Public Expenditure on Health and Personal Social Services 2009 - Health Committee Contents


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

5NDCounty Durham PCT
23.0%
26.7%
26.6%
25.1%
5J9Darlington PCT
35.7%
31.9%
32.9%
34.0%
5KFGateshead PCT
  
  
  
  
5D9Hartlepool PCT
19.9%
19.9%
19.1%
18.1%
5KMMiddlesbrough PCT
  
  
24.6%
25.8%
5D7Newcastle PCT
33.9%
  
  
45.9%
5E1North Tees PCT
  
  
28.5%
25.0%
5D8North Tyneside PCT
37.9%
37.8%
  
38.3%
TACNorthumberland Care Trust
  
43.7%
41.0%
  
5QRRedcar And Cleveland PCT
  
  
  
21.1%
5KGSouth Tyneside PCT
  
  
  
  
5KLSunderland Teaching PCT
  
  
  
  
5HGAshton, Leigh And Wigan PCT
18.5%
15.2%
13.4%
14.7%
5CCBlackburn With Darwen PCT
  
  
  
  
5HPBlackpool PCT
16.1%
18.7%
21.9%
21.4%
5HQBolton PCT
  
  
  
  
5JXBury PCT
  
  
  
  
5NPCentral And Eastern Cheshire PCT
34.7%
34.7%
  
36.7%
5NGCentral Lancashire PCT
32.9%
36.7%
37.1%
30.5%
5NECumbria PCT
  
  
  
31.9%
5NHEast Lancashire PCT
31.2%
41.6%
41.1%
41.6%
5NMHalton And St Helens PCT
19.3%
12.1%
17.3%
16.6%
5NQHeywood, Middleton And Rochdale PCT
  
  
  
32.8%
5J4Knowsley PCT
16.9%
11.7%
13.0%
12.8%
5NLLiverpool PCT
  
21.4%
23.2%
25.7%
5NTManchester PCT
  
  
  
  
5NFNorth Lancashire PCT
  
32.7%
29.7%
28.0%
5J5Oldham PCT
  
  
  
  
5F5Salford PCT
  
  
  
  
5NJSefton PCT
  
  
29.7%
27.8%
5F7Stockport PCT
  
  
45.5%
56.0%
5LHTameside And Glossop PCT
22.8%
25.3%
32.7%
32.3%
5NRTrafford PCT
52.0%
52.4%
52.5%
50.3%
5J2Warrington PCT
12.1%
  
  
  
5NNWestern Cheshire PCT
  
  
  
  
5NKWirral PCT
27.2%
28.9%
27.1%
28.9%
5JEBarnsley PCT
  
29.5%
30.7%
33.4%
5NYBradford And Airedale PCT
45.3%
51.1%
47.9%
44.4%
5J6Calderdale PCT
35.5%
41.7%
37.9%
  
5N5Doncaster PCT
  
  
  
  
5NWEast Riding Of Yorkshire PCT
38.8%
42.0%
44.1%
40.6%
5NXHull PCT
  
34.2%
32.4%
  
5N2Kirklees PCT
  
  
  
  
5N1Leeds PCT
48.5%
46.2%
42.8%
41.0%
TANNorth East Lincolnshire PCT
  
  
  
  
5EFNorth Lincolnshire PCT
21.8%
27.6%
33.9%
28.5%
5NVNorth Yorkshire And York PCT
  
  
  
  
5H8Rotherham PCT
  
  
  
  
5N4Sheffield PCT
  
  
  
44.9%
5N3Wakefield District PCT
  
30.1%
32.8%
34.3%
5ETBassetlaw PCT
  
  
  
26.1%
5N7Derby City PCT
  
  
39.0%
32.2%
5N6Derbyshire County PCT
40.6%
47.1%
42.1%
45.2%
5PCLeicester City PCT
  
  
  
46.7%
5PALeicestershire County And Rutland PCT
  
  
  
40.7%
5N9Lincolnshire PCT
39.8%
40.0%
  
40.4%
5PDNorthamptonshire PCT
  
  
44.4%
44.3%
5EMNottingham City PCT
39.7%
38.8%
40.4%
42.0%
5N8Nottinghamshire County PCT
39.3%
  
  
  
5PGBirmingham East And North PCT
  
  
  
  
5MDCoventry Teaching PCT
  
  
  
  
5PEDudley PCT
  
  
  
28.6%
5MXHeart Of Birmingham Teaching PCT
  
  
  
  
5CNHerefordshire PCT
51.1%
50.6%
52.0%
49.1%
5PHNorth Staffordshire PCT
31.4%
  
  
  
5PFSandwell PCT
  
  
  
  
5M2Shropshire County PCT
41.5%
42.5%
  
40.5%
TAMSolihull Care Trust
  
  
  
  
5M1South Birmingham PCT
40.4%
44.7%
42.8%
35.5%
5PKSouth Staffordshire PCT
  
  
33.4%
32.2%
5PJStoke On Trent PCT
27.3%
24.4%
  
24.3%
5MKTelford And Wrekin PCT
33.0%
32.8%
  
33.3%
5M3Walsall Teaching PCT
24.9%
  
  
  
5PMWarwickshire PCT
  
  
  
43.6%
5MVWolverhampton City PCT
  
  
33.0%
34.5%
5PLWorcestershire PCT
  
  
40.2%
  
5P2Bedfordshire PCT
41.2%
  
  
44.7%
5PPCambridgeshire PCT
  
  
  
  
5P3East And North Hertfordshire PCT
  
  
  
  
5PRGreat Yarmouth And Waveney PCT
38.6%
30.5%
36.6%
33.8%
5GCLuton PCT
  
  
  
47.8%
5PXMid Essex PCT
  
51.2%
50.0%
50.9%
5PQNorfolk PCT
48.2%
  
  
  
5PWNorth East Essex PCT
44.3%
46.0%
42.6%
45.9%
5PNPeterborough PCT
  
  
55.4%
44.5%
5P1South East Essex PCT
52.6%
52.0%
39.9%
37.7%
5PYSouth West Essex PCT
  
  
  
  
5PTSuffolk PCT
37.7%
23.1%
47.3%
42.7%
5PVWest Essex PCT
  
  
  
  
5P4West Hertfordshire PCT
  
  
  
  
5C2Barking And Dagenham PCT
  
  
  
  
5A9Barnet PCT
  
  
  
60.6%
TAKBexley Care Trust
  
  
  
  
5K5Brent Teaching PCT
  
  
  
  
5A7Bromley PCT
  
  
  
  
5K7Camden PCT
81.3%
  
  
75.2%
5C3City And Hackney Teaching PCT
  
  
70.0%
71.1%
5K9Croydon PCT
52.0%
51.2%
62.1%
64.5%
5HXEaling PCT
  
  
  
  
5C1Enfield PCT
  
  
  
60.4%
5A8Greenwich Teaching PCT
  
  
  
58.2%
5H1Hammersmith And Fulham PCT
65.2%
70.8%
81.4%
75.6%
5C9Haringey Teaching PCT
62.0%
  
  
65.9%
5K6Harrow PCT
  
  
  
63.5%
5A4Havering PCT
  
  
  
  
5ATHillingdon PCT
  
54.4%
50.3%
49.9%
5HYHounslow PCT
  
  
  
  
5K8Islington PCT
  
  
  
  
5LAKensington And Chelsea PCT
76.0%
80.8%
78.2%
79.4%
5A5Kingston PCT
74.9%
74.8%
74.5%
81.5%
5LDLambeth PCT
  
  
  
83.1%
5LFLewisham PCT
68.5%
63.7%
71.8%
66.6%
5C5Newham PCT
  
  
  
  
5NARedbridge PCT
  
  
  
58.9%
5M6Richmond And Twickenham PCT
  
  
  
70.6%
5LESouthwark PCT
53.8%
  
  
68.4%
5M7Sutton And Merton PCT
  
  
  
  
5C4Tower Hamlets PCT
  
  
  
62.8%
5NCWaltham Forest PCT
  
  
  
  
5LGWandsworth PCT
74.8%
78.6%
76.7%
71.0%
5LCWestminster PCT
  
76.8%
78.7%
75.7%
5LQBrighton And Hove City PCT
  
  
66.9%
71.0%
5P7East Sussex Downs And Weald PCT
  
  
  
50.1%
5QAEastern And Coastal Kent PCT
  
  
  
  
5P8Hastings And Rother PCT
  
  
  
  
5L3Medway PCT
  
  
  
  
5P5Surrey PCT
  
  
  
  
5P9West Kent PCT
  
  
  
42.6%
5P6West Sussex PCT
  
  
  
  
5QGBerkshire East PCT
  
  
53.5%
  
5QFBerkshire West PCT
  
  
  
  
5QDBuckinghamshire PCT
53.0%
75.0%
66.0%
60.3%
5QCHampshire PCT
  
  
  
  
5QTIsle Of Wight NHS Pct
45.5%
43.1%
40.4%
44.1%
5CQMilton Keynes PCT
  
52.7%
57.9%
51.4%
5QEOxfordshire PCT
65.1%
53.6%
51.4%
60.8%
5FEPortsmouth City Teaching PCT
  
41.3%
42.4%
40.0%
5L1Southampton City PCT
  
45.8%
  
  
5FLBath And North East Somerset PCT
  
  
  
49.5%
5QNBournemouth And Poole PCT
45.7%
47.9%
47.4%
50.1%
5QJBristol PCT
50.4%
49.3%
48.6%
50.7%
5QPCornwall And Isles Of Scilly PCT
  
  
  
  
5QQDevon PCT
  
  
  
47.1%
5QMDorset PCT
51.9%
56.8%
  
55.6%
5QHGloucestershire PCT
  
  
38.5%
38.9%
5M8North Somerset PCT
42.8%
39.3%
44.4%
44.1%
5F1Plymouth Teaching PCT
  
  
  
  
5QLSomerset PCT
44.6%
48.6%
43.2%
47.0%
5A3South Gloucestershire PCT
44.9%
45.2%
48.6%
44.0%
5K3Swindon PCT
  
  
  
40.1%
TALTorbay Care Trust
  
32.5%
28.9%
35.7%
5QKWiltshire 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.





 
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