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Response to 'Progress with learning disability hospital closures in Scotland'
- Authors:
- HUNTER Susan, STALKER Kirsten
- Journal article citation:
- Tizard Learning Disability Review, 8(1), January 2003, pp.10-12.
- Publisher:
- Emerald
Comments on an article in this issue of Tizard Learning Disability Review. The authors draw on their own research mapping the progress of hospital closures in Scotland and argue that progress remains slow. They find there is a long way to go before recommendations of the Scottish Executive publication 'The same as you?' will be met.
Care and treatment?: supporting children with complex needs in healthcare settings
- Authors:
- STALKER Kirsten, et al
- Publisher:
- Pavilion,|Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 91p.
- Place of publication:
- Brighton
Significant numbers of children and young people with complex physical, medical and cognitive health needs may be spending unnecessarily long periods of time in hospital and other healthcare settings because inadequacy of community-based resources is preventing their discharge. This report details the findings of research conducted in England and Scotland to identify how many children with complex support needs are spending longer than one month in healthcare settings in Scotland and England, how and why they are in hospital, why they have not been discharged home or to appropriate alternative community-based facilities, and how well the hospital or healthcare setting is meeting their emotional, social and educational needs. It finds that many of these children could and should be discharged but are not, for a variety of reasons: primarily the lack of appropriate resources in the community and poor discharge planning processes, coupled with the inability of their families to manage their care and supervision without intensive support. Hospitals and healthcare settings in many cases are not meeting their needs and these children are being denied the protection offered by UK legislation governing children’s rights and welfare. The researchers conclude that much more should be done by health authorities and health boards, by NHS trusts, hospitals and community services, and by social services and education departments to ensure these children receive the same standards of care, treatment and protection accorded to other children, and that inappropriate admissions and such lengthy stays should be avoided at all costs.