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Infants with a history of chronic lung disease or apnoeas should be managed in a centre equipped with facilities for postoperative ventilation.

Infants, children and young people should, where possible, be managed in a dedicated paediatric unit, or have specific time allocated in a mixed adult/paediatric unit, where they are separated from adult patients.^30,33

Nursing staff caring for children should be skilled in paediatric and day surgical care and trained in child protection.

There should be access to a paediatrician. Where the DSU does not have inpatient paediatric services, robust arrangements should be in place for access to a paediatrician and transfer to a paediatric unit if necessary.³⁰

A preadmission programme for children should be considered, to decrease the impact and stress of admission to the DSU on the day of surgery.^33,34,35

Pathways for the treatment of prisoners as day cases should be agreed with the local prison services.

Training of anaesthetists includes attaining the competency to perform medical assessment of patients before anaesthesia for surgery or other procedures.⁴⁰

The hospital should ensure that prisoners have adequate access to postoperative analgesia.

Some prisons do not have the facility to provide analgesia if the medical officer is not on duty. Special arrangements may be required to allow certain medications to be available within the prisoner’s cell or for additional arrangements to be made to enable patients to receive overnight postoperative analgesia.

The hospital should consider making an agreement on the safe provision of privacy and dignity for prisoners with the local prison governor with regard to the use of restraints.