To ask the Secretary of State for Health, how many admissions there were to the paediatric intensive care unit at the Royal Brompton Hospital in the last 12 months for which figures are available; what proportion of those admissions were cardiac cases; and what plans his Department has to replace elsewhere in London (a) paediatric intensive care beds and (b) the specialist children's lung disease service which will close at the Royal Brompton Hospital as a result of NHS proposals to decommission congenital heart disease services at that hospital.
6 December 2016
The numbers of admissions to the paediatric intensive care unit at the London site of the Royal Brompton and Harefield NHS Foundation Trust, which took place during 2015 – the most recent 12 month period for which figures are available - and the proportion of those admissions that were cardiac cases, are shown in the table below:
Source: Paediatric Intensive Care Audit Network
NHS England has not yet made any decisions following its review of congenital heart disease services. It will run a service change process, including a public consultation, on the proposals for change which it announced in July 2016. In the meantime, NHS England is working with the hospital trusts that may be affected to assess the impact of implementing the proposals.
This will include consideration of the impact on paediatric intensive care unit (PICU) services. Should the proposals proceed to implementation, NHS England would expect those hospitals accepting additional congenital heart disease patients to expand their PICU capacity accordingly. Any wider regional implications for PICU services will be considered by NHS England's paediatric critical care review, which is currently underway.
There are alternative providers of specialist paediatric respiratory services in London. NHS England will work with those providers and the Royal Brompton and Harefield NHS Foundation Trust to consider how those services might be affected and how the potential implementation of changes could best be managed.