Background This article examines the difficulties that nurses encounter in identifying cases of child neglect. It discusses problems associated with neglect and factors that contribute to it. Recent government proposals following Lord Laming’s recommendations from the Victoria Climbié Inquiry and the introduction of the Children Bill in March 2004 are also considered.

Conclusion The recognition of neglect is complex because of its intertwining contributory factors. A framework for improvement has been set out in the Children Bill. Children must be given the same priority as other patient groups and the same rights and protection as adults.