Social Determinants of Children and Young People’s Health

Dedicated to discussion on how we can make your region a great place for all children and young people to stay healthy, develop, and thrive, this page was created by health practitioners for health practitioners, but recognising that health services can only ever be truly effective when coordinated with the wider determining structures within a child’s life. We are inviting you to contribute to the conversation, and join us at our RCPCH Conference session on June 16th, 2021!

On this page you will find recorded talks, vlogs, and a podcast, all designed to ignite the conversation on social determinants of children and young people’s health. We want to introduce you to our community and join the discussion – we promise your opinion will be heard and shared.

Our session for RCPCH Conference 2021 is organised by the Born in Bradford (BiB) team who have shared their journey in tackling health inequalities in one of the most deprived cities in the UK.

The BiB team will be joined by a fantastic panel of ‘key note listeners’ who will engage and respond to you ‘the key note speakers’  discussing how we can take a whole system approach to improving the health of the next generation. The session is designed so that you will be able to contribute to the debate using the chat function within the conference.

There will be science, and much more, including stories and personal reflections, insights and words of wisdom from the UK and around the world. Join an amazing set of colleagues to share the challenges and successes of tackling the social determinants of health – and learn how we will work together to transform child health within the UK and across the world.

Background

The BiB longitudinal birth cohort study was established in 2007 to transform the poor health outcomes facing children growing up in deprivation. BiB’s expertise in coproduction, data integration and working in complex systems is helping to create new and practical ways of building a healthier and fairer future for communities in Bradford and beyond.

We can all be agents for change and the BiB team want to meet you and hear your opinions. All of the contributions will be used to develop a ‘manifesto for action’ at the end of the conference session. Manifestos help develop policy, and policy will provide us with a mandate for change. So please do join us, light up the conference, and find support for changing (your part of) the world!

Vodcasts

We want the conference to be a discussion – not a passive listening experience. Thus, we have prepared seven vodcasts each lasting about six minutes to provide food for thought and to provoke conversation.

Please take the opportunity to watch these vodcasts before the conference session (you can watch the whole lot in less than an hour!) so that we can devote the time to a rich and transformative discussion about a plan for change.

Agency

Dr Mathew Mathai, Consultant Paediatrician at Bradford Teaching Hospitals NHS Foundation Trust, introduces the conference session and asks: ‘Is it time for a new type of paediatrician?

Download the slide decks below and listen to the accompanying audio commentaries as you view in slideshow:

Inequalities

Prof Kate Pickett FRSA FFPH, Deputy Director of the Centre for Future Health and Associate Director of the Leverhulme Centre for Anthropocene Biodiversity, at the University of York discusses: ‘Unequal-ities – the importance of micro and macro- perspectives’.

Complex systems

Prof Mark Mon Williams, Professor of Cognitive Psychology and Academic Lead at the University of Leeds explores: ‘Why we can’t change health outcomes in isolation and we need to work with schools’.

Co-production

Prof Rosie McEachan, Director of Born in Bradford, Bradford Teaching Hospitals NHS Foundation Trust and Honorary Professor at University of Bradford presents: ‘A people powered research programme: from pregnancy – through birth and childhood to transition and beyond!‘ and also explores co-production with a talk on: ‘Building a healthier, fairer future for children and communities, together’.

Download the slide decks below and listen to the accompanying audio commentaries as you view the slideshows:

Ecology

Prof Neil Small, Professor of Health Research at University of Bradford and Academic Lead for BiB discusses: ‘The relationship of individuals to the whole – building alliances and sharing power’.

Policy

Prof John Wright, Director of the Bradford Institute for Health Research and Chief Investigator for BiB asks: ‘What difference does it make? From research to policy’. 

Case examples

The film below was made by NHS England with the Connecting Care for Children team, and describes a system approach to integrated care for children and young people, including primary care and the community:

The film below shows a very powerful form of community engagement, using a simulation of an asthma attack. It also shows the benefits of an integrated care system that includes members of the public as equal partners:

The film below encourages us to think outside the box. It describes how puppet theatre can be used to share important information with the public:

The film below describes a place that parents can play in: teaching each other; teaching professionals; and learning from professionals. It illustrates coproduction to tackle high numbers of parents bringing their young children to A&E with minor illness:

‘How to Help Your Unwell Child’: this film below shows a very powerful form of community engagement, using a simulation of an acutely unwell infant. It also shows the benefits of an integrated care system that includes members of the public as equal partners:

Parkview Olympics was an award-winning intervention that used local resources to turn weight management into a thrilling community activity, at zero cost. Watch the film here, which describes the obesity project designed and delivered by local parents.

Meet the community

Further reading

  • Beck AF, Anderson KL, Rich K, et al. Cooling The Hot Spots Where Child Hospitalization Rates Are High: A Neighborhood Approach To Population Health. Health Affairs 2019; 38, NO. 9: 1433–1441. DOI: 10.1377/hlthaff.2018.05496
  • Bem CSmall N. An ecological framework for improving child and adolescent health.
  • Britto MTFuller SCKaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems.
  • Fine-Goulden, M.R. Power and powerlessness in a pandemic. Pediatr Res (2021). DOI: 10.1038/s41390-021-01480-z
  • Henize AWBeck AF, Klein MD, et al. A Road Map to Address the Social Determinants of Health Through Community Collaboration.
  • Klein MD, Beck AF, Henize AW, et al. Doctors and lawyers collaborating to HeLP children–outcomes from a successful partnership between professions. J Health Care Poor Underserved 2013 Aug;24(3):1063-73. DOI: 10.1353/hpu.2013.0147. PMID: 23974381
  • Newham JJForman JHeys M, et al. Children and Young People’s Health Partnership (CYPHP) Evelina London model of care: protocol for an opportunistic cluster randomised controlled trial (cRCT) to assess child health outcomes, healthcare quality and health service use.
  • Singh, G., Owens, J., & Cribb, A. (2018). Practising ‘social paediatrics’: what do the social determinants of child health mean for professionalism and practice? Paediatrics and Child Health (United Kingdom). DOI: 10.1016/j.paed.2017.12.003
  • Wright JMcEachan RMathai M. Why is the Born in Bradford cohort study important for child health?

 

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