with a large range of risk factors…

11. TP Champions Strategic leadership SRE in schools and out of school settings Young people friendly Contraceptive services Strong messages to young people and partner agencies Workforce training on SRE Strong youth service things to do, places to go Targeted SRE work with young people at risk Strong use of local data Building aspirations and self esteem Supporting parents To discuss sex & relationships

12. More information: §Teenage Pregnancy Next Steps: Guidance for Local Authorities and PCTs on effective delivery of local strategies (July 2006) §Teenage Pregnancy: Accelerating the Strategy to 2010 (September 2006) §Teenage Parents Next Steps: Guidance for Local Authorities and PCTs (July 2007) www.everychildmatters.gov.uk/teenagepregnancy