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The e-mémoires of the Académie Nationale de Chirurgie

Pediatric Surgery (PS) Specific Regional Network (SRN): Guidelines and spécification

Hélène LE HORS

Seance of wednesday 28 february 2024 (Chirurgie pédiatrique)

DOI number : 10.26299/j07y-xb85/emem.2024.07.02

Abstract

The SRNs were defined in Decree No. 2021-295 of March 18, 2021. As part of the reform of surgery authorisations, all establishments with a PS authorisation, daycare or not, as well as establishments with adult surgery authorisation but participating in the management of emergencies for 3 to 15 years old children in orthopedics, visceral, urological or gynecological surgery must adhere to the PSSRN in their region.

The missions of the PSSRN include:
-ensuring the animation and coordination of care stakeholders,
-promoting the readability of the CP offer, in particular through information to the general public,
-promoting the quality and coordination of care among public and private health systems,
-promoting the adequacy of the level of care to the degree of complexity of the situations,
-participating, through training and regional protocols, in the improvement and updating of knowledge and professional practices

The General Directorate of Healthcare Organisation has established a PSSRN charter framework (to be published) for Regional Health Agencies (RHA) detailing its governance, missions and objectives.

The CNP CEA has established a more detailed charter based on numerous works of the speciality and the existing network in Occitanie. This specifies the guidelines according to 3 levels: local center, specialised center and referral center. Each region will have its own PSSRN in support of RHA and will be able to adapt the charter to local conditions.

The CNP CEA has notably defined that non-pediatric surgeons will be authorised if they have training and regular practice of CP but it is against the principle that centers without CP authorisation and no regular CP practice could take care of emergencies from 3 to 15 years old.