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General Surgery of Childhood (GPS) A Strategy for the Future

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

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General Surgery of Childhood (GPS) A Strategy for the Future

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  1. 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

  2. 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

  3. 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

  4. 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

  5. The Solution – Managed Clinical Networks What Does a Managed Clinical Network offer? • Common standards • Integrated service • Service planning • Workforce planning • Training • Audit

  6. Children’s Surgical Forum: Guidance to Commissioners and Service Planners • CSF Guidance, July 2010: Ensuring the Provision of General Paediatric Surgery in the DGH • Endorsed by: RCS, RCPCH, RCoA, BAPS, APA, ASGBI, BAUS

  7. 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

  8. 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

  9. Current Managed Clinical Networks

  10. What is happening in your region? Please get in touch Children’s Surgical Forum CSForum@rcseng.ac.uk 0207 869 6213

  11. Let’s Network!

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