Acute Paediatric Surgery Acute Paediatrics and Acute Paediatric Surgery Ryan Watkins
General approach Identification of guidance Appreciation of future configuration Clinical consensus
Evidence Good available evidence for specialised services but not general acute services RCPCH / BAPM evidence NCEPOD / BAPS evidence Clinical consensus / common sense Aspiration
Summary of ratings Colocated Networked No co-dependency A&E / Surgery / Trauma / Ortho / ENT / ITU / Anaes / Neonatology / Radiology / CT / Haem / Biochem / Transfusion / Physio / Dietetics Networked Resp Med / Gastro / Diabetes / Rheum / Derm / Maxfax / Cardio / Cardiac surgery / Nephrology / Dialysis / Oncology / Palliative care / Neurology / Rehab No co-dependency Gen Med / Elderly Med / Vascular / Stroke / Cardiac MR
For discussion Urology (red) CAMHS (red) OT (amber) SALT (amber) MR (red / amber) Nuclear Medicine (amber) IR (amber) Microbiology (amber)
Sustainability Fewer, larger inpatient paediatric units SSPAUs CCN teams HDU Paediatric A&E / trauma CAMHS Safeguarding Networked specialised services