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Page 1: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing
Page 2: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

Why have a child injury HIT?

• National calls for coordination of trauma care and rehabilitation

• Desire to keep care out of hospital where appropriate

• Growing and diverse child population in Bristol• Centralisation of children’s trauma services from NBT

to UHB in May 2014• Healing Foundation Children’s Burns Research Centre

Page 3: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

The challenge - prevention

Accidents don’t happen by accident

Page 4: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

The challenge - careHigh volume - Low impact Low volume – High impact

Bangs to the headCuts and wounds

Ingestions

Road traffic injuriesMajor head trauma

Extensive burns

Usually quick and full recovery Long admission, slow recovery +/- long term consequences

Page 5: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

The challenge - rehabilitation

Current provision of services is complex!

Little knowledge of long term impact

Page 6: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

Prevention of injury

Primary preventionPrevent injury event

occurring

Out of hospital

First response by parents, carers and emergency services

Secondary prevention

Minimise harm

Hospital

Emergency department,

intensive & acute care

Secondary and tertiary preventionOptimise outcomes

following injury

Community

Community care, rehabilitation, &re-enablement

Tertiary preventionMaximise recovery &

minimise disability

Cross cutting theme 1: Child, young person & parent user involvement

Cross cutting theme 2: Student, practitioner & professional education + public information

Cross cutting theme 3: Research and innovation

Child Injury Prevention and Injury Care Health Integration Team

Page 7: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

Launch of CIPIC HIT September 2013

Page 8: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

Environment experts

Psychologists

Commissioners

Emergency Department

Acute and community

NursesSpeech and Language therapy

Physiotherapy

Occupational therapy

Neurologists

Orthopaedic surgeons

Physiotherapy

Fire and rescue service

Ambulance service

Special educational

needs

Children’s Centre

managersResearchers

Burn care experts

Voluntary sector

organisations

Local Authority

Who is involved?

Page 9: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

Burns and ScaldsAmber Young

Head injuriesMark Lyttle

FracturesFergal Monsell

Major TraumaGiles Haythornthwaite

Four topic themes

Cross cutting themeChildren, Young People and Parent involvement

First responseSammer Tang

Rehabilitation Louise Lloyd

PreventionJulie Mytton

Who is involved?

Page 10: Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing

Our aims

Fewer injuries

Better outcomes

Setting a national standard for integrated prevention, care and rehabilitation


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