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.