Related Experiment Video
Updated: Jul 25, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Paediatric home care in the UK
1Wolfson Child Health Monitoring Unit, Institute of Child Health, London.
Insights
UK paediatric home care services are growing rapidly but remain limited. Many districts lack general services, and few operate 24/7, indicating significant potential for expansion in child healthcare.
Area of Science:
- Healthcare Services Research
- Paediatric Nursing
- Public Health Policy
Background:
- Paediatric home care services in the UK were assessed in 1991-1992.
- A significant number of services were established recently, highlighting rapid growth.
Purpose of the Study:
- To ascertain the provision and characteristics of paediatric home care services across the UK.
- To identify disparities in service availability and operational scope.
Main Methods:
- Survey of 209 UK health districts and boards.
- Data collection on the number, type, staffing, and operating hours of paediatric home care services.
Main Results:
- 62 general and 124 specialist services identified by January 1993.
- 30% of UK children resided in areas with general home care; availability varied significantly by district and disorder.
- Services were typically small, with limited 24-hour availability, diverse funding, and challenges with equipment procurement.
Conclusions:
- Despite rapid expansion, paediatric home care provision in the UK is uneven.
- There is substantial room for developing and improving paediatric home care services nationwide to meet children's needs.
Abstract:
Paediatric home care services in the UK were ascertained in 1991 and 1992. Respondents from 209 (97%) UK health districts and boards identified 62 general and 124 specialist paediatric home care services by January 1993, 15% having opened in the previous year. Of all UK children, 30% lived in a district with a general home care service. Five health regions had only specialist services. Districts differed widely in the availability of home care for different disorders. The home care services were small, general services employing a mean (SD) of 2.5 (1.6) whole time equivalent (WTE) nurses, and specialist services 1.3 (0.8) WTE nurses. Few services were available 24 hours a day. Funding arrangements were diverse and some services had difficulties in obtaining consumables and equipment for home use. Despite rapid growth there remains considerable scope for the development of paediatric home care throughout the UK.
Related Concept Videos
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Continuing Care
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Drug Excretion

