Child Health Profile Hackney and City of London - DataPress

Child Health Profile Hackney and City of London - DataPress

Child Health Profile March 2017 Hackney and City of London This profile provides a snapshot of child health in these areas. It is designed to help lo...

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Child Health Profile March 2017

Hackney and City of London This profile provides a snapshot of child health in these areas. It is designed to help local government and health services improve the health and wellbeing of children and tackle health inequalities.

The child population in these areas

Key findings

Local

Region

England

4,569

129,615

664,399

Children aged 0 to 4 years (2015)

21,100 7.6%

633,300 7.3%

3,434,700 6.3%

Children aged 0 to 19 years (2015)

67,700 2,140,000 13,005,700 24.4% 24.7% 23.7%

Children aged 0 to 19 years in 2025 (projected)

77,900 2,438,300 14,002,600 24.4% 24.9% 23.8%

School children from minority ethnic groups (2016)

24,055 84.1%

756,627 72.2%

2,032,064 30.0%

Children living in poverty aged under 16 years (2014)

30.2%

23.4%

20.1%

78.7 82.8

80.2 84.1

79.5 83.1

Live births (2015)

Life expectancy at birth (2013-2015)

Boys Girls

Children living in poverty Map of London, with Hackney and City of London outlined, showing the relative levels of children living in poverty.

Children and young people under the age of 20 years make up 24.4% of the population of Hackney and City of London. 84.1% of school children are from a minority ethnic group. The health and wellbeing of children in Hackney and City of London is mixed compared with the England average. The infant mortality rate is worse than the England average. The child mortality rate is similar to the England average. The level of child poverty is worse than the England average with 30.2% of children aged under 16 years living in poverty. The rate of family homelessness is worse than the England average. Children in Hackney and City of London have worse than average levels of obesity: 12.6% of children aged 4-5 years and 27.4% of children aged 10-11 years are classified as obese. There were 325 children in care at 31 March 2015, which equates to a lower rate than the England average. A similar percentage of children in care are up-to-date with their immunisations and GCSE achievement is better than the England average for this group of children. In 2015, 111 children entered the youth justice system for the first time. This gives a higher rate than the England average for young people receiving their first reprimand, warning or conviction. The percentage of young people aged 16 to 18 not in education, employment or training is lower than the England average.

Contains Ordnance Survey data You may re-use this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

H Hackney and City of London - March 2017 a

[email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/

Hackney and City of London Child Health Profile

March 2017

Childhood obesity These charts show the percentage of children who have excess weight (obese or overweight) in Reception (aged 4-5 years) and Year 6 (aged 10-11 years). They compare Hackney and City of London with statistical neighbours, and the England and regional averages. Compared with the England average, the areas have a worse percentage of children in Reception (24.7%) and a worse percentage in Year 6 (43.3%) who have excess weight. Obese

All children with excess weight, some of whom are obese

Children aged 4-5 years who have excess weight, 2015/16 (percentage) England Hackney and City of London

Haringey Southwark Lambeth Lewisham

0

10

20

30

40

50

40

50

Children aged 10-11 years who have excess weight, 2015/16 (percentage) England

Hackney and City of London Haringey Southwark Lambeth

Lewisham

0

10

20

30

Note: This analysis uses the 85th and 95th centiles of the British 1990 growth reference (UK90) for BMI to classify children as overweight and obese. I indicates 95% confidence interval.

Young people and alcohol

Young people's mental health

Nationally, the rate of young people aged under 18 being admitted to hospital because they have a condition wholly related to alcohol is decreasing, and this is also the case in Hackney and City of London. The admission rate in the latest period is lower than the England average.

Nationally, the rate of young people aged under 18 being admitted to hospital as a result of self-harm is increasing, and this is also the case in Hackney and City of London. However, the admission rate in 2013/14-2015/16 is lower than the England average. Information about admissions in 2015/16 is on page 4. Nationally, levels of self-harm are higher among young women than young men.

Young people aged under 18 admitted to hospital with alcohol specific conditions (rate per 100,000 population aged 0-17 years)

Young people aged 10 to 24 years admitted to hospital as a result of self-harm (rate per 100,000 population aged 10-24 years) 1,400 1,200 1,000 800 600 400 200 0

160 120 80 40 0 2007/08 - 2008/09 - 2009/10 - 2010/11 - 2011/12 - 2012/13 09/10 10/11 11/12 12/13 13/14 14/15

England

Hackney and City of London

Hackney and City of London - March 2017

10/11-12/13

England

11/12-13/14

12/13-14/15

13/14-15/16

Hackney and City of London

[email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/

Hackney and City of London Child Health Profile

March 2017

These charts compare Hackney and City of London with statistical neighbours, and the England and regional averages.

Teenage conceptions in girls aged under 18 years, 2014 (rate per 1,000 female population aged 15-17 years)

Chlamydia detection, 2015 (rate per 100,000 young people aged 15-24 years)

England

England

London

London

Hackney and City of London

Hackney and City of London

Haringey

Haringey

Southwark

Southwark

Lambeth

Lambeth

Lewisham

Lewisham

0

10

20

30

40

50

In 2014, approximately 25 girls aged under 18 conceived for every 1,000 women aged 15-17 years in these areas. This is similar to the regional average (approximately 22 per 1,000). These areas have a similar teenage conception rate compared with the England average (approximately 23 per 1,000).

0

2,000

4,000

6,000

Chlamydia screening is recommended for all sexually active 15-24 year olds. Increasing detection rates indicates better targeting of screening activity; it is not a measure of prevalence. Areas should work towards a detection rate of at least 2,300 per 100,000 population. In 2015, the detection rate in these areas was 3,764 which is better than the minimum recommended rate. The shaded area from 1,900 shows the range of values approaching the minimum recommended rate of 2,300 (the black line).

Breastfeeding at 6 to 8 weeks, 2015/16 (percentage of infants due 6 to 8 week checks)

Measles, mumps and rubella (MMR) vaccination coverage by age 2 years, 2015/16 (percentage of eligible children)

England

England

London

London

Hackney and City of London

Hackney and City of London

Haringey

Haringey

Southwark

Southwark

Lambeth

Lambeth

Lewisham

Lewisham

0

20

40

60

80

100

In these areas 47.8% of babies received a six to eight week review by a health visitor before they turned eight weeks. No breastfeeding at six to eight weeks data is available.

0

20

40

60

80 100

Less than 95% (the minimum recommended coverage level) of children have received their first dose of immunisation by the age of two in these areas (84.1%). By the age of five, only 82.2% of children have received their second dose of MMR immunisation. In London, there were 47 laboratory confirmed cases of measles in young people aged 19 and under in 2015. The shaded area from 90% shows the range of values approaching the minimum recommended coverage of 95% (the black line).

Note: Where data is not available or figures have been suppressed, no bar will appear in the chart for that area.

Hackney and City of London - March 2017

[email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/

Hackney and City of London Child Health Profile

March 2017

The chart below shows how children's health and wellbeing in these areas compares with the rest of England. The local result for each indicator is shown as a circle, against the range of results for England shown as a grey bar. The line at the centre of the chart shows the England average.

1 hi hi 

Not significantly different from the England average

No significant change Increasing / decreasing and getting better

Significantly better than England average

Increasing / decreasing and getting worse

Significantly worse than England average

25th percentile

Trend cannot be calculated Local no. Local per year* value

Health improvement

Wider determinants of ill health

Health Premature protection mortality

Indicator

Prevention of ill health

England average

1 Infant mortality 2 Child mortality rate (1-17 years) 3 MMR vaccination for one dose (2 years) ≥95% <90% 90% to 95% 4 Dtap / IPV / Hib vaccination (2 years) 5 Children in care immunisations 6 Children achieving a good level of development at the end of reception 7 GCSEs achieved (5 A*-C inc. English and maths) 8 GCSEs achieved (5 A*-C inc. English and maths) for children in care 9 16-18 year olds not in education, employment or training 10 First time entrants to the youth justice system 11 Children in low income families (under 16 years) 12 Family homelessness 13 Children in care 14 Children killed and seriously injured (KSI) on England’s roads 15 Low birth weight of term babies 16 Obese children (4-5 years) 17 Obese children (10-11 years) 18 Children with one or more decayed, missing or filled teeth 19 Hospital admissions for dental caries (0-4 years) 20 Under 18 conceptions 21 Teenage mothers 22 Persons under 18 admitted to hospital for alcohol-specific conditions 23 Hospital admissions due to substance misuse (15-24 years) 24 Smoking status at time of delivery 25 Breastfeeding initiation 26 Breastfeeding prevalence at 6-8 weeks after birth 27 A&E attendances (0-4 years) 28 Hospital admissions caused by injuries in children (0-14 years) 29 Hospital admissions caused by injuries in young people (15-24 years) 30 Hospital admissions for asthma (under 19 years) 31 Hospital admissions for mental health conditions 32 Hospital admissions as a result of self-harm (10-24 years)

1  h 1 1    i i i h h  1 i 1   i 1 i  i 1  i i 1 i 1 h

Eng. ave.

Regional average

75th percentile

Eng. worst

Eng. best 2.0

24

5.4

3.9

7.9

8

14.4

11.9

20.7

5.3

3,474

84.1

91.9

69.3

97.7

3,709

89.8

95.2

73.0

99.2

190

86.4

87.2

26.7

100.0

2,159

68.8

69.3

59.7

78.7

1,367

63.3

57.8

44.8

74.6

9

34.6

13.8

6.4

34.6

190

2.5

4.2

7.9

1.5

111

491.6

368.6

821.9

126.6

16,660

30.2

20.1

39.2

7.0

758

6.6

1.9

10.0

0.1

325

53

60

164

21

8

14.4

17.0

49.3

1.4

135

3.2

2.8

4.8

1.3

343

12.6

9.3

14.7

5.1

674

27.4

19.8

28.5

11.0

-

27.0

24.8

56.1

14.1

90

431.6

241.4

1,143.2

9.2

101

24.7

22.8

42.4

8.4

22

0.5

0.9

2.2

0.2

11

17.8

36.6

92.9

10.9 34.1

19

60.5

95.4

345.3

244

5.2

10.6

26.0

1.8

4,116

92.0

74.3

47.2

92.9

-

-

43.2

18.0

76.5

13,543

641.8

587.9

1,836.1

335.0

444

82.5

104.2

207.4

53.5

306

97.3

134.1

280.2

72.0

123

189.1

202.4

591.6

84.3

40

64.2

85.9

179.8

33.8

99

217.1

430.5

1,444.7

102.5

*Numbers in italics are calculated by dividing the total number for the three year period by three to give an average figure Notes and definitions

Where data is not available or figures have been suppressed, this is indicated by a dash in the appropriate box

1 Mortality rate per 1,000 live births (aged under 1 year), 2013-2015 2 Directly standardised rate per 100,000 children aged 1-17 years, 2013-2015 3 % children immunised against measles, mumps and rubella (first dose by age 2 years), 2015/16 4 % children completing a course of immunisation against diphtheria, tetanus, polio, pertussis and Hib by age 2 years, 2015/16 5 % children in care with up-to-date immunisations, 2016 6 % children achieving a good level of development within Early Years Foundation Stage Profile, 2015/16 7 % pupils achieving 5 or more GCSEs or equivalent including maths and English, 2015/16 8 % children looked after achieving 5 or more GCSEs or equivalent including maths and English, 2015 9 % not in education, employment or training as a proportion of total 16-18 year olds known to local authority, 2015 10 Rate per 100,000 of 10-17 year olds receiving their first reprimand, warning or conviction, 2015

11 % of children aged under 16 years living in families in receipt of out of work benefits or tax credits where their reported income is less than 60% median income, 2014 12 Statutory homeless households with dependent children or pregnant women per 1,000 households, 2015/16 13 Rate of children looked after at 31 March per 10,000 population aged under 18 years, 2016 14 Crude rate of children aged 0-15 years who were killed or seriously injured in road traffic accidents per 100,000 population, 2013-2015 15 Percentage of live-born babies, born at term, weighing less than 2,500 grams, 2015 16 % school children in Reception year classified as obese, 2015/16 17 % school children in Year 6 classified as obese, 2015/16 18 % children aged 5 years with one or more decayed, missing or filled teeth, 2014/15 19 Crude rate per 100,000 (aged 0-4 years) for hospital admissions for dental caries, 2013/14-2015/16 20 Under 18 conception rate per 1,000 females aged 15-17 years, 2014

Hackney and City of London - March 2017

21 % of delivery episodes where the mother is aged less than 18 years, 2015/16 22 Persons admitted to hospital due to alcohol-specific conditions – under 18 year olds, crude rate per 100,000 population, 2012/13-2014/15 23 Directly standardised rate per 100,000 (aged 15-24 years) for hospital admissions for substance misuse, 2013/14-2015/16 24 % of mothers smoking at time of delivery, 2015/16 25 % of mothers initiating breastfeeding, 2014/15 26 % of mothers breastfeeding at 6-8 weeks, 2015/16 27 Crude rate per 1,000 (aged 0-4 years) of A&E attendances, 2015/16 28 Crude rate per 10,000 (aged 0-14 years) for emergency hospital admissions following injury, 2015/16 29 Crude rate per 10,000 (aged 15-24 years) for emergency hospital admissions following injury, 2015/16 30 Crude rate per 100,000 (aged 0-18 years) for emergency hospital admissions for asthma, 2015/16 31 Crude rate per 100,000 (aged 0-17 years) for hospital admissions for mental health, 2015/16 32 Directly standardised rate per 100,000 (aged 10-24 years) for hospital admissions for self-harm, 2015/16

[email protected] | www.gov.uk/phe | https://fingertips.phe.org.uk/