Paediatric Intensive Care Surge Standard Operating Procedure

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This document provides a framework for the Paediatric Intensive Care (PIC) community response to manage escalating and unplanned peaks in demand for critical care beds.


It is intended for use by all NHS acute hospital providers with paediatric intensive care facilities on site but recognises that whole system solutions may sometimes be required to ensure timely access to intensive care for the sickest children.

This National Standard Operating Procedure (SOP) forms part of a suite of national SOPs that cover the services listed below. These are accessible on the NHS England website.

  • Adult Intensive Care Services
  • Adult and Paediatric Burn Care Services
  • Adult Respiratory Extra Corporeal Membrane Oxygenation (ECMO)
  • Paediatric Respiratory Extra Corporeal Membrane Oxygenation (ECMO)