CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK

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CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK
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CHILDREN IN LOCKDOWN:
WHAT CORONAVIRUS
MEANS FOR UK CHILDREN
Children’s lives have been turned upside down            and local authorities. We are mandated by the UN to
by coronavirus. For some children, with the              uphold the UN Convention on the Rights of the Child,
right support and resources, the situation will          of which the UK Government is a signatory, and in this
be manageable, but for others the effects of the         capacity have undertaken a rapid assessment of the
pandemic will cast a long shadow over their lives.       impacts of coronavirus on children and children’s rights.
The response to coronavirus already is exposing          This briefing paper lays out the complex issues facing
the fragile situation that many children and young       children and their rights, and the multi-layered way in
people live in. Hundreds of thousands of children        which the coronavirus presents a growing crisis for the
who rely on school, health and social systems            worst affected families. Coronavirus also presents a
and the support of the voluntary sector are being        huge challenge for authorities straining to serve existing
left unprotected as these systems are weakened.          needs whilst also facing unprecedented demand for
Thousands more, unknown to the system, will likely       support. In response to these challenges, Unicef UK
find themselves in need of support over the coming       draws on its global emergency experience to call for
weeks, but as yet remain invisible to authorities.       greater coordination at the top of the UK Government to
                                                         ensure the voices of children are heard, that issues are
Every year, Unicef UK reaches over 2 million children    identified and addressed efficiently, and that children’s
in the UK through its work with schools, hospitals       rights remain a priority for all.

Snapshot of the effects on children’s rights

1. 700 million days of education will be lost between    4. Anxiety and stress from staying at home, coupled
   now and summer, with alarming disparities in access      with removal of coping mechanisms and reduction in
   to resources and support at home likely to further       support services is a worrying amalgam for children
   entrench and widen gaps in educational attainment        living with mental health difficulties.
   between groups of children.
                                                         5. Thousands of children are at increased risk of
2. More children in the UK will face food insecurity        abuse in their homes and online as pressure
   as job losses and debt take their toll on family         and tensions increase, online supervision decreases,
   finances and access to sources of emergency              and predators seek to take advantage of the situation.
   food is under pressure from loss of donations
   and volunteers.                                       6. Across the board, the voices of children and young
                                                            people have been absent from decisions made
3. New-born and older children’s access to                  about their lives. They have not been consulted
   healthcare will reduce, as services are stretched,       about the impact such decisions will have on them
   limited or avoided, potentially storing up future        and their future and have yet to be addressed directly
   long-term health problems for children.                  by the UK Government.
CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK
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M ATERNITY SERV I CE S
A N D INFANT NU T R I T I ON
              Around 750,000 babies are                                  There may be as many as 250,000
               born in the UK each year.                                    born during the lockdown.

For every child, early moments matter. The provision          potentially affecting infant nutrition and maternal
of maternity care will be significantly affected during       mental health.
the lockdown, with reduced capacity and new ways of
remote working introduced. The pressures on health            Infant nutrition is essential for the health and
services are likely to drive increased risk for mothers       development of babies. Evidence shows that
and babies. With expected staff shortages, support for        breastfeeding offers many benefits, including protection
mothers following birth is set to be significantly reduced,   from infection and reduced risk of obesity later in life.

Key concerns: impact on children

• Maternity units: There are concerns about staff             •   Impact on mothers: The loss of choice and the
  shortages in NHS maternity units, with up to 1 in               stress of giving birth in these circumstances will
  5 maternity posts now unfilled. More than a fifth               also increase the risk of postpartum depression
  of midwife-led units have been closed due to a                  and anxiety among new mothers, while support
  combination of staff shortages and the requisitioning           following birth will also likely be reduced.
  of units for treatment of coronavirus patients.             •   Infant nutrition: As staff across maternity
Snapshot
  Antenatalof   the
              care    effects
                   is also beingon  children’s
                                 affected       rights
                                          with more               care services are reduced due to sickness and
  appointments being carried out remotely, and some               redeployment, support for new mothers to
  missed altogether. In parts of the country, reports             breastfeed will be significantly reduced. Many
  suggest that home births have been stopped due                  new mothers rely on friends and family to provide
  to insufficient midwife numbers and fears about                 support and advice, and professional or voluntary
                                                                  sector services will also be unavailable during this
  ambulance availability, while in other areas home
                                                                  time. As a result, rates of breastfeeding may drop
  births are being promoted to keep mothers away
                                                                  substantially, leading to potential health issues for
  from stretched hospital services. The pressures that
                                                                  baby and mum.
  these services face will undoubtedly increase the
  risks for some mothers and babies.
CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK
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LOS S OF EDUC ATI ON
                                                                                          Over 950,000 secondary
          Nearly 10 million                      Over 700 million days
                                                                                            level pupils will not
     children are out of school                  of education could be
                                                                                      sit external exams as expected
        in the UK currently.                      lost across the UK.
                                                                                                this summer.

Every child has the right to learn. All schools in the UK      inequalities that follow children throughout their lives, is
are closed until further notice, with around 10 million        already a major concern in the UK.
students out of school for the foreseeable future. It
                                                               The closures will also have multiple secondary impacts,
is likely that school closures and loss of early years         many of which are highlighted elsewhere in this briefing.
provision will widen the attainment gap, which sees            These include exacerbated food insecurity and child
children from disadvantaged backgrounds achieve poorer         protection vulnerabilities, as well as increasing physical
results at school. This gap, which can lead to entrenched      and mental health risks.

Key concerns: impact on children

• The loss of nearly four months’ education: School                Quality ECE is critical for establishing the building
  closures will impact all children in the UK, but some            blocks for learning. The foundation of education is
  will be far worse affected than others. While some               established before primary school begins. Short-
  children will receive parental support and education,            term closures and the potential loss of privately run
  others will face considerable challenges to continued            nurseries in the longer term are likely to contribute
  learning at home. Children in families that cannot               further to inequality in education outcomes.
  afford resources for home learning activities, where
  parents have low levels of educational attainment or         •   Refugee and asylum-seeking children: For this
  are not fluent English speakers, or where there is               group, who may have already had their education
  inadequate                                                       disrupted by displacement, school closure could
Snapshot    ofspace   for effective
                the effects    on learning, will rights
                                    children’s   likely fall
  behind during this period.                                       cause further lasting disadvantage.
•   Digital divide: Schools, and organisations like the        •   Impact of alternative examinations process:
    BBC, have made many learning resources available               The alternative arrangements for examinations,
    online. However, around 7% of children do not have             which require teachers to provide marks based on
    access to a fixed broadband connection, and 2% do              past performance and a ranking of pupils based
    not have any access to the Internet at home.                   on marks and certainty of achievement, could
•   Early years childcare: Early childhood education               negatively affect students working to improve marks
    (ECE) provides an essential service both in preparing          or those groups historically affected by inaccuracy of
    children for school and enabling parents to work.              predicted marks.
CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK
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C HI LD N UTRITIO N
    Over 4 million children in the           Around 1.7 million pupils are              Around 215,000 children
          UK were already                    eligible for free school meals          received at least one foodbank
          living in poverty.                         across the UK.                         parcel in 2018–19.

Families face uncertain financial futures as a result         children under 6 have worried about running out of food
of the economic crisis triggered by coronavirus. For          before they had enough money to buy more.
those already experiencing financial hardship, further
reductions in income, and the increased cost of having        For these families, the additional pressures of children
children out of school, will exacerbate food insecurity.      being at home instead of school, difficulties in buying an
                                                              appropriate range of foods within their budget, and the
Prior to the crisis, 10% of households faced food             likelihood of job insecurity is likely to see many struggling
insecurity, affecting the quality, desirability and variety   to maintain adequate nutrition. The pandemic poses
of their diets, or quantities and overall food intake were    a short-term crisis for children in which many families
reduced or disrupted. Households with children typically      will struggle to feed their children, with lasting health
have lower food security and 29% of households with           impacts for some.

Key concerns: impact on children

• Loss of Free School Meals: School closures                      insecurity, and those with no recourse to public
  will have far-reaching impacts on the health and                funds will be especially at risk.
  well-being of children, especially the 1.7 million
                                                              •   Charity sector capacity: In 2018/19 an estimated
  children who are currently entitled to Free School
                                                                  215,000 children received at least one foodbank
  Meal provision in the UK. Despite government
                                                                  parcel across the UK. Foodbank providers have
  schemes to provide £15 supermarket vouchers to
                                                                  seen rapid increases in the demand for emergency
  eligible families each week or guidance for schools
                                                                  food parcels and are also reporting a drop in food
Snapshot
  and local of  the effects
             authorities       on children’s
                         to continue             rights
                                     providing free  meals
                                                                  donations. It is likely that low income and debt
  to eligible pupils, there are concerns that families,
                                                                  (two of the most common reasons for using a
  especially those also facing job and income loss, will
                                                                  foodbank) will be an increasing problem for many in
  struggle to provide nutritious meals to their children
                                                                  the coming months. At the same time, many food
  for £3 per day, and that some lack the resources and
                                                                  banks have had to close as a result of volunteer
  an appropriately equipped kitchen to ensure that
                                                                  decline while others are operating at reduced
  children eat healthily.
                                                                  capacity – coupled with a drop in food availability due
•   Potential food availability shortages: Households             to volume rationing from primary suppliers such as
    who are self-isolating may be unable to access food           supermarkets, this will result in further barriers to
    at all. Children who are already struggling with food         access for the most vulnerable.
CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK
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C H ILDREN’S HEALT H A N D
A CCES S TO HEALT H S E R V I CE S
          Nearly 1 in 4 children report a long                    Around 2.3 million children are due at least one
          term health condition or disability.                            routine vaccination each year.

Every child has the right to the best possible health.        problems for this generation in the coming years if
Although the evidence suggests that in general children       adequate steps are not taken to catch up on the lost
experience coronavirus more mildly, there is still a          health protections that they would normally enjoy.
lot unknown about the risks for vulnerable groups of
children, including those who are immunocompromised           Nearly 1 in 4 children report a long-term health condition
or living with long-term respiratory conditions. This         or disability and many due to receive ongoing or
pandemic poses an unprecedented health crisis for             emergency care from NHS may find these services are
children through a combination of reduced services,           postponed or disrupted during the pandemic due to staff
loss of healthy behaviours and exposure to additional         shortages and redeployment. Delayed access to care can
risks. It also has the potential to store up serious health   pose a serious threat to children’s right to health.

Key concerns: impact on children

• Childhood vaccinations: Routine vaccinations                    much longer screen time, irregular sleep patterns,
  are essential health services, and disruptions                  and less favourable diets. Prior to the lockdown 50%
  to childhood immunisations can lead to further                  of children regularly took part in some extracurricular
  outbreaks of infectious disease, to which children              sporting activity and many more were active through
  are the most susceptible. Around 2.3 million                    school. We are likely to see an increase in obesity
  children below school age should be vaccinated
Snapshot    of theofeffects   on children’s     rights            and an impact on children’s mental health as a result
  over the course     a year, many  of which may  be
                                                                  of reduced exercise and poor nutrition, and both may
  delayed or missed in this period. Any short-term
                                                                  have long-term effects lasting into adulthood.
  loss of immunisations will put babies at
  increased risk of potentially serious illness               •   Sexual health: Access to sexual health clinics and
  and life-threatening complications.                             support will be significantly impacted by the current
•   Reduction in healthy behaviours: The pandemic                 crisis. There are concerns around STIs, unplanned
    will impact children’s engagement in health                   pregnancies as well as access to counselling for
    promoting behaviours. When children are out of                sexual assault trauma and young and vulnerable
    school they are typically less physically active, have        person safeguarding.
CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK
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C H ILDREN’S M ENTA L H E A LT H
     Over 350,000 young people                                                            There are estimated to
                                              Around 110,000 14-year olds
    accessed NHS Mental Health                                                           be nearly 800,000 young
                                             self-harm over the course of a
        Services in England                                                                carers under the age
                                                     year in the UK.
         alone in 2018–19.                                                                   of 18 in the UK.

In England alone, over 350,000 children access specialist      The mental health impacts of this pandemic will be felt
mental health services in a year. Many more struggle           particularly strongly among children and young people.
with their mental health but do not access services. The       At a time when they most need support – professional
impact of child mental illness can be devastating, with        and informal – it is least available. Mental ill-health in
over 250 deaths by suicide among young people each             childhood and adolescence can last into adulthood with
year, and high rates of self-harm among teenagers.             profound impact on all aspects of their lives.

Key concerns: impact on children

• Children living with mental health diagnoses:                •   Loss of mental health support and protective
  Many young people who use mental health services                 behaviours: Many of the ways in which young
  are already unable to access essential mental                    people manage their mental health – social support
  health support. Sessions have been replaced with                 through friends and family, physical activity,
  online or telephone support, or postponed. Some                  being outdoors or engaging in hobbies – are now
  young people   mayeffects
                     find thison
                               lesschildren’s
                                    effective or rights
                                                  may              impossible. Disrupted routines can cause distress
Snapshot    of the                                                 for those suffering from anxiety, eating disorders
  worry about maintaining privacy if sessions are held
                                                                   and other mental health difficulties. School is an
  remotely with family members close by.
                                                                   important source of support for many young people,
•   Anxiety around coronavirus: Children who                       as well as being a respite for those who have a
    already struggle with anxiety, and many who did                difficult time at home. For these young people, the
    not previously, are now feeling very anxious about             period of school closure may be very hard to
    coronavirus. They may worry about their health or              cope with.
    the health of loved ones, particularly if parents are at
    high-risk or work in essential services.
CHILDREN IN LOCKDOWN: WHAT CORONAVIRUS MEANS FOR UK CHILDREN - Unicef UK
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P ROT EC TION FRO M V I OL E N CE ,
AB U SE AND NEGL E CT
                                                  20% of the adult
     160,000 children in England             population are believed to              79% of children (12-15) had
    are living in households with             have experienced abuse                  potentially harmful online
           domestic abuse.                      in childhood before                    experiences over a year.
                                                   the age of 16.

Every child protected. We may never know the full extent     are known to social services, many more are not. Large
of childhood abuse and neglect as so much of it remains      numbers of children are therefore currently confined to
hidden. An estimated 160,000 children are living in          a home which is not a safe place for them or for other
households where domestic abuse is taking place. While       family members. It is essential that children at risk are
some of those who experience, or are at risk of, abuse       identified and supported as far as possible.

Key concerns: impact on children

• Risk in the home: While families are quarantined           •   Strain on services: For those children who are
  many children will face severe and immediate risks in          known to social services, support will continue,
  their own homes. The stress of illness, confinement            but is likely to be subject to pressures due to staff
  in the home and financial strain is likely to exacerbate       sickness and challenges of working remotely. Focus
  volatile family situations leading to an increase in           will be on those children who are thought to be most
  incidences of domestic violence, abuse or neglect.             at risk of violent or sexual abuse, while those who
  Stress for parents during this time might also                 are suffering other forms of abuse may receive
  contribute to an increased risk of substance misuse            less support.
  or worsening
Snapshot         mental
             of the       healthon
                      effects    symptoms.
                                   children’s rights         •   Protecting children online: 79% of 12-15 year olds
•   Children falling through the cracks: While the               have had potentially harmful online experiences
                                                                 in the previous 12 months. While schools are
    risks are increasing, opportunities to report abuse
                                                                 closed many children will spend longer periods of
    or seek help will be reduced during the pandemic.
                                                                 unsupervised time online. While this provides many
    School and youth groups are important for identifying
                                                                 opportunities for socialising and education, it also
    children who are at risk and providing support, while
                                                                 increases the risk of online harm.
    also being a safe haven for children who are abused
    at home, but these will not be accessed by most
    children in this period.
C ONCLUSIO N: BUI L DI N G A BE T T E R
   TOMORRO W FOR CH I L DR E N
  The risks to children’s health, wellbeing and future                        its aftermath. Data will be critical to ensuring children are
  opportunities are serious and need immediate                                not lost in the cracks and this work should start now to
  intervention. Hundreds of thousands of children will                        ensure that a generation is not left unprotected.
  face hunger, violence, ill-health and lost opportunities
                                                                              Children themselves show remarkable resilience,
  that could follow them into adulthood.
                                                                              creativity and adaptability, yet they are rarely consulted
  While children are remarkably good at adapting,                             on decisions that affect their lives directly, especially in
  those with the fewest resources always find it                              a crisis. Young people from all backgrounds should have
  hardest to adapt. This crisis is exposing the fragility                     the opportunity to influence the decisions made during
  of life for so many families. It is also highlighting the                   this time to ensure they reflect their best interests.
  dependence of those families on schools, health
                                                                              In the coming months, Unicef UK will look to work
  services, social services, and the voluntary sector.
                                                                              with other voluntary sector organisations, frontline
  When those infrastructures are weakened, children are
                                                                              services, policymakers and young people to respond
  left unprotected.
                                                                              to the coronavirus pandemic. We will continue to
  We need an evidence-based approach to helping young                         gather evidence and monitor the impact for children,
  people pick up the pieces. Key to this is gathering the                     and to ensure that all children in the UK enjoy their
  evidence and intelligence needed to understand who is                       rights in full as we move beyond this crisis and build
  at risk and to support them, both during this crisis and in                 a better tomorrow.

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Unicef UK. Registered charity England & Wales (1072612) Scotland (SC043677)
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