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									 Young People’s Sexual Health
and Teenage Pregnancy Strategy

       Bradford District

             Revised April 2008

       Young People’s Sexual Health
       & Teenage Pregnancy Strategy


Page 1   Title Page
Page 2   Contents Page
Page 3   Introduction, The National Context
Page 4   Local Context, Aims, Objectives
Page 5   Principles, In Practice, Ways Forward
Page 6   Ways Forward Cont, Governance, Data Set, Marketing &
Page 7 - Marketing & Communication, Sex and Relationships Education,
         Sexual Health Services
Page 8 - Sexual Health Services, Support for Pregnant Teenagers and
         Teenage Parents
Page 9 - Appendices

                                   Page 2 of 10

The National Context

In 1999 the Social Exclusion Unit produced a report into teenage pregnancy in England and
Wales. It found Britain had the highest teenage pregnancy rates in Western Europe - three
times those in France and six times those in the Netherlands. In 1998 there were around
41,000 conceptions by under 18’s in England, resulting in 23,600 live births (Teenage
Pregnancy Social Exclusion Unit 1999). That translated into a national average of 44.8 live
births per 1000 conceptions. The average rate of teenage conceptions in Bradford District at
the start of the YPSH & TP Strategy was higher than the national average at 53.4 live births
per 1000 conceptions.

Whilst some young women make an informed choice to become pregnant, the majority of
under 18 conceptions are unintended and nationally around half of these lead to abortion. In
Bradford District for the majority of the time of the YPSH & TP Strategy termination rates have
been significantly lower than the national picture. However 2006 figures show an increase in
termination rates bringing this figure closer to the national one.

The Next Steps Guidance (Teenage Pregnancy Next Steps: Guidance for Local Authorities and
Primary Care Trusts on Effective delivery of Local Strategies – DCSF) confirms that:

      Teenage pregnancy and parenthood can have a significant effect on physical, social,
       emotional and economic health and well-being.
      Teenage mothers are less likely to finish their education and are more likely to bring up
       their child alone or in poverty.
      The infant mortality rate for babies born to teenage mothers is 60 per cent higher than
       for babies born to older mothers.
      Teenage mothers are three times more likely to smoke during pregnancy than older
       mothers and are less likely to breastfeed, both of which have negative health
       consequences for the child.
      Teenage mothers have three times the rate of post-natal depression of older mothers
       and a higher risk of poor mental health for three years after the birth.
      Children of teenage mothers are generally at increased risk of poverty, low
       educational attainment, poor housing and poor health and have lower rates of
       economic activity in adult life.
      Rates of teenage pregnancy are highest among deprived communities, so the negative
       consequences of teenage pregnancy are disproportionately concentrated among those
       who are already disadvantaged.

Therefore reducing teenage conceptions is an important national and local priority. There are
3 key targets to support this reduction

      There is a national target to reduce teenage conceptions (15-17 year olds) by 50% by
       2010 (from 1998 baseline). This is the target for Bradford.

      There is also a target to establish a downward trend in conception rates amongst
       under16 year olds.

      Additionally there is a national target to increase the participation of young parents
       into education or training by 60% by 2010.

                                           Page 3 of 10
Local Context

In order to drive down the under 18 conception rate and provide appropriate support for
teenage parents, there is a need to establish a clear vision for teenage pregnancy in Bradford
Metropolitan District within the wider Children and Young People’s agenda. The YPSH & TP
Strategy provides that vision and builds on the excellent work already going on across the
district to reduce teenage conceptions and support young parents. It will also ensure that
teenage pregnancy is embedded in the District’s planning cycles beyond the original 10 years
of the YPSH & TP Strategy.

Figures to 2006 show that rates in the district are reducing but work will need to be
accelerated if the national and local target are to be reached.


        To reduce under18 conception rates by 50% from the 1998 baseline, by 2010
        Ensure that services work together to meet the needs of teenage parents in the district.

Implementation Plans have been developed to support these aims. They are in line with both
the national “Next Steps” and the District’s priorities.


The YPSH & TP Strategy focuses on identifying and meeting need in the following areas:
    Better prevention of unintended teenage pregnancy and sexually transmitted diseases
    Better access to high quality services for those who need them
         Better support for teenage parents
         Services will be working together in a co-ordinated way in order to enable and
          promote the health and well being of the children and young people of Bradford
         All young people will have full and equal opportunity to make informed choices about
          their health, education, sexuality and parenthood.
         Young people aged 18 and under will play a central role in the planning,
          development and delivery of all services affecting them, including education, sexual
          health, employment and housing services.
         Services will be :      - Confidential
                                  - Non stigmatising
                                  - Inclusive
                                  - Accessible
                                  - Appropriate to the needs of young people
                                  - Of a high quality
         Prevention of sexually transmitted infections is a high priority as this supports young
          people to make healthy choices and is part of the District’s commitment to tackle health
          inequalities. This area of work is undertaken in partnership with the district wide Sexual
          Health Network.

                                               Page 4 of 10

Bradford’s YPSH & TP Strategy is underpinned by the following principles:
   To empower and support young people to make informed decisions to prevent teenage
     conceptions and make healthy life choices
   To support young people to fulfil their potential
   To address health inequalities including reducing inequality in rates between the 20% of
     wards with the highest rate of teenage conception and the average wards by at least

These principles need to be integrated into all partnership arrangements with support for the
YPSH & TP Strategy among both local communities and stakeholders.

In practice

Bradford’s YPSH & TP Strategy:

             Recognises the rights of all young people within the Bradford District, including
              those at risk of social exclusion, to access quality sexual health information, services
              and support.
             Has the support of a wide range of partners and is consistent with, and will inform
              the core values and strategic plans of those partners.
             Is ‘inclusive’ and reflects a wide ranging consultation involving young people and
              other stakeholders.
             Will be sustainable based on evidence of best practice.
             Will address inequalities and our priorities will take into account the need to work
              specifically with vulnerable young people.
             Is young person focused and strives to support young people to make informed and
              healthy choices. Respect for young people is at the core of the YPSH & TP

We will seek to reduce the incidence of teenage pregnancy by:

      Providing clear and objective information to young people, their parents and the wider
       community so that young people can make informed choices based on a holistic
       understanding of sexual health
      Involving young people in the planning of services
      Working in partnership across agencies to ensure that YP have maximum
       opportunities to take advantage of life chances

We will support young parents by:

      Developing a range of services that will allow them to care for their child/children
       appropriately and meet their own needs as young people
      Working in partnership across agencies to ensure that these services are integrated
      Involving young parents in planning services

                                               Page 5 of 10
Way Forward

In Bradford District, young people’s sexual health is a key priority within the Children’s Plan
and the tPCT led Sexual Health Strategy. The teenage conception reduction target is a joint

The YPSH & TP Strategy specifically addresses social exclusion issues by targeting hotspots. A
hotspot is a geographical area or group of people where direct sexual health work would
have the most impact on reducing teenage pregnancy and STI rates.

This YPSH & TP Strategy outlines areas for improvement and associated key actions. A copy
of the district wide Implementation Plans can be found in Appendix 1.


The Bradford Young People’s Sexual Health and Teenage Pregnancy Partnership Board is a
multi agency partnship to develop and implement the Young People’s Sexual Health and
Teenage Pregnancy Strategy. It is made up of key partners and stakeholders, including health,
local authority, VCS and education, working together to ensure the district achieves its’ target.

The Young People’s Sexual Health & Teenage Pregnancy Strategy Board reports to the
Children and Young People’s Strategic Executive and to the Sexual Health Network. The
Board has clear terms of reference to oversee progress and identify priorities (appendix 2) .

The remit of the Board is to co-ordinate a strategic planning process for the YPSH & TP
Strategy taking into consideration the needs of children and young people from prevention,
pre-conception through pregnancy, early childhood to transition to adulthood including the
contribution of parents, carers and communities in this process.

Data Set

The development of robust local monitoring and the sharing of district wide data and
intelligence reported through strategic boards and committees will be key to helping better
inform service improvement and performance against national target for Sexual health &
Teenage pregnancy.

The adoption of the local Teenage pregnancy monitoring Dataset has already contributed to a
marked improvement in partner ship working across the sexual health agenda. The
development of central data sharing through the Sexual Health Network, the Sexual Health
Needs Analysis, CISIF and the Bradford Public Health Observatory is enabling a more
coherent approach to Bradford wide solutions to reducing Teenage Pregnancy and supporting
Young people to access Sexual health and other support services.

Capture and particular the reporting of patient and Young people’s experience of the services
they access at strategic level is a key area to develop in order to develop services that young
people will use (appendix 3).

Marketing & Communication

By 2011 marketing and communication for teenage pregnancy and sexual health services will:

      Be linked to the national media campaign
      Be co-ordinated across all agencies

                                            Page 6 of 10
      Use a variety of media to reach the widest audience
      Be linked to service planning and monitoring arrangements in terms of its impact on
       demand for services
      Address cultural and language barriers to accessing services
      Raise awareness among young people, parents and professionals of the importance of
       sexual health and the availability of services
      Involve young people
      Address cultural and language barriers to accessing services

A Marketing and Communications Strategy Sub-Group has been set up and is a partnership
between the YPSH & TP Board, the Sexual Health Network and communications professionals
from the tPCT and Local Authority.

This group oversees the district wide marketing and communication work in line with the
principles outlined above. The approach is flexible enough to allow for new priorities to be
communicated as they develop over time.

It reports to the Sexual Health Network and Young People’s Sexual Health and Teenage
Pregnancy Strategy Board for direction and agreement on the provision of evidence based
and cost effective work streams that will have a real impact on the perspective of local
services and the signposting to these services.

Sex and Relationship Education

By 2011 sexual health education services will:

      Recognise the importance of education (in its broadest sense) in preventing unintended
       teenage pregnancy and promoting choice.
      Be evidence-based or based on a better understanding of the sexual health education
       needs of children & young people within the District.
      Be based on a holistic approach to emotional and social well being (including issues
       such as self-esteem, choice, power and abuse).
      Be available in age-appropriate format for all ages from primary school onwards.
      Be accessible in a variety of settings in school and the wider community, including an
       educational role for sexual health services.
      Include amongst others parents, teachers, youth workers, health professionals and social
       services staff.
      Target children and young people who are not attending school, including PRU’s, and
       Specialist Provision Out of Area.
      Be co-ordinated with broader sexual health services available in the community.

An SRE group has been established which is a partnership between the YPSH & TP Strategy,
Education Services, Public Health and the Children and Young People’s Directorate.

The new introduction of compulsory SRE in all secondary schools will help strengthen the work
currently delivered by partner s across the district and help expedite development of these
services in line with Government expectations.

Sexual Health Services

By 2011 YP Sexual Health Services will meet the You’re Welcome Quality Criteria (DoH
2007) standard- though the standard will continue to be monitored until 2020 ;-
                                           Page 7 of 10
      Be young person friendly, services will be specific to young people’s needs and easily
       accessed by young people, with informed and accessible staff.
      Services will be accessible to young people by public transport and there will be a
       choice about service location and times of services.
      A range of sexual health services are offered to YP and services will see YP who are
       not ordinarily registered with them.
      Services will provide leaflets and information explaining their service to YP, advertising
       their availability and this will include publicity material that can be understood by YP
       with learning disabilities and sensory impairments. Material will be made available in
       languages that are used by the local community of YP
      Confidentiality and consent information is clearly on display where young people can
       see it in all services. This information makes clear young people’s entitlement and any
       limitations to confidentiality with regard to child protection
      That service environments are safe, suitable and YP friendly
      All staff that are likely to come into contact with YP receive appropriate training
       around skills, attitudes and values needed for YP friendly services
      YP services will be multi agency where possible, where this is not the case the service
       should signpost on and provide information about other local services.
      YP are formally consulted and involved in service development and redesign. YP are
       included in service monitoring and evaluation
      0pputunistic health promotion and education for young people is undertaken within YP
       sexual health services. Also social and emotional wellbeing is addressed.
      Services will be fully co-ordinated to improve and support access for pregnant
       teenagers, teenage parents and vulnerable groups of YP.
      Interventions which are evidence-based or based on a better understanding of the
       needs of young people within the District will be incorporated into services.
      Have an educational role for young people, parents and professionals that is
       complimentary to other sexual health education opportunities.

The joining up of services will be co-ordinated through a partnership approach supported by
the Sexual Health Network and through the implementation of the You’re Welcome quality

Support for Pregnant Teenagers and Teenage Parents

By 2011, support for pregnant teenagers and teenage parents will be available in the form
     Young people’s services will provide advice and enable access to acceptable services
      which promote pregnancy choice and meet the needs of the young people.
     Young people’s services which offer advice and support to teenage parents, including
      referral on to specialist provision.
     Enhanced access to mainstream services.
     Services which are fully co-ordinated with sexual health services.
     Services specific to the needs of teenagers.
     Services which provide specialist services for teenage parents e.g. Ante-natal classes,
      teen parents groups within Children’s Centre’s.

This work will be overseen by the Support Network and linked into a range of mainstream
agendas such as the Children’s Centre developments, the Parenting Strategy, the work of the

                                           Page 8 of 10
Infant Mortality Commission and the National Service Framework for Children, Young People
and Maternity Services.

                                        Page 9 of 10

1. Implementation Plan

2. Terms of Reference

3. Data Diagram


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