NHS England Statistical Release Breastfeeding Initiation & Breastfeeding Prevalence 6-8 weeks Quarter /16 24th September 2015 Crown Copyright

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1 NHS England Statistical Release Breastfeeding Initiation & Breastfeeding Prevalence 6-8 weeks Quarter /16 24th September 2015 Crown Copyright 2015

2 Statistical release Breastfeeding initiation and prevalence at 6 to 8 weeks Quarter /16 24th September 2015 Crown Copyright 2015 Contents Context Summary of results Table 1: Initiation of breastfeeding, England Trend Table 2: Prevalence of breastfeeding at 6 to 8 weeks, England Trend Table 3: Drop Off rate between breastfeeding initiation & Prevalence of breastfeeding at 6 to 8 weeks, England Trend Table 4 : Initiation of breastfeeding, by NHS Trust Quarterly Fig 1 : Mothers initiating breastfeeding as a percentage of maternities by NHS Trusts 2015/16 Q1 Fig 2 : Mothers not known initiating breastfeeding as a percentage of maternities by NHS Trusts 2015/16 Q1 Table 5 : Initiation of breastfeeding, by CCG and Area Team Quarterly Fig 3 : Mothers initiating breastfeeding as a percentage of maternities by CCGs 2015/16 Q1 Fig 4 : Mothers not known initiating breastfeeding as a percentage of maternities by CCGs 2015/16 Q1 Table 6 : Prevalence of breastfeeding at 6 to 8 weeks by CCG and Area Team Quarterly 2015/16 Q1 Fig 5 : Infants 6-8 week breastfeeding status as a percentage of infants due 6-8 week reviews by CCGs 2015/16 Q1 Fig 6 : Percentage Infants not known breastfeeding as a percentage of infants due 6-8 week reviews by CCGs 2015/16 Q1 Data Quality Breastfeeding initiation definitions 6-8 week breastfeeding definitions Contact for further enquiries

3 Context There is a clear case for investing in services to support breastfeeding as part of a local child health strategy. This is particularly important for mothers from low income groups, as it is known that they are less likely to breastfeed. Breastfeeding protects the health of babies and mothers, and reduces the risk of illness (NICE, 2008). Breast milk is the best form of nutrition for infants, and exclusive breastfeeding is recommended for the first six months (26 weeks) of an infant s life. Thereafter, breastfeeding should continue for as long as the mother and baby wish, while gradually introducing the baby to a more varied diet. In recent years, research has shown that infants who are not breastfed are more likely to have infections in the short-term such as gastroenteritis, respiratory and ear infections, and particularly infections requiring hospitalisation. In the longer term, evidence suggests that infants who are not breastfed are more likely to become obese in later childhood, which means they are more likely to develop type 2 diabetes, and tend to have slightly higher levels of blood pressure and blood cholesterol in adulthood. For mothers, breastfeeding is associated with a reduction in the risk of breast and ovarian cancers. A recent study also suggests a positive association between breastfeeding and parenting capability, particularly among single and low-income mothers. Results from the UK Infant Feeding Survey 2010 showed that 83% of women in England breastfed their babies after birth, 78% after two days and 57% at six weeks. The differences between the two sets of results is likely to be due to the fact that the Infant Feeding Survey is based on self-reported information from women who agreed to take part in the survey; and the fact that breastfeeding status is not captured for all infants in the statistics covered in this report National Institute for Health and Clinical Excellence (NICE), Improving the nutrition of pregnant and breastfeeding mothers and children in low-income households, London: NICE, Chen A et al, Breastfeeding and the Risk of Postneonatal Death in the United States. Pediatrics 2004;113;e435- e439 World Health Organization, Global Strategy for Infant and Young Child Feeding, Geneva: World Health Organization, Quigley MA et al, Breastfeeding and hospitalization for diarrheal and respiratory infection in the United Kingdom Millennium Cohort Study, Pediatrics, 2007; 119(4):e Chantry CJ et al, Full Breastfeeding Duration and Associated Decrease in Respiratory Tract Infection in US Children, Pediatrics 2006;117; Horta B et al, Evidence on the long-term effects of breastfeeding, Geneva: World Health Organization, Ip S et al, Breastfeeding and maternal and infant health outcomes in developed countries, Boston, Massachusetts: Agency for Healthcare Research and Quality, US Department of Health and Human Services, WCRF/AICR (2007) Food, nutrition, physical Activity and the prevention of cancer: a global perspective. Washington DC, AICR Gutman L et al, Nurturing parenting capability the early years, London: Institute of Education, Centre for Research on the Wider Benefits of Learning, 2009.

4 Summary of results The Q1 2013/14 onward collection of 12 week risk assessment, breastfeeding initiation and 6-8 week breastfeeding data was collected directly from maternity service providers and child health information system providers. 135 maternity providers should have submitted data for Q1 2015/16, with 128 maternity providers submitting data. The level of maternity provider submissions at Q1 2015/16 was. As data submissions are above the validation limits we have sufficient data coverage to publish an England figure for Q1 2015/ Child Health Information System (CHIS) Providers were identified for 6-8 week breastfeeding prevalence submissions for Q1 2015/16. We received data returns covering 105 of these providers with an uptake rate of 97%. As data submissions are above the validation limits* we have sufficient data coverage to publish an England figure for Q1 2015/16. Initiation of breastfeeding In England the Q1 2015/16 rate of breastfeeding initiation was 73.8%. The annual percentage was 74.3% in 2014/15, 74.0% in 2013/14, 73.9% in 2012/13 and 2011/12 (74.0%) and was slightly higher than 2010/11 (73.7%), 2009/10 (72.7%) and 2008/09 (71.7%) (Table 1). In England amongst the 162 CCGs that passed validation in Q1, breastfeeding initiation ranged from 46.3% in NHS Knowsley CCG to 92.8% in NHS Richmond CCG (Table 5). In England amongst the 114 Trusts that passed validation**, breastfeeding initiation ranged from 48.9% Wrightington, Wigan and Leigh NHS Foundation Trust to 91.8% Homerton University Hospital NHS Foundation Trust (Table 4). Prevalence of breastfeeding at 6-8 weeks The 6-8 week breastfeeding prevalence figures are based on the number of infants recorded by CCGs as totally or partially breastfeeding, as a percentage of all infants due a 6-8 week check. When making comparisons over time, it is best to limit this to those quarters with high and consistent levels of coverage. There is evidence that the significant improvements in data coverage that were achieved in the early quarters of data collection affected the comparability of the prevalence estimates over time. This is because improvements in coverage have resulted in the inclusion in the statistics of a disproportionately higher number of women who are not breastfeeding. In England the breastfeeding prevalence rate at 6-8 weeks for Q1 2015/16 was 45.2%, in 2014/15 prevalence at 6-8 weeks was 43.8%, in 2013/14 prevalence at 6-8 weeks was 45.8%, in 2012/13 prevalence at 6-8 weeks was 47.2% and in 2011/ % of infants due a 6-8 week check were being breastfed at 6-8 weeks (Table 2). In Q1 2015/ CCGs failed to pass validation checks***. 39 failed as the number of eligible children submitted failed to meet the -10% + 20% number of expected children. An additional 85 CCGs failed due to more than 5% of their eligible children having no breastfeeding status recorded. Four CCGs failed due to the breastfeeding prevalence rate at 6-8 weeks being higher than that of the breastfeeding initiation rate (02P NHS Barnsley CCG, 04F NHS Milton Keynes CCG, 03G NHS Leeds South and East CCG and NHS Hounslow CCG). Amongst the 102 CCGs that passed validation**, breastfeeding prevalence as a percentage of infants due a 6-8 week check ranged from 20.7% NHS Knowsley CCG to 82.5% NHS City & Hackney CCG (Table 6). * The coverage target for 2013/14 onwards has been reduced to 85% for England level figures only. Feedback was sought from the user perspective on lowering the threshold for the England figure. The change in quality standard for the validation check does not apply at the lower levels of geography. ** Note that the maternities validation flag for RN3 Great Western Hospitals NHS Foundation Trust, RD1 Royal United Hospitals Bath NHS Foundation Trust, RAL Royal Free London NHS Foundation Trust, R1K London North West Healthcare NHS Trust and RDU Frimley Health NHS Foundation Trust were removed owing to the merging or transferring of maternity services therefore there was no valid historic comparison data to validate against. *** Note that one CCG did not have data submitted against and was excluded from the passed validation counts (08V NHS Tower Hamlets CCG). The values submitted for one CCG were suppressed owing to incorrect data being submitted by the Provider (03H NHS NORTH EAST LINCOLNSHIRE CCG). Please see Data Quality notes for trust specific explanations.

5 Table 1: Initiation of breastfeeding, England Trend - Commissioner based Source: Department of Health, Integrated Performance Measure Return Source: NHS England Crown Copyright 2015 Crown Copyright 2015 Year / Quarter Maternities Breastfeeding Not breastfeeding Not known No. No. % of maternities confidence interval No. % of maternities No. % of maternities 2003/04 OT 566, , ,453 78, % 2004/05 OT 576, , ,655 31, % 2005/06 OT 583, , % 66.1% % 172, % 24, % 2006/07 OT 601, , % 68.0% % 178, % 13, % 2007/08 OT 634, , % 69.8% % 180, % 10, % 2008/09 OT 640, , % 71.6% % 171, % 9, % 2009/10 OT 652, , % 72.6% % 168, % 9, % 2010/11 OT 659, , % 73.6% % 166, % 7, % 2011/12 OT 664, , % 73.9% % 166, % 6, % 2012/13 OT 658, , % 73.7% % 165, % 7, % 2013/14 OT 614, , % 73.8% % 147, % 12, % 2014/15 OT 634, , % 74.2% % 150, % 12, % 2013/14 Q1 149, , % 73.9% % 35, % 2, % /14 Q2 158, , % 74.0% % 37, % 3, % /14 Q3 153, , % 73.5% % 37, % 2, % /14 Q4 153, , % 73.6% % 36, % 4, % /15 Q1 158, , % 74.1% % 36, % 3, % /15 Q2 165, , % 74.4% % 39, % 2, % /15 Q3 158, , % 73.9% % 37, % 3, % 2014/15 Q4 151, , % 74.0% % 36, % 2, % 2015/16 Q1 150, , % 73.5% % 36, % 3, % /16 Q2 2015/16 Q3 2015/16 Q4 Notes: 1. Shaded and blank cells indicates reported data that do not pass the data quality checks. For further details of the checks, see definitions sheet. 1. Red cells mean that no. of maternities does not meet validation criteria (see definitions sheet for details). 1

6 Table 2: Prevalence of breastfeeding at 6 to 8 weeks, England Trend - Commissioner based Source: Department of Health, Integrated Performance Measure Return Source: NHS England Crown Copyright 2015 Crown Copyright 2015 Quarter Infants due a 6 8 week check Infants being breastfed (Totally + Partially) Totally Partially Not at all Not known No. No. % of all infants confidence interval No. % of all infants No. % of all infants No. % of all infants No. % of all infants 2008/09 OT 654, , ,509 74, , , % Coverage Target 85% 2009/10 OT 655, , % 44.6% % 204, % 88, % 302, % 59, % Coverage Target 85% 2010/11 OT 670, , % 46.0% % 213, % 95, % 325, % 35, % Coverage Target 90% 2011/12 OT 672, , % 47.1% % 217, % 99, % 324, % 30, % Coverage Target 2012/13 OT 670, , % 47.1% % 216, % 100, % 327, % 26, % Coverage Target 2013/14 OT 629, , % 45.7% % 196, % 91, % 275, % 65, % Coverage Target 85%* 2014/15 OT 631, , % 43.7% % 189, % 86, % 274, % 80, % Coverage Target 85%* 2013/14 Q1 152,355 69, % 45.5% % 47, % 22, % 68, % 14, % /14 Q2 158,807 72, % 45.5% % 49, % 22, % 70, % 15, % /14 Q3 162,599 74, % 45.4% % 51, % 23, % 71, % 17, % /14 Q4 155,251 71, % 45.9% % 48, % 23, % 64, % 18, % /15 Q1 154,062 68, % 44.4% % 47, % 21, % 67, % 18, % /15 Q2 160,136 70, % 43.8% % 48, % 22, % 68, % 20, % /15 Q3 163,046 71, % 43.4% % 49, % 21, % 71, % 20, % 2014/15 Q4 154,109 66, % 42.7% % 45, % 20, % 66, % 21, % 2015/16 Q1 149,120 67, % 44.9% % 46, % 21, % 63, % 17, % /16 Q2 2015/16 Q3 2015/16 Q4 Notes: 1. Shaded and blank cells indicates reported data that do not pass the data quality checks. For further details of the checks, see definitions sheet. 2. Comparisons with quarters before 2010/11 Q4 need to be made with caution due to the high level of not knowns. * Coverage target for 2013/14 onwards has been reduced to 85% for England level figures only. Feedback was sought from the user perspective on lowering the threshold for the England figure. The change in quality standard for the validation check does not apply at the lower levels of geography.

7 Table 3: Drop Off rate between breastfeeding initiation and Prevalence of breastfeeding at 6 to 8 weeks England Trend - Commissioner based Source: Department of Health, Integrated Performance Measure Return Source: NHS England Crown Copyright 2015 Crown Copyright 2015 Quarter Maternites Quarter Infants being breastfed (Totally + Partially) Difference between percentage of mothers initiating breastfeeding and prevalence of breastfeeding at 6-8 weeks (% of those initiating) Infants due a 6 8 Breastfeeding week check No. No. % of maternities No. No. % of all infants % 2008/09 OT 640, , % 654, , /10 OT 652, , % 655, , % 38.5% 2010/11 OT 659, , % 670, , % 37.4% 2011/12 OT 664, , % 672, , % 36.2% 2012/13 OT 658, , % 670, , % 36.1% 2013/14 OT 614, , % 630, , % 38.4% 2014/15 OT 634, , % 626, , % 40.9% 2013/14 Q1* 149, , % 2013/14 Q2 158,807 72, % 38.3% /14 Q2* 158, , % 2013/14 Q3 162,599 74, % 38.4% /14 Q3* 153, , % 2013/14 Q4 155,251 71, % 37.4% /14 Q4* 153, , % 2014/15 Q1 154,062 68, % 39.6% /15 Q1 158, , % 2014/15 Q2 160,136 70, % 40.7% /15 Q2 165, , % 2014/15 Q3 163,046 71, % 41.5% /15 Q3 158, , % 2014/15 Q4 154,109 66, % 42.1% /15 Q4 151, , % 2015/16 Q1 149,120 67, % 39.2% /16 Q1 150, , % 2015/16 Q /16 Q2 2015/16 Q3 2015/16 Q3 2015/16 Q4 2015/16 Q4 2016/17 Q1 Notes: 1. Shaded and blank cells indicates reported data that do not pass the data quality checks. For further details of the checks, see definitions sheet. 2. Comparisons with quarters before 2010/11 Q4 need to be made with caution due to the high level of not knowns. 3. * Comparisons with OT before 2013/14 cannot be made as there was a definition change between 2012/13 and 2013/14, from 2013/14 comparison of 6-8 week prevalence against the previous quarter's BFI

8 Table 4 : Initiation of breastfeeding, by NHS Trust - Quarterly 2015/16 Source: NHS England Crown Copyright 2015 Number of maternities (1) Maternities where breastfeeding was known (2) Maternities whose breastfeeding status not known (3) 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/16 Q4 2015/16 Q2 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/ /16 Q1 Q3 2015/16 Q4 2015/16 Q4 No. not No. confidence No. not No. confidence No. not No. confidence No. not No. confidence interval Code Name No. No. No. No. initiated initiated % interval initiated initiated % interval initiated initiated % interval initiated initiated % No. % No. % No. % No. % RCF Airedale NHS Foundation Trust % 74.6% % 0 0.0% RTK Ashford and St Peter's Hospitals NHS Foundation Trust 1, % 83.0% % 0 0.0% RF4 Barking, Havering and Redbridge University Hospitals NHS Trust 2, , % 61.1% % 9 0.4% RVL Barnet and Chase Farm Hospitals NHS Trust* RFF Barnsley Hospital NHS Foundation Trust 1, R1H Barts Health NHS Trust 4, , % RDD Basildon and Thurrock University Hospitals NHS Foundation Trust 1, % 69.8% % 1 0.1% RC1 Bedford Hospital NHS Trust % 79.4% % 0 0.0% RLU Birmingham Women's NHS Foundation Trust 2, , % 72.4% % % RXL Blackpool Teaching Hospitals NHS Foundation Trust % 62.6% % 0 0.0% RMC Bolton NHS Foundation Trust 1, % 64.3% % 0 0.0% RAE Bradford Teaching Hospitals NHS Foundation Trust 1, , % 68.5% % 0 0.0% RXH Brighton and Sussex University Hospitals NHS Trust 1, , % 85.8% % % RXQ Buckinghamshire Healthcare NHS Trust 1, , % RJF Burton Hospitals NHS Foundation Trust % 67.8% % 0 0.0% RWY Calderdale and Huddersfield NHS Foundation Trust 1, RGT Cambridge University Hospitals NHS Foundation Trust RW3 Central Manchester University Hospitals NHS Foundation Trust 2, , % 66.8% % 0 0.0% RQM Chelsea and Westminster Hospital NHS Foundation Trust 1, , % 86.0% % 0 0.0% RFS Chesterfield Royal Hospital NHS Foundation Trust % 73.8% % 0 0.0% RLN City Hospitals Sunderland NHS Foundation Trust % 51.8% % 0 0.0% RDE Colchester Hospital University NHS Foundation Trust % 76.6% % 2 0.2% RJR Countess Of Chester Hospital NHS Foundation Trust % 63.1% % 0 0.0% RXP County Durham and Darlington NHS Foundation Trust 1, % 54.8% % 0 0.0% RJ6 Croydon Health Services NHS Trust % 74.8% % % RN7 Dartford and Gravesham NHS Trust 1, % 67.2% % 0 0.0% RTG Derby Teaching Hospitals NHS Foundation Trust 1, , % 72.5% % 0 0.0% RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust 1, % 62.7% % 0 0.0% RBD Dorset County Hospital NHS Foundation Trust % 73.8% % 5 1.1% RC3 Ealing Hospital NHS Trust* RWH East and North Hertfordshire NHS Trust 1, , % 74.4% % 0 0.0% RJN East Cheshire NHS Trust % 69.6% % % RVV East Kent Hospitals University NHS Foundation Trust 1, , % 67.9% % % RXR East Lancashire Hospitals NHS Trust 1, , % 72.2% % 0 0.0% RXC East Sussex Healthcare NHS Trust % 64.7% % 0 0.0% RVR Epsom and St Helier University Hospitals NHS Trust RDU Frimley Health NHS Foundation Trust* 2, , % 77.7% % % RR7 Gateshead Health NHS Foundation Trust % 61.2% % 0 0.0% RLT George Eliot Hospital NHS Trust % 59.9% % 4 0.8% RTE Gloucestershire Hospitals NHS Foundation Trust 1, , % 74.8% % 0 0.0% RN3 Great Western Hospitals NHS Foundation Trust* 1, % 75.7% % 4 0.4% RJ1 Guy's and St Thomas' NHS Foundation Trust 1, , % 89.5% % 0 0.0% RN5 Hampshire Hospitals NHS Foundation Trust 1, , % 79.6% % 8 0.6% RCD Harrogate and District NHS Foundation Trust % 82.4% % 7 1.5% RR1 Heart Of England NHS Foundation Trust 2, , % RD7 Heatherwood and Wexham Park Hospitals NHS Foundation Trust* RQQ Hinchingbrooke Health Care NHS Trust % 74.2% % 0 0.0% RQX Homerton University Hospital NHS Foundation Trust 1, , % 90.3% % 0 0.0% RWA Hull and East Yorkshire Hospitals NHS Trust 1, % 64.8% % 0 0.0% RYJ Imperial College Healthcare NHS Trust RGQ Ipswich Hospital NHS Trust % 76.7% % 7 0.8% R1F Isle Of Wight NHS Trust % 61.2% % 0 0.0% RGP James Paget University Hospitals NHS Foundation Trust % 67.3% % 1 0.2% RNQ Kettering General Hospital NHS Foundation Trust* % 66.8% % % RJZ King's College Hospital NHS Foundation Trust 1, , % 89.9% % % RAX Kingston Hospital NHS Foundation Trust 1, , % 89.3% % % RXN Lancashire Teaching Hospitals NHS Foundation Trust 1, % 64.4% % 0 0.0% RR8 Leeds Teaching Hospitals NHS Trust 2, , % 69.7% % % RJ2 Lewisham and Greenwich NHS Trust 2, , % 81.3% % % REP Liverpool Women's NHS Foundation Trust 1, , % 51.6% % 0 0.0% R1K London North West Healthcare NHS Trust* 1, , % 86.9% % % RC9 Luton and Dunstable University Hospital NHS Foundation Trust 1, , % 75.5% % 0 0.0% RWF Maidstone and Tunbridge Wells NHS Trust 1, , % 78.3% % % RPA Medway NHS Foundation Trust 1, % 65.0% % % RBT Mid Cheshire Hospitals NHS Foundation Trust % 67.3% % 0 0.0% RQ8 Mid Essex Hospital Services NHS Trust 1, % 69.8% % % RJD Mid Staffordshire NHS Foundation Trust RXF Mid Yorkshire Hospitals NHS Trust 1, % 63.7% % 0 0.0% RD8 Milton Keynes Hospital NHS Foundation Trust % RM1 Norfolk and Norwich University Hospitals NHS Foundation Trust 1, , % RVJ North Bristol NHS Trust RNL North Cumbria University Hospitals NHS Trust % 62.1% % 0 0.0% RAP North Middlesex University Hospital NHS Trust 1, , % 87.4% % 0 0.0% RVW North Tees and Hartlepool NHS Foundation Trust % 46.0% % 0 0.0% RV8 North West London Hospitals NHS Trust* RNS Northampton General Hospital NHS Trust 1, % 72.1% % % RBZ Northern Devon Healthcare NHS Trust % 75.4% % % RJL Northern Lincolnshire and Goole NHS Foundation Trust 1, % 63.3% % 0 0.0% RTF Northumbria Healthcare NHS Foundation Trust % 56.9% % 0 0.0% RX1 Nottingham University Hospitals NHS Trust RTH Oxford University Hospitals NHS Trust 2, , % 79.7% % 1 0.0% RW6 Pennine Acute Hospitals NHS Trust 2, , % 63.6% % % RGN Peterborough and Stamford Hospitals NHS Foundation Trust 1, % RK9 Plymouth Hospitals NHS Trust 1, % 72.2% % 6 0.6% RD3 Poole Hospital NHS Foundation Trust 1, % 78.1% % 8 0.7% RHU Portsmouth Hospitals NHS Trust 1, , % 69.8% % 7 0.5% RHW Royal Berkshire NHS Foundation Trust 1, , % 77.6% % % REF Royal Cornwall Hospitals NHS Trust 1, % 76.4% % 0 0.0% RH8 Royal Devon and Exeter NHS Foundation Trust % RAL Royal Free London NHS Foundation Trust* 2, , % 80.6% % % RA2 Royal Surrey County Hospital NHS Foundation Trust % 83.1% % 0 0.0% RD1 Royal United Hospitals Bath NHS Foundation Trust* 1, % 79.0% % % RNZ Salisbury NHS Foundation Trust % 80.1% % 0 0.0% RXK Sandwell and West Birmingham Hospitals NHS Trust 1, , % RHQ Sheffield Teaching Hospitals NHS Foundation Trust 1, , % 77.4% % 0 0.0% RK5 Sherwood Forest Hospitals NHS Foundation Trust % 65.2% % %

9 Table 4 : Initiation of breastfeeding, by NHS Trust - Quarterly 2015/16 Source: NHS England Crown Copyright 2015 Number of maternities (1) Maternities where breastfeeding was known (2) Maternities whose breastfeeding status not known (3) 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/16 Q4 2015/16 Q2 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/ /16 Q1 Q3 2015/16 Q4 2015/16 Q4 No. not No. confidence No. not No. confidence No. not No. confidence No. not No. confidence interval Code Name No. No. No. No. initiated initiated % interval initiated initiated % interval initiated initiated % interval initiated initiated % No. % No. % No. % No. % RXW Shrewsbury and Telford Hospital NHS Trust 1, % 70.5% % % RA9 South Devon Healthcare NHS Foundation Trust RYQ South London Healthcare NHS Trust RTR South Tees Hospitals NHS Foundation Trust 1, % 56.2% % 0 0.0% RE9 South Tyneside NHS Foundation Trust % 45.9% % 0 0.0% RJC South Warwickshire NHS Foundation Trust % 72.5% % 0 0.0% RAJ Southend University Hospital NHS Foundation Trust % 78.6% % % RVY Southport and Ormskirk Hospital NHS Trust % 57.1% % 8 1.2% RJ7 St George's University Hospitals NHS Foundation Trust 1, , % 89.7% % % RBN St Helens and Knowsley Hospitals NHS Trust % 48.8% % 4 0.4% RWJ Stockport NHS Foundation Trust % 64.5% % 0 0.0% RTP Surrey and Sussex Healthcare NHS Trust 1, % 79.9% % 0 0.0% RMP Tameside Hospital NHS Foundation Trust % 60.0% % 0 0.0% RBA Taunton and Somerset NHS Foundation Trust % 78.2% % 1 0.1% RNA The Dudley Group NHS Foundation Trust 1, % 51.7% % % RAS The Hillingdon Hospitals NHS Foundation Trust 1, % 82.4% % 8 0.7% RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust 1, , % 67.3% % % RQW The Princess Alexandra Hospital NHS Trust 1, % 68.1% % 0 0.0% RCX The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust % 66.2% % 1 0.2% RFR The Rotherham NHS Foundation Trust % 55.7% % 0 0.0% RDZ The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust % 73.9% % 0 0.0% RL4 The Royal Wolverhampton NHS Trust 1, % 64.3% % 0 0.0% RKE The Whittington Hospital NHS Trust % 88.1% % 0 0.0% RWD United Lincolnshire Hospitals NHS Trust 1, % RRV University College London Hospitals NHS Foundation Trust 1, , % RJE University Hospitals Of North Midlands NHS Trust 1, % 60.3% % 0 0.0% RM2 University Hospital Of South Manchester NHS Foundation Trust 1, % 74.3% % 2 0.2% RHM University Hospital Southampton NHS Foundation Trust 1, , % 74.2% % % RA7 University Hospitals Bristol NHS Foundation Trust 1, , % 79.9% % % RKB University Hospitals Coventry and Warwickshire NHS Trust 1, , % 78.7% % 0 0.0% RWE University Hospitals Of Leicester NHS Trust 2, , % 73.2% % 0 0.0% RTX University Hospitals Of Morecambe Bay NHS Foundation Trust % 61.7% % % RBK Walsall Healthcare NHS Trust 1, % 62.5% % 0 0.0% RWWWarrington and Halton Hospitals NHS Foundation Trust % 62.3% % 3 0.4% RWG West Hertfordshire Hospitals NHS Trust 1, % 71.7% % 0 0.0% RFW West Middlesex University Hospital NHS Trust 1, , % 90.0% % 3 0.2% RGR West Suffolk NHS Foundation Trust RYR Western Sussex Hospitals NHS Foundation Trust 1, , % 76.9% % % RA3 Weston Area Health NHS Trust % 65.6% % 2 3.2% RBL Wirral University Teaching Hospital NHS Foundation Trust % 52.9% % 0 0.0% RWP Worcestershire Acute Hospitals NHS Trust 1, % 61.8% % 0 0.0% RRF Wrightington, Wigan and Leigh NHS Foundation Trust % 45.2% % 0 0.0% RLQ Wye Valley NHS Trust % 65.1% % 0 0.0% RA4 Yeovil District Hospital NHS Foundation Trust RCB York Teaching Hospital NHS Foundation Trust 1, % Notes: 1. Red cells mean that no. of maternities does not meet validation criteria (see definitions sheet for details) Blank cells mean that data do not meet validation criteria (see definitions sheet for details). 3. Shaded cells mean that percentage of mothers' whose breastfeeding status was recorded falls short of data quality standard of. * See Data Quality note for explanation

10 Mothers initiating breastfeeding as a percentage of maternities by NHS Trusts in England 2015/16 Q1 NHS Trusts with < 5% not Knowns & passing maternities checks Homerton Uni West Middlesex Uni King's College St George's Healthcare Guy's & St Thomas' Kingston Whittington N Middlesex Uni London N W Healthcare Chelsea & Westminster Brighton & Sussex Uni Harrogate & District Royal Surrey County Ashford & St Peter's Hillingdon Salisbury Lewisham & Greenwich Royal Bournemouth & Christchurch Bedford Royal Free London Surrey & Sussex Healthcare Uni Bristol Hampshire Oxford Uni Royal United Bath Southend Uni Taunton & Somerset Uni Coventry & Warwickshire Poole Maidstone & Tunbridge Wells Northern Devon Royal Berkshire Ipswich Sheffield Frimley Health Colchester Uni Western Sussex Royal Cornwall Great Western Airedale Luton & Dunstable Uni Hinchingbrooke Dorset County Croydon Weston Area Gloucestershire Chesterfield Royal Uni Of South Manchester East & North Hertfordshire Uni Southampton S Warwickshire Plymouth Uni Of Leicester Derby Northampton General East Lancashire Birmingham Women's West Hertfordshire East Cheshire Shrewsbury & Telford Basildon & Thurrock Uni Mid Essex Portsmouth Leeds James Paget University Burton Bradford Princess Alexandra Mid Cheshire East Kent Uni Queen Elizabeth, King's Lynn, Dartford & Gravesham Kettering General Wye Valley Newcastle Upon Tyne Central Manchester Uni Sherwood Forest E Sussex Healthcare Stockport Medway Hull & East Yorkshire Lancashire Royal Wolverhampton Countess Of Chester Bolton Isle Of Wight Mid Yorkshire Blackpool Northern Lincolnshire & Goole Warrington & Halton N Cumbria Uni Gateshead Pennine Acute Doncaster & Bassetlaw Walsall Healthcare Uni Of Morecambe Bay George Eliot Worcestershire Acute Tameside Barking, Havering & Redbridge Uni Uni Of North Midlands Northumbria Southport & Ormskirk Rotherham S Tees County Durham & Darlington Wirral Uni City Sunderland Dudley Liverpool Women's St Helens & Knowsley S Tyneside N Tees & Hartlepool Wrightington, Wigan & Leigh 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

11 Mothers not known initiating breastfeeding as a percentage of maternities by NHS Trusts in England 2015/16 Q1 Q1 2015/16 Quarter Actual v Not knowns target 5% United Lincolnshire Peterborough & Stamford York Norfolk & Norwich Uni Heart Of England Royal Devon & Exeter Buckinghamshire Sandwell & West Birmingham Barts Uni College London Newcastle Upon Tyne East Kent Uni Western Sussex Leeds Dudley Northern Devon East Cheshire Weston Area Kettering General Lewisham & Greenwich Sherwood Forest St George's Healthcare Medway Uni Of Morecambe Bay Kingston Croydon Pennine Acute Uni Southampton Birmingham Women's Maidstone & Tunbridge Wells Mid Essex Shrewsbury & Telford King's College Northampton General Harrogate & District London N W Healthcare Royal Free London Southport & Ormskirk Royal Berkshire Southend Uni Royal United Bath Dorset County Uni Bristol Brighton & Sussex Uni George Eliot Ipswich Hillingdon Poole Frimley Health Hampshire Plymouth Portsmouth Barking, Havering & Redbridge Uni Warrington & Halton St Helens & Knowsley Great Western West Middlesex Uni Colchester Uni James Paget University Uni Of South Manchester Queen Elizabeth, King's Lynn, Taunton & Somerset Basildon & Thurrock Uni Oxford Uni Wye Valley Wrightington, Wigan & Leigh Worcestershire Acute Wirral Uni West Hertfordshire Walsall Healthcare Uni Of Leicester Uni Coventry & Warwickshire Uni Of North Midlands Whittington Royal Wolverhampton Royal Bournemouth & Christchurch Rotherham Princess Alexandra Tameside Surrey & Sussex Healthcare Stockport S Warwickshire S Tyneside S Tees Sheffield Salisbury Royal Surrey County Royal Cornwall Northumbria Northern Lincolnshire & Goole N Tees & Hartlepool N Middlesex Uni N Cumbria Uni Mid Yorkshire Mid Cheshire Luton & Dunstable Uni Liverpool Women's Lancashire Isle Of Wight Hull & East Yorkshire Homerton Uni Hinchingbrooke Guy's & St Thomas' Gloucestershire Gateshead E Sussex Healthcare East Lancashire East & North Hertfordshire Doncaster & Bassetlaw Derby Dartford & Gravesham County Durham & Darlington Countess Of Chester City Sunderland Chesterfield Royal Chelsea & Westminster Central Manchester Uni Burton Bradford Bolton Blackpool Bedford Ashford & St Peter's Airedale Milton Keynes 0% 10% 20% 30% 40% 50% 60%

12 Breastfeeding_1516Q1 T5_CCGBFI_ Standards and Quality Analytical Team (SAT) Table 5: Initiation of breastfeeding, by CCG and Area Team - Quarterly 2015/16 Source: NHS England Crown Copyright 2015 Number of maternities (1) Maternities where breastfeeding was known (2) Maternities whose breastfeeding status not known (3) 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/16 Q4 2015/16 Q2 2015/ /16 Q2 2015/16 Q3 2015/16 Q1 Q3 2015/16 Q4 2015/16 Q1 2015/16 Q4 No. not No. confidence No. not No. confidence No. not No. confidence No. not No. confidence interval Code Name Code Area Team No. No. No. No. initiated initiated % interval initiated initiated % interval initiated initiated % interval initiated initiated % No. % No. % No. % No. % ONS Code 3047 Q00 England 150,590 36, , % 73.5% % 2.0% Q44 Cheshire, Warrington And Wirral Area Team 3,214 1,041 2, % 65.5% % % Q45 Durham, Darlington And Tees Area Team 3,154 1,428 1, % 52.7% % % Q46 Greater Manchester Area Team 9,005 2,959 5, % 65.5% % % Q47 Lancashire Area Team 4,098 1,272 2, % 67.3% % 8 0.2% Q48 Merseyside Area Team 3,321 1,529 1, % 52.0% % % Q49 Cumbria, Northumberland, Tyne And Wear Area Team 4,920 1,661 3, % 63.0% % % Q50 North Yorkshire And Humber Area Team 4,142 1,185 2, % 66.8% % % Q51 South Yorkshire And Bassetlaw Area Team 4,476 1,529 2, % 64.3% % 6 0.1% Q52 West Yorkshire Area Team 7,176 1,936 5, % 70.6% % % Q53 Arden, Herefordshire And Worcestershire Area Team 4,508 1,251 3, % 70.7% % % Q54 Birmingham And The Black Country Area Team 8,588 2,432 5, % 67.1% % % Q55 Derbyshire And Nottinghamshire Area Team 3, , Q56 East Anglia Area Team 4,815 1,069 3, % Q57 Essex Area Team 4,889 1,203 3, % 74.6% 73.3% % Q58 Hertfordshire And The South Midlands Area Team 8,642 1,860 6, % Q59 Leicestershire And Lincolnshire Area Team 4,766 1,209 3, % Q60 Shropshire And Staffordshire Area Team 3,999 1,250 2, % 68.0% 66.6% % Q64 Bath, Gloucestershire, Swindon And Wiltshire Area Team 3, , % 77.6% % % Q65 Bristol, North Somerset, Somerset And South Gloucestershire Area Team 2, , Q66 Devon, Cornwall And Isles Of Scilly Area Team 3, , Q67 Kent And Medway Area Team 5,113 1,306 3, % 70.5% % 2.7% Q68 Surrey And Sussex Area Team 6,878 1,145 5, % 81.3% % % Q69 Thames Valley Area Team 6,262 1,228 4, % 77.6% % % Q70 Wessex Area Team 7,231 1,553 5, % 76.5% % % Q71 London Area Team 27,647 3,492 23, % 85.1% % % 01C NHS Eastern Cheshire CCG Q44 Cheshire, Warrington and Wirral Area Team % 72.5% % % E R NHS South Cheshire CCG Q44 Cheshire, Warrington and Wirral Area Team % 68.0% % 0 0.0% E D NHS Vale Royal CCG Q44 Cheshire, Warrington and Wirral Area Team % 61.7% % 0 0.0% E E NHS Warrington CCG Q44 Cheshire, Warrington and Wirral Area Team % 66.4% % 3 0.5% E F NHS West Cheshire CCG Q44 Cheshire, Warrington and Wirral Area Team % 62.6% % 0 0.0% E F NHS Wirral CCG Q44 Cheshire, Warrington and Wirral Area Team % 53.7% % 0 0.0% E C NHS Darlington CCG Q45 Durham, Darlington and Tees Area Team % 55.6% % 0 0.0% E D NHS Durham Dales, Easington and Sedgefield CCG Q45 Durham, Darlington and Tees Area Team % 46.5% % 3 0.4% E K NHS Hartlepool and Stockton-On-Tees CCG Q45 Durham, Darlington and Tees Area Team % 48.1% % 3 0.3% E J NHS North Durham CCG Q45 Durham, Darlington and Tees Area Team % 55.7% % 2 0.4% E M NHS South Tees CCG Q45 Durham, Darlington and Tees Area Team E T NHS Bolton CCG Q46 Greater Manchester Area Team % 65.5% % 0 0.0% E V NHS Bury CCG Q46 Greater Manchester Area Team % 67.3% % 6 1.1% E W NHS Central Manchester CCG Q46 Greater Manchester Area Team % 72.2% % 0 0.0% E D NHS Heywood, Middleton and Rochdale CCG Q46 Greater Manchester Area Team % 57.7% % % E M NHS North Manchester CCG Q46 Greater Manchester Area Team % 61.3% % 6 0.8% E Y NHS Oldham CCG Q46 Greater Manchester Area Team % 61.8% % % E G NHS Salford CCG Q46 Greater Manchester Area Team % 62.9% % 2 0.2% E N NHS South Manchester CCG Q46 Greater Manchester Area Team % 64.2% % 2 0.4% E W NHS Stockport CCG Q46 Greater Manchester Area Team % 66.9% % 1 0.1% E Y NHS Tameside and Glossop CCG Q46 Greater Manchester Area Team % 59.8% % 1 0.1% E A NHS Trafford CCG Q46 Greater Manchester Area Team % 70.6% % 0 0.0% E H NHS Wigan Borough CCG Q46 Greater Manchester Area Team % 49.2% % 1 0.1% E Q NHS Blackburn With Darwen CCG Q47 Lancashire Area Team % 70.3% % 0 0.0% E R NHS Blackpool CCG Q47 Lancashire Area Team % 57.8% % 0 0.0% E X NHS Chorley and South Ribble CCG Q47 Lancashire Area Team % 57.8% % 0 0.0% E A NHS East Lancashire CCG Q47 Lancashire Area Team 1, % 71.3% % 0 0.0% E M NHS Fylde & Wyre CCG Q47 Lancashire Area Team % 65.8% % 0 0.0% E E NHS Greater Preston CCG Q47 Lancashire Area Team % 65.4% % 0 0.0% E K NHS Lancashire North CCG Q47 Lancashire Area Team % 61.9% % 6 1.6% E G NHS West Lancashire CCG Q47 Lancashire Area Team % 53.0% % 2 0.8% E F NHS Halton CCG Q48 Merseyside Area Team % 43.4% % 0 0.0% E J NHS Knowsley CCG Q48 Merseyside Area Team % 41.9% % 1 0.2% E A NHS Liverpool CCG Q48 Merseyside Area Team 1, % 51.5% % 3 0.2% E T NHS South Sefton CCG Q48 Merseyside Area Team % 48.4% % 1 0.3% E V NHS Southport and Formby CCG Q48 Merseyside Area Team % 55.7% % 2 0.8% E X NHS St Helens CCG Q48 Merseyside Area Team % 54.9% % 3 0.6% E H NHS Cumbria CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 1, % 62.1% % % E F NHS Gateshead CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team % 62.8% % 9 1.5% E G NHS Newcastle North and East CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team % 65.7% % % E H NHS Newcastle West CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team % E C NHS North Tyneside CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team % 60.1% % % E L NHS Northumberland CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team % 63.6% % 7 1.1% E N NHS South Tyneside CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team % 50.3% % 3 0.8% E P NHS Sunderland CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team % 54.0% % 1 0.1% E Y NHS East Riding Of Yorkshire CCG Q50 North Yorkshire and Humber Area Team % 65.3% % % E D NHS Hambleton, Richmondshire and Whitby CCG Q50 North Yorkshire and Humber Area Team E E NHS Harrogate and Rural District CCG Q50 North Yorkshire and Humber Area Team % 83.3% % 6 1.6% E F NHS Hull CCG Q50 North Yorkshire and Humber Area Team % 60.0% % 2 0.2% E H NHS North East Lincolnshire CCG Q50 North Yorkshire and Humber Area Team % 58.2% % 1 0.2% E K NHS North Lincolnshire CCG Q50 North Yorkshire and Humber Area Team % 61.8% % 4 0.9% E M NHS Scarborough and Ryedale CCG Q50 North Yorkshire and Humber Area Team % E Q NHS Vale Of York CCG Q50 North Yorkshire and Humber Area Team % E P NHS Barnsley CCG Q51 South Yorkshire and Bassetlaw Area Team E Q NHS Bassetlaw CCG Q51 South Yorkshire and Bassetlaw Area Team % 60.3% % 0 0.0% E X NHS Doncaster CCG Q51 South Yorkshire and Bassetlaw Area Team % 61.3% % 1 0.1% E L NHS Rotherham CCG Q51 South Yorkshire and Bassetlaw Area Team % 59.7% % 0 0.0% E N NHS Sheffield CCG Q51 South Yorkshire and Bassetlaw Area Team 1, , % 76.8% % 1 0.1% E N NHS Airedale, Wharfedale and Craven CCG Q52 West Yorkshire Area Team % 73.7% % 5 1.1% E W NHS Bradford City CCG Q52 West Yorkshire Area Team % 68.7% % 3 0.6% E R NHS Bradford Districts CCG Q52 West Yorkshire Area Team 1, % 67.9% % 3 0.3% E T NHS Calderdale CCG Q52 West Yorkshire Area Team % 73.5% % 0 0.0% E A NHS Greater Huddersfield CCG Q52 West Yorkshire Area Team E V NHS Leeds North CCG Q52 West Yorkshire Area Team % 75.0% % % E G NHS Leeds South and East CCG Q52 West Yorkshire Area Team % 61.5% % % E C NHS Leeds West CCG Q52 West Yorkshire Area Team % 70.4% % % E J NHS North Kirklees CCG Q52 West Yorkshire Area Team E R NHS Wakefield CCG Q52 West Yorkshire Area Team % 59.1% % 2 0.2% E A NHS Coventry and Rugby CCG Q53 Arden, Herefordshire and Worcestershire Area Team 1, , % 77.1% % 4 0.3% E F NHS Herefordshire CCG Q53 Arden, Herefordshire and Worcestershire Area Team % 66.2% % 0 0.0% E J NHS Redditch and Bromsgrove CCG Q53 Arden, Herefordshire and Worcestershire Area Team % 58.8% % 1 0.2% E R NHS South Warwickshire CCG Q53 Arden, Herefordshire and Worcestershire Area Team % 71.4% % 2 0.3% E T NHS South Worcestershire CCG Q53 Arden, Herefordshire and Worcestershire Area Team % 65.7% % 0 0.0% E H NHS Warwickshire North CCG Q53 Arden, Herefordshire and Worcestershire Area Team E D NHS Wyre Forest CCG Q53 Arden, Herefordshire and Worcestershire Area Team % 54.0% % 0 0.0% E P NHS Birmingham Crosscity CCG Q54 Birmingham and The Black Country Area Team 2, , % 68.3% % % E X NHS Birmingham South and Central CCG Q54 Birmingham and The Black Country Area Team % 71.2% % % E C NHS Dudley CCG Q54 Birmingham and The Black Country Area Team % 53.3% % % E L NHS Sandwell and West Birmingham CCG Q54 Birmingham and The Black Country Area Team 1, , % 65.9% % % E P NHS Solihull CCG Q54 Birmingham and The Black Country Area Team % E Y NHS Walsall CCG Q54 Birmingham and The Black Country Area Team % 64.3% % 1 0.1% E A NHS Wolverhampton CCG Q54 Birmingham and The Black Country Area Team % 63.6% % 4 0.5% E X NHS Erewash CCG Q55 Derbyshire and Nottinghamshire Area Team E Y NHS Hardwick CCG Q55 Derbyshire and Nottinghamshire Area Team % 65.1% % 4 1.6% E E NHS Mansfield and Ashfield CCG Q55 Derbyshire and Nottinghamshire Area Team E H NHS Newark & Sherwood CCG Q55 Derbyshire and Nottinghamshire Area Team % E J NHS North Derbyshire CCG Q55 Derbyshire and Nottinghamshire Area Team % 73.9% % 0 0.0% E K NHS Nottingham City CCG Q55 Derbyshire and Nottinghamshire Area Team % E L NHS Nottingham North and East CCG Q55 Derbyshire and Nottinghamshire Area Team % E M NHS Nottingham West CCG Q55 Derbyshire and Nottinghamshire Area Team E N NHS Rushcliffe CCG Q55 Derbyshire and Nottinghamshire Area Team E R NHS Southern Derbyshire CCG Q55 Derbyshire and Nottinghamshire Area Team 1, , % 72.1% % 1 0.1% E H NHS Cambridgeshire and Peterborough CCG Q56 East Anglia Area Team 1, , % E M NHS Great Yarmouth and Waveney CCG Q56 East Anglia Area Team % 66.8% % 9 1.6% E L NHS Ipswich and East Suffolk CCG Q56 East Anglia Area Team % 76.4% % 7 0.8% E V NHS North Norfolk CCG Q56 East Anglia Area Team % E W NHS Norwich CCG Q56 East Anglia Area Team % E Y NHS South Norfolk CCG Q56 East Anglia Area Team % E J NHS West Norfolk CCG Q56 East Anglia Area Team % 64.5% % 2 0.5% E K NHS West Suffolk CCG Q56 East Anglia Area Team E E NHS Basildon and Brentwood CCG Q57 Essex Area Team E F NHS Castle Point and Rochford CCG Q57 Essex Area Team E Q NHS Mid Essex CCG Q57 Essex Area Team % 69.6% % % E T NHS North East Essex CCG Q57 Essex Area Team % 76.5% % 2 0.2% E G NHS Southend CCG Q57 Essex Area Team % 80.1% % 5 1.0% E G NHS Thurrock CCG Q57 Essex Area Team E H NHS West Essex CCG Q57 Essex Area Team % 67.8% % 3 0.4% E

13 Breastfeeding_1516Q1 T5_CCGBFI_ Standards and Quality Analytical Team (SAT) Table 5: Initiation of breastfeeding, by CCG and Area Team - Quarterly 2015/16 Source: NHS England Crown Copyright 2015 Number of maternities (1) Maternities where breastfeeding was known (2) Maternities whose breastfeeding status not known (3) 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/16 Q4 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/16 Q4 2015/16 Q1 2015/16 Q2 2015/16 Q3 2015/16 Q4 No. not No. confidence No. not No. confidence No. not No. confidence No. not No. confidence Code Name Code Area Team No. No. No. No. initiated initiated % interval initiated initiated % interval initiated initiated % interval initiated initiated % interval No. % No. % No. % No. % ONS Code 06F NHS Bedfordshire CCG Q58 Hertfordshire and The South Midlands Area Team 1, , % 73.7% % % E V NHS Corby CCG Q58 Hertfordshire and The South Midlands Area Team % 60.4% % 8 2.9% E K NHS East and North Hertfordshire CCG Q58 Hertfordshire and The South Midlands Area Team 1, , % 73.2% % 6 0.4% E N NHS Herts Valleys CCG Q58 Hertfordshire and The South Midlands Area Team 1, , % 74.4% % 8 0.4% E P NHS Luton CCG Q58 Hertfordshire and The South Midlands Area Team % 76.5% % 0 0.0% E F NHS Milton Keynes CCG Q58 Hertfordshire and The South Midlands Area Team % E G NHS Nene CCG Q58 Hertfordshire and The South Midlands Area Team 1, , % 70.5% % % E W NHS East Leicestershire and Rutland CCG Q59 Leicestershire and Lincolnshire Area Team % 72.7% % 7 0.9% E C NHS Leicester City CCG Q59 Leicestershire and Lincolnshire Area Team 1, % 72.9% % 0 0.0% E T NHS Lincolnshire East CCG Q59 Leicestershire and Lincolnshire Area Team % E D NHS Lincolnshire West CCG Q59 Leicestershire and Lincolnshire Area Team % E D NHS South Lincolnshire CCG Q59 Leicestershire and Lincolnshire Area Team % E Q NHS South West Lincolnshire CCG Q59 Leicestershire and Lincolnshire Area Team % E V NHS West Leicestershire CCG Q59 Leicestershire and Lincolnshire Area Team % 70.9% % 1 0.1% E Y NHS Cannock Chase CCG Q60 Shropshire and Staffordshire Area Team % 60.5% % 0 0.0% E D NHS East Staffordshire CCG Q60 Shropshire and Staffordshire Area Team % 67.6% % 0 0.0% E G NHS North Staffordshire CCG Q60 Shropshire and Staffordshire Area Team % 61.3% % 2 0.4% E N NHS Shropshire CCG Q60 Shropshire and Staffordshire Area Team E Q NHS South East Staffordshire and Seisdon Peninsula CCG Q60 Shropshire and Staffordshire Area Team % 67.3% % 6 1.1% E V NHS Stafford and Surrounds CCG Q60 Shropshire and Staffordshire Area Team % 65.1% % 0 0.0% E W NHS Stoke On Trent CCG Q60 Shropshire and Staffordshire Area Team % 55.9% % 0 0.0% E X NHS Telford and Wrekin CCG Q60 Shropshire and Staffordshire Area Team % 65.2% % % E E NHS Bath and North East Somerset CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team % 81.0% % 4 0.9% E M NHS Gloucestershire CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team 1, , % 74.9% % 2 0.1% E D NHS Swindon CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team % 73.1% % 1 0.1% E N NHS Wiltshire CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team 1, % 78.5% % % E H NHS Bristol CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team E T NHS North Somerset CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team E X NHS Somerset CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team 1, , % 77.8% % % E A NHS South Gloucestershire CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team E N NHS Kernow CCG Q66 Devon, Cornwall and Isles Of Scilly Area Team 1, , % 76.5% % 3 0.2% E P NHS Northern, Eastern and Western Devon CCG Q66 Devon, Cornwall and Isles Of Scilly Area Team 2, , % 74.1% % % E Q NHS South Devon and Torbay CCG Q66 Devon, Cornwall and Isles Of Scilly Area Team % E C NHS Ashford CCG Q67 Kent and Medway Area Team % 63.2% % % E E NHS Canterbury and Coastal CCG Q67 Kent and Medway Area Team % E J NHS Dartford, Gravesham and Swanley CCG Q67 Kent and Medway Area Team % 66.5% % 0 0.0% E W NHS Medway CCG Q67 Kent and Medway Area Team % 66.5% % % E A NHS South Kent Coast CCG Q67 Kent and Medway Area Team % E D NHS Swale CCG Q67 Kent and Medway Area Team % 56.7% % % E E NHS Thanet CCG Q67 Kent and Medway Area Team % 65.2% % 7 1.8% E J NHS West Kent CCG Q67 Kent and Medway Area Team 1, , % 77.2% % % E D NHS Brighton and Hove CCG Q68 Surrey and Sussex Area Team % 83.8% % 8 1.1% E G NHS Coastal West Sussex CCG Q68 Surrey and Sussex Area Team 1, % 77.2% % % E H NHS Crawley CCG Q68 Surrey and Sussex Area Team % 74.9% % 2 0.4% E L NHS East Surrey CCG Q68 Surrey and Sussex Area Team % 79.0% % 1 0.2% E F NHS Eastbourne, Hailsham and Seaford CCG Q68 Surrey and Sussex Area Team % 67.0% % 1 0.2% E N NHS Guildford and Waverley CCG Q68 Surrey and Sussex Area Team % 82.1% % 0 0.0% E P NHS Hastings and Rother CCG Q68 Surrey and Sussex Area Team % 61.6% % 1 0.2% E K NHS High Weald Lewes Havens CCG Q68 Surrey and Sussex Area Team % 82.3% % 4 1.1% E X NHS Horsham and Mid Sussex CCG Q68 Surrey and Sussex Area Team % 85.8% % 6 1.0% E Y NHS North West Surrey CCG Q68 Surrey and Sussex Area Team 1, % 84.5% % 0 0.0% E H NHS Surrey Downs CCG Q68 Surrey and Sussex Area Team E C NHS Surrey Heath CCG Q68 Surrey and Sussex Area Team % 77.2% % 3 1.1% E Y NHS Aylesbury Vale CCG Q69 Thames Valley Area Team % E G NHS Bracknell and Ascot CCG Q69 Thames Valley Area Team % 75.4% % 2 0.5% E H NHS Chiltern CCG Q69 Thames Valley Area Team % 71.8% % % E M NHS Newbury and District CCG Q69 Thames Valley Area Team % 76.5% % 1 0.4% E N NHS North & West Reading CCG Q69 Thames Valley Area Team % 75.4% % 2 0.6% E Q NHS Oxfordshire CCG Q69 Thames Valley Area Team 1, , % 79.5% % 2 0.1% E T NHS Slough CCG Q69 Thames Valley Area Team % 70.3% % 1 0.2% E W NHS South Reading CCG Q69 Thames Valley Area Team % 75.0% % 7 1.5% E C NHS Windsor, Ascot and Maidenhead CCG Q69 Thames Valley Area Team % 79.3% % 1 0.3% E D NHS Wokingham CCG Q69 Thames Valley Area Team % 76.0% % 5 1.3% E J NHS Dorset CCG Q70 Wessex Area Team 1, , % 78.1% % % E K NHS Fareham and Gosport CCG Q70 Wessex Area Team % 72.3% % 6 1.2% E L NHS Isle Of Wight CCG Q70 Wessex Area Team % 61.3% % 0 0.0% E M NHS North East Hampshire and Farnham CCG Q70 Wessex Area Team % 77.4% % 8 1.2% E J NHS North Hampshire CCG Q70 Wessex Area Team % 76.4% % 6 1.0% E R NHS Portsmouth CCG Q70 Wessex Area Team % 68.2% % 5 0.8% E V NHS South Eastern Hampshire CCG Q70 Wessex Area Team % 66.0% % 4 0.8% E X NHS Southampton CCG Q70 Wessex Area Team % 71.8% % % E A NHS West Hampshire CCG Q70 Wessex Area Team 1, , % 79.8% % % E L NHS Barking and Dagenham CCG Q71 London Area Team % 64.7% % % E M NHS Barnet CCG Q71 London Area Team 1, , % 82.6% % % E N NHS Bexley CCG Q71 London Area Team E P NHS Brent CCG Q71 London Area Team E Q NHS Bromley CCG Q71 London Area Team E R NHS Camden CCG Q71 London Area Team % 86.4% % % E A NHS Central London (Westminster) CCG Q71 London Area Team E T NHS City and Hackney CCG Q71 London Area Team 1, , % 91.0% % 7 0.6% E V NHS Croydon CCG Q71 London Area Team 1, % 78.5% % % E W NHS Ealing CCG Q71 London Area Team E X NHS Enfield CCG Q71 London Area Team 1, % 83.8% % 7 0.6% E A NHS Greenwich CCG Q71 London Area Team 1, % 80.0% % % E C NHS Hammersmith and Fulham CCG Q71 London Area Team E D NHS Haringey CCG Q71 London Area Team 1, % 88.6% % 8 0.8% E E NHS Harrow CCG Q71 London Area Team % 84.0% % 5 0.7% E F NHS Havering CCG Q71 London Area Team % 59.2% % 7 0.8% E G NHS Hillingdon CCG Q71 London Area Team % 81.5% % 8 0.9% E Y NHS Hounslow CCG Q71 London Area Team % 88.5% % 7 0.7% E H NHS Islington CCG Q71 London Area Team % 85.0% % % E J NHS Kingston CCG Q71 London Area Team % 86.1% % % E K NHS Lambeth CCG Q71 London Area Team 1, , % 90.7% % 7 0.6% E L NHS Lewisham CCG Q71 London Area Team 1, % 84.3% % % E R NHS Merton CCG Q71 London Area Team E M NHS Newham CCG Q71 London Area Team 1, , % E N NHS Redbridge CCG Q71 London Area Team 1, % 74.5% % % E P NHS Richmond CCG Q71 London Area Team % 90.5% % 7 1.1% E Q NHS Southwark CCG Q71 London Area Team 1, , % 88.4% % % E T NHS Sutton CCG Q71 London Area Team E V NHS Tower Hamlets CCG Q71 London Area Team 1, % 80.7% % % E W NHS Waltham Forest CCG Q71 London Area Team 1, % 80.5% % % E X NHS Wandsworth CCG Q71 London Area Team 1, , % 88.8% % % E Y NHS West London CCG Q71 London Area Team E X24 Military Practices X24 NHS England % 72.6% % 6 2.5% 12H Durham, Darlington & Tees Commissioning Hub Q45 Durham, Darlington & Tees K Lancashire Commissioning Hub Q47 Lancashire M Cumbria, Northumberland, Tyne & Wear Commissioning Hub Q49 Cumbria, Northumberland, Tyne & Wear Q West Yorkshire Commissioning Hub Q52 West Yorkshire V Derbyshire & Nottinghamshire Commissioning Hub Q55 Derbyshire & Nottinghamshire W East Anglia Commissioning Hub Q56 East Anglia % 43.8% % 0.0% 13C Shropshire & Staffordshire Commissioning Hub Q60 Shropshire & Staffordshire D North East London Commissioning Hub Q71 London F South London Commissioning Hub Q71 London H Bristol, N Somerset, Somerset & S Gloucestershire Q65 Bristol, N Somerset, Somerset Commissioning & S Gloucestershire 13K Kent & Medway Commissioning Hub Q67 Kent & Medway M Thames Valley Commissioning Hub Q69 Thames Valley A Leicesterhire & Lincolnshire Commissioning Hub Q59 Leicestershire And Lincolnshire Area Team R London Commissioning Hub Q71 London Notes: 1. Red cells mean that no. of maternities does not meet validation criteria (see definitions sheet for details) % 2. Blank cells mean that data do not meet validation criteria (see definitions sheet for details). 3. Shaded cells mean that percentage of mothers' whose breastfeeding status was recorded falls short of data quality standard of. 4. Area Team and England actuals and percentages are calculated including the data from those CCGs who have failed the validation criteria.