8. PSA AND DSO PERFORMANCE
8.1.19 Can the Department supply provisional
data on prevalence of breastfeeding at age 6-8-weeks by PCT for
the first three quarters of 2008-09, and any more recent data
on this that are available (PSA indicator 12.1/DSO indicator 1.16)?
How does the Department explain the extremely large variance in
prevalence between PCTs (ranging from 13% to 78%), as noted in
the Departmental Report 2009 (p. 253), and what is being
done to reduce this? (Q110)
Answer
1. The information requested is given in
table 110.
2. Patterns of ethnicity, socio-economic
factors, and educational attainment, as well as localised improvements
in the standard of care and support offered to breastfeeding mothers,
all impact on breastfeeding prevalence. This leads to wide regional
and interregional variation in breastfeeding rates.
3. More affluent PCTs are likely to have
higher breastfeeding rates than PCTs with greater proportions
of young families and/or a lower socio-economic status. Breastfeeding
is an indicator of health inequalities, with initiation and prevalence
rates being particularly low for disadvantaged white women, particularly
teenage women, and lone parents. For lone parents and teenage
mothers, maternal ethnic origin and educational attainment are
even more strongly associated with inequalities in breastfeeding
initiation than socio-economic status. The women who are least
likely to start breastfeeding also have a faster drop off rate.
Studies indicated that, by week six, 68% of women who stayed
in education past the age of 16 were still breastfeeding
compared with 27% who left education at 16 or younger.
4. Women from black and minority ethnic
cultures are more likely to at least partially breastfeed, though
rates of exclusive breastfeeding are generally lower for Asian
and African mothers than for white mothers. The influence of the
community has also been shown to be important for breastfeeding
practices. For example, white lone mothers are more likely to
start breastfeeding if resident in areas with a predominantly
ethnic minority community, indicating a peer influence of living
in a community with high breastfeeding prevalence. For every additional
five years living in the UK, black and minority ethnic mothers
are 5% less likely to breastfeed for at least four months.
Table 110
INFANTS BEING BREASTFED AT 6 TO 8 WEEKS
AS A PERCENTAGE OF ALL THOSE DUE A CHECK
|
Organisation code | Organisation name
| 2008-09
Quarter 1
| 2008-09
Quarter 2
| 2008-09
Quarter 3
| 2008-09
Quarter 4
|
|
5ND | County Durham PCT | 23.0%
| 26.7% | 26.6%
| 25.1% |
5J9 | Darlington PCT | 35.7%
| 31.9% | 32.9%
| 34.0% |
5KF | Gateshead PCT |
| |
| |
5D9 | Hartlepool PCT | 19.9%
| 19.9% | 19.1%
| 18.1% |
5KM | Middlesbrough PCT |
| | 24.6%
| 25.8% |
5D7 | Newcastle PCT | 33.9%
| |
| 45.9% |
5E1 | North Tees PCT |
| | 28.5%
| 25.0% |
5D8 | North Tyneside PCT |
37.9% | 37.8%
| | 38.3%
|
TAC | Northumberland Care Trust
| | 43.7%
| 41.0% |
|
5QR | Redcar And Cleveland PCT
| |
| | 21.1%
|
5KG | South Tyneside PCT |
|
| |
|
5KL | Sunderland Teaching PCT
| |
| |
|
5HG | Ashton, Leigh And Wigan PCT
| 18.5% | 15.2%
| 13.4% | 14.7%
|
5CC | Blackburn With Darwen PCT
| |
| |
|
5HP | Blackpool PCT | 16.1%
| 18.7% | 21.9%
| 21.4% |
5HQ | Bolton PCT |
| |
| |
5JX | Bury PCT |
| |
| |
5NP | Central And Eastern Cheshire PCT
| 34.7% | 34.7%
| | 36.7%
|
5NG | Central Lancashire PCT |
32.9% | 36.7%
| 37.1% | 30.5%
|
5NE | Cumbria PCT |
| |
| 31.9% |
5NH | East Lancashire PCT |
31.2% | 41.6%
| 41.1% | 41.6%
|
5NM | Halton And St Helens PCT
| 19.3% | 12.1%
| 17.3% | 16.6%
|
5NQ | Heywood, Middleton And Rochdale PCT
| |
| | 32.8%
|
5J4 | Knowsley PCT | 16.9%
| 11.7% | 13.0%
| 12.8% |
5NL | Liverpool PCT |
| 21.4% | 23.2%
| 25.7% |
5NT | Manchester PCT |
| |
| |
5NF | North Lancashire PCT |
| 32.7%
| 29.7% | 28.0%
|
5J5 | Oldham PCT |
| |
| |
5F5 | Salford PCT |
| |
| |
5NJ | Sefton PCT |
| | 29.7%
| 27.8% |
5F7 | Stockport PCT |
| | 45.5%
| 56.0% |
5LH | Tameside And Glossop PCT
| 22.8% | 25.3%
| 32.7% | 32.3%
|
5NR | Trafford PCT | 52.0%
| 52.4% | 52.5%
| 50.3% |
5J2 | Warrington PCT | 12.1%
| |
| |
5NN | Western Cheshire PCT |
|
| |
|
5NK | Wirral PCT | 27.2%
| 28.9% | 27.1%
| 28.9% |
5JE | Barnsley PCT |
| 29.5% | 30.7%
| 33.4% |
5NY | Bradford And Airedale PCT
| 45.3% | 51.1%
| 47.9% | 44.4%
|
5J6 | Calderdale PCT | 35.5%
| 41.7% | 37.9%
| |
5N5 | Doncaster PCT |
| |
| |
5NW | East Riding Of Yorkshire PCT
| 38.8% | 42.0%
| 44.1% | 40.6%
|
5NX | Hull PCT |
| 34.2% | 32.4%
| |
5N2 | Kirklees PCT |
| |
| |
5N1 | Leeds PCT | 48.5%
| 46.2% | 42.8%
| 41.0% |
TAN | North East Lincolnshire PCT
| |
| |
|
5EF | North Lincolnshire PCT |
21.8% | 27.6%
| 33.9% | 28.5%
|
5NV | North Yorkshire And York PCT
| |
| |
|
5H8 | Rotherham PCT |
| |
| |
5N4 | Sheffield PCT |
| |
| 44.9% |
5N3 | Wakefield District PCT |
| 30.1%
| 32.8% | 34.3%
|
5ET | Bassetlaw PCT |
| |
| 26.1% |
5N7 | Derby City PCT |
| | 39.0%
| 32.2% |
5N6 | Derbyshire County PCT |
40.6% | 47.1%
| 42.1% | 45.2%
|
5PC | Leicester City PCT |
|
| | 46.7%
|
5PA | Leicestershire County And Rutland PCT
| |
| | 40.7%
|
5N9 | Lincolnshire PCT | 39.8%
| 40.0% |
| 40.4% |
5PD | Northamptonshire PCT |
|
| 44.4% | 44.3%
|
5EM | Nottingham City PCT |
39.7% | 38.8%
| 40.4% | 42.0%
|
5N8 | Nottinghamshire County PCT
| 39.3% |
| |
|
5PG | Birmingham East And North PCT
| |
| |
|
5MD | Coventry Teaching PCT |
|
| |
|
5PE | Dudley PCT |
| |
| 28.6% |
5MX | Heart Of Birmingham Teaching PCT
| |
| |
|
5CN | Herefordshire PCT | 51.1%
| 50.6% | 52.0%
| 49.1% |
5PH | North Staffordshire PCT
| 31.4% |
| |
|
5PF | Sandwell PCT |
| |
| |
5M2 | Shropshire County PCT |
41.5% | 42.5%
| | 40.5%
|
TAM | Solihull Care Trust |
|
| |
|
5M1 | South Birmingham PCT |
40.4% | 44.7%
| 42.8% | 35.5%
|
5PK | South Staffordshire PCT
| |
| 33.4% | 32.2%
|
5PJ | Stoke On Trent PCT |
27.3% | 24.4%
| | 24.3%
|
5MK | Telford And Wrekin PCT |
33.0% | 32.8%
| | 33.3%
|
5M3 | Walsall Teaching PCT |
24.9% |
| |
|
5PM | Warwickshire PCT |
| |
| 43.6% |
5MV | Wolverhampton City PCT |
|
| 33.0% | 34.5%
|
5PL | Worcestershire PCT |
|
| 40.2% |
|
5P2 | Bedfordshire PCT | 41.2%
| |
| 44.7% |
5PP | Cambridgeshire PCT |
|
| |
|
5P3 | East And North Hertfordshire PCT
| |
| |
|
5PR | Great Yarmouth And Waveney PCT
| 38.6% | 30.5%
| 36.6% | 33.8%
|
5GC | Luton PCT |
| |
| 47.8% |
5PX | Mid Essex PCT |
| 51.2% | 50.0%
| 50.9% |
5PQ | Norfolk PCT | 48.2%
| |
| |
5PW | North East Essex PCT |
44.3% | 46.0%
| 42.6% | 45.9%
|
5PN | Peterborough PCT |
| | 55.4%
| 44.5% |
5P1 | South East Essex PCT |
52.6% | 52.0%
| 39.9% | 37.7%
|
5PY | South West Essex PCT |
|
| |
|
5PT | Suffolk PCT | 37.7%
| 23.1% | 47.3%
| 42.7% |
5PV | West Essex PCT |
| |
| |
5P4 | West Hertfordshire PCT |
|
| |
|
5C2 | Barking And Dagenham PCT
| |
| |
|
5A9 | Barnet PCT |
| |
| 60.6% |
TAK | Bexley Care Trust |
| |
| |
5K5 | Brent Teaching PCT |
|
| |
|
5A7 | Bromley PCT |
| |
| |
5K7 | Camden PCT | 81.3%
| |
| 75.2% |
5C3 | City And Hackney Teaching PCT
| |
| 70.0% | 71.1%
|
5K9 | Croydon PCT | 52.0%
| 51.2% | 62.1%
| 64.5% |
5HX | Ealing PCT |
| |
| |
5C1 | Enfield PCT |
| |
| 60.4% |
5A8 | Greenwich Teaching PCT |
|
| | 58.2%
|
5H1 | Hammersmith And Fulham PCT
| 65.2% | 70.8%
| 81.4% | 75.6%
|
5C9 | Haringey Teaching PCT |
62.0% |
| | 65.9%
|
5K6 | Harrow PCT |
| |
| 63.5% |
5A4 | Havering PCT |
| |
| |
5AT | Hillingdon PCT |
| 54.4% | 50.3%
| 49.9% |
5HY | Hounslow PCT |
| |
| |
5K8 | Islington PCT |
| |
| |
5LA | Kensington And Chelsea PCT
| 76.0% | 80.8%
| 78.2% | 79.4%
|
5A5 | Kingston PCT | 74.9%
| 74.8% | 74.5%
| 81.5% |
5LD | Lambeth PCT |
| |
| 83.1% |
5LF | Lewisham PCT | 68.5%
| 63.7% | 71.8%
| 66.6% |
5C5 | Newham PCT |
| |
| |
5NA | Redbridge PCT |
| |
| 58.9% |
5M6 | Richmond And Twickenham PCT
| |
| | 70.6%
|
5LE | Southwark PCT | 53.8%
| |
| 68.4% |
5M7 | Sutton And Merton PCT |
|
| |
|
5C4 | Tower Hamlets PCT |
| |
| 62.8% |
5NC | Waltham Forest PCT |
|
| |
|
5LG | Wandsworth PCT | 74.8%
| 78.6% | 76.7%
| 71.0% |
5LC | Westminster PCT |
| 76.8% | 78.7%
| 75.7% |
5LQ | Brighton And Hove City PCT
| |
| 66.9% | 71.0%
|
5P7 | East Sussex Downs And Weald PCT
| |
| | 50.1%
|
5QA | Eastern And Coastal Kent PCT
| |
| |
|
5P8 | Hastings And Rother PCT
| |
| |
|
5L3 | Medway PCT |
| |
| |
5P5 | Surrey PCT |
| |
| |
5P9 | West Kent PCT |
| |
| 42.6% |
5P6 | West Sussex PCT |
| |
| |
5QG | Berkshire East PCT |
|
| 53.5% |
|
5QF | Berkshire West PCT |
|
| |
|
5QD | Buckinghamshire PCT |
53.0% | 75.0%
| 66.0% | 60.3%
|
5QC | Hampshire PCT |
| |
| |
5QT | Isle Of Wight NHS Pct |
45.5% | 43.1%
| 40.4% | 44.1%
|
5CQ | Milton Keynes PCT |
| 52.7% | 57.9%
| 51.4% |
5QE | Oxfordshire PCT | 65.1%
| 53.6% | 51.4%
| 60.8% |
5FE | Portsmouth City Teaching PCT
| | 41.3%
| 42.4% | 40.0%
|
5L1 | Southampton City PCT |
| 45.8%
| |
|
5FL | Bath And North East Somerset PCT
| |
| | 49.5%
|
5QN | Bournemouth And Poole PCT
| 45.7% | 47.9%
| 47.4% | 50.1%
|
5QJ | Bristol PCT | 50.4%
| 49.3% | 48.6%
| 50.7% |
5QP | Cornwall And Isles Of Scilly PCT
| |
| |
|
5QQ | Devon PCT |
| |
| 47.1% |
5QM | Dorset PCT | 51.9%
| 56.8% |
| 55.6% |
5QH | Gloucestershire PCT |
|
| 38.5% | 38.9%
|
5M8 | North Somerset PCT |
42.8% | 39.3%
| 44.4% | 44.1%
|
5F1 | Plymouth Teaching PCT |
|
| |
|
5QL | Somerset PCT | 44.6%
| 48.6% | 43.2%
| 47.0% |
5A3 | South Gloucestershire PCT
| 44.9% | 45.2%
| 48.6% | 44.0%
|
5K3 | Swindon PCT |
| |
| 40.1% |
TAL | Torbay Care Trust |
| 32.5% | 28.9%
| 35.7% |
5QK | Wiltshire PCT |
| |
| |
|
Source: |
Health Improvement Analytical Team, DH (Vital Signs Monitoring Return (VSMR)).
|
Footnotes:
|
1. Blank cells indicate that figure has been suppressed due to data quality concerns because the number of infants whose breastfeeding status was recorded was less than 85% of the number of infants due a check or because the information supplied did not tally with other, published information.
|
|