Children’s rights in hospital: Rapid assessment checklist

Display a clear non-discrimination notice for children and families

Post a visible statement at reception and wards about equal treatment.

Review and document best-interest decision procedures

Ensure written steps guide choices that affect the child’s welfare.

Ensure parental presence is allowed and exceptions are explained

Have a policy allowing family presence and document any limits.

Provide age-appropriate information about diagnosis and care

Use simple language and visuals for child explanations

Give short, clear explanations and picture aids suited to age.

Offer interpreters or translation for non-native speakers

Provide live interpreters or translated materials on request.

Obtain informed consent with child participation as appropriate

Document guardian consent and involve the child when capable.

Assess and record pain using age-appropriate tools regularly

Use validated pain scales and note responses and relief measures.

Provide a safe, child-friendly environment (clean and hazard-free)

Check locks, storage, play areas, infection control and signage.

Protect privacy during exams and keep records confidential

Use curtains/rooms and secure medical records access.

Provide play, learning and spiritual support appropriate to age

Offer toys, books, schooling options and access to spiritual care.

Train staff annually on child rights, communication and consent

Schedule regular training and record attendance.

Set up an accessible complaint and feedback process for children

Provide child-friendly forms, anonymous options, and clear steps.

Record and review child-rights indicators monthly

Track measures to spot trends and improvement areas.

Collect and log data on complaints, pain management, and family presence

Keep a simple monthly log of key indicators for review.

Plan discharge with clear, child- and family-friendly instructions and follow-up

Include meds, warning signs, appointments and contact details.