The NHS Operating Framework outlines a clear expectation that PCTs will pay particular attention to access for disadvantaged and vulnerable groups. This should include looked after children. The framework is underpinned by guidance including the guidance on Joint Strategic Needs Assessments (JSNAs) which states that looked after children should be taken into consideration when identifying the future health and wellbeing needs of local populations. The framework also states that the Healthcare Commission will specifically consider access to Child and Adolescent Mental Health Service (CAMHS) provision when carrying out performance assessment of NHS bodies. The beneficial effects of this framework will be maximised by ensuring that the forthcoming statutory guidance on the health of looked after children reinforces the frameworkâs commitments and outlines exactly how health bodies should ensure that looked after children lead healthy lives. We will also maximise the beneficial effects by seeking to ensure that the data generated to measure the national indicator on the emotional and behavioural health of looked after children is used by local authorities and health bodies to inform how they ensure timely access to high quality mental health services for these children.