(1)

the city must strive to raise aspirations of all people, particularly young people, and this will support a reduction in teenage conceptions;

(2)

governance and accountability for the delivery of this agenda must be clear, with a named senior champion at the highest level promoting the city’s drive to reduce harmful risk taking behaviour, including unprotected sex. An effective partnership, working to a clear and transparent understanding of the financial costs to support the delivery of this agenda, is required across Plymouth City Council, Plymouth NHS and the Voluntary and Community Sector;

(3)

key services must have the capacity and be competent to identify, at the earliest point, vulnerability to teenage pregnancy (and other harmful risk taking behaviour). Primary and Secondary Schools are pivotal in this identification. The city must then be able to provide personalised holistic support to the young person that can contribute to outcomes linked to an increase in self esteem, aspiration and attainment. The work of Education Welfare Officers should be further explored to determine their potential to maximise their role in early identification and support;

(4)

the city must aim to provide a consistently delivered, high quality, age appropriate Relationship and Sex Education (RSE) programme in all schools (primary, secondary and alternative provision) with Governors and members of Senior Management Teams committing to training to support the delivery of Relationship and Sex Education in their schools;

(5)

within the Relationship and Sex Education programme the relationship of substance (including alcohol) misuse to high risk sexual activity, and media messages on sex, should be addressed;

(6)

issues for boys and young men need to be equally addressed through our planning and delivery of services;

(7)

services to better assist families to talk about relationships and sex, with parents/carers having access to clear advice for help and identifiable sources of support;

(8)

the city needs to ensure that data reflecting use of the emergency contraceptive pill by under-18s from pharmacies is collected to further improve understanding of need and to determine if this provision is accessible with respect to locality and opening hours;

(9)

Services for Children and Young People need to clearly promote messages that support equipping young people with the skills to resist harmful risk taking behaviour, including unprotected sex. Alongside acknowledging the legal age of

consent to be 16 the city needs to promote the notion of a young person making healthy choices about their sex life, including understanding the implications of becoming a parent. To support this, the city should explore how to best utilise young people’s use of information, advice and support through a range of media systems e.g. internet; mobile phones; magazines; posters etc;

(10)

Services for Children and Young People need to ensure routine engagement with young people to help shape strategy, service planning and design in line with best practice and innovative developments.