Venue: Council Chamber - Shire Hall, Gloucester. View directions
Contact: Andrea Clarke 01452 324203
9.40am Refreshments available
10.00am Introduction from Cllr Roger Wilson, Chairman
10.05am Dr Andrew Coward, GP and Chair of Birmingham South Central CCG
10.25am Sarah Scott, Director of Public Health
10.35am Assistant Chief Constable Julian Moss
10.50am Dr Imelda Bennett, Community Paediatrician and Gloucestershire CCG Designated Doctor for Safeguarding
11.05am Q and A with the Panel
Dr Andrew Coward
Dr Imelda Bennett
ACC Julian Moss
11.55am Chairman’s closing
- To understand what is meant by the term Adverse Childhood Experiences (ACEs);
- To consider whether an ACEs informed approach should be taken forward in Gloucestershire;
- To consider whether ACEs should be a priority for the Health and Wellbeing Board;
- To consider how an ACEs informed approach can inform how services can be structured and commissioned
8.1 Cllr Roger Wilson welcomed everyone to the meeting and informed them of how he had been inspired to follow through on the issue of adverse childhood experiences (ACEs), at a recent conference, by Dr Andrew Coward. He was pleased to to welcome Dr Coward, ACC Moss and Dr Imelda Bennett to speak to the meeting, and hoped that everyone present today would also be inspired.
8.2 The objectives of the meeting were:-
Ø To understand what is meant by the term Adverse Childhood Experiences (ACEs);
Ø To consider whether an ACEs informed approach should be taken forward in Gloucestershire;
Ø To consider whether ACEs should be a priority for the Health and Wellbeing Board;
Ø To consider how an ACEs informed approach can inform how services can be structured and commissioned
8.3 The key speakers at the meeting to explore and discuss this matter were: -
Ø Dr Andrew Coward, GP and Chair of Birmingham South Central Clinical Commissioning Group (CCG)
Ø Assistant Chief Constable Julian Moss, Gloucestershire Constabulary
Ø Dr Imelda Bennett, Community Paediatrician and Gloucestershire CCG Designated Doctor for Safeguarding
Ø Sarah Scott, Director of Public Health for Gloucestershire
8.4 A wide range of representatives had been invited to the meeting, including Health, Social Care and Children’s Commissioners, Safeguarding, VCS, Probation, Fire and Rescue Service.
8.5 It was important to note that ACEs were not new. Dr Coward discussed Sigmund Freud’s findings (1896) that the ‘hysterical’ women he worked with had all been sexually abused, and Dr Vincent Felitti’s (1990) discovery that there was a link between sexual abuse and obesity. However, their findings were dismissed by their peer groups.
8.5.1 Dr Coward discussed his first-hand experience working with the Birmingham Freedom Project and how this had informed and shaped his thinking.
8.5.2 Therefore what was (more recently) new was the understanding and recognition of the impact of ACEs on children’s neurological development and long term health and wellbeing, and the link to health inequalities. A child’s early years were critical.
8.5.3 The research into ACEs identified 10 specific ACEs; 5 related to the individual, 5 to parents/household (these were described in the briefing paper on the agenda). It was predicated that at least 50% of the general population has experienced at least 1 ACE. The meeting was informed that an individual who has experienced 4 or more ACEs was 4 times more likely to kill themselves, 10 times more likely to have a class A drug problem, 10 times more likely to have an alcohol problem, 7 to 8 times more likely to be violent/experience violence, and 10 times more likely to be in the criminal justice system. The link between ACEs and poor life outcomes was not associative, but causal.
8.5.4 Dr Coward felt that these statistics should speak to all of us as human beings. He did not feel that as a society we were placing the necessary protective measures around our children. He challenged the meeting to consider whether ... view the full minutes text for item 8.