Long term health conditions

Information and support

We talked to people who had had their condition all their lives and others who were diagnosed as a child or teenager. So some people had learnt about their condition gradually, as they grew up, mainly through their parents, doctors and nurses. People who were diagnosed when they were older sometimes already knew something about an illness because another family member or a school friend had it too, or if it was a relatively well-known condition such as asthma. 

When young people are diagnosed with a disease that may affect them for years to come there are many questions that they may want answered. It can be particularly difficult to take in all the necessary facts (what it is, how it will affect your life, what the different treatments are etc.) when you are shocked by the diagnosis or if you know little about the condition. People sometimes avoid information at this time because they hope that the condition will 'go away' if they ignore it. 

Several young people said that they wished they had been given leaflets, phone numbers or web site addresses to guide them, especially during the early weeks. The information needed often changed as people tried different treatments (see 'Finding the right medication') or as they got older (see 'Contraception and pregnancy'). 

Doctors and nurses provided a lot of information and were usually willing to answer questions - though it was sometimes hard to know what exactly to ask. A young woman said that knowing that she could call her specialist diabetes nurse was very reassuring and a young man said that his doctor told him everything he needed to know. Another said that doctors need to be patient with teenagers who may act as if they know everything but really need time to absorb new information before they can ask appropriate questions. A person with sickle cell disease said that doctors might be a good source of information, but that sometimes they didn't necessarily listen to them. People who had lived with their illness all their lives said that doctors sometimes wrongly assume they know all about it. They need a chance to ask questions without feeling foolish. 

Some genetic conditions - like sickle cell disease and cystic fibrosis - had been referred to in young people's science lessons at school. A young man with HIV said that the sexual health information he had been given at school was all about biology and pregnancy - and as a result he knew too little about the broader aspects of sexual health. 

Parents are usually a major source of information, although young people tend to want to find out things for themselves as they get older. Some parents got involved in voluntary groups and fund raising - one even researched and wrote a book about her child's condition. Parents, children, teenagers and young people often each want to know about different things related to the condition so some organisations have different sections for each group. 

People often looked for more information on the internet, in books and through the national voluntary organisations associated with their condition. Some wanted facts and figures; others prefer to hear about other people's experiences. Many people immediately looked on the internet for health information and support. They also used chat rooms, email and social media. 

Some warned that even though the web contains masses of fascinating information you need to be careful to use trustworthy sites. One young woman pointed out that some sites are just trying to sell dubious treatments. She said, “ A lot of it is trying to sell you a specific course of treatment that is going to, what was it? 'decrease your scoliosis curve by half'. It will also decrease your bank balance quite a lot because it's so expensive.”

Sometimes information can be scary - especially if there is a reduced life expectancy associated with the condition. A person with sickle cell disease told us that she had stumbled on a website which contained depressing facts and decided not to look at the web again.

People do not always want a lot of health information - some told us that they preferred to concentrate on other things and not feel that they were being defined by their condition. There is more to life than illness and it could be boring to think about it too much.

"You're Welcome quality criteria for young people friendly health services" was originally published by The Department of Health April 2007 and updated in May 2011. The criteria sets out principles that will help health services (including non-NHS provision) become young people friendly. It covers areas to be considered by commissioners and providers of health services both hospital and primary care based. Content is based on examples of effective local practice. This edition includes a section covering Child and Adolescent Mental Health Services. It has also drawn the interest of the World Health Organisation, which has endorsed the good practice. Since 31 March 2011, ‘You’re Welcome’ and the review process is locally led but the Department of Health would like to reassure local areas, commissioners and services that the previous Department of Health quality criteria for young people friendly health services are still relevant. The information in the ‘You’re Welcome quality criteria’ is meant for guidance but is not a government policy.

The Goverment strategy for young people "Positive for Youth: A new approach to cross-government policy for young people aged 13 to 19" was published on 19 December 2011. It provides comprehensive detail on all the Government's policies for young people aged 13 to 19 covering a wide range of issues – from education and youth services, to health, crime, housing and more.  Nine government departments have been involved in developing it – including the Department for Education, the Department of Health, the Home Office and the Department for Communities and Local Government and it has been produced with young people and youth professionals through extensive collaboration and consultation. An update on the progress of this policy was published in July 2013 (see GOV.UK for more details).

Last reviewed May 2014.

Last updated May 2014.


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