Scottish Government

ISBN 0 7559 5186 7
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Contents

Foreword

Executive Summary

Summary of Recommendations

1 Caring for Children and Young People
Introduction
Emergency Care
The Emergency Care Needs of Children and Young People
Ongoing Commitment by the Scottish Executive
Review of Emergency Care

2 Emergency Care for Children and Young People in Scotland - The Key Drivers
Change in the NHS in Scotland
Workforce
Trends in Society and Health Care
Public Health Issues
Rural Communities

3 Where Should Children and Young People Receive Emergency Care?
A Framework for Emergency Care
The Needs of Children and Young People
Children and Young People with Long-Term Care Needs
The Role of Registered Children's Nurses

4 Vulnerability in Children and Young People
Child Protection
Self-Harm
Emergency Care Records
Recurring Attendance by Children and Young People

5 Clinical Care of Children and Young People
Recognition of Illness/Injury in Children and Young People
National Guidelines and Standards
Clinical Care Organisation
Pain and Ongoing Care
Imaging Investigations
Short Stay/Ambulatory Assessment Facilities
Transfer and Transportation

6 Staff Competencies and Training
Developing Roles for Health Professionals

7 Active Inclusion of Children and Young People
Communication
The Rights of Children and Young People

8 Annexes
ANNEX A - Emergency Care Review Advisory Group
ANNEX B - Levels of Emergency Care for Children and Young People
ANNEX C - Emergency Care Framework for Children and Young People in Scotland - Action Plan
ANNEX D - Acutely Ill and Potentially Life-Threatening Conditions for Children and Young People

Figure 1. Tiered Framework for Emergency Care for Children & Young People
Figure 2. Competency Cycle