Surprisingly，no one knows how many children receive education in English hospitals，
still less the content or quality of that education. Proper records are just not kept.
We know that more than 850. 000 children go through hospital each year，and that every child
of school age has a legal right to continue to receive education while in hospital.

Little wonder the latest survey concludes that the extent and type of hospital teaching available
differ a great deal across the country. It is found that half of the hospitals in England which
admit children have no teacher. A further quarter has only a part-time teacher. The special
children’s hospitals in major cities do best；general hospitals on the country and holiday areas
are worst off.

From this survey, one can estimate that fewer than one in five children have some contact with
a hospital teacher and that contact may be as little as two hours a day. Most children interviewed
were surprised to find a teacher in hospital at all. They had not been prepared for it by parents
or their own school. If there was a teacher they were much more likely to read books and do math
or number work；without a teacher they would only play games.

Reasons for hospital teaching range from preventing a child falling behind and maintaining the
habit of school to keeping a child occupied, and the latter is often all the teacher can do.
The position and influence of many teachers was summed up when parents referred to them as“the
library lady”or just“the helper”.

Children tend to rely on intimate school friends to keep in touch with school work. Once back
at school，children rarely get extra teaching，and are told to catch up as best as they can.
Many short-stay child-patients catch up quickly. But schools do very little to ease the anxiety about

falling behind expressed by many of the children interviewed.