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• The Case for Change >
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  Pathway >
• The Maternity
  and Newborn Pathway >
• The Long Term
  Conditions Pathway >
• The Children's
  Pathway >
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  Episode Pathway >
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  Health Pathway >
• The End of
  Life Pathway >
• Implications for
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• Turning our
  Recommendations
  into Reality >
• Full NSR Report >

Appendix

• Technical Appendix >

Resources

• Resource List >

The Children's Pathway

Getting the best for our children

1
This chapter (based on the work of the Children's CPG – full report available at www.yorksandhumber. nhs.uk) sets out our ambition to make radical improvements to the physical and mental health and well being of children living in Y&H. The Children's CPG highlighted very many examples of excellent care being provided for children across Y&H in their report, but there are still major challenges to be overcome to ensure all children receive the best possible care. These challenges are set out in the case for change below.

2
The case for making changes to children's services could not be clearer – our children's health is amongst the worst in the country.

The Case for Change

3
A few key facts demonstrate the need to change vividly:

• Infant mortality (at 5.8 per 1000 live births) is significantly higher in our region than in England as a whole. Even within Y&H there are significant variations – babies in our most deprived areas have double the chance of dying during their first 4 weeks of life and three times the chance during the rest of their first year of life compared with our least deprived areas.
• Whilst absolute numbers are very small, childhood mortality (deaths under 15 years) at 60.21 per 100,000 children is higher than England as a whole. This varies significantly – children under 15 years in Bradford and Hull have a 50% greater chance of dying than those in Lincolnshire, Calderdale and Leeds.
• Close to 1 in 5 boys and 3 in 10 girls in the region are predicted to be obese by 2010. For girls this is nearly twice the national average.
• There are significant unexplained variations in use of services e.g. attendances at A&E by children can vary ten-fold depending on which GP practice a child is registered with.

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