Background: Reunification of looked-after children with their birth parents is the most common route to permanency for looked-after children in the United Kingdom.Previous research evidence, mainly from American studies, suggests numerous factors that contribute to successful reunification outcomes (Biehal, 2007). Less is known about the current evidence base for reunification practice in the United Kingdom.Objective: This review aimed to identify, appraise, and synthesize published literature concerned with the reunification of looked-after children with their birth parents in the United Kingdom. Methods:A systematic search of the literature identified eight peer-reviewed studies conducted between 2005 and 2017 exploring reunification practice in the United Kingdom. Studies were critically appraised and thematically synthesized according to the Thomas and Harden (2008) approach.Results: Eight articles met eligibility criteria. Descriptive themes were support, case management, oscillation, parenting, and reoccurrence of abuse. Analytic themes were lack of guidance and risks associated with return. Conclusions:A pattern of oscillation between home and care was common for many looked-after children, and remaining in care produced relatively better outcomes. Difficulties arise when comparing studies on reunification, due to methodological variation. Further research is needed to explore the views of reunited children themselves.

Introduction: Recent NICE guidelines have emphasised the need for diabetes and eating disorder teams to collaborate in order to provide safe and effective treatment for young people with type 1 diabetes and eating disorders. Aim: Our aim was to examine and describe the current treatment journeys for young people under the care of our paediatric diabetes team who presented with eating difficulties and body image concerns. We also sought to increase staff awareness, communication and opportunities for joint working across the diabetes and eating disorders teams. Method: Information regarding the screening, assessment and interventions offered to young people with type 1 diabetes and eating difficulties was collected. A joint training event was developed and attended by healthcare professionals from the diabetes and eating disorder teams. Results: Information collected regarding patient’s treatment journeys was used to inform the multidisciplinary pathway. The joint training event offered the opportunity for shared learning, and identification of areas for service improvement.