Objectives: To survey clinical practice and opinions of consultant surgeons and anaesthetists caring for children to inform the needs for training, commissioning and management of children's surgery in the UK. Design: The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) hosted an online survey to gather data on current clinical practice of UK consultant surgeons and anaesthetists caring for children. Setting: The questionnaire was circulated to all hospitals and to Anaesthetic and Surgical Royal Colleges, and relevant specialist societies covering the UK and the Channel Islands and was mainly completed by consultants in District General Hospitals. Participants: 555 surgeons and 1561 anaesthetists completed the questionnaire. Results: 32.6% of surgeons and 43.5% of anaesthetists considered that there were deficiencies in their hospital's facilities that potentially compromised delivery of a safe children's surgical service. Almost 10% of all consultants considered that their postgraduate training was insufficient for current paediatric practice and 20% felt that recent Continued Professional Development failed to maintain paediatric expertise. 45.4% of surgeons and 39.2% of anaesthetists considered that the current specialty curriculum should have a larger paediatric component. Consultants in non-specialist paediatric centres were prepared to care for younger children admitted for surgery as emergencies than those admitted electively. Many of the surgeons and anaesthetists had <4 h/week in paediatric practice. Only 55.3% of surgeons and 42.8% of anaesthetists participated in any form of regular multidisciplinary review of children undergoing surgery. Conclusions: There are significant obstacles to consultant surgeons and anaesthetists providing a competent surgical service for children. Postgraduate curricula must meet the needs of trainees who will be expected to include children in their caseload as consultants. Trusts must ensure appropriate support for consultants to maintain paediatric skills and provide the necessary facilities for a high-quality local surgical service.
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Baehner, Torsten
Kiefer, Nicholas
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Kiefer, Nicholas
Ghamari, Shahab
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Ghamari, Shahab
Graeff, Ingo
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Emergency Dept, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Graeff, Ingo
Huett, Christopher
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Huett, Christopher
Pflugradt, Stefan
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Pflugradt, Stefan
Sendzik, Bjoern
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Sendzik, Bjoern
Heinze, Ingo
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Heinze, Ingo
Mueller, Matthias
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Justus Liebig Univ, Pediat Heart Ctr, Giessen, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Mueller, Matthias
Schindler, Ehrenfried
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Schindler, Ehrenfried
Duerr, Georg Daniel
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Cardiac Surg, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Duerr, Georg Daniel
Ellerkmann, Richard
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Klinikum Dortmund, Dept Anesthesiol, Dortmund, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany
Ellerkmann, Richard
Velten, Markus
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Rhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, GermanyRhein Friedrich Wilhelms Univ, Univ Med Ctr, Dept Anesthesiol & Intens Care Med, Bonn, Germany