PREM tool - urgent and emergency care

The Patient Reported Experience Measure (PREM) for urgent and emergency care (U&EC) settings is available for GP surgeries, emergency departments / walk-in centres and ambulance services. 

The PREM tool was developed by the RCPCH with Picker Institute Europe. Each has three forms:

  • parent version (for children age 0-7 years)
  • child version (for children age 8-16 years)
  • for all age groups (to be completed by either parent/carer or child) - please note this has not been cognitively tested or piloted and is not recommended

More about the development of the PREM tool

PREM versions

Please note that the Paediatric Urgent and Emergence Care PREMs can be used by eligible organisations in England free of charge under a licence agreement with the Picker Institute. Please contact quoting ‘children’s urgent and emergency care PREMs’ to request further information. 

Ambulance services

GP surgeries:

Emergency departments / walk-in centres:


To implement this tool, select the relevant PREM(s) for your organisation. Enter data responses from the completed PREMs. To minimise error and ensure all data is captured, enter data soon after collection.

Tools to support you:

Professional support

You may wish to commission Picker Institute Europe to assist with all or part of your PREM. Services can include:

  • questionnaire printing
  • data entry
  • data analysis and reporting
  • benchmarking against other organisations
  • for hospital Emergency Departments - developing an extended version of the PREM

For more information, contact the Picker Institute on 01865 208100. Please reference the RCPCH Urgent and Emergency Care PREM.