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The case for involving the users of health services in the NHS decision‐making process is clearly identified in a range of Government policy and guidance documents. A gradual shift from seeing users as passive recipients of care to active consumers of care has led to a belief that the opinions and views of users must be heard in particular in relation to clinical audit. Alongside this shift is the increasing recognition that the views of children and young people should be sought in decisions which affect their lives. Highlights the case for involving children and young people in clinical audit. Examines the background to user involvement in general, reviews the arguments for involving children and young people and identifies some of the barriers to that involvement. Introduces briefly new research being carried out with children and young people to explore ways of involving them in clinical audit.

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