Patient Reported Experience Measure (PREM) for urgent and emergency care

PREM survey for childrenThe Patient Reported Experience Measure (PREM) for urgent and emergency care measures the experience of paediatric patients 0-16 years in all urgent and emergency care (U&EC) settings. The tool was developed by the College, with Picker Institute Europe.

Final PREMs and research report

Following a pilot, we developed PREM tools for use in GP surgeries, emergency departments and walk-in centres, and ambulance services. There are three versions for each setting: children under 0-7 years (for parents/carers to complete); children 8-16 years; and combined.

Go to final versions

The Development of a Patient Reported Experience Measure for Paediatrics Patients (0-16 years) in Urgent and Emergency Care: Research Report (PDF, 1.8MB) - October 2012


Children make up 26% of patients in U&EC settings. The Department of Health (England) requires that all services use patient feedback to drive improvements. In emergency departments patient experience is one of the eight Clinical Quality Indicators that are submitted to the Department of Health and which 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. Recent reports highlight the importance of developing tools that are suitable for the children themselves to use1,2,3.

This PREM, or survey, has been developed 'by the children, for the children' - ensuring that their views were captured early in the design process. It should help U&EC settings identify areas which are important to paediatric patients and areas for improvement.


The survey was developed using a five-stage process.

  1. Literature review
  2. Qualitative stage
  3. Questionnaire design
  4. Cognitive testing and questionnaire
  5. Piloting


For any further information, contact RCPCH Research Projects.


  1. Professor the Lord Darzi of Denham KBE. High Quality Care for all: NHS Next Stage Review Final Report.  2008.
  2. Department of Health E. NHS Outcomes Framework 2012/13.  2011.
  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.