Northwick Park Emergency Department Young Harrow Foundation Workshop

Northwick Park Emergency Department & Young Harrow Foundation Workshop Dr Lauren Fraser Emergency Medicine Consultant 22/10/19

Mental Health Youth Violence

Northwick Park Emergency Department St Mary’s Hospital (Major Trauma Centre)

Brent (28) K&C (19) Ealing (15) Hounslow (15) Barnet (14) Harrow (11) Hillingdon (11) H&F (10) Westminster (8) Camden (7) Haringey (5) Enfield (3) Islington (3) Hertfordshire (3) Croydon (3) Lambeth (2) Lewisham (1) Kingston (1) Slough (1) Sutton (1) Kent (1) Bassingstoke (1) Unknown (7)

NW London Sector others Westminster H&F Harrow Hillingdon Barnet Hounslow Ealing K&C Brent 0 10 20 30 Number of trauma patients (total 131/170 in NW) 40 50

NPH Emergency Department Youth Violence Statistics 2016 -19 ED Attendances within last 3 years Aged 11 -25 at the time of attendance Attendance falls within assault/alleged assault Patient postal address at the time of attendance within HA, W or NW NPH - Sex 22% 78% Female Male

ty en six fiv e r fo u e o 64 Tw en ty Tw tw th re ty en ty e 63 Tw Tw en on NPH - Age range Tw ty en en ty 45 Tw 48 Tw en te ne en n n 46 Ni te Ei gh ee nt ve ee en 29 Se Six t n en Fif te te ur Fo ee ve el Th irt Tw n ve El e n Te NPH Emergency Department Youth Violence Statistics 2016 -19 70 64 60 54 47 36 32 21 8 12 1

NPH Emergency Department Youth Violence Statistics 2016 -19 NPH - Home Postal District 0% 1% 1% 1% 0% 0% 1% 0% 10% 8% 12% 10% 7% 0% 0% 1% 1% 0% 4% 13% 9% 5% 4% 5% 1% HA 0 HA 1 HA 2 HA 3 HA 4 HA 5 HA 6 HA 7 HA 8 HA 9 NW 1 NW 2 NW 4 NW 6 NW 7 NW 8 NW 9 NW 10 NW 11 W 2 W 3 W 4 W 5 W 6 W 7 W 9 W 10 W 11 W 12 W 13 2%

NPH Emergency Department Youth Violence Statistics 2016 -19 400 NPH - Attacker 350 343 300 250 200 178 150 100 53 50 29 23 1 0 Acquaintance Family Neighbour Other Refused to Identify 13 Spouse / Partner Stranger

NPH Emergency Department Youth Violence Statistics 2016 -19 450 NPH - Assault type 400 350 300 250 200 150 100 50 0 Sharp object GSW Blunt object Body part Bite Sexual assault Unknown

NPH Emergency Department Youth Violence Statistics 2016 -19 40 NPH - Weapon 35 30 25 20 15 10 5 0 Knife Bottle Other sharp object Metal bar Wooden bat Belt Hammer Brick Other blunt object

ED referrals to Harrow & Brent CAMHS Urgent Care Team (<18 yo) 30 25 20 15 10 5 0 10/12/18 09/01/19 10/01/19 09/02/19 10/02/19 09/03/19 10/03/19 09/04/19 10/04/19 09/05/19 10/05/19 09/06/19 10/06/19 09/07/19

How can we better support these children and young people… - whilst they are in the ED? - after they have been discharged home?

Our needs: • A service that better caters to the need of the child and young person attending the ED • With a particular focus on those with mental health needs and/or having been affected by youth violence • Irrespective of that person’s postcode • And that is easy to navigate for our ED and Paediatric doctors and nurses