Facing the Future
Facing the Future provides a vision of how paediatric care can be delivered to provide a safe and sustainable, high quality service that meets the health needs of every child and young person.
- Revision of the Standards
- Back to Facing the Future
- Facing the Future: Standards for Paediatric Services
Four years on from their original publication and in light of national health policy changes, changes to the way that healthcare professionals work and new research and evidence, the RCPCH is reviewing its Facing the Future standards.
The proposed changes to the standards have been considered by the RCPCH Council and we are now carrying out further consultation with RCPCH members and key stakeholders on the feasibility and impact of implementation of the revised standards.
The consultation is being distribution both through RCPCH Regional Representatives (see here for your regional representative) and is also available for individual members to complete via SurveyMonkey. The consultation closes on Monday 15 September 2014.
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In Facing the Future: A Review of Paediatric Services the College made a commitment to audit the 10 standards for acute paediatric care presented in the publication and we have now completed that exercise. Back to Facing the Future, published in April 2013 finds:
- Over three quarters (77%) of children see a paediatrician on middle or consultant grade rotas within four hours of admission - just under a quarter do not.
- 88% of children or young people admitted to a paediatric department with an acute medical problem are seen by a consultant paediatrician (or equicalent) within the first 24 hours.
- There is a disparity between care delivered during the day - just 11% (26% of self reported peak times) had a presence during the evening. During peak times at weekends consultant presence was just 6% (20% at self reported peak times).
- Immediate telephone advice is not always available across some specialties - and arrangements are often informal.
- There is a shortfall of staff across all rotas when measured against the Facing the Future standards.
To deal with the challenges facing the service, the College calls for urgent service reconfiguration. Paediatric services need to look at more innovative models of service provision, such as providing more care in the community, to deliver the best possbile care to children and young people.
Published in December 2010, this document outlines 10 minimum standards for acute, general paediatric care. These standards are intended to support a safe and sustainable quality paediatric service for children and young people. Each standard is accompanied by an explanation of what the standard aims to achieve, and how the standard was agreed.
(PDF, 322KB, 13 pages)
Facing the Future: A Review of Paediatric Services, published in April 2011, modelled the potential implications of these standards for paediatric services in the UK. The report maps the current acute service configuration in the UK, which inadequately serves the current and future needs of children and young people.
Facing the Future proposes possible solutions to these problems, and imagines three possible scenarios for the configuration of inpatient units. The workforce implications of these scenarios are also explored and concludes that in order to deliver safe and sustainable services the current UK consultant workforce needs to expand from 3,084 WTE consultants to between 4,488 and 4,853 WTE consultants depending on which reconfiguration model is adopted. It also recommends the increased involvement of children’s nurses and GP trainees in some aspects of care.
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