Actions speak louder: A second review of healthcare in ... - HMCPSI
Actions speak louder: A second review of healthcare in ... - HMCPSI
Actions speak louder: A second review of healthcare in ... - HMCPSI
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ACTIONS SPEAK LOUDER<br />
Foreword<br />
This report by the Healthcare Commission and Her Majesty’s Inspectorate <strong>of</strong><br />
Probation follows our <strong>review</strong> published <strong>in</strong> October 2006, and evaluates the last<br />
phase <strong>of</strong> a five-year <strong>in</strong>spection cycle that began <strong>in</strong> September 2003. It highlights<br />
the changes that have taken place <strong>in</strong> <strong>healthcare</strong> <strong>in</strong> the community for children<br />
and young people who had been <strong>in</strong>volved, or were likely to become <strong>in</strong>volved, <strong>in</strong><br />
<strong>of</strong>fend<strong>in</strong>g behaviour s<strong>in</strong>ce the first phase <strong>of</strong> the <strong>in</strong>spection cycle. It also makes<br />
recommendations to help the organisations <strong>in</strong>volved make further improvements.<br />
The majority <strong>of</strong> children and young people who have <strong>of</strong>fended, or who are likely<br />
to, have more health needs than those who have not <strong>of</strong>fended. These needs span<br />
a range <strong>of</strong> physical, emotional and mental health areas and substance misuse<br />
problems, and are potentially l<strong>in</strong>ked to crime. They have to be recognised and<br />
addressed <strong>in</strong> order to <strong>in</strong>crease the likelihood <strong>of</strong> mak<strong>in</strong>g the lives <strong>of</strong> these children<br />
and young people better and free <strong>of</strong> crime.<br />
Our report looks at how much health services contribute to address<strong>in</strong>g health needs<br />
through their <strong>in</strong>volvement <strong>in</strong> youth <strong>of</strong>fend<strong>in</strong>g work <strong>in</strong> their local areas. It is primarily<br />
based on the <strong>in</strong>spections we carried out <strong>in</strong> the last phase <strong>of</strong> the programme (phase 4)<br />
and focuses on youth <strong>of</strong>fend<strong>in</strong>g teams <strong>in</strong> England. Healthcare Inspectorate Wales<br />
has been responsible for the contribution to <strong>in</strong>spections <strong>in</strong> Wales s<strong>in</strong>ce April 2008.<br />
It was very disappo<strong>in</strong>t<strong>in</strong>g for us to f<strong>in</strong>d that <strong>in</strong>sufficient progress has been made <strong>in</strong><br />
many key elements over the course <strong>of</strong> this cycle <strong>of</strong> <strong>in</strong>spections, and follow<strong>in</strong>g our<br />
previous <strong>review</strong> report. The patchy nature <strong>of</strong> the improvements we have identified<br />
simply re<strong>in</strong>forces our cont<strong>in</strong>u<strong>in</strong>g concerns about health <strong>in</strong>equalities <strong>in</strong> this field.<br />
We hope that our recommendations will help partners with<strong>in</strong> the Government,<br />
NHS trusts and youth <strong>of</strong>fend<strong>in</strong>g management boards to work together more<br />
effectively to improve services for this vulnerable group <strong>of</strong> children and<br />
young people.<br />
Anna Walker CB<br />
Chief Executive<br />
Healthcare Commission<br />
Andrew Bridges<br />
Chief Inspector <strong>of</strong> Probation<br />
Her Majesty’s Inspectorate <strong>of</strong> Probation<br />
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