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  • This is the JSNA chapter on early years and maternal health. Theme chapters summarises implications for commissioning, who is at risk and why, the level of need in the population, service provision and use, unmet needs, what works in terms of evidence, community views and priorities, any related equality impact assessments, unmet service needs/gaps and recommendations for further needs assessment work. 

  • Statistical data at PCT, SHA and national level relating to breastfeeding initiation and prevalence at 6 to 8 weeks.

  • This excel workbook provides modelled estimates of the number of births (live and stillbirths) to women with pregestational diabetes in 2009 down to PCT level.

  • In depth analytical topic report from the Public Health Intelligence Team into an equity audit analysis into the prevalence at breastfeeding in mothers in Bolton at the various feeding stages.

  • Photographic presentation of the results of the workshop held to agree a forward plan and priorities for Bolton relating to the Healthy Child Programme (pregnancy and early years).

  • This detailed needs assessment aims to develop an understanding of maternal and child health needs in Bolton and contribute to the shaping of a shared vision for the future of maternal and early years provision.

  • A health equity audit looking at population level inequalities in breastfeeding in Bolton mothers using both Royal Bolton Hospital Foundation Trust Maternity Department and NHS Bolton Child Health data.

  • This guidance is for NHS and other commissioners, managers and professionals who have a direct or indirect role in, and responsibility for:

    • women who are pregnant or who are planning a pregnancy
    • mothers who have had a baby in the last 2 years.

    It is particularly aimed at: GPs, obstetricians, midwives, health visitors, dietitians, community pharmacists and all those working in antenatal and postnatal services and children’s centres.

    It may also be of interest to women before, during and after pregnancy, their partners and families, and other members of the public.

    In this guidance the term ‘weight management’ involves:

    • assessing and monitoring body weight
    • preventing someone from becoming overweight (body mass index [BMI] 25–29.9 kg/m²) or obese (BMI greater than or equal to 30 kg/m²)
    • helping someone to achieve and maintain a healthy weight by eating healthily and being physically active.

    The six recommendations are based on approaches that have been proven to be effective for the whole population. They include advice on:

    • How to help women with a BMI of 30 or more to lose weight before and after pregnancy – and how to help them eat healthily and keep physically active during pregnancy.
    • How to help all pregnant women eat healthily and keep physically active.
    • The role of community-based services.
    • The professional skills needed to achieve the above.

    Follow the link for full details:

  • This breastfeeding profile for primary care trust areas in Greater Manchester shows performance against a range of indicators describing demographic, breastfeeding and health data for mothers and their children. It provides information for individuals working to promote breastfeeding in their local population including commissioners, policy makers, infant feeding leads and service providers. By using the information contained within the profile, local organisations can work in partnership to plan and commission evidence-based breastfeeding services based on local need.

  • This is the Infant Mortality JSNA Indicator Sheet from the Child and Maternal Health section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.


    • Historically, Bolton has a higher rate of infant mortality than the regional and national averages;
    • On average there are approximately 22 infant deaths per year in Bolton;
    • The most deprived fifth of Bolton's population experience a much higher rate of infant mortality than other socioeconomic groups, and this difference is statistically significant;
    • Bolton's infant mortality rate is around average for its children specific peer group, but is only lower than Salford, Oldham, and Manchester within the Greater Manchester connurbation.

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