A review of changes in children's health services in the Uk with some practical examples

This report has detailed examples of change in children's services throughout the UK. The common theme is the need to procure a safe, high quality and up to date service. However this can lead to options that may conflict with a local, geographically convenient service. Districts

have examined a wide range of service solutions to this conflict, and it is clear that there is no agreed single'correct' solution. This is mirrored at national level by the lack of consensus among opinion leaders about the optimal pattern of service provision, although there is a widespread agreement on the need for units which offer a safe service with adequate training facilities. Local

changes have also led purchasers to adopt a range of approaches to consultation with local key interests. The issue of children's services is always a sensitive one locally and districts have adopted the most pragmatic solutions which suit their particular circumstances.