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British Congenital Cardiac Association

British Congenital Cardiac Association. Annual General Meeting Birmingham Nov 19th 2008. Reconfiguration Poll . Reconfiguration of Congenital Heart Services in England. Discussed extensively over the last 10 years DoH view - desirable and probably inevitable.

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British Congenital Cardiac Association

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  1. British Congenital Cardiac Association Annual General Meeting Birmingham Nov 19th 2008

  2. Reconfiguration Poll

  3. Reconfiguration of Congenital Heart Services in England • Discussed extensively over the last 10 years • DoH view - desirable and probably inevitable. • Essential BCCA represents members views in consultation process

  4. Reconfiguration of Congenital Heart Services in England • Reconfiguration poll July 08 Do you think reconfiguration for congenital heart services in England is required? Y/N If yes, how do you think this process should take place? If no, give reasons.

  5. Reconfiguration Poll Results N = 69 (>300 sent)

  6. Reconfiguration Poll Results

  7. Reconfiguration Comments • Current situation not sustainable !

  8. Reconfiguration Comments • Current situation not sustainable ! • Congenital Heart Centres ( not just children) • Minimum 5 surgeons 600 ops. (=EWT) • ? 8-10 optimum number • Consider accessibility/ population density

  9. Reconfiguration Comments • Current situation not sustainable ! • Congenital Heart Centres ( not just children) • Minimum 5 surgeons 600 ops. (=EWT) • ? 8-10 optimum number • Consider accessibility/ population density • Patients will travel for “best “ care Staff may not move....

  10. Reconfiguration Comments • Current situation not sustainable ! • Congenital Heart Centres ( not just children) • Minimum 5 surgeons 600 ops. (=EWT) • ? 8-10 optimum number • Consider accessibility/ population density • Patients will travel for “best “ care Staff may not move.... • Needs major capital investment • Parking/helicopter • 24hr cover for all subspecialties • Must be properly funded and staffed

  11. Reconfiguration Comments But ..... • Is it investment rather than reconfiguration • Big units have problems ......communication/parking / ..... • Knock on effects for other paed specialties • Many small units provide superb service! • Consider collaboration rather than closure....( rota, procedures etc) • Local clinicians should decide local solution

  12. A few comments...... Chaos if nothing done .... Anarchy if goes ahead.... There is a BCCA majority consensus for reconfiguration process to go forward provided there is adequate planning, investment and local support.

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