Plans for expanding critical care capacity to look after adults using repurposed PICU space and staff
Hospitals | St Mary’s Hospital | Royal Brompton Hospital | Royal London Hospital | Alder Hey Children’s Hospital | Royal Manchester Children’s Hospital | King’s College Hospital | Royal Stoke University Hospital |
Ring-fenced arrangements for paediatric critical care patients | 2 bed-spaces for internal emergency | 1 bed-space for internal emergency on a separate ward | 2 bed-spaces for internal emergency | Bed-spaces for ECMO service and emergency cardiac surgery | 15 bed-spaces for internal emergency Accept external time-critical admissions and specialist local service referrals | 4 bed-spaces for internal emergency, mainly liver and neurosciences Accept external admissions for neurosurgery and liver referrals | No bed-spaces |
Diversion arrangements | Divert CATS admissions to GOSH/ELCH | Divert CATS/STRS admissions to GOSH/ELCH | Divert CATS/STRS admissions to GOSH/ELCH | None | Divert referrals | Diverts all CATS/STRS admissions to GOSH/ELCH | Divert KIDS admissions to BCH |
Alternative provision | PHDU relocated to a general ward Burns unit relocated | Satellite level 2 paediatric critical care facility on general ward | |||||
Admission capacity for level 2–3 adult critical care | 15 COVID | 18 COVID, including ECMO | 12 non-COVID and COVID | 19 non-COVID and COVID | 21 COVID | 12 non-COVID | 10 COVID |
BCH, Birmingham Children’s Hospital; CATS, Children Acute Transport Service; ELCH, Evelina London Children’s Hospital; GOSH, Great Ormond Street Hospital; KIDS, Kids Intensive Care and Decision Support; PHDU, paediatric high dependency unit; PICU, paediatric intensive care unit; STRS, South Thames Retrieval Service.