Children’s Commissioner: Education reform’s glacial pace and wrong focus fails children

The Children and Young People’s Commissioner has urged the Scottish Government and authorities to urgently redesign education, so it works for ALL children.  

Commissioner Nicola Killean has made recommendations to improve the education system in a new report – warning that too many children are failing to thrive in the current set-up.  

The Commissioner and her team have spent over a year listening to children and young people’s current experiences of learning. The recommendations – which come both directly from children, and from the office – build on existing education reform reports and push for much more urgent and substantial change.  

Her recommendations in the report, called ‘“This is our lives, it matters a lot”: Putting children’s rights at the heart of education’, include:  

  • fundamental reform of the support and resourcing for children who have additional support needs   
  • a co-ordinated and adequately resourced national online education offer to support children who need and can benefit from that option for many reasons   
  • more equitable access to subject choice, as children can’t always study the things they want to  
  • ensuring the purpose of education is to prioritise the development of a child’s full potential, not be dominated by exam results  
  • accelerate the implementation of the Hayward Review, which will reform assessments and qualifications.  

Ms Killean said: “Too many children are being let down by our current system. Every child has a right to an education that develops their personality, talents, and abilities to their full potential.   

“We’ve had review after review, and the promise of change, but children in school feel no improvement. The pace of education reform has not only been glacial, but it is fundamentally focussed on the wrong areas. Time is being spent on restructuring adult agencies and not on addressing the needs of children within a system that is clearly failing them.   

“Children should be at the heart of shaping change to education, working alongside all those adults tasked with delivering it – government, decision-makers, and practitioners. Within education children are the ultimate stakeholders, and they have been very clear that they want change in education to be a priority for the government.  

“Many children need improved support – this includes disabled children, children with neurodivergent conditions, and those living in poverty. We can’t deliver a rights-respecting education when children’s needs are not recognised or met.  

“We have people trying to change the system from inside, we have examples of innovation that can make a huge difference to children, and we have vision for real change in the Hayward, Muir and Morgan Reviews commissioned by the Scottish Government.  

YouTube

The Commissioner’s Young Advisors were involved in the research and have made an accompanying film to the report. They visited schools with the Commissioner to work with children and hear their views.

One Young Advisor reflected after visiting schools: “This is our lives. This is what will impact us not only now…this will impact on our futures. It matters a lot to us, and all young people.”    

The report shares what children told the Commissioner and makes recommendations under the themes of culture, curriculum, personalisation and support, assessment and qualifications, and purpose.  

The Commissioner added: “We’ve made strong recommendations for those responsible for delivering education, including the Scottish Government, education authorities, and HMIE.

“All agencies should place children at the centre of reform – their strengths and insights are much needed. Children must not be excluded from decisions that affect their lives.   

“We recognise assessments, exams, and qualifications should be understood as part of the education system; they should not dominate the system. Older children told us they were stressed, had little time to relax and that exams had a lasting effect on their mental health.”   

The Commissioner added: “The Scottish Government – and others who have the power to create meaningful change – must deliver an education that has rights at the heart for every child.

http://bit.ly/3RsP6mt

GP plan ‘failing to deliver’

A Scottish Government agreement with GPs to improve general practice has failed to deliver on several of its commitments, says spending watchdog Audit Scotland.

The 2018 General Medical Service (GMS) contract aimed to address the financial pressures and growing workloads facing GPs, and to improve patients’ access to care.

However, seven years on:

  • the estimated number of whole-time equivalent GPs has fallen
  • pressure on general practice has increased
  • proposals to support GP teams with more nurses, physiotherapists and other specialists have moved more slowly than planned
  • and people report finding it more difficult to access care.

The Scottish Government has not set out how it intends to invest in general practice over the medium-term. And it is unlikely to hit its target of 800 more GPs by 2027. Spending on general practice as a proportion of overall NHS spending has fallen slightly in recent years. And between 2021/22 and 2023/24 spending decreased by 6 per cent in real terms, putting more pressure on GP practices.

National data for primary care remains inadequate. There is a lack of robust information about general practice demand, workload, workforce, and quality of care. This limits the Scottish Government’s ability to say whether the GMS contract changes represent value for money or have improved patient care.

Stephen Boyle, Auditor General for Scotland, said: “The pandemic pushed back plans for general practice. But the new delivery deadlines that were put in place were missed, and there’s not been enough transparency about progress since then.

“The Scottish Government needs to clarify its plan for general practice and set out the actions, timescales and costs to deliver it.”

Where Do We Draw The Line? New study reveals shocking lack of awareness around abuse of older people

Punching and threats not seen as abuse to a quarter of respondents

A new study highlights a significant lack of awareness among university students about the abuse experienced by older people, according to recently released findings from lead researcher Dr Jennifer Storey with support from leading abuse prevention charity Hourglass.
 
Researchers Dr Jennifer Storey, Rhianna O’Brien and Dr Silvia Fraga Dominguez have found in their work that 25% of those surveyed (predominantly university students) did not view punching, kicking, threats, or theft towards older people as acts of abuse.
 
Likewise, over 1 in 4 (29% and 28%) respondents did not see taking an older person’s precious items, or spending an older person’s money without consent, both forms of economic abuse, as abusive acts. While 25% did not view sexual advancement without consent towards an older person as abusive.
 
Hourglass is the only UK-wide charity dedicated to calling time on the abuse, harm and exploitation of older people and the charity is calling for major improvements to the public’s understanding of the abuse of older people.
 
Recently released research from Hourglass suggests that the abuse of older people costs the UK economy over £16 billion every year and if current trends continue, the figure could rise to as much as £25 billion by 2050.
 
Danny Tatlow, Research and Policy Officer from Hourglass, said: “A lack of public understanding of the abuse of older people forms a key barrier to help seeking by older victim-survivors. Inadequate support solutions for older people, and a corresponding perception amongst older people that there is no alternative to abuse, or fear they will not be believed, helps continue violence and abuse.
 
“The abuse of older people continues to remain a taboo policy area, forgotten by politicians and the public. It’s time that we gave older victim-survivors their due and that they receive the same recognition as other demographics”


 
The study builds upon the findings from Hourglass’ 2020 ‘Growing Old in the UK’ survey, which identified low public understanding of abusive behaviour towards older adults.

Veronica Gray, Deputy CEO and Director of Policy of Hourglass, said:
Whilst, on the face it, the fact that young people having less of an understanding around abuse of older people seems obvious, this is actually a deeply worrying issue. This shows that the very people we are seeking to educate around this growing epidemic of abuse are less aware than ever.
 
“However, younger people are not alone. Data from a 2024 follow up to our “Growing Old in the UK” survey, which we’ll release in full in 2025, indicates that awareness and understanding of abuse remains critically low among all adults, not just university students.
 
“Our report found that 23% of people surveyed across the UK did not view ‘inappropriate or unwanted sexual comments or acts’ as abusive to older people. A quarter of respondents did not find ‘taking items from an older relative’s home without asking’ as abusive either. This is extremely worrying and adds a new level of concern in dealing with the issue.”
 
Lead researcher on the project Dr Jennifer Storey, Senior Lecturer in Forensic Psychology at the University of Kent said: “We were taken aback by our findings; everywhere that I have presented them I’ve been met with shock and concern from fellow researchers and practitioners. Knowledge and practice in the area of older adult abuse lags other forms of violence.

“I hope that this study can help to call attention to this issue, the work needed, and the importance of education and safeguarding for the older adults that we care for and will one day become.”
 
“Where Do We Draw the Line? Perceptions of Abuse of Older Adults and Their Association With Ageism”
https://academic.oup.com/psychsocgerontology/article/80/1/gbae190/7906484

Shelter Scotland research: Children’s experiences in temporary accommodation

New research commissioned by Shelter Scotland reveals that over ten thousand children living in temporary accommodation are at risk of severe impacts on their health, education, and social lives.

Professor Nadzeya Svirydzenka of De Montfort University and Professor Monica Lakhanpaul of University College London interviewed twenty-three children and parents from four Scottish local authorities.

The report titled “IN THEIR OWN WORDS: CHILDREN’S EXPERIENCES IN TEMPORARY ACCOMMODATION” shows that children living in temporary accommodation face safety issues such as overcrowding, dampness, mould, antisocial behaviour, pest-infestations and more.

Temporary accommodation has also been found to impact the mental health of children and parents, leading to anxiety, depression, increased aggression, and disturbed sleep. Children in these situations were also found to be socially isolated and their school attendance disrupted.

This research is published following a significant increase in the number of children in temporary accommodation in Scotland. Scottish Government figures show there are 10,360 children in temporary accommodation, a 149% increase in the last ten years.

On average, single people spend 240 days in temporary accommodation, a single parent with children 355 days, and a couple with children 565 days. The number of children in bed and breakfasts has risen by 223% (290 children) between September 2023 and 2024 (Scottish Government, 2025)

In Edinburgh, the number of children in temporary accommodation has grown by 74% since 2020 to a backdrop of rapidly increasing homelessness in the capital.

Shelter Scotland’s report calls for an increased supply of family homes, more work towards homelessness prevention, addressing the poor quality of temporary accommodation, and taking a ‘children’s rights-based approach’ to the allocation of temporary accommodation.

Scottish Conservative MSP for Lothian Miles Briggs attended the launch event for this research in Edinburgh and said:“It is completely unacceptable that so many children are left languishing in temporary accommodation for so long across Scotland. They should be living in safe, clean, and permanent houses of their own.

“The situation in Edinburgh is particularly concerning. Housing here has been in a state of emergency for years now. We cannot allow this to continue.

“This report is a shocking indictment of the SNP’s record on housing and makes important recommendations on housing, health, and education which will require cross-sector and cross-government reform and actions.”

@Miles4Lothian (Miles Briggs) will ask @scotgov for its response to the @shelterscotland‘s report ‘In Their Own Words: Children’s Experiences in Temporary Accommodation’ at Holyrood this afternoon.

Watch from 2.05pm: https://ow.ly/QhAB50Va2RK

Original report:

Shelter Scotland – In Their Own Words, Children’s Experiences in Temporary Accommodation

Child Poverty: Turning the Tide

NEW REPORT BY RESOLUTION FOUNDATION

The Government is due to publish a Child Poverty Strategy later this year, with a promise to bring about “an enduring reduction in child poverty” (write ALEX CLEGG and ADAM CORLETT of The Resolution Foundation).

In this report we focus on the Government’s headline metric of relative child poverty and look at what might be needed to achieve this welcome goal in the face of significant headwinds.

We consider the role of improvements in parental employment and housing affordability, but also of reforms to social security, and we show what is needed to make sure that any gains in this Parliament are not lost in future.

KEY FINDINGS

  • On the Government’s headline measure of relative poverty after housing costs, 4.3 million children (three-in-ten) were living in relative poverty across the UK in 2022-23. On an international measure accounting for both housing and energy costs, the UK’s relative child poverty rate is higher than in any EU or EFTA nation bar Greece.
  • On present policies and our baseline economic forecasts, we project that UK child poverty will rise over this Parliament from an estimated 31 per cent in 2024-25 to reach 33 per cent by 2029-30, its highest rate since 1998-99, and the highest number of children on record, at 4.6 million. This is partly because the outlook includes £3 billion of scheduled welfare cuts, in the form of the ongoing roll out of the two-child limit and family element abolition, and real cuts each year in the value of Local Housing Allowances and the benefit cap.
  • It is right to be ambitious about employment rates and housing supply. Concerted action on these could lower child poverty by 130,000 compared to our base scenario, and would provide fiscal room for new spending (as would higher-than-expected growth more generally). But without changes to social security, poverty would still rise over the Parliament.
  • The child poverty priority should be to abolish the two-child limit, and the benefit cap alongside it, which would take an estimated 500,000 children out of poverty in 2029-30. This would cost £4.5 billion in 2029-30 but is the most efficient anti-poverty measure the Government could take. Turning the two-child limit into a three-child limit (and assuming the benefit cap is still abolished) would have about two-thirds of the impact at two-thirds of the cost.
  • Free School Meal entitlement should be extended to cover all families on Universal Credit, which would take around 100,000 children out of poverty, with money found from within existing departmental spending plans. For further poverty reductions, Local Housing Allowance should be repegged to local rents – rather than remain frozen indefinitely – and Universal Credit’s basic adequacy tackled, for example by reversing the abolition of the ‘family element’. This would reduce child poverty by a further 140,000. These policies could mean that, by 2029-30, child poverty could be around 900,000 lower than in our default projection, at 3.7 million: getting below 4 million for the first time since 2015 outside of 2020-21. And the child poverty rate could be cut to its lowest in four decades, at around 27 per cent, in the highest-ambition scenarios.
  • The ambitious package would have a price tag of around £8.5 billion, falling to £5.5 billion if the extension of free school meals is funded within existing departmental budgets and the Government can succeed in raising employment and building more homes.
  • In the longer-term, family benefit uprating needs to move to tracking average earnings – alongside the State Pension – or else relative child poverty will always tend to rise as social security entitlements fall behind average earnings.

Read Resolution Foundation’s TURNING THE TIDE report:

Cancer death rates 80% higher in the most deprived areas of Scotland

ACTION ON SMOKING URGENTLY NEEDED

Cancer death rates are around 80% higher for people living in the most deprived areas of Scotland compared to the least deprived, a new report from Cancer Research UK reveals.

The report, titled Cancer in the UK 2025: Socioeconomic Deprivation, found that there are around 4,300 extra cancer deaths in Scotland each year linked to socioeconomic inequality. This equates to 12 additional deaths each day – around a quarter of all deaths from cancer.

Almost half of these additional deaths are caused by lung cancer, where the death rate for the most deprived areas is almost three and a half times that of the least deprived areas of Scotland.  

More than a tenth of all cancer diagnoses in Scotland are linked to deprivation. Many of these cases are caused by preventable risk factors such as smoking.   

Smoking is the biggest cause of cancer in Scotland, and rates in the most deprived parts of the country are more than four times those in the least deprived. 

In publishing the report, Cancer Research UK is calling for urgent action to tackle these stark inequalities. 

One vital opportunity to do so is the upcoming vote in Scotland for new legislation which will see an increase in the age of sale of tobacco. 

If MSPs vote for the new Tobacco and Vapes Bill, it would become illegal to sell tobacco to anyone born after 1st January 2009.  

This vote will pave the way for the Bill to become law in Scotland, as well as the rest of the UK. 

Dr Sorcha Hume, Cancer Research UK’s public affairs manager in Scotland, said: “Where you live shouldn’t increase your risk of dying from this devastating disease. These figures are shocking and unacceptable and crucially many of these cancer deaths are avoidable. 

“With almost half of the additional deaths being caused by lung cancer, it’s clear that action on smoking is needed urgently. 

“Smoking remains the leading cause of lung cancer, a disease that is often diagnosed late when treatment options are more limited. 

“One of the ways we can prevent lung cancer is to deter people from ever taking up smoking in the first place. 

“If MSPs vote in support of the age of sale legislation in the Tobacco and Vapes Bill, it could be one of the most impactful public health interventions in living memory, helping people to live longer, better lives, no matter where they live in Scotland.” 

Introducing a lung cancer screening programme in Scotland would also help address these inequalities. 

The UK National Screening Committee has recommended that all UK nations move towards implementing a national lung cancer screening programme to target those considered to be of high risk of developing lung cancer – people aged between 55 and 74 who either smoke or used to smoke.  

A targeted lung screening programme is being introduced in England, but no such commitment has been made by the Scottish Government. 

If lung screening were to be introduced, around 400 extra cases each year in Scotland could be diagnosed at an early stage (stages 1 and 2) rather than a late stage (stages 3 and 4).

Dr Hume added: “Lung screening matters because it means more people can be diagnosed at an earlier stage, when treatment is more likely to be successful. 

“Research has consistently shown that lung screening is effective at reducing deaths from cancer so it’s essential a Scotland-wide programme is introduced here as soon as possible.” 

New report reveals long-term outcomes for UK care-experienced children

NatCen has published a report in collaboration with ADR UK exploring children and young people’s experiences with social care

The National Centre for Social Research (NatCen) has published a report in collaboration with Administrative Data Research (ADR) UK exploring children and young people’s experiences with social care. 

The report pulls together administrative data from the four UK nations for the first time and the combined data reveals insights into the care experiences of children. It looks across systems and services showcasing valuable long-term data analysis across inequalities, regional variation, evolving care practices and long-term impacts.

The report explored factors that lead children into care: 

  • A child’s postcode in Northern Ireland can affect their chances of entering care: in 2010, children from the most deprived 10% of areas were four times more likely to end in care than those from the least deprived 10%. By 2020 this disparity doubled. 

As well as their journeys through care

  • Data from Wales found that 63% of voluntary arrangements became compulsory within two years, a trend occurring more frequently and rapidly over time. In around 1 in 2 cases, care proceedings were issued within four weeks of initial voluntary arrangements.
  • Placement stability is a concern with 30% of infants experiencing three or more placements within two years.
    • Infants entering care through voluntary arrangements experienced fewer placements than those subject to care orders.
  • Data from Scotland found kinship care has become the most common arrangement with 34% living in kinship care in 2023 compared to 13% in 2006.
    • Children with experience of kinship care continue to experience lower attendance rates, higher exclusion rates, and lower qualification attainment compared to the general population.
  • Of those with youth justice involvement, care experienced children, on average, had four times the number of cautions or convictions than non-care experienced children. 

The report examines long-term outcomes for those who have had contact with social services:

  • In the eight years after leaving school, 25% of care experienced children in England had never been in employment or education compared to 4% among all school leavers.
  • In Northern Ireland, young adults with a history of care had almost 9 times the risk of death by suicide compared to those who had no social services contact in childhood.

Sarah Cheesbrough, Director of the Policy Research Centre at the National Centre for Social Research (NatCen) said: “This vital report showcases the transformative potential of administrative data in generating critical insights to improve the lives of care-experienced children and young people. 

“It highlights why policymakers should demand more from their evidence base—using data to pinpoint system shortfalls, assess long-term service impacts, and identify successful practices.”

Professor Karen Broadhurst of Lancaster University and ADR UK Ambassador said: “By linking data from different parts of government, and opening up secure access to the de-identified, population-level linked datasets,

“ADR UK is creating unprecedented opportunities for researchers to advance our knowledge. For the first time, we can look across systems and services using datasets where every child is counted. 

“The studies included in this report published today, provide robust empirical evidence of pathways into care, care experience, and life beyond care. As a society, we must ensure we have the conditions in place for every child to have the opportunity to flourish, including those in the care of the State.”  

Disability benefits claimants at increased risk of hardship as DWP underpayments rise

Report warns service provided to customers is a mixed bag with levels of fraud remaining unacceptably high

Disability benefits claimants receive an unacceptably poor level of service from the Department for Work and Pensions (DWP). In a report published today, the Public Accounts Committee (PAC) warns that the DWP’s understanding of vulnerable customers’ experience is not good enough, with how it provides customer service overall also falling short.

The report finds that benefit claimants received over £4bn less than they were entitled to in 2023-24. This increases the risk of financial hardship for the people losing out. This figure of underpayments has risen from £3.5bn in 2022-23. Underpayment rates are highest for disability benefits, such as Personal Independent Payment (PIP) and Employment and Support Allowance (ESA).

The inquiry heard that disabled peoples’ experiences of the benefit system are often negative due to issues with the design of the system and how DWP communicates, with evidence that 43% of claimants with complex disabilities do not have their needs met through DWP’s communications.

Not informing DWP of a change in circumstances is the most common reason for underpayments – the report notes that many claimants need to call DWP to do so, but a significant proportion of calls go unanswered.

The PAC is warning that DWP does not understand well enough the experience of vulnerable customers and customers with additional or complex needs, and should gather the data it needs to gain this understanding.

The DWP conceded to the PAC that, while it had been using artificial intelligence to help identify vulnerable customers at the time of the Committee’s inquiry, it did not have a system to identify such customers on the telephone.*

The report raises continuing concerns about the potential negative impact on protected groups and vulnerable customers of DWP’s use of machine learning to identify potential fraud, and seeks reassurance from Government that claimants are not being treated unfairly through its use.

Recipients of PIP and ESA, the report finds, receive an unacceptably poor service from DWP. ESA claimants have to wait an average of nearly 30 minutes for DWP to answer their calls (compared to approximately 2 minutes for Universal Credit claimants). For new PIP claimants, only half of these are processed on time (as compared to 96% of new State Pension claims).

While benefits underpayments are climbing, the report also warns that overpayments are also on the rise, with £9.5bn of benefit expenditure (excluding State Pension) overpaid in 2023-24 – up from £8.2bn in 2022-23.

The report calls out DWP’s defence of its current performance: by referring to the challenge of working against a “headwind” of an increasing propensity for fraud in society. The PAC sees this as a dangerous mindset, stressing that it is the DWP’s job to improve its defences and ensure benefit claimants receive the right amount of money.

Sir Geoffrey Clifton-Brown MP, Chair of the Committee, said: “Our report’s disheartening findings illustrate the stark disparity of experience between claimants for disability benefit and other users of the system.

“In some cases, claimants are literally calling for help and receiving no answer, resulting in increasing risks to their financial security. The British public would be forgiven for thinking the state is AWOL just when it needs it most.

“The DWP must do more to ensure that claimants are reunited with the money to which they are entitled, as well as to understand the needs of vulnerable claimants.

“Our Committee is closely scrutinising the use of AI in Government. While this Committee would welcome the use of AI for the benefit of the public, the onus is also on the DWP to prove it is using these powerful tools in a safe and fair manner.

!We are also as concerned at the picture of growing underpayments as we are with overpayments, and have little sympathy for the DWP’s argument that this rise is driven by a growing propensity for fraud in society.

“This amounts to saying that the DWP’s job is too hard to do well – not a defence that this Committee is prepared to accept.”

Deep distrust of the police and lack of opportunity motivated children’s participation in last summer’s riot

  • Hundreds of children, some as young as 11, were caught up in riots last summer sparked by tragic murders of three girls in Southport.
  • At least 147 children arrested, 84 charged, 73 with finalised outcomes by October 31st.
  • Children’s Commissioner uses unique statutory powers to speak to around 20% of the children including some in Young Offenders Institutions charged in connection with last summer’s riots.
  • In interviews, many spoke strongly about their distrust of the police, describing previous bad experiences and community mistrust.
  • Postcode lottery with the youth justice system as outcomes depended on where they lived.

Unique research by the Children’s Commissioner’s Office found that young people who took part in last summer’s riots were not primarily driven by social media misinformation or racism but by curiosity of the events, deep distrust of the police or the lack of opportunities in their community.

Dame Rachel de Souza used her statutory powers to speak to about 20 per cent of the children who were charged in the aftermath of the summer riots that broke out after the tragic murders of Bebe King, Elsie Dot Stancombe and Alice da Silva Aguiar in Southport on 29 July 2024.

Hundreds of children – some as young as 11 – were caught up in the unrest in 26 areas across England following the lead of thousands of adults whose involvement was deemed to be racially motivated targeting locations known to house asylum seekers.

The findings of today’s report focus on children’s motivation for taking part, challenging the prevailing narrative that young people’s involvement was orchestrated by deliberate misinformation spread through social media linked to racist and right-wing influencers.

While these factors played a potential role, they did not appear to drive children’s actions.

Instead, many children’s involvement in the riots was spontaneous, not thought out and opportunistic. The report found that they were not primarily driven by far-right, anti-immigration or racist views. Children spoke about their curiosity of these events and their animosity towards the police.

Children’s Commissioner for England Dame Rachel de Souza said: “Like everyone I was truly horrified and heartbroken by the deaths of those three little girls in Southport last July.

“The initial response from the community to their deaths brought out some of the best of humanity, as people shared their collective grief and shock. But within a day, violent unrest started to unfold across the country in an apparent response to claims made about the girls’ attacker.

“The involvement of children in those riots and the reasons they told me they got involved raise some really serious questions about childhood in England and why our children feel so disaffected and disempowered.”

Based on interviews by the Children’s Commissioner’s office between November and December 2024 with children charged in connection to last summer’s riots, the report presents their views, as told to the Children’s Commissioner and her team directly – with key findings including:

  • Scale of youth involvement:  At least 147 children arrested, 84 charged, 73 with finalised outcomes by October 31st. Further arrests are anticipated as police continue to review evidence.
  • Spontaneous participation: Children’s actions were often impulsive and unconsidered, driven by curiosity, a sense of animosity towards the police, or the thrill of the moment – not primarily driven by far-right ideologies as widely speculated.
  • Distrust of the police: Many children cited previous negative interactions and deep-seated mistrust of the police within their community, which fuelled their actions during the riots, viewing them as an opportunity to retaliate against the police. 
  • Calls for change: Children identified poverty, a lack of youth activities and limited employment opportunities as underlying vulnerabilities that must be addressed to protect young people from crime and exploitation.

Today’s report by the Children’s Commissioner found the government’s response to the riots resulted in unusually severe charges and sentences, often overlooking children’s potential for rehabilitation.

Outcomes for children appeared to vary based on location, with inconsistent application of child-first principles and underutilised expertise of the Youth Justice Service (YJS).

Dame Rachel de Souza said: “As Children’s Commissioner, it’s my duty to listen to children, regardless of their circumstances. This includes hearing the voices of young victims, and in exceptional circumstances like this, hearing directly from children accused of perpetrating violence against others.

“These conversations were striking, and often unsettling. Many described impulsive decisions, driven by disaffection or distrust of the police as factors for their involvement.

“This report does not excuse criminality. The harm caused by these children’s actions is undeniable. Many – but not all – of the children acknowledged the need for accountability and consequences for their actions.

“Today’s findings offer no simple solutions but paints a more complex picture than has been debated following the riots. However, it is one that we must grapple with in order to create a more positive experience of childhood than one this report sets out.”

In her report, the Children’s Commissioner highlights the importance of upholding the child-first principles of the youth justice system, particularly in times of national crisis. Children are different to adults and a child must be seen as such first and foremost, rather than as an offender, to keep communities safe by preventing and reducing offending behaviour.

Rehabilitation and addressing the underlying causes of children’s involvement must be the primary objective of youth justice with custodial sentences always the last resort. The widespread expression of hostility toward the police among these children also highlights an urgent need for child-centred policing that builds trust and fosters positive relationships.

Today’s report, ‘Children’s involvement in the 2024 riots’ is available online.

New report highlights barriers to health equity for patients living with cancer and/or blood disorders

PATIENTS ASSOCIATION CALLS FOR ACTION

A new report by the Patients Association, funded by Bristol Myers Squibb, sheds light on the stark health inequities faced by patients living with cancer and/or blood disorders, revealing significant disparities driven by social determinants of health, systemic barriers, and discrimination.

The report also offers recommendations to improve access to equitable healthcare.

The report identifies critical issues such as economic and social factors, mistrust in healthcare services, systemic racism, and lack of joined-up care, all of which exacerbate health inequalities for underserved communities.

The report calls for a patient-centred approach that prioritises shared decision-making to ensure cancer and/or blood disorder patients are treated as equal partners in their care. It also calls for a multi-agency approach to tackle health disparities, aligning national and local strategies, such as NHS England’s Core20PLUS5 framework, to enhance access to early cancer diagnosis.

The report finds that cancer and/or blood disorder patients from underserved communities consistently experience worse health outcomes and lower standards of care. Contributing factors include delays in diagnosis, lower uptake of screening programmes, and mistrust of healthcare systems. Barriers such as low health literacy, cultural insensitivity from staff, and systemic discrimination further hinder equitable access to care.

Patients interviewed for this report highlighted several critical issues, including difficulty navigating healthcare systems and insufficient communication about their rights and available benefits. Many patients reported transportation and medication costs causing financial difficulties.

Organisations working with underserved communities reinforced these findings, emphasising the pervasive mistrust in the health among marginalised communities. This mistrust often results from discrimination, such as delayed diagnoses and unequal access to treatment. LGBTQ+ patients and those with sickle cell disease described particularly hostile or dismissive interactions with healthcare providers.

The report also draws attention to the role of social determinants of health, such as inadequate housing, poverty, and living in a deprived neighbourhood. These factors are closely linked to higher rates of cancer and mortality, as well as reduced access to essential healthcare resources.

Tackling these challenges requires urgent action at both a national and local level. The Patients Association calls on policymakers, healthcare professionals, and community organisations to work together to ensure equitable access to care for all.

Reflecting on the report, Rachel Power, Chief Executive of the Patients Association said: ““Equitable healthcare is an urgent necessity. It is deeply concerning that barriers such as systemic discrimination, financial hardship, and mistrust of the health and care system persist, disproportionately affecting underserved communities.

“Only by addressing these disparities can we achieve a health and care system that provides equality and dignity for all. We call on the government and the health and care system to align national and local strategies, address the social determinants of health, and foster trust between patients and healthcare providers.

“We must work together to close these gaps and build a system rooted in fairness, trust, and accessibility.”

For more information, please contact media@patients-association.org.uk