Comprehensive data allowing clinicians and managers for paediatric neurosurgery to monitor activity in England’s specialist units is now being shared by Getting It Right First Time (GIRFT) on the Model Health System (MHS) platform.
Data for around 70 metrics covering elective and non-elective care is now live, organised by Operational Delivery Network (ODN) and drilling down to provider unit level. The data centres on procedures relating to brain tumour, shunts, cranial trauma and endoscopic third ventriculostomy, as well as metrics for outpatients and an overview of activity for 16- to 18-year-olds.
This is the fourth MHS compartment of GIRFT data for children and young people (CYP) care; the others are for paediatric trauma and orthopaedic surgery, paediatric general surgery and urology and paediatric ear, nose and throat surgery.
The latest compartment enables NHS colleagues to view up-to-date, benchmarked data on their provider or ODN’s volumes and activity, on criteria such as length of stay and the time the patient spent in critical care.
Data for paediatric neurosurgery can be found under both the paediatric tab on MHS and the tab for neurosurgery. To access data for your unit, log in to https://model.nhs.uk/ and navigate to ‘acute hospital services’ > paediatrics or neurosurgery > GIRFT metrics.
Paediatric neurosurgery covers a range of complex and rare surgical procedures carried out on the brain and spine of infants and children. It includes surgery for congenital conditions (such as craniofacial syndromic) and acquired conditions (such as post-haemorrhagic hydrocephalus in prematurely born children). There is a mix of provision, with some standalone paediatric units and others integrated with the adult service. Across England, 18 NHS hospitals provide paediatric neurosurgical care, admitting around 27,000 patients a year. About 40% of these are emergency admissions and 10% are in the 16-18 age group.
The metrics are drawn from GIRFT’s deep dive visits to units in England, as part of a national review of services. These visits were carried out alongside progress visits for adult cranial neurosurgery, and a national report is expected to be available in 2024.