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Annex A > Chapter 20 - Concerns: Foreword, 1984 and 1985 > Concerns > 1985


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1985

11 This was the first full year after designation of Bristol as an SRC. Evidence as to the need to establish and develop what was thought to be an appropriate caseload is contained in Chapter 7 - Supra Regional Services [8] and is not repeated here.

12 Records were maintained of the throughput of paediatric cardiac cases including whether or not the child operated on had survived. In particular the surgeons Mr James Wisheart and Mr Janardan Dhasmana kept logs, and each year Mr Wisheart ensured that his secretary informed the Society of Cardiothoracic Surgeons of Great Britain and Ireland (SCS) of the numbers of operations, and numbers of deaths, recorded in the Bristol Unit.

13 In 1985, the return to the Register showed that the Bristol Unit performed 14 open-heart operations on children under 1 year of age, and 85 on children over 1 year of age. [9] There were three deaths in the under-1 group, and two in the over-1s. [10]

14 The table appended to the Joint Working Party Report referred to in para 9 above [11] also gave figures for the number of open- and closed-heart operations carried out on children under 1 year old in 1985: [12]

Supra Regional Centre
open-heart
operations
closed-heart
operations
total
BRI and BRHSC
14
41
55
The Freeman Hospital, Newcastle
28
47
75
Birmingham Children's Hospital
42
68
110
Brompton Hospital, London
71
85
156
The Royal Liverpool Children's Hospital
82
113
195
Southampton General Hospital
47
53
100
Guy's Hospital, London
12
60
72
Great Ormond Street Hospital for Sick Children
74
142
216
Killingbeck Hospital, Leeds
32
80
112

402
689
1, 091
Centre
open-heart
operations
closed-heart
operations
total
Harefield Hospital, Middlesex
38
17
55
Groby Road Hospital, Leicester
16
42
58


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Footnotes

[8] Evidence as to the views of referring clinicians is contained in Chapter 11

[9] UBHT 0055 0005; return to the SCS produced by the UBHT

[10] UBHT 0055 0154; return to the SCS produced by the UBHT

[11] Report of the Joint Working Party of the Royal College of Physicians of London and the Royal College of Surgeons of England `Supraregional Services: Neonatal and Infant Cardiac Surgery', dated 1 September 1986

[12] RCSE 0002 0017; figures taken from table 3 to the Report