The Scottish Government

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ISBN 0 7559 4931 5

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CONTENTS

FOREWORD

INTRODUCTION

CHILDREN AND YOUNG PEOPLE - THE CHALLENGES

SECTION 1 - THE BASIS FOR CHANGE
WHY CHILDREN AND YOUNG PEOPLE ARE DIFFERENT
Patterns of Ill Health
The Need for Child Orientated, Age Appropriate, Family Centred Services
The Need for Protection and Advocacy
The Opportunity to Influence Long Term Health
THE NATIONAL POLICY CONTEXT FOR CHILDREN AND YOUNG PEOPLE IN SCOTLAND
Child Protection
Health Improvement
Social Justice and Inclusion
The Support Group
The Action Framework
HEALTH SERVICES FIT FOR CHILDREN AND YOUNG PEOPLE
Promoting Health and Well Being
Balancing Access, Quality and Sustainability
Developing the Workforce
Reflecting Patient Focus -Age Appropriate Services and Advocacy
Ensuring Performance Management and Quality Assurance
E-Health

SECTION 2 - DELIVERING CHANGE
Introduction
Health Improvement
Providing Care Locally
Emergency Care
Hospital Services
Specialist Services
Mental Health Services
Complex Needs
Remote and Rural Care

SECTION 3 - SUPPORTING CHANGE
Introduction
Involving Children, Young People and their Carers
Workforce
Education, Training and Development
Planning and Commissioning
Models of Care
Performance Management - Quality Improvement

Fig. 1 Increasing gap in male life expectancy
Fig. 2 Discharges from Acute Hospitals rates per 1,000 population under 20 year olds, admitted as an emergency, Scotland, year ending March 2002
Fig 3. Infrastructure for the delivery of improved health outcomes and health services for children and young people in Scotland
Table 1. Levels of care and location for the provision of emergency care
Table 2. Organisation of acute inpatient services for children and young people in Scotland

Response Sheet

Online Response Sheet

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