Abstract

Abstract In 1998 and 1999, the Audit Commission undertook a major review of the child and adolescent mental health services in England and Wales. The Commission oversees the external audit of local authorities and the National Health Service in both countries and is required by parliament to undertake audits that enable it to comment on the economy, efficiency and effectiveness of services. Its remit is thus very wide, and, over the years, it has undertaken a number of reviews of children’s services including hospital services (Audit Commission 1993), health and social services that promote the wellbeing of children (Audit Commission 1994), youth justice (Audit Commission 1996a) and various aspects of education (Audit Commission 1996b, 1999a).

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