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Children’s Rights Impact Assessment

Proposed Budget (Government Plan) 2026-29 (P.70/2025) – Children’s Rights Impact Assessment

Published on: 25 September 2025

Presented by: Council of Ministers

Debate date: 9 December 2025

Reference: P.70/2025 Add.

This content has been automatically generated from the original PDF and some formatting may have been lost, therefore it should not be relied upon to extract citations or propose amendments. Please see the PDF for the official version of the document.

STATES OF JERSEY

PROPOSED BUDGET (GOVERNMENT PLAN) 2026 – 2029 (P.70/2025) – CHILDREN'S RIGHTS IMPACT ASSESSMENT

Presented to the States on 25th September 2025 by the Council of Ministers

STATES GREFFE

2025  P.70 Add.

COMMENTS

Introduction

Schedule 2 of the Children (Convention Rights) (Jersey) Law 2022 provides that a proposition lodging a government plan is exempt from the requirement to prepare a Children's Rights Impact Assessments (CRIA). However, Ministers (individually and collectively) have a duty to exercise due regard when making any decision about the formulation of policy in respect of a government plan relating to –

  1. proposed increases or decreases of States' expenditure in the next financial year under an existing or new head of expenditure;
  2. proposed new or revised revenue raising measures, including allowances and reliefs, for introduction in the next financial year; or
  3. proposed measures, for introduction in the next financial year, which will have the effect of changing the amount of contributions paid in accordance with the Social Security Law.

In addition, in respect of a government plan, the law says that Ministerial duty-bearers must determine the number, focus and scope of the CRIA to be prepared.

CRIAs have been prepared for a number of specific expenditure growth or capital projects.

Summary of CRIAs

Project

Minister

Screener

Full CRIA

Preventative Health

Minister for Health and Social Services

 

Early Years Budget Nursery 2 – 3-year- olds

Minister for Education and Lifelong Learning

Supporting Islanders and Strengthening Communities

Minister for Social Security

 

Teachers' Terms and Conditions

Minister for Education and Lifelong Learning

 

Loving Homes Estate and Children's Service Improvement Plan

Minister for Children and Families

Fort Regent Redevelopment

Minister for Infrastructure

Missed Health Service Appointments

Minister for Health and Social Services

 

Emergency Department Use

Minister for Health and Social Services

 

Preventative Health PART 1: SCREENING

Name and title of Duty Bearer:  Minister for Health and Social Services Type of Duty Bearer:

(Ministerial/Elected Member/ States  Ministerial

Assembly Body)

Job title of person completing the

Deputy Director Public Health Strategic assessment:

Commissioning and Transformation

(if different to above)

Date:  12/09/25

 

1)  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in

accordance with the Law is referred to in this template as the decision'

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

As part of the upcoming Budget 2026-2029, the Minister for Health and Social Services is including proposals that, if agreed, will allocate funds to the development of a number of services and interventions that aim to directly improve the health and wellbeing of adults in Jersey, this includes parents and carers and thus indirectly positively impacts children (including vulnerable children). If a child's parent/carer learns healthy behaviours and remains healthy for longer, the child is likely to benefit through healthier family eating habits, increasing family physical activity and the reduced stress of managing their family's chronic disease if it is captured at an earlier stage.

The Prevention First business case focuses on three main areas.

  Benefit: Identify need earlier

Intervention: Health checks and technological solutions to identify Islanders most at risk of developing chronic illnesses at a much earlier stage.

Programme Evidence: Health checks improve the health of the population3 through evidence that they diagnose diabetes, high blood pressure and cholesterol much sooner and reduce rates of irregular heart rate and dementia by 9%, heart attack by 15%, and acute kidney disease by 23% - meaning hundreds less Islanders living with serious illness. Jersey has the highest rate of skin cancer in the UK, with over 2200 dermatology appointments last year, investing in risk stratification technology such as DERMAI reduces dermatology waiting times and enables earlier

diagnosis.

  Benefit: Disease reduction

Intervention: Structured, evidence-based disease prevention and cessation programmes e.g. a pre-diabetes programme which introduces weight management, increasing physical activity, improving wellbeing and eating well support. Programme Evidence: Intensive weight loss and lifestyle change can prevent or reverse chronic disease. Studies4 5 show remission of type 2 diabetes in 46% of participants, 12 months after the programme end.

  Benefit: Earlier diagnosis

Intervention: Improved cancer screening programmes initially through expansion of bowel cancer screening and introduction of lung cancer screening, with increased capacity for early testing, radiology and diagnostic services and screening capacity such as endoscopy services.

 

Programme Evidence: Colorectal cancer is a leading cause of cancer-related death in Jersey.6 Expansion of bowel cancer screening to ages 50-74 will reduce mortality. Stage 1 cancer diagnosis yields 90% five-year survival whereas stage 4 drops to 10%.7

2)  Which groups of children and young people are likely to be affected?

Groups of children could include early years, primary or secondary education;

young adults; children with additional learning needs; disabled children; children

living in poverty; children from particular ethnic backgrounds; migrants;

refugees; care experienced children and LGBTQ+ children

The proposals will positively affect children of all ages indirectly through the preventative interventions for their parent/carers and wider family members.

3)  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

The proposals are likely to create a positive impact on children and young people indirectly through:

Respect for the responsibilities, rights and duties of parents (or where applicable, extended family or community) to guide their child as they grow up (Art 5)

Responsibilities of both parents in the upbringing and development of their child (Art 18)

Right to health and health services (Art 24)

Leisure, play and culture (Art 31) - Every child has the right to relax, play and take part in cultural and artistic activities

Care will need to be taken to ensure these activities are inclusive and accessible to our most vulnerable families that are likely to benefit the most.

4)  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should be

completed. If no impacts are identified then a Full CRIA is not required, but

please explain your rationale and how you reached this conclusion

Early Years - Nursery 2 – 3-year-olds

PART 1: SCREENING

Deputy Rob Ward

Name and title of Duty Bearer: Minister for Education and Lifelong

Learning

Type of Duty Bearer:

(Minister,  Elected  Member  or  States  Minister

Assembly Body)

Assessment completed by (if not completed

Senior Policy Officer by duty bearer):

Date: 10/09/2025 1)  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in accordance with the Law is referred to in this template as the decision'

 

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

Additional investment in early years is proposed via the Government Budget 2026- 2029 to extend nursery and childcare provision, as prioritised in the Common Strategic Policy 2024-2026.

International evidence shows that children who attend high quality early childhood education and care are more likely to succeed in school, graduate and secure good jobs. They are less likely to engage in criminal activities or rely on social welfare. The return on investment is substantial.

Given the importance of early years on child development, a balanced approach is required to ensure that the best interests of the child are met in addition to the needs of parents and the economy.

2)  Which groups of children and young people are likely to be affected?

Groups of children could include early years, primary or secondary education;

young adults; children with additional learning needs; disabled children;

children living in poverty; children from particular ethnic backgrounds;

migrants; refugees; care experienced children and LGBTQ+ children

Early Years - a universal offer for children aged 2 to 3 years. Year of eligibility would be the academic year before Nursery Education Fund (NEF) eligibility to align policies.

Different service models for children aged 2 to 3 years with additional needs have been successfully piloted and tested.

Funding for these programmes will continue alongside the introduction of a universal offer.

3)  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

Providing children with the best possible start to life is a critical priority for families and is essential for the Island's future, this requires an increased investment in early childhood education and care.

Articles 2,3,6 &12 - non-discrimination, best interests of the child, right to life and views of the child.

Articles 28 & 29 – access to education and aims of education.

4)  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should

be completed. If no impacts are identified then a Full CRIA is not required, but

please explain your rationale and how you reached this conclusion

Full CRIA required

 Part 2: FULL CHILD RIGHTS IMPACT ASSESSMENT

5)  What will be the impacts (positive or negative) of the proposed decision on children's rights?

For each of the UNCRC articles described below, click to identify any that may be relevant

Impact? Category  UNCRC Article  YES

NO

 

Guiding Principles

Non-discrimination (Art 2)

Best interests of the Child (Art 3) to be a top priority

Right to Life survival and development (Art 6)

Respect for the child's views (Art 12)

Civil Rights

& Freedoms

Right to birth registration, name and nationality (Art 7)

Right to an identity (Art 8)

Freedom of expression (Art 13)

Freedom of thought, conscience, and religion (Art 14) Every child has the right to think and believe what they choose

Freedom of association (Art 15)

Every child has the right to meet with other children and to join groups and organisations

Right to Privacy (Art 16) including family and home life

Access to information from the media (Art 17) Right to access reliable information from a variety of sources, in a format that children can understand

Protection against torture or other cruel, degrading or inhumane treatment or punishment (Art 37(a))

Family Environment and Alternative Care

Respect for the responsibilities, rights and duties of parents (or where applicable, extended family or community) to guide their child as they grow up (Art 5)

Responsibilities of both parents in the upbringing and development of their child (Art 18)

Children must not be separated from their parents

against their will unless it is in their best interests (Art 9)

Family reunification (Art 10)

Abduction and non-return of children abroad (Art 11)

Right to a standard of living that is good enough to meet the child's physical and social needs and support their development (Art 27)

Special protection for children unable to live with their family (Art 20)

Best interests of the child in the context of Adoption (Art 21)

Review of treatment whilst in care (Art 25)

 

 

If a child has been placed away from home for the purpose of care or protection (for example, with a foster family or in hospital), they have the right to a regular review of their treatment, the way they are cared for and their wider circumstances.

 

 

Protection from violence, abuse or neglect (Art 19)

Recovery from trauma and reintegration (Art 39) Children who have experienced neglect, abuse, exploitation, torture or who are victims of war must receive special support to help them recover their health, dignity, self-respect and social life.

Basic Health and Welfare

Rights of disabled children (Art 23)

Right to health and health services (Art 24)

Right to social security (Art 26)

Right to adequate standard of living (Art 27)

Education, Leisure and Cultural Activities

Right to education (Art 28)

Goals of education (Art 29)

Education must develop every child's personality, talents and abilities to the full

Leisure, play and culture (Art 31)

Every child has the right to relax, play and take part in cultural and artistic activities

Special Protection Measures

Special protection for refugee children (Art 22)

Children and armed conflict (Art 38 and Optional Protocol #1)

Governments must do everything they can to protect and care for children affected by war and armed conflict.

Children and juvenile justice (Art 40)

Right to be treated with dignity and respect, right to legal assistance and a fair trial that takes account of age.

Inhumane treatment and detention (Art 37 (b)-(d)) Children should be arrested, detained or imprisoned only as a last resort and for the shortest time possible.

Recovery from trauma and reintegration (Art 39) Children who have experienced neglect, abuse, exploitation, torture or who are victims of war must receive special support to help them recover their health, dignity, self-respect and social life

Child labour and right to be protected from economic exploitation (Art 32)

 

 

Drug abuse (Art 33)

Sexual exploitation (Art 34)

Abduction, sale and trafficking of children (Art 35)

Protection from other forms of exploitation including for political activities, by the media or for medical research (Art 36)

Children belonging to a minority or an indigenous group (Art 30)

Optional Protocol on the sale of children, child prostitution and child pornography

Optional protocol on the involvement of children in armed conflict

 

6)  Information and research

What evidence has been used to inform your assessment?

Evidence collected (include links to relevant publications)

What did the evidence tell you?

What are the data gaps, if any?

International - UNICEF: EarlyYearsPolicyReport2022.indd

Messages for Jersey from the UK and international evidence on optimising early childhood education and childcare (ECEC):

Participation in ECEC can have transformative, positive effects on young children.

The benefits to children's outcomes from high-quality ECEC are significant.

Data gap identified included robust workforce data and the views of parents and carers.

The Early Childhood Education and Care Survey has now been conducted for two years to address this gap: Early Years Policy

(unicef.org.uk)

Local - ISOS

Microsoft Word - Jersey early

years evidence paper 26Jun23

pdf.docx (gov.je)

Early Years Roundtable report: Isos Early Years Roundtable

Series 2023 to 2024.pdf

SEED (Study of Early Education

& Development) is a major longitudinal study into the impact of childcare on children throughout their childhood. SEED

Views of parents and carers:

97% of parents and carers responding to the survey rated the affordability of childcare in Jersey as poor or very poor.

 

7)  Engagement with children

 

 

What groups of children and young people (or those who speak on their behalf,

such as social workers, teachers or youth workers) have been directly or

indirectly involved in developing the decision?

 

Possibly the most challenging aspect of completing a CRIA is to capture the

voice of the child,' but it is vital to listen to views and experiences of children

and young people in relation to the proposed decision.

The CRIA Resource Bank contains links to published reports and consultations

which reflect children's views on a range of issues.

 

If no information exists on a particular topic, or if the decision will have a

significant impact on children in Jersey, you may decide to consult with these

groups directly.

Groups consulted

How they were involved

What were the findings?

Best Start Partnership JCCT

Roundtables – included Parent Carer Forum representative

Development of an early years participation toolkit.

Roundtables – included Parent Carer Forum representative

Early Childhood

Participation Toolkit -

Best Start Jersey

 

 

8)  Assessing Impact on children's rights

Based on the information collected and analysed above, what likely impact will

the proposed decision have on the specific children's rights identified in

question 5)?

Relevant UNCRC Articles (rights) identified in Q5

Describe the positive or negative impacts on these rights

Which group(s) of children are likely to be affected?

Guiding principles: Non- discrimination (Article 2), Best interest of the child (Article 3), Right to life survival and development (Article 6), Right to be heard (Article 12)

Positive relationships (Article 15)

Rights of disabled children (Article 23)

Education, Leisure and Cultural Activities (Articles 28, 29, 31)

A rights-based approach to Early Years is important and included in the Early Years Matter'

– Quality Framework for Early Years Provision. Securing quality and

Early Years - initial extension of nursery and childcare provision was to children aged 2 to 3 years with additional needs. This is now being expanded into a universal offer for 2- to 3-year-olds. Before young children are able to understand the abstract concept of having rights' or talk about rights, they need direct experience of their rights being met, enacted and prioritised within their everyday interactions, spaces and experiences.

standards as one (gov.je)

Play is central to realising rights in the early years (article 31) – it is often described as the Article that most wholly represents the child's right to be a child. However, it is also described as one of the forgotten Articles of the convention.

9)  Weighing positive and negative impacts

 

 If a negative impact is identified for any area of rights or any group of

children and young people, what options are there to modify the proposed

decision to mitigate the impact?

 Could any positive impacts be enhanced?

In addition to supporting the rights of the child we must also empower parents as children's primary caregivers and first educators.

Through developing an enhanced offer, we must ensure that there remains an element of choice for both parents and children to ensure the best quality offer of early childhood education and care.

There is no consensus on the ideal' number of hours per week of ECEC required to support children's outcomes. Evidence suggests that the greatest benefit is associated with an early start (no later than age two) and low to medium use (up to 20 hours).

By offering 15 hours a week for 38 weeks of the year the Government seeks to strike a balance between:

the best interests and outcomes for the child and

improving affordability and enabling work for parents and carers.

 

10) Conclusions

In summary, what are your key findings on the impact of the proposed decision

on the rights of Jersey children?

Giving every child the best possible start in life is one of the most effective investments we can make for Jersey's future. Children's needs, and the demands placed on families, have become increasingly complex in Jersey, exacerbated by the high cost-of-living and fewer nursery spaces being available. An investment in the Early Years is in keeping with a number of principles of the UN Convention on the Rights of the Child (UNCRC) and would support the best possible outcomes for the youngest children in Jersey.

Supporting Islanders and Strengthening Communities

PART 1: SCREENING

Name and title of Duty Bearer:  Minister for Social Security Type of Duty Bearer:

(Ministerial/Elected Member/ States Assembly  Ministerial

Body)

Job title of person completing the assessment:

Policy Principal

(if different to above)

Date:  01/09/2025

 

1)  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in

accordance with the Law is referred to in this template as the decision'

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

As part of the upcoming Budget 2026-2029, the Minister for Social Security is including proposals that, if agreed, will allocate funds to support Islanders and strengthen communities, through the provision of targeted support to expand eligibility for the Pension Plus scheme, help struggling parents with the cost of the new school year, improve access to services and activities for islanders with

 

disabilities who may face barriers to inclusion, and work to develop a workplace pension that gives all workers the right to an occupational pension. These projects are in the early stages of development.

2)  Which groups of children and young people are likely to be affected?

Groups of children could include early years, primary or secondary education;

young adults; children with additional learning needs; disabled children;

children living in poverty; children from particular ethnic backgrounds;

migrants; refugees; care experienced children and LGBTQ+ children

The changes to the Pension Plus Scheme and work on the occupational pension scheme will not directly impact any groups of children.

The project which will aim to assist parents with the cost of the new school year will have some impact on the children of those families who are at primary and secondary school and are on a lower income. This also aims to reduce levels of childhood poverty.

The improvements to access to services and activities for Islanders with disabilities, who may face barriers to inclusion, could potentially impact children of various age groups.

3)  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

The SISCO project has two distinct elements that will affect certain groups of children with what are positive changes (under Articles 23, 27 and 28 of the UNCRC) – if they are agreed.

The project which will provide additional financial support to children's families at the start of the school year may lead to positive changes linked to Articles 27 and 28, but will have no direct impact on the rights of those children as a result of the proposed new scheme, which may well be non-statutory. This project will be designed to link in with other benefits to ensure families are receiving all of the benefits and support that they are eligible for.

The second project aims to provide for better access to services and activities for people with disabilities (Article 23), as part of the Disability Strategy. This will be focused on removing barriers where they exist; we are in essence aiming to enhance and strengthen provisions as part of the existing Disability Strategy.

4)  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should

be completed. If no impacts are identified then a Full CRIA is not required, but

please explain your rationale and how you reached this conclusion

Applying the proportionality test, we do not believe it is proportional to conduct a full CRIA for these proposals at this stage.

If there is direct impact on children, the impact will be positive, but will not affect their rights under the UNCRC - under Articles 23, 27 or 28. Moreover, whilst the proposed support for parents with school costs is a new proposal (with the potential to be non-statutory), the support for services is enhancing an existing scheme not making fundamental changes to it.

In addition, the Budget is only aiming to seek funding for these proposals. There are not yet fully formed plans to implement them, and they will need to be developed over the course of the next year. Any further proposals brought to the States Assembly will of course be subject to a further CRIA and we will be better

placed i.e. have more data and information available to complete a full CRIA should one (or more) be required.

Teachers Terms and Conditions

PART 1: SCREENING

Deputy Robert Ward

Name and title of Duty Bearer: Minister for Education and Lifelong

Learning

Type of Duty Bearer:

(Ministerial/Elected  Member/  States  Minister

Assembly Body)

Job  title  of  person  completing  the

Programme Director, Children, Young assessment:

People, Education and Skills Department (if different to above)

Date: 15/09/2025

 

1)  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in

accordance with the Law is referred to in this template as the decision'

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

The proposed investment supports a key priority for Jersey's education system which is giving teachers the time and support they need to deliver high-quality teaching.

2)  Which groups of children and young people are likely to be affected?

Groups of children could include early years, primary or secondary education;

young adults; children with additional learning needs; disabled children;

children living in poverty; children from particular ethnic backgrounds;

migrants; refugees; care experienced children and LGBTQ+ children

The direct positive impact will be on the teaching workforce.

The indirect positive impact will be on children attending schools.

3)  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

The intended indirect impact on children of this investment in the teaching workforce is increased time for planning, preparation and assessment (PPA). This, in turn, enables teachers to adapt teaching practice and delivery for the benefit of educational experience and outcomes for children

All children attending school should benefit from this investment which is made in all teachers.

4)  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should

be completed. If no impacts are identified then a Full CRIA is not required, but

please explain your rationale and how you reached this conclusion

The impact of this investment is positive and on the teaching workforce. The investment enables increased support and quality of teaching to children. There is no negative impact on children from this investment.

Consequently, a full CRIA is not considered necessary.

Loving Homes Estate and Children's Service Improvement Plan

PART 1: SCREENING

Connétable Richard Vibert , Name and title of Duty Bearer:  Minister for Children and

Families

Type of Duty Bearer:

(Ministerial/Elected Member/ States Assembly  Ministerial

Body)

Job title of person completing the assessment:

Programme Director

(if different to above)

Date:  September 2025

 

1)  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in

accordance with the Law is referred to in this template as the decision'

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

As part of the Budget (Government Plan) 2026-29 investment in Children's Services has been requested. The investment focuses on proposals in the following areas:

Reform of the Children's Residential Estate – the objective is to:

Create a long-term, sustainable model of care, reducing reliance on short- term, high-cost solo placements and enhancing stability of home for the child in care and improve the quality of care.

Develop  specialist  provision  to  support  children  with  complex  needs, including secure and semi-independent accommodations.

Address  urgent  capacity  gaps  to  prevent  children  from  being  left  in unsuitable or unsafe living situations.

Evidence  consistently  shows  that  children  who  experience  fewer  placement disruptions benefit emotionally, socially, and educationally, and are more likely to achieve positive outcomes into adulthood. Stable placements give children a sense of belonging, allow children to build and maintain friendships, participate in community activities, and develop a coherent sense of identity and self-esteem.

Recruitment and retention of the residential workforce - the proposal is to strengthen the residential workforce (terms and conditions and training). This strengthening and the workforce stability it will create is essential and goes hand in hand with the transformation of the residential estate, improving the quality of care and support to children and young people in residential care.

Children's Services Improvement programme – the proposal is to:

Further develop and build on the multidisciplinary service - an adolescent offer that supports children (and their parents) providing parenting support, direct work sessions with children alongside some groupwork sessions and

 

attendance at meetings as part of the team around the child. The intervention helps to divert some children from care, and supports a reduction in escalating need.

Develop the Mockingbird model to increase the number of specialist foster carers able to support adolescent – with therapeutic support to wrap around the placement, training and support to understand and manage behaviours, and a level that would help to prevent placements breaking down.

Invest in recruitment and retention of social workers achieving workforce stability and the quality of care and support to children and young people.

Develop the effective systems required to embed good practice and new

ways of working.

2)  Which groups of children and young people are likely to be affected?

Groups of children could include early years, primary or secondary education;

young adults; children with additional learning needs; disabled children;

children living in poverty; children from particular ethnic backgrounds;

migrants; refugees; care experienced children and LGBTQ+ children

All children will be affected age 0-18 who are receiving a service.

Children with an allocated social worker

Children with a disability

Particular service provision improving response for vulnerable adolescents age 12-18.

Children in Care

Care Leavers affected (accepting that these young people are 18-25, the service has a duty to care and support them up to age 25).

3)  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

The significant proposals will have an overall positive impact on the rights of children and young people receiving services and children in care, since the purpose of the decision is to improve the current provision, which directly supports children's rights.

The positive impact will be across all groups of children. However, some aspects of the proposals/investment will improve the response and services provided to adolescents and to children in care.

4)  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should

be completed. If no impacts are identified then a Full CRIA is not required, but

please explain your rationale and how you reached this conclusion

Yes, a full CRIA is required.

Part 2: FULL CHILD RIGHTS IMPACT ASSESSMENT

5)  What will be the impacts (positive or negative) of the proposed decision on children's rights?

For each of the UNCRC articles described below, click to identify any that may be relevant

Category  UNCRC Article  Impact?

 

 

 

YES

NO

Guiding Principles

Non-discrimination (Art 2)

Best interests of the Child (Art 3) to be a top priority

Right to Life survival and development (Art 6)

Respect for the child's views (Art 12)

Civil Rights & Freedoms

Right to birth registration, name and nationality (Art 7)

Right to an identity (Art 8)

Freedom of expression (Art 13)

Freedom of thought, conscience, and religion (Art 14)

Every child has the right to think and believe what they choose

Freedom of association (Art 15)

Every child has the right to meet with other children and to join groups and organisations

Right to Privacy (Art 16) including family and home life

Access to information from the media (Art 17) Right to access reliable information from a variety of sources, in a format that children can understand

Protection against torture or other cruel, degrading or inhumane treatment or punishment (Art 37(a))

Family Environment and Alternative Care

Respect for the responsibilities, rights and duties of parents (or where applicable, extended family or community) to guide their child as they grow up (Art 5)

Responsibilities of both parents in the upbringing and development of their child (Art 18)

Children must not be separated from their parents against their will unless it is in their best interests (Art 9)

Family reunification (Art 10)

Abduction and non-return of children abroad (Art 11)

Right to a standard of living that is good enough to meet the child's physical and social needs and support their development (Art 27)

 

 

Special protection for children unable to live with their family (Art 20)

Best interests of the child in the context of Adoption (Art 21)

Review of treatment whilst in care (Art 25)

If a child has been placed away from home for the purpose of care or protection (for example, with a foster family or in hospital), they have the right to a regular review of their treatment, the way they are cared for and their wider circumstances.

Protection from violence, abuse or neglect (Art 19)

Recovery from trauma and reintegration (Art 39) Children who have experienced neglect, abuse, exploitation, torture or who are victims of war must receive special support to help them recover their health, dignity, self-respect and social life.

Basic Health and Welfare

Rights of disabled children (Art 23)

Right to health and health services (Art 24)

Right to social security (Art 26)

Right to adequate standard of living (Art 27)

Education, Leisure and Cultural Activities

Right to education (Art 28)

Goals of education (Art 29)

Education must develop every child's personality, talents and abilities to the full

Leisure, play and culture (Art 31)

Every child has the right to relax, play and take part in cultural and artistic activities

Special Protection Measures

Special protection for refugee children (Art 22)

Children and armed conflict (Art 38 and Optional Protocol #1)

Governments must do everything they can to protect and care for children affected by war and armed conflict.

Children and juvenile justice (Art 40)

Right to be treated with dignity and respect, right to legal assistance and a fair trial that takes account of age.

Inhumane treatment and detention (Art 37 (b)-(d)) Children should be arrested, detained or imprisoned only as a last resort and for the shortest time possible.

 

 

Recovery from trauma and reintegration (Art 39) Children who have experienced neglect, abuse, exploitation, torture or who are victims of war must receive special support to help them recover their health, dignity, self-respect and social life

Child labour and right to be protected from economic exploitation (Art 32)

Drug abuse (Art 33)

Sexual exploitation (Art 34)

Abduction, sale and trafficking of children (Art 35)

Protection from other forms of exploitation including for political activities, by the media or for medical research (Art 36)

Children belonging to a minority or an indigenous group (Art 30)

Optional Protocol on the sale of children, child prostitution and child pornography

Optional protocol on the involvement of children in armed conflict

 

6)  Information and research

What evidence has been used to inform your assessment?

Evidence collected (include links to relevant publications)

What did the evidence tell you?

What are the data gaps, if any?

Reform of the residential

Lack of sufficiency has contributed to some children left too long in unsatisfactory circumstances or come into care very late into adolescence when it is hard to repair the trauma they have experienced.

The short term approach to the residential estate has led homes opening and closing.

For those children in States care living in the homes which are closing requires them to move to alternative properties, often repeatedly within a short time frame. It creates

None identified.

estate and investment in

the residential workforce

Sufficiency of accommodation for children in care:

The lack of sufficient accommodation for children in care has resulted in some children currently having to wait to come into care due to severe shortages in sufficient accommodation, leading to unresolved risks.

Practice has been too focused on avoiding bringing children into care.

 

Evidence [Inspection findings, Sufficiency Strategy 2024-2028, and diagnostic work undertaken as part of the Jersey Children's Services improvement plan development in 2024.]

significant disruption to their lives, adversely impacting on their stability and consistency of care, and their sense of belonging, which is already fragile.

This persistent disruption for children in care is a significant concern and much more common for children living in Jersey than in local authorities in England. This is evidenced in the long-term placement stability figures, with Jersey having some of the poorest outcomes.

 

Multidisciplinary Service

Taking a multidisciplinary approach improves the response of children's social care to vulnerable adolescent children, who regularly go missing or are at risk of exploitation and becoming involved in criminal justice system, and those on the edge of care.

A multi-disciplinary team approach - working with parents; providing help and support reducing bureaucracy to free up more time for purposeful direct work with families, is well evidenced to deliver successful intervention that creates lasting change for children and families.

The impact of the approach evidenced by data taken from 2017 – 2020 for the early adopters of the multi-disciplinary model, working across three UK local authorities, showed a reduction in

None identified.

Some children are left too long in unsatisfactory circumstances or come into care very late in adolescence. This was identified as a weakness in the inspection in 2023.

Research:

[The impact of a new approach to family safeguarding in social care: Initial findings from an analysis of routine data. Child & Family Social Work, 29(3). Irving, D., et al. (2024). https://doi.org/10.

1111/cfs.13132]

[Family Safeguarding Evaluation report John Rodger, Tim Allan and Sophie Elliott. (2020) ]

 

 

children needing Child Protection Plans, fewer children needing to come into care and a reduction in repeat police call outs to domestic abuse incidents. Evaluation of the early adopters evidenced that the model had the potential to improve outcomes.

 

Development of

The importance of family living for children who need to be cared for by the Minister has been well researched and evidenced for many years; children grow and develop best when cared for in family settings, with a sense of love and belonging. Development of sufficient foster homes for adolescents will ensure children's and young people's needs and rights are met in the appropriate setting for them.

None identified

Mockingbird Model

Insufficient foster placements, especially for adolescents.

Evidence [sufficiency Strategy 2024-2029]

Investment in Social

Recruiting and retaining quality social workers is essential to building a stable workforce. Essential to ensuring a consistent standard of child centred practice, and consistency of social worker for the child.

None identified

Worker recruitment and

Workforce instability,. Increase level of permanent workforce.

7)  Engagement with children

What groups of children and young people (or those who speak on their behalf, such as social workers, teachers or youth workers) have been directly or indirectly involved in developing the decision?

Possibly the most challenging aspect of completing a CRIA is to capture the voice of the child,' but it is vital to listen to views and experiences of children and young people in relation to the proposed decision.

The CRIA Resource Bank contains links to published reports and consultations which reflect children's views on a range of issues.

If no information exists on a particular topic, or if the decision will have a significant impact on children in Jersey, you may decide to consult with these groups directly.

 

Groups consulted

How they were involved

What were the findings?

Engagement with children. The collective feedback over the last year has been used to inform the Improvement Plans and the proposals within the Government Plan.

All children with an allocated social worker.

The Mind of My Own app continues to be a vital mechanism for enabling children's lived experiences to directly influence service delivery. It ensures that the voices of children and young people are central to assessments, planning, and reviews. Between August 2024 and August 2025, 724 statements were submitted. Of these, 72 were made independently by young people themselves, with the remainder completed alongside practitioners.

Importantly, the app is being used not only by children in care but also by those receiving a service under child in need, demonstrating its reach and relevance across different cohorts.

Feedback gathered through the Mind of My own app has highlighted a consistent concern: children and young people do not always feel that their views are being fully heard or acted upon. This gap in communication and engagement has, at times, resulted in decisions being taken without sufficient consultation, changes in support made without clear explanation, and key information not being effectively shared.

In direct response, a series of actions have been implemented to strengthen communication and ensure accountability. Practitioners have been reminded of the requirement to record and evidence how children's and families' views have influenced decisions, and monthly workshops are now in place to build practitioner confidence and skill in listening and responding meaningfully.

Alongside this, managers are through the monthly audits of children's record, how children's voices are consistently and visibly reflected in assessment and planning. These measures are embedding a stronger culture where children and families are not only

 

 

 

heard but where their voices actively shape the outcomes that affect their lives.

The impact of this approach is already evident. One young person in care, for whom the app has been used to raise concern, submitted four statements to her registered manager over the course of the year, outlining the difficulties she was experiencing. Each statement received an immediate response, leading to timely intervention from her social work team and additional oversight from senior leaders.

All care experienced children.

In 2024, all care experienced children and young people's views about their experience of care were sought through an independent survey (Bright Spots) utilised regularly in the UK. This provided extensive feedback on what needs to look different for children and young people in respect of the care they receive and also formed part of the development of the improvement plan.

What have our children told us (Bright Spots)?

As part of the Bright Spots survey Children told us they felt that their emotional health and wellbeing was worse (31%). Part of the service improvement will be to strengthen the response to trauma with the inclusion of a clinical psychologist in the multidisciplinary team. A CAMHS service has been created for Children in Care to hold the workforce and help children to feel safer and respond to their needs better.

The children tell us that their allocated social worker changes too much. The drive to recruit and/or grow our own permanent social workers, increase workforce stability

 

 

 

Children's social workers will change less. This has been included in the proposals for the government plan.

Children in care tell us that they feel unsettled in their placements (56%). This correlates with evidence on placement disruptions. In our response to this providing placement stability for children is a key outcome of the Loving Homes estate proposal to provide long term plan.

Children in Care and Care leavers, children in care living in secure home

Children living in States care have been consulted on an individual basis about what they would like children's homes to be like.

Loving Homes Children will be consulted more fully as potential homes are identified, and some engagement has taken place in advance as some potential home locations have been identified. In addition, when homes are identified, children and young people will be consulted about how they should be decorated or set up. For example, for one home opened earlier in the year, young people were engaged in how it should be furnished, what they wanted their bedrooms to be decorated like, etc.

Extensive feedback has been gained from children who have been living in the secure home. Most children who have lived

The feedback informed what the children's homes will be like.

The direct feedback from children in the secure home has shaped the overall design ideas which have been developed to enable the refurbishment of the home. One of the most critical factors children have spoken about is the need to have better facilities for learning. The phase 2 development plans for the secure home which has formed the basis for the business case for funding is based on creating more space for learning and development, bringing the Le Pas school site into the secure unit when it is vacated, to create better learning space for children in the secure home.

 

 

in the home over the last year have been consulted about how the home could be improved.

The work with the Jersey Care advocacy service and Barnardo's have increased engagement with children.

 

Vulnerable adolescents

Feedback has been received anecdotally from parents and young people about the impact of the initial team and the impact of family support workers.

The creation of the team is beginning to have an impact through their intervention. Parents who have experienced difficulty in managing behaviours of young people for significant lengths of time, have experienced interventions that will secure lasting change.

The extension of the team will be subject to review and formal feedback will be sought from children and parents to inform actions.

 

8)  Assessing Impact on children's rights

Based on the information collected and analysed above, what likely impact will

the proposed decision have on the specific children's rights identified in

question 5)?

Relevant UNCRC Articles (rights) identified in Q5

Describe the positive or negative impacts on these rights

Which group(s) of children are likely to be affected?

Guiding Principles

Best interests of the Child (Art 3) to be a top priority

Right to Life survival and development (Art 6)

The additional spending proposed in the Budget (Government Plan) 2026-29 will positively impact the rights identified by enhancing the overall improvements across the children's safeguarding system.

It will positively impact on the rights children receiving care and protection services, delivered to a

All vulnerable children from 0 to 18.

 

 

standard and in their best interests. Improved social worker and residential worker recruitment and retention creating the improved practice and the conditions in which the children can thrive and develop. Indirectly impacting Art 6.

 

Family Environment and Alternative Care:

Special protection for children unable to live with their family (Art 20)

Review of treatment whilst in care (Art 25) If a child has been placed away from home for the purpose of care or protection (for example, with a foster family or in hospital), they have the right to a regular review of their treatment, the way they are cared for and their wider circumstances.

Protection from violence, abuse or neglect (Art 19)

Civil rights and Freedoms

Protection against torture or other cruel, degrading or inhumane treatment or punishment (Art 37(a))

The proposals for the reform of the residential estate and mockingbird support Art 20 improving the care and protection for children unable to live with their family.

The importance of family living for children who need to be cared for by the Minister has been well researched and evidenced for many years; children grow and develop best when cared for in family settings, with a sense of love and belonging.

The mockingbird approach will provide specialist foster carers for adolescents which can meet their needs in a family setting, with therapeutic support.

The proposals will provide stability in the longer term for children in care, reducing the number of moves caused by a lack of sufficiency/provision to meet their needs.

Proposals will improve practice the child's right to a review of treatment under Art 25.

All vulnerable children from 0 to 18.

Children in Need .

Children in Care aged 0-18.

 

 

Children's rights will be positively impacted by proposals for Residential estate in secure provision with improved practice and facilities when a child is deprived of liberty. (Art 37(a))

 

Special Protection Measures

Recovery from trauma and reintegration (Art

39)

Children who have experienced neglect, abuse, exploitation, torture or who are victims of war must receive special support to help them recover their health, dignity, self-respect and social life.

Drug abuse (Art 33)

Sexual exploitation (Art 34)

Abduction, sale and trafficking of children (Art 35)

The proposals for development of the multidisciplinary service supports Art 39, the reintegration of a child victim of exploitation and becoming involved in criminal justice system, and those on the edge of care. It will reduce the likelihood of abuse and neglect in families (Art 33,34 &35)

The service will provide necessary support for adolescents and for those who have the care of the child. (Art 19).

Vulnerable Adolescents aged 12-18

 

9)  Weighing positive and negative impacts

 If a negative impact is identified for any area of rights or any group of

children and young people, what options are there to modify the proposed

decision to mitigate the impact?

 Could any positive impacts be enhanced?  

The significant proposals will have an overall positive impact on the rights of children and young people receiving services and children in care, since the purpose of the decision is to improve the current provision, which directly supports children's rights.

No negative impacts have been identified.

 

10) Conclusions

In summary, what are your key findings on the impact of the proposed decision

on the rights of Jersey children?

The proposals will lead to improved availability and quality of care for the islands most vulnerable children and enhance the rights of children in Jersey.

Fort Regent Redevelopment

 PART 1: SCREENING

Deputy  Andy   Jehan ,  Minister  for Name and title of Duty Bearer:

Infrastructure

Type of Duty Bearer:

(Ministerial/Elected  Member/  States  Ministerial

Assembly Body)

Job  title  of  person  completing  the

assessment:  Capital Project Delivery (SM) (if different to above)

Date:  September 2025

 

1.  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in

accordance with the Law is referred to in this template as the decision'

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

The 2026-29 Budget includes capital expenditure of £43m to begin the infrastructure repairs and replacements necessary to ensure the safety of future visitors to Fort Regent. This work will also ensure the sustainability of future maintenance costs in the longer term.

2.  Which groups of children and young people are likely to be affected?

Groups of children could include early years, primary or secondary education;

young adults; children with additional learning needs; disabled children;

children living in poverty; children from particular ethnic backgrounds;

migrants; refugees; care experienced children and LGBTQ+ children

The decision to commence improvement to Fort Regent will affect everyone from all walks of life, and in particular children of primary age and above as a place to socialise and exercise in a safe environment.

3.  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

The current state of the property is deemed to be unsafe in parts and not fit for purpose in others, resulting in a lack of enthusiasm for general use. The investment will repair the defects so that Fort regent can all be used to its best potential.

The property has and should be an important part of any child's development and social education, with a greater focus on neurodiversity across all children, their ability to socialise and express themselves freely is paramount. Children deserve the right to do this within a safe environment that parents feel comfortable to allow them to go to. Associated UNCRC is,

Article 1 – any person under the age of 18

Article 2 – non-discriminative

Article 3 – supported by competent authorities

Article 4 – convention supported

Article 5 – support children's family unit

 

Article 6 – child development

Article 12 – support child opinion

Article 13 – freedom of expression

Article 14 – freedom of thought and belief

Article 15 – freedom to assemble

Article 23 – disability awareness and support

Article 31 – cultural and recreational encouragement

4.  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should be

completed. If no impacts are identified then a Full CRIA is not required, but please

explain your rationale and how you reached this conclusion

Yes, a full CRIA is required.

Reason – The project will impact a child's rights in a positive way when implemented correctly but could impact negatively if not completed.

Part 2: FULL CHILD RIGHTS IMPACT ASSESSMENT

5.  What will be the impacts (positive or negative) of the proposed decision on children's rights?

For each of the UNCRC articles described below, click to identify any that may be relevant

Category

UNCRC Article

Impact? YES NO

Guiding Principles

Non-discrimination (Art 2)

Best interests of the Child (Art 3) to be a top priority

Right to Life survival and development (Art 6)

Respect for the child's views (Art 12)

Civil Rights & Freedoms

Right to birth registration, name and nationality (Art 7)

Right to an identity (Art 8)

Freedom of expression (Art 13)

Freedom of thought, conscience, and religion (Art 14)

Every child has the right to think and believe what they choose

Freedom of association (Art 15)

Every child has the right to meet with other children and to join groups and organisations

 

 

Right to Privacy (Art 16) including family and home life

Access to information from the media (Art 17)

Right to access reliable information from a variety of sources, in a format that children can understand

Protection against torture or other cruel, degrading or inhumane treatment or punishment (Art 37(a))

Family Environment and Alternative Care

Respect for the responsibilities, rights and duties of

parents (or where applicable, extended family or

community) to guide their child as they grow up (Art 5)

Responsibilities of both parents in the upbringing and development of their child (Art 18)

Children must not be separated from their parents

against their will unless it is in their best interests (Art 9)

Family reunification (Art 10)

Abduction and non-return of children abroad (Art 11)

Right to a standard of living that is good enough to meet the child's physical and social needs and support their development (Art 27)

Special protection for children unable to live with their family (Art 20)

Best interests of the child in the context of Adoption (Art 21)

Review of treatment whilst in care (Art 25)

If a child has been placed away from home for the purpose of care or protection (for example, with a foster family or in hospital), they have the right to a regular review of their treatment, the way they are cared for and their wider circumstances.

Protection from violence, abuse or neglect (Art 19)

Recovery from trauma and reintegration (Art 39)

Children who have experienced neglect, abuse, exploitation, torture or who are victims of war must

 

 

receive special support to help them recover their health, dignity, self-respect and social life.

 

 

Basic Health and Welfare

Rights of disabled children (Art 23)

Right to health and health services (Art 24)

Right to social security (Art 26)

Right to adequate standard of living (Art 27)

Education, Leisure and Cultural Activities

Right to education (Art 28)

Goals of education (Art 29)

Education must develop every child's personality, talents and abilities to the full

Leisure, play and culture (Art 31)

Every child has the right to relax, play and take part in cultural and artistic activities

Special Protection Measures

Special protection for refugee children (Art 22)

Children and armed conflict (Art 38 and Optional Protocol #1)

Governments must do everything they can to protect and care for children affected by war and armed conflict.

Children and juvenile justice (Art 40)

Right to be treated with dignity and respect, right to legal assistance and a fair trial that takes account of

age.

Inhumane treatment and detention (Art 37 (b)-(d))

Children should be arrested, detained or imprisoned only as a last resort and for the shortest time possible.

Recovery from trauma and reintegration (Art 39)

Children who have experienced neglect, abuse, exploitation, torture or who are victims of war must receive special support to help them recover their health, dignity, self-respect and social life

 

 

Child labour and right to be protected from economic exploitation (Art 32)

Drug abuse (Art 33)

Sexual exploitation (Art 34)

Abduction, sale and trafficking of children (Art 35)

Protection from other forms of exploitation including for political activities, by the media or for medical research (Art 36)

Children belonging to a minority or an indigenous group(Art 30)

Optional Protocol on the sale of children, child prostitution and child pornography

Optional protocol on the involvement of children in armed conflict

 

6.  Information and research

What evidence has been used to inform your assessment?

Evidence collected

 

What are the

(include links to relevant publications)

What did the evidence tell you?

data gaps, if any?

Fort Regent Public Engagement June 2025

Microsoft PowerPoint -

Future investment is required for various activities and themes at Fort Regent. This project will ensure that the property can continue to be used in its current format and create an opportunity to expand.

There are no current gaps in the data.

Fort Regent Survey

Results - public release

11.06.25 (1)

 

7.   Engagement with children

What groups of children and young people (or those who speak on their behalf, such

as social workers, teachers or youth workers) have been directly or indirectly involved

in developing the decision?

Possibly the most challenging aspect of completing a CRIA is to capture the voice of

the child,' but it is vital to listen to views and experiences of children and young

people in relation to the proposed decision.

The CRIA Resource Bank contains links to published reports and consultations which

reflect children's views on a range of issues.

 

If no information exists on a particular topic, or if the decision will have a significant

impact on children in Jersey, you may decide to consult with these groups directly.

Groups consulted

How they were involved

What were the findings?

Students from all secondary schools/colleges aged 11+

Online panel of over 5,400 representative islanders

Presentations to secondary schools and colleges.

Participation in an online survey researching socio- demographic opinion.

Extensive public engagement has been carried out and the support for this investment is overwhelming as part of the Council of Ministers commitment to the revitalisation of St Helier. A large part of this exposes the opinion that there is very little for young people to do in the Island, and particularly during the winter months on a rainy day.

 

8.  Assessing Impact on children's rights

Based on the information collected and analysed above, what likely impact will the

proposed decision have on the specific children's rights identified in question 5)?

Relevant UNCRC Articles (rights) identified in Q5

Describe the positive or negative impacts on these rights

Which group(s) of children are likely to be affected?

Guiding principles:

non-discriminative (Article 2), supported by competent authorities (Article 3), child development (Article 6), support child opinion (Article 12).

Civil rights and freedoms:

freedom of expression (Article 13), freedom of thought and belief (Article 14), freedom to assemble (Article 15).

Basic health and Welfare:

disability awareness and support (Article 23).

Children's rights are a priority to encourage freedom of thought and expression. The evolution of this project will encourage children to be themselves and grow into respectable adults that support the children of the future.

A modern-day childhood involves high level social challenges due to the integration of social media. Children must be given the opportunity to escape the attraction of digital interaction and be given the opportunity to be a child.

All Children of all ages.

 

Education leisure and Cultural Activities:

cultural and recreational encouragement (Article 31).

The socialisation of children supports the need for acceptance of differences and cultures within our society

 

 

9.  Weighing positive and negative impacts

 If a negative impact is identified for any area of rights or any group of

children and young people, what options are there to modify the proposed

decision to mitigate the impact?

 Could any positive impacts be enhanced?

There are no negative impacts related to this outcome, but it may be possible to enhance some of the positives by creating an environment that not only is conducive to a child friendly space while also encouraging parents and carers to promote children's rights and education with relevant facilities that are affordable and accessible.

 

10. Conclusions

In summary, what are your key findings on the impact of the proposed decision on

the rights of Jersey children?

As cost of living in Jersey increases more facilities are closing due to a lack of investment or decrease in financial sustainability. Fort regent has fallen into disrepair due to investment being prioritised elsewhere over many years. The property has great personal admiration by the public of Jersey and its current condition has caused dissatisfaction for all.

Investment in our young people is critical to the future of Jersey, and this starts with their wellbeing. Improved facilities that are relevant and accessible must be implemented to support this, Fort Regent has the space and the opportunity to improve on current conditions, with the scope to extend long into the future supporting young people.

Missed health service appointments

PART 1: SCREENING

Deputy Tom Binet , Minister for Health Name and title of Duty Bearer:

and Social Services

Type of Duty Bearer:

(Ministerial/Elected Member/ States  Ministerial Assembly Body)

 

Job title of person completing the assessment:

(if different to above)

Principal Officer, Strategic Health Policy

Date:

16 September 2025

 

1.  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in

accordance with the Law is referred to in this template as the decision'

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

Around 1,000 outpatients appointments are lost every month because the patient does not attend the appointment and does not cancel the appointment in advance. Each missed appointment costs HCJ an average of £110 in staff (basic outpatients appointment). This means missed appointments are cost c. £1.32 million a year. Missing appointments deprive other patients of appointments and increases the waiting times for services.

The Minister is proposing to introduce a £55 fee for missed appointments (half the average cost of a missed appointment).

The charge will apply to those who have missed one appointment in a 12-month period and failed to give reasonable notice. They will be charged £55 when attending the second appointment

HCJ is introducing a digitised appointment system allowing patients to view and cancel appointments using an app. The charge will only be introduced once the system has been rolled out across all HCJ outpatient clinics. This is anticipated that this will be during Q3 2026.

This charge will not apply to children (under 18s), or patients requiring treatment for substance misuse or psychiatry.

2.  Which groups of children and young people are likely to be affected?

Groups of children could include early years, primary or secondary education; young

adults; children with additional learning needs; disabled children; children living in

poverty; children from particular ethnic backgrounds; migrants; refugees; care

experienced children and LGBTQ+ children

None.

Children's rights are not negatively impacted because they / their families will not be charged for missed appointments.

3.  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

None.

4.  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should be

completed. If no impacts are identified then a Full CRIA is not required, but please

explain your rationale and how you reached this conclusion

No, the proposal will exempt children from the charge.

Emergency Department use

PART 1: SCREENING

Deputy Tom Binet , Minister for Health Name and title of Duty Bearer:

and Social Services

Type of Duty Bearer:

(Ministerial/Elected Member/ States  Ministerial

Assembly Body)

Job title of person completing the

Principal Officer, Strategic Health assessment:

Policy

(if different to above)

Date:  16 September 2026

 

1.  Name and brief description of the proposed decision

The subject of your CRIA may be a proposed law, policy or proposition and in

accordance with the Law is referred to in this template as the decision'

 What is the problem or issue the decision is trying to address?

 Do children experience this problem differently from adults?

The number of Emergency Department (ED) attendances went up 25% from 20,000 in the winter of 2023/24 to 25,000 last winter.

Of those, c.14,400 attendees were non-emergency patients who should more appropriately receive primary care from their GP or in some cases from a community pharmacist (based on 2024 data).

The number of non-emergency patients attending the ED is putting pressure on the ED service; this is an inappropriate use of specialist resources and is increasing waiting times for patients.

During 2026 and subject to further consultation, the Minister for Health and Social Services proposes the introduction of a charge for non-emergency patients who choose to receive care in the ED.

In summary, it is anticipated that:

all patients will be triaged on arrival at the ED;

non-emergency patients will be advised to seek GP or pharmacy care;

non-emergency patients who choose to remain and receive treatment will be advised that they will be charged. Patients will not be refused care.

This charge will not apply to children (under 18s), or patients requiring treatment for substance misuse or for psychiatric patients.

Subject to consultation:

it is anticipated that the charge will mirror the Jersey Doctors on Call (JDOC) clinic fee (currently £77 resident, £97 non-resident);

a lower rate may be charged for patients receiving Income Support.

There will be an associated appeals process.

Purpose:

To deter non-appropriate use of the ED

To allow the ED staff to focus on genuine emergencies

To encourage patients to seek the most appropriate care for their needs (ie. GP care).

2.  Which groups of children and young people are likely to be affected?

 

Groups of children could include early years, primary or secondary education; young

adults; children with additional learning needs; disabled children; children living in

poverty; children from particular ethnic backgrounds; migrants; refugees; care

experienced children and LGBTQ+ children

None.

Children will be exempt from the ED charges even in cases where, at triage stage, it is recommended that they should attend a GP.

Where a child attends a GP (instead of receiving ED care), that child will receive free consultation (this applies to children under 18 years old).

Children's rights are not negatively impacted by the proposed ED charge.

3.  What is the likely impact of the proposed decision on children and on their

rights?

 Identify any potential positive OR negative impacts and include indirect

impacts on children and their rights as described in the UNCRC

 Will different groups of children be affected differently by this decision?

None. See above.

4.  Is a full Child Rights Impact Assessment required?

If you have identified impacts on children and their rights, a full CRIA should be

completed. If no impacts are identified then a Full CRIA is not required, but please

explain your rationale and how you reached this conclusion

No, the proposal will exempt children from the charge.

 

Related Publications

Propositions

Amendments

Comments

CRIAs

Minutes

Hansard