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Quality of care in paediatric neurosurgery in Scotland

Quality of care in paediatric neurosurgery in Scotland. Definitions of emergency care – relative term Most emergency care is neurosurgically straightforward – paediatric team approach all important For a single paediatric neurosurgical centre the majority will need to travel:

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Quality of care in paediatric neurosurgery in Scotland

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  1. Quality of care in paediatric neurosurgery in Scotland • Definitions of emergency care – relative term • Most emergency care is neurosurgically straightforward – paediatric team approach all important • For a single paediatric neurosurgical centre the majority will need to travel: • Benefit to a few • volume quality & upskilling for a relatively few complex neurosurgical procedures • Harm to a few • Where delay is critical • Or where local skills are so eroded as to be unsafe • But for asingle paediatric neurosurgical lead centre (in a MCN), some will need to travel and some will be looked after in other units • Benefit for small volume complex elective neurosurgical care • Maintain emergency care with rapid local access Thus: Where do we hang the donkey’s tail for the other units?

  2. Agenda Item 3 Scottish paediatric neurosurgical activity - 2000 Numbers of children - to scale. Total =412 Trauma/ bleeding Brain tumours Shunt surgery Cranio- facial Epilepsy surgery AVM ?extent of this overlap Emergency Elective Debate: Universal transfer versus Universal local provision ? or or or

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