Abstract
Traditionally, general paediatric surgery (GPS) has been delivered by general surgeons, often in district general hospitals (DGHs). Changes to higher training in general surgery as a result of Calmanisation, the European Working Time Regulations and Modernising Medical Careers has meant that fewer general surgical higher trainees are being exposed to GPS Together with changes in paediatric anaesthesia working practices and guidelines, the future delivery of GPS services in DGHs is in jeopardy. The burden on specialist paediatric surgical units (SPSUs) will increase with implications for the training of paediatric surgical trainees. Evidence from England has shown that there has been a shift of paediatric surgical services from DGHs to SPSUs.
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