Safe and Sustainable: Review of Children’s Congenital Heart Services in England – Health Impact Assessment: Interim Report – August 2011

Posted on August 11, 2011. Filed under: Cardiol / Cardiothor Surg, Child Health / Paediatrics | Tags: |

Safe and Sustainable: Review of Children’s Congenital Heart Services in England – Health Impact Assessment: Interim Report – August 2011    NHS Specialised Commissioning Team

Extract from the introduction:

“In April 2010 the NHS published Safe and Sustainable: The Need for Change which set out proposals for a new model of provision for children’s heart surgery1 in England. It envisaged fewer, larger specialist surgical centres working within regional paediatric cardiology networks delivering care as close as possible to the child’s home.

Safe and Sustainable aims to develop a national service with better clinical outcomes and a trained clinical workforce which is expert in the care and treatment of children and young people with congenital heart disease. This review is being managed by National Specialised Commissioning Team (NSCT) on behalf of the ten Specialised Commissioning Groups (SCGs) in England2 and their constituent Primary Care Trusts (PCTs). Its scope includes England and Wales.3

The Safe and Sustainable Review was instigated in response to concerns among clinicians, professional organisations and parents regarding the future resilience of the existing 11 surgical centres which currently provide paediatric cardiac surgery. There have been long-standing doubts about whether some of these centres are performing a sufficient number of complex procedures to maintain and develop specialist skills.4 In 2006, a national workshop of surgical experts, together with other NHS staff and parent groups, endorsed the view that the current configuration of services in England was unsustainable.5 This view was  then echoed by an independent report by the Royal College of Surgeons in 2007.

Responding to these concerns, the Safe and Sustainable Review proposed reducing the number of centres providing children’s heart surgery from 11 to either six or seven.”  … continues

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