1. Unintentional injuries among children under five years & reducing risk of fire 1

2. Unintentional injuries leading cause of preventable death for under 5s Major cause of ill health and serious disability 102 children & young people died annually between 2008 – 2012 62 of these are under 5 452,000 attend A&E 40,000 admitted to hospital as an emergency Note: These figures are reflected within Somerset 2Unintentional injuries among children under five Background

3. Location Home32% Residential institution0% School8% Sports7% Street / highway3% Trade / service area (shops, etc)2% Industrial / construction1% Farm0% Other7% Unspecified40% 3Unintentional injuries among children under five Emergency hospital admissions for unintentional injuries among under 25s, by location, 2008 - 2012 Source: Hospital Episode Statistics (HES). Copyright © 2014 Re ‐ used with the permission of The Health and Social Care Information Centre. All rights reserved. Unintentional injuries among children under five 3

4. Risk factors Child development Physical environment in the home Knowledge and behaviour of parents/carers (includes literacy) Overcrowding or homelessness Availability of safety equipment New consumer products in the home 4Unintentional injuries among children under five

5. Identifying priorities Hospital admissions for unintentional injuries 2008 – 2012 for under fives 5Unintentional injuries among children under five

6. Deaths from 2008 – 2012 for under fives Unintentional injuries among children under five Source: Hospital Episode Statistics (HES). Copyright © 2014 Re ‐ used with the permission of The Health and Social Care Information Centre. All rights reserved. 6 Unintentional injuries among children under five

7. 1.Choking, suffocation and strangulation 2.Falls 3.Poisoning 4.Burns and scalds 5.Drowning 7Unintentional injuries among children under five 5 priorities

8. 8Unintentional injuries among children under five 2008 – 2013 fire deaths 88 deaths Estimated societal cost over £1.65 million £145 million total 7 risk factors identified

9. 9Unintentional injuries among children under five Evidence

10. 10Unintentional injuries among children under five Characteristics of families needing early help 39% Families have mental health difficulties 10% Physical health difficulties 28% Alcohol problems 32% Drug problems 30% Domestic abuse 2/3 of families have at least one of these problems Source: Graham Allen Early Interventions: the next steps

11. 11Unintentional injuries among children under five Somerset Public Health’s Safer homes initiative We will offer: A safety assessment and fire safety visit Safety equipment (e.g. stair gates, window locks, blind cord safety clips) A fitting service Training for Getset staff through RoSPA