Improving statutory health assessments for looked after children.

The aim of the change project described in this article was to improve the service provision of statutory health assessments for looked after children in the children's services department of a local authority in London. These children and young people are some of the most vulnerable in the UK, with many associated health needs and poor outcomes. Statute dictates they undergo a series of health assessments, but how this service is provided differs from borough to borough. The change process was led by a change agent and was based on change theory. It resulted in an effective referral system, with an increase of 93 per cent in the number of referrals received. Ongoing evaluation allows for continued development and improvement of the service. The changes have gone some way towards ensuring the health needs of this group are being better addressed by those who are accountable.