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Increasing capacity in acute day care settings: patients' experiences of a pop-up day care unit
Elena Gil-Zaragozano1, Deborah Marriage2
1Paediatric Gastroenterology Clinical Nurse Specialist, University Hospitals Bristol and Weston NHS Foundation Trust/Chair of Paediatric IBD RCN Network/Tillots IBD Stars and Richard Driscoll Award Steering Committee Member.
Insights
A temporary pediatric day care unit successfully provided care for children with allergic and inflammatory bowel diseases during the COVID-19 pandemic. The pop-up service model was highly accepted by families, indicating its potential for future healthcare delivery.
Area of Science:
- Pediatric Allergy and Immunology
- Pediatric Gastroenterology
- Healthcare Management
Background:
- The COVID-19 pandemic significantly disrupted pediatric ambulatory care services.
- A Nightingale Hospital Bristol (NHB) pop-up day care unit was established to manage children with allergic and inflammatory bowel diseases.
- The unit aimed to provide continuous care amidst pandemic-related challenges.
Purpose of the Study:
- To evaluate the acceptability and feasibility of a temporary, pop-up pediatric day care unit.
- To assess patient and family satisfaction with the NHB service model.
- To explore innovative healthcare delivery models for pediatric specialty care.
Main Methods:
- A pop-up pediatric day care unit operated fortnightly from December 2020 to March 2021.
- Family feedback was collected through an online survey.
- Quantitative and qualitative data were analyzed to assess service acceptability.
Main Results:
- The NHB pop-up unit was found acceptable by 72 respondents.
- 97% of families expressed willingness to return, and 90.3% preferred it over traditional hospital appointments.
- Positive feedback centered on organization, clinical environment, and convenient parking; minor concerns included directions and facilities.
Conclusions:
- The pop-up service model demonstrated high family acceptability and satisfaction.
- This initiative underscores the potential for alternative healthcare settings to ensure equitable pediatric care.
- The findings align with the NHS Long Term Plan's goals for innovative healthcare provision.
Abstract:
The COVID-19 pandemic had considerable impact on paediatric ambulatory care. A pop-up paediatric day care unit for children with allergic and inflammatory bowel diseases was delivered from Nightingale Hospital Bristol (NHB) which was set up to treat patients during the pandemic.
Methodology:
The unit operated fortnightly between December 2020 and March 2021. Family feedback on the service was collated via an online survey.
Results:
72 respondents found NHB acceptable; 70 (97%) would be happy to return; 63 (90.3%) preferred the NHB to attending Bristol Royal Hospital for Children or had no preference for their appointments. Positive comments focused on service organisation and clinical environment. Families valued the availability of the close, free parking. The minimal negative comments related to travel directions, lack of catering facilities and the small number of toilets.
Conclusion:
The pop-up service model was highly acceptable to families. This highlights the need for appropriate hospital services to explore similar initiatives beyond traditional healthcare settings in order to ensure that the provision of equitable health care is in line with the NHS Long Term Plan.
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