title: Paediatric intensive care: out of commission.
abstract: Problems with commissioning paediatric intensive care stem both from difficulties in recruitment and retention of nurses, and from incoherent or nonexistent national audit. Pyramidal career structures and patterns of remuneration that concentrate on administrative responsibility over clinical skills underlie the former, whereas poor audit conceals variations in both service quality and demand. Epidemiologically superior data are required if we are to solve commissioning problems. We need to know what happened to every child from a defined population receiving intensive care and whether a lack of resources means that some children are denied intensive care.
authors.affiliation: Birmingham Childrens Hospital, Steelhouse Lane, Birmingham, UK. Gale.Pearson@Bhamchildrens.wmids.nhs.uk
authors.forename: Gale A
authors.initials: GA
authors.lastname: Pearson
mesh_terms: D002648:Child; D003422:Critical Care / Q000639:trends*; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000639:trends*; D009026:Mortality; D011787:Quality of Health Care; D006113:United Kingdom; D000078329:Workforce