Regional Surgical Mapping

The regional mapping of surgical services within the Surgery in Children Network provides an overview of paediatric surgical care across the region, including service provision, referral pathways, and specialist expertise. It supports equitable access to high-quality care, identifies gaps and variations, and informs future service planning to ensure children receive the right care, in the right place, at the right time.

 
Mapping Template Regional Map

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

 

Birmingham Children’s Hospital (BWCH)

bch  

General Paediatric Surgery

  • 8 Paediatric Surgeons providing both emergency and elective paediatric surgery*
  • All ages (including up to 18 years for known patients who have yet transitioned over to adult services)
  • 24/7 provision 
  • Surgeons also have subspecialities*
  • Any Paediatric breast lump surgery goes to QE or Heartlands hospital via pathway
  • Paediatric Pyelinidal abscess surgery goes to Heartlands 

 

Paediatric Urology

  • 6 Paediatric Urology Surgeons providing both emergency and elective paediatric surgery
  • All ages
  • 24/7 provision

 

Paediatric ENT

  •  Including airway; except nationally commissioned complex tracheal cases or tracheal stenosis – GOSH
  • 8 ENT Surgeons
  • All ages
  • 24/7 provision

 

Paediatric Orthopaedics and Trauma  

  • Covers elective paediatric orthopaedics and paediatric orthopaedic trauma
  • Pelvic and acetabular fracture surgery undertaken by QE Pelvic Trauma Surgeons at BCH (Referrals go to BCH)
  • Bone tumour surgery undertaken by ROH Bone Tumour Surgeons at BCH (Referrals go to ROH)
  • 8 Paediatric Orthopaedic Surgeons – 3 of whom undertake adult practice too
  • All ages
  • 24/7 Provision

 

Paediatric Anaesthesia and Radiology

No response

 

Notes

  • Emergency/trauma spinal surgery undertaken by BCH Neurosurgery
  • Spinal deformity surgery undertaken by ROH Paediatric Spinal Deformity Surgeons at BCH 
  • Outreach General Paediatric/Urology surgery completed at Kidderminster Treatment Centre

Sandwell & West Birmingham NHS Trust (MMUH)

MMUH

General Paediatric Surgery

  • 14 surgeons providing emergency paediatric cover, 2 surgeons providing elective paediatric surgery
  • > 1 year for elective cases, > 5 years for emergency cases
  • 24/7 provision for paediatrics

 

 

Paediatric Urology

  • 2 surgeons providing elective paediatric surgery
  • 7 surgeons providing emergency paediatric cover 
  • >1 year for elective cases, >4 years for emergency cases
  • 24/7 provision

 

Paediatric ENT

  • Specialist surgery available
  • 7 Surgeons providing paediatric surgery
  • > 1 year for ENT surgery
  • 24/7 provision

 

Paediatric Orthopaedics and Trauma

  • 12 surgeons providing emergency paediatric surgery, 1 surgeon providing elective paediatric surgery
  • No age limitations reported
  • 24/7 provision for trauma

 

Paediatric Anaesthesia and Radiology

  • 15 Consultant Anaesthetists on 24/7 emergency on-call rota
  • No age limitations reported
  • 24/7 provision

 

Notes

University Hospital Coventry and Warwickshire (UHCW)

uhcw

General Paediatric Surgery

  • 12 Surgeons provide emergency paediatric surgery, 4 surgeons provide elective paediatric surgery
  • >1 month minimal age for elective surgery, >3 years minimal age for emergency surgery
  • 24/7 provision

 

Paediatric Urology  

  • No elective urology surgical provision, emergency provision for suspected testicular torsion seen by urology SpR

 

Paediatric ENT  

  • All ENT surgery, no airway
  • 12 ENT Surgeons
  • > 2 years for surgery, anaesthetist dependent
  •   24/7 provision

 

Paediatric Orthopaedics and Trauma  

  • Covers Paediatric orthopaedics but major trauma goes to BCH. Any patient who may need PICU bed after surgery, referred to BCH
  • 4 Consultant Paediatric Surgeons – Stephen Cooke, Giles Pattison, Dan Westacott and Chris Hill
  • > 6 weeks old
  • 24/7 provision

 

Paediatric Anaesthesia and Radiology

  • 11 Consultant Anaesthetist s provide emergency provision, 11 Consultant Anaesthetists provide elective provision to Paediatrics
  • No reported age limitations
  • 24/7 provision
  • Paediatric Radiology provision Mon-Fri 9-5. Some out of hours dependent on on call Consultant

 

Notes

University Hospitals of North Midlands (UHNM)

STOKE

General Paediatric Surgery

  • 24 Surgeons providing emergency paediatric surgery provision, 3 Surgeons providing elective paediatric surgery provision (1 visiting surgeon from Alder Hey)
  • 24/7 provision
  • > 5 years
  • Some surgical pathways with Alder Hey

Paediatric Urology

  • 9 Surgeons providing emergency paediatric surgery provision, 3 surgeons providing elective paediatric surgery provision (1 visiting surgeon from Alder Hey)
  • 24/7 provision
  • > 3 years (some provision from 12/18 months but surgeon dependant)
  • Some surgical pathways with Alder Hey

Paediatric ENT

No response

Paediatric Orthopaedics and Trauma 

  • 20 surgeons providing emergency paediatric provision, 5 surgeons providing elective paediatric provision
  • 24/7
  • All ages reported

Paediatric Anaesthesia and Radiology

  • 8 Anaesthetists providing paediatric anaesthetic provision
  • 24/7
  • All ages reported
  • Radiology provision 8-5 Monday -Friday. Outsourced company reports out of hours/weekends

Notes

 

Royal Wolverhampton NHS Trust (RWT)

rwt

General Paediatric Surgery

  • 12 Surgeons provide emergency paediatric surgery provision, 2 provide elective Paediatric Surgery provision
  • > 5 years old for emergency surgery, >2 years old for elective surgery
  • 24/7 provision

 

Paediatric Urology

  • Pathway with Walsall Hospital Trust
  • 15 Surgeons provide emergency paediatric surgery provision, 3 surgeons provide elective paediatric provision
  • > 5 years old, some emergency surgery >2 years old
  • 24/7 provision

 

Paediatric ENT

  • 6 Surgeons providing emergency paediatric ENT surgery, 2 surgeons providing elective paediatric ENT Surgery
  • > 1 year
  • 24/7 provision – weekend non-resident service

 

Paediatric Orthopaedics and Trauma

  • All paediatric major trauma goes to BCH
  • 10 surgeons providing emergency paediatric trauma and orthopaedic surgery, 2 surgeons providing elective orthopaedic surgery
  • > 1 month (elective surgery)
  • 24/7 provision

 

Paediatric Anaesthesia and Radiology

  • 20 Anaesthetists provide emergency provision for paediatrics
  • > 1 year
  • 24/7 provision

 

Notes

Shrewsbury and Telford NHS Trust (SaTH)

sath

General Paediatric Surgery

  • No response provided about GPS

 

Paediatric Urology

  •  10 surgeons providing emergency paediatric surgery provision, 2 surgeons providing elective paediatric surgery provision
  • > 5 years old emergency, < 5 years pathway to BCH. >18 months elective surgery
  • 24/7 provision

 

Paediatric ENT

  •   9 surgeons providing emergency paediatric surgery provision, 3 surgeons providing elective paediatric surgery provision
  • > 2 years (or >1 year if paediatric anaesthetist on call) for emergency surgery, > 2 years (or 12kg) for elective surgery
  • 24/7 provision
  • Alder Hey pathway for audiovestibular medicine

 

Paediatric Orthopaedics and Trauma

  • No response provided about TOPS

 

Paediatric Anaesthesia and Radiology

  •   No response provided about anaesthesia and radiology

 

Notes

Worcestershire Acute Hospitals NHS Trust (WAHT)

Worcs

General Paediatric Surgery

  •  No response provided

 

Paediatric Urology

  •  Suspected torsion is only emergency surgery provided for urology
  • 10 Surgeons provide emergency paediatric surgery provision, 2 surgeons provide elective paediatric provision
  • > 3 years
  • 24/7 provision

 

Paediatric ENT

  • 7 Surgeons provide both emergency and elective paediatric surgery provision
  • > 2 years
  • 24/7 provision

 

Paediatric Orthopaedics and Trauma

  • No response provided

 

Paediatric Anaesthesia and Radiology

  •  28 anaesthetists providing emergency paediatric cover
  •  > 2 years
  •  24/7 provision – non-resident overnight

Notes

  • Elective paediatric lists are provided at Kidderminster Treatment Centre

Walsall Healthcare NHS Trust (WHT)

wht

General Paediatric Surgery

  • 9 Surgeons provide emergency paediatric surgery provision, 2 surgeons provide elective paediatric provision
  • > 1 year elective, > 5 years emergency
  • 24/7 provision

 

Paediatric Urology

  •  No response provided

 

Paediatric ENT

  • 5 Surgeons provide emergency paediatric surgery provision, 5 surgeons provide elective paediatric provision
  • > 2 years
  • 24/7 provision weekdays, weekend provision is at Newcross Hospital (RWT)

 

Paediatric Orthopaedics and Trauma

  •  No response provided

 

Paediatric Anaesthesia and Radiology

  • 40 anaesthetists providing emergency paediatric provision
  • > 2 years
  • 24/7 provision

 

Notes

South Warwickshire Foundation Trust (SWFT)

warwick

General Paediatric Surgery

  • 10 Surgeons provide emergency paediatric surgery provision, 2 surgeons provide elective paediatric provision
  • > 18 months/10kg
  • 24/7 provision

 

  • Paediatric Urology
  • 5 Surgeons provide emergency paediatric surgery provision, 2 surgeons provide elective paediatric provisio
  • > 5 years emergency provision, > 2 years elective provision
  • 24/7 provision

 

Paediatric ENT

  • 5 Surgeons provide both emergency and elective paediatric surgery provision 
  • > 2 years
  • 24/7 provision

 

  • Paediatric Orthopaedics and Trauma
  • No response provided

 

Paediatric Anaesthesia and Radiology

  • 43 anaesthetist provide emergency provision to paediatrics
  • > 2 years, some provision for 1-2 year olds dependent on anaesthetist
  • 24/7 provision

 

Notes

Robert Jones Agnes Hunt (RJAH)

rjah

General Paediatric Surgery

  • No General Paediatric surgery provision

 

Paediatric Urology

  • No Paediatric Urology surgery provision

 

Paediatric ENT

  • No Paediatric ENT surgery provision

 

Paediatric Orthopaedics and Trauma

  • 4 Surgeons providing paediatric provision
  • > 3 months
  • No 24/7 emergency provision. Elective centre admissions only Mon-Fri 9-5

 

Paediatric Anaesthesia and Radiology

  • No response provided

 

Notes

Russells Hall Hospital (DGFT)

dudley

General Paediatric Surgery

  • No response provided

 

Paediatric Urology

  • No response provided

 

Paediatric ENT

  • No response provided

 

Paediatric Orthopaedics and Trauma

  • No response provided

 

Paediatric Anaesthesia and Radiology

  • No response provided

 

Notes

University Hospitals of Birmingham - Heartlands (UHB)

bhh

General Paediatric Surgery

 

Paediatric Urology

 

Paediatric ENT

 

Paediatric Orthopaedics and Trauma 

 

Paediatric Anaesthesia and Radiology

 

Notes

George Elliot Hospital (GEH)

geh

General Paediatric Surgery

 

Paediatric Urology

 

Paediatric ENT

 

Paediatric Orthopaedics and Trauma 

 

Paediatric Anaesthesia and Radiology

 

Notes

Wye Valley Trust - Hereford County Hospital (WVT)

wvt

General Paediatric Surgery

No response provided

Paediatric Urology

  • 6 surgeons providing emergency paediatric surgery provision, 3 surgeons providing elective paediatric surgery provision (1 general paediatric surgeon, 2 urology surgeons)
  • > 4 years emergency surgery, > 2 years elective surgery
  • 24/7 provision

Paediatric ENT

  • 4 Surgeons provide both emergency and elective paediatric surgery provision
  • >2 years
  • 24/7 provision

Paediatric Orthopaedics and Trauma 

  • 9 Surgeons provide emergency paediatric surgery provision, 3 surgeons provide elective paediatric provision
  • > 3 years
  • 24/7 provision

Paediatric Anaesthesia and Radiology

  • 34 anaesthetists providing paediatric provision
  • > 5 years
  • 24/7 emergency provision
  • 24/7 x-ray and CT provision, US and MRI reporting outsourced out of hours

Notes