Overall, and in comparison with the national picture, Cambridgeshire is a relatively prosperous county. Children and young people in Cambridgeshire generally have above average health, educational attainment and life chances. However, for some children and young people we can do more to improve their chances in life.
The recommendations from the last JSNA included:
- Full implementation of the Child Health Promotion Programme (replaced by the Healthy Child Programme) across Cambridgeshire.
- Integrated children's services provided through extended services and Children's Centres focusing on family smoking, obesity, alcohol related harm, sexually transmitted infections and teenage pregnancies.
- Focus on preventing as well as tackling health inequalities with priority groups identified as: Gypsy and Traveller children; looked after children; vulnerable children; parents with problems or low self esteem; families in areas of high deprivation: Wisbech and North Fenland, North Huntingdon, North and East of Cambridge City.
These were included in Cambridgeshire's Sustainable Community Strategy and the Big Plan 2 from 2009 and progress has been made on these areas. However, they should not be lost with this refreshed JSNA and should be considered along with the recommendations made as a result of this new assessment.
The recommendations made as a result of this JSNA are that the Children's Trust and partners should:
- Ensure all children get a good start in life as an increasing body of evidence shows that the first few years will impact lifelong;
- Support good mental health and emotional wellbeing which are fundamental to achieving good health and outcomes across all five Every Child Matters domains (be healthy, stay safe, enjoy and achieve, make a positive contribution, economic wellbeing);
- Prevent/reduce the negative impact of alcohol and substance misuse, obesity and overweight, childhood accidents, child poverty, domestic violence and disabilities and the consequent inequalities in outcomes;
- Consider a more radical cross agency approach to workforce and service redesign;
- Ensure that schools, colleges, GP clusters, and partners within the Children's Trust understand the needs and issues for children in their areas and know what they should be doing to improve the outcomes for their children and young people;
- Consider how best to support localised delivery through localised commissioning while preventing geographic variation leading to inequality in outcomes.
And specifically, the Children's Trust and its partners should:
- Work in partnership to tackle child poverty and deprivation to reduce inequalities in outcomes for children and young people.
- Ensure the Healthy Child Programme is delivered effectively to all children and young people though the NHS, Children's Centres and supported by schools and colleges.
- Ensure a positive start in life and promote good emotional health and wellbeing.
- Give the Children's Trusts Area Partnerships, GPs clusters (primary and community care) and schools clear messages about their roles and responsibilities, devolving decisions and planning to the area level wherever feasible.
- Adopt a community assets approach to tackle inequalities with local communities and the voluntary sector.