GOSH PANDA: safe nursing care for children

GOSH PANDA safe nursing care


PANDA (Paediatric Acuity & Nursing Dependency Assessment) enables nursing management to estimate safe nursing care for children on their wards. This is a critical challenge at all times but especially so when there are widespread nursing shortages.

It ensures compliance with safe care levels for each shift, identifying resources, skills and gaps that may compromise patient care.

The system was developed by us in partnership with Great Ormond Street Children’s Hospital (GOSH).

PANDA was designed to meet the nursing care needs of acute paediatric patients. Most other similar tools for children are adapted from safe care tools designed for adults.

It is currently in use in 3 NHS England Trusts serving approx. 500+ beds.

PANDA Features

PANDA uses an industry-approved safe nursing care model. It generates staffing recommendations for each ward based on the needs of its patients. It calculates the right number and skill-set of nurses per ward shift based on the needs of each patient.

In addition, it collates data on the UK Paediatric Critical Care Minimum Data Set (PCCMDS) to allow accurate charging of high dependency care.

And because it highlights the gap between resource availability and needs, it can also provide useful input to staff training planning.

How PANDA supports safe nursing care

PANDA calculates safe staffing levels by assessing patients against 84 ‘care categories’ to determine patient acuity levels.

Care categories are derived from guidance from the Department of Health and the PCCMDS.

PANDA identifies the appropriate ‘nursing dependency’ needs from the standard categories based on guidance from the Royal College of Nursing.

Benefits for NHS Trusts

PANDA has demonstrably improved resource-sharing across wards, highlighted nursing shortages and demonstrated compliance with safe care guidelines.

It has also generated over £10m in additional Clinical Commissioning Group (CCG) funding for one trust as it provides the evidence required to secure funding.

And most importantly, it has improved the confidence of nursing staff that they are meeting the nursing needs of high dependency patients in their care.

Future enhancements

Future enhancements under review include:

  • Using the latest technologies to extend its availability to mobile devices and tablets.
  • Integration with electronic patient record (EPR) data to reduce the amount of data entry required by nursing management,
  • improved reporting and visualisation to aid comprehension,
  • use of Artificial Intelligence (AI) to automatically deliver more accurate and consistent assessments,

Take a look at PANDAi: a new look for PANDA to find out more.

Want to know more?

See GOSH PANDA for additional details on the GOSH site or contact us at info@c-bia.co.uk.