Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study

Farr, Ian; Cowley, Laura; Broadhurst, Karen; Odd, David; Jones, Carys; Bailey, Grace; Alrouh, Bachar; Abouelenin, Mariam; Cusworth, Linda; Doebler, Stephanie; Ford, David; Griffiths, Lucy

doi:10.23889/ijpds.v9i1.2362

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Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study

Ian Farr, Laura Cowley, Karen Broadhurst, David Odd, Carys Jones, Grace Bailey

, Bachar Alrouh, Mariam Abouelenin, Linda Cusworth, Stephanie Doebler, David Ford

, Lucy Griffiths

International Journal of Population Data Science, Volume: 9, Issue: 1

Swansea University Authors: Ian Farr, Laura Cowley, Carys Jones, Grace Bailey , David Ford , Lucy Griffiths

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DOI (Published version): 10.23889/ijpds.v9i1.2362

Abstract

IntroductionWhen a child has suffered, or is at risk of suffering, significant harm from parents or caregivers, the local authority may issue Section 31 (s.31) Care and Supervision proceedings under the Children Act (1989).ObjectivesWe compared the healthcare use of infants less than one year old su...

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Published in:	International Journal of Population Data Science
ISSN:	2399-4908
Published:	Swansea University 2024
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Infants in s.31 proceedings were identified using the Children and Family Court Advisory and Support Service dataset. This was linked to demographic and healthcare datasets, to identify General Practice (GP) visits, emergency department (ED) attendances, and hospital admissions (emergency and elective); before the study end date or the child's first birthday for the comparison group, orbefore the s.31 application date.Regression analysis calculated event rate ratios [RR] and incidence rate ratios [IRR] for healthcare events, adjusting for widerdeterminants of health (e.g. perinatal factors, maternal mental health, deprivation), and investigated reasons for healthcare use.ResultsInfants in s.31 proceedings had ahigher number and incidence of healthcare events compared with the comparison group, across all healthcare settings. Differences were greatest for emergency hospital admissions (IRR = 4.03, 95% confidence interval [CI] = 3.53 - 4.59; RR = 4.60, CI = 3.90 - 5.41). "Injury and poisoning" was the main reason for emergency admissions amongst infants in s.31 proceedings. For ED presentations, emergency hospital admissions, and GP visits, there were proportionally more events for these infants across all top ten reasons for healthcare.ConclusionsFindings highlight greater healthcare utilisation for infants involved in s.31 proceedings in Wales, helping to build a better understanding of their needs and vulnerabilities.</abstract><type>Journal Article</type><journal>International Journal of Population Data Science</journal><volume>9</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Swansea University</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2399-4908</issnElectronic><keywords>administrative data; data linkage; care proceedings; health service use</keywords><publishedDay>15</publishedDay><publishedMonth>4</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-04-15</publishedDate><doi>10.23889/ijpds.v9i1.2362</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>Nuffield Family Justice Observatory</funders><projectreference/><lastEdited>2024-05-22T11:58:19.6251663</lastEdited><Created>2024-04-15T14:20:32.3510573</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Ian</firstname><surname>Farr</surname><order>1</order></author><author><firstname>Laura</firstname><surname>Cowley</surname><order>2</order></author><author><firstname>Karen</firstname><surname>Broadhurst</surname><order>3</order></author><author><firstname>David</firstname><surname>Odd</surname><order>4</order></author><author><firstname>Carys</firstname><surname>Jones</surname><order>5</order></author><author><firstname>Grace</firstname><surname>Bailey</surname><orcid>0000-0003-4646-3134</orcid><order>6</order></author><author><firstname>Bachar</firstname><surname>Alrouh</surname><order>7</order></author><author><firstname>Mariam</firstname><surname>Abouelenin</surname><order>8</order></author><author><firstname>Linda</firstname><surname>Cusworth</surname><order>9</order></author><author><firstname>Stephanie</firstname><surname>Doebler</surname><order>10</order></author><author><firstname>David</firstname><surname>Ford</surname><orcid>0000-0001-6551-721X</orcid><order>11</order></author><author><firstname>Lucy</firstname><surname>Griffiths</surname><orcid>0000-0001-9230-624X</orcid><order>12</order></author></authors><documents><document><filename>66059__30209__745e5e349a9741a1a0525e7c93da119d.pdf</filename><originalFilename>66059.pdf</originalFilename><uploaded>2024-05-01T13:55:56.4428793</uploaded><type>Output</type><contentLength>1870836</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>Open Access under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/deed.en)</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling	v2 66059 2024-04-15 Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study 3c02e7e9c2b064ee3e96e83b9777dde4 Ian Farr Ian Farr true false a80501f280e89fee276510b25fc68e77 Laura Cowley Laura Cowley true false 76dda5f486b0236c893f46dfb9fa2cd0 Carys Jones Carys Jones true false 1e09a407fca9e8047e7738b18d381130 0000-0003-4646-3134 Grace Bailey Grace Bailey true false 52fc0c473b0da1b7218d87f9fc68a3e6 0000-0001-6551-721X David Ford David Ford true false e35ea6ea4b429e812ef204b048131d93 0000-0001-9230-624X Lucy Griffiths Lucy Griffiths true false 2024-04-15 MEDS IntroductionWhen a child has suffered, or is at risk of suffering, significant harm from parents or caregivers, the local authority may issue Section 31 (s.31) Care and Supervision proceedings under the Children Act (1989).ObjectivesWe compared the healthcare use of infants less than one year old subject to s.31 proceedings in Wales (n = 1,332),to that of a comparison group of infants not subject to s.31 proceedings (n = 204,417), between January 2011 and February 2020.MethodsPopulation-based e-cohort study utilising data held in the Secure Anonymised Information Linkage (SAIL) Databank. Infants in s.31 proceedings were identified using the Children and Family Court Advisory and Support Service dataset. This was linked to demographic and healthcare datasets, to identify General Practice (GP) visits, emergency department (ED) attendances, and hospital admissions (emergency and elective); before the study end date or the child's first birthday for the comparison group, orbefore the s.31 application date.Regression analysis calculated event rate ratios [RR] and incidence rate ratios [IRR] for healthcare events, adjusting for widerdeterminants of health (e.g. perinatal factors, maternal mental health, deprivation), and investigated reasons for healthcare use.ResultsInfants in s.31 proceedings had ahigher number and incidence of healthcare events compared with the comparison group, across all healthcare settings. Differences were greatest for emergency hospital admissions (IRR = 4.03, 95% confidence interval [CI] = 3.53 - 4.59; RR = 4.60, CI = 3.90 - 5.41). "Injury and poisoning" was the main reason for emergency admissions amongst infants in s.31 proceedings. For ED presentations, emergency hospital admissions, and GP visits, there were proportionally more events for these infants across all top ten reasons for healthcare.ConclusionsFindings highlight greater healthcare utilisation for infants involved in s.31 proceedings in Wales, helping to build a better understanding of their needs and vulnerabilities. Journal Article International Journal of Population Data Science 9 1 Swansea University 2399-4908 administrative data; data linkage; care proceedings; health service use 15 4 2024 2024-04-15 10.23889/ijpds.v9i1.2362 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Nuffield Family Justice Observatory 2024-05-22T11:58:19.6251663 2024-04-15T14:20:32.3510573 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Ian Farr 1 Laura Cowley 2 Karen Broadhurst 3 David Odd 4 Carys Jones 5 Grace Bailey 0000-0003-4646-3134 6 Bachar Alrouh 7 Mariam Abouelenin 8 Linda Cusworth 9 Stephanie Doebler 10 David Ford 0000-0001-6551-721X 11 Lucy Griffiths 0000-0001-9230-624X 12 66059__30209__745e5e349a9741a1a0525e7c93da119d.pdf 66059.pdf 2024-05-01T13:55:56.4428793 Output 1870836 application/pdf Version of Record true Open Access under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/deed.en) true eng https://creativecommons.org/licenses/by/4.0/
title	Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study
spellingShingle	Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study Ian Farr Laura Cowley Carys Jones Grace Bailey David Ford Lucy Griffiths
title_short	Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study
title_full	Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study
title_fullStr	Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study
title_full_unstemmed	Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study
title_sort	Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study
author_id_str_mv	3c02e7e9c2b064ee3e96e83b9777dde4 a80501f280e89fee276510b25fc68e77 76dda5f486b0236c893f46dfb9fa2cd0 1e09a407fca9e8047e7738b18d381130 52fc0c473b0da1b7218d87f9fc68a3e6 e35ea6ea4b429e812ef204b048131d93
author_id_fullname_str_mv	3c02e7e9c2b064ee3e96e83b9777dde4_*_Ian Farr a80501f280e89fee276510b25fc68e77__Laura Cowley 76dda5f486b0236c893f46dfb9fa2cd0__Carys Jones 1e09a407fca9e8047e7738b18d381130__Grace Bailey 52fc0c473b0da1b7218d87f9fc68a3e6__David Ford e35ea6ea4b429e812ef204b048131d93_*_Lucy Griffiths
author	Ian Farr Laura Cowley Carys Jones Grace Bailey David Ford Lucy Griffiths
author2	Ian Farr Laura Cowley Karen Broadhurst David Odd Carys Jones Grace Bailey Bachar Alrouh Mariam Abouelenin Linda Cusworth Stephanie Doebler David Ford Lucy Griffiths
format	Journal article
container_title	International Journal of Population Data Science
container_volume	9
container_issue	1
publishDate	2024
institution	Swansea University
issn	2399-4908
doi_str_mv	10.23889/ijpds.v9i1.2362
publisher	Swansea University
college_str	Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id	facultyofmedicinehealthandlifesciences
hierarchy_top_title	Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id	facultyofmedicinehealthandlifesciences
hierarchy_parent_title	Faculty of Medicine, Health and Life Sciences
department_str	Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description	IntroductionWhen a child has suffered, or is at risk of suffering, significant harm from parents or caregivers, the local authority may issue Section 31 (s.31) Care and Supervision proceedings under the Children Act (1989).ObjectivesWe compared the healthcare use of infants less than one year old subject to s.31 proceedings in Wales (n = 1,332),to that of a comparison group of infants not subject to s.31 proceedings (n = 204,417), between January 2011 and February 2020.MethodsPopulation-based e-cohort study utilising data held in the Secure Anonymised Information Linkage (SAIL) Databank. Infants in s.31 proceedings were identified using the Children and Family Court Advisory and Support Service dataset. This was linked to demographic and healthcare datasets, to identify General Practice (GP) visits, emergency department (ED) attendances, and hospital admissions (emergency and elective); before the study end date or the child's first birthday for the comparison group, orbefore the s.31 application date.Regression analysis calculated event rate ratios [RR] and incidence rate ratios [IRR] for healthcare events, adjusting for widerdeterminants of health (e.g. perinatal factors, maternal mental health, deprivation), and investigated reasons for healthcare use.ResultsInfants in s.31 proceedings had ahigher number and incidence of healthcare events compared with the comparison group, across all healthcare settings. Differences were greatest for emergency hospital admissions (IRR = 4.03, 95% confidence interval [CI] = 3.53 - 4.59; RR = 4.60, CI = 3.90 - 5.41). "Injury and poisoning" was the main reason for emergency admissions amongst infants in s.31 proceedings. For ED presentations, emergency hospital admissions, and GP visits, there were proportionally more events for these infants across all top ten reasons for healthcare.ConclusionsFindings highlight greater healthcare utilisation for infants involved in s.31 proceedings in Wales, helping to build a better understanding of their needs and vulnerabilities.
published_date	2024-04-15T11:58:18Z
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Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study

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