Paediatric General Surgery and Urology
The GIRFT specialty review comprised deep dive visits to all of the 22 specialist trusts and the 67 highest-volume non-specialist trusts – 89 in total – and involved frontline clinicians, nurses, finance staff and managers. The clinicians included surgeons, anaesthetists, neonatologists, intensivists, paediatricians and radiologists.
Recommendations and actions in the GIRFT national report aim to improve the outcomes and experience of children who need surgery by modifying the existing model of care in England to ensure surgical expertise is concentrated in the right place for the right patients. The report also looks at how care offered in hospitals for common conditions such as appendicitis can be improved.
Summary Paediatric Indicator Table (SPaedIT)
In June 2023, GIRFT and NHS England’s Children and Young People (CYP) launched a new data tool to support healthcare providers with elective recovery of CYP services. This has now been updated, and version 2 is in operation
The Summary Paediatric Indicator Table (SPaedIT) brings together provider-level data summarising demand, capacity, flow and outcomes, all in one place in an easily-accessible dashboard. Refreshed monthly, the data is available across eight key paediatric surgical specialties and more than 40 metrics. Learn more.
- Paediatric General Surgery and Urology Clinical Lead
Professor Simon Kenny OBE
Paediatric general surgery and urology clinical lead
Simon is NHS England’s National Clinical Director for children and young people. He has been a consultant paediatric surgeon at Alder Hey Children’s Hospital in Liverpool since 2003. His clinical interests include neonatal surgery, laparoscopy, lower GI surgery and paediatric urology while his research interests include long-term outcomes in paediatric surgery and regenerative medicine.
From 2009 to 2016, Simon served as clinical director of the surgery, critical care, anaesthesia and cardiac clinical business unit, playing a significant role in redesigning services and moving in to the new award-winning Alder Hey in the Park in 2015.
He is an honorary senior lecturer in child health at the University of Liverpool, and was awarded Honorary Fellowship of the American Academy of Paediatrics in 2004.
In December 2023, he was made an OBE for services to paediatric surgery in the New Year Honours.
- General Paediatrics Clinical Advisor
Dr Ronny Cheung
General paediatrics clinical advisor
Ronny is a consultant paediatrician and co-clinical lead for general paediatrics at Evelina London Children’s Hospital.
In addition to his clinical work, he holds roles related to his twin passions: clinical service design, innovation and improvement; and healthcare policy.
He serves as Deputy Chief Medical Officer (Improvement) at Guy’s & St Thomas’s NHS Trust, and clinical lead for their Centre for Innovation, Transformation & Improvement. He is the RCPCH’s Officer for Health Services, a Visiting Fellow at the Nuffield Trust health thinktank, and Chair of NICE’s Indicators Advisory Committee.
Ronny has worked previously as a clinical advisor to Public Health England’s child and maternal health intelligence network, on secondment to the English Chief Medical Officer at the Department of Health, and as a health advisor for the Prime Minister’s Strategy Unit in the Cabinet Office.
- Summary of National Report Findings
Recommendations in GIRFT paediatric surgery report aim to create a world-leading network
Children and babies who need operations for the rarest and most complex conditions would benefit if surgery was delivered in fewer centres of expertise, according to the Getting It Right First Time (GIRFT) national report for paediatric general surgery and urology.
Author Professor Simon Kenny, GIRFT’s clinical lead for paediatric surgery and the National Clinical Director for Children and Young People with NHS England and NHS Improvement, recommends modifying the existing model of paediatric care in England to ensure surgical expertise is better concentrated in the right place for the right patients.
Find out more about GIRFT’s data-led approach and best practice resources:
- Paediatric General Surgery and Urology National Report
- Paediatric General Surgery and Urology videos
Paediatric general surgery and urology national report.
Click above to play the Paediatric General Surgery and Urology national report video
Paediatric acute abdominal pain and appendicectomy, best practice pathway guidance.
Click above to play the paediatric abdominal pain and appendicectomy, best practice pathway guidance video.
- Paediatric General Surgery and Urology News
Paediatric General Surgery and Urology Academy Resources
- Pathways
Acute abdominal pain and appendicectomy pathway guidance >
Acute abdominal pain and appendicectomy literature review >
Paediatric acute abdominal pain and appendicectomy, best practice pathway guidance video >
Acute abdominal pain and appendicectomy literature review >
Haemophagocytic Lymphohistiocytosis (HLH) Pathway >
Paediatric testicular torsion pathway >
Paediatric robotically assisted laparascopic pyeloplasty pathway >
Paediatric robotically assisted nephrectomy and hemi-nephrectomy pathway >
Paediatric robotically assisted ureteric reimplantation pathway >
- Case studies
Case Study : Paediatric Friday at Calderdale and Huddersfield NHSFT >
Case Study : Use of day surgery theatres for CYP at Blackpool Teaching Hospitals NHSFT >
Case Study : Paediatric Super Days at Milton Keynes University Hospital NHSFT >
Case Study : Sheffield Children’s Hospital NHSFT ENT Rapid Lists >
Case Study : ENT Open-minimally invasive parathyroidectomy (O-MIP) at Doncaster Royal Infirmary >
Case Study : ENT Daycase superficial parotidectomy at Royal Cornwall Hospitals NHST >
Case Study : Management of ENT DNAs at Norfolk & Norwich NHSFT >
Case Study : Tympahealth ENT Hearing Pilot in Community Pharmacy at NHS South West London >
- Guidance