Planning and commissioning of health services for children and young people

Abstract

Many authorities had no named person with responsibility for a child health strategy. Of those that did, most named persons had inadequate experience and few had postgraduate qualifications in child health. Most authorities had no comprehensive planning mechanisms for children's services. In consequence, most commissions were failing to comply with the UN Convention on the Rights of the Child.

Health authority commissioning for quality in contraception services

“…35 Although there are some health authorities that are supporting innovative work in a particular area, it seems clear that most health authorities in London have not made adequate investment in the process of commissioning contraception services. The results of this and other studies of the commissioning process [36][37][38] suggest that it is doubtful that any changes that have occurred in arrangements for provision of services are the results of any deliberate strategic action to improve quality through the commissioning process.…”

Evaluating child disability programmes: the role of commissioners

“…What exists in the published literature is somewhat fragmented. There are several journal articles addressing the commissioning of child health services (Polnay, Bingham & Tamhne 1993;Webb, Naish & MacFarlane 1996). In 1992, the British Paediatric Association (BPA, now the Royal College of Paediatrics and Child Health) published Community Child Health Services: an information base for purchasers.…”

Organizational differences in early child health care – mothers’ and nurses’ experiences of the services

“…From an international perspective, Hall (11) has stressed the importance of psycho‐social support to parents. Parents need to be in contact with adequately experienced nurses (12), and they ask for personal contact rather than printed or audiovisual sources (13). When parents perceive difficulties in getting in contact with the staff, experience long waiting‐times, or have the impression that the nurse does not have enough time (14), they are unsatisfied.…”