Burns

To achieve the best possible clinical outcome for burn injured patients, care must be delivered by expert multi-disciplinary teams in specialised burn units. The Burn Operational Delivery Network (ODN) coordinates the patient pathway between all providers within their network.

FOCUS

The London and South East Burn ODN (LSEBN) is one of four ODNs for specialised burn care in England and Wales. During 2015/16, we had almost 9,000 new referrals, of which around 2,000 resulted in adults and children receiving inpatient care. Of these, over 30 cases involved severe and complex injuries, requiring intensive care. In addition to the inpatient service, we also routinely treat around 7,000 people for minor injuries through our outpatient and dressing clinics.

In London and the South East of England, burn care is organised using a three-tiered model of care, with the most severe and complex cases being treated at burn centres; burn units treating moderate cases; and burn facilities treating those with less complex burns. The Burn ODN delivers a coordinated approach to burn care between all providers, ensuring patients have access to the best possible services and the right level of care they need.

Key objectives

  • Ensure effective clinical flows through the provider system through clinical collaboration for networked provision of services
  • Take a whole system collaborative provision approach to ensuring the delivery of safe and effective services across the patient pathway, adding value for all its stakeholders
  • Improve cross-organisational multiprofessional clinical engagement to improve pathways of care

GEOGRAPHY

The LSEBN covers a large geographical area and a population of around 21m people. Our network covers all of London and the East of England, Kent Surrey and Sussex, and the Thames Valley. Our network geography includes three NHS England Regions, and we have four NHS England teams commissioning specialised burn care services.

  • Chelsea and Westminster Hospital, London (burns centre for adults, burns unit for children)
  • Queen Victoria Hospital, East Grinstead (burns unit for adults and children)
  • St Andrews Broomfield Hospital, Chelmsford (burns centre for adults and children)
  • Stoke Mandeville Hospital, Aylesbury (burns unit for adults and children)

London and South East of England Burn ODN website | www.lsebn.nhs.uk CONTACTS

VISION AND PURPOSE
The aim of the LSEBN is to optimise the provision of care for burn injured patients as
defined in the manual for prescribed services and the Service Specification for Specialised
Burn Care by ensuring that all patients that require specialist burn care have access to
the right level of burn care at the right time and in the right service.

BACKGROUND
The LSEBN has been operating as a managed clinical network since early 2008.
Until April 2013, the network was managed and supported by the London Specialised
Commissioning Group.

CHALLENGES
As with many specialised services, burn care for people with complex injuries is a
high cost and low volume service. Ensuring access to high quality care is a priority for
the ODN.

Major Trauma