All children are equal

1
All children are equal..but outcomes are not.
Peter LauenerDirector, Local
TransformationDCSF
Health inequalities conference 20 May 2008
2
children wish for so much but can arrange so
little of their own lives which are so often
dominated by adults without sympathy for
childrens priorities Bruno Bettleheim,
recollection and reflections (1990)
3
CSR07 Performance Framework
PSA 10 11 Raise educational achievement and
narrow achievement gap
PSA 14 Increase the number of CYP on the path to
success
PSA 9 Halve child Poverty by 2010. Eradicate by
2020 (HMT)
PSA 12 Improve the health and wellbeing of CYP
PSA 13 Improve CYP safety
4
Outcomes for looked after children

• 60,000 looked after at any one point in time
• two thirds in foster care
• 66 looked after as a result of abuse or neglect
  
• half 5-17 yr olds with a mental health disorder
• (4 times higher than all children)
• 46 of children in prison have been looked after
• one in ten children in care attained 5 good
  GCSEs
• in 2005, compared with more than half of all
• children
• 6 of 19 year olds go into higher education
• compared with 40 of all young people

5
Many of the major challenges for childrens
health in England are particularly problematic
for children from more disadvantaged backgrounds
Priority health challenges for children and young people in England Health inequalities issue?
Accidents
Oral health
Obesity
Substance misuse
Low birth weight and infant mortality
Sexual health
Life chances for children with disabilities
Outcomes for acute episodes of illness
Communicable disease
Mental and emotional health
Life-limiting diseases
Long-term conditions
And while these conditions may not always be more
prevalent in poorer families, poorer families
often find them harder to manage
6
Top 20 most commonly proposed national indicators
where there is a match between Government and
local areas priorities in Local Area Agreements
Rank NI ref no Top 20 Indicators in LAAS LAAs
1 117 16 to 18 year olds who are not in education, employment or training (NEET) 117
2 112 Under 18 conception rate 107
3 186 Per capita reduction in CO2 emissions in the LA area 103
4 155 Number of affordable homes delivered (gross) 103
5 56 Obesity among primary school age children in Year 6 99
6 163 Proportion of population aged 19-64 for males and 19-59 for females qualified to at least Level 2 or higher 97
7 16 Serious acquisitive crime rate 96
8 154 Net additional homes provided 90
9 123 Stopping smoking 89
10 1 of people who believe people from different backgrounds get on well together in their local area 86
11 4 of people who feel they can influence decisions in their locality 83
12 120 All-age all cause mortality rate 83
13 8 Adult participation in sport and active recreation 80
14 30 Re-offending rate of prolific and other priority offenders 80
15 20 Assault with injury crime rate 80
16 130 Social Care clients receiving Self Directed Support per 100,000 population 79
17 135 Carers receiving needs assessment or review and a specific carer's service, or advice and information 78
18 110 Young people's participation in positive activities 77
19 39 Rate of hospital admission per 100,000 for alcohol related harm 76
20 171 New business registration rate 75
7
Top 10 Indicators for children in LAAS

• NI 117 16 to 18 year olds who are not in
  education, employment or training (NEET)
  115
• NI 112 Under 18 conception rate 108
• NI 56 Obesity among primary school age children
  in Year 6 98
• NI 120 All-age all cause mortality rate 88
  (DH indicator, with a DCSF interest)
• NI 110 Young people's participation in positive
  activities 77
• NI 111 First time entrants to the Youth Justice
  System aged 10 17 74
• NI 19 Rate of proven re-offending by young
  offenders 48 (MoJ indicator, with a DCSF
  interest)
• NI 116 Proportion of children in poverty 48
• NI 51 Effectiveness of child and adolescent
  mental health (CAMHs) services 43
• NI 79 Achievement of a Level 2 qualification by
  the age of 19 36

8
Integrated Working

• Childrens Trusts to have in place by 2010
  consistent high quality arrangements to provide
  identification and early intervention for all
  children who need additional help
• Essential features
• targeted early intervention services integrated
  with universal settings, e.g. through
  multi-agency teams in and around schools
• more specialist services easily available and
  accessible from universal settings
• processes and pathways connecting up services,
  e.g through embedding the CAF
• schools and other universal settings knowing the
  children they work with and, if necessary,
  assessing needs though CAF and engaging
  targeted/specialist services
• universal settings and staff in wider services
  working together to provide joined up support
  coordinated by a lead professional

9
Childrens Trusts
Universal

Targeted
Specialist
0
19
a continuum of support and opportunity
10
Childrens Trusts
Health
Early Years and Childrens Centres
Schools
Youth Services
Universal


Targeted
Specialist
Specialist Services
0
19
a continuum of support and opportunity
11
Childrens Trusts
Health
Early Years and Childrens Centres
extended Schools
integrated Youth Services
Universal

multi-agency locality teams
Targeted
Specialist
Specialist Services
0
19
a continuum of support and opportunity
12
Integrated Working
13
Key Delivery Challenges

• Improvement Support where its needed with the
  right expertise
• School of the 21st century
• Co-location of services and integrated working
• Development of the whole childrens workforce
• Childrens Trusts
• Better commissioning