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Back to the future? Lessons from the history of integrated child health services in England

Edward J Maile, Ritvij Singh, Georgia B Black, Mitch Blair and Dougal S Hargreaves
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DOI: https://doi.org/10.7861/fhj.2021-0093
Future Healthc J April 2022
Edward J Maile
AImperial College London, London, UK
Roles: NIHR Academic Clinical Fellow in General Practice
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  • For correspondence: e.maile@imperial.ac.uk
Ritvij Singh
BImperial College School of Medicine, London, UK
Roles: medical student
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Georgia B Black
CUniversity College London, London, UK
Roles: principal research fellow
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Mitch Blair
DImperial College London, London, UK
Roles: professor of paediatrics and child public health
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Dougal S Hargreaves
EMohn Centre for Children's Health and Wellbeing, London, UK
Roles: Houston reader in paediatrics and population health
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Abstract

The UK has a long history of attempts to integrate child health services to improve outcomes, an ambition renewed in the recent The NHS Long Term Plan. It's therefore timely to review the history of integration to inform future initiatives. Key milestones include the Platt report (1959), Court report (1976), Sure Start (1999), National service framework (2004) and Facing the future report (2015). These stand against a backdrop of national NHS policy changes, with a myriad of local integration initiatives and research efforts in parallel.

We suggest lessons for future integration initiatives: integration may support the quadruple aim; integration depends on addressing divides between primary and secondary care; workforce and funding challenges need to be resolved before integration can thrive; high-quality research and evaluation of integrated interventions is required; strong relationships between professional groups are key to integration; and integration can help address health inequalities.

KEYWORDS:
  • integrated care
  • child health
  • health policy
  • paediatrics
  • health systems
  • © Royal College of Physicians 2022. All rights reserved.
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Back to the future? Lessons from the history of integrated child health services in England
Edward J Maile, Ritvij Singh, Georgia B Black, Mitch Blair, Dougal S Hargreaves
Future Healthc J Apr 2022, fhj.2021-0093; DOI: 10.7861/fhj.2021-0093

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Back to the future? Lessons from the history of integrated child health services in England
Edward J Maile, Ritvij Singh, Georgia B Black, Mitch Blair, Dougal S Hargreaves
Future Healthc J Apr 2022, fhj.2021-0093; DOI: 10.7861/fhj.2021-0093
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