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Arch Dis Child 1997;77:287-293 ( October )

Planning for the future: the experience of implementing a children's day assessment unit in a district general hospital

David W Beverley,a Robin J Ball,a Robert A Smith,a Michael J Harran,a G Mary Durrans,a Sally Keenan,a Judith Smith,a Barbara Durackb

a Department of Paediatrics, York District Hospital, Wigginton Road, York YO3 7HE, b Management Information Department

Correspondence to: Dr Beverley.


Accepted 21 May 1997

A paediatric day assessment unit was opened in May 1995. An audit of the first year's activity showed that, despite an increase in emergency admissions of 8.4%, the number of children admitted as an emergency overnight was reduced by 3% in paediatrics and 7.2% in surgery. In the first year, 1731 children were assessed as an emergency of whom 658 did not require admission to the inpatient ward. Midnight occupancy fell 17.7 % in paediatrics and 25.4% in surgery. The nurse staffing costs fell over £32 000 in the first year. No adverse events occurred during the first year of operation; this type of facility could lead to a more efficient use of resources in any children's unit.

Keywords: day assessment unit; ambulatory paediatrics

© 1997 by Archives of Disease in Childhood


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