Although it is widely known that oral health is a determinant of general health and quality of life, there are many children, particularly those living in areas of social deprivation, who are not given the opportunity to register with a dentist or to access dental services (DHSSPS
(2006) Safeguarding Vulnerable Adults--Regional Adult Protection Policy and Procedural Guidance .
In recent years, the range of children for whom adoption is now considered as a placement option has broadened to include older children and those who have been in care for extended periods (DHSSPS
, 2002; Kelly and McSherry, 2002).
The need to prevent repeated dental GA experiences for preschool children [Carson and Freeman, 2000] and promote preventive health behaviours for parents residing in deprived communities has been recognised by the British Department of Health and Social Services and Public Safety (DHSSPS
) in Northern Ireland as an important health goal [Dental Branch Annual Report, DHSSPS
launched the Community Resuscitation Strategy in 2014, with the aim of improving the survival rate for out-of-hospital cardiac arrests.
The new strategy says that while the government will take 'a population-wide approach to health improvement, we must seek to reduce such inequalities' (DHSSPS
This was followed in November with a further letter to the Trust drawing attention to the procedure outlined by the Department of Health, Social Services and Public Safety (DHSSPS
) in Co-operating to Safeguard Children for case management reviews.
The union's Kevin McAdam said "healthcare workers are outraged at the failure of the DHSSPS
to respond to the need for a fair and equitable pay rise".
The current recommendation of the World Health Organization (2002) and UK health departments (DH, 2003; DHSSPS
, 2004; NHS Health Scotland, 2010) is that solid foods should be introduced at around six months.
I would like to thank Dr Hilary Harrison of the DHSSPS
and Ethel Johnston, former Chair of the Western Boards Adoption Panel, for their help in preparing these notes.