Paediatric Care

children in playground

Paediatric Sepsis

The following are recordings and PDFs of the PowerPoint presentations from the MCQIC Paediatric Care WebEx series.


25 April 2018 - Learning from Excellence & Sepsis, presented by Dr Adrian Plunkett, Paediatric Intensive Care Consultant, NHS Birmingham Women's and Children's


21 June 2018 -  Project Surgery on ‘Watchers’ and PEWS WebEx, Dr Neil Spenceley, Paediatric Clinical Lead at Healthcare Improvement Scotland.


6th March 2018, Paediatric Networking Event, Cathy Macdonald, Art of Communication Masterclass View of presentation


21 April 2017 - Increased situational awareness to reduce undetected deterioration (PDF) by Dr Pat Brady, Associate Professor of Paediatrics Division at Cincinnati Children's Hospital Medical Center.


25 May 2017 - Managing Sepsis in Paediatrics (PDF) by Dr Binita Patel, Chief of Quality of Safety in Paediatric Emergency Medicine at Texas Children's Hospital.


7 June 2017PEWS as a system (PDF) by Dr Damian Roland, Consultant in Paediatric Emergency Medicine at University Hospital of Leicester. 


23 June 2017 - National PEWS WebEx (PDF) by Dr Linda Clerihew, Consultant Paediatrician at NHS Tayside and Dr Neil Spenceley (PDF), Paediatric Clinical Lead at Healthcare Improvement Scotland.


18 July 2017 - Paediatric Sepsis WebEx by Dr Neil Spenceley, Paediatric Clinical Lead at Healthcare Improvement Scotland and Drew McDonald (PDF), Senior Staff Nurse at NHS Grampian.

SPSP Paediatric Care held a Paediatric Networking Event on Wednesday 25 October 2017 in Edinburgh. The event focused on deterioration, and gave delegates an opportunity to come together as a group to network, learn from each other and plan future improvements.

View the programme for the day (PDF)

To view the presentations from the event please access the links below:



Paediatric Early Warning Score (PEWS) Charts

PEWS charts allow the paediatric community in Scotland to put into practice a national system-wide paediatric early warning system. The charts and further information about PEWS is available here.

Measurement Plans

Paediatric Core measurement plan (PDF) - May 2018.

Paediatric Supplementary measurement plan (PDF) -May 2018

Driver Diagram

The paediatric care driver diagram (PDF) maps out the aims, outcomes and change packages for the programme.

Handy Guides

Further tools and resources related to the paediatric care programme can be found in the Member's Area

Why is there a need for improvement in paediatric care?

Children and young people have been at the centre of policy in Scotland over recent years, with a clear recognition that the future of our nation is dependent on the health and well-being of our children.

The Local Delivery Plan (PDF) (2007) and the Emergency Care Framework for Children and Young People (PDF) (2006) have been the response to ensuring equity of access to high quality healthcare services for children in Scotland. Delivering a Healthy Future (PDF) (Scottish Government 2007) recognises the need for ongoing development of measurable improvements in the provision of healthcare, health improvement and health outcomes for children and young people.

A quality improvement programme designed specifically for paediatric care is a key step towards reducing inequalities in outcomes. Helping to deliver the content of current policy recommendations and evidence-based care will ensure safe, effective, person-centred paediatric care is delivered with a more positive experience for families.

How does this align to other national initiatives?

All activities take cognisance of existing national policies and approaches, including the Healthcare Quality Strategy for NHSScotland (2010) and Getting it Right for Every Child (PDF) (GIRFEC).

Other national initiatives are in progress to improve outcomes for children. We work closely with the Children and Young People Improvement Collaborative (CYPIC) and managed clinical networks to ensure consistency across Scottish paediatric units.

Who is involved?

Key partners involved in the paediatric care programme include:

  • NHS territorial boards, including frontline staff in all paediatric units across Scotland
  • Service user representatives
  • Healthcare Improvement Scotland
  • NHS Education for Scotland (NES)
  • NHS Health Scotland
  • NHS National Services Scotland, Information Services Division
  • Professional organisations and colleges
  • Scottish Government

What resources are available?

The emphasis is not on putting extra staff in place to deliver improvements but on existing staff ensuring reliability of care processes, so that every person every time receives the care they need and want. Consequently, there is also an emphasis on boards ensuring that they are building capacity and capability in quality improvement science.

NHS board staff are supported to undertake further development through the Scottish Quality and Safety Fellowship Programme, Improvement Science in Action and Scottish Improvement Leader (ScIL) courses, as well as providing links to online modules via NES and Institute for Healthcare Improvement (IHI).

More Than Minutes documented our Paediatric Networking event on 9th February 2017. Below are the images they captured on the day.