GIRFT Orthopaedic Trauma Services Survey

Closes 31 Dec 2020

Opened 5 Mar 2020

Overview

The scope of Orthopaedic Trauma is broad. Therefore to make this questionnaire relevant I have focussed on those areas which I believe either to be important in themselves or as a general indicator of a unit's well-being. I have consulted widely with others. Additionally I have chosen to explore those areas in which there is already national or professional consensus as expressed in up to date NICE guidelines or BOASTs (British Orthopaedic Association STandards). Where appropriate in the questionnaire I have referenced the relevant guideline or BOAST. The NICE guidelines and BOASTs can be viewed on can be viewed on their relevant websites:

  • https://www.nice.org.uk/guidance/ng37
  • https://www.nice.org.uk/guidance/ng38
  • https://www.nice.org.uk/guidance/cg124
  • https://www.boa.ac.uk/standards-guidance/boasts.html

The functional unit for the delivery of Orthopaedic Trauma Services will vary depending on the nature of the injury in question. Thus some injuries would be generally be dealt with at the presenting hospital whereas others require co-operation between units. I have decided that the basic denominator will be those units which return data to the NHFD, this should capture the individual functional units for orthopaedic trauma surgery. Other injuries may be managed more collaboratively as part of a network, their management will be reviewed not just in the individual units but also in the context of that network.

In some instances I have asked whether there is a relevant in-house policy for particular issues. I would be grateful if you would consider where you have examples of good practice whether you are happy that these be shared on open access with others either via the GIRFT or British Orthopaedic Association (BOA) website. This can help others considerably in formulating their own local policies, and is quicker than waiting for the production of a final report.

There are some questions that will need a short period of data collection for instance is a section in this questionnaire entitled “Theatre team preparedness and education”. This particular question will necessitate some information being gathered locally at WHO timeouts ahead of the GIRFT Orthopaedic Trauma visit.

One of the outcomes of each visit will be a number of recommendations. I consider it to be important that this section is as brief but as pertinent as possible. Consequently, it would be very helpful if, as a group, you could consider prior to the visit two or three areas in which you feel the most progress could be made. There is space at the end of this questionnaire to record these. Additionally, a key objective is to share good practice, and I have also provided space for you to give two or three examples from your trust.

 

Bob Handley
National Clinical Lead for GIRFT Orthopaedic Trauma