Patient Reported Experience Measure (PREM) for urgent and emergency care
PREMs for urgent and emergency care is a tool developed by the RCPCH with Picker Institute Europe to measure the experience of paediatric patients 0-16 years in all urgent and emergency care settings including; GP practices, out-of-hours centres, A&E departments and the ambulance service.
Why do we need the PREM?
Currently children make up 26% of patients in U&EC settings. The Department of Health (England) requires that all services use patient feedback in order to improve. In Emergency Departments patientexperience is one of the 8 Clinical Quality Indicators that are submitted to the Department of Health and are benchmarked nationally. This is the first evidence-based PREM for this purpose.
Many paediatric patient surveys that currently exist have been developed by adults with little or no input from children and young people. A number of reports over the last few years have highlighted the importanceof developing tools that are suitable for the children themselves to use1,2,3.
This survey has been developed 'by the children, for the children' ensuring that their views were captured early in the design process. It should help Emergency Departments, GP surgeries, Walk-in/Urgent Care Centres and the Ambulance Service identify areas that are important to paediatric patients and areas for improvement.
How was the PREM developed?
The survey was developed using a five-stage process
Cognitive testing and questionnaire
Post pilot, the PREM was refined to the final version
The development of a PREM for paediatric patients (0-16 years) in urgent and emergency care: Research report October 2012, can be viewed by following the link:
Final versions of the Urgent and Emergency Care PREM tool
View the final versions of the Urgent and Emergency Care PREMS
Three different versions were designed for ambulance services, GP surgeries and A&E departments/ walk in centres . For each version there is a version with parental assistance for patients up to seven years (0-7 years) and another to be completed by the child (8-16 years). (If you wish to use a single form to cover all age groups they are also available but please note that this version has not been cognitively tested or piloted and is not recommended.)
How to implement the survey
There are two options:
1. In-house - follow the guidance on this website to carry out the survey yourselves. If you choose this option you will need to refer to and download the following documents from this website:
- - a full ‘how to’ guide on how to carry out the survey
- The questionnaires - you will need to select the relevant versions for your organisation
- Data entry templates- excel templates for entering your survey data
- Data logic– a guide on how to check and clean the data file once data entry is complete
- Analysis guide– shows how you can present, analyse and interpret your survey data
2. With Assistance - Picker Institute Europe can be commissioned to help with all or part of your survey implementation. If you choose this option then the Picker Institute can help with any or all aspects of survey implementation including:
- Questionnaire printing
- Data entry
- Data analysis and reporting
Picker Institute will also be able to benchmark your results against other organisations. For hospital Emergency Departments, Picker Institute can offer an extended version of the questionnaire (providing you with feedback from additional survey questions). Please contact Bridget or Amy at the Picker Institute for further information (referencing the RCPCH Urgent and Emergency Care PREM) on 01865 208100.
For any further information contact RCPCH research projects team
Research coordinator: 020 7092 6169
Research administrator: 020 7092 6165
(1) Professor the Lord Darzi of Denham KBE. High Quality Care for all: NHS Next Stage Review Final Report. 2008. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_085825
(2) Department of Health E. NHS Outcomes Framework 2012/13. 2011. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700
(3) Professor Sir Ian Kennedy. Getting it right for children and young people: Overcoming cultural barriers in the NHS so as to meet their needs. 2010. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_085825
|PREMS report_final web version.pdf||1.8 MB|
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