Getting It Right for Every Child: A National Policy Framework to Promote Children's Well-being in Scotland, United Kingdom
- PMID: 27265560
- PMCID: PMC4911714
- DOI: 10.1111/1468-0009.12195
Getting It Right for Every Child: A National Policy Framework to Promote Children's Well-being in Scotland, United Kingdom
Abstract
Policy points: Getting It Right for Every Child (GIRFEC), a landmark policy framework for improving children's well-being in Scotland, United Kingdom, is a practice initiative signifying a distinct way of thinking, an agenda for change, and the future direction of child welfare policy. GIRFEC represents a unique case study of national transformative change within the contexts of children's well-being and universal services and is of relevance to other jurisdictions. Implementation is under way, with an understanding of well-being and the requirement for information sharing enshrined in law. Yet there is scope for interpretation within the legislation and associated guidance. Inherent tensions around intrusion, data gathering, professional roles, and balancing well-being against child protection threaten the effectiveness of the policy if not resolved.
Context: Despite persistent health inequalities and intergenerational deprivation, the Scottish government aspires for Scotland to be the best country for children to grow up in. Getting It Right for Every Child (GIRFEC) is a landmark children's policy framework to improve children's well-being via early intervention, universal service provision, and multiagency coordination across organizational boundaries. Placing the child and family "at the center," this approach marks a shift from welfare to well-being, yet there is still a general lack of consensus over how well-being is defined and measured. As an umbrella policy framework with broad reach, GIRFEC represents the current and future direction of children's/family policy in Scotland, yet large-scale practice change is required for successful implementation.
Methods: This article explores the origins and emergence of GIRFEC and presents a critical analysis of its incremental design, development, and implementation.
Findings: There is considerable scope for interpretation within the GIRFEC legislation and guidance, most notably around assessment of well-being and the role and remit of those charged with implementation. Tensions have arisen around issues such as professional roles; intrusion, data sharing, and confidentiality; and the balance between supporting well-being and protecting children. Despite the policy's intentions for integration, the service landscape for children and families still remains relatively fragmented.
Conclusions: Although the policy has groundbreaking potential, inherent tensions must be resolved and the processes of change carefully managed in order for GIRFEC to be effective. It remains to be seen whether GIRFEC can fulfil the Scottish government's aspirations to reduce inequalities and improve lifelong outcomes for Scotland's children and young people. In terms of both a national children's well-being framework within a universal public service context and a distinct style of policymaking and implementation, the Scottish experience represents a unique case study of whole-country, transformational change and is of relevance to other jurisdictions.
Keywords: children; early intervention; policy analysis; policy development; well-being.
© 2016 Milbank Memorial Fund.
Similar articles
-
Family pediatrics: report of the Task Force on the Family.Pediatrics. 2003 Jun;111(6 Pt 2):1541-71. Pediatrics. 2003. PMID: 12777595
-
Intelligent policy making? Key actors' perspectives on the development and implementation of an early years' initiative in Scotland's public health arena.Soc Sci Med. 2013 Nov;96:1-8. doi: 10.1016/j.socscimed.2013.07.001. Epub 2013 Jul 13. Soc Sci Med. 2013. PMID: 24034945
-
The Scottish children's panels as a catalyst for civic engagement and child well-being.Child Welfare. 2014;93(1):59-77. Child Welfare. 2014. PMID: 26030987 Review.
-
Prioritizing Possibilities for Child and Family Health: An Agenda to Address Adverse Childhood Experiences and Foster the Social and Emotional Roots of Well-being in Pediatrics.Acad Pediatr. 2017 Sep-Oct;17(7S):S36-S50. doi: 10.1016/j.acap.2017.06.002. Acad Pediatr. 2017. PMID: 28865659 Review.
-
What are children's trusts? Early findings from a national survey.Child Care Health Dev. 2006 Mar;32(2):137-46. doi: 10.1111/j.1365-2214.2006.00573.x. Child Care Health Dev. 2006. PMID: 16441848
Cited by
-
Clinical practitioners' experiences of psychological treatment for autistic children and adolescents with school attendance problems: a qualitative study.BMC Psychiatry. 2022 Mar 27;22(1):220. doi: 10.1186/s12888-022-03861-y. BMC Psychiatry. 2022. PMID: 35346125 Free PMC article.
-
Ensuring Quality Transitions From Early Years' Establishments Into Primary Schools: Putting Research Into Practice.Front Psychol. 2021 Sep 21;12:499917. doi: 10.3389/fpsyg.2021.499917. eCollection 2021. Front Psychol. 2021. PMID: 34621199 Free PMC article.
-
The Moral Foundations of Child Health and Social Policies: A Critical Interpretive Synthesis.Children (Basel). 2021 Jan 13;8(1):43. doi: 10.3390/children8010043. Children (Basel). 2021. PMID: 33450842 Free PMC article.
-
Is maternity care in Scotland equitable? Results of a national maternity care survey.BMJ Open. 2019 Feb 24;9(2):e023282. doi: 10.1136/bmjopen-2018-023282. BMJ Open. 2019. PMID: 30804027 Free PMC article.
-
Learning across the UK: a review of public health systems and policy approaches to early child development since political devolution.J Public Health (Oxf). 2020 May 26;42(2):224-238. doi: 10.1093/pubmed/fdz012. J Public Health (Oxf). 2020. PMID: 30799501 Free PMC article.
References
-
- Scottish Government. A Guide to Getting It Right for Every Child. Edinburgh, United Kingdom: Scottish Government; 2012.
-
- Scottish Government. Supporting Young People's Health & Wellbeing—A Summary of Scottish Government Policy. Edinburgh, United Kingdom: Scottish Government; 2013.
-
- Scottish Government. A Guide to Getting It Right for Every Child. Edinburgh, United Kingdom: Scottish Government; 2008.
-
- Scottish Government. Early Years and Early Intervention: A Joint Scottish Government and COSLA Policy Statement. Edinburgh, United Kingdom: Scottish Government; 2008.
-
- Camfield L, Streuli N, Woodhead M. What's the use of “well‐being” in contexts of child poverty? Approaches to research, monitoring and children's participation. Int'l J Child Rts. 2009;17(1):65‐109.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
