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Multi-agency working in services for disabled children: what impact does it have on professionals?
- Authors:
- ABBOTT David, TOWNSLEY Ruth, WATSON Debby
- Journal article citation:
- Health and Social Care in the Community, 13(2), March 2005, pp.155-163.
- Publisher:
- Wiley
Whilst agencies in many sectors have been encouraged to work together to better meet the needs of service users, multi-agency working is now a central feature of government policy. In relation to children's services, the National Service Framework, the English green paper, 'Every Child Matters' (DfES, 2003) and the Children Bill (DfES 2004) give a high priority to an integrated approach to service provision. This paper focuses on multi-agency working for disabled children with complex health-care needs, a group of children who, perhaps even more than most, require the many professionals who support them and their families, to work more closely together. Drawing on the findings from a 3-year qualitative research study, this paper examines the impact of working in a multi-agency service on professionals. Interviews with 115 professionals concluded that staff were overwhelmingly positive about working as part of a multi-agency service. They reported improvements to their working lives in areas such as professional development, communication, collaboration with colleagues, and relationships with families with disabled children. However, whilst professionals felt that they were able to offer families a more efficient service, there was concern that the overall impact of multi-agency working on disabled children and their families would be limited.
More than just a health issue: a review of current issues in the care of enterally-fed children living in the community
- Authors:
- TOWNSLEY Ruth, ROBINSON Carol
- Journal article citation:
- Health and Social Care in the Community, 7(3), April 1999, pp.216-224.
- Publisher:
- Wiley
This article reviews the literature on support for children who are tube fed and makes a case for more co-ordinated and effective support services for families who are tube feeding a child at home. It is argued that national guidance should be developed which clarifies the position of all non-parent carers and staff who are willing to administer enteral tube feeds. Such guidance should also ensure that enterally-fed children have the same rights to educational and social services as other children and that families are given the opportunity to make informed decisions about the implications of enteral feeding prior to it being established.
What rights for disabled children? Home enteral tube feeding in the community
- Authors:
- TOWNSLEY Ruth, ROBINSON Carol
- Journal article citation:
- Children and Society, 13(1), February 1999, pp.48-60.
- Publisher:
- Wiley
The growing number of disabled children who are tube fed at home has important implications both for families and professionals who support them. This article reports on the preliminary findings of a project which aims to assess the practical, social and emotional impact of home enteral tube feeding (HETF) on the lives of disabled children and their families. The evidence presented suggests that guidance and training on HETF for non-parent carers is both inadequate and inconsistent. Consequently access to education and social services may be restricted or even denied for disabled children on HETF as a direct result of their perceived need for nursing or medical care.