Collaborative Healthcare in Wales: Delivering the services children need in the community

This report, published in June 2025 (in both English and Welsh languages), outlines the devastating impact of prolonged underinvestment in community child health services on children, young people and families across Wales. We ask the Welsh Government to direct health boards, local authorities and partners to focus on early years intervention and support through needs-led services for children in the community.
Repeated icons of 'dynamic child'

Community child health services (or developmental paediatrics) provide a range of support to families. They promote health development, wellbeing and early intervention, support children with long term conditions and with complex care needs, and plan and implement local strategies to improve the heath of all children.

Chronic underinvestment in these services has led to increasing pressures on the community child health workforce and increasing delays in care and treatment for children who need it.

It’s time to recognise that investment is urgently needed in community services so children can receive the care and treatment they deserve in a timely manner.

Dr Nick Wilkinson, RCPCH Officer for Wales

Data on community child health is not published, and though all health boards responded to our Freedom of Information requests, these datasets were not consistent and sometimes incomplete. The data in our report therefore is presented as a spotlight on each health board, and should not be compared.

Our recommendations are based around five themes:

  1. The urgent need for data
  2. Creating a sustainable child health workforce 
  3. Collaborative care
  4. Positive transitions to adult services
  5. Neurodevelopmental services

You can read about all of our recommendations, plus insights from both our members and children and young people in Wales, in our full report in English or Welsh - view or download below:

Report in English


Report in Welsh