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Actions speak louder: A second review of healthcare in ... - HMCPSI

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ACTIONS SPEAK LOUDER<br />

Next steps<br />

As we stated <strong>in</strong> our first report, children and young people who have <strong>of</strong>fended or are<br />

likely to <strong>of</strong>fend, <strong>of</strong>ten have greater health needs than the general youth population.<br />

These health needs can contribute strongly to <strong>of</strong>fend<strong>in</strong>g behaviour, whether they are<br />

overt or not. It is therefore very important for health services to meet these needs as<br />

much as possible <strong>in</strong> order to reduce, or assist <strong>in</strong> reduc<strong>in</strong>g, <strong>of</strong>fend<strong>in</strong>g behaviour and<br />

to maximise the possibility <strong>of</strong> positive change <strong>in</strong> a young person’s life.<br />

Although Her Majesty’s Inspectorate <strong>of</strong> Probation will cont<strong>in</strong>ue to <strong>in</strong>spect and report<br />

on youth <strong>of</strong>fend<strong>in</strong>g teams, the methodology is chang<strong>in</strong>g and the contribution by the<br />

Healthcare Commission (or the Care Quality Commission which will take over this<br />

responsibility from April 2009) is likely to alter accord<strong>in</strong>gly. The replacement system<br />

<strong>of</strong> youth <strong>of</strong>fend<strong>in</strong>g <strong>in</strong>spections will <strong>in</strong>volve two component parts; the first will be<br />

a three-year cycle <strong>of</strong> core case <strong>in</strong>spections and the <strong>second</strong> will be a programme<br />

<strong>of</strong> thematic <strong>in</strong>spections. It is anticipated that the Care Quality Commission will<br />

contribute to the former on a risk-assessed basis, but will be fully <strong>in</strong>volved <strong>in</strong><br />

both the development <strong>of</strong> the methodology and <strong>in</strong> the execution <strong>of</strong> the latter<br />

thematic <strong>in</strong>spections.<br />

It is clearly vitally important for both the Care Quality Commission and HMI<br />

Probation to monitor and evaluate the progress made follow<strong>in</strong>g this report and<br />

the recommendations it conta<strong>in</strong>s. The <strong>in</strong>spectorates also need to ensure that<br />

recommendations made to <strong>in</strong>dividual YOTs <strong>in</strong> <strong>in</strong>spection reports have been acted<br />

on appropriately, and where this has not been done, to follow this up with<br />

remedial action.<br />

36

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