Evidence

2019 surveillance of unintentional injuries (NICE guidelines PH29, PH30 and PH31)

Surveillance decision

Surveillance decision

We will not be updating the following guidelines on unintentional injuries at this time:

  • Unintentional injuries: prevention strategies for under 15s (NICE guideline PH29)

  • Unintentional injuries in the home: interventions for under 15s (NICE guideline PH30)

  • Unintentional injuries on the road: interventions for under 15s (NICE guideline PH31)

Please note, for the surveillance of NICE guideline PH29, recommendations 1, 5, 7, 10 and 21 were not considered for aspects of national policy. However, these recommendations were considered at a local or sub-national level.

Reasons for the decision

Unintentional injuries: prevention strategies for under 15s (PH29)

Evidence was found to be consistent with the current guideline recommendations on:

  • inequalities in injuries attributable to household deprivation and maternal mental health

  • injury prevention briefings to parents, with supplementary ongoing training and facilitation for children centre staff

  • the use of linked primary, secondary and mortality data

  • the installation of permanent home safety equipment

  • the benefit of numerous home education interventions

  • updating playground equipment

  • education, swimming lessons and water safety, and pool fencing as effective strategies to reduce the risk of drowning

  • cycling safety education and promotion

  • the use of a safe routes to school programme, digital technology measures to increase community engagement, and visual interventions to reduce distracted mobile phone usage

  • measures to reduce vehicle speed around schools and playgrounds to reduce average speed in these areas.

For further details and a summary of all evidence identified in surveillance, see appendix A1.

Unintentional injuries in the home: interventions for under 15s (PH30)

The majority of new evidence identified was found to be consistent with current recommendations. This included evidence to support recommendations on coordinated delivery and integrating home safety into other home visits. One stakeholder also provided local evidence of working in partnership and performing home safety assessments which were found to broadly support recommendations.

There was some evidence to suggest that interventions to increase use of window locks and reduce incidents of leaving a child on a high surface showed little benefit. The guideline does not currently make specific recommendations in these areas, therefore until there is further evidence on what interventions may or may not be effective, the recommendations are unlikely to change.

For further details and a summary of all evidence identified in surveillance, see appendix A2.

Unintentional injuries on the road: interventions for under 15s (PH31)

The majority of new evidence was found to be consistent with the current guideline recommendations.

New evidence was identified which supports recommendations on speed limits and speed reduction zones and measures; and on engineering measures to provide safer routes to school. Limited evidence was identified on a tramway right of way engineering intervention to reduce pedestrian motor vehicle collisions but was insufficient to inform a new recommendation.

For further details and a summary of all evidence identified in surveillance, see appendix A3.


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