The film was directed by Walter R. Booth, R. H. Callum and F. Martin Thornton and was written by Leedham Bantock, Harold Simpson and Alfred de Manby.
Old Santa Claus appears to her with his assistant Ting-a-ling (named for the sleigh bells on her clothing) and persuades her to come with him up the old-fashioned fireplace.
Little Elsie and Old Santa overhear their petition and immediately communicate with Old Father Neptune at the bottom of the sea, to grant their request.
Little Elsie eagerly follows Santa Claus on his route, delighting in his magic and generosity in the children's ward of one of the big hospitals.
Home again, Elsie is safely tucked into her bed by Old Santa and later is awakened from her dream by the entrance of her mother on Christmas morning.