30 June 2008
The failure to specifically establish a national trauma network within the Department of Health’s ‘Next Stage Review’ is a missed opportunity, believes the Royal College of Surgeons of England.
The review ignores the evidence that major trauma patients managed initially in local hospitals are 1.5 to 5 times more likely to die than patients transported directly to trauma centres*, deferring decisions that already have a sound evidence base.
The report’s acknowledgement of the validity of apprenticeship and mentoring models in clinical education is welcome and one that should be extended to trainee surgeons. The College also notes the establishment of accreditation schemes in primary care and believes it is well placed to undertake a similar role within surgery.
The college will consider the plans for medical education once the full detail deferred to the separate workforce report is made available. The College looks forward to making further contribution and comment to both the Department of Health and the upcoming Health Select Committee inquiry into the NHS Next Stage Review as the review is implemented.
Notes to Editors
* Provision of trauma care briefing, Sept 2007
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