Injuries in children and young people (unintentional and deliberate)

JSNA > Starting Well


Giving every child the best start in life is crucial and prevention of accidents and unintentional injuries for children under the age of 5 is a key priority for us as many of these injuries are preventable.

The under 5’s also represent a significant proportion of children injured, with the majority of these occurring in or around the home.
Estimates suggest that one in five children under 5 will attend an accident & emergency department each year due to an injury sustained in or around the home.

Evidence shows that there is a social gradient for unintentional injuries in children in the UK. In its 2017 report, “Health Equity in England: The Marmot Review 10 Years On”, Public Health England highlighted unintentional injuries as one of the key areas where health inequalities persist in the UK. The report notes that children from disadvantaged backgrounds are at greater risk of unintentional injuries, and that these injuries can have a significant impact on their health and well-being. Factors that contribute to this social gradient include environmental hazards, such as poor housing conditions and lack of safe play spaces, as well as behavioural and lifestyle factors.

Injuries are a leading source of hospital admissions, illness, and long-term health issues, including mental health related to experience(s). Unintentional injury can affect a child or young person’s social and emotional wellbeing. For example, those who survive a serious injury can experience severe pain and may need lengthy treatment (including numerous stays in hospital). They could also, be permanently disabled or disfigured. Reducing and preventing injuries has obvious benefits to children and their families and there are also financial costs.

Key messages:

In County Durham:

  • In 2022/23, the rate of hospital admissions for ,0 to 4 years, caused by unintentional and deliberate injuries was 180.5 per 10,000.  This was twice as high as than England (92/10k).  This is statistically significantly worse than England and worse to the North East (136/10k). Where rank 1 is the local authority with the highest rate on unintentional injuries, County Durham is ranked 2nd highest out of 153 local authorities.
  • In 2022/23, the rate of hospital admissions, for 0 to 14 years, caused by unintentional and deliberate injuries was 151.3 per 10,000.  This was just over twice as high as England (75.3/10k).  is statistically significantly worse than England (75.3/10k) and similar to the North East (116/10k). Where rank 1 is the local authority with the highest rate on unintentional injuries, County Durham is ranked highest (2nd) out of 153 local authorities.
  • In 2022/23, the rate of hospital admissions, for 15 to 24 years, caused by unintentional and deliberate injuries was 131.1 per 10,000.  This was just over 1.4 times higher than England (94.1/10k).  is statistically significantly worse than England (118.6/10k) and better the North East (143.1/10k). Where rank 1 is the local authority with the highest rate on unintentional injuries, County Durham is ranked highest (23rd) out of 153 local authorities.

Powerbi report:  

Links to strategies and plans

Growing up in County Durham

Family Hubs and Start for Life programme guide

Evidence Base

Nice Guidance

Best start in life

ROSPA

Reducing Unintentional injuries in and around the home and roads

State of Child Health

WHO

UNICEF

Links to data