The Health and wellbeing core theme of PSHE education includes food choices and exercise (and the impact this has on physical and mental health); drugs and alcohol; healthy sleep behaviour; first aid and emergency life-saving skills; mental health; puberty; and personal safety. This education directly supports children to be mentally and physically healthy, which in turn supports their education outcomes (research evidence shows that educational outcomes and health are closely linked (Public Health England, 2014).
The government introduced a statutory requirement for schools to teach this Health Education content alongside Relationships Education at key stages 1 and 2 in 2020. Here we break down aspects of physical and mental health education covered in PSHE education, including what is covered in the statutory relationships, sex and health education (RSHE) guidance. We also include links to appropriate sources of evidence and encourage people to use sources such as the ‘Youth Health Data’ tool from the Association for Young People’s Health and the ‘Smoking, drinking and drug use among young people’ survey data for further research and statistics.
There are concerns about food related health issues, such as obesity, in children and young people. Education gives young people an understanding of nutrition, influences on food choices, diet and exercise which can support healthier lifestyles. There are of course a number of contributory factors outside of individuals’ control — not least the cost of living and easy access to cheap, unhealthy, fast and ultra-processed foods — so education can only do so much but still has a crucial part to play.
Food choices:
Benefits of maintaining a healthy, balanced diet
Ultra-processed food and food choices
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Physical exercise:
Children have insufficient physical exercise:
Benefits of physical exercise:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Sleep:
Sleep requirements for children:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Dental health:
Tooth decay is prevalent from an early age and poor oral health causes multiple harms:
Poor oral health is largely preventable:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Tobacco:
Smoking is particularly detrimental to children and adolescents:
Smoking is declining among children and adolescents, but remains a concern:
Vaping:
There has been a significant increase in vaping among children and young people in the past few years:
Alcohol:
Alcohol poses direct risks to physical health but also related dangers associated with an increase in risk taking behaviour and negative effects on mental health.
The NHS (2022) states that:
Drugs:
Statistics suggest that illicit drug use has generally declined over time among young people, but issues remain with some substances and behaviours, and how they link with other factors such as wellbeing:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Mental ill-health is often first experienced during childhood or adolescence:
Increase in mental ill-health among children and adolescents in England:
Decrease in happiness among children and adolescents in the UK:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Improving basic first aid and emergency life-saving skills saves lives:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school pupils should know:
Health Education is designed to prepare pupils for the onset of puberty:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Prevalence of accidents in the home:
Prevalence of accidents on transport or when travelling:
How PSHE education can help:
The Relationships core theme includes learning about family life; positive friendships and managing conflict; bullying; safe and unsafe relationships; consent and respect for others. As outlined in the Sex Education Forum’s review of the evidence base for relationships and sex education, this education supports children to develop healthy relationships with others, in an age-appropriate way, reduces a range of harms to children as they grow, and supports them to seek help should they experience harm.
The government introduced a statutory requirement for schools to cover this Relationships Education content alongside Health Education at key stages 1 and 2 in 2020. Here we break down aspects of Relationship Education covered in PSHE education, including what is covered in the statutory Relationships, Sex and Health Education (RSHE) guidance.
Prevalence and impact of bullying:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
1 All figures, unless otherwise stated, are from YouGov Plc. Total sample size was 4,317 adults, of whom 928 were parents of 5-18 year olds. Fieldwork was undertaken between 18th - 20th October 2023. The survey was carried out online. The figures have been weighted and are representative of all UK adults (aged 18+).
Types of families
The role of the family and its impact on wellbeing:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
Prevalence of harassment, abuse and exploitation:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know:
2 All figures, unless otherwise stated, are from YouGov Plc. Total sample size was 4,317 adults, of whom 928 were parents of 5-18-year olds. Fieldwork was undertaken between 18th - 20th October 2023. The survey was carried out online. The figures have been weighted and are representative of all UK adults (aged 18+).
Exposure to harmful content and messaging which may affect children’s concept of consent:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know about:
The Living in the wider world core theme of PSHE education prepares children to participate in wider society, by covering learning about shared responsibilities and communities; economic wellbeing; aspirations and careers; and digital and media literacy. Although some teaching and learning in this theme is non-statutory, there are significant overlaps with the relationships, sex and health education statutory guidance. Economic wellbeing and careers education, for example, are included in the ‘Living in the Wider World’ strand of the personal, social, health and economic (PSHE) education curriculum. Though unlike relationships, sex and health aspects of the subject, economic wellbeing and careers education are not yet statutory (beyond a requirement to teach about gambling referenced in statutory RSHE guidance), they are a crucial part of any schools’ PSHE provision. There is a growing consensus that these should be compulsory in all schools; currently they are only compulsory in independent schools, as under the Independent School Standards, schools have to teach the full PSHE education curriculum, including that which relates to economic wellbeing and careers education.
Children develop attitudes to money from a young age:
Children are increasingly exposed to online financial harms:
How PSHE education can help:
Careers education is important to children and young people:
How PSHE education can help:
There are existing duties for schools to teach about community and responsibility:
How PSHE education can help:
The RSHE statutory guidance states that, by the end of primary school, pupils should know about:
Children are engaged with the online world from a very young age:
Being online introduces children to a range of potential harms:
How PSHE education can help: