title: Twenty years of research shows UK child development team provision still varies widely for children with disability.
abstract: OBJECTIVE
  To identify how services provided by child development teams (CDTs) have changed over 20 years. To what extent have major government initiatives aiming to improve the lives of children with disability and their families been implemented by teams?
  
  
  METHODS
  Survey sent to every UK CDT in 2009/2010; comparison with data gathered in 1988 and 1999.
  
  
  RESULTS
  Ninety-four per cent (225/240) of CDTs responded; data on 242 teams were available from 1999 and 125 teams from 1988. Despite policy recommendations advocating the value of interdisciplinary team working, there was a decline in numbers of professionals working within the CDT multidisciplinary team. One-third of all teams reported a reduction in their funding over the last 5 years. However, specialist clinics provided increased. Teams reported patchy adoption of national initiatives designed to improve provision. Transition services were underdeveloped.
  
  
  CONCLUSIONS
  This comprehensive survey of UK CDT service provision, as well as national studies of the healthcare experience of families with a disabled child, shows that improvements in provision are required.
authors: Institute of Neuroscience, Newcastle University, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
authors: J R
authors: JR
authors: Parr
authors: N
authors: N
authors: Jolleff
authors: L
authors: L
authors: Gray
authors: J
authors: J
authors: Gibbs
authors: J
authors: J
authors: Williams
authors: H
authors: H
authors: McConachie
mesh_terms: D002648:Child; D002657:Child Development; D002662:Child Health Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D019988:Children with Disabilities / Q000534:rehabilitation*; D006801:Humans; D010348:Patient Care Team / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D040841:Resource Allocation / Q000458:organization & administration
keywords: child development teams; neurodevelopment; neurodisability; services