Editorial EDITOR Christine Walker Tel: +44 (0)20 8872 3154 Email: [email protected] CONSULTANT EDITORS Doreen Crawford Senior lecturer in nursing and midwifery, De Montfort University, Leicester Annette Dearmun Divisional head of governance and nursing (children and women’s division), Oxford University Hospitals NHS Trust EDITORIAL ADVISORY BOARD Antoinette Bewley Senior lecturer, Edge Hill University, Ormskirk Susan Chapman Honorary consultant, Great Ormond Street Hospital for Children NHS Foundation Trust David Clarke Lecturer in nursing, Cardiff University Imelda Coyne Professor of children’s nursing and director of children’s research, Trinity College Dublin Mats Eriksson Associate professor, Örebro University Hospital, Sweden Huda Abu-Saad Huijer Professor of nursing science, American University of Beirut Regina Lai Tong Lee Associate professor, Hong Kong Polytechnic University, China Orla McAlinden Lecturer in nursing (children and young people), Queen’s University Belfast Toby Mohammed Head of practice development, NHS Greater Glasgow and Clyde Linda Shields Professor of nursing, Charles Stuart University, New South Wales, Australia Fiona Smith Professional lead in children’s and young people’s nursing, RCN Joanna Smith Lecturer in children’s nursing, University of Leeds Jocelyne Tourigny Professor and assistant director graduate programs, Ottowa, Canada Mark Whiting Consultant nurse, Peace Children’s Centre, Watford, and WellChild professor of community children’s nursing, University of Hertfordshire

Time to stop the postcode lottery Startling differences in the health of children across England have been found, with those living in poorer areas more prone to obesity, poor dental health, accidental injuries and lower educational development. This will not be news to many but to have it confirmed by the charity the National Children’s Bureau (NCB) at the same time as local authorities take over the commissioning of care of under fives, and just after a summer in which the English government announced £3 billion cuts to reduce the public debt, is probably no coincidence.

Assistant editor Sophie Blakemore Tel: +44 (0)20 8872 3186 Email: [email protected] Administration manager Helen Hyland Tel: +44 (0)20 8872 3138 Email: [email protected]

In this month’s issue we outline the findings of the NCB report and what major organisations concerned with child health care say needs to be done to improve it.

Administration assistant Sandra Lynch BUSINESS UNIT Display advertisements Tel: +44 (0)20 8872 3123 Classified advertisements Tel: +44 (0)20 8423 1333 NURSING CHILDREN AND YOUNG PEOPLE RCNi, The Heights, 59-65 Lowlands Road Harrow-on-the-Hill, Middlesex HA1 3AW

Under the new commissioning arrangements, children’s nurses, school nurses and health visitors must be able to convince local authorities of the value of their services. Hospital nurses also can

Nursing Children and Young People is indexed, abstracted and/or published online in the following media: Medline (Pubmed), CINAHL, BNI and Ovid ABC APPLICATION APPROVED 10,139 (Jan-Dec 2014) SUBSCRIPTION DEPARTMENT RCNi subscription department, Copse Walk, Cardiff Gate Business Park, Cardiff CF23 8XG. Tel: +44 (0)345 772 6100 Print edition rates Personal: from £73 a year in the UK and Europe, and from £121 a year in the rest of the world. Institutional: from £446 a year. Email: [email protected] ©2015 RCNi. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers. ISSN 2046-2336 (print). ISSN 2046-2344 (online)

Children’s nurses, school nurses and health visitors must be able to convince local authorities of the value of their services

Christine Walker Editor

have a role to play in health promotion as Birmingham Children’s Hospital chief nursing officer Michelle McLoughlin points out (page 8). If innovation is what is needed, then this month’s journal indicates that Wales is leading the way. We report on the introduction of a children’s ‘rights’ charter (page 7) and there is a description of how the 15 Steps Challenge – an initiative to make the first impressions of a ward as positive as possible for children and their families – was implemented in one health board area (page 16). Elsewhere in this issue we continue our continuing professional development series on endocrinology by focusing on the common investigations that are undertaken (page 26) and Emma Popejoy presents a research study on end of life care (page 20). Finally, if you would like to become Nursing Children and Young People’s new Student Voice columnist, get in touch. For details, see page 10.

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Nursing Children and Young People aims to promote excellence in neonatal, infant, children’s and young people’s nursing practice. The journal is editorially independent and the opinions expressed are not those of the RCN, nor of any contributor’s employing organisation, unless specifically stated.

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