Merseyside child health profiles march 2017 by Merseyside Sports Partnership

Child Health Profile March 2017

Halton This profile provides a snapshot of child health in this area. 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 this area

Key findings

Local

Region

England

Live births (2015)

1,489

85,838

664,399

Children aged 0 to 4 years (2015)

8,000 6.3%

443,200 6.2%

3,434,700 6.3%

Children aged 0 to 19 years (2015)

31,100 1,698,900 13,005,700 24.6% 23.7% 23.7%

Children aged 0 to 19 years in 2025 (projected)

31,500 1,767,000 14,002,600 24.3% 23.8% 23.8%

School children from minority ethnic groups (2016)

759 4.6%

191,921 21.2%

2,032,064 30.0%

Children living in poverty aged under 16 years (2014)

25.9%

22.8%

20.1%

77.5 80.5

78.1 81.8

79.5 83.1

Life expectancy at birth (2013-2015)

Boys Girls

Children and young people under the age of 20 years make up 24.6% of the population of Halton. 4.6% of school children are from a minority ethnic group. The health and wellbeing of children in Halton is generally worse than the England average. Infant and child mortality rates are similar to the England average. The level of child poverty is worse than the England average with 25.9% of children aged under 16 years living in poverty. The rate of family homelessness is better than the England average. Children in Halton have worse than average levels of obesity: 12.2% of children aged 4-5 years and 22.8% of children aged 10-11 years are classified as obese.

Children living in poverty Map of the North West, with Halton outlined, showing the relative levels of children living in poverty.

Smoking in pregnancy is known to increase the risk of a baby having a low birthweight. The percentage of women smoking in pregnancy is higher than the England average, with 18.5% of women smoking while pregnant. However the percentage of babies being born with a low birthweight is lower than the England average. In 2014/15, 26.7% of five year olds had one or more decayed, filled or missing teeth. This was similar to the England average. The recent hospital admission rate for dental caries in children aged under 5 years 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 Halton - March 2017 a

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Halton 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 Halton with its statistical neighbours, and the England and regional averages. Compared with the England average, this area has a worse percentage of children in Reception (26.4%) and a worse percentage in Year 6 (38.0%) 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 Halton

Hartlepool St Helens North East Lincolnshire Redcar and Cleveland

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

Halton Hartlepool St Helens North East Lincolnshire

Redcar and Cleveland

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 Halton. The admission rate in the latest period is similar to 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 Halton. The admission rate in 2013/14-2015/16 is also higher 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

Halton - March 2017

Halton

10/11-12/13

11/12-13/14

England

12/13-14/15

13/14-15/16

Halton

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Halton Child Health Profile

March 2017

These charts compare Halton with its 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

North West

Halton

Hartlepool

St Helens

North East Lincolnshire

Redcar and Cleveland

In 2014, approximately 32 girls aged under 18 conceived for every 1,000 women aged 15-17 years in this area. This is similar to the regional average (approximately 27 per 1,000). The area has a higher teenage conception rate compared with the England average (approximately 23 per 1,000).

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 this area was 2,025 which is approaching 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

North West

Halton

Hartlepool

St Helens

North East Lincolnshire

Redcar and Cleveland

100

In this area 76.1% of babies received a six to eight week review by a health visitor before they turned eight weeks. At this point, 21.8% of babies were still breastfed which is lower than the national average.

100

Less than 95% (the minimum recommended coverage level) of children have received their first dose of immunisation by the age of two in this area (91.8%). By the age of five, only 89.6% of children have received their second dose of MMR immunisation. In the North West, there were no 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.

Halton - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Halton Child Health Profile

March 2017

The chart below shows how children's health and wellbeing in this area 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)

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

Eng. ave.

Regional average

75th percentile

Eng. worst

Eng. best 2.0

3.0

3.9

7.9

14.5

11.9

20.7

5.3

1,416

91.8

91.9

69.3

97.7

1,497

97.1

95.2

73.0

99.2

145

85.3

87.2

26.7

100.0

933

61.9

69.3

59.7

78.7

781

55.8

57.8

44.8

74.6

13.8

6.4

34.6

240

5.2

4.2

7.9

1.5

288.5

368.6

821.9

126.6

6,415

25.9

20.1

39.2

7.0

0.2

1.9

10.0

0.1

240

164

11.9

17.0

49.3

1.4

1.7

2.8

4.8

1.3

185

12.2

9.3

14.7

5.1

331

22.8

19.8

28.5

11.0

26.7

24.8

56.1

14.1

81.7

241.4

1,143.2

9.2

31.5

22.8

42.4

8.4

1.6

0.9

2.2

0.2

48.6

36.6

92.9

10.9 34.1

216.6

95.4

345.3

244

18.5

10.6

26.0

1.8

763

52.8

74.3

47.2

92.9

319

21.8

43.2

18.0

76.5

11,558 1,445.3

587.9

1,836.1

335.0

327

137.9

104.2

207.4

53.5

349

234.3

134.1

280.2

72.0

107

359.6

202.4

591.6

84.3

113.2

85.9

179.8

33.8

184

836.1

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

Halton - March 2017

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

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

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Child Health Profile March 2017

Knowsley This profile provides a snapshot of child health in this area. 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 this area

Key findings

Local

Region

England

Live births (2015)

1,930

85,838

664,399

Children aged 0 to 4 years (2015)

9,700 6.6%

443,200 6.2%

3,434,700 6.3%

Children aged 0 to 19 years (2015)

36,300 1,698,900 13,005,700 24.7% 23.7% 23.7%

Children aged 0 to 19 years in 2025 (projected)

37,000 1,767,000 14,002,600 24.9% 23.8% 23.8%

School children from minority ethnic groups (2016)

938 5.9%

191,921 21.2%

2,032,064 30.0%

Children living in poverty aged under 16 years (2014)

31.5%

22.8%

20.1%

76.8 80.4

78.1 81.8

79.5 83.1

Life expectancy at birth (2013-2015)

Boys Girls

Children and young people under the age of 20 years make up 24.7% of the population of Knowsley. 5.9% of school children are from a minority ethnic group. The health and wellbeing of children in Knowsley is generally worse than the England average. Infant and child mortality rates are similar to the England average. The level of child poverty is worse than the England average with 31.5% of children aged under 16 years living in poverty. The rate of family homelessness is better than the England average. Children in Knowsley have worse than average levels of obesity: 13.7% of children aged 4-5 years and 24.0% of children aged 10-11 years are classified as obese.

Children living in poverty Map of the North West, with Knowsley outlined, showing the relative levels of children living in poverty.

Local areas should aim to have at least 95% of children immunised in order to give protection both to the individual child and the overall population. For children aged 2, the MMR immunisation rate is 93.3% and the diphtheria, tetanus, polio, pertussis and Hib immunisation rate is 96.7%. There were 290 children in care at 31 March 2015, which equates to a higher rate than the England average. A higher percentage of children in care are up-to-date with their immunisations compared with the England average for this group of children.

K Knowsley - March 2017 n

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Knowsley 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 Knowsley with its statistical neighbours, and the England and regional averages. Compared with the England average, this area has a worse percentage of children in Reception (27.8%) and a worse percentage in Year 6 (39.2%) 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 Knowsley

South Tyneside Halton Middlesbrough Hartlepool

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

Knowsley South Tyneside Halton Middlesbrough

Hartlepool

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 Knowsley. The admission rate in the latest period is similar to 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 Knowsley. The admission rate in 2013/14-2015/16 is also higher 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

Knowsley - March 2017

Knowsley

10/11-12/13

11/12-13/14

England

12/13-14/15

13/14-15/16

Knowsley

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Knowsley Child Health Profile

March 2017

These charts compare Knowsley with its 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

North West

Knowsley

South Tyneside

Halton

Middlesbrough

Hartlepool

In 2014, approximately 33 girls aged under 18 conceived for every 1,000 women aged 15-17 years in this area. This is similar to the regional average (approximately 27 per 1,000). The area has a higher teenage conception rate compared with the England average (approximately 23 per 1,000).

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 this area was 2,041 which is approaching 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

North West

Knowsley

South Tyneside

Halton

Middlesbrough

Hartlepool

100

In this area 70.1% of babies received a six to eight week review by a health visitor before they turned eight weeks. At this point, 18.0% of babies were still breastfed which is lower than the national average.

100

Less than 95% (the minimum recommended coverage level) of children have received their first dose of immunisation by the age of two in this area (93.3%). By the age of five, only 92.9% of children have received their second dose of MMR immunisation. In the North West, there were no 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.

Knowsley - March 2017

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Knowsley Child Health Profile

March 2017

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

Eng. ave.

Regional average

75th percentile

Eng. worst

Eng. best 2.0

3.5

3.9

7.9

19.0

11.9

20.7

5.3

1,774

93.3

91.9

69.3

97.7

1,839

96.7

95.2

73.0

99.2

210

95.5

87.2

26.7

100.0

1,238

65.5

69.3

59.7

78.7

771

45.3

57.8

44.8

74.6

13.8

6.4

34.6

410

7.0

4.2

7.9

1.5 126.6

388.5

368.6

821.9

9,300

31.5

20.1

39.2

7.0

0.6

1.9

10.0

0.1

290

164

25.7

17.0

49.3

1.4

2.1

2.8

4.8

1.3

254

13.7

9.3

14.7

5.1

410

24.0

19.8

28.5

11.0

32.5

24.8

56.1

14.1

495.1

241.4

1,143.2

9.2

32.8

22.8

42.4

8.4

1.0

0.9

2.2

0.2

44.3

36.6

92.9

10.9 34.1

170.9

95.4

345.3

367

19.4

10.6

26.0

1.8

879

47.7

74.3

47.2

92.9

315

18.0

43.2

18.0

76.5

17,799 1,836.1

587.9

1,836.1

335.0

367

135.7

104.2

207.4

53.5

398

210.6

134.1

280.2

72.0

107

310.3

202.4

591.6

84.3

92.3

85.9

179.8

33.8

215

783.0

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

Knowsley - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Child Health Profile March 2017

Liverpool This profile provides a snapshot of child health in this area. 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 this area Live births (2015) Children aged 0 to 4 years (2015)

Key findings

Local

Region

England

5,883

85,838

664,399

28,700 6.0%

443,200 6.2%

3,434,700 6.3%

Children aged 0 to 19 years (2015)

106,500 1,698,900 13,005,700 22.3% 23.7% 23.7%

Children aged 0 to 19 years in 2025 (projected)

114,300 1,767,000 14,002,600 23.0% 23.8% 23.8%

School children from minority ethnic groups (2016)

12,954 22.2%

191,921 21.2%

2,032,064 30.0%

Children living in poverty aged under 16 years (2014)

32.7%

22.8%

20.1%

76.3 80.4

78.1 81.8

79.5 83.1

Life expectancy at birth (2013-2015)

Boys Girls

Children and young people under the age of 20 years make up 22.3% of the population of Liverpool. 22.2% of school children are from a minority ethnic group. The health and wellbeing of children in Liverpool is generally worse than the England average. Infant and child mortality rates are similar to the England average. The level of child poverty is worse than the England average with 32.7% of children aged under 16 years living in poverty. The rate of family homelessness is better than the England average. Children in Liverpool have worse than average levels of obesity: 12.2% of children aged 4-5 years and 23.8% of children aged 10-11 years are classified as obese.

Children living in poverty Map of the North West, with Liverpool outlined, showing the relative levels of children living in poverty.

Local areas should aim to have at least 95% of children immunised in order to give protection both to the individual child and the overall population. For children aged 2, the MMR immunisation rate is 93.0% and the diphtheria, tetanus, polio, pertussis and Hib immunisation rate is 96.2%. There were 1,040 children in care at 31 March 2015, which equates to a higher rate than the England average. A lower 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.

L Liverpool - March 2017 i

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Liverpool 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 Liverpool with its statistical neighbours, and the England and regional averages. Compared with the England average, this area has a worse percentage of children in Reception (25.6%) and a worse percentage in Year 6 (39.8%) 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 Liverpool

Salford South Tyneside Knowsley Newcastle upon Tyne

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

Liverpool Salford South Tyneside Knowsley

Newcastle upon Tyne

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 Liverpool. The admission rate in the latest period is similar to 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 Liverpool. The admission rate in 2013/14-2015/16 is similar to 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

Liverpool - March 2017

Liverpool

10/11-12/13

11/12-13/14

England

12/13-14/15

13/14-15/16

Liverpool

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Liverpool Child Health Profile

March 2017

These charts compare Liverpool with its 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

North West

Liverpool

Salford

South Tyneside

Knowsley

Newcastle upon Tyne

In 2014, approximately 33 girls aged under 18 conceived for every 1,000 women aged 15-17 years in this area. This is higher than the regional average (approximately 27 per 1,000). The area has a higher teenage conception rate compared with the England average (approximately 23 per 1,000).

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 this area was 2,150 which is approaching 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

North West

Liverpool

Salford

South Tyneside

Knowsley

Newcastle upon Tyne

100

In this area 89.7% of babies received a six to eight week review by a health visitor before they turned eight weeks. At this point, 31.5% of babies were still breastfed which is lower than the national average.

100

Less than 95% (the minimum recommended coverage level) of children have received their first dose of immunisation by the age of two in this area (93.0%). By the age of five, only 88.0% of children have received their second dose of MMR immunisation. In the North West, there were no 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.

Liverpool - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Liverpool Child Health Profile

March 2017

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

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

Eng. ave.

Regional average

75th percentile

Eng. worst

Eng. best 2.0

4.4

3.9

7.9

12.7

11.9

20.7

5.3

5,173

93.0

91.9

69.3

97.7

5,350

96.2

95.2

73.0

99.2

490

69.5

87.2

26.7

100.0

3,203

59.7

69.3

59.7

78.7

2,136

49.7

57.8

44.8

74.6

23.2

13.8

6.4

34.6

970

6.3

4.2

7.9

1.5

137

368.0

368.6

821.9

126.6

26,020

32.7

20.1

39.2

7.0

138

0.6

1.9

10.0

0.1

1,040

115

164

35.9

17.0

49.3

1.4

151

2.9

2.8

4.8

1.3

602

12.2

9.3

14.7

5.1

978

23.8

19.8

28.5

11.0

31.8

24.8

56.1

14.1

158

562.1

241.4

1,143.2

9.2

244

32.5

22.8

42.4

8.4

0.9

2.2

0.2

40.6

36.6

92.9

10.9 34.1

119.6

95.4

345.3

937

16.1

10.6

26.0

1.8

3,216

53.8

74.3

47.2

92.9

1,772

31.5

43.2

18.0

76.5

26,878

936.5

587.9

1,836.1

335.0

849

111.5

104.2

207.4

53.5

1,332

161.0

134.1

280.2

72.0

293

302.3

202.4

591.6

84.3

80.4

85.9

179.8

33.8

465

462.0

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

Liverpool - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Child Health Profile March 2017

Sefton This profile provides a snapshot of child health in this area. 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 this area

Key findings

Local

Region

England

2,777

85,838

664,399

Children aged 0 to 4 years (2015)

14,800 5.4%

443,200 6.2%

3,434,700 6.3%

Children aged 0 to 19 years (2015)

59,300 1,698,900 13,005,700 21.7% 23.7% 23.7%

Children aged 0 to 19 years in 2025 (projected)

60,800 1,767,000 14,002,600 21.9% 23.8% 23.8%

Live births (2015)

School children from minority ethnic groups (2016)

2,365 6.9%

191,921 21.2%

2,032,064 30.0%

Children living in poverty aged under 16 years (2014)

20.8%

22.8%

20.1%

78.3 82.2

78.1 81.8

79.5 83.1

Life expectancy at birth (2013-2015)

Boys Girls

Children and young people under the age of 20 years make up 21.7% of the population of Sefton. 6.9% of school children are from a minority ethnic group. The health and wellbeing of children in Sefton is generally worse than the England average. Infant and child mortality rates are similar to the England average. The level of child poverty is worse than the England average with 20.8% of children aged under 16 years living in poverty. The rate of family homelessness is better than the England average. Children in Sefton have average levels of obesity: 9.3% of children aged 4-5 years and 19.9% of children aged 10-11 years are classified as obese.

Children living in poverty Map of the North West, with Sefton outlined, showing the relative levels of children living in poverty.

Local areas should aim to have at least 95% of children immunised in order to give protection both to the individual child and the overall population. For children aged 2, the MMR immunisation rate is 93.6% and the diphtheria, tetanus, polio, pertussis and Hib immunisation rate is 96.7%. In 2015, 65 children entered the youth justice system for the first time. This gives a lower 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 higher than the England average.

S Sefton - March 2017 e

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Sefton 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 Sefton with its statistical neighbours, and the England and regional averages. Compared with the England average, this area has a worse percentage of children in Reception (24.7%) and a similar percentage in Year 6 (35.2%) 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 Sefton

Lancashire Wirral Stockton-on-Tees North Tyneside

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

Sefton Lancashire Wirral Stockton-on-Tees

North Tyneside

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 Sefton. The admission rate in the latest period is higher 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 Sefton. The admission rate in 2013/14-2015/16 is also higher 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

Sefton - March 2017

Sefton

10/11-12/13

11/12-13/14

England

12/13-14/15

13/14-15/16

Sefton

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Sefton Child Health Profile

March 2017

These charts compare Sefton with its 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

North West

Sefton

Lancashire

Wirral

Stockton-on-Tees

North Tyneside

In 2014, approximately 21 girls aged under 18 conceived for every 1,000 women aged 15-17 years in this area. This is lower than the regional average (approximately 27 per 1,000). The area has a similar teenage conception rate compared with the England average (approximately 23 per 1,000).

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 this area was 2,217 which is approaching 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

North West

Sefton

Lancashire

Wirral

Stockton-on-Tees

North Tyneside

100

In this area 84.8% 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.

100

Less than 95% (the minimum recommended coverage level) of children have received their first dose of immunisation by the age of two in this area (93.6%). By the age of five, only 91.2% of children have received their second dose of MMR immunisation. In the North West, there were no 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.

Sefton - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Sefton Child Health Profile

March 2017

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

Eng. ave.

Regional average

75th percentile

Eng. worst

Eng. best 2.0

4.6

3.9

7.9

8.6

11.9

20.7

5.3

2,608

93.6

91.9

69.3

97.7

2,694

96.7

95.2

73.0

99.2

280

77.8

87.2

26.7

100.0

2,150

69.8

69.3

59.7

78.7

1,574

56.9

57.8

44.8

74.6

15.4

13.8

6.4

34.6

450

4.9

4.2

7.9

1.5

269.9

368.6

821.9

126.6

9,470

20.8

20.1

39.2

7.0

0.2

1.9

10.0

0.1

465

164

22.8

17.0

49.3

1.4 1.3

2.5

2.8

4.8

272

9.3

14.7

5.1

516

19.9

19.8

28.5

11.0

22.7

24.8

56.1

14.1

312.6

241.4

1,143.2

9.2

101

21.1

22.8

42.4

8.4

0.7

0.9

2.2

0.2

49.1

36.6

92.9

10.9

94.3

95.4

345.3

34.1

10.6

26.0

1.8

1,462

56.0

74.3

47.2

92.9

43.2

18.0

76.5

11,503

774.8

587.9

1,836.1

335.0

418

95.2

104.2

207.4

53.5

512

170.4

134.1

280.2

72.0

168

297.0

202.4

591.6

84.3

146.6

85.9

179.8

33.8

251

562.5

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

Sefton - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Child Health Profile March 2017

St Helens This profile provides a snapshot of child health in this area. 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 this area

Key findings

Local

Region

England

1,980

85,838

664,399

Children aged 0 to 4 years (2015)

10,400 5.9%

443,200 6.2%

3,434,700 6.3%

Children aged 0 to 19 years (2015)

40,200 1,698,900 13,005,700 22.7% 23.7% 23.7%

Children aged 0 to 19 years in 2025 (projected)

41,800 1,767,000 14,002,600 22.8% 23.8% 23.8%

Live births (2015)

School children from minority ethnic groups (2016)

1,039 4.7%

191,921 21.2%

2,032,064 30.0%

Children living in poverty aged under 16 years (2014)

25.0%

22.8%

20.1%

77.5 81.2

78.1 81.8

79.5 83.1

Life expectancy at birth (2013-2015)

Boys Girls

Children and young people under the age of 20 years make up 22.7% of the population of St Helens. 4.7% of school children are from a minority ethnic group. The health and wellbeing of children in St Helens is generally worse than the England average. Infant and child mortality rates are similar to the England average. The level of child poverty is worse than the England average with 25.0% of children aged under 16 years living in poverty. The rate of family homelessness is better than the England average. Children in St Helens have worse than average levels of obesity: 12.5% of children aged 4-5 years and 24.4% of children aged 10-11 years are classified as obese.

Children living in poverty Map of the North West, with St Helens outlined, showing the relative levels of children living in poverty.

Smoking in pregnancy is known to increase the risk of a baby having a low birthweight. The percentage of women smoking in pregnancy is higher than the England average, with 16.1% of women smoking while pregnant. However the percentage of babies being born with a low birthweight is lower than the England average. There were 410 children in care at 31 March 2015, which equates to a higher rate than the England average. A higher percentage of children in care are up-to-date with their immunisations compared with the England average for this group of children.

S St Helens - March 2017 t

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

St Helens 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 St Helens with its statistical neighbours, and the England and regional averages. Compared with the England average, this area has a worse percentage of children in Reception (28.1%) and a worse percentage in Year 6 (40.0%) 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 St Helens

Wigan County Durham Darlington Halton

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

St Helens Wigan County Durham Darlington

Halton

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 St Helens. The admission rate in the latest period is higher 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 St Helens. The admission rate in 2013/14-2015/16 is also higher 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

St Helens - March 2017

St Helens

10/11-12/13

11/12-13/14

England

12/13-14/15

13/14-15/16

St Helens

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

St Helens Child Health Profile

March 2017

These charts compare St Helens with its 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

North West

St Helens

Wigan

County Durham

Darlington

Halton

In 2014, approximately 36 girls aged under 18 conceived for every 1,000 women aged 15-17 years in this area. This is higher than the regional average (approximately 27 per 1,000). The area has a higher teenage conception rate compared with the England average (approximately 23 per 1,000).

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 this area was 2,310 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

North West

St Helens

Wigan

County Durham

Darlington

Halton

100

In this area 84.2% of babies received a six to eight week review by a health visitor before they turned eight weeks. At this point, 22.2% of babies were still breastfed which is lower than the national average.

100

Less than 95% (the minimum recommended coverage level) of children have received their first dose of immunisation by the age of two in this area (91.3%). By the age of five, only 89.4% of children have received their second dose of MMR immunisation. In the North West, there were no 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.

St Helens - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

St Helens Child Health Profile

March 2017

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

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

Eng. ave.

Regional average

75th percentile

Eng. worst

Eng. best 2.0

2.8

3.9

7.9

16.6

11.9

20.7

5.3

1,897

91.3

91.9

69.3

97.7

2,004

96.4

95.2

73.0

99.2

300

100.0

87.2

26.7

100.0

1,400

66.0

69.3

59.7

78.7

991

54.3

57.8

44.8

74.6

13.8

6.4

34.6

400

6.4

4.2

7.9

1.5

386.3

368.6

821.9

126.6

8,070

25.0

20.1

39.2

7.0

1.0

1.9

10.0

0.1

410

113

164

25.0

17.0

49.3

1.4 1.3

2.0

2.8

4.8

241

12.5

9.3

14.7

5.1

386

24.4

19.8

28.5

11.0

29.7

24.8

56.1

14.1

193.8

241.4

1,143.2

9.2

110

36.2

22.8

42.4

8.4

1.0

0.9

2.2

0.2

77.9

36.6

92.9

10.9 34.1

233.2

95.4

345.3

312

16.1

10.6

26.0

1.8

1,200

58.1

74.3

47.2

92.9

430

22.2

43.2

18.0

76.5

11,311 1,087.0

587.9

1,836.1

335.0

413

137.3

104.2

207.4

53.5

497

243.9

134.1

280.2

72.0

244.6

202.4

591.6

84.3

132.3

85.9

179.8

33.8

290

958.9

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

St Helens - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Child Health Profile March 2017

Wirral This profile provides a snapshot of child health in this area. 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 this area

Key findings

Local

Region

England

3,563

85,838

664,399

Children aged 0 to 4 years (2015)

19,000 5.9%

443,200 6.2%

3,434,700 6.3%

Children aged 0 to 19 years (2015)

74,500 1,698,900 13,005,700 23.2% 23.7% 23.7%

Children aged 0 to 19 years in 2025 (projected)

76,000 1,767,000 14,002,600 23.2% 23.8% 23.8%

Live births (2015)

School children from minority ethnic groups (2016)

3,276 7.7%

191,921 21.2%

2,032,064 30.0%

Children living in poverty aged under 16 years (2014)

23.9%

22.8%

20.1%

77.9 81.9

78.1 81.8

79.5 83.1

Life expectancy at birth (2013-2015)

Boys Girls

Children living in poverty Map of the North West, with Wirral outlined, showing the relative levels of children living in poverty.

Children and young people under the age of 20 years make up 23.2% of the population of Wirral. 7.7% of school children are from a minority ethnic group. The health and wellbeing of children in Wirral is mixed compared with the England average. Infant and child mortality rates are similar to the England average. The level of child poverty is worse than the England average with 23.9% of children aged under 16 years living in poverty. The rate of family homelessness is better than the England average. 8.3% of children aged 4-5 years and 20.7% of children aged 10-11 years are classified as obese. By six to eight weeks after birth, 32.8% of babies were breastfed in 2015/16, which is worse than the England average. A lower percentage of mothers initiated breastfeeding in 2014/15 compared with the England average, with 55.6% breastfeeding. GCSE achievement is better than the England average. 61.1% of young people gain five or more GCSEs at A* to C grade including maths and English.

W Wirral - March 2017 i

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Wirral 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 Wirral with its statistical neighbours, and the England and regional averages. Compared with the England average, this area has a similar percentage of children in Reception (22.9%) and a similar percentage in Year 6 (34.4%) 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 Wirral

Sefton Darlington Stockton-on-Tees Redcar and Cleveland

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

Wirral Sefton Darlington Stockton-on-Tees

Redcar and Cleveland

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 Wirral. The admission rate in the latest period is higher 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. There is no significant trend in Wirral. The admission rate in the latest period is higher 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

Wirral - March 2017

Wirral

10/11-12/13

11/12-13/14

England

12/13-14/15

13/14-15/16

Wirral

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Wirral Child Health Profile

March 2017

These charts compare Wirral with its 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

North West

Wirral

Sefton

Darlington

Stockton-on-Tees

Redcar and Cleveland

In 2014, approximately 31 girls aged under 18 conceived for every 1,000 women aged 15-17 years in this area. This is similar to the regional average (approximately 27 per 1,000). The area has a higher teenage conception rate compared with the England average (approximately 23 per 1,000).

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 this area was 3,493 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

North West

Wirral

Sefton

Darlington

Stockton-on-Tees

Redcar and Cleveland

100

In this area 85.8% of babies received a six to eight week review by a health visitor before they turned eight weeks. At this point, 32.8% of babies were still breastfed which is lower than the national average.

100

At least 95% (the minimum recommended coverage level) of children have received their first dose of immunisation by the age of two in this area (95.1%). By the age of five, only 93.1% of children have received their second dose of MMR immunisation. In the North West, there were no 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.

Wirral - March 2017

chimat@phe.gov.uk | www.gov.uk/phe | https://fingertips.phe.org.uk/

Wirral Child Health Profile

March 2017

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

Eng. ave.

Regional average

75th percentile

Eng. worst

Eng. best 2.0

3.3

3.9

7.9

13.1

11.9

20.7

5.3

3,481

95.1

91.9

69.3

97.7

3,569

97.5

95.2

73.0

99.2

425

82.5

87.2

26.7

100.0

2,680

69.6

69.3

59.7

78.7

2,080

61.1

57.8

44.8

74.6

14.0

13.8

6.4

34.6

510

4.5

4.2

7.9

1.5

222.1

368.6

821.9

126.6

13,940

23.9

20.1

39.2

7.0

0.3

1.9

10.0

0.1

670

164

26.3

17.0

49.3

1.4 1.3

2.3

2.8

4.8

310

8.3

9.3

14.7

5.1

705

20.7

19.8

28.5

11.0

32.9

24.8

56.1

14.1

47.3

241.4

1,143.2

9.2

176

30.8

22.8

42.4

8.4

1.6

0.9

2.2

0.2

61.2

36.6

92.9

10.9

171.9

95.4

345.3

34.1

10.6

26.0

1.8

1,793

55.6

74.3

47.2

92.9

1,163

32.8

43.2

18.0

76.5

18,481

970.6

587.9

1,836.1

335.0

683

121.9

104.2

207.4

53.5

683

194.1

134.1

280.2

72.0

188

263.3

202.4

591.6

84.3

118.5

85.9

179.8

33.8

368

691.9

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

Wirral - March 2017

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