We are proposing to replace the tiered model with a conceptualisation of a whole system approach
that addresses the key issues outlined above and is aligned to emerging thinking on payment systems,
quality improvement and performance management. The framework outlines groups of children and
young people, and the sort of support they may need, and tries to draw a clearer distinction between
treatment on the one hand and support on the other. It focuses on a wish to build on individual and
community strengths wherever possible, and to ensure children, young people and families are active
decision makers in the process of choosing the right approach (Wolpert et al, 2015).
Supporting Smiles