Paediatric critical care should be resourced with a workforce which allows the Units to deal with acute surges in demand and maintain an average occupancy of 85%, as per national standards. To facilitate the opening and running of the Paediatric Critical Care Unit (PCCU) in the National Children’s Hospital with an increase in beds from 32 to 42, a detailed multidisciplinary workforce plan is required. CHI should submit to the National Service Planning process for the additional resources required from the HSE.

The Health Information and Quality Authority (HIQA) rapid health technology assessment (HTA) of immunisation against respiratory syncytial virus (RSV) in infants is underway. The Department of Health should prioritise findings from the HTA, when available, to inform their decision on immunisation of infants against RSV and, if approved progress implementation without delay.

Paediatric critical care audit should be mandatory and adequately resourced to enable timely, complete and accurate information to be submitted.

The Health Service Executive should consider the development of regional paediatric high dependency care capacity in regional centres.

Dedicated hospital organ donation personnel should be appointed to increase awareness of organ donation and provide education and training locally to ensure all opportunities for organ and tissue donation in PCCUs are realised where appropriate.