Child and youth welfare facilities be extended to Donaustadt Clinic. A further measure is the introduction of a standard operating procedure for the Vienna Health Association to guarantee continuous, high-quality and legally conformant care of long-term patients who have no claim to social insurance. X The waiting time for a nursing place for patients for whom hospitalisation is no longer necessary shall be shortened further. X Hospitalism, i.e. mental and physical impairments due to a lack of social, emotional and cognitive stimuli, shall be avoided. Major differences in quality noticeable 2.3 Child and youth welfare facilities 2.3.1 Introduction The commissions visited 102 child and youth welfare facilities in 2020. As on the visits in previous years, major differences in quality in the individual facilities were noticeable. There is a very clear connection between the staffing ratio and the quality of care. Structural deficits caused by understaffing can only be compensated by the high level of dedication of the staff for a short period of time. This was clearly evident during the first lockdown in spring 2020 as well as when there was a considerably higher risk of infection in autumn 2020. Facilities with a low staffing ratio found it far more difficult to overcome the crisis. Existing weaknesses worsened as a result of the increased effort required during the pandemic. Looking back at 2020, the NPM sees positive developments in the child and youth welfare facilities thanks to the cooperation with different institutions: Uniform standards were defined to harmonise quality in residential child and youth welfare facilities on the initiative of FICE Austria (International Federation of Educative Communities) in cooperation with representatives from 19 organisations. The NPM was also involved (see NPM Reports 2018 and 2019, p. 71 and p. 64 et seq. respectively). The standards were defined with scientific support and presented at a kick-off event at the premises of the AOB in May 2019. There were follow-up events in Tyrol, Salzburg, Vorarlberg, Lower Austria and Carinthia, in which commission members took part as speakers. Further events were planned in the other Laender but had to be cancelled both in spring and autumn 2020 due to the COVID-19 crisis. Great interest in FICE quality standards 63 At all of the conferences held, the experts showed great interest in this publication that is unique in Europe. In Tyrol, it was announced that the standards would be used as the benchmark for child and youth welfare that