Children’s Health Scotland promotes the needs of all children and young people in our healthcare system, working for improved standards and quality of care whether they are ill in hospital, at home, or in the community. This includes children and young people in care who may not enjoy the love and support of a caring family.
Recent Scottish Government policy has focused on the needs of this group, as there has been considerable concern at the less than favourable outcomes for children and young people who are looked after, whether at home or away from home either in residential, foster or kinship care.
The aim of this project is to support the best possible provision of healthcare services for Looked after Children and Young People at times of illness by:
- Promoting universal recognition of the needs and rights of children and young people in and leaving care and
- Developing appropriate resources for them and their carers to combat this vulnerability.
The project started in 2007. It identified the main health concerns for children and young people looked after away from home when they are ill, with the help of staff and young people, in two pilot areas – Forth Valley and Fife. A number of issues closely aligned with our work and resources, emerged:
- regular medical and dental checks
- immunisations – our Children and Pain and Helping Children Cope with Needles Guides
- physical injury
- poor self-care and hygiene
- who cares when a looked after child is ill in hospital, community or home
- children and young people’s healthcare rights – Young Person’s EACH Charter
- navigating the system and accessing healthcare services
- living with a long term condition.
We developed partnerships with the following key agencies and through these we are able to disseminate our work.
- NHS Health Scotland
- Children 1st
- Citizens Advice Scotland
- Scottish Healthy Care Network now part of CELCIS see below
- The British Association of Adoption and Fostering
- Scottish LAAC Nurse Forum
- Scottish Government colleagues involved in the We Can and Must Do Better Strategy
- Scottish Institute of Residential Child Care now part of CELCIS
- Scottish Through care and Aftercare Forum
- The Fostering Network
- Who Cares? Scotland
Since 2010, the project has concentrated on two distinct strands of work.
Foster Carer Training
We have developed a series of workshops to help foster carers and others gain a deeper understanding of the health needs and rights of children and young people, so that they can be best supported at times of illness and enabled to access appropriate healthcare services. For more information on the workshop sessions, please click here.
Kinship Carer Training
There are often additional complex healthcare issues for a child in kinship care, for example, around birth parents’ mental health, fear of inherited conditions, challenges relating to consent and confidentiality and interfamilial tensions relating to the child coming into care in the first place. These workshops help support carers to manage the care. To find out more click here.
DVD Launch – Health Matters for Children and Young People in Kinship Care
On 15 June Children’s Health Scotland launched our Health Matters for Children and Young People in Kinship Care DVD at an event in Edinburgh. The DVD features kinship carers discussing issues affecting the health outcomes of the children in their care. There are also interviews with practitioners who discuss sources of help. The DVD can be viewed here or contact us for a copy.
- LAAC flier
- Article Scottish Institute of Residential Child Care (now part of CELCIS)
- Kinship Care Article
- Project Report 2007-2010
- Evaluation Report 2013 -14
- Health Issues for Looked after Children and Young People DVD (find clips on Vimeo)
- Frequently Asked Questions for Foster Carers
- A4 poster signposting healthcare professionals and others to the ASC(S) website which contains information which is relevant for all staff and carers looking after these children and young people
- Postcard linked to the poster including specific information about the resources available on the ASC(S) website
- Young People in Hospital – guide for young people to help them prepare for a visit to hospital. Contains many other useful resources, will also be available as an audio version on the website.
- Young People’s EACH Charter – 24-page mini-booklet containing the 10 EACH charter points and the YP’s interpretation in speech bubbles
- The GP Service for Children and Young People – a guide for carers to help them better understand and access the GP Service when caring for a child
- What to expect when a child goes to hospital – a guide for carers
- A series of podcasts with a range of healthcare professionals who have involvement with the healthcare of LAAC to raise awareness of their different roles:
|Interviews with the following healthcare professionals|
|Specialist LAC Nurse||Listen|
|Community Children’s Nurse||Listen|
|Interview with a Foster Carer||Listen|
|To save these MP3 files so you can transfer them to your personal MP3 device right click on the link and select ‘Save Target As’|
Here are some of the key policy documents related to looked after children and young people – for a more comprehensive list visit the Scottish Institute of Residential Child Care (now part of CELCIS) website.
- Looked After Children & Young People: We Can and Must Do Better (Scottish Government)
- These are our bairns (Scottish Government)
- Caring about health: improving the health of looked after and accommodated children in Scotland – an A-Z health resource pack for staff and carers. (NHS Health Scotland)
- Children and Young People (Scotland) Act 2014
- Mentor Kinship Care Report – Relative Support
- Health Guidance on Looked after Children for Health Boards
- Forgotten Children: Addressing the Health Needs of Looked After Children and Young People, The Residential Care Health Project, NHS Lothian 2004 ISBN 0-9546292-0-5
For information contact Anne Wilson
‘ Following the foster carer session, I was empowered to have the confidence to ask for a referral for my child and this has resulted in them getting much needed help’.
‘Good insight into mental health and trauma’.
‘This programme should be mandatory for all Carers’.