1. Children’s Health Needs in Greater Nottingham Analysis of needs, resources and services for planning

3.  All Children and their parents  Maternity  Children who are ill  Safeguarding  Children and young people with emotional health needs

4. Nottingham’s 4 PCTs Wards Super Output Areas

6. Rank Lower SOAs from most to least deprived Divide into 5 groups, equal number of Output areas in each group Quintiles

7. Calculate rates based on events in each quintile Source: ODPM Directly standardised rates of admission to hospital for accidents, under 20s, 2001-2003 0 10 20 30 40 50 60 70 80 City 1 City 2 City 3 City 4City 5 DSR per thousand pop

8. Deprivation  Index of Material Deprivation 2000 & 2004   Income   Employment   Health and disability   Education, skills and training   Barriers to Housing & Services   Living environment   Crime

9. 3 Most deprived Wards in each PCT: City: Strelley, Manvers, Radford B&H: Toton, Strelley & Trowell, Stapleford West Gedling: Oxclose, Newstead, Killisick Rushcliffe: Ash Lea, Musters, Leys Source: DETR Deprivation

10. Demography Source: 2001 Census

11. Where are our services?

12. Immunisation

13. Children who are ill and Children in hospital  A&E attendance  Admissions  Gastroenteritis

14. A&E Attendances Source: Nottingham HIS

15. Admissions

16. Gastroenteritis Directly standardised rates of admission to hospital for Intestinal Infectious Diseases, under 5s, 2001-2003 0.0 5.0 10.0 15.0 20.0 25.0 30.0 Nottingham City PCTRushcliffe PCTBroxtowe & Hucknall PCT Gedling PCT DSR per thousand pop

17. Long term conditions  Asthma  Cystic fibrosis  Cancers

18. Asthma Admissions

19. Cystic Fibrosis Admissions Directly standardised rates of admission to hospital for cystic fibrosis, under 20s, 2001-2003 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 Nottingham City PCTRushcliffe PCTBroxtowe & Hucknall PCT Gedling PCT DSR per thousand pop

20. Cancer Admissions Directly standardised rates of admission to hospital for cancer, under 20s, 2001-2003 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0 Nottingham City PCTRushcliffe PCTBroxtowe & Hucknall PCT Gedling PCT DSRs per thousand pop

21. Safeguarding and Promoting the Welfare of Children  Accidents - PSA target  Young Offenders  Carers

22. Accident Admissions Under 5

23. Young Offenders

24. Young Carers

25. The Mental Health & Psychological Well-being of Children and Young People  Numbers  Causes of need  Suicide

26. CAMHS numbers seen

27. Causes of need Breakdown of the Problems Presented 34% 17% 14% 7% 6% 5% 3% 2% 1% Emotional disorders More than one primary problem Conduct disorders Deliberate self harm Autistic spectrum disorders Other Hyperkinetic disorders Developmental disorders Eating disorders Substance abuse Habit disorders Psychotic disorders Source: National CAMHS Mapping Exercise 2003

28. Suicide

29. Maternity  Teenage pregnancy – PSA target  Low Birth Weight

30. Teenage Conceptions

32. Low Birth Weight % of live births weighing less than 2500g 0 2 4 6 8 10 12 ENGLAND AND Trent SHANottingham UA Ashfield CDBroxtowe CD Gedling CDRushcliffe CD

33. The future  Use these maps to plan, appropriately according to need  Develop the maps  Financial map ? Match the need  Knowledge is power