RCoA responds to NCEPOD report on cerebral palsy

Responding to the launch of the National Confidential Enquiry into Patient Outcome and Death’s Each and Every Need report on management of cerebral palsy in people aged 0-25, Dr Liam Brennan, President of the Royal College of Anaesthetists, said:

“This report presents positive solutions for the management of children and young adults with chronic neurodisability, and provides a number of recommendations for improving the quality of care these patients receive.

“In line with our perioperative medicine programme, we support the call for shared decision-making between patients, families and clinicians. We believe that inter-disciplinary decision-making in the perioperative setting is best co-ordinated through referral to anaesthetist-led pre-operative clinics. 

“We also support the development of more timely pre-operative assessment clinics. Children and young adults with chronic neurodisability frequently have multiple co-morbidities and often require complex regional pain relief techniques, and it is better to clarify these issues and obtain informed consent from parents and patients prior to hospital admission.

“We believe better support for pain teams to care for both children and young adults after surgery is required, particularly outside of large specialist centres.

“Lastly, we welcome advanced directives for care in the event of an emergency. Younger patients with complex needs deserve the opportunity to develop and hold an emergency health care plan, so that if their condition deteriorates, they will receive the best and most appropriate care possible.”

08 March 2018