CARES Research

Children’s Academic and Health Results for Sickle Cell Disease in England

Children’s Academic and Health Results for Sickle Cell Disease in England

We aim to investigate the health outcomes, health service utilisation, and educational outcomes of all children with Sickle Cell Disease in England.

We aim to investigate the health outcomes, health service utilisation, and educational outcomes of all children with Sickle Cell Disease in England.

Community

Community

The problem

Sickle cell disease (SCD) is one of the most common genetic diseases in the UK — affecting approximately 17,500 individuals and almost 300 babies born annually.

Sickle cell disease (SCD) is one of the most common genetic diseases in the UK — affecting approximately 17,500 individuals and almost 300 babies born annually.

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Health

Community

SCD is associated with recurrent episodes of acute pain and complications and may impact children’s school participation and academic attainment. However, there is limited data on SCD children’s health and educational outcomes at a national level.

Furthermore, SCD predominantly presents in people of sub-Saharan African, Caribbean, Middle Eastern, or Eastern Mediterranean descent and patients too often face sub-standard health care and negative attitudes. Children with SCD are underrepresented in research and an updated perspective regarding healthcare utilisation and management strategies is needed.

This study aims to address these issues by using three large databases, the National Haemoglobinopathy Registry (NHR), Hospital Episode Statistics (HES), and Education and Child Health Insights from Linked Data (ECHILD), to compare SCD children’s health outcomes, healthcare utilisation, and educational outcomes with two control groups.

SCD is associated with recurrent episodes of acute pain and complications and may impact children’s school participation and academic attainment. However, there is limited data on SCD children’s health and educational outcomes at a national level.

Furthermore, SCD predominantly presents in people of sub-Saharan African, Caribbean, Middle Eastern, or Eastern Mediterranean descent and patients too often face sub-standard health care and negative attitudes. Children with SCD are underrepresented in research and an updated perspective regarding healthcare utilisation and management strategies is needed.

This study aims to address these issues by using three large databases, the National Haemoglobinopathy Registry (NHR), Hospital Episode Statistics (HES), and Education and Child Health Insights from Linked Data (ECHILD), to compare SCD children’s health outcomes, healthcare utilisation, and educational outcomes with two control groups.

Our data partners

The need

Why is this study needed?

Why is this study needed?

Sickle cell disease is linked to recurrent episodes of acute pain and complications such as stroke and progressive organ damage, leading to frequent hospitalisations. Children’s school participation and academic attainment can be affected by SCD-related pain, fatigue, and neurological complications.

SCD predominantly affects people of sub-Saharan African, Caribbean, Middle Eastern, or Eastern Mediterranean descent. Patients too often face substandard care and negative attitudes due to stereotyping, structural racism, and inadequate awareness of SCD in the NHS.

Children with SCD are underrepresented in research, and there is limited national data on their health and educational outcomes. High-quality research is needed to give an updated, evidence-based picture of care for children with SCD in England.

Sickle cell disease is linked to recurrent episodes of acute pain and complications such as stroke and progressive organ damage, leading to frequent hospitalisations. Children’s school participation and academic attainment can be affected by SCD-related pain, fatigue, and neurological complications.

SCD predominantly affects people of sub-Saharan African, Caribbean, Middle Eastern, or Eastern Mediterranean descent. Patients too often face substandard care and negative attitudes due to stereotyping, structural racism, and inadequate awareness of SCD in the NHS.

Children with SCD are underrepresented in research, and there is limited national data on their health and educational outcomes. High-quality research is needed to give an updated, evidence-based picture of care for children with SCD in England.

How will we achieve this

This study aims to link and analyse three large databases, the National Haemoglobinopathy Registry (NHR), Hospital Episode Statistics (HES), and Education and Child Health Insights from Linked Data (ECHILD).

This study aims to link and analyse three large databases, the National Haemoglobinopathy Registry (NHR), Hospital Episode Statistics (HES), and Education and Child Health Insights from Linked Data (ECHILD).

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Health

Community

SCD children will be compared with two control groups — a cohort of children unaffected by SCD, and an asymptomatic cohort of children with sickle cell trait (SCT), those who inherit one sickle and one normal haemoglobin gene.

The SCD and control cohorts’ health outcomes, healthcare utilisation and educational outcomes will be compared to provide essential insight into the lived experience of children with SCD in England.

SCD children will be compared with two control groups — a cohort of children unaffected by SCD, and an asymptomatic cohort of children with sickle cell trait (SCT), those who inherit one sickle and one normal haemoglobin gene.

The SCD and control cohorts’ health outcomes, healthcare utilisation and educational outcomes will be compared to provide essential insight into the lived experience of children with SCD in England.

About us

Meet the research team

Meet the research team

CARES brings together paediatricians, statisticians, and researchers from across the UK and beyond — alongside Crescent Kids.

CARES brings together paediatricians, statisticians, and researchers from across the UK and beyond — alongside Crescent Kids.

Prof. Alastair Sutcliffe

Professor of General Paediatrics

Yan Lu

Statistician

Kate Green

Research Assistant

Faiza Afzal

Senior Research Fellow

Daniel Armstrong, PhD

Professor of Pediatrics & Psychology

Funmi V Ullam

Founder, Crescent Kids

Samah Babika

Consultant Paediatric Haematologist

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