Leading article
Continuing care
a continuing
dilemma
| The first 150 words of the full text of this article appear below. |
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Introduction |
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Medical advances in paediatric care have resulted in an increase in the number of children needing long term medical and nursing care. These children are dependent on complex technological devices such as mechanical ventilation, tracheostomies, and artificial feeding. Most technologically dependent children live at home with parents as the main carers. The complexity of caring for these children in the community demands that statutory and voluntary agencies work together effectively to provide coordinated services.
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Background |
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HEALTH
In 1995 the Department of Health issued guidelines to all health
authorities clarifying NHS responsibility for meeting continuing care
needs.1 The guidance confirmed the NHS responsibility to
meet the continuing care health needs of individuals and set out a
process for health authorities to agree local criteria for access to
this care in collaboration with health providers and local authorities.
The documents were detailed about the process to be followed but left
establishing criteria to local
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