Facing the Future: Audit

We make a commitment to auditing our standards in order to capture compliance of the standards across the UK and to build a comprehensive picture of paediatric provision across the four nations. Our audits seek to draw out the intended and unintended impact of standards whilst collecting and sharing practice examples where standards are being met particularly well.

Headline results of audit - flyerHeadline results from the Facing the Future audit 2017

Headline results from Facing the Future Audit 2017: Voices and views from RCPCH &Us  (PDF, 1.05MB)

This audit covers the Facing the Future: Standards for acute general paediatric services and Facing the Future: Together for child health. Both standards lay out what is needed to delvier high quality, safe and sustainable services.

High level results show where improvements have been made, with 100% of units reporting to have a consultant of the week system in place and a rota structure that allows for every child with an acute medical problem to be discussed by an appropriately competent paediatric health professional.

Results from the audit highlight gaps within paediatric rotas, with not enough consultants present within the hospital during times of self-identified peak activity. It is the first time that Together for Child Health standards have been audited and they reflect poor links between the child health service and primary care.

This audit has benefited from involvement with the RCPCH &Us Young Inspectors programme. Children have the right to be involved in decisions about their care. For more information on these rights visit the Facing the Future Superhero.

The full report will be available on Tuesday 17 April 2018. For more information please contact: facingthefuture@rcpch.ac.uk


FFAcutePaedServices COVER 10.04.15.jpg

Full results from the 'Back to Facing the Future' audit 2013

Back to Facing the Future: An audit of acute paediatric service standards in the UK (full version) (PDF, 1.95 MB)

Back to Facing the Future (executive summary) (PDF, 1.44 MB)

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.


Get involved and other support

We are continually seeking to collect new and interesting examples where standards are being met well. We want to share examples with our members, service planners and commissioners to ensure they have the tools and resources needed to deliver services that are built around infants, children and young people. Submit your examples or get in touch with the Policy Lead via facingthefuture@rcpch.ac.uk.

The RCPCH Invited Reviews services support healthcare organisations, commissioners and clinical teams to resolve concerns about paediatric service provision and compliance with standards. For an informal, confidential conversation with the Head of Invited Reviews, contact Sue Eardley at invited.reviews@rcpch.ac.uk or on 0207 092 6091.