BMJ  2007;335:177 (28 July), doi:10.1136/bmj.39287.561134.4E

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Children's surgery services under threat from competition, says report

Zosia Kmietowicz

London

The first 150 words of the full text of this article appear below.

Children's surgical services could disappear from district general hospitals if they are not exempt from health policies involving competition, forcing children to travel to large specialist centres for routine operations, experts warn.

A report from the Children's Surgical Forum has called for routine surgery for children to remain available locally in the future and not be threatened by initiatives that have introduced competition between trusts.

David Jones, chairman of the Royal College of Surgeons of England and chairman of the forum, said that children's surgery was not seen as an attractive option by many trusts because of the high costs.

"The dangers are that children are not going to be given a fair deal because of payments by results," he told the BMJ. "Trusts should not be allowed to abdicate their responsibilities for children." Instead, children's surgical services should be commissioned separately to other services, and trusts should have . . . [Full text of this article]


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