1. www.capt.org.uk Child safety and deprivation Mike Hayes Child Accident Prevention Trust

2. www.capt.org.uk Child safety and deprivation  Numbers, trends and patterns  Effective prevention  Learning from the Neighbourhood Road Safety Initiative  Low literacy and prevention  Mapping activity in Bradford

3. www.capt.org.uk Deaths and injuries in the UK - birth to 14 years  251 deaths in 2005  England and Wales213 (25.6 per million)  Scotland20 (35.3 per million)  Northern Ireland18 (30.9 per million)  About 100,000 admissions to hospital  Over 2 million A&E attendances

4. www.capt.org.uk By comparison … 251 deaths from accidents compares with:  60 deaths from family abuse and neglect  20 killings by strangers  115 deaths from meningitis

5. www.capt.org.uk Accidental deaths, England and Wales birth – 14 years, 1979 - 2005

6. www.capt.org.uk Downward trend  Increased child restraint and seat belt use and improved vehicle design  Increased smoke alarm ownership  Safer (and new) consumer products  Improvements in medical care  Changes in child behaviour, reducing exposure to hazards

7. www.capt.org.uk Injury mortality rates by social class Source: I Roberts and C Power (1996), BMJ Vol 31.3

8. www.capt.org.uk Injury inequalities The poorest children are also more likely to be:  admitted to hospital  admitted with more severe injuries

9. www.capt.org.uk Injury inequalities Why?  The environment where children travel and play  The houses they live in  The stress their families live under

10. www.capt.org.uk Effective interventions  Apparent lack of effect does not mean that something is not working  Changing knowledge and attitudes – and hence behaviour – can take time  Differences between countries may mean that interventions do not travel or will need translating

11. www.capt.org.uk Key messages  Education, environmental change and legislation all have a part to play and their effect in combination is important  Community-based campaigns need  the sustained use of injury surveillance systems  commitment to inter-agency cooperation  time to develop networks and implement a range of interventions

12. www.capt.org.uk Pedestrian and cycle initiatives  20 mph zones  Cycle helmet educational campaigns  Cycle helmet legislation  Education aimed at parents for pedestrian injuries  Area-wide urban safety measures  Cycle training

13. www.capt.org.uk Car passengers  Child restraint and seat belt educational campaigns  Child restraint loan schemes  Child restraint legislation

14. www.capt.org.uk In the home  Smoke detectors programmes  Child-resistant packaging  Product design  General safety devices  Window bars  Parent education on hazard reduction

15. www.capt.org.uk The NRSI local authorities  Blackburn with Darwen  Blackpool  Bolton  Bradford  Bury  Liverpool  Manchester  Nottingham  Oldham  Rochdale  Salford  Sandwell  Stoke-on-Trent  Tameside  Wigan

16. www.capt.org.uk Targeting people and places  People AND places, not people OR places  Consider road safety issues that people face, not simply the problems that the places where they live can create  Identifying the groups at risk can help to identify organisations that can assist  Need to get behind the statistics – remember that what people want to do, but can’t, matters in taking road safety decisions

17. www.capt.org.uk Innovative approaches  Not just about creating new interventions - it can also involve new ways of defining target audiences, creating new working methods, adapting staffing requirements, creating and sustaining new partnerships, etc  Innovation can take time  Can be about doing things differently, not stopping doing things  Making the case for being innovative is not easy

18. www.capt.org.uk Involving the community  Asking people about their concerns and listening to their answers  Seeking reactions to proposed interventions  Involving the community in programme development and delivery  Can bring communities together, improve image of council  Can be time-consuming and expensive, but can be the key to successful projects

19. www.capt.org.uk Partnerships Partners can open many doors, for example: access to target groups, especially hard to reach groups, often through pre-existing relationships. additional resources - people, skills and knowledge, money and other resources new approaches and other ways of thinking about issues access to additional policy frameworks

20. www.capt.org.uk Partnerships  Development and maintenance of partnerships requires effort. Dedicated posts in NRSI councils.  Other benefits  Partnerships can lead to costs being shared  Can help the sustainability of programmes as a result of new agencies becoming involved in road safety  Broadening the reach by embedding road safety into the plans of other agencies

21. www.capt.org.uk Other issues  Communication and collaboration  Road safety programmes can improve links between local authority departments, as well as between local authorities and other agencies  Sustainability of programmes  Partnerships can lead to costs being shared  Embed road safety into the plans of other agencies

22. www.capt.org.uk Addressing low literacy

23. www.capt.org.uk Literacy in England and Wales  One in six adults has the reading age of a child aged under 12 years – 5 million adults  Of adults with poor literacy:  two-thirds have a reading age of 9-11 year olds (3.5 million adults)  1 in 30 cannot read English at all (180,000 adults)

24. www.capt.org.uk Poor literacy, deprivation and ethnicity  Among adults with poor literacy:  33% are in low-paid jobs  44% are unemployed  36% of tenants of publicly-owned housing have poor literacy  Adults from black and minority ethnic communities are between 2.5 and 3.5 times more likely to have poor literacy than the population as a whole

25. www.capt.org.uk

26. Mapping activity in Bradford  Commissioned by Bradford LSCB  Part of a process to developing a local child accident prevention strategy  Interviews with a sample of people undertaking child accident prevention work  Report by the end of January

27. www.capt.org.uk Very early findings from mapping  Enthusiasm among practitioners  Lots of good work being undertaken  Welcome for Davina’s Hartley’s post  Good time to be moving forward following the restructuring of the PCTs  Scope for better coordination of activities and sharing of who is doing what

28. www.capt.org.uk Child Accident Prevention Trust email: safe@capt.org.uk web: www.capt.org.uk