For Highlands Children 4 outcomes
1. Children are protected from abuse, neglect or harm at home, at school and in the community.
2. Children are well-equipped with the knowledge and skills they need to keep themselves safe.
3. Young people and families live in increasingly safer communities where anti-social and harmful behaviour
is reducing.
4. Children and young people experience healthy growth and development.
5. Children and young people make well-informed choices about healthy and safe lifestyles.
6. Children and young people are equipped with the skills, confidence and self-esteem to progress
successfully in their learning and development.
7. Children and young people are supported to achieve their potential in all areas of development.
8. Children and young people thrive as a result of nurturing relationships and stable environments.
9. Families receive support, advice and guidance which is well-matched to their needs and available in ways
which helps them to prepare for the various developmental stages.
10. Children and young people are physically active.
11. Children and young people know their rights and are confident in exercising these. They are able to
express their views and be involved meaningfully in decisions which affect them.
12. Families are valued as important contributors and work as equal partners to ensure positive outcomes for
their children and young people.
13. Children, young people and their families are supported well to develop the strengths and resilience
needed to overcome any inequalities they experience.
14. Children, young people and families are enabled to tell us what they think about services and the
community in which they live, and improvement is determined with their involvement and by understanding
their views, wishes, and expectations
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Public Health and Wellbeing Improvement Group
FHC4 Outcome
4. Children and young people experience healthy growth and development.
Improvement priority: Improved health of children and young people
Evaluation and future priorities:
General issues
 The Public Health and Wellbeing Improvement Group is effectively working to ensure that appropriate health improvement
activity is taking place across all of the Improvement Groups.
 The core resources database for Health and Wellbeing on GLOW for teaching staff has been reviewed and updated.
 The School Meals/Food in Schools Stakeholder Group has had a busy year producing an annual report for Adult and
Children’s Services Committee in February 2015:
http://www.highland.gov.uk/download/meetings/id/67404/item_12_school_meal_working_group_update
 The role of School Nurses to be agreed and implemented following final outcome of national review.
 Developments related to food and physical activity includes the development of ‘Ten Steps to support families to develop a
healthy attitude to food and body confidence in their children’ guidance for staff. This has been well received by Children’s
Services Managers and it has been agreed to develop the resource as a hand out for parents. Note table at page 7 - % of
P1 children at risk of overweight and obesity combined – Scotland and CHP areas which indicates that Highland is slightly
above the Scottish level.
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Improvement priority: Immunisations
Evaluation and future priorities:
Increase in vaccines given in schools (including flu, HPV, meningitis, diptheria/tetanus/polio and MMR) as follows:
2012/13 – 6,150
2014/15 – 25,650
2014/15 – 32,150 (anticipated return to 2014/15 levels next year)
 Maintain the 95% uptake of primary immunisations by 12 months - 1st April 2014 – 31st March 2015 – DTP/Pol/Hib 95.5%,
MenC 96.8%, PCV 95.4%
 Maintain 95% uptake rate of MMR1 (% of 5 year olds) 1st April 2014 – 31st March 2015 - 96.9%
 Increase in the number of S2 young women who receive HPV immunisation to 90% by March 2017 2013/14, 1st dose
1,059 (88.6%), 2nd dose 1,009 (84.4%), 3rd dose 805 (67.4%). Note: the schedule changed in academic year 2014/15 to a
two dose schedule and they now have the first dose in S1 and the second dose in S2. The data is for 2014/15 will be
published in September 2015 and will be the first time they’ve published data for the 2 dose schedule.
 The percentage of S2 young women who receive HPV immunisation will be no different between the most and least
affluent areas – uptake by school is not routinely reported publicly on ISD so a request will be made to NHSH to collate
information by postcode of individual girl.
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Improvement priority: School Meals
Evaluation and future priorities:
 Increase uptake of school meals:
Year
Total School Roll
2013/14
30,917
2014/15
30,777
Total Number of Meals
2,975,476
3,103,080
Number of Production Days*
188
190
2014-15 saw the introduction of free school meals for all primary 1-3 children which increased total meal uptake.
 Volume of oily fish, veg, fruit and salad in school meals per child increases:
Year
Volume fruit and veg
Average No.
No. production
purchased/year (kg)
meals/day
days*
2013/14 323327
15827
188
2014/15 Currently being collated
16332
190
g/pupil/day*
109**
Target
g/day
210
Weight (Kg) of fruit & veg purchased per year- weight of all fresh/frozen fruit and vegetables, including salad vegetables purchased per
financial year. It does not include dried/canned or juice – fruit and veg (toms, sweetcorn).
Average number of meals served per day- is the total number of primary and secondary customers per year divided by the number of
production days- by financial year.
*Number of production days- the number of days in the financial year that lunch was served.
**The grams per pupil per day does not take into account fruit and veg waste.
Year
Volume oily fish
purchased/year (kg)
2013/14 7434.55
2014/15 Currently being collated
Average No.
meals/day
15827
16332
No. weeks
38
38
g/pupil/da Target
y***
g/day
12.36
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Weight (Kg) of oily fish purchased per year- this is the weight of all oily fish products purchased by financial year; this includes salmon fish
fingers/grills/nibbles and canned.
Average number of meals served per day- is the total number of primary and secondary customers per year divided by the number of
production days- also calculated to the financial year.
Number of school weeks – the number of weeks in the academic year.
***The grams per pupil per day will include the weight of crumb coatings.
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Improvement priority: Dental Health
Evaluation and future priorities:
The number of 2 year olds registered at 24 months
with a dentist will increase year on year
The number of 2 years olds who have seen a dentist
in the preceding 12 months will increase
Percentage of 5 year olds who have no obvious
dental decay will increase to 80% by December 2020
** Child Fluoride Varnish Applications: 60% 3-4 year
olds to receive 2+ applications per year
All nurseries will participate in the Childsmile
Programme with 80% of the roll brushing daily
FY 14/15
47.3% (0-2 years March 2014)
FY 14/15
Data not yet available
FY 14/15
80%
FY 14/15
60%
70.1% (2014)
14.9% (Worst performing quintile - HEAT
March 2014)
FY 14/15 80%
92.2% nurseries brushing. 97.6% roll
consented to brushing (School year
2013/14).
** Systems for recording and accessing remuneration have meant that under reporting has occurred and nationally the target
has not been met, although it is likely that actual activity is higher.
The Childsmile SLA is to be reviewed in 2015.
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FHC4 Outcome
10. Children and young people are physically active.
Improvement priority: Increase the number of children walking and cycling to school, All schools to have 2 hours/sessions of
PE per week, Pilot ‘Daily Mile’ in 2 Highland Schools.
Evaluation and future priorities:
Data from the Highland Lifestyle Survey will be available to indicate the number of children walking and cycling to school. This
will add to information collected in the annual ‘Hands Up’ Survey. Significant progress has been made in the work to ensure that
all schools have a minimum of 2 hours/sessions per week. To address the risk of obesity in Highland children (see table below),
the ‘Daily Mile’ project will be tested in 2 schools during 2015/16 session.
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Calculated using the UK 1990 growth reference standards. These are widely accepted as the reference for growth screening in children over four years of age in
the UK. At risk of overweight and obesity combined = BMI greater than or equal to 85th centile).
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FHC4 Outcome
5. Children and young people make well-informed choices about healthy and safe lifestyles.
Improvement priority: Sexual Health and Substance Misuse
Evaluation and future priorities
Sexual Health
Review primary SRE content, targeting, delivery and other input such as the Brook BiteSize project and Waverly Care HIV
resource and the number of staff trained to deliver approved input on sexual health, relationships and parenting increases.
 SHARE, Primary SRE and SHARE Special training has been reviewed and one day training piloted (reduced from 3 to
increase uptake) during the 2014/15 session. This increased participation to 46 compared to 16 in 2013/14. Further
evaluation to take place during 2015/16 school sessions to ensure that 1 day meets teacher training requirements.
 Brook Highland Education: All Different, All Beautiful and BiteSize Pilot Project 2013 – 15 reached 688 young people in 8
different secondary schools and other organisations, running a total of 17 Programmes: 11 BiteSize (working with school
year groups); 6 All Different, All Beautiful (aimed at small groups of young people identified as being particularly at risk and
vulnerable). In addition and 16 Professionals attended a ‘BiteSize for Professionals’ event.
 89% of BiteSize students stated that they are quite or very likely to remember/use the information given
 91.8% of BiteSize Students rated the Programme as brilliant, great or good
 Work with Wick High School and Alness Academy planned to identify and put in place bespoke arrangements for sexual
health drop in facilities planned for 2015/16 school year.
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Evaluation and future priorities
Substance Misuse
 The electronic Substance Misuse Toolkit was developed by Council and NHS staff in partnership with the Highland Alcohol
and Drugs Partnership. It was launched at an event in December 2014. Future work includes regular maintenance and
updating and actions to increase awareness and use of product:
 Following social marketing research to identify the best way to communicate with 15+ age group, a family focus was
identified. Moray Firth Radio has been commissioned to run a series of ‘infomercials’ featuring the Henderson Family.
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Associated online competition and engagement will provide good evidence data on impact of the project.
 Education staff training to be developed and rolled out during 2015/16 academic year.
FHC4 Outcome
14. Children, young people and families are enabled to tell us what they think about services and the community in
which they live, and improvement is determined with their involvement and by understanding their views, wishes, and
expectations
Improvement priority: Children, young people and their families views impact upon service developments
Evaluation and future priorities:
 The 2015 Highland Lifestyle Survey questions were reviewed to more closely align with the improvement priorities of
FHC4. The Survey run the Survey over a longer period (6 weeks compared to 1 week for 2009, 2011 and 2013) and in
response to Head Teacher feedback it was run from mid-May to end June (previous surveys have run in March). The
analysis of Survey results is underway with results to be available during Q3 2015/16. Participation is lower than 2013 at
51% (66% in 2013). An evaluation will take place to identify the reason for this.
 The Parent/carer food and health in schools participation programme gathered its baseline at 2800 parents for 2014/15.
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