Independent report

Getting it right for children and young people: Overcoming cultural barriers in the NHS so as to meet their needs

A review by Professor Sir Ian Kennedy.


Download full review

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email Please tell us what format you need. It will help us if you say what assistive technology you use.


Sir David Nicholson asked Professor Sir Ian Kennedy to undertake this independent review amid widespread concern about the services provided by the NHS to children and young people.

The review concentrates on understanding the role of culture in the NHS. It focuses on those areas where there are cultural barriers to change and improvement. It examines the NHS’s position in a wider system of care and support, so as to understand and improve the NHS’s provision of services to children and young people.

The review has uncovered many cultural barriers standing in the way of improving services for children and young people. These were created, and operate, at a number of levels, from Whitehall, through regional and local organisations, to contacts between individual professionals, and with children, young people and those looking after them. Sir Ian makes several recommendations for improvement.

This review is being published at the same time as an engagement document, Achieving Equity and Excellence for Children in which the Government sets out a new vision for the health of children and young people and asks for comment.

Published 16 September 2010