Intended for healthcare professionals

Letters Misusing “criteria to reside” for hospital inpatients

The ethics of transferring adult patients to paediatric services

BMJ 2020; 371 doi: (Published 23 October 2020) Cite this as: BMJ 2020;371:m4089
  1. Thomas Hampton, otorhinolaryngology specialist registrar,
  2. Victoria Sadlers, paediatrics specialist registrar
  1. Alder Hey Children’s NHS Foundation Trust, Liverpool L14 5AB, UK
  1. thomas.hampton{at}, v.sadlers{at}

Oliver discusses some ethical issues that arise from changing pathways of care to manage demand.1 We present another altered treatment paradigm from the first wave of covid-19 that required novel ethical decision making. Similar to Massachusetts General Hospital for Children,2 Alder Hey Children’s NHS Foundation Trust accommodated adults in its paediatric intensive care unit. Fortunately, few local children with covid-19 were admitted to hospital, so the trust offered to relieve pressure on adult services.

Anticipating …

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