Article Text


G135(P) Development of Children and Young People’s Assessment Service Standards and a Supportive Peer Review Process Across a Region
  1. M Clements1,2,3,
  2. K Evans1,3,
  3. C Upton1,4
  1. 1Strategic Network of Child Health and Well-Being, NHS East of UK, Cambridge, UK
  2. 2Department of Paediatrics, West Suffolk Hospital NHS Foundation Trust, Bury St Edmunds, UK
  3. 3Children and Young People programme, NHS Institute for Innovation and Improvement, Coventry, UK
  4. 4Department of Paediatrics, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, UK


Aims To develop a set of standards and a peer review process for Children and Young People’s (CYP’s) ambulatory care.

Methods Development of the standards involved reviewing national, regional and local policies/best practise. Questionnaires were circulated and focus groups facilitated with multidisciplinary staff involved in CYP ambulatory care across a region. Professionals challenged and tested the standards as they evolved. This included CYP and family feedback and enagement.

All 17 acute trusts involved in CYP acute care in the region performed a self-assessment using the assessment service standard tool and participated in an external peer review visit.

The visit started with informal discussions with staff and service users. The team walked the patient pathway. A whole-system professionals meeting, involving senior Managers/Executives, Clinicians/Senior Nursing team, Play Specialists and Commissioners concluded the visit. The local team presented their self-assessment and the visiting team feedback their findings leading to a discussion/action planning for next steps.

The process was evaluated.

Each organisation showcased the good practise identified at a celebration event.

Re-visits to all trusts are arranged to review progress and assess against the national standards for CYP in the emergency department.

Results A supportive process for peer review for children and Young People’s assessment services and emergency and urgent care, including comprehensive standards have been developed and evaluated.

A poster summarises feedback from Children, young people and families. Figure 1

Current practise for ambulatory care across a region has been reviewed and key findings from the visits including the variety of models of care, good practise and recommendations summarised and shared.

The visits were evaluated as supportive and useful in raising the profile of CYP within Trusts. The standards gave a focus for organisations to review their services and plan improvements.

There was evidence the standards had driven improvements and good practise identified in every unit.

Conclusion There is already evidence showing standards and peer review improves quality of care.

We have developed a processes and tools that can be used nationally for CYP’s emergency and urgent care

These visits were not mandatory but 100% of Trusts participated in the self-assessment and peer review and booked re-visits.

Statistics from

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.