Suchergebnisse

To create a dataset which describes the care experience of children in Scotland data. To share with analysts in a safe setting to allow linkage, and provide information on the strengths and weaknesses. To gather feedback on its use to inform future collections and improve experience of future users.
The dataset was created by combining 11 years of data provided to Scottish Government by local authorities. The resulting longitudinal dataset includes details of the children, the periods of care including the type of care setting, along with the legal basis for this care, and information on the destination of the child following care. Detailed information about the dataset is provided along with a background document in how the dataset was constructed. Data quality flags are provided to highlight situations where there may be inconsistences, and code is shared to create a cleaned dataset for analysis.
A longitudinal dataset has been created covering the period 2009 to 2019. This covers almost 60,000 children with details of the care setting and legal basis. The dataset has been indexed to a population spine, which enables it to be linked to other data. Additional derived variables have been added, and improvements made to data quality where possible. In other situations data quality is highlighted with guidance provided on how to deal with these issues. The results have been shared extensively with the data providers, and previous users providing valuable input. This has resulted in improved understanding of the data, and informed the practice of gathering data in future years, and plans for official statistics on health outcomes of care experienced children.
This project has created an enduring resource which will improve evidence for policy making by allowing analysis to consider patterns of care experience and link it to outcomes. This is particularly relevant given a review of care experience in Scotland, and the commitment by Scottish Government to keep the Promise.

Background with rationaleThe Scottish government collects data on Looked-after-children (LAC) from the 32 local authorities (LAs) in Scotland. Since 2008, the LAs have provided individual data on a yearly basis that covers every child who was looked after at any time during the year up to the Census date. These data have been linked to data on educational outcomes for these children. Cross-sectional analysis by the Scottish Government show that the educational outcomes for these children are much poorer than for other children in Scotland. This presentation will discuss methods to create a longitudinal data set from these data and thus infer how a child's lifetime history of care relates to their educational outcomes.
Main AimTo relate the children's educational outcomes (school attendance and exclusion) to their history of being in care. Features of their care history include, age a start of care, number and type of care episodes (e.g. at home, with relatives, in foster care or residential care) as well as their legal reasons for being in care.
Methods/ApproachThese data present a number of challenges to achieving the aim. The process of creating longitudinal records from nine cross-sectional samples revealed many data problems. A child's history in care can potentially last from birth to aged 16, or even older, but the data available was for a nine-year window (2008 to 2017) along with some details of episodes that started before 2008 for those in care later. Individual histories were either right-censored or left-truncated. The latter posed a bigger problem for our analyses since most of the early history is missing for a large proportion of the children. The methods used involved using multiple imputation methods to infer the age at start of care and the number of previous episodes for these children.
ResultsWe will compare the results from the longitudinal analyses with those obtained from cross-sectional results.
ConclusionLongitudinal data provides the opportunity to understand which patterns of care are associated with the poorest educational outcomes.

PURPOSE: The Children's Health in Care in Scotland Cohorts were set up to provide first population-wide evidence on the health outcomes of care experienced children (CEC) compared with children in the general population (CGP). To date, there are no data on how objective health outcomes, mortality and pregnancies for CEC are different from CGP in Scotland. PARTICIPANTS: The CEC cohort includes school-aged children who were on the 2009/2010 Scottish Government's Children Looked After Statistics (CLAS) return and on the 2009 Pupil Census (PC). The children in the general population cohort includes those who were on the 2009 PC and not on any of the CLAS returns between 1 April 2007 and 31 July 2016. FINDINGS TO DATE: Data on a variety of health outcomes, including mortality, prescriptions, hospitalisations, pregnancies, and Accident & Emergency attendances, were obtained for the period 1 August 2009 to 31 July 2016 for both cohorts. Data on socioeconomic status (SES) for both cohorts were available from the Birth Registrations and a small area deprivation measure was available from the PC. CEC have, on average, lower SES at birth and live in areas of higher deprivation compared with CGP. A higher proportion of CEC have recorded events across all health data sets, and they experienced higher average rates of mortality, prescriptions and hospitalisations during the study period. The reasons for contacting health services vary between cohorts. FUTURE PLANS: Age-standardised rates for the two cohorts by sex and area deprivation will be calculated to provide evidence on population-wide prevalence of main causes of death, reasons for hospitalisation and types of prescription. Event history analysis will be used on matched cohorts to investigate the impact of placement histories and socioeconomic factors on health.

Purpose: The Children's Health in Care in Scotland Cohorts were set up to provide first population-wide evidence on the health outcomes of care experienced children (CEC) compared with children in the general population (CGP). To date, there are no data on how objective health outcomes, mortality and pregnancies for CEC are different from CGP in Scotland. Participants: The CEC cohort includes school-aged children who were on the 2009/2010 Scottish Government's Children Looked After Statistics (CLAS) return and on the 2009 Pupil Census (PC). The children in the general population cohort includes those who were on the 2009 PC and not on any of the CLAS returns between 1 April 2007 and 31 July 2016. Findings to date: Data on a variety of health outcomes, including mortality, prescriptions, hospitalisations, pregnancies, and Accident & Emergency attendances, were obtained for the period 1 August 2009 to 31 July 2016 for both cohorts. Data on socioeconomic status (SES) for both cohorts were available from the Birth Registrations and a small area deprivation measure was available from the PC. CEC have, on average, lower SES at birth and live in areas of higher deprivation compared with CGP. A higher proportion of CEC have recorded events across all health data sets, and they experienced higher average rates of mortality, prescriptions and hospitalisations during the study period. The reasons for contacting health services vary between cohorts. Future plans: Age-standardised rates for the two cohorts by sex and area deprivation will be calculated to provide evidence on population-wide prevalence of main causes of death, reasons for hospitalisation and types of prescription. Event history analysis will be used on matched cohorts to investigate the impact of placement histories and socioeconomic factors on health.

Purpose: The Children's Health in Care in Scotland Cohorts were set up to provide first population-wide evidence on the health outcomes of care experienced children (CEC) compared with children in the general population (CGP). To date, there are no data on how objective health outcomes, mortality and pregnancies for CEC are different from CGP in Scotland. Participants: The CEC cohort includes school-aged children who were on the 2009/2010 Scottish Government's Children Looked After Statistics (CLAS) return and on the 2009 Pupil Census (PC). The children in the general population cohort includes those who were on the 2009 PC and not on any of the CLAS returns between 1 April 2007 and 31 July 2016. Findings to date: Data on a variety of health outcomes, including mortality, prescriptions, hospitalisations, pregnancies, and Accident & Emergency attendances, were obtained for the period 1 August 2009 to 31 July 2016 for both cohorts. Data on socioeconomic status (SES) for both cohorts were available from the Birth Registrations and a small area deprivation measure was available from the PC. CEC have, on average, lower SES at birth and live in areas of higher deprivation compared with CGP. A higher proportion of CEC have recorded events across all health data sets, and they experienced higher average rates of mortality, prescriptions and hospitalisations during the study period. The reasons for contacting health services vary between cohorts. Future plans: Age-standardised rates for the two cohorts by sex and area deprivation will be calculated to provide evidence on population-wide prevalence of main causes of death, reasons for hospitalisation and types of prescription. Event history analysis will be used on matched cohorts to investigate the impact of placement histories and socioeconomic factors on health.

Changing Scotland uses longitudinal data from the British Household Panel Survey to improve our knowledge and understanding of the impact of devolution on the lives of people in Scotland. It is the first time that BHPS data has been used in this way. The book provides a detailed examination of social, economic, demographic and political differences, especially those involving dynamic behaviour such as residential mobility, unemployment duration, job mobility, income inequality, poverty, health and deprivation, national identity, family structure and other aspects of individual's lives as they change over time. This data provides a 'baseline' for policy formulation and for analysing the impact of subsequent differential developments arising out of devolution. The book is also an invaluable resource for establishing pre-existing differences between England and Scotland and evaluating the impact of policy initiatives by the Scottish Executive