Analysis

Healthcare in secure settings

Experts welcome refresh of health standards for secure settings, but warn delivery will be challenging.
The standards emphasise providing vulnerable children with trusting relationships. Picture: Shefkate/Adobe Stock
The standards emphasise providing vulnerable children with trusting relationships. Picture: Shefkate/Adobe Stock

Healthcare standards for secure welfare and justice settings – published by the Royal College for Paediatric and Child Health – were refreshed in April for the first time in four years.

The standards, which aim to assist healthcare professionals to improve the health outcomes of young people in secure settings, were updated after an extensive review led by NHS England Health and Justice, alongside an expert reference group of professionals, and informed by young people with lived experience of secure settings, through a collaboration with charity Peer Power Youth.

There are 15 standards in the revised version covering issues like care planning, safeguarding and access to services. Several of the new standards place greater emphasis on providing vulnerable children with trusting relationships, including one that states every child must have access to a trusted member of staff who they can approach with concerns about their safety or wellbeing. Another outlines the need for staff to work collaboratively with the child and consider their views when making decisions about their care.

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