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This text addresses the present concerns as expressed by Government bodies and central Government enquiries regarding the services and policies relating to children in need of care and attention. It deals with social care issues within the UK, including some specific Scottish and Irish child welfare. The text discusses the development of children's service plans, operationalisation of recent child care legislation, use of live video links with child witnesses and management of the transition of young people with disabilities from childhood to adulthood. The text also analyses the results of a long term, follow-up study of 20 years' duration of failure-to-thrive children. It puts forward recommendations for influencing future policy and practice in child care.