ICBs missing checks on vulnerable children

Integrated care boards are warning they are failing to carry out health checks for vulnerable children in care because of a lack of paediatricians and rising demand, HSJ  has found.

ICBs are required to commission initial health assessments within 20 working days of a child entering care, arranged by a local authority, then a review six to 12 months later.

HSJ  has identified several ICBs warning they are not or may not meet the requirement – citing workforce pressures, complex cases and rising demand.

Missing the checks for children in care risks harming their physical and mental health, school attainment and future wellbeing, according to paediatricians. 

A community paediatrician working in the South East told HSJ  delayed assessments could have significant long-term impact — delaying intervention in developmental concerns, alcohol and drug use, oral health, immunisation and medications.

“These children are incredibly vulnerable,” they said. “The quicker we get issues addressed, often putting them on SEN [special educational needs] or other support, the better they often do in school and in life.”

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Source: HSJ, 5 February 2025