ObjectiveTo compare a health and a social service register of children with disability in order to assess their potential for planning services.
DesignDescriptive.
SettingChildren with disability resident in North Tyneside, a Local Government Authority in England.
Main variables studiedDisability and its severity.
ResultsThere were 1692 children on the health register and 83 on the social service register. Only 20% of the children with the most severe disability were on the social service register. There was good agreement between parents' and paediatricians' rating of severity for the children with the most severe disability. Although the health register had details of all children with disability, it did not record details of current needs.
ConclusionsThe social service register did not provide data about all children with disability, and in particular only listed 20% of the children with the most severe disability. Therefore, the social service register does not appear suitable for providing data for overall planning of services, although it is helpful in describing and co-ordinating the care of a smaller number of children and families whose problems were active, complex and unresolved, and where social services had an active role.