NHS Health Scotland



Multi-agency education and training to support a competent workforce respond to all aspects of teenage pregnancy.


Link through the outcomes (1c)

Multi-agency education and training informed by evidence, local data and the views of young people, will enable staff across sectors to have the appropriate knowledge, attitudes and skills to understand and meet the needs of young people. This in turn will contribute to staff working more effectively to meet the needs and aspirations of young people and greater trust between professionals and between professionals and young people.


Training and education

  • There is review-level evidence to suggest that attitudes of staff can act as a barrier for young people to access reproductive and sexual health,antenatal and maternity services. (1,2,3,4)
  • Review-level evidence and WHO and NICE guidance suggest that staff training is a key factor in successful delivery of reproductive and sexual health, antenatal and other service provision for young people.(2,5,6,7,8)
  • Review-level evidence suggests that staff training, monitoring, and support and supervision is important for effective delivery of Relationships Sexual Health and Parenthood and social and emotional wellbeing programmes for young people. (9,10,11)

HIIA Note:

The evidence specifically includes research on the views of young people who were socially disadvantaged and excluded, as well as young parents.


  1. Baxter S, Blank l. Payne N et al. A review of the effectiveness and cost effectiveness of contraceptive services and interventions to encourage use of those services for socially disadvantaged young people: views review. Sheffield: University of Sheffield School of Health and Related Research (ScHARR); 2010. Available at http://www.nice.org.uk/guidance/ph51/evidence (accessed 3 June 2015).

  2. Owen J, Carroll C, Cooke J et al. School-linked sexual health services for young people (SSHYP): a survey and systematic review concerning current models, effectiveness, cost-effectiveness and research opportunities. Health Technol Assess 2010; 14(30).

  3. National Collaborating Centre for Women’s and Children’s Health. Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors. Commissioned by the National Institute for Health and Clinical Excellence. London: Royal College of Obstetricians and Gynaecologists; 2010. Available at : http://www.nice.org.uk/guidance/cg110/evidence (accessed 3 June 2015).

  4. Trivedi D, Brooks F, Bunn F and Graham M. Early fatherhood: a mapping of the evidence base relating to pregnancy prevention and parenting support. Health Education Research 2009: 24 (6): 999–1028.

  5. National Institute for Health and Care Excellence. NICE Public Health Guidance 51: Contraceptive services with a focus on young people up to the age of 25. London: National Institute for Health and Care Excellence; 2014. Available at: http://www.nice.org.uk/guidance/PH51 (accessed 3 June 2015).

  6. National Collaborating Centre for Women’s and Children’s Health. Pregnancy and complex social factors: A model for service provision for pregnant women with complex social factors. Clinical Guideline 110. Available at: http://guidance.nice.org.uk/CG110 (accessed 3 June 2015).

  7. Fullerton D, Burtney E. An overview of the effectiveness of sexual health improvement interventions: final report. Edinburgh: NHS Health Scotland; 2010. Available at: http://www.healthscotland.com/documents/4622.aspx (accessed 3 June 2015).

  8. World Health Organization. Making health services adolescent friendly: developing national quality standards for adolescent-friendly health services. Geneva: World Health Organization; 2012. Available at: http://www.who.int/maternal_child_adolescent/documents/adolescent_friendly_services/en/ (accessed 3 June 2015).

  9. Jones L, Bates G, Downing J et al. A review of the effectiveness and cost- effectiveness of personal, social and health education in secondary schools focusing on sex and relationships and alcohol education for young people aged 11 to 19 years: final report. Liverpool: John Moores University Centre for Public Health; 2009.

  10. Kirby D. Emerging answers: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington DC: The National Campaign to Prevent Teen and Unplanned Pregnancy; 2007. Available at : http://thenationalcampaign.org/resource/emerging-answers-2007%E2%80%94full-report (accessed 3 June 2015).

  11. NHS Health Scotland. Scottish perspective on NICE Public Health Guidance 20 : Promoting social and emotional wellbeing in secondary education. Edinburgh: NHS Health Scotland; 2010. http://www.healthscotland.com/documents/4037.asp (accessed 3 June 2015).