Given the link between deprivation and avoidable injury, it is important that interventions are focused on populations living in the most deprived communities. Also interventions need to be appropriate for different age groups, targeting the homes for 0-4 year olds and schools and public places for those ages 5-14.
Avoidable Injuries Strategy for Nottingham City and Nottinghamshire
The strategy was developed in partnership by the strategic group and was widely consulted upon prior to the Health and Wellbeing Board’s approval (both City and County).
The Nottinghamshire County and City Avoidable Injuries Steering Group and the Health & Wellbeing Implementation Groups will monitor delivery of the strategy on behalf of the Nottinghamshire and Nottingham Health and Well-being Groups.
Each organization involved in the delivery of the strategy will have a mechanism to ensure delivery of the strategy. The main partners involved within the strategy group are:
Nottingham City Council
Nottinghamshire County Council
The University of Nottingham
Nottingham University Hospital Trust
Royal Society for the Prevention of Accidents (ROSPA), Childhood Accident Prevention Trust (CAPT)
East Midlands Ambulance Service,
Notts Fire and Rescue,
NHS Nottinghamshire County Clinical Commissioning Groups, Nottingham City Clinical Commissioning Group,
Nottingham Safeguarding board, Sure Start Children’s Centres, Notts City Care and
Nottinghamshire Healthcare Trust.
Home Safety Sub group of the Avoidable Injuries Strategic Group
This sub group of the strategic avoidable injuries group is responsible for the oversight and developments of home safety across Nottingham City and Nottinghamshire County.
Road Safety sub group of the Avoidable Injuries Strategic Group
This sub group of the strategic avoidable injuries group is responsible for the oversight and developments of Road Safety across Nottingham City and Nottinghamshire County.
The Avoidable Injuries strategy group have achieved the followings within the first year of the strategy:
Effective partnership working and production of the strategy. The excellent work of the avoidable injuries group was highlighted by the Child accident prevention Trust in a case study for their Making the Link (project (http://www.makingthelink.net/case-study/nottingham-and-nottinghamshire-avoidable-injuries-strategy-children-and-young-people)
Obtaining funding via the City CCG for the home safety equipment scheme, including ELFs
The RoSPA funded training for staff working with parents and families in the County
The production of leaflets on poisoning, burns and scalds by the group
The launch of RoSPA’s poison prevention campaign in Nottingham
CCG Funded Home Safety Equipment Scheme
Since the development of the last JSNA, NHS Nottingham City Clinical Commissioning Group (CCG) have commissioned Nottingham City Care and Cresta to deliver a home safety equipment scheme. The objective of the scheme is to cover at least 60% of homes within the 5 highest wards of A and E attendances initially (Aspley, Bestwood, Bulwell, Clifton North and South) with home safety equipment in order to prevent avoidable injuries within the home. Health Visitors administer the scheme and undertake a home injury assessment with the family and then refer onto CRESTA who then fit the equipment.
In addition there is an extensive injury education programme provided by the Nottingham University Hospitals Trust (NUH), the ELFs programme focus on education within children centres and pre-school aged children and their parents.
Home Safety checks- Nottingham Fire and Rescue Service (NFRS)
This is free service provided by NFRS. This service provides free fitted smoke alarms, discusses escape routes in the event of a fire and provides advice and support to people regarding how to keep the home as safe as possible. This service is not restricted to households with children. This service is only targeted to people who are either living in a fire ‘hot spot’ location or who are at higher risk of injury in the event of a fire (e.g. people with mobility problems).
Small Steps Big Change – Big Lottery Funded Programme
As part of the Small Steps Big Changes programme, a home safety equipment scheme, staff training and parent education programme is due to be developed commencing in July 2016 within the 4 wards of the programme (Aspley, Bulwell, Arboretum and St. Anns). This project will be evaluated, so its findings can inform future commissioning of services.
Injury Minimisation Programme in Schools (I.M.P.S) – NHS Nottingham City
I.M.P.S is an evidence-based education programme that targets 10-11 year olds (Year 6). It is a partnership between Nottingham City Council, Nottingham City Primary schools and the Emergency Department at the Nottingham University Hospitals Queen’s campus. The programme aims to provide children with the knowledge that enables them to minimise injury by recognizing potentially dangerous situations, provide basic life support, administer first aid and call the emergency services appropriately.
Nottinghamshire Road Safety Partnership – RSE
RSE is delivered to reception, KS1, KS2, KS3, KS4 and V1 through a series of educational activities for city and county schools which include the following:
Street Feet, Your Move, Stop n Go, Cool Kids cross carefully, Speed Up – Slow Down, R U Paying Attention, Choices, Chain Reaction, Room for 1 More, Ready to Ride, Consequences and BTEC level 2: Driving and Driver Education.
In addition to this extensive programme the respective councils deliver the following;
Pre–Driver Training – Nottinghamshire County Council
A days training event giving 15 to 17 year olds their first experience of driving. Driving instructors offer tuition in a safe and controlled environment. Accompanying workshop sessions focus on forming safe driving attitudes within this at-risk group.
Junior Road Safety Officer JRSO-Nottinghamshire County Council
Year 5 and 6 pupils act as Road Safety Officers within their school. Supported by road safety education staff the JRSOs spread road safety messages among their fellow pupils.
Bikeability Cycle Training – Nottinghamshire County Council
The Cycling team from Nottinghamshire County Council deliver the Bikeability Scheme, using qualified instructors delivering to Nottinghamshire’s County Schools, Academies, and Independents, Clubs and Associations. Instruction on Level 1,2 (KS2) and Level 3 for year 6 students and secondary schools during term time.
Child Car Seat Awareness -Nottinghamshire County Council and Nottingham City Council
Road safety staff offer advice to parents and carers about the fitting and use of child car seats. Ensuring that a child is restrained in a properly fitted and suitable seat is vital to reduce injury severity in any accident; experience suggests that many people use them incorrectly.
Tram Awareness -Nottinghamshire County Council and Nottingham City Council
Education to schools located near the new Tram Lines. Covering specific hazards concerning Trams and Tram infrastructure such as cycle interaction with rails, pedestrian awareness of crossing Tram lines.
Road Safety Education – Nottingham City Council
The Nottingham Road Safety Quiz is delivered in schools in KS2 to over 12,000 students per annum. Bespoke road safety training is also delivered for children excluded from school and children with special educational needs on an ad-hoc basis.
Cycle Training – Nottingham City Council
National cycle training scheme Bikeability level one and two delivered to key stage 2 year 6 students. Nottingham City Councils Lifecycle scheme delivers cycle/road safety training to key stage 1 & 2 students.
Safer Routes to School – Nottingham City Council
This project is the legacy of a central government initiative to make safer, healthier journeys into school for children and staff. The road safety team support schools in the development of their travel plans and implementation of for example engineering solutions such as pedestrian crossings.
Safety Zone - Multiagency
This is a multi-agency programme of safety activities held at Holme Pierrepoint for year 6 children. Agencies include the Police, Fire and Rescue Service, Health, Electrical Safety experts and Road safety partners.
The University of Nottingham has a world-leading injury epidemiology and prevention group in the Division of Primary Care, led by Professor Denise Kendrick. Denise is a member of the Nottingham City and Nottinghamshire County Strategic Avoidable Injuries Group. Michael Watson is Associate Professor in Public Health, Faculty of Medicine and Health Sciences and specialised in avoidable injury prevention, Michael is also a member of strategic avoidable injuries group
The Avoidable Injuries Strategic Group have produced a poisoning leaflet and burns and scalds leaflet which is not only going to distributed locally but nationally through ROSPA.
Since the last JSNA for avoidable injuries in Children and Young People, the Home Safety Equipment Scheme is in the process of being piloted throughout Nottingham City.