Tag: Children and Families

600 adoption matches made

Milestone reached as adoption support website launched.

Six hundred matches have been made between children in care and prospective adoptive parents since 2011 – the equivalent of more than one a week.

The milestone comes after the 600th young person was matched with adopters via Scotland’s Adoption Register.

The Register is an online database which facilitates matching between looked after children and prospective adopters. Established in 2011, the Register acts a central point for local authorities ensuring prospective adoptive parents go through a robust and supportive matching process in order to best meet the needs of both the child and their potential families.

A new website from Adoption UK Scotland, funded by the Scottish Government, has also been launched which offers key advice and guidance for current and prospective adoptive parents.

Minister for Children and Young People Maree Todd said: “We know that adoption has the potential to completely change the direction of a child or young person’s life by providing them with a loving, supportive and permanent home and family.

“Reaching this milestone means that there are 600 fewer children in care, having been placed with families who offer the most supportive and stable home they possibly can.

“We now know more than ever before about what it takes to ensure adoption matches are successful and our new website will act as a vital portal for current and prospective adoptive parents.

“The website is the first online resource in Scotland to provide a single point of information for prospective adopters, adoptive families and professionals working within the adoption sector – ensuring that the guidance and support they need pre and post adoption is available to them. I would encourage anyone with an interest in adoption to visit the site and find out more.”

Robin Duncan, Manager of Scotland’s Adoption Register, said: “The Register is all about helping find families for children when it has been decided that adoption gives them the best chance of growing up in a safe, secure and loving home.

“The statistics are less important than the stories of the children and families involved, but the milestone of 600 matches is a really heartening sign of how well the Register is working and how it continues to create good solutions for some of Scotland’s most vulnerable children.”

Parents Stevan and Denis, who have been through the adoption process, said: “We started our adoption journey 5 years ago. We went through the numerous stages of the process: preparation group, home study and then onto our approval panel.

After approval, the family finding started. Using a portal such as Scotland’s Adoption Register was at times tough due to the huge amount of children that are profiled but it did lead to us finding our two little boys and we fell in love at the first glance of their profile!

“The next step was meeting our sons, which was a huge bag of mixed emotions. The first day of introductions with the boys went amazingly well, we only got to spend a few hours with them but being called Dad and Daddy for the first time brought tears to our eyes! The remaining days of introductions flew by and before we knew it we had our boys home and family life began.

“After a while parenthood started to become more natural to us and routines were put in place which quickly helped the boys thrive and we haven’t looked back since. Every day we count our blessings to have two gorgeous, happy boys. Adoption was everything we could have of hoped for and more! Even through the tears, tantrums and sibling squabbles, we wouldn’t change it for the world.”

Last year the Scottish Government continued its efforts to improve the adoption process for everyone, by provided more than £500,000 directly to adoption stakeholders:

  • £240,000 to St Andrews Children’s Society to maintain and expand Scotland’s Adoption Register
  • £98,000 to AFAS to maintain services to professionals and practitioners in the adoption sector
  • £75,000 to Adoption UK (Scotland) to provide a national helpline and support for adoptive families in Scotland
  • £55,000 per annum to Birthlink in order to provide and maintain the Adoption Contact Register for Scotland£40,000 to St Andrews Children’s Society to support adoptive families, both during and after the adoption process

Scotland’s Adoption Register is funded by the Scottish Government and currently hosted by St Andrew’s Children’s Society.

The Register has a remit to facilitate family finding across Scotland with the aim of increasing the numbers of children that are placed for adoption and to make the linking and matching process work as well as possible for children and prospective adopters.

See Adoption UK Scotland’s new website.

Childcare expansion plans on track, says Government

The expansion of funded early learning and childcare (ELC) in Scotland is on course to be delivered from August 2020, says Children’s Minister Maree Todd – but public watchdogs have concerns over the tight timescale. 

Backed by an unprecedented £2 billion investment, by the end of the expansion more than 900 nurseries will have been built, extended or refurbished since 2018. Meanwhile, 4,310 additional full-time equivalent staff have also been recruited, resulting in a record 40,000-strong workforce.

From August, all three and four-year-olds and around a quarter of two-year-olds, will be entitled to 1,140 hours a year – almost double the current entitlement of 600 hours.

In response to Audit Scotland report on early learning expansion, Children’s Minister Maree Todd said: “We are on course to deliver the most generous, high quality early learning and childcare offer in the UK, which can transform the lives of children.

“I’ve seen and heard of the way children’s confidence and communication skills have been boosted by the care and learning they’ve received, while they’re also getting access to opportunities such as outdoor learning.

“Through our strong partnership working with local government, so much has already been achieved. There are already thousands of additional staff in post, and councils will continue to grow their teams over the coming months.

“We have also been delivering a large-scale infrastructure programme to provide high quality settings. Hundreds of nurseries have been built or refurbished, with work continuing across the country.

“We are committed to delivering the roll-out from August and councils have contingency plans in place for all critical projects due to complete this summer, so we can be confident that the places will be there to deliver the expansion for Scotland’s children. The expansion also opens up more opportunities for playgroups, private and third sector nurseries, and childminders to be involved in delivering funded hours.

“The quality of ELC provided is absolutely key. That is why we are investing in the workforce and developing improved learning opportunities for them to increase their skills and share best practice.

“With a passionate and dedicated workforce across all parts of the sector, and fantastic places for children to learn and play in a nurturing environment, there has never been a more exciting time for our childcare sector.”

However while plans to boost early learning and childcare (ELC) hours have made steady progress, risks around buildings and staffing remain, say public sector watchdogs.

The watchdog says the Scottish Government and councils are working well together to increase ELC hours from 600 to 1,140 a year from August and the pace of the expansion is broadly in line with plans.

But around half of the building work required is due to be completed over the summer, and about half of the additional ELC staff still need to be recruited. Private and third sector providers – which are expected to deliver over a quarter of the hours – also continue to report significant workforce challenges that threaten their sustainability.

The Scottish Government’s evaluation plans for the expansion are well advanced but challenges remain. For example, it is not clear how the longer-term economic benefits of the policy, or its impact on family wellbeing, will be measured.

Caroline Gardner, Auditor General for Scotland, said: “The Scottish Government and councils have worked well together to increase early learning and childcare hours, and we’ve also seen improvements in how the project will be evaluated.

“But the timeline remains tight and there are big risks around infrastructure and workforce.”

Graham Sharp, Chair of the Accounts Commission said: “Given the amount of work due to be completed over summer 2020, it’s important that councils continue to work closely with the Scottish Government to manage the risks of any delays, including how best to keep parents informed.”

200303_early_learning

State of Child Health – it’s not good

The RCPCH has today published State of Child Health 2020, the largest ever compilation of data on the health of babies, children and young people across all four UK nations.
The report shows that for many measures of children’s health and wellbeing, progress has stalled, or is in reverse – something rarely seen in high income countries.

Visit the State of Child Heath website

Across most indicators, health outcomes are worse for children who live in deprived areas. Inequalities in some outcomes have widened since the last State of Child Health report in 2017. Progress has also been seriously affected by deep cuts to local authority budgets – used to finance public health initiatives and community services.

The authors highlight that, even where there have been notable improvements in children’s health, the UK is often lagging far behind other countries.  For example, although there has been a fall in the number of emergency asthma admission rates across all four nations, the UK still has one of the highest mortality rates in Europe for children and young people with asthma.

Dr Ronny Cheung, Clinical Lead for RCPCH and co-author of the report, said: “Two weeks ago, the Marmot Review presented a stark picture about life expectancy in England. Now, our own report shows troubling signs for children and young people across the UK.

“The harsh reality is that, in terms of health and wellbeing, children born in the UK are often worse off than those born in other comparably wealthy countries. This is especially true if the child is from a less well-off background.

“Infant mortality is a globally-recognised sign of how well a country is looking after the health of its citizens. Throughout the world, the number of babies dying in their first year has been steadily falling for decades, as incomes rise and mothers and children receive better healthcare.

“Yet UK infant mortality rates have stalled, and in England they actually got worse between 2016 and 2017. For a high-income nation such as ours that should be a major wake up call.”

State of Child Health 2020 brings together 28 measures of health outcomes, ranging from specific conditions – such as asthma, epilepsy, and mental health problems – to risk factors for poor health such as poverty, low rates of breastfeeding, and obesity.

Community paediatrician and co-author Dr Rakhee Shah, said: “Investment in preventative health services must now be prioritised by the new UK Government.

“England has seen a huge decline in spending on local services and I see the results of that every day of my working life especially for my most disadvantaged patients. The cuts to services also have an impact on our NHS – people have fewer places to go to get advice, support, and stay well.”

The authors make a number of policy recommendations for each nation. These include:

  • Introduce a cross-departmental National Child Health and Wellbeing Strategy to address and monitor child poverty and health inequalities.
  • Restore £1 billion of real-terms cuts to the public health grant for Local Authorities.
  • Ensure future investment in public health provision increases at the same rate as NHS funding and is allocated based on population health needs.
  • Implement in full commitments from the prevention green paper, Advancing our health: Prevention in the 2020s.
  • Implement commitments to provide a Youth Investment Fund, with protection of the committed £500m funding.
  • Provide health-based support for children throughout education, including funding for increased numbers of school nurses and school counsellors.
  • Provide renewed investment in services for children and families, which support the child’s school readiness.
  • Ensure that health visiting services are protected, supported and expanded with clear and secure funding.

President of the RCPCH, Professor Russell Viner, said: “We’ve got a lot of work ahead of us if we’re to get a grip on the state of child health in the UK. This report is the only one of its kind to zoom out and look at the full picture and it’s not a pretty sight. On many vital measures we risk lagging behind other European countries.

“There some positive signs – teenage pregnancies have fallen hugely, Scotland is leading the way on reducing youth violence, and we’ve made huge strides in the treatment of conditions like diabetes. These outcomes are invariably the result of good policy, political commitment, and proper funding.

“In many areas of healthcare, we’ve led the rest of the world. But we’re in danger of failing a generation if we don’t turn this situation around. The government has made welcome commitments on childhood obesity and young people’s mental health but we need to see delivery in these and other areas.

“We have the evidence, the experience and the expertise to make real progress in the life of this government. It’s now time to deliver for children and young people.”

KEY HIGHLIGHTS 

Infant mortality

  • The UK is fifth from bottom among 27 European countries for infant (under one year of age) mortality. Infant mortality in England stalled between 2013 and 2018 at 3.9 per 1,000 livebirths, with a slight rise in 2017 to 4.0.
  • In England and Wales infant mortality is more than twice as high in the most deprived areas compared with the least deprived areas.

Healthy weight

  • The prevalence of children aged 4-5 who are overweight or obese has not improved significantly in any of the four countries since 2006-7.
  • Trends among 4-5 year olds are stable across the UK with around 25% of children overweight but this increases to around 34% for 10-11 year olds in England.
  • Childhood obesity is more prevalent in deprived areas. In England, the prevalence of severe obesity among 4-5 year olds was almost four times as high in the most deprived areas (3.8%) than the least deprived areas (1.0%) in 2017/18.

Child poverty (new indicator)

  • A total of 4.1 million children live in relative poverty in the UK (after considering housing costs) – an increase of 500,000 between 2011-12 and 2016-17. From 2016/17 to 2017/18, the numbers in England rose from 30% to 31% of children and in Wales from 28% to 29%
  • Child poverty in Scotland plateaued at 24% and in NI decreased from 26% to 24%.
  • Across the UK, rates of child poverty have increased for all types of working family. Lone parents working part time and households with only one working parent have seen the sharpest increases in poverty over the last three years.
  • Nearly half of children (47%) in working lone parent families live in poverty.

Immunisations

  • In 2018, all four UK nations fell short of the 95% WHO target for the second dose of MMR.
  • In 2018, the uptake rates of two doses of MMR vaccine at 5 years ranged from 86.4% in England, 91.2% in Scotland to 91.8% in Northern Ireland and 92.2% in Wales.

Youth violence (new indicator)

  • While rates of physical violence among young people are broadly similar across the four nations, England is the only country in which rates are increasing – most notably for 20-24 year olds. Between 2012 and 2017, the rate of physical violence among that age group increased from 297.7 to 315.49 per 100,000.
  • In Wales, Scotland and Northern Ireland, physical violence among young people aged 10-24 shows an overall downward or stable trend from 2012-2017.

Long term conditions

  • Emergency admission rates for asthma have fallen since 2003/4 across the UK. However, the UK has among the highest mortality rates in Europe for children and young people with the underlying cause of asthma.
  • Epilepsy had until recently seen similar falling rates of emergency admissions. However, in 2017/18 rates rose slightly in England, Wales and Scotland. In Scotland, children with epilepsy from the most deprived areas were twice as likely to have an emergency admission to hospital than those from the least deprived.
  • There has been continued improvement in blood glucose control among children and young people with Type 1 diabetes across all four nations, and it is encouraging that there have been increases in the completion of key health checks for those with diabetes.

2020 indicators

  • Mortality – Infant mortality; Child mortality (1-9 years); Young people’s mortality (10-19 years)
  • Maternal and perinatal health – Smoking during pregnancy; Breastfeeding
    Prevention of ill health – Immunisations / vaccinations; Healthy weight; Oral health
  • Injury prevention – Accidental injury; Road traffic accidents; Youth violence (new indicator)
  • Healthy behaviours – Smoking in young people; Alcohol and drug use in young people; Conceptions in young people
  • Mental health – Prevalence of mental health (new indicator); Mental health services (new indicator); Suicide
  • Family and social environment – Child poverty; Education – not in education, employment or training (NEET) (new indicator); Young carers (new indicator); Children in the child protection system; Looked After Children (new indicator)
  • Long term conditions – Asthma; Epilepsy; Diabetes; Cancer; Disability and additional learning needs
  • Workforce – Child health workforce (new indicator)

SOCH-SCOTLAND2-03.03.20

Children’s mental health services ‘creaking at the seams’

  • The NHS in Scotland failed to meet a maximum 18-week waiting time target for children and young people to receive treatment from mental health services
  • More than a third are waiting more than 18 weeks for treatment.
  • 11 out of 14 health boards, including NHS Lothian, failed to meet the 18-week waiting time target.
  • 272 children and young people waited more than a year prior to being seen
  • Coalition calls for fundamental rethink and renewed focus on prevention and early intervention, including embedding mental health within education.

Latest waiting time figures have reinforced the call by a coalition of leading independent and third sector children and young people’s service providers for dramatically increased investment in mental health services in the budget to address the current mental health crisis.

It has also called for an urgent need for transformational change in services, focusing on prevention and early intervention in order to tackle what is one of the greatest public health challenges of our time.

The call from the Scottish Children’s Services Coalition (SCSC), which campaigns to improve services for vulnerable children and young people, comes as the latest waiting time figures from the Information Services Division, part of NHS National Services Scotland, highlight that thousands of children and young people are failing to treated within a Scottish Government waiting time target.  

With an increasing number of children and young people being identified with mental health problems they also highlight a postcode lottery for mental health treatment across the country.

Covering the quarter October to December 2019, the figures highlight that 3,884 children and young people started treatment at specialist child and adolescent mental health services (CAMHS) in this period.

The NHS in Scotland, including 11 of the 14 regional health boards, failed to meet the Scottish Government 18-week waiting time target for children and young people to receive treatment from CAMHS. This target should be delivered for at least 90 per cent of patients.

While 66.4 per cent in the NHS in Scotland are being seen within this 18-week waiting time, still in itself far too long, more than a third (33.6 per cent) are failing to be seen within this period.

Individual health boards failing to meet this target are: NHS Fife (66.1 per cent), NHS Ayrshire & Arran (89.9 per cent), NHS Grampian (80.1 per cent), NHS Greater Glasgow & Clyde (68.9 per cent), NHS Highland (75.2 per cent), NHS Lanarkshire (57.8 per cent), NHS Lothian (48.4 per cent), NHS Tayside (57.4 per cent), NHS Dumfries & Galloway (88.6 per cent), NHS Shetland and NHS Forth Valley (57.7 per cent).

The figures also indicate that 272 children and young people in the October to December quarter had been waiting for more than a year prior to being seen for treatment, an increase from 204 in the previous quarter and a considerable increase from the  same quarter of last year (108).

Mental health services are creaking at the seams due to greatly increasing demand, as evidenced by these waiting time figures. Research indicates that 10 per cent of children and young people (aged five to 16) has a clinically diagnosable mental health problem (around three in every classroom), with 50 per cent of mental health problems established by the age of 14 and 75 per cent by the age of 24.

While acknowledging the great efforts the Scottish Government is making, such as an additional £250 million of funding announced in the Programme for Government of 2018, the SCSC has called for the Scottish Government to greatly increased investment in CAMHS and for a more consistent approach to delivering these services across Scotland. 3

It has also called for a renewed focus on prevention and early intervention for those with mental health problem, reducing the need for referral to under-pressure specialist CAMHS.

This includes embedding mental health within education from an early age in order to strengthen knowledge and awareness of mental health, as well as reducing the stigma associated with mental health.

SCSC says emotion and resilience classes should be provided to all students from primary one to teach students how to work through their emotions in a healthy way and there should be a whole-school approach, with training for all staff involved in education and providing counselling support.

A spokesperson for the SCSC said: “These latest waiting time figures highlight that we desperately need increased investment in the forthcoming budget to address this situation. The simple fact is that we are continuing to fail thousands of children and young people with mental health problems, and more clearly needs to be done to address this epidemic.

“These newly released figures highlight that the NHS in Scotland, including eleven of our health boards, are failing to meet what is already a lengthy waiting time. Yet we know that three children in every classroom has a clinically diagnosable mental health problem.

“There must be a radical transformation of our mental health services, with a focus on preventing such problems arising in the first place and intervening early, especially when we know that half of all mental health problems begin before the age of 14.  This includes embedding mental health within education from an early age as well as providing training for all staff involved in education.

“With mental health and the issues associated with it representing one of the greatest public health challenges of our time, we must ensure that children and young people are able to get the care and support they need, when they need it. This includes investing in greater community support and support at school, reducing the need for referral to specialist CAMHS.”

One in three young people in the Lothians are waiting over a year for mental health support.

Miles Briggs, Scottish Conservative Lothian MSP, said: “It is deeply concerning that we are now in a situation where over a third of young people referred for mental health support in NHS Lothian are having to wait over a year.

“SNP Ministers have allowed us to reach crisis point by not properly managing NHS Lothian’s workforce and must take responsibility for neglecting to take action over the mental health crisis amongst young people.

“These figures show just how urgently we need an additional 40 whole time equivalent mental health professionals in NHS Lothian.”

New play equipment at West Pilton Park

A new play park and outdoor gym was opened in West Pilton last week.  Councillor Susan Rae cut the tape with Friends of West Pilton Park’s Sara Martin, ELGT’s Charlie Cummings and Scotland Manager of Fields in Trust, Colin Rennie.

Children from Pirniehall and Forthview Primary schools also braved the weather to check out the new facilities.

You can learn more about the development and watch an interview with Susan, Sara and Colin who talk about the importance of developing greenspaces and supporting local communities in urban areas here.

Founder Member of Friends of West Pilton Park, Parklife, Sara Martin said: “The local residents are delighted with the new junior play park and outdoor gym facilities.

“The old play parks were disjointed, very limited and definitely past their sell-by-date. The newly upgraded play park and outdoor gym are so much more interesting, with lots of exciting new equipment to try out and enjoy.

“Thank you Edinburgh & Lothian Greenspace Trust for delivering it.”

Play Another Day: CBeebies star calls on Scots to help the planet

Get on board with The Great Toy Rescue!

The star of children’s TV show Molly and Mack is urging Scots to hand their old toys on to be enjoyed once again as part of Zero Waste Scotland’s Pass it on Week. 

Joshua Haynes, who plays Mack in the hit CBeebies show, says it is more important than ever that we make better use of our resources to protect the planet. 

Taking place from 7 – 15 March, Pass it on Week, with support from the European Regional Development Fund, is the national celebration of reuse. This year, the theme ‘The Great Toy Rescue’ encourages Scots to pass on items on so they can play another day. 

Passing on toys that are in a good condition, or just need a little fixing up, benefits the environment by avoiding the need to buy new and also diverts existing valuable materials from potentially ending up in landfill or incineration. 

People can do their bit by simply passing on the toys their children no longer play with. 

There will be plenty of opportunities to get involved as events are set to take place across Scotland over the week. Local schools and community groups are encouraged to visit the Pass it on Week website to sign up their event. 

Joshua Haynes said: “It’s more important than ever to be making better use of our resources. The effects of global warming are now here for everyone to see and it’s not a debatable possibility, it’s a very real and tangible thing. 

“We’ve got to do whatever we can to help retain the natural beauty and wonder of our world and finding out how to better use what resources and materials we already have is one of the biggest steps to achieving that goal.” 

Joshua has shared his own story of his favourite childhood toy ‘Pal’ to highlight why it’s so important to value what we already have and how passing on can make someone else’s day. 

He said: “My favourite toy as a kid was this kind of bean-bag, kind of plush puppy who I called Pal. I used to keep Pal by my side at all times whenever I was in the house – and whenever I’d go on holiday, I’d be making sure to take Pal with me.

“When I first got Pal I noticed he had some kind of damage on his front left paw. Instead of asking my mum for a new toy I saw this as something that made him really special, unique. My special dog with his hurt paw. So, because of that I wanted to take extra special care of him – which he definitely got. 

“Unfortunately, one day when going to visit my family in Liverpool, I lost Pal while on the train and never saw him again. Obviously, I was incredibly upset and a lot of phone calls were made to try and find him but with no luck. 

“Although the thing I was so upset about wasn’t the fact that I had lost my favourite toy but that I was actually more concerned that someone wasn’t going to look after him properly. In the end my mum helped me get over it by telling me that some other kid will have found him and that he would be making them happy now.” 

He continued: “Pal taught me a lot of different things growing up, for example, don’t leave your favourite toy on a train!

“But the most important thing I learned from my favourite toy was that sharing something, even if it means the world to you, can help make the biggest of impacts on someone else.” 

A study by Zero Waste Scotland found that 85% of parents say they mainly pass on the toys that their children no longer play with. Meanwhile, 81% say they would give their children a toy previously used by a friend or family member. At least 58% would give them one from a second hand shop or a resale site like eBay or Gumtree.

 Four fifths of Scotland’s carbon footprint is caused by the goods and materials that we consume, whether it is food, clothes, toys or electrical equipment. Maximising use of the materials we have will reduce the level of greenhouse gases produced. It will also protect habitats and biodiversity by reducing the demand to find and extract new materials. 

Iain Gulland, chief executive of Zero Waste Scotland, said: “Every aspect of our lives touches on the climate emergency in some way. Conserving existing resources is one of the most powerful and easiest ways to make a difference.

“Passing on old toys is a great way to share happiness, plus buying and wasting less will protect the environment and reduce Scotland’s carbon footprint. Never think you are too small to make a difference.” 

The Revolve certification, run by Zero Waste Scotland, is the national reuse quality standard given to shops selling second hand goods. Shops must meet high standards in cleanliness, safety, service and value for money to gain the Revolve certification. When customers see the logo in-store, they can be assured they are buying high quality goods. 

There are currently more than 140 shops in Scotland that carry the Revolve certification. 

For more details and to register your Pass it on Week event, visit passitonweek.com.

 Pass it on Week is part of Zero Waste Scotland’s Resource Efficient Circular Economy Accelerator Programme, which will invest £73m in circular economy and resource efficiency projects, thanks to support from the European Regional Development Fund (ERDF).