As Sue Burr, advisor in paediatric nursing to the Royal College of Nursing, said in the feature 'Surgery needed' (19 April), the good policies are there and, indeed, in many areas of care have been there for many decades. The medications and the interventions may be new but the approach, the attitude and the need to promote the recognition of children as themselves has been Government policy for more than 40 years. What is missing is the full implementation of those policies.
Children's community nurses have been active in a few health districts for even longer than that, as has the availability of paediatric-trained staff in a few A & E departments. So has the practice of admitting all children to children's wards. Yet none of these are current in all parts of he country.
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