Resources

The development of an integrated children’s bladder and bowel service is a key recommendation from a number of national documents and helps ensure affected children are seen at the right time and place and by the right person. This facilitates potential cost savings in the long term, with resultant reductions in A&E attendance and secondary care referrals. The key reference document is the Children’s Continence Commissioning Guide, which sets out a clear service framework. By working with several services across the UK, a generic service model has been developed which supports appropriate interventions at both tier 1 and tier 2, including the development of care pathways to help reduce unwarranted variation and inequalities in the provision of care. The key to success with this model is also the empowerment of families to help them self-manage the child’s problem, which also fits within the NHS Long Term Plan (NHS England, 2019).

Here, Nihara Krause, consultant clinical psychologist and founder and chief executive officer of stem4, gives an overview of the resources available for children and young people with mental health needs, and recommends changes that are drastically needed to meet demand and improve services. She also explores work currently being done by stem4 to help identify and support children and young people, and discusses early digital interventions which can help with treatment.

In each issue we investigate a hot topic currently affecting you and your community practice. Here, we ask "What will the Year of the Nurse and Midwife mean for the UK’s community staff?"

Health and social care have seen significant pressures over the last few years, namely:

• Fewer resources
• An ageing population
• A growing need for services
• An ageing workforce who are retiring from the profession

Captain Fearless is a nine-year-old girl who battles Wheeze Monsters with just her inhalers, spacer, bicycle bell and her magic goggles. The Big Bad Wolf has developed asthma and needs children’s help to know which inhaler to take and when, to blow the piggies’ house down.

I’m a nurse that tells stories with a health message. And I’m writing this editorial to encourage you to do the same and to explain why you should.