 Children and young people should be:
- Ordinarily under 16 years of age at first referral, taking into consideration all family circumstances
- In need of palliative care - this may be at diagnosis, mid point in the disease process, or in the end stages
- Experiencing a deterioration in their condition
- Diagnosed with an illness, where survival to adulthood is unlikely and which may be determined by the following:
- Progressive illness (for example, a metabolic disease) where there is progression from the point of diagnosis.
- Life threatening illness - major organ failure of the heart, kidney, liver or cancer
- Chronic illness - where there is evidence of deterioration, perhaps in association with an increase in technological dependency
- Non-degenerative conditions - where there are associated problems, or an ongoing frailty of the child or young person
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