general surgery of childhood (gps) a strategy for the future
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General Surgery of Childhood (GPS) A Strategy for the Future. Su-Anna Boddy, FRCS Chair, Children’s Surgical Forum Regional Representatives Day 10 November 2010. What is GPS?. Elective Inguinal hernia Umbilical herniotomy Orchidopexy for UDT Circumcision - PowerPoint PPT PresentationTRANSCRIPT
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General Surgery of Childhood(GPS)
A Strategy for the FutureSu-Anna Boddy, FRCS
Chair, Children’s Surgical ForumRegional Representatives Day
10 November 2010
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What is GPS?
Elective
• Inguinal hernia
• Umbilical herniotomy
• Orchidopexy for UDT
• Circumcision
• Minor soft tissue abnormalities
Emergency• Acute abdominal pain• Obstructed hernias• Acute scrotal
pathology• Minor trauma• Abscesses
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The Problem - Threat to the Local Delivery of GPS
• Decline in the number of GPS cases performed in the DGH
• Decline of exposure to elective paediatric surgery cases in the training of general surgeons and urologists
• Trainees do not take up GPS modules
• Lack of succession planning - Current cohort of general surgeons and adult urologists approach retirement
• Pressure on specialist children’s hospitals
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The Solution – Managed Clinical Networks
What are Managed Clinical Networks?
• Interconnected system of providers
• Not limited by boundaries
• Multidirectional flow (not hub & spoke)
• Contractual agreements specifying service requirements and outcomes
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The Solution – Managed Clinical Networks
What Does a Managed Clinical Network offer?
• Common standards
• Integrated service
• Service planning
• Workforce planning
• Training
• Audit
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Children’s Surgical Forum: Guidance to Commissioners and Service Planners
• CSF Guidance, July 2010: Ensuring the Provision of
General Paediatric Surgeryin the DGH
• Endorsed by: RCS, RCPCH, RCoA, BAPS,
APA, ASGBI, BAUS
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Children’s Surgical Forum: Survey on GPS Service Provision in the DGH• Delivered by CSF – Funded by DH
• A map of GPS service across all hospitals in England
• Identifies which hospitals provide GPS and could therefore form part of a network
• Identifies which hospitals can provide training for adult surgeons with an interest in children’s surgery
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Next Steps – A Strategy for the Future
Drawing on RCS Regional Networks:• Developing an in-depth understanding of specific GPS
issues and opportunities in the regions
Engaging with:• Commissioners• Providers• Specialist Advisory Committees• Trainee associations to highlight career opportunities
involving GPS• NHS Employers
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Current Managed Clinical Networks
Where Clinical Director
Yorkshire Roly Squire
South West Janet MacNally
East of England Sue Deakin
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What is happening in your region?
Please get in touch
Children’s Surgical Forum
0207 869 6213
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Let’s Network!