Document Sample

Torbay Teenage Pregnancy Partnership (TPPB) strives to empower all young people to
have the skills, confidence and motivation to look after their sexual health and delay
parenthood until they are in a better position – emotionally, educationally and
economically – to face its challenges.

The Torbay Teenage Pregnancy Partnership (TPPB) is a multi-agency partnership
responsible for developing and implementing the local Teenage Pregnancy Strategy.
The Teenage Pregnancy Strategy Manager supports the Partnership in developing and
implementing the annual Action Plan. The TPPB is overseen by the Teenage
Pregnancy Executive and underpinned by Delivery Groups which focus on priority areas
within the plan. One of these delivery groups focuses on Sex and Relationship
Education which is seen as a priority area for development within Torbay.


When the Government Teenage Pregnancy Strategy was launched in 1999, it included a
challenging target to halve the under 18 conception rate by 2010 – compared to the
1998 baseline year. The second target was to increase to 60% the proportion of young
mothers in education, employment or training. Nine years into the strategy, we now
know far more than we did in 1999 about the characteristics of young women who
become pregnant early, what factors increase the risk of early pregnancy or repeat
pregnancy, as well as what action needs to be taken to reduce teenage pregnancy rates
and to improve outcomes for young people, including teenage parents and their children.

Research shows that the vast majority of teenage pregnancies are unplanned. Almost
half of under-18 conceptions end in abortion and most young people wish they had


A number of key guidance documents have been published, building on the 2005 ‘Deep
Dive’ findings and including: Next Steps, Accelerating the Strategy and a Self
Assessment Toolkit (see box below for links to these documents). They details research
evidence on what has supported success in areas achieving good reduction rates,
identification of particular trends/indicators relating to increased risk of early
conceptions/sexual activity and the clear expectation for all Local Authorities to critically
assess themselves, based on national good practice evidence, as to their current
performance and plan for future improvements.


 Teenage Parents: Next Steps –
 guidance for PCTs and LAs
 bringing together
 recommendations for a more
 holistic approach to supporting
 teenage parents.
 Teenage Parents: Next Steps
 Self Assessment Toolkit –
 framework for critically assessing
 performance against key
 Deep Dive Analysis – Teenage         This is incorporated within the 2 documents listed
 Pregnancy Unit research looking      below.
 at success factors for reducing
 teenage conception rates.
 Teenage Pregnancy: Next Steps
 – guidance for PCTs and LAs
 based on research evidence of
 factors associated with early
 conception / sexual activity, what
 works to prevent early
 conception and expectations for
 local areas in achieving this.
 Teenage Pregnancy Prevention
 – Self Assessment Toolkit:
 Teenage Pregnancy Unit devised
 framework published to enable
 areas to critically assess their
 performance against key
 characteristics and develop
 action plans.
 Children and Young People’s
 Plan – Torbay’s multi agency
 plan giving detail on priorities
 and actions to improve outcomes
 for children and young people
 based on the Every Child Matters


There are two main national targets specifically relating to Teenage Pregnancy, one
focusing on reduction of conceptions and one on increasing the numbers of teenage
mothers who return to education, employment or training. Locally these targets are set

   1. To halve the under 18 conception rate by 2010, and establish a firm
      downward trend in the under 16 rate.
   2. To increase to 60% the proportion of teenage parents in education, training
      or employment, by 2010, to reduce their long-term risk of social exclusion.

There are many other strategic targets inextricably linked to this area of work, eg.
broader health and community targets, improving school achievements etc.

Torbay is required to reduce its teenage conception rate from 44.2 per 1,000 in 1998 to
22.1 per 1,000 in 2010.

Unfortunately, Torbay has seen an increase in the rate of teenage pregnancies, rather
than a decrease. Although many initiatives have been implemented, it is recognised that
these can take some time to influence the rates.


Following a visit from the Teenage Pregancy National Support Team in July 2007, it was
recognised that although there were overall strengths in Torbay such as: enthusuasm
and committement; Local Area Agreement including reduction in under 18 teenage
concpetions; Teenage pregnancy being one of the top 5 priorities in the Children and
Young people’s Plan and a key target in the Local Delivery Plan; there were a number of
areas that needed addressing if Torbay was going to reduce the under 18 concpetion


The 2009/10 and future Teenage Conception Action Plans will continue to focus on the
deep dive recommendations for an effective reduction in teenage conception rates. The
Deep Dives were a series of in-depth reviews carried out in a number of areas with both
good and poor performance in reducing teenage pregnancy, looking at the key features
of local strategies in areas where rates have reduced significantly and comparing and
contrasting their experience with what was happening in statistically similar areas where
rates were static or increasing. (Reference: Teenage Pregnancy Next Steps: Guidance
for Local Authorities and Primary Care Trusts on Effective Delivery of Local Strategies -
DfES, July 2006)

       PRIORITY AREAS FOR               Evidence of What works – based on ‘deep dive’
       TORBAY                           recommendations.
 1     Young people focused              Accessible services are tailored for young people
       contraceptive / sexual health     Full range of high quality services offered
       services: Trusted by              Services are visible and highly promoted
       teenagers and well known by       Involvement by a range of knowledgeable service
       professionals working with          providers
       them                              Services are adequately resourced
 2     Strong Delivery of                Strong delivery by well trained professionals
       SRE/PSHE by schools               Broad thorough content
                                         Clear commitment to SRE
                                         Whole school environment contributes
                                         Sustained provision throughout school years

 3     Targeted work with ‘at risk’        Strong use of data and evaluation
       groups of young people; in          Specific preventative interventions targeted a
      particular Looked After              range of vulnerable groups
      Children and Care Leavers.          Interventions tailored to suit specific needs
                                          Effective interventions involve a range of
                                           professionals and voluntary and community
                                           groups and complement existing programmes

4     Work with parents                   Make the most of existing programmes
                                          Range of stakeholder organisations contribute
                                          Provision reflects local characteristics
                                          General as well a targeted provision

5   Strategic: Senior local         There is clear commitment / teenage pregnancy
    sponsorship and engagement       is a priority
    of all key partners             Teenage pregnancy is integrated into planning
                                    Progress is driven by performance management
6   Data: Detailed, accurate and  There is clear commitment / teenage pregnancy
    up to date data and              is a priority
    information                     Teenage pregnancy is integrated into planning
                                    Progress is driven by performance management
                                    There is a systematic approach to knowing the
                                     local populations and its needs in relations to
                                     teenage pregnancy .
                                    Data and information are used to inform provision
                                     of local services
                                    Performance management is led by accurate
                                     data and information
7   Communication                   Partners receive appropriate information
                                    Parents and communities are engaged and
                                    Young people – including those most at risk – are
                                     involved and informed
                                    There is a strategy for dealing with the media
8   Workforce Training on sex       Engagement with / guidance for all those working
    and relationship issues within   with young people
    mainstream partner agencies  Staff follow good practice

9     A well resourced Youth              Commitment
      Service, with a clear remit to      Well trained youth workers (SRE)
      tackle big issues, such as          Provision of advice and contraception
      teenage pregnancy and               Sign posting to specialist services
      young people’s sexual health
10    Working on raising                  Work combines raising awareness and raising
      aspirations                          self-esteem
                                          Work reaches young people most at risk
                                          Schools are engaged in raising aspiration for
                                           most at risk young people
                                          Engagement with young people
                                           Community engagement

 11    Supporting Young Parents            Supporting teenage parents to achieve better
                                           Improving child health outcomes
                                           Improving teenage mothers emotional health and
                                            well being
                                           Support for young fathers
                                           Effective supported accommodation for teenage


Sexual Health advice to young people should always be in the context of helping them to
resist pressure to have unwanted sex, to have the confidence to say ‘no’, and to delay
first sex until they feel ready and confident to make safe and responsible choices.

Delaying first sex leads to less regret and more effective contraceptive use among
young people. Schools and Professionals from all agencies (which can include school
nurses, social workers, Connexions personal advisors, youth workers etc.) can play a
key role in helping young people develop the confidence and self esteem to resist peer
pressure to be sexually active until they feel ready to make safe and responsible
choices. Professionals can also encourage and support young people to talk to their
parents about sex and relationships. Parents are young people’s preferred source of
information and advice and openness in the home is associated with later age of first sex
and better contraceptive use.

Kim Flemming
Teenage Pregnancy Strategy Manager
Telephone – 01803 208903
April 09