1. Acute Paediatric Surgery
Acute Paediatrics and
Acute Paediatric Surgery
Ryan Watkins

2. General approach Identification of guidance
Appreciation of future configuration
Clinical consensus

3. Evidence
Good available evidence for specialised services but not general acute services
RCPCH / BAPM evidence
NCEPOD / BAPS evidence
Clinical consensus / common sense
Aspiration

4. 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

5. For discussion Urology (red) CAMHS (red) OT (amber) SALT (amber)
MR (red / amber)
Nuclear Medicine (amber)
IR (amber)
Microbiology (amber)

6. Sustainability Fewer, larger inpatient paediatric units SSPAUs
CCN teams
HDU
Paediatric A&E / trauma
CAMHS
Safeguarding
Networked specialised services