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

Statistical release Breastfeeding initiation and prevalence at 6 to 8 weeks Quarter 1 2015/16 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

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, 2008. 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, 2003. Quigley MA et al, Breastfeeding and hospitalization for diarrheal and respiratory infection in the United Kingdom Millennium Cohort Study, Pediatrics, 2007; 119(4):e837 42. Chantry CJ et al, Full Breastfeeding Duration and Associated Decrease in Respiratory Tract Infection in US Children, Pediatrics 2006;117;425-432. Horta B et al, Evidence on the long-term effects of breastfeeding, Geneva: World Health Organization, 2007. 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, 2007. 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.

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 2015/16. 108 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 2011/12 47.2% of infants due a 6-8 week check were being breastfed at 6-8 weeks (Table 2). In Q1 2015/16 107 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.

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 566,355 316,751 171,453 78,151 13.8% 2004/05 OT 576,935 363,549 181,655 31,731 5.5% 2005/06 OT 583,011 385,909 66.2% 66.1% - 66.3% 172,801 29.6% 24,301 4.2% 2006/07 OT 601,262 409,317 68.1% 68.0% - 68.2% 178,288 29.7% 13,657 2.3% 2007/08 OT 634,035 443,227 69.9% 69.8% - 70.0% 180,119 28.4% 10,690 1.7% 2008/09 OT 640,681 459,430 71.7% 71.6% - 71.8% 171,403 26.8% 9,848 1.5% 2009/10 OT 652,957 474,865 72.7% 72.6% - 72.8% 168,928 25.9% 9,164 1.4% 2010/11 OT 659,238 485,780 73.7% 73.6% - 73.8% 166,024 25.2% 7,434 1.1% 2011/12 OT 664,683 491,837 74.0% 73.9% - 74.1% 166,030 25.0% 6,816 1.0% 2012/13 OT 658,112 486,057 73.9% 73.7% - 74.0% 165,047 25.1% 7,008 1.1% 2013/14 OT 614,346 454,317 74.0% 73.8% - 74.1% 147,266 24.0% 12,763 2.1% 2014/15 OT 634,378 471,561 74.3% 74.2% - 74.4% 150,329 23.7% 12,488 2.0% 2013/14 Q1 149,091 110,440 74.1% 73.9% - 74.3% 35,950 24.1% 2,702 1.8% 0 2013/14 Q2 158,213 117,376 74.2% 74.0% - 74.4% 37,781 23.9% 3,056 1.9% 0 2013/14 Q3 153,514 113,161 73.7% 73.5% - 73.9% 37,494 24.4% 2,859 1.9% 0 2013/14 Q4 153,528 113,340 73.8% 73.6% - 74.0% 36,042 23.5% 4,146 2.7% 0 2014/15 Q1 158,329 117,667 74.3% 74.1% - 74.5% 36,825 23.3% 3,837 2.4% 0 2014/15 Q2 165,983 123,802 74.6% 74.4% - 74.8% 39,452 23.8% 2,729 1.6% 0 2014/15 Q3 158,087 117,235 74.2% 73.9% - 74.4% 37,780 23.9% 3,072 1.9% 2014/15 Q4 151,979 112,857 74.3% 74.0% - 74.5% 36,272 23.9% 2,850 1.9% 2015/16 Q1 150,590 111,088 73.8% 73.5% - 74.0% 36,455 24.2% 3,047 2.0% 0 2015/16 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

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 654,063 241,534 167,509 74,025 251,842 160,687 24.6% Coverage Target 85% 2009/10 OT 655,486 292,942 44.7% 44.6% - 44.8% 204,773 31.2% 88,169 13.5% 302,838 46.2% 59,706 9.1% Coverage Target 85% 2010/11 OT 670,391 309,303 46.1% 46.0% - 46.3% 213,354 31.8% 95,949 14.3% 325,133 48.5% 35,955 5.4% Coverage Target 90% 2011/12 OT 672,013 317,240 47.2% 47.1% - 47.3% 217,993 32.4% 99,247 14.8% 324,433 48.3% 30,340 4.5% Coverage Target 2012/13 OT 670,535 316,634 47.2% 47.1% - 47.3% 216,466 32.3% 100,168 14.9% 327,048 48.8% 26,853 4.0% Coverage Target 2013/14 OT 629,012 288,219 45.8% 45.7% - 45.9% 196,790 31.3% 91,429 14.5% 275,503 43.8% 65,290 10.4% Coverage Target 85%* 2014/15 OT 631,353 276,688 43.8% 43.7% - 43.9% 189,897 30.1% 86,791 13.7% 274,011 43.4% 80,654 12.8% Coverage Target 85%* 2013/14 Q1 152,355 69,692 45.7% 45.5% - 46.0% 47,589 31.2% 22,103 14.5% 68,578 45.0% 14,085 9.2% 0 2013/14 Q2 158,807 72,621 45.7% 45.5% - 46.0% 49,671 31.3% 22,950 14.5% 70,923 44.7% 15,263 9.6% 0 2013/14 Q3 162,599 74,254 45.7% 45.4% - 45.9% 51,079 31.4% 23,175 14.3% 71,043 43.7% 17,302 10.6% 0 2013/14 Q4 155,251 71,652 46.2% 45.9% - 46.4% 48,451 31.2% 23,201 14.9% 64,959 41.8% 18,640 12.0% 0 2014/15 Q1 154,062 68,710 44.6% 44.4% - 44.8% 47,072 30.6% 21,638 14.0% 67,036 43.5% 18,316 11.9% 0 2014/15 Q2 160,136 70,606 44.1% 43.8% - 44.3% 48,427 30.2% 22,179 13.9% 68,967 43.1% 20,563 12.8% 0 2014/15 Q3 163,046 71,183 43.7% 43.4% - 43.9% 49,190 30.2% 21,993 13.5% 71,268 43.7% 20,595 12.6% 2014/15 Q4 154,109 66,189 42.9% 42.7% - 43.2% 45,208 29.3% 20,981 13.6% 66,740 43.3% 21,180 13.7% 2015/16 Q1 149,120 67,380 45.2% 44.9% - 45.4% 46,201 31.0% 21,179 14.2% 63,845 42.8% 17,895 12.0% 0 2015/16 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.

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 640,681 459,430 71.7% 654,063 241,534 2009/10 OT 652,957 474,865 72.7% 655,486 292,942 44.7% 38.5% 2010/11 OT 659,238 485,780 73.7% 670,391 309,303 46.1% 37.4% 2011/12 OT 664,683 491,837 74.0% 672,013 317,240 47.2% 36.2% 2012/13 OT 658,112 486,057 73.9% 670,535 316,634 47.2% 36.1% 2013/14 OT 614,346 454,317 74.0% 630,719 287,237 45.5% 38.4% 2014/15 OT 634,378 471,561 74.3% 626,411 275,358 44.0% 40.9% 2013/14 Q1* 149,091 110,440 74.1% 2013/14 Q2 158,807 72,621 45.7% 38.3% 0 2013/14 Q2* 158,213 117,376 74.2% 2013/14 Q3 162,599 74,254 45.7% 38.4% 0 2013/14 Q3* 153,514 113,161 73.7% 2013/14 Q4 155,251 71,652 46.2% 37.4% 0 2013/14 Q4* 153,528 113,340 73.8% 2014/15 Q1 154,062 68,710 44.6% 39.6% 0 2014/15 Q1 158,329 117,667 74.3% 2014/15 Q2 160,136 70,606 44.1% 40.7% 0 2014/15 Q2 165,983 123,802 74.6% 2014/15 Q3 163,046 71,183 43.7% 41.5% 0 2014/15 Q3 158,087 117,235 74.2% 2014/15 Q4 154,109 66,189 42.9% 42.1% 0 2014/15 Q4 151,979 112,857 74.3% 2015/16 Q1 149,120 67,380 45.2% 39.2% 0 2015/16 Q1 150,590 111,088 73.8% 2015/16 Q2 0 2015/16 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

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 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 568 124 444 78.2% 74.6% - 81.4% 0 0.0% RTK Ashford and St Peter's Hospitals NHS Foundation Trust 1,028 151 877 85.3% 83.0% - 87.3% 0 0.0% RF4 Barking, Havering and Redbridge University Hospitals NHS Trust 2,060 748 1,303 63.3% 61.1% - 65.3% 9 0.4% RVL Barnet and Chase Farm Hospitals NHS Trust* RFF Barnsley Hospital NHS Foundation Trust 1,032 584 445 3 R1H Barts Health NHS Trust 4,002 439 3,347 216 5.4% RDD Basildon and Thurrock University Hospitals NHS Foundation Trust 1,086 297 788 72.6% 69.8% - 75.1% 1 0.1% RC1 Bedford Hospital NHS Trust 708 125 583 82.3% 79.4% - 85.0% 0 0.0% RLU Birmingham Women's NHS Foundation Trust 2,013 476 1,496 74.3% 72.4% - 76.2% 41 2.0% RXL Blackpool Teaching Hospitals NHS Foundation Trust 724 245 479 66.2% 62.6% - 69.5% 0 0.0% RMC Bolton NHS Foundation Trust 1,390 461 929 66.8% 64.3% - 69.3% 0 0.0% RAE Bradford Teaching Hospitals NHS Foundation Trust 1,451 423 1,028 70.8% 68.5% - 73.1% 0 0.0% RXH Brighton and Sussex University Hospitals NHS Trust 1,403 161 1,230 87.7% 85.8% - 89.3% 12 0.9% RXQ Buckinghamshire Healthcare NHS Trust 1,389 263 1,034 92 6.6% RJF Burton Hospitals NHS Foundation Trust 864 251 613 70.9% 67.8% - 73.9% 0 0.0% RWY Calderdale and Huddersfield NHS Foundation Trust 1,155 236 919 0 RGT Cambridge University Hospitals NHS Foundation Trust RW3 Central Manchester University Hospitals NHS Foundation Trust 2,247 703 1,544 68.7% 66.8% - 70.6% 0 0.0% RQM Chelsea and Westminster Hospital NHS Foundation Trust 1,530 187 1,343 87.8% 86.0% - 89.3% 0 0.0% RFS Chesterfield Royal Hospital NHS Foundation Trust 730 168 562 77.0% 73.8% - 79.9% 0 0.0% RLN City Hospitals Sunderland NHS Foundation Trust 785 351 434 55.3% 51.8% - 58.7% 0 0.0% RDE Colchester Hospital University NHS Foundation Trust 937 192 743 79.3% 76.6% - 81.8% 2 0.2% RJR Countess Of Chester Hospital NHS Foundation Trust 590 195 395 66.9% 63.1% - 70.6% 0 0.0% RXP County Durham and Darlington NHS Foundation Trust 1,288 547 741 57.5% 54.8% - 60.2% 0 0.0% RJ6 Croydon Health Services NHS Trust 986 199 764 77.5% 74.8% - 80.0% 23 2.3% RN7 Dartford and Gravesham NHS Trust 1,230 371 859 69.8% 67.2% - 72.3% 0 0.0% RTG Derby Teaching Hospitals NHS Foundation Trust 1,509 381 1,128 74.8% 72.5% - 76.9% 0 0.0% RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust 1,252 433 819 65.4% 62.7% - 68.0% 0 0.0% RBD Dorset County Hospital NHS Foundation Trust 472 100 367 77.8% 73.8% - 81.3% 5 1.1% RC3 Ealing Hospital NHS Trust* RWH East and North Hertfordshire NHS Trust 1,374 320 1,054 76.7% 74.4% - 78.9% 0 0.0% RJN East Cheshire NHS Trust 423 95 313 74.0% 69.6% - 77.9% 15 3.5% RVV East Kent Hospitals University NHS Foundation Trust 1,690 426 1,185 70.1% 67.9% - 72.3% 79 4.7% RXR East Lancashire Hospitals NHS Trust 1,513 386 1,127 74.5% 72.2% - 76.6% 0 0.0% RXC East Sussex Healthcare NHS Trust 881 283 598 67.9% 64.7% - 70.9% 0 0.0% RVR Epsom and St Helier University Hospitals NHS Trust RDU Frimley Health NHS Foundation Trust* 2,451 492 1,944 79.3% 77.7% - 80.9% 15 0.6% RR7 Gateshead Health NHS Foundation Trust 463 159 304 65.7% 61.2% - 69.8% 0 0.0% RLT George Eliot Hospital NHS Trust 482 168 310 64.3% 59.9% - 68.5% 4 0.8% RTE Gloucestershire Hospitals NHS Foundation Trust 1,547 356 1,191 77.0% 74.8% - 79.0% 0 0.0% RN3 Great Western Hospitals NHS Foundation Trust* 1,038 221 813 78.3% 75.7% - 80.7% 4 0.4% RJ1 Guy's and St Thomas' NHS Foundation Trust 1,706 154 1,552 91.0% 89.5% - 92.2% 0 0.0% RN5 Hampshire Hospitals NHS Foundation Trust 1,314 231 1,075 81.8% 79.6% - 83.8% 8 0.6% RCD Harrogate and District NHS Foundation Trust 467 59 401 85.9% 82.4% - 88.7% 7 1.5% RR1 Heart Of England NHS Foundation Trust 2,403 613 1,629 161 6.7% RD7 Heatherwood and Wexham Park Hospitals NHS Foundation Trust* RQQ Hinchingbrooke Health Care NHS Trust 567 126 441 77.8% 74.2% - 81.0% 0 0.0% RQX Homerton University Hospital NHS Foundation Trust 1,472 120 1,352 91.8% 90.3% - 93.1% 0 0.0% RWA Hull and East Yorkshire Hospitals NHS Trust 1,338 437 901 67.3% 64.8% - 69.8% 0 0.0% RYJ Imperial College Healthcare NHS Trust RGQ Ipswich Hospital NHS Trust 906 179 720 79.5% 76.7% - 82.0% 7 0.8% R1F Isle Of Wight NHS Trust 303 101 202 66.7% 61.2% - 71.7% 0 0.0% RGP James Paget University Hospitals NHS Foundation Trust 510 145 364 71.4% 67.3% - 75.1% 1 0.2% RNQ Kettering General Hospital NHS Foundation Trust* 921 252 643 69.8% 66.8% - 72.7% 26 2.8% RJZ King's College Hospital NHS Foundation Trust 1,326 89 1,214 91.6% 89.9% - 92.9% 23 1.7% RAX Kingston Hospital NHS Foundation Trust 1,488 100 1,352 90.9% 89.3% - 92.2% 36 2.4% RXN Lancashire Teaching Hospitals NHS Foundation Trust 1,151 378 773 67.2% 64.4% - 69.8% 0 0.0% RR8 Leeds Teaching Hospitals NHS Trust 2,328 563 1,667 71.6% 69.7% - 73.4% 98 4.2% RJ2 Lewisham and Greenwich NHS Trust 2,107 299 1,749 83.0% 81.3% - 84.6% 59 2.8% REP Liverpool Women's NHS Foundation Trust 1,922 888 1,034 53.8% 51.6% - 56.0% 0 0.0% R1K London North West Healthcare NHS Trust* 1,696 170 1,501 88.5% 86.9% - 89.9% 25 1.5% RC9 Luton and Dunstable University Hospital NHS Foundation Trust 1,324 294 1,030 77.8% 75.5% - 80.0% 0 0.0% RWF Maidstone and Tunbridge Wells NHS Trust 1,472 260 1,184 80.4% 78.3% - 82.4% 28 1.9% RPA Medway NHS Foundation Trust 1,265 379 855 67.6% 65.0% - 70.1% 31 2.5% RBT Mid Cheshire Hospitals NHS Foundation Trust 723 212 511 70.7% 67.3% - 73.9% 0 0.0% RQ8 Mid Essex Hospital Services NHS Trust 1,170 300 848 72.5% 69.8% - 75.0% 22 1.9% RJD Mid Staffordshire NHS Foundation Trust RXF Mid Yorkshire Hospitals NHS Trust 1,499 507 992 66.2% 63.7% - 68.5% 0 0.0% RD8 Milton Keynes Hospital NHS Foundation Trust 966 56 362 548 56.7% RM1 Norfolk and Norwich University Hospitals NHS Foundation Trust 1,413 237 1,043 133 9.4% RVJ North Bristol NHS Trust RNL North Cumbria University Hospitals NHS Trust 714 245 469 65.7% 62.1% - 69.1% 0 0.0% RAP North Middlesex University Hospital NHS Trust 1,253 135 1,118 89.2% 87.4% - 90.8% 0 0.0% RVW North Tees and Hartlepool NHS Foundation Trust 738 372 366 49.6% 46.0% - 53.2% 0 0.0% RV8 North West London Hospitals NHS Trust* RNS Northampton General Hospital NHS Trust 1,175 278 877 74.6% 72.1% - 77.0% 20 1.7% RBZ Northern Devon Healthcare NHS Trust 344 56 275 79.9% 75.4% - 83.8% 13 3.8% RJL Northern Lincolnshire and Goole NHS Foundation Trust 1,072 363 709 66.1% 63.3% - 68.9% 0 0.0% RTF Northumbria Healthcare NHS Foundation Trust 578 226 352 60.9% 56.9% - 64.8% 0 0.0% RX1 Nottingham University Hospitals NHS Trust RTH Oxford University Hospitals NHS Trust 2,117 393 1,723 81.4% 79.7% - 83.0% 1 0.0% RW6 Pennine Acute Hospitals NHS Trust 2,392 771 1,567 65.5% 63.6% - 67.4% 54 2.3% RGN Peterborough and Stamford Hospitals NHS Foundation Trust 1,271 299 797 175 13.8% RK9 Plymouth Hospitals NHS Trust 1,045 256 783 74.9% 72.2% - 77.5% 6 0.6% RD3 Poole Hospital NHS Foundation Trust 1,161 219 934 80.4% 78.1% - 82.6% 8 0.7% RHU Portsmouth Hospitals NHS Trust 1,470 403 1,060 72.1% 69.8% - 74.3% 7 0.5% RHW Royal Berkshire NHS Foundation Trust 1,340 254 1,070 79.9% 77.6% - 81.9% 16 1.2% REF Royal Cornwall Hospitals NHS Trust 1,141 241 900 78.9% 76.4% - 81.1% 0 0.0% RH8 Royal Devon and Exeter NHS Foundation Trust 990 161 763 66 6.7% RAL Royal Free London NHS Foundation Trust* 2,123 348 1,747 82.3% 80.6% - 83.9% 28 1.3% RA2 Royal Surrey County Hospital NHS Foundation Trust 753 107 646 85.8% 83.1% - 88.1% 0 0.0% RD1 Royal United Hospitals Bath NHS Foundation Trust* 1,221 215 993 81.3% 79.0% - 83.4% 13 1.1% RNZ Salisbury NHS Foundation Trust 560 93 467 83.4% 80.1% - 86.2% 0 0.0% RXK Sandwell and West Birmingham Hospitals NHS Trust 1,370 270 1,018 82 6.0% RHQ Sheffield Teaching Hospitals NHS Foundation Trust 1,732 358 1,374 79.3% 77.4% - 81.2% 0 0.0% RK5 Sherwood Forest Hospitals NHS Foundation Trust 823 237 563 68.4% 65.2% - 71.5% 23 2.8%

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%

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%

Breastfeeding_1516Q1 T5_CCGBFI_201516 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 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 36,455 111,088 73.8% 73.5% - 74.0% 2.0% Q44 Cheshire, Warrington And Wirral Area Team 3,214 1,041 2,157 67.1% 65.5% - 68.7% 16 0.5% Q45 Durham, Darlington And Tees Area Team 3,154 1,428 1,716 54.4% 52.7% - 56.1% 10 0.3% Q46 Greater Manchester Area Team 9,005 2,959 5,986 66.5% 65.5% - 67.4% 60 0.7% Q47 Lancashire Area Team 4,098 1,272 2,818 68.8% 67.3% - 70.2% 8 0.2% Q48 Merseyside Area Team 3,321 1,529 1,782 53.7% 52.0% - 55.3% 10 0.3% Q49 Cumbria, Northumberland, Tyne And Wear Area Team 4,920 1,661 3,165 64.3% 63.0% - 65.7% 94 1.9% Q50 North Yorkshire And Humber Area Team 4,142 1,185 2,826 68.2% 66.8% - 69.6% 131 3.2% Q51 South Yorkshire And Bassetlaw Area Team 4,476 1,529 2,941 65.7% 64.3% - 67.1% 6 0.1% Q52 West Yorkshire Area Team 7,176 1,936 5,144 71.7% 70.6% - 72.7% 96 1.3% Q53 Arden, Herefordshire And Worcestershire Area Team 4,508 1,251 3,245 72.0% 70.7% - 73.3% 12 0.3% Q54 Birmingham And The Black Country Area Team 8,588 2,432 5,847 68.1% 67.1% - 69.1% 309 3.6% Q55 Derbyshire And Nottinghamshire Area Team 3,281 847 2,394 40 Q56 East Anglia Area Team 4,815 1,069 3,482 264 5.5% Q57 Essex Area Team 4,889 1,203 3,645 41 0.8% 74.6% 73.3% - 75.8% Q58 Hertfordshire And The South Midlands Area Team 8,642 1,860 6,183 599 6.9% Q59 Leicestershire And Lincolnshire Area Team 4,766 1,209 3,291 266 5.6% Q60 Shropshire And Staffordshire Area Team 3,999 1,250 2,720 29 0.7% 68.0% 66.6% - 69.4% Q64 Bath, Gloucestershire, Swindon And Wiltshire Area Team 3,884 801 3,066 78.9% 77.6% - 80.2% 17 0.4% Q65 Bristol, North Somerset, Somerset And South Gloucestershire Area Team 2,808 503 2,277 28 Q66 Devon, Cornwall And Isles Of Scilly Area Team 3,534 720 2,727 87 Q67 Kent And Medway Area Team 5,113 1,306 3,670 137 71.8% 70.5% - 73.0% 2.7% Q68 Surrey And Sussex Area Team 6,878 1,145 5,656 82.2% 81.3% - 83.1% 77 1.1% Q69 Thames Valley Area Team 6,262 1,228 4,925 78.6% 77.6% - 79.6% 109 1.7% Q70 Wessex Area Team 7,231 1,553 5,603 77.5% 76.5% - 78.4% 75 1.0% Q71 London Area Team 27,647 3,492 23,635 85.5% 85.1% - 85.9% 520 1.9% 01C NHS Eastern Cheshire CCG Q44 Cheshire, Warrington and Wirral Area Team 469 97 359 76.5% 72.5% - 80.2% 13 2.8% E38000056 01R NHS South Cheshire CCG Q44 Cheshire, Warrington and Wirral Area Team 472 131 341 72.2% 68.0% - 76.1% 0 0.0% E38000151 02D NHS Vale Royal CCG Q44 Cheshire, Warrington and Wirral Area Team 279 91 188 67.4% 61.7% - 72.6% 0 0.0% E38000189 02E NHS Warrington CCG Q44 Cheshire, Warrington and Wirral Area Team 568 166 399 70.2% 66.4% - 73.9% 3 0.5% E38000194 02F NHS West Cheshire CCG Q44 Cheshire, Warrington and Wirral Area Team 599 201 398 66.4% 62.6% - 70.1% 0 0.0% E38000196 12F NHS Wirral CCG Q44 Cheshire, Warrington and Wirral Area Team 827 355 472 57.1% 53.7% - 60.4% 0 0.0% E38000208 00C NHS Darlington CCG Q45 Durham, Darlington and Tees Area Team 299 116 183 61.2% 55.6% - 66.6% 0 0.0% E38000042 00D NHS Durham Dales, Easington and Sedgefield CCG Q45 Durham, Darlington and Tees Area Team 708 350 355 50.1% 46.5% - 53.8% 3 0.4% E38000047 00K NHS Hartlepool and Stockton-On-Tees CCG Q45 Durham, Darlington and Tees Area Team 984 477 504 51.2% 48.1% - 54.3% 3 0.3% E38000075 00J NHS North Durham CCG Q45 Durham, Darlington and Tees Area Team 564 225 337 59.8% 55.7% - 63.7% 2 0.4% E38000116 00M NHS South Tees CCG Q45 Durham, Darlington and Tees Area Team 599 260 337 2 E38000162 00T NHS Bolton CCG Q46 Greater Manchester Area Team 878 275 603 68.7% 65.5% - 71.7% 0 0.0% E38000016 00V NHS Bury CCG Q46 Greater Manchester Area Team 558 155 397 71.1% 67.3% - 74.8% 6 1.1% E38000024 00W NHS Central Manchester CCG Q46 Greater Manchester Area Team 778 192 586 75.3% 72.2% - 78.2% 0 0.0% E38000032 01D NHS Heywood, Middleton and Rochdale CCG Q46 Greater Manchester Area Team 696 247 427 61.4% 57.7% - 64.9% 22 3.2% E38000080 01M NHS North Manchester CCG Q46 Greater Manchester Area Team 753 259 488 64.8% 61.3% - 68.1% 6 0.8% E38000123 00Y NHS Oldham CCG Q46 Greater Manchester Area Team 833 272 542 65.1% 61.8% - 68.2% 19 2.3% E38000135 01G NHS Salford CCG Q46 Greater Manchester Area Team 867 292 573 66.1% 62.9% - 69.2% 2 0.2% E38000143 01N NHS South Manchester CCG Q46 Greater Manchester Area Team 536 168 366 68.3% 64.2% - 72.1% 2 0.4% E38000158 01W NHS Stockport CCG Q46 Greater Manchester Area Team 836 249 586 70.1% 66.9% - 73.1% 1 0.1% E38000174 01Y NHS Tameside and Glossop CCG Q46 Greater Manchester Area Team 707 258 448 63.4% 59.8% - 66.8% 1 0.1% E38000182 02A NHS Trafford CCG Q46 Greater Manchester Area Team 696 181 515 74.0% 70.6% - 77.1% 0 0.0% E38000187 02H NHS Wigan Borough CCG Q46 Greater Manchester Area Team 867 411 455 52.5% 49.2% - 55.8% 1 0.1% E38000205 00Q NHS Blackburn With Darwen CCG Q47 Lancashire Area Team 513 132 381 74.3% 70.3% - 77.9% 0 0.0% E38000014 00R NHS Blackpool CCG Q47 Lancashire Area Team 437 164 273 62.5% 57.8% - 66.9% 0 0.0% E38000015 00X NHS Chorley and South Ribble CCG Q47 Lancashire Area Team 504 191 313 62.1% 57.8% - 66.2% 0 0.0% E38000034 01A NHS East Lancashire CCG Q47 Lancashire Area Team 1,063 276 787 74.0% 71.3% - 76.6% 0 0.0% E38000050 02M NHS Fylde & Wyre CCG Q47 Lancashire Area Team 324 94 230 71.0% 65.8% - 75.7% 0 0.0% E38000060 01E NHS Greater Preston CCG Q47 Lancashire Area Team 616 190 426 69.2% 65.4% - 72.7% 0 0.0% E38000065 01K NHS Lancashire North CCG Q47 Lancashire Area Team 382 121 255 66.8% 61.9% - 71.3% 6 1.6% E38000093 02G NHS West Lancashire CCG Q47 Lancashire Area Team 259 104 153 59.1% 53.0% - 64.9% 2 0.8% E38000200 01F NHS Halton CCG Q48 Merseyside Area Team 354 182 172 48.6% 43.4% - 53.8% 0 0.0% E38000068 01J NHS Knowsley CCG Q48 Merseyside Area Team 473 253 219 46.3% 41.9% - 50.8% 1 0.2% E38000091 99A NHS Liverpool CCG Q48 Merseyside Area Team 1,379 630 746 54.1% 51.5% - 56.7% 3 0.2% E38000101 01T NHS South Sefton CCG Q48 Merseyside Area Team 382 177 204 53.4% 48.4% - 58.3% 1 0.3% E38000161 01V NHS Southport and Formby CCG Q48 Merseyside Area Team 237 88 147 62.0% 55.7% - 68.0% 2 0.8% E38000170 01X NHS St Helens CCG Q48 Merseyside Area Team 496 199 294 59.3% 54.9% - 63.5% 3 0.6% E38000172 01H NHS Cumbria CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 1,191 403 773 64.9% 62.1% - 67.6% 15 1.3% E38000041 00F NHS Gateshead CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 588 187 392 66.7% 62.8% - 70.4% 9 1.5% E38000061 00G NHS Newcastle North and East CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 357 89 252 70.6% 65.7% - 75.1% 16 4.5% E38000111 00H NHS Newcastle West CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 480 126 328 26 5.4% E38000112 99C NHS North Tyneside CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 556 182 357 64.2% 60.1% - 68.1% 17 3.1% E38000127 00L NHS Northumberland CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 663 210 446 67.3% 63.6% - 70.7% 7 1.1% E38000130 00N NHS South Tyneside CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 368 161 204 55.4% 50.3% - 60.4% 3 0.8% E38000163 00P NHS Sunderland CCG Q49 Cumbria, Northumberland, Tyne and Wear Area Team 717 303 413 57.6% 54.0% - 61.2% 1 0.1% E38000176 02Y NHS East Riding Of Yorkshire CCG Q50 North Yorkshire and Humber Area Team 623 175 430 69.0% 65.3% - 72.5% 18 2.9% E38000052 03D NHS Hambleton, Richmondshire and Whitby CCG Q50 North Yorkshire and Humber Area Team 280 77 202 1 E38000069 03E NHS Harrogate and Rural District CCG Q50 North Yorkshire and Humber Area Team 366 41 319 87.2% 83.3% - 90.2% 6 1.6% E38000073 03F NHS Hull CCG Q50 North Yorkshire and Humber Area Team 916 335 579 63.2% 60.0% - 66.3% 2 0.2% E38000085 03H NHS North East Lincolnshire CCG Q50 North Yorkshire and Humber Area Team 423 156 266 62.9% 58.2% - 67.4% 1 0.2% E38000119 03K NHS North Lincolnshire CCG Q50 North Yorkshire and Humber Area Team 451 148 299 66.3% 61.8% - 70.5% 4 0.9% E38000122 03M NHS Scarborough and Ryedale CCG Q50 North Yorkshire and Humber Area Team 270 73 154 43 15.9% E38000145 03Q NHS Vale Of York CCG Q50 North Yorkshire and Humber Area Team 813 180 577 56 6.9% E38000188 02P NHS Barnsley CCG Q51 South Yorkshire and Bassetlaw Area Team 984 516 464 4 E38000006 02Q NHS Bassetlaw CCG Q51 South Yorkshire and Bassetlaw Area Team 277 94 183 66.1% 60.3% - 71.4% 0 0.0% E38000008 02X NHS Doncaster CCG Q51 South Yorkshire and Bassetlaw Area Team 911 323 587 64.4% 61.3% - 67.5% 1 0.1% E38000044 03L NHS Rotherham CCG Q51 South Yorkshire and Bassetlaw Area Team 706 259 447 63.3% 59.7% - 66.8% 0 0.0% E38000141 03N NHS Sheffield CCG Q51 South Yorkshire and Bassetlaw Area Team 1,598 337 1,260 78.8% 76.8% - 80.8% 1 0.1% E38000146 02N NHS Airedale, Wharfedale and Craven CCG Q52 West Yorkshire Area Team 438 92 341 77.9% 73.7% - 81.5% 5 1.1% E38000001 02W NHS Bradford City CCG Q52 West Yorkshire Area Team 537 144 390 72.6% 68.7% - 76.2% 3 0.6% E38000018 02R NHS Bradford Districts CCG Q52 West Yorkshire Area Team 1,095 318 774 70.7% 67.9% - 73.3% 3 0.3% E38000019 02T NHS Calderdale CCG Q52 West Yorkshire Area Team 540 123 417 77.2% 73.5% - 80.6% 0 0.0% E38000025 03A NHS Greater Huddersfield CCG Q52 West Yorkshire Area Team 576 132 441 3 E38000064 02V NHS Leeds North CCG Q52 West Yorkshire Area Team 604 115 474 78.5% 75.0% - 81.6% 15 2.5% E38000094 03G NHS Leeds South and East CCG Q52 West Yorkshire Area Team 848 266 549 64.7% 61.5% - 67.9% 33 3.9% E38000095 03C NHS Leeds West CCG Q52 West Yorkshire Area Team 976 232 715 73.3% 70.4% - 75.9% 29 3.0% E38000096 03J NHS North Kirklees CCG Q52 West Yorkshire Area Team 566 139 424 3 E38000121 03R NHS Wakefield CCG Q52 West Yorkshire Area Team 996 375 619 62.1% 59.1% - 65.1% 2 0.2% E38000190 05A NHS Coventry and Rugby CCG Q53 Arden, Herefordshire and Worcestershire Area Team 1,484 304 1,176 79.2% 77.1% - 81.2% 4 0.3% E38000038 05F NHS Herefordshire CCG Q53 Arden, Herefordshire and Worcestershire Area Team 423 124 299 70.7% 66.2% - 74.8% 0 0.0% E38000078 05J NHS Redditch and Bromsgrove CCG Q53 Arden, Herefordshire and Worcestershire Area Team 460 168 291 63.3% 58.8% - 67.5% 1 0.2% E38000139 05R NHS South Warwickshire CCG Q53 Arden, Herefordshire and Worcestershire Area Team 646 160 484 74.9% 71.4% - 78.1% 2 0.3% E38000164 05T NHS South Worcestershire CCG Q53 Arden, Herefordshire and Worcestershire Area Team 745 230 515 69.1% 65.7% - 72.3% 0 0.0% E38000166 05H NHS Warwickshire North CCG Q53 Arden, Herefordshire and Worcestershire Area Team 455 146 304 5 E38000195 06D NHS Wyre Forest CCG Q53 Arden, Herefordshire and Worcestershire Area Team 295 119 176 59.7% 54.0% - 65.1% 0 0.0% E38000211 13P NHS Birmingham Crosscity CCG Q54 Birmingham and The Black Country Area Team 2,492 627 1,748 70.1% 68.3% - 71.9% 117 4.7% E38000012 04X NHS Birmingham South and Central CCG Q54 Birmingham and The Black Country Area Team 934 220 692 74.1% 71.2% - 76.8% 22 2.4% E38000013 05C NHS Dudley CCG Q54 Birmingham and The Black Country Area Team 876 350 496 56.6% 53.3% - 59.9% 30 3.4% E38000046 05L NHS Sandwell and West Birmingham CCG Q54 Birmingham and The Black Country Area Team 1,859 504 1,266 68.1% 65.9% - 70.2% 89 4.8% E38000144 05P NHS Solihull CCG Q54 Birmingham and The Black Country Area Team 653 152 455 46 7.0% E38000149 05Y NHS Walsall CCG Q54 Birmingham and The Black Country Area Team 919 299 619 67.4% 64.3% - 70.3% 1 0.1% E38000191 06A NHS Wolverhampton CCG Q54 Birmingham and The Black Country Area Team 855 280 571 66.8% 63.6% - 69.9% 4 0.5% E38000210 03X NHS Erewash CCG Q55 Derbyshire and Nottinghamshire Area Team 119 35 84 0 E38000058 03Y NHS Hardwick CCG Q55 Derbyshire and Nottinghamshire Area Team 258 71 183 70.9% 65.1% - 76.1% 4 1.6% E38000071 04E NHS Mansfield and Ashfield CCG Q55 Derbyshire and Nottinghamshire Area Team 486 139 333 14 E38000103 04H NHS Newark & Sherwood CCG Q55 Derbyshire and Nottinghamshire Area Team 265 73 173 19 7.2% E38000109 04J NHS North Derbyshire CCG Q55 Derbyshire and Nottinghamshire Area Team 675 154 521 77.2% 73.9% - 80.2% 0 0.0% E38000115 04K NHS Nottingham City CCG Q55 Derbyshire and Nottinghamshire Area Team 16 4 11 1 6.3% E38000132 04L NHS Nottingham North and East CCG Q55 Derbyshire and Nottinghamshire Area Team 15 3 11 1 6.7% E38000133 04M NHS Nottingham West CCG Q55 Derbyshire and Nottinghamshire Area Team 10 3 7 0 E38000134 04N NHS Rushcliffe CCG Q55 Derbyshire and Nottinghamshire Area Team 4 0 4 0 E38000142 04R NHS Southern Derbyshire CCG Q55 Derbyshire and Nottinghamshire Area Team 1,433 365 1,067 74.5% 72.1% - 76.6% 1 0.1% E38000169 06H NHS Cambridgeshire and Peterborough CCG Q56 East Anglia Area Team 1,588 380 1,085 123 7.7% E38000026 06M NHS Great Yarmouth and Waveney CCG Q56 East Anglia Area Team 569 158 402 70.7% 66.8% - 74.2% 9 1.6% E38000063 06L NHS Ipswich and East Suffolk CCG Q56 East Anglia Area Team 909 182 720 79.2% 76.4% - 81.7% 7 0.8% E38000086 06V NHS North Norfolk CCG Q56 East Anglia Area Team 335 67 240 28 8.4% E38000124 06W NHS Norwich CCG Q56 East Anglia Area Team 544 79 424 41 7.5% E38000131 06Y NHS South Norfolk CCG Q56 East Anglia Area Team 473 82 337 54 11.4% E38000159 07J NHS West Norfolk CCG Q56 East Anglia Area Team 381 115 264 69.3% 64.5% - 73.7% 2 0.5% E38000203 07K NHS West Suffolk CCG Q56 East Anglia Area Team 13 6 7 0 E38000204 99E NHS Basildon and Brentwood CCG Q57 Essex Area Team 669 185 480 4 E38000007 99F NHS Castle Point and Rochford CCG Q57 Essex Area Team 569 140 426 3 E38000030 06Q NHS Mid Essex CCG Q57 Essex Area Team 996 252 722 72.5% 69.6% - 75.2% 22 2.2% E38000106 06T NHS North East Essex CCG Q57 Essex Area Team 883 181 700 79.3% 76.5% - 81.8% 2 0.2% E38000117 99G NHS Southend CCG Q57 Essex Area Team 523 81 437 83.6% 80.1% - 86.5% 5 1.0% E38000168 07G NHS Thurrock CCG Q57 Essex Area Team 397 119 276 2 E38000185 07H NHS West Essex CCG Q57 Essex Area Team 852 245 604 70.9% 67.8% - 73.8% 3 0.4% E38000197

Breastfeeding_1516Q1 T5_CCGBFI_201516 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 1,315 276 1,001 76.1% 73.7% - 78.3% 38 2.9% E38000010 03V NHS Corby CCG Q58 Hertfordshire and The South Midlands Area Team 275 85 182 66.2% 60.4% - 71.5% 8 2.9% E38000037 06K NHS East and North Hertfordshire CCG Q58 Hertfordshire and The South Midlands Area Team 1,565 379 1,180 75.4% 73.2% - 77.5% 6 0.4% E38000049 06N NHS Herts Valleys CCG Q58 Hertfordshire and The South Midlands Area Team 1,858 431 1,419 76.4% 74.4% - 78.2% 8 0.4% E38000079 06P NHS Luton CCG Q58 Hertfordshire and The South Midlands Area Team 834 172 662 79.4% 76.5% - 82.0% 0 0.0% E38000102 04F NHS Milton Keynes CCG Q58 Hertfordshire and The South Midlands Area Team 876 57 347 472 53.9% E38000107 04G NHS Nene CCG Q58 Hertfordshire and The South Midlands Area Team 1,919 460 1,392 72.5% 70.5% - 74.5% 67 3.5% E38000108 03W NHS East Leicestershire and Rutland CCG Q59 Leicestershire and Lincolnshire Area Team 759 176 576 75.9% 72.7% - 78.8% 7 0.9% E38000051 04C NHS Leicester City CCG Q59 Leicestershire and Lincolnshire Area Team 1,290 318 972 75.3% 72.9% - 77.6% 0 0.0% E38000097 03T NHS Lincolnshire East CCG Q59 Leicestershire and Lincolnshire Area Team 556 158 336 62 11.2% E38000099 04D NHS Lincolnshire West CCG Q59 Leicestershire and Lincolnshire Area Team 605 172 361 72 11.9% E38000100 99D NHS South Lincolnshire CCG Q59 Leicestershire and Lincolnshire Area Team 396 93 243 60 15.2% E38000157 04Q NHS South West Lincolnshire CCG Q59 Leicestershire and Lincolnshire Area Team 269 60 145 64 23.8% E38000165 04V NHS West Leicestershire CCG Q59 Leicestershire and Lincolnshire Area Team 891 232 658 73.8% 70.9% - 76.6% 1 0.1% E38000201 04Y NHS Cannock Chase CCG Q60 Shropshire and Staffordshire Area Team 325 111 214 65.8% 60.5% - 70.8% 0 0.0% E38000028 05D NHS East Staffordshire CCG Q60 Shropshire and Staffordshire Area Team 389 108 281 72.2% 67.6% - 76.5% 0 0.0% E38000053 05G NHS North Staffordshire CCG Q60 Shropshire and Staffordshire Area Team 492 167 323 65.7% 61.3% - 69.7% 2 0.4% E38000126 05N NHS Shropshire CCG Q60 Shropshire and Staffordshire Area Team 609 142 460 7 E38000147 05Q NHS South East Staffordshire and Seisdon Peninsula CCG Q60 Shropshire and Staffordshire Area Team 526 145 375 71.3% 67.3% - 75.0% 6 1.1% E38000153 05V NHS Stafford and Surrounds CCG Q60 Shropshire and Staffordshire Area Team 308 91 217 70.5% 65.1% - 75.3% 0 0.0% E38000173 05W NHS Stoke On Trent CCG Q60 Shropshire and Staffordshire Area Team 853 348 505 59.2% 55.9% - 62.5% 0 0.0% E38000175 05X NHS Telford and Wrekin CCG Q60 Shropshire and Staffordshire Area Team 497 138 345 69.4% 65.2% - 73.3% 14 2.8% E38000183 11E NHS Bath and North East Somerset CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team 461 67 390 84.6% 81.0% - 87.6% 4 0.9% E38000009 11M NHS Gloucestershire CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team 1,597 365 1,230 77.0% 74.9% - 79.0% 2 0.1% E38000062 12D NHS Swindon CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team 691 162 528 76.4% 73.1% - 79.4% 1 0.1% E38000181 99N NHS Wiltshire CCG Q64 Bath, Gloucestershire, Swindon and Wiltshire Area Team 1,135 207 918 80.9% 78.5% - 83.1% 10 0.9% E38000206 11H NHS Bristol CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team 859 125 723 11 E38000022 11T NHS North Somerset CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team 400 81 317 2 E38000125 11X NHS Somerset CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team 1,438 274 1,150 80.0% 77.8% - 82.0% 14 1.0% E38000150 12A NHS South Gloucestershire CCG Q65 Bristol, North Somerset, Somerset and South Gloucestershire Area Team 111 23 87 1 E38000155 11N NHS Kernow CCG Q66 Devon, Cornwall and Isles Of Scilly Area Team 1,367 287 1,077 78.8% 76.5% - 80.9% 3 0.2% E38000089 99P NHS Northern, Eastern and Western Devon CCG Q66 Devon, Cornwall and Isles Of Scilly Area Team 2,094 423 1,591 76.0% 74.1% - 77.8% 80 3.8% E38000129 99Q NHS South Devon and Torbay CCG Q66 Devon, Cornwall and Isles Of Scilly Area Team 73 10 59 4 5.5% E38000152 09C NHS Ashford CCG Q67 Kent and Medway Area Team 364 98 248 68.1% 63.2% - 72.7% 18 4.9% E38000002 09E NHS Canterbury and Coastal CCG Q67 Kent and Medway Area Team 460 100 329 31 6.7% E38000029 09J NHS Dartford, Gravesham and Swanley CCG Q67 Kent and Medway Area Team 798 241 557 69.8% 66.5% - 72.9% 0 0.0% E38000043 09W NHS Medway CCG Q67 Kent and Medway Area Team 957 272 665 69.5% 66.5% - 72.3% 20 2.1% E38000104 10A NHS South Kent Coast CCG Q67 Kent and Medway Area Team 474 119 331 24 5.1% E38000156 10D NHS Swale CCG Q67 Kent and Medway Area Team 347 120 215 62.0% 56.7% - 66.9% 12 3.5% E38000180 10E NHS Thanet CCG Q67 Kent and Medway Area Team 380 107 266 70.0% 65.2% - 74.4% 7 1.8% E38000184 99J NHS West Kent CCG Q67 Kent and Medway Area Team 1,333 249 1,059 79.4% 77.2% - 81.5% 25 1.9% E38000199 09D NHS Brighton and Hove CCG Q68 Surrey and Sussex Area Team 696 86 602 86.5% 83.8% - 88.8% 8 1.1% E38000021 09G NHS Coastal West Sussex CCG Q68 Surrey and Sussex Area Team 1,184 195 942 79.6% 77.2% - 81.8% 47 4.0% E38000036 09H NHS Crawley CCG Q68 Surrey and Sussex Area Team 450 93 355 78.9% 74.9% - 82.4% 2 0.4% E38000039 09L NHS East Surrey CCG Q68 Surrey and Sussex Area Team 530 92 437 82.5% 79.0% - 85.5% 1 0.2% E38000054 09F NHS Eastbourne, Hailsham and Seaford CCG Q68 Surrey and Sussex Area Team 476 136 339 71.2% 67.0% - 75.1% 1 0.2% E38000055 09N NHS Guildford and Waverley CCG Q68 Surrey and Sussex Area Team 507 74 433 85.4% 82.1% - 88.2% 0 0.0% E38000067 09P NHS Hastings and Rother CCG Q68 Surrey and Sussex Area Team 449 151 297 66.1% 61.6% - 70.4% 1 0.2% E38000076 99K NHS High Weald Lewes Havens CCG Q68 Surrey and Sussex Area Team 350 44 302 86.3% 82.3% - 89.5% 4 1.1% E38000081 09X NHS Horsham and Mid Sussex CCG Q68 Surrey and Sussex Area Team 575 59 510 88.7% 85.8% - 91.0% 6 1.0% E38000083 09Y NHS North West Surrey CCG Q68 Surrey and Sussex Area Team 1,050 140 910 86.7% 84.5% - 88.6% 0 0.0% E38000128 99H NHS Surrey Downs CCG Q68 Surrey and Sussex Area Team 341 30 307 4 E38000177 10C NHS Surrey Heath CCG Q68 Surrey and Sussex Area Team 270 45 222 82.2% 77.2% - 86.3% 3 1.1% E38000178 10Y NHS Aylesbury Vale CCG Q69 Thames Valley Area Team 606 105 447 54 8.9% E38000003 10G NHS Bracknell and Ascot CCG Q69 Thames Valley Area Team 385 76 307 79.7% 75.4% - 83.5% 2 0.5% E38000017 10H NHS Chiltern CCG Q69 Thames Valley Area Team 922 199 689 74.7% 71.8% - 77.4% 34 3.7% E38000033 10M NHS Newbury and District CCG Q69 Thames Valley Area Team 276 50 225 81.5% 76.5% - 85.7% 1 0.4% E38000110 10N NHS North & West Reading CCG Q69 Thames Valley Area Team 330 64 264 80.0% 75.4% - 84.0% 2 0.6% E38000114 10Q NHS Oxfordshire CCG Q69 Thames Valley Area Team 1,906 354 1,550 81.3% 79.5% - 83.0% 2 0.1% E38000136 10T NHS Slough CCG Q69 Thames Valley Area Team 592 153 438 74.0% 70.3% - 77.4% 1 0.2% E38000148 10W NHS South Reading CCG Q69 Thames Valley Area Team 465 91 367 78.9% 75.0% - 82.4% 7 1.5% E38000160 11C NHS Windsor, Ascot and Maidenhead CCG Q69 Thames Valley Area Team 390 64 325 83.3% 79.3% - 86.7% 1 0.3% E38000207 11D NHS Wokingham CCG Q69 Thames Valley Area Team 390 72 313 80.3% 76.0% - 83.9% 5 1.3% E38000209 11J NHS Dorset CCG Q70 Wessex Area Team 1,816 347 1,452 80.0% 78.1% - 81.7% 17 0.9% E38000045 10K NHS Fareham and Gosport CCG Q70 Wessex Area Team 508 115 387 76.2% 72.3% - 79.7% 6 1.2% E38000059 10L NHS Isle Of Wight CCG Q70 Wessex Area Team 304 101 203 66.8% 61.3% - 71.8% 0 0.0% E38000087 99M NHS North East Hampshire and Farnham CCG Q70 Wessex Area Team 660 120 532 80.6% 77.4% - 83.4% 8 1.2% E38000118 10J NHS North Hampshire CCG Q70 Wessex Area Team 609 117 486 79.8% 76.4% - 82.8% 6 1.0% E38000120 10R NHS Portsmouth CCG Q70 Wessex Area Team 649 178 466 71.8% 68.2% - 75.1% 5 0.8% E38000137 10V NHS South Eastern Hampshire CCG Q70 Wessex Area Team 518 151 363 70.1% 66.0% - 73.9% 4 0.8% E38000154 10X NHS Southampton CCG Q70 Wessex Area Team 860 200 643 74.8% 71.8% - 77.6% 17 2.0% E38000167 11A NHS West Hampshire CCG Q70 Wessex Area Team 1,307 224 1,071 81.9% 79.8% - 83.9% 12 0.9% E38000198 07L NHS Barking and Dagenham CCG Q71 London Area Team 930 281 630 67.7% 64.7% - 70.7% 19 2.0% E38000004 07M NHS Barnet CCG Q71 London Area Team 1,285 181 1,088 84.7% 82.6% - 86.5% 16 1.2% E38000005 07N NHS Bexley CCG Q71 London Area Team 568 125 436 7 E38000011 07P NHS Brent CCG Q71 London Area Team 772 78 685 9 E38000020 07Q NHS Bromley CCG Q71 London Area Team 133 25 107 1 E38000023 07R NHS Camden CCG Q71 London Area Team 616 38 549 89.1% 86.4% - 91.3% 29 4.7% E38000027 09A NHS Central London (Westminster) CCG Q71 London Area Team 236 16 217 3 E38000031 07T NHS City and Hackney CCG Q71 London Area Team 1,161 78 1,076 92.7% 91.0% - 94.0% 7 0.6% E38000035 07V NHS Croydon CCG Q71 London Area Team 1,202 205 972 80.9% 78.5% - 83.0% 25 2.1% E38000040 07W NHS Ealing CCG Q71 London Area Team 834 72 747 15 E38000048 07X NHS Enfield CCG Q71 London Area Team 1,133 152 974 86.0% 83.8% - 87.9% 7 0.6% E38000057 08A NHS Greenwich CCG Q71 London Area Team 1,121 162 923 82.3% 80.0% - 84.5% 36 3.2% E38000066 08C NHS Hammersmith and Fulham CCG Q71 London Area Team 310 37 272 1 E38000070 08D NHS Haringey CCG Q71 London Area Team 1,015 88 919 90.5% 88.6% - 92.2% 8 0.8% E38000072 08E NHS Harrow CCG Q71 London Area Team 749 95 649 86.6% 84.0% - 88.9% 5 0.7% E38000074 08F NHS Havering CCG Q71 London Area Team 850 312 531 62.5% 59.2% - 65.7% 7 0.8% E38000077 08G NHS Hillingdon CCG Q71 London Area Team 930 141 781 84.0% 81.5% - 86.2% 8 0.9% E38000082 07Y NHS Hounslow CCG Q71 London Area Team 949 83 859 90.5% 88.5% - 92.2% 7 0.7% E38000084 08H NHS Islington CCG Q71 London Area Team 747 73 654 87.6% 85.0% - 89.7% 20 2.7% E38000088 08J NHS Kingston CCG Q71 London Area Team 611 54 543 88.9% 86.1% - 91.1% 14 2.3% E38000090 08K NHS Lambeth CCG Q71 London Area Team 1,255 90 1,158 92.3% 90.7% - 93.6% 7 0.6% E38000092 08L NHS Lewisham CCG Q71 London Area Team 1,089 129 942 86.5% 84.3% - 88.4% 18 1.7% E38000098 08R NHS Merton CCG Q71 London Area Team 576 41 522 13 E38000105 08M NHS Newham CCG Q71 London Area Team 1,606 100 1,413 93 5.8% E38000113 08N NHS Redbridge CCG Q71 London Area Team 1,147 234 883 77.0% 74.5% - 79.3% 30 2.6% E38000138 08P NHS Richmond CCG Q71 London Area Team 635 39 589 92.8% 90.5% - 94.5% 7 1.1% E38000140 08Q NHS Southwark CCG Q71 London Area Team 1,140 100 1,029 90.3% 88.4% - 91.9% 11 1.0% E38000171 08T NHS Sutton CCG Q71 London Area Team 90 13 76 1 E38000179 08V NHS Tower Hamlets CCG Q71 London Area Team 1,127 155 935 83.0% 80.7% - 85.0% 37 3.3% E38000186 08W NHS Waltham Forest CCG Q71 London Area Team 1,114 154 923 82.9% 80.5% - 85.0% 37 3.3% E38000192 08X NHS Wandsworth CCG Q71 London Area Team 1,348 107 1,220 90.5% 88.8% - 92.0% 21 1.6% E38000193 08Y NHS West London CCG Q71 London Area Team 368 34 333 1 E38000202 X24 Military Practices X24 NHS England 239 46 187 78.2% 72.6% - 83.0% 6 2.5% 12H Durham, Darlington & Tees Commissioning Hub Q45 Durham, Darlington & Tees 0 0 0 0 12K Lancashire Commissioning Hub Q47 Lancashire 0 0 0 0 12M Cumbria, Northumberland, Tyne & Wear Commissioning Hub Q49 Cumbria, Northumberland, Tyne & Wear 0 0 0 0 12Q West Yorkshire Commissioning Hub Q52 West Yorkshire 0 0 0 0 12V Derbyshire & Nottinghamshire Commissioning Hub Q55 Derbyshire & Nottinghamshire 0 0 0 0 12W East Anglia Commissioning Hub Q56 East Anglia 3 0 3 0 100.0% 43.8% - 100.0% 0.0% 13C Shropshire & Staffordshire Commissioning Hub Q60 Shropshire & Staffordshire 0 0 0 0 13D North East London Commissioning Hub Q71 London 0 0 0 0 13F South London Commissioning Hub Q71 London 0 0 0 0 13H Bristol, N Somerset, Somerset & S Gloucestershire Q65 Bristol, N Somerset, Somerset 0 0 0 0 Commissioning & S Gloucestershire 13K Kent & Medway Commissioning Hub Q67 Kent & Medway 0 0 0 0 13M Thames Valley Commissioning Hub Q69 Thames Valley 0 0 0 0 13A Leicesterhire & Lincolnshire Commissioning Hub Q59 Leicestershire And Lincolnshire Area Team 0 0 0 0 13R London Commissioning Hub Q71 London 0 0 0 0 Notes: 1. Red cells mean that no. of maternities does not meet validation criteria (see definitions sheet for details). 100.0% 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.