Page 13 - Big Book of Accident Prevention

Case study 1: 13 Safe At Home Safe At Home 120 100 “It showed me how to be safe in the home with Indicator 2.7: Hospital admissions caused by unintentional and deliberate injuries in under-18s 80 the little one. I would recommend home safety Safe At Home (SAH) was a national scheme providing home safety equipment and education to disadvantaged families Unintentional (accidental) injury rate per 1,000 population 60 Home Road with children under 5 years old. It was funded by the Department for Education from 2009–11 and delivered by RoSPA in 40 Leisure checks to every parent as it saves lives.” line with NICE guidance PH30 recommendations 1–5. 20 Source: SAH Scheme Recipient 0 Age Groups 0 - 4 5 - 9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Evidence Plan/resource/partner Delivery Evaluation Hospital admissions among under-5s, following SAH aimed to provide equipment, training and RoSPA trained 4,000 members of staff employed The University of Nottingham’s independent evaluation an accidental injury, have been rising by five per education in areas with the highest hospital by local partners to identify and mitigate typical of SAH reported 96% satisfaction among beneficiaries, cent per annum. Those in the lowest social class admissions for accidental injury to under-5s and accident risks in the home to the under-5s. with 91% feeling their home was safer. Subsequent have 13 times the rate of death and injury of those within these, RoSPA developed criteria to select research suggests that across England, Safe At Home in the most affluent class. the families at greatest risk. Local partners used their data, together with RoSPA helped reduce the 5% annual rise in hospital admissions selection criteria, to identify families with the highest due to an unintentional injury to just 1%. In the 10 According to NICE guidance, accidental injury RoSPA agreed budgets and targets, sourced relevant need. A SAH home safety check was incorporated best-performing SAH areas (Fig.10), a 29% reduction in among under-15s results in two million visits equipment, built local delivery partnerships in 130 into each family’s next regular home visit. hospital admissions appears to have been the result of to A&E each year, costing £146million. English local authority areas and set up administrative/ the SAH programme, allied to excellent local leadership, logistical processes to follow-up on home safety checks Based on the results of the safety check, 66,000 The Marmot Review (published 2010) provides further and coordinate delivery. families received safety education together with enthusiasm and effective inter-agency coordination. confirmation of these inequalities in health. a selection of equipment (including safety gates, At an estimated cost to society of £33,200 for a serious Comprehensive records ensured that independent fireguards, cupboard locks, corner cushions, window non-fatal injury to an under-5, this equated to a saving evaluation could review the effectiveness of every restrictors, bath mats and blind cord shorteners) of £27million compared with the programme’s cost of step of the process. which was professionally installed . just £1.7million in these areas. Education, video materials and height charts were Figure 9 – Cause of injuries to under-5s Figure 10 – Hospital admissions due to serious provided to more than 300,000 other families that did unintentional (accidental) injuries Safety equipment such not meet the criteria for free equipment . as cupboard locks was 4,000 fitted to homes 3,500 3,000 Hospital Admissions 2,000 2,500 1,500 1,000 500 Falls 49% Poisoning 7% 0 Striking inanimate objects, Burns & scalds 7% 2008/9 2009/10 20010/11 20011/12 20012/13 20014/15 people and animals 24% Cuts 6% Educational materials were produced 20013/14 Foreign body in ear, Asphyxia, etc. 3% and distributed to more than 300,000 families Years nose, eye 7% Source: RoSPA / NHS Information Centre Hospital Episode Statistics (HES) Source: RoSPA analysis of Home and Leisure Surveillance System (HASS) data 2002 for children under 5 years of age The Royal Society for the Prevention of Accidents