Regional Directory of Paediatric Surgical Services (West Midlands)

Based on Trust self‑reported capability (Dec 2025 – Feb 2026)

Birmingham Women's & Children’s Hospital (BWCH)

Role: Regional tertiary centre 

Ages:   All ages (including neonates)

General Paediatric Surgery (all procedures) 

No response about GPS

Paediatric Urology (including complex & neonatal)

No response about Urology

 Paediatric ENT (including airway; except nationally commissioned tracheal cases or tracheal stenosis - GOSH)

• 8 ENT Surgeons
• Significant list cancellations
• All ages
• 24/7 provision

 Paediatric Orthopaedics & Trauma (except pelvic fractures to Nottingham, SLA pending)

• Spinal deformity, tumour surgery (with ROH SLA)
• 8 Orthopaedic Surgeons
• 24/7 Paediatric Anaesthesia & IR
• Central venous access (PICC, Broviac, Hickman)

Notes

Accepts referrals from all DGHs

Capacity pressure and workforce fragility noted

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Sandwell & West Birmingham NHS Trust (MMUH)

General / Urology Surgery

• Emergency:
  • Testicular torsion ≥ 4 years (some consultants ≥5)
• Elective:
  • Circumcision, orchidopexy, hydrocele repair ≥ 12 months
  • 14 Surgeons
  • 24/7 provision
  • Children under 5 years old referred to BCH as per West Midlands wide protocol
  • 2 Consultant Urology surgeons, 2 Consultant Paediatric Surgeons

ENT

No ENT response

• Emergency & Elective: ≥ 1 year
• Procedures: Tonsils, adenoids, grommets, mastoid, neck lumps

Orthopaedics

• Minor trauma ≥ 2 years
• Major / complex — BCH
• 12 surgeons (only 1 completes Paediatric elective surgery)
• 24/7 provision for paediatric trauma

Anaesthetics

• No on‑site paediatric HDU
• Central access — BCH
• 15 anaesthetists on emergency rota providing paediatric cover. Although more do elective paediatric lists (35 anaesthetists total)

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University Hospitals Coventry & Warwickshire (UHCW)

General Surgery

• Emergency: ≥ 3 years
  • Appendicectomy, abscess drainage
• Elective: ≥ 1 month
  • Hernias, orchidopexy, circumcision
• 10 Surgeons providing emergency paediatric cover, 3 provide elective cover
• 24/7 cover
• No hypospadias service due to retirement

Urology

• No local paediatric urology — Refers to BCH or Leicester

ENT

• ≥ 24 months
• 12 ENT Surgeons
• All routine ENT except airway / CI

Orthopaedics

• ≥ 6 weeks of age and under 18 years of age
• 4 Consultant Paediatric surgeons
• 24/7 emergency surgery excluding major Paediatric trauma, they go to BCH
• Full paediatric ortho except post‑op ITU cases

Radiology

Paediatric radiology cover available Mon-Fri 9-5. Some out of hours cover may be available overnight and weekends but is dependent on who the Consultant on call is.

 Anaesthetics

• 12 Anaesthetists providing Paediatric cover. 84 Consultants total
• 24/7 Paediatric cover
• No age limit identified

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 Royal Wolverhampton NHS Trust (RWT)

General Surgery

• Emergency: ≥ 5 years
• Elective: ≥ 1–2 years

Urology

• Emergency torsion:
  • ≥ 2–5 years (consultant dependent)
• Elective:
  • Orchidopexy ≥ 15 months

ENT

• ≥ 2 years / 12–15 kg
• Weekend non‑resident service

Orthopaedics

• ≥ 6 months (some exceptions with paeds anaesthetist)
• Major trauma —  BCH

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Worcestershire Acute Hospitals NHS Trust (WAHT)

ENT

• ≥ 2 years
• Adenotonsillectomy, grommets

General Surgery

• Limited paediatric provision
• Most surgery — BCH

Anaesthetics

• Elective paeds lists weekdays
• Under 2 years generally not supported

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Walsall Healthcare NHS Trust (WHT)

General Surgery

• Emergency: ≥ 5 years
• Elective: ≥ 1 year
  • Hernias, circumcision, tongue tie, pilonidal

ENT

• ≥ 2 years
• No airway emergencies under 2
• Weekend cover: via New Cross

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South Warwickshire NHS (SWFT)

General Surgery

• Emergency: ≥ 2 years
• Elective: ≥ 18 months / 10 kg

Urology

• Emergency torsion ≥ 5 years
• Elective ≥ 2 years

ENT

• Not core service

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University Hospitals North Midlands (UHNM)

General / Urology Surgery

• Emergency:
  • ≥ 5 years locally
  • <3 years — Alder Hey
• Elective:
  • ≥ 3 years
  • Circumcision, PPV repair, orchidopexy

Orthopaedics

• Full paediatric trauma & infection care
• Oncology excluded

Anaesthetics

• PICU on site
• Neonates >3kg accepted (non‑cardiac, non‑neuro)

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Wye Valley NHS Trust (WVT)

ENT

• ≥ 2 years
• Neonates only if unsafe to transfer

Orthopaedics

• Selected trauma ≥ 3 years
• Fragile service

General Surgery

• Minimal – refer to BCH

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Robert Jones & Agnes Hunt Orthopaedic Hospital (RJAH)

Orthopaedics (Specialist Center)

• Elective only
• Ages: 0–18
• Major procedures usually ≥ 6 months
• Dual consultant lists for <2 years
• No emergency admissions