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Working together to design for continuity: A Rights-Informed Public Health Approach (RIPHA)

Meg Thomas 12 hours ago

Blog Influencing Policy News

Ask a child from an Armed Forces family about relocating and they are unlikely to talk only about moving house. They will describe saying goodbye to friends, starting another school, learning unfamiliar routines, transferring healthcare, finding new clubs or hobbies, meeting new teachers and rebuilding their sense of belonging. 

Professionals often see these events as separate, but children experience them as one transition.  

Forces children experience government as one system, regardless of constitutional boundaries. However, support for them is fragmented across reserved and devolved responsibilities: defence sits with the UK Government, while education, health and social care are devolved. As Armed Forces families move frequently between the four nations of the UK, they are put between these systems. 

Policy has traditionally focused on continuity of education or continuity of healthcare as the places where children are most likely to encounter crisis points. Both are important, but children need something broader: continuity of wellbeing. 

Continuity of wellbeing means recognising that emotional health, learning, relationships, identity and belonging are interconnected, and when one aspect is disrupted, others often follow. 

A Rights-Informed Public Health Approach therefore asks every organisation a simple question: What can we do before, during and after predictable transitions to strengthen children’s wellbeing? How to we meaningfully involve children and young people in the design? 

In practice, this could mean: 

  • For Defence family service and the Office of Veterans’ Affairs: Recognise children and young people as rights holders rather than dependents by designing postings, housing, deployment and transition policies with children’s wellbeing in mind from the outset, while providing universal support for all Armed Forces, Reservist and Veteran families alongside targeted help where it is needed most. Decisions would be shaped by population data and the lived experience of children and families to identify emerging needs, strengthen peer networks and trusted relationships, and inform early intervention before challenges escalate. Children and young people routinely participate in shaping the services that affect them, while success would be measured not simply by service activity or adult outcomes, but by children’s wellbeing, belonging, educational continuity, participation and resilience throughout military and civilian life. 
  • For schools: The goal is not to predict every transition a child might experience. It is to build schools that expect change to be part of childhood. When participation, strong relationships and flexible support are embedded in everyday practice, transitions, whether expected or unexpected, are less likely to become crisis points because the system is already designed to adapt. 
  • For health services: Seamless transfer of information, reducing interruptions to care, involving children and young people to understand how military life shapes their experiences and co-producing preventative support to limit impact on their emotional and mental wellbeing. 
  • For local authorities and community organisations: Ensuring universal services meet the need for Forces families by involving them in community planning, knowing where to find universal and specialist support and that services communicate effectively across organisational boundaries. 
  • For charities: Complementing statutory provision, amplifying children’s voices and helping to bridge gaps between systems. 

A Rights-Informed Public Health Approach recognises children and young people as active rights holders, not passive recipients of services. It requires decision makers across sectors and constitutional boundaries to make the best interests of children a primary consideration, ensure children can meaningfully participate in decisions that affect their lives, and work together to prevent harm, reduce inequalities and provide continuity of support. This does not require identical services across the UK, but a shared commitment, across sectors and constitutional boundaries, to common principles and shared accountability for children’s outcomes. 

The Forces Children’s Rights Charter reminds us that children should feel understood, welcomed, included, listened to and supported wherever they live. 

The role of Public Health is to translate those principles into system design. When systems are designed around Forces children’s predictable journeys rather than responding to their individual experiences, continuity becomes possible, and prevention becomes more effective. 

In our final blog, we’ll explore how governments and organisations across the UK can embed rights-informed prevention into policy, commissioning and service delivery by embracing  the Forces Children’s Rights Charter.