paediatric surgical services is there a scottish way?
TRANSCRIPT
Paediatric Surgical Services
Is there a Scottish Way?
PlanBackground
Issues
Bending the ear of those in government
Future
Background
Two Scottish Surgical Colleges
RCA – Scottish Advisory Board
AAGBI - Scottish Standing Committee
What forum is there for paediatric issues in Scotland?
A bit of vision
1997
A surgical Chief Medical Officer and a Professor of Paediatric Surgery
Acute Services Review
Treatment Services for Children included recommending child centred services
An unwieldy name
Scottish College’s Committee for Children’s Surgical Services
The committee will constitute a collective voice for Children’s Surgical practice in Scotland, providing advice to the Colleges and SGHD on matters concerning service delivery, quality assurance and, if required, the manpower implications of training.
SCCCSSAvoid political association
Need for substance
Involve all the Royal Colleges
All specialties represented
Paeds surgery, orthopaedics, ENT, neuro, cardiac, ophthalmology,
Plus anaesthesia, ICU, nursing, radiology, emergency medicine, paediatric medicine
SCCCSSBut also
Representative of the CMONSDGeneral surgical (DGH) rep
Six monthly meetingsOpportunity for round table discussion of issues
relevant to paediatric practice
Sounds like something else?
Children’s Surgical Forum?
“it appears that the concerns in England and Wales are very similar to those raised through this group.’
Minutes of SCCCSS Dec 2005
SCCCSS was first!
What has it done for Scottish Children?
General
Designation of Health Board members with responsibility for children
Workforce planning
2007
Key Issues Manpower
Standards
Service Delivery
Age
Priority
What has it done for Scottish Children?
General
Designation of Health Board members with responsibility for children
Workforce planning
New tertiary children’s hospitals
What has it done for Scottish Children?
General
Designation of Health Board members with responsibility for children
Workforce planning
Standards for care of children in District General Hospitals
2010
Support of Specialist Services for Children and Young People within a District General Hospital
What has it done for Scottish Children?
General
Designation of Health Board members with responsibility for children
Workforce planning
Standards for care of children in District General Hospitals
New tertiary children’s hospitals
Aberdeen 2004
Glasgow 2015ish
Edinburgh 2017ish
Aberdeen 2015ish
What has it done for Scottish Children?
Surgical
Reviews ofGeneral surgery of childhoodPaediatric neurosurgeryRenal transplantation servicesCleft lip and palate
Surgical Outcomes
2009
An early attempt at providing measurable and meaningful quality outcome indicators for paediatric practice
Anaesthetic involvement Initially tertiary, DGH and ICU rep appointed by RCA
Notable involvement David Simpson Neil Morton Jane Peutrell
APA representation stems from then -2007
Currently three anaesthetic reps RCA – G Wilson (Hon Sec) APA – Carolyn Smith SPAN – John Rutherford
Anaesthetic SpecificSPICA
PICU retrieval service - SCOTSTAR
HDU audit and allocation of funds from the National Delivery Plan
Continued support for delivery of non-specialist services
Communicating with Government
Mutual respect
Interface with decision makers – early interaction with National Clinical Lead for Children’s and Young People’s Health
Senior Medical Officer attends
Medical Director of NSD
Future
Representation
Finance
Awareness
Formalisation of Advisory Role
SCCCSS has stayed away from this as it risks extending the role beyond the remit of the organisation
The Scottish Government has ultimate responsibility and takes advice from SCCCSS on this
Finance
Currently funded by College of Surgeons jointly
Limiting but liberating!
Awareness
Limited knowledge of committee existence
Minutes distributed to Colleges only
Should they be more publicly available?
