2. Why have a child injury HIT? National calls for coordination of trauma care and rehabilitation Desire to keep care out of hospital where appropriate Growing and diverse child population in Bristol Centralisation of children’s trauma services from NBT to UHB in May 2014 Healing Foundation Children’s Burns Research Centre

3. The challenge - prevention Accidents don’t happen by accident

4. The challenge - care High volume - Low impactLow volume – High impact Bangs to the head Cuts and wounds Ingestions Road traffic injuries Major head trauma Extensive burns Usually quick and full recovery Long admission, slow recovery +/- long term consequences

5. The challenge - rehabilitation Current provision of services is complex! Little knowledge of long term impact

6. Prevention of injury Primary prevention Prevent injury event occurring Out of hospital First response by parents, carers and emergency services Secondary prevention Minimise harm Hospital Emergency department, intensive & acute care Secondary and tertiary prevention Optimise outcomes following injury Community Community care, rehabilitation, & re-enablement Tertiary prevention Maximise recovery & minimise disability Cross cutting theme 1: Child, young person & parent user involvement Cross cutting theme 2: Student, practitioner & professional education + public information Cross cutting theme 3: Research and innovation Child Injury Prevention and Injury Care Health Integration Team

7. Launch of CIPIC HIT September 2013

8. Environment experts Psychologists Commissioners Emergency Department Acute and community Nurses Speech and Language therapy Physiotherapy Occupational therapy Neurologists Orthopaedic surgeons Physiotherapy Fire and rescue service Ambulance service Special educational needs Children’s Centre managers Researchers Burn care experts Voluntary sector organisations Local Authority Who is involved?

9. Burns and Scalds Amber Young Head injuries Mark Lyttle Fractures Fergal Monsell Major Trauma Giles Haythornthwaite Four topic themes Cross cutting theme Children, Young People and Parent involvement First response Sammer Tang Rehabilitation Louise Lloyd Prevention Julie Mytton Who is involved?

10. Our aims Fewer injuries Better outcomes Setting a national standard for integrated prevention, care and rehabilitation