CHYPS Convention 2014

1. Young People:
Health and Wellbeing
Eustace de Sousa
National Lead – Children, Young People and Families
November 2014 – CHYPS Convention

2. Presentation
• State of young people’s health and wellbeing
• Vulnerable groups
• Variation
• The case for investing in young people’s health
• Next steps for PHE
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3. 3
Population projections - 1,000s, England, ONS
3,800
3,600
3,400
3,200
3,000
2,800
2,600
2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023
10-14
15-19
20-24

4. Some Key Health and
Wellbeing Outcomes
- Excluding mental health and wellbeing to
be covered by next speakers

5. Obesity Prevalence 11-15 years
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6. Sexual health
• Since 2001, the median age for first
heterosexual intercourse remains at 16 years
• Those aged under 25 experienced the highest
STI rates, contributing 64 per cent of all new
chlamydia diagnoses in 2012
• Teenage conception rates continue to fall
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7. Under 18 conception rate | 1998-2012
50
45
40
35
30
25
20
15
10
5
0
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Rate per
1,000 females
aged 15-17
Year
Conception rate
Maternity rate
Abortion rate
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8. 8
England progress: 1998-2012
 Lowest rate since 1969 when conception data
collection began
 41% reduction in under 18 conception rate – from
46.6/1000 15-17s in 1998 to 27.7/1000 in 2012
 Both maternity and abortion rates now declining but
steeper overall reduction in births of 46%
 Evidence that concerted effort can make a
difference

9. England secondary school pupils – 11-15 years
9 HSCIC 2014 - http://www.hscic.gov.uk/catalogue/PUB14579/smok-drin-drug-youn-peop-eng-2013-rep.pdf

10. England secondary school pupils – 11-15 years
10 HSCIC 2014 - http://www.hscic.gov.uk/catalogue/PUB14579/smok-drin-drug-youn-peop-eng-2013-rep.pdf

11. England secondary school pupils – 11-15 years
11 HSCIC 2014 - http://www.hscic.gov.uk/catalogue/PUB14579/smok-drin-drug-youn-peop-eng-2013-rep.pdf

12. Vulnerable Groups

13. Preventable, external causes of death
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14. Young people aged 11-15 years with a long-term condition or
disability
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Young people aged 11-15 years with a long-term medical illness or disability including
asthma, diabetes, allergies, epilepsy, cancer and physical and mental impairment.

15. 5 GCSEs A*-C, England
15 AYPH: http://www.ayph.org.uk/publications/480_KeyData2013_WebVersion.pdf

16. Variation

17. Non-elective admissions as a result of injury, poisoning and
external events | 2010/11 | Rate by IMD quintile | Boys
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Source: Hospital Episode Statistics, The Information Centre for health and social care, Office for National Statistics mid-year population estimates and
Department of communities and local government

18. LA variation in health outcomes
England Best Average Worse
u18 Teenage
Conception Rate
(per 1000)
9.4 30.7 58.1
Alcohol
admissions
(per 100,000)
14.6 42.7 113.5
Self harm
admissions (10-24)
(per 100,000)
82.4 346.3 1,152.4
Source: Child and Maternal Health Intelligence Network, PHE, May 2014
18 http://www.chimat.org.uk/resource/view.aspx?QN=PROFILES_STATIC_RES&SEARCH=B*

19. The case for investing in
Young People
 the research and evidence
 the social context

20. Why focus on young people?
• There are more than 9.9 million aged 10-24 in England
• The rate of developmental change during adolescence is
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second only to infancy
• Good health allows young people to make the most of
their teenage years
• Many poor health outcomes for adults originate when we
are young, for example smoking, mental health, obesity
and violence

21. Adolescence – periods of change
Adolescence and early adulthood
represent a transition period marked by
many pressures and challenges . . .
Physical and emotional changes . . .
Changing social relationships and growing
academic and professional expectations
EuroHealthNet, Making the Link: Youth and Health Equity
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22. 22
Behaviour across Adolescence
Source: Hawkins & Monahan 2009

23. Research from the CMO’s report
• All cause mortality for 10-19 year olds is now higher than
for other periods of childhood except for new borns –
main cause is Injury
• Five of the ten riskiest factors for the total burden of
disease in adults are initiated or shaped in adolescence
• Adolescents have higher use of health services than
other child categories above the age of 3
• There appears to be a window of vulnerability to risky
behaviours between 14-17 years
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24. Summary
• Positive trends for some key
outcomes
• Inequalities a significant factor
• Variation across authorities
• England often poor compared
with international comparators
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25. Public Health England’s Mission
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“To protect and improve the
nation’s health and to address
inequalities, working with national
and local government, the NHS,
industry, academia, the public and
the voluntary and community
sector.”

26. A new vision and transformed approach
A new approach that brings together
• appreciation of wider health determinants
• promoting wellbeing, prevention and early intervention
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2 A new approach that relies on
3
• evidence-base for what works
• collaboration and cross-sector leadership
• adapting to local needs
A renewed focus on driving healthy behaviour
• promoting healthy behaviour (campaigns)
• informing personal choice
• providing local data for improving health
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27. Working together
PHE cannot succeed by itself
Our partnerships with local authorities, the NHS
and the third sector are what will allow us to
achieve the outcomes we all seek
PHE as a link between local and national
We will have dedicated expertise at the heart of
PHE and in each centre to offer practical know-how
and advice to local government and the NHS
We will work across Government
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28. Supporting Improvement
The evidence base
Part of our support role to local government and
providers is to collect, collate and share best
evidence and practice of what works, so local
areas can get the best possible outcomes for
individuals and local communities
Guidance
We are also producing guidance in the areas
where we have expertise, working with NICE and
partners such as the LGA, ADCS and ADPH
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29. Young people’s health and wellbeing
framework
A high level document to inform local strategies
that will draw on what works and what matters
Working in collaboration with schools, FE
and Local Authorities
Central to our work to support local improvements
– identifying what works from the evidence base,
supporting evidence into practice
Strengthening the public health
workforce
Wider than just ‘public health’ trained workforce –
youth services, children’s centres, VCS etc
Next Steps
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30. PHE and AYPH Young People’s
Health and Wellbeing Framework
• The evidence base
• Case for investment
• Holistic approach – seeing the whole young person, not
individual issues or conditions
• Integrated solutions – no wrong door approach locally
• A local health offer for young people
• Key questions for local leaders
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31. Youth Services – A Platform for
Helping Build Health and Wellbeing
 A Trusted Service
 Advocacy Role
 Continuity of contact - building relationships
 Non judgemental – positive guidance
 Role modelling – life skills – testing boundaries -
exploration
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32. Further Information
• eustace.desousa@phe.gov.uk
• www.gov.uk/phe
• www.chimat.org.uk
• Twitter @PHE_children @EustacedeSousa
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